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Oak Street Health Reports Full Year 2021 results
February 28, 2022 at 4:05 Eastern Time
CHICAGO, IL – Oak Street Health, Inc. (NYSE: OSH, or the “Company”), a network of value-based primary care centers for adults on Medicare, today reported financial results for its fiscal year ended December 31, 2021.
“We reported a strong quarter with results favorable to the high end of guidance across metrics. These results were thanks to the hard work and dedication of our team allowing Oak Street to navigate through a challenging operating environment, including the Omicron Covid surge and the historically tight labor market” said Mike Pykosz, Chief Executive Officer of Oak Street Health. “The quarter caps a year in which we advanced significantly on our journey to transform healthcare for older adults. We opened up 50 centers across 8 new states in 2021 and generated over $1.43 billion of revenue in 2021, driving year over year growth of 62%. We continued to build on our core platform, adding new care model capabilities including our acquisition of RubiconMD, which will allow us to integrate a comprehensive virtual specialty network into our care model. We were thrilled to be selected by the AARP as their exclusive primary care provider to carry the AARP name. Looking ahead, we remain steadfast in our mission to rebuild healthcare as it should be and to provide high quality value-based care to the Medicare-eligible population. I want to thank all Oakies for their hard work and dedication, and I am excited for what we can accomplish in 2022.”
Tim Cook, Chief Financial Officer, added, "We remain enthusiastic about the combination of our growth prospects and the expected 2022 unit-level economics we shared in January, which remain the basis for our 2022 guidance. We are modifying our pace of new centers in 2022 to maintain a steady pace of center openings financed internally. We expect to open 40 new centers in 2022 and 30 to 40 new centers in 2023 and 2024. This pace will drive the business to profitability by 2025, sustain a compounded revenue rate in excess of 40% over the next several years, and importantly, allow Oak Street Health to grow strategically despite the current uncertainty in the equity markets."
Full Year 2022 Financial Highlights
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Total revenue was $1.43 billion, up 62% year over year. |
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Capitated revenue totaled $1.40 billion, up 64% year over year. |
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The Company cared for approximately 114,500 risk-based patients, representing 75% of its total patients. |
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Net loss was $(414.6) million1, compared to $(192.1) million in 2020. |
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Adjusted EBITDA2 was $(228.9) million, compared to $(92.6) million in 2020. |
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As of December 31, 2021, the Company operated 129 centers, compared to 79 centers as of December 31, 2020. |
Outlook for Fiscal Year 2022
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Includes stock based and unit-based compensation of $161.4 million and $78.6 million for 2021 and 2020, respectively. The majority of the increase is due to the modification of vesting terms for pre-IPO equity awards that occurred post-IPO (2020 included approximately four and a half months of expense due to the timing of our IPO) and not incremental grants of equity. |
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Adjusted EBITDA is a non-GAAP financial measure that is presented as supplemental disclosure and is reconciled to net loss as the most directly comparable GAAP measure as set forth in the accompanying “Adjusted EBITDA Reconciliation” section. We define Adjusted EBITDA as net loss, excluding other income (expense), taxes, depreciation and amortization, stock-based and unit-based compensation and transaction/ offering related costs. |
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The following table provides a reconciliation of net loss, the most closely comparable GAAP financial measure, to Adjusted EBITDA: Transaction/ offering related costs deducted in our Adjusted EBITDA calculation include one-time costs incurred related to private, public offerings and due diligence costs associated with our acquisitions.
Due to the significant fixed costs associated with operating and managing our centers and the increases we experience in patient contribution on a per-patient basis the longer a patient is part of the Oak Street Platform, we generate significantly better center-level contribution margins (defined as (i) patient revenue, excluding Medicare Part D revenue minus (ii) the sum of (a) medical claims expense, excluding Medicare Part D related expenses, and (b) cost of care, excluding depreciation and amortization) as the patient base within our centers increases and matures and our costs decrease as a percent of revenue.
In addition, we expect our corporate, general and administrative expenses to increase in absolute dollars for the foreseeable future to support our growth and because of additional costs of being a public company.
As the year progresses, our per-patient revenue declines as new patients join us typically with less complete or accurate documentation (and therefore lower risk-adjustment scores) and our attrition skews towards our higher-risk (and therefore greater revenue) patients.
Because platform contribution, patient contribution and Adjusted EBITDA facilitate internal comparisons of our historical operating performance on a more consistent basis, we use these measures for business planning purposes and in evaluating acquisition opportunities.
Beginning in late March 2020...Read more
Medical costs also depend upon...Read more
We also expect to incur...Read more
To supplement our consolidated financial...Read more
Our consolidated financial statements could...Read more
Under certain agreements the fund...Read more
The increase was driven primarily...Read more
We grow our patient base...Read more
Cash provided by financing activities...Read more
Non-GAAP financial measures used by...Read more
Due to the uncertainty of...Read more
Our cash and cash equivalents...Read more
Based on the aggregate worldwide...Read more
Investments in Growth: We expect...Read more
For the year ended December...Read more
We include adjusted EBITDA in...Read more
As a result of being...Read more
For the year ended December...Read more
Center-Level Contribution Margin: We endeavor...Read more
Some of the more critical...Read more
Interest expense was $(2.5) million...Read more
Adding New Patients in Existing...Read more
We believe that the proceeds...Read more
Our definitions of platform contribution,...Read more
We believe this metric best...Read more
Medical Claims Expense Medical claims...Read more
Although the Company believes its...Read more
We view patient contribution as...Read more
As we are financially responsible...Read more
Total patients includes both at-risk...Read more
If anticipated future variable costs...Read more
Furthermore, pandemic-related labor shortages remain...Read more
The increase in cost per...Read more
These estimates and assumptions primarily...Read more
We typically experience the largest...Read more
The following table presents key...Read more
Additionally, we had an outflow...Read more
We intend to use the...Read more
Cost of care, excluding depreciation...Read more
There can be no assurances,...Read more
Through December 31, 2021, the...Read more
In certain contracts, PPPM fees...Read more
As a center matures, we...Read more
Capitated revenue was $1,397.0 million...Read more
Other revenue was $35.6 million...Read more
Expand our Center Base within...Read more
This resurgence, as well as...Read more
We grew our patient base...Read more
We created a new care...Read more
Since our inception and through...Read more
The increase was primarily due...Read more
Our platform's design has included...Read more
This increase was driven primarily...Read more
We expect that patient contribution...Read more
For intangible assets, the Company...Read more
As a result, we may...Read more
Our care model focuses on...Read more
The increase was primarily due...Read more
Cash provided by financing activities...Read more
Financial Statements, Disclosures and Schedules
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Ticker: OSH
CIK: 1564406
Form Type: 10-K Annual Report
Accession Number: 0001564590-22-007694
Submitted to the SEC: Mon Feb 28 2022 5:25:26 PM EST
Accepted by the SEC: Mon Feb 28 2022
Period: Friday, December 31, 2021
Industry: Health Services