Performant Financial Corporation Announces Financial Results for Third Quarter 2024

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Nov 06, 2024

Performant Financial Corporation (Nasdaq: PFMT), a leading provider of healthcare payment integrity services, today reported the following financial results for its third quarter ended September 30, 2024:

Third Quarter Financial Highlights

  • Healthcare revenues of $30.3 million, compared to $28.5 million in the prior year period, an increase of approximately 6%.
  • Total revenues of $31.5 million, compared to total revenues of $30.0 million in the prior year period.
  • Net loss of $2.4 million, or $(0.03) per diluted share, compared to net loss of $0.6 million, or $(0.01) per diluted share, in the prior year period.
  • Adjusted EBITDA of $1.9 million, compared to $1.8 million in the prior year period.
  • Adjusted net loss was $0.8 million, or $(0.01) per diluted share, compared to adjusted net income of $0.4 million, or $0.01 per diluted share, in the prior year period.

Third Quarter 2024 Results

Healthcare revenues in the third quarter of 2024 were $30.3 million, an increase of approximately 6% from $28.5 million in the prior year period. Total revenues in the third quarter were $31.5 million, an increase of 5% from total revenues of $30.0 million in the prior year period. Within healthcare, claims-based services revenue in the third quarter of 2024 was $14.2 million, while revenue from eligibility-based services in the third quarter was $16.1 million.

“Our third quarter revenue and overall profitability grew as expected against a difficult year-over-year comparison. Existing commercial client implementations continue to scale as expected along with the CMS RAC Region 2 contract to drive revenue growth," stated Simeon Kohl, CEO of Performant. "We are capitalizing on market opportunities, including our first State Medicaid contract with New York, one of the nation’s largest Medicaid programs. Our contract awards across federal, commercial, and now State Medicaid clients are a testament to our growth strategy, driven by our quality services and ability to understand clients’ needs in this dynamic market. Within our commercial clients, we have implemented 32 programs during 2024, which we currently estimate to collectively contribute between $13 and $14 million in annualized revenue at steady state. Our long-term focus remains on delivering value for our healthcare clients and stakeholders, including initiatives to deliver efficiency and productivity gains. I am pleased with the results and excited to lead the team to successfully close out 2024."

Revenues from our customer care / outsourced services in the third quarter were $1.2 million, down from $1.5 million in the prior year period. Simeon Kohl remarked on this business: “We have made the decision to reduce services in our customer care line of business. Our strategy remains clear, with a focus on the healthcare payment integrity market as we remain optimistic about its growth horizon.”

Net loss for the third quarter was $2.4 million, or $(0.03) per diluted share, compared to a net loss of $0.6 million, or $(0.01) per diluted share, in the prior year period. Adjusted EBITDA for the third quarter was $1.9 million as compared to $1.8 million in the prior year period. Adjusted net loss for the third quarter was $0.8 million, or $(0.01) per share on a diluted basis, compared to adjusted net income of $0.4 million, or $0.01 per diluted share, in the prior year period.

“The combination of our strong year-to-date financial performance and advancements in initiatives aimed at improving profitability, gives us confidence in reiterating our healthcare revenue guidance range,” said Rohit Ramchandani, Chief Financial Officer. “We expect to deliver financial results within our originally stated range which is an achievement considering some unusual conditions in the healthcare market in 2024. Full guidance expectations are as follows: 2024 healthcare revenues in the range of $117 million to $122 million, and adjusted EBITDA in the range of $4 million to $5 million," Ramchandani further commented.

Note Regarding Use of Non-GAAP Financial Measures

In this press release, to supplement our consolidated financial statements, the Company presents adjusted EBITDA, adjusted net income (loss), and adjusted net income (loss) per diluted share. These measures are not in accordance with accounting principles generally accepted in the United States of America (US GAAP) and accordingly reconciliations of adjusted EBITDA and adjusted net income (loss) to net income (loss) determined in accordance with US GAAP are included in the “Reconciliation of Non-GAAP Results” table at the end of this press release. We have included adjusted EBITDA and adjusted net income (loss) in this press release because they are key measures used by our management and board of directors to understand and evaluate our core operating performance and trends and to prepare and approve our annual budget. Accordingly, we believe that adjusted EBITDA and adjusted net income (loss) provide useful information to investors and analysts in understanding and evaluating our operating results in the same manner as our management and board of directors. Our use of adjusted EBITDA and adjusted net income (loss) has limitations as an analytical tool and should not be considered in isolation or as a substitute for analysis of our results as reported under US GAAP. In particular, many of the adjustments to our US GAAP financial measures reflect the exclusion of items, specifically interest, tax, and depreciation and amortization expenses, equity-based compensation expense and certain other non-operating expenses, that are recurring and will be reflected in our financial results for the foreseeable future. In addition, these measures may be calculated differently from similarly titled non-GAAP financial measures used by other companies, limiting their usefulness for comparison purposes. In regard to forward looking non-GAAP guidance, we are not able to reconcile the forward-looking non-GAAP adjusted EBITDA measure to the closest corresponding GAAP measure without unreasonable efforts because we are unable to predict the ultimate outcome of certain significant items. These items include, but are not limited to, impacts associated with interest expense, and depreciation and amortization expenses.

Earnings Conference Call

The Company will hold a conference call to discuss its third quarter 2024 results today at 5:00 p.m. Eastern. A live webcast of the call may be accessed on the Investor Relations section of the Company’s website at investors.performantcorp.com. To dial into the call you can dial 800-717-1738 or 646-307-1865.

A replay of the call will be available on the Company's website or by dialing 844-512-2921 (domestic) or 412-317-6671 (international) and entering the passcode 1114357. The telephonic replay will be available approximately three hours after the call, through November 13, 2024.

About Performant Healthcare Solutions

Performant supports healthcare payers in identifying, preventing, and recovering waste and improper payments by leveraging advanced technology, analytics and proprietary data assets. Performant works with leading national and regional healthcare payers to provide eligibility-based, also known as coordination-of-benefits (COB) services, as well as claims-based services, which includes the audit and identification of improperly paid claims. Performant is a leading provider of these services in both government and commercial healthcare markets. Performant also provides advanced reporting capabilities, support services, customer care, and stakeholder training programs designed to mitigate future instances of improper payments.

To learn more, please visit http://www.performanthealth.com

Forward Looking Statements

This press release contains certain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements regarding the Company's outlook for revenues, net income (loss), adjusted EBITDA in 2024 and beyond, our commercial client growth strategy, and our estimated revenue from commercial programs implemented in the first nine-months of 2024. These forward-looking statements are based on current expectations, estimates, assumptions, and projections that are subject to change and actual results may differ materially from the forward-looking statements. Factors that could cause actual results to differ materially include, but are not limited to, the Company’s ability to generate revenue following long implementation periods associated with new customer contracts; client relationships and the Company’s ability to maintain such client relationships; many of the Company’s customer contracts are subject to periodic renewal, are not exclusive, do not provide for committed business volumes; anticipated trends and challenges in the Company’s business and competition in the markets in which it operates; the Company’s indebtedness and compliance, or failure to comply, with restrictive covenants in the Company’s credit agreement; opportunities and expectations for growth in the various markets in which the Company operates; the Company’s ability to hire and retain employees with specialized skills that are required for its healthcare business; downturns in domestic or global economic conditions and other macroeconomic factors; the Company’s ability to generate sufficient cash flows to fund our ongoing operations and other liquidity needs; the impact of public health pandemics such as COVID-19 on the Company’s business and operations, opportunities and expectations for the markets in which the Company operates; the impacts of a failure of the Company’s operating systems or technology infrastructure or those of third-party vendors and subcontractors; the impacts of a cybersecurity breach or related incident to the Company or any of the Company’s third-party vendors and subcontractors; the adaptability of the Company’s technology platform to new markets and processes; the Company’s ability to invest in and utilize our data and analytics capabilities to expand its capabilities; the Company’s growth strategy of expanding in existing markets and considering strategic alliances or acquisitions; the Company’s ability to maintain, protect and enhance its intellectual property; expectations regarding future expenses; expected future financial performance; and the Company’s ability to comply with and adapt to industry regulations and compliance demands.

More information on potential factors that could affect the Company's financial condition and operating results is included from time to time in the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of the Company's annual report on Form 10-K for the year ended December 31, 2023 and subsequently filed reports on Forms 10-Q and 8-K. The forward-looking statements are made as of the date of this press release and the Company does not undertake to update any forward-looking statements to conform these statements to actual results or revised expectations.

PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES

Consolidated Balance Sheets

(In thousands, except par value amounts)

September 30,
2024

December 31,
2023

(Unaudited)

Assets

Current assets:

Cash and cash equivalents

$

7,775

$

7,252

Restricted cash

—

81

Trade accounts receivable, net of allowance for credit losses

17,955

17,584

Contract assets

9,538

10,879

Prepaid expenses and other current assets

2,944

3,651

Income tax receivable

119

335

Total current assets

38,331

39,782

Property, equipment, and software, net

14,033

9,724

Goodwill

47,372

47,372

Debt issuance costs

473

631

Right-of-use assets

847

531

Other assets

787

990

Total assets

$

101,843

$

99,030

Liabilities and Stockholders’ Equity

Current liabilities:

Accrued salaries and benefits

7,588

7,924

Accounts payable

719

727

Other current liabilities

2,404

2,385

Contract liabilities

1,897

493

Estimated liability for appeals and disputes

600

601

Deferred asset acquisition payments

737

—

Lease liabilities

423

250

Total current liabilities

14,368

12,380

Long-term loan payable

8,000

5,000

Deferred asset acquisition payments

3,123

—

Lease liabilities

442

295

Other liabilities

672

648

Total liabilities

26,605

18,323

Commitments and contingencies

Stockholders’ equity:

Common stock, $0.0001 par value. Authorized, 500,000 shares at September 30, 2024 and December 31, 2023 respectively; issued and outstanding 78,291 and 76,920 shares at September 30, 2024 and December 31, 2023, respectively

8

8

Additional paid-in capital

149,929

146,001

Accumulated deficit

(74,699

)

(65,302

)

Total stockholders’ equity

75,238

80,707

Total liabilities and stockholders’ equity

$

101,843

$

99,030

PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES

Consolidated Statements of Operations

(In thousands, except per share amounts)

(Unaudited)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2024

2023

2024

2023

Revenues

$

31,519

$

29,962

$

88,215

$

81,176

Operating expenses:

Salaries and benefits

25,966

22,980

73,721

67,139

Other operating expenses

7,702

7,632

23,305

22,077

Total operating expenses

33,668

30,612

97,026

89,216

Loss from operations

(2,149

)

(650

)

(8,811

)

(8,040

)

Gain on sale of certain recovery contracts

—

—

—

3

Interest expense

(313

)

(423

)

(799

)

(1,188

)

Interest income

93

86

260

86

Loss before provision for income taxes

(2,369

)

(987

)

(9,350

)

(9,139

)

Provision for (benefit from) income taxes

15

(407

)

47

(365

)

Net loss

$

(2,384

)

$

(580

)

$

(9,397

)

$

(8,774

)

Net loss per share

Basic

$

(0.03

)

$

(0.01

)

$

(0.12

)

$

(0.12

)

Diluted

$

(0.03

)

$

(0.01

)

$

(0.12

)

$

(0.12

)

Weighted average shares

Basic

77,748

76,454

77,232

75,907

Diluted

77,748

76,454

77,232

75,907

PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES

Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

Nine Months Ended

September 30,

2024

2023

Cash flows from operating activities:

Net loss

$

(9,397

)

$

(8,774

)

Adjustments to reconcile net loss to net cash provided by operating activities:

Loss on disposal of assets

63

258

Depreciation and amortization

5,244

3,805

Right-of-use assets amortization

312

1,411

Stock-based compensation

4,122

2,815

Interest expense from debt issuance costs

173

256

Gain on sale of certain recovery contracts

—

(3

)

Changes in operating assets and liabilities:

Trade accounts receivable

(371

)

1,665

Contract assets

1,341

4,610

Prepaid expenses and other current assets

707

561

Income tax receivable

216

2,607

Other assets

190

86

Accrued salaries and benefits

(336

)

(1,295

)

Accounts payable

(8

)

(390

)

Contract liabilities and other current liabilities

1,423

(43

)

Estimated liability for appeals and disputes

(1

)

(200

)

Lease liabilities

(308

)

(1,645

)

Other liabilities

25

23

Net cash provided by operating activities

3,395

5,747

Cash flows from investing activities:

Purchase of property, equipment, and software

(5,744

)

(2,956

)

Proceeds from sale of certain recovery contracts

—

3

Net cash used in investing activities

(5,744

)

(2,953

)

Cash flows from financing activities:

Repayment of long-term loan payable

—

(8,250

)

Debt issuance costs paid

(15

)

(424

)

Taxes paid related to net share settlement of stock awards

(194

)

(196

)

Borrowings from revolving loan

3,000

—

Net cash provided by (used in) financing activities

2,791

(8,870

)

Net increase (decrease) in cash, cash equivalents and restricted cash

442

(6,076

)

Cash, cash equivalents and restricted cash at beginning of period

7,333

23,465

Cash, cash equivalents and restricted cash at end of period

$

7,775

$

17,389

Reconciliation of the Consolidated Statements of Cash Flows to the

Consolidated Balance Sheets:

Cash and cash equivalents

$

7,775

$

17,308

Restricted cash

—

81

Total cash, cash equivalents and restricted cash at end of period

$

7,775

$

17,389

Non-cash investing activities:

Deferred asset acquisition payments

$

3,860

$

—

Supplemental disclosures of cash flow information:

Cash received for income taxes

$

(112

)

$

(2,904

)

Cash paid for interest

$

438

$

1,084

PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES

Reconciliation of Non-GAAP Results

(In thousands, except per share amount)

(Unaudited)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2024

2023

2024

2023

(in thousands)

(in thousands)

Adjusted EBITDA:

Net income (loss)

$

(2,384

)

$

(580

)

$

(9,397

)

$

(8,774

)

Provision for (benefit from) income taxes

15

(407

)

47

(365

)

Interest expense (1)

313

423

799

1,188

Interest income

(93

)

(86

)

(260

)

(86

)

Stock-based compensation

1,860

1,129

4,122

2,815

Depreciation and amortization

1,927

1,293

5,244

3,805

Severance expenses (3)

278

64

664

246

Other

21

5

36

34

Adjusted EBITDA

$

1,937

$

1,841

$

1,255

$

(1,137

)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2024

2023

2024

2023

(in thousands)

(in thousands)

Adjusted Net Income (Loss):

Net income (loss)

$

(2,384

)

$

(580

)

$

(9,397

)

$

(8,774

)

Stock-based compensation

1,860

1,129

4,122

2,815

Amortization of debt issuance costs (2)

58

134

173

256

Severance expenses (3)

278

64

664

246

Other

21

5

36

34

Tax adjustments (4)

(609

)

(366

)

(1,373

)

(921

)

Adjusted net income (loss)

$

(776

)

$

386

$

(5,775

)

$

(6,344

)

Three Months Ended

September 30,

Nine Months Ended

September 30,

2024

2023

2024

2023

(in thousands)

(in thousands)

Adjusted Net Income (Loss) Per Diluted Share:

Net income (loss)

$

(2,384

)

$

(580

)

$

(9,397

)

$

(8,774

)

Plus: Adjustment items per reconciliation of adjusted net income (loss)

1,608

966

3,622

2,430

Adjusted net income (loss)

$

(776

)

$

386

$

(5,775

)

$

(6,344

)

Adjusted net income (loss) per diluted share

$

(0.01

)

$

0.01

$

(0.08

)

$

(0.08

)

Diluted average shares outstanding

77,748

76,830

77,232

75,907

(1)

Represents interest expense and amortization of debt issuance costs related to our Credit Agreement.

(2)

Represents amortization of debt issuance costs related to our Credit Agreement.

(3)

Represents severance expenses incurred in connection with a reduction in force for our non-healthcare recovery services.

(4)

Represents tax adjustments assuming a marginal tax rate of 27.5% at full profitability.

PERFORMANT FINANCIAL CORPORATION AND SUBSIDIARIES

Quarterly and Annual Revenues

(In thousands)

(Unaudited)

We are providing the following historical breakdown of the quarterly and annual revenue contributions under the contribution breakdowns of our healthcare revenue results for the nine months ended September 30, 2024, and for the years ended December 31, 2023 and 2022:

Three Months Ended

Nine Months Ended

March 31, 2024

June 30, 2024

September 30, 2024

September 30, 2024

(in thousands)

Eligibility-based

$

13,388

$

14,264

$

16,070

$

43,722

Claims-based

12,412

13,661

14,217

40,290

Healthcare Total

25,800

27,925

30,287

84,012

Customer Care / Outsourced Services

1,534

1,437

1,232

4,203

Total

$

27,334

$

29,362

$

31,519

$

88,215

Three Months Ended

Year Ended

March 31, 2023

June 30, 2023

September 30, 2023

December 31, 2023

December 31, 2023

(in thousands)

Eligibility-based

$

12,480

$

14,131

$

18,165

$

16,403

$

61,179

Claims-based

10,412

9,798

10,325

14,730

45,265

Healthcare Total

22,892

23,929

28,490

31,133

106,444

Recovery

19

14

—

—

33

Customer Care / Outsourced Services

2,818

1,542

1,472

1,434

7,266

Total

$

25,729

$

25,485

$

29,962

$

32,567

$

113,743

Three Months Ended

Year Ended

March 31, 2022

June 30, 2022

September 30, 2022

December 31, 2022

December 31, 2022

(in thousands)

Eligibility-based

$

14,214

$

12,417

$

13,142

$

13,511

$

53,284

Claims-based

9,150

9,339

10,377

12,516

41,382

Healthcare Total

23,364

21,756

23,519

26,027

94,666

Recovery

118

7

41

75

241

Customer Care / Outsourced Services

3,601

3,918

3,618

3,140

14,277

Total

$

27,083

$

25,681

$

27,178

$

29,242

$

109,184

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