10-Q 1 lfst-20240630.htm 10-Q 10-Q
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

FORM 10-Q

 

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2024

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number: 001-40478

 

LifeStance Health Group, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

 

Delaware

86-1832801

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer
Identification No.)

4800 N. Scottsdale Road Suite 2500

Scottsdale, Arizona

85251

(Address of principal executive offices)

(Zip Code)

Registrant’s telephone number, including area code: (602) 767-2100

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange on which registered

Common Stock, par value $0.01 per share

 

LFST

 

The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

 

 

Accelerated filer

 

 

 

 

 

Non-accelerated filer

 

 

Smaller reporting company

 

 

 

 

 

 

 

 

Emerging growth company

 

 

 

 

 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

As of July 31, 2024, the registrant had 382,622,704 shares of common stock, $0.01 par value per share, outstanding.

 

 

 


 

Table of Contents

 

Page

PART I.

FINANCIAL INFORMATION

Item 1.

Financial Statements (Unaudited)

1

Consolidated Balance Sheets

2

Consolidated Statements of Operations and Comprehensive Loss

3

 

Consolidated Statements of Changes in Stockholders' Equity

4

Consolidated Statements of Cash Flows

6

Notes to Consolidated Financial Statements

7

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

18

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

27

Item 4.

Controls and Procedures

27

PART II.

OTHER INFORMATION

Item 1.

Legal Proceedings

30

Item 1A.

Risk Factors

30

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

30

Item 3.

Defaults Upon Senior Securities

30

Item 4.

Mine Safety Disclosures

30

Item 5.

Other Information

30

Item 6.

Exhibits

31

Signatures

32

 

i


 

 

Cautionary Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q contains forward-looking statements. Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, and other future conditions. Forward-looking statements can be identified by words such as “anticipate,” “believe,” “envision,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” “contemplate” and other similar expressions, although not all forward-looking statements contain these identifying words. For example, all statements we make relating to: our ability to grow our business, expand access to our patients and our payors and invest in our platform; our plan to partner with additional hospital systems, large primary care groups and other specialist groups; our expectation that we will continue to open de novo center and acquire new centers; our growth rates and financial results; our plans and objectives for future operations, growth or initiatives and strategies; and our expected market opportunity are forward-looking statements.

We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements we make. We have based these forward-looking statements largely on our current expectations and projections about future events and trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking statements are subject to a number of risks, uncertainties, factors and assumptions described in Part II, Item 1A, “Risk Factors” and elsewhere in this Quarterly Report on Form 10-Q, our Annual Report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (the "SEC") on February 28, 2024, including, among other things:

if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be harmed;
we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies;
if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy;
our ability to recruit new clinicians and retain existing clinicians;
we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition;
we are dependent on our relationships with supported practices, which we do not own, to provide healthcare services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges;
we operate in a competitive industry, and if we are not able to compete effectively, our business and financial performance would be harmed;
the impact of healthcare reform legislation and other changes in the healthcare industry and in healthcare spending on us is currently unknown, but may harm our business;
if our or our vendors’ security measures fail or are breached and unauthorized access to our employees’, patients’ or partners’ data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners;
our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems;
our existing indebtedness could adversely affect our business and growth prospects; and
the other factors set forth under “Risk Factors.”

The forward-looking statements in this Quarterly Report on Form 10-Q represent our views as of the date of this report. We undertake no obligation to publicly update any forward-looking statements whether as a result of new information, future developments or otherwise, except as required by law.

ii


 

PART I—FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited).

 

LIFESTANCE HEALTH GROUP, INC.

CONSOLIDATED FINANCIAL STATEMENTS

For the quarterly period ended June 30, 2024

 

1


 

LIFESTANCE HEALTH GROUP, INC.

CONSOLIDATED BALANCE SHEETS

(unaudited)

(In thousands, except for par value)

 

 

 

June 30, 2024

 

 

December 31, 2023

 

CURRENT ASSETS

 

 

 

 

 

 

Cash and cash equivalents

 

$

86,969

 

 

$

78,824

 

Patient accounts receivable, net

 

 

167,220

 

 

 

125,405

 

Prepaid expenses and other current assets

 

 

23,559

 

 

 

21,502

 

Total current assets

 

 

277,748

 

 

 

225,731

 

NONCURRENT ASSETS

 

 

 

 

 

 

Property and equipment, net

 

 

175,941

 

 

 

188,222

 

Right-of-use assets

 

 

160,214

 

 

 

170,703

 

Intangible assets, net

 

 

200,058

 

 

 

221,072

 

Goodwill

 

 

1,293,346

 

 

 

1,293,346

 

Other noncurrent assets

 

 

12,044

 

 

 

10,895

 

Total noncurrent assets

 

 

1,841,603

 

 

 

1,884,238

 

Total assets

 

$

2,119,351

 

 

$

2,109,969

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

CURRENT LIABILITIES

 

 

 

 

 

 

Accounts payable

 

$

9,973

 

 

$

7,051

 

Accrued payroll expenses

 

 

122,578

 

 

 

102,478

 

Other accrued expenses

 

 

38,488

 

 

 

35,012

 

Contingent consideration

 

 

3,809

 

 

 

8,169

 

Operating lease liabilities, current

 

 

49,187

 

 

 

46,475

 

Other current liabilities

 

 

3,624

 

 

 

3,688

 

Total current liabilities

 

 

227,659

 

 

 

202,873

 

NONCURRENT LIABILITIES

 

 

 

 

 

 

Long-term debt, net

 

 

279,459

 

 

 

280,285

 

Operating lease liabilities, noncurrent

 

 

165,751

 

 

 

181,357

 

Deferred tax liability, net

 

 

15,884

 

 

 

15,572

 

Other noncurrent liabilities

 

 

571

 

 

 

952

 

Total noncurrent liabilities

 

 

461,665

 

 

 

478,166

 

Total liabilities

 

$

689,324

 

 

$

681,039

 

COMMITMENTS AND CONTINGENCIES (see Note 12)

 

 

 

 

 

 

STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

Preferred stock – par value $0.01 per share; 25,000 shares authorized as of
   June 30, 2024 and December 31, 2023;
0 shares issued and outstanding as
   of June 30, 2024 and December 31, 2023

 

 

 

 

 

 

Common stock – par value $0.01 per share; 800,000 shares authorized as of
   June 30, 2024 and December 31, 2023;
383,314 and 378,725 shares
   issued and outstanding as of June 30, 2024 and December 31, 2023,
   respectively

 

 

3,833

 

 

 

3,789

 

Additional paid-in capital

 

 

2,228,771

 

 

 

2,183,684

 

Accumulated other comprehensive income

 

 

2,643

 

 

 

2,303

 

Accumulated deficit

 

 

(805,220

)

 

 

(760,846

)

Total stockholders' equity

 

 

1,430,027

 

 

 

1,428,930

 

Total liabilities and stockholders’ equity

 

$

2,119,351

 

 

$

2,109,969

 

 

The accompanying Notes are an integral part of these Unaudited Consolidated Financial Statements.

2


 

LIFESTANCE HEALTH GROUP, INC.

consolidated statements of operations and comprehensive loss

(unaudited)

(In thousands, except for Net Loss per Share)

 

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

TOTAL REVENUE

 

$

312,331

 

 

$

259,578

 

 

$

612,768

 

 

$

512,167

 

OPERATING EXPENSES

 

 

 

 

 

 

 

 

 

 

 

 

Center costs, excluding depreciation and amortization
  shown separately below

 

 

214,525

 

 

 

186,607

 

 

 

420,236

 

 

 

369,594

 

General and administrative expenses

 

 

95,153

 

 

 

101,854

 

 

 

184,087

 

 

 

186,480

 

Depreciation and amortization

 

 

18,600

 

 

 

19,530

 

 

 

41,164

 

 

 

38,599

 

Total operating expenses

 

$

328,278

 

 

$

307,991

 

 

$

645,487

 

 

$

594,673

 

LOSS FROM OPERATIONS

 

$

(15,947

)

 

$

(48,413

)

 

$

(32,719

)

 

$

(82,506

)

OTHER EXPENSE

 

 

 

 

 

 

 

 

 

 

 

 

(Loss) gain on remeasurement of
   contingent consideration

 

 

(55

)

 

 

1,539

 

 

 

1,960

 

 

 

2,576

 

Transaction costs

 

 

(792

)

 

 

(3

)

 

 

(792

)

 

 

(89

)

Interest expense, net

 

 

(5,823

)

 

 

(5,119

)

 

 

(11,726

)

 

 

(10,211

)

Other expense

 

 

(4

)

 

 

(24

)

 

 

(78

)

 

 

(69

)

Total other expense

 

$

(6,674

)

 

$

(3,607

)

 

$

(10,636

)

 

$

(7,793

)

LOSS BEFORE INCOME TAXES

 

 

(22,621

)

 

 

(52,020

)

 

 

(43,355

)

 

 

(90,299

)

INCOME TAX (PROVISION) BENEFIT

 

 

(656

)

 

 

6,542

 

 

 

(1,019

)

 

 

10,579

 

NET LOSS

 

$

(23,277

)

 

$

(45,478

)

 

$

(44,374

)

 

$

(79,720

)

NET LOSS PER SHARE, BASIC AND DILUTED

 

 

(0.06

)

 

 

(0.13

)

 

 

(0.12

)

 

 

(0.22

)

Weighted-average shares used to compute basic and
  diluted net loss per share

 

 

379,427

 

 

 

363,161

 

 

 

377,880

 

 

 

362,039

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET LOSS

 

$

(23,277

)

 

$

(45,478

)

 

$

(44,374

)

 

$

(79,720

)

OTHER COMPREHENSIVE (LOSS) INCOME

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (losses) gains on cash flow hedge, net
  of tax

 

 

(243

)

 

 

2,147

 

 

 

340

 

 

 

877

 

COMPREHENSIVE LOSS

 

$

(23,520

)

 

$

(43,331

)

 

$

(44,034

)

 

$

(78,843

)

 

The accompanying Notes are an integral part of these Unaudited Consolidated Financial Statements.

3


LIFESTANCE HEALTH GROUP, INC.

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

(unaudited)

(In thousands)

 

 

 

Common Stock

 

 

Additional
Paid-in

 

 

Accumulated Other Comprehensive

 

 

Accumulated

 

 

Total Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income

 

 

Deficit

 

 

Equity

 

Balances at March 31, 2024

 

 

382,105

 

 

$

3,821

 

 

$

2,204,233

 

 

$

2,886

 

 

$

(781,943

)

 

$

1,428,997

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(23,277

)

 

 

(23,277

)

Issuance of common stock upon
   vesting of restricted stock units

 

 

1,376

 

 

 

14

 

 

 

(14

)

 

 

 

 

 

 

 

 

 

Forfeitures

 

 

(167

)

 

 

(2

)

 

 

2

 

 

 

 

 

 

 

 

 

 

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

(243

)

 

 

 

 

 

(243

)

Stock-based compensation expense

 

 

 

 

 

 

 

 

24,550

 

 

 

 

 

 

 

 

 

24,550

 

Balances at June 30, 2024

 

 

383,314

 

 

$

3,833

 

 

$

2,228,771

 

 

$

2,643

 

 

$

(805,220

)

 

$

1,430,027

 

 

 

 

Common Stock

 

 

Additional
Paid-in

 

 

Accumulated Other Comprehensive

 

 

Accumulated

 

 

Total Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income

 

 

Deficit

 

 

Equity

 

Balances at March 31, 2023

 

 

376,537

 

 

$

3,767

 

 

$

2,108,184

 

 

$

2,004

 

 

$

(608,826

)

 

$

1,505,129

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(45,478

)

 

 

(45,478

)

Issuance of common stock upon
   vesting of restricted stock units

 

 

2,295

 

 

 

23

 

 

 

(23

)

 

 

 

 

 

 

 

 

 

Forfeitures

 

 

(827

)

 

 

(8

)

 

 

(26

)

 

 

 

 

 

 

 

 

(34

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

2,147

 

 

 

 

 

 

2,147

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

33,112

 

 

 

 

 

 

 

 

 

33,112

 

Balances at June 30, 2023

 

 

378,005

 

 

$

3,782

 

 

$

2,141,247

 

 

$

4,151

 

 

$

(654,304

)

 

$

1,494,876

 

 

The accompanying Notes are an integral part of these Unaudited Consolidated Financial Statements.

 

4


LIFESTANCE HEALTH GROUP, INC.

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

(unaudited)

(In thousands)

 

 

 

Common Stock

 

 

Additional
Paid-in

 

 

Accumulated Other Comprehensive

 

 

Accumulated

 

 

Total Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income

 

 

Deficit

 

 

Equity

 

Balances at December 31, 2023

 

 

378,725

 

 

$

3,789

 

 

$

2,183,684

 

 

$

2,303

 

 

$

(760,846

)

 

$

1,428,930

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(44,374

)

 

 

(44,374

)

Issuance of common stock upon
   vesting of restricted stock units

 

 

7,063

 

 

 

70

 

 

 

(70

)

 

 

 

 

 

 

 

 

 

Forfeitures

 

 

(2,474

)

 

 

(26

)

 

 

26

 

 

 

 

 

 

 

 

 

 

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

340

 

 

 

 

 

 

340

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

45,131

 

 

 

 

 

 

 

 

 

45,131

 

Balances at June 30, 2024

 

 

383,314

 

 

$

3,833

 

 

$

2,228,771

 

 

$

2,643

 

 

$

(805,220

)

 

$

1,430,027

 

 

 

 

Common Stock

 

 

Additional
Paid-in

 

 

Accumulated Other Comprehensive

 

 

Accumulated

 

 

Total Stockholders'

 

 

 

Shares

 

 

Amount

 

 

Capital

 

 

Income

 

 

Deficit

 

 

Equity

 

Balances at December 31, 2022

 

 

375,964

 

 

$

3,761

 

 

$

2,084,324

 

 

$

3,274

 

 

$

(572,636

)

 

$

1,518,723

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(79,720

)

 

 

(79,720

)

Adoption of ASU 2016-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1,948

)

 

 

(1,948

)

Issuance of common stock upon
   vesting of restricted stock units

 

 

4,006

 

 

 

40

 

 

 

(40

)

 

 

 

 

 

 

 

 

 

Forfeitures

 

 

(1,965

)

 

 

(19

)

 

 

(3,380

)

 

 

 

 

 

 

 

 

(3,399

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

877

 

 

 

 

 

 

877

 

Stock-based compensation expense

 

 

 

 

 

 

 

 

60,343

 

 

 

 

 

 

 

 

 

60,343

 

Balances at June 30, 2023

 

 

378,005

 

 

$

3,782

 

 

$

2,141,247

 

 

$

4,151

 

 

$

(654,304

)

 

$

1,494,876

 

 

The accompanying Notes are an integral part of these Unaudited Consolidated Financial Statements.

5


 

LIFESTANCE HEALTH GROUP, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(In thousands)

 

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

CASH FLOWS FROM OPERATING ACTIVITIES

 

 

 

 

 

 

Net loss

 

$

(44,374

)

 

$

(79,720

)

Adjustments to reconcile net loss to net cash provided by (used in) operating
   activities:

 

 

 

 

 

 

Depreciation and amortization

 

 

41,164

 

 

 

38,599

 

Non-cash operating lease costs

 

 

19,476

 

 

 

20,263

 

Stock-based compensation

 

 

45,131

 

 

 

56,944

 

Amortization of discount and debt issue costs

 

 

844

 

 

 

1,076

 

Gain on remeasurement of contingent consideration

 

 

(1,960

)

 

 

(2,576

)

Other, net

 

 

191

 

 

 

2,708

 

Change in operating assets and liabilities, net of businesses acquired:

 

 

 

 

 

 

Patient accounts receivable, net

 

 

(41,815

)

 

 

(20,558

)

Prepaid expenses and other current assets

 

 

(2,762

)

 

 

(15,176

)

Accounts payable

 

 

3,208

 

 

 

(5,395

)

Accrued payroll expenses

 

 

20,100

 

 

 

5,158

 

Operating lease liabilities

 

 

(22,082

)

 

 

(16,929

)

Other accrued expenses

 

 

5,101

 

 

 

7,282

 

Net cash provided by (used in) operating activities

 

$

22,222

 

 

$

(8,324

)

CASH FLOWS FROM INVESTING ACTIVITIES

 

 

 

 

 

 

Purchases of property and equipment

 

 

(10,214

)

 

 

(19,310

)

Acquisitions of businesses, net of cash acquired

 

 

 

 

 

(19,820

)

Net cash used in investing activities

 

$

(10,214

)

 

$

(39,130

)

CASH FLOWS FROM FINANCING ACTIVITIES

 

 

 

 

 

 

Proceeds from long-term debt

 

 

 

 

 

25,000

 

Payments of debt issue costs

 

 

 

 

 

(188

)

Payments of long-term debt

 

 

(1,463

)

 

 

(1,173

)

Payments of contingent consideration

 

 

(2,400

)

 

 

(5,201

)

Net cash (used in) provided by financing activities

 

$

(3,863

)

 

$

18,438

 

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS

 

 

8,145

 

 

 

(29,016

)

Cash and Cash Equivalents - Beginning of period

 

 

78,824

 

 

 

108,621

 

CASH AND CASH EQUIVALENTS – END OF PERIOD

 

$

86,969

 

 

$

79,605

 

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION

 

 

 

 

 

 

Cash paid for interest, net

 

$

12,626

 

 

$

9,830

 

Cash paid for taxes, net of refunds

 

$

(154

)

 

$

313

 

SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND
   FINANCING ACTIVITIES

 

 

 

 

 

 

Contingent consideration incurred in acquisitions of businesses

 

$

 

 

$

1,985

 

Acquisition of property and equipment included in liabilities

 

$

1,726

 

 

$

6,238

 

 

The accompanying Notes are an integral part of these Unaudited Consolidated Financial Statements.

6


 

LIFESTANCE HEALTH GROUP, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

(In thousands, except per share amounts)

NOTE 1 NATURE OF THE BUSINESS

Description of Business

LifeStance Health Group, Inc. ("LifeStance" or the "Company") operates as a provider of outpatient mental health services, spanning psychiatric evaluations and treatment, psychological and neuropsychological testing, and individual, family and group therapy.

NOTE 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

The Company's significant accounting policies are discussed in Note 2 "Summary of Significant Accounting Policies" in Item 15 of its Annual Report on Form 10-K for the year ended December 31, 2023. During the six months ended June 30, 2024, there have been no significant changes to these policies.

Basis of Presentation and Principles of Consolidation

The Company has prepared the accompanying unaudited consolidated financial statements pursuant to the rules and regulations of the SEC regarding interim financial reporting, which include the accounts of LifeStance, its wholly-owned subsidiaries and variable interest entities ("VIEs") in which LifeStance has an interest and is the primary beneficiary. Pursuant to these rules and regulations, the Company has omitted certain information and footnote disclosures it normally includes in its annual consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). All intercompany balances and transactions have been eliminated in consolidation. In management’s opinion, the Company has made all adjustments (consisting only of normal, recurring adjustments, except as otherwise indicated) necessary to fairly state its consolidated financial condition, results of operations and cash flows. The Company’s interim period operating results do not necessarily indicate the results that may be expected for any other interim period or the full fiscal year. These financial statements and accompanying notes should be read in conjunction with the consolidated financial statements and notes thereto in the Company’s audited financial statements for the year ended December 31, 2023 in the Company's Annual Report on Form 10-K.

Use of Accounting Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Variable Interest Entities

The Company evaluates its ownership, contractual and other interests in entities to determine if it has any variable interest in a VIE. These evaluations are complex, involve judgment, and the use of estimates and assumptions based on available information. If the Company determines that an entity in which it holds a contractual or ownership interest is a VIE and that the Company is the primary beneficiary, the Company consolidates such entity in its consolidated financial statements. The primary beneficiary of a VIE is the party that meets both of the following criteria: (i) has the power to make decisions that most significantly affect the economic performance of the VIE; and (ii) has the obligation to absorb losses or the right to receive benefits that in either case could potentially be significant to the VIE. The Company performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change.

The Company acquires and operates certain care centers which are deemed to be Friendly-Physician Entities (“FPEs”). As part of an FPE acquisition, the Company acquires 100% of the non-medical assets, however due to legal requirements the physician-owners must retain 100% of the equity interest. The Company’s agreements with FPEs generally consist of both a Management Service Agreement, which provides for various administrative and management services to be provided by the Company to the FPE, and Stock Transfer Restriction (“STR”) agreements with the physician-owners of the FPEs, which provide for the transition of ownership interests of the FPEs under certain conditions. The outstanding voting equity instruments of the FPEs are owned by the nominee shareholders appointed by the Company under the terms of the STR agreements. The Company has the right to receive income as an ongoing management fee, which effectively absorbs all of the residual interests and has also provided financial support through loans to the FPEs. The Company has exclusive responsibility for the provision of all nonmedical services including facilities, technology and intellectual property required for the day-to-day operation and management of each of the FPEs, and makes recommendations to the FPEs in establishing the guidelines for the employment and compensation of the physicians and other employees of the FPEs. In addition, the STR agreements provide that the Company has the right to designate an appropriately licensed person(s) to purchase the equity interest of the FPE for a nominal amount in the event of a succession event at the Company’s discretion. Based on the

7


 

provisions of these agreements, the Company determined that the FPEs are VIEs due to the equity holder having insufficient capital at risk, and the Company has a variable interest in the FPEs.

The contractual arrangements described above allow the Company to direct the activities that most significantly affect the economic performance of the FPEs. Accordingly, the Company is the primary beneficiary of the FPEs and consolidates the FPEs under the VIE model. Furthermore, as a direct result of nominal initial equity contributions by the physicians, the financial support the Company provides to the FPEs (e.g., loans) and the provisions of the contractual arrangements and nominee shareholder succession arrangements described above, the interests held by noncontrolling interest holders lack economic substance and do not provide them with the ability to participate in the residual profits or losses generated by the FPEs. Therefore, all income and expenses recognized by the FPEs are allocated to the Company. The Company does not hold interests in any VIEs for which the Company is not deemed to be the primary beneficiary.

As noted previously, the Company acquires 100% of the non-medical assets of the VIEs. The aggregate carrying values of the VIEs total assets and total liabilities not purchased by the Company but included on the consolidated balance sheets were not material at June 30, 2024 and December 31, 2023.

Recent Accounting Pronouncements Not Yet Adopted

In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures ("ASU 2023-07"). ASU 2023-07 improves reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses on an interim and annual basis. ASU 2023-07 is effective for public companies for annual periods beginning on or after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. ASU 2023-07 will apply retrospectively to all prior periods presented in the financial statements. The Company is in process of evaluating the impact of adoption of ASU 2023-07 on the Company's consolidated financial statements and disclosures.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures ("ASU 2023-09"). ASU 2023-09 improves the transparency of income tax disclosures by requiring (1) consistent categories and greater disaggregation of information in the rate reconciliation and (2) income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for public business entities for annual periods beginning after December 15, 2024. Early adoption is permitted. ASU 2023-09 will apply on a prospective basis and retrospective application is permitted. The Company is in process of evaluating the impact of adoption of ASU 2023-09 on the Company's consolidated financial statements and disclosures.

NOTE 3 TOTAL REVENUE

The Company’s total revenue is dependent on a series of contracts with third-party payors, which is typical for providers in the healthcare industry. The Company has determined that the nature, amount, timing and uncertainty of revenue and cash flows are affected by the payor mix with third-party payors, which have different reimbursement rates.

The payor mix of fee-for-service revenue from patients and third-party payors consists of the following:

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

 

Amount

 

 

% of Total Revenue

 

 

Amount

 

 

% of Total Revenue

 

 

Amount

 

 

% of Total Revenue

 

 

Amount

 

 

% of Total Revenue

 

Commercial

 

$

283,913

 

 

 

91

%

 

$

235,896

 

 

 

91

%

 

$

557,679

 

 

 

91

%

 

$

464,815

 

 

 

91

%

Government

 

 

14,634

 

 

 

5

%

 

 

10,999

 

 

 

4

%

 

 

28,166

 

 

 

5

%

 

 

21,950

 

 

 

4

%

Self-pay

 

 

11,291

 

 

 

3

%

 

 

10,384

 

 

 

4

%

 

 

21,612

 

 

 

3

%

 

 

20,131

 

 

 

4

%

Total patient service
   revenue

 

 

309,838

 

 

 

99

%

 

 

257,279

 

 

 

99

%

 

 

607,457

 

 

 

99

%

 

 

506,896

 

 

 

99

%

Nonpatient service
   revenue

 

 

2,493

 

 

 

1

%

 

 

2,299

 

 

 

1

%

 

 

5,311

 

 

 

1

%

 

 

5,271

 

 

 

1

%

Total

 

$

312,331

 

 

 

100

%

 

$

259,578

 

 

 

100

%

 

$

612,768

 

 

 

100

%

 

$

512,167

 

 

 

100

%

Among the commercial payors, the table below represents insurance companies that individually represented 10% or more of revenue:

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Payor A

 

 

17

%

 

 

19

%

 

 

17

%

 

 

19

%

Payor B

 

 

16

%

 

 

13

%

 

 

15

%

 

 

13

%

 

8


 

NOTE 4 PROPERTY AND EQUIPMENT, NET

Property and equipment, net consists of the following:

 

 

June 30, 2024

 

 

December 31, 2023

 

Leasehold improvements

 

$

171,607

 

 

$

170,212

 

Computers and peripherals

 

 

27,324

 

 

 

27,302

 

Internal-use software

 

 

8,096

 

 

 

7,197

 

Furniture, fixtures and equipment

 

 

43,198

 

 

 

42,316

 

Medical equipment

 

 

842

 

 

 

842

 

Construction in process

 

 

6,472

 

 

 

9,037

 

Total

 

$

257,539

 

 

$

256,906

 

Less: Accumulated depreciation

 

 

(81,598

)

 

 

(68,684

)

Total property and equipment, net

 

$

175,941

 

 

$

188,222

 

 

Depreciation expense consists of the following:

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Depreciation expense

 

$

10,129

 

 

$

9,354

 

 

$

20,150

 

 

$

18,250

 

 

NOTE 5 LEASES

The Company leases its office facilities and office equipment which are accounted for as operating leases. Some leases contain clauses for renewal at the Company's option with renewal terms that generally extend the lease term from one to seven years.

The components of lease expense for the Company's operating leases in its unaudited consolidated statements of operations and comprehensive loss were as follows:

 

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Operating lease costs

 

$

13,732

 

 

$

14,264

 

 

$

27,414

 

 

$

28,572

 

Variable lease costs and short-term lease costs were not material.

The weighted-average remaining lease term and discount rate for operating lease liabilities included in the consolidated balance sheets are as follows:

 

 

June 30, 2024

 

 

December 31, 2023

 

Weighted-average remaining lease term (in years)

 

 

4.3

 

 

 

4.6

 

Weighted-average discount rate

 

 

7.33

%

 

 

7.11

%

Supplemental cash flow information related to operating leases was as follows:

 

 

Six Months Ended June 30,

 

 

 

2024

 

 

2023

 

Cash paid for amounts included in the measurement of lease liabilities

 

 

 

 

 

 

Operating cash flows from operating leases

 

$

32,178

 

 

$

30,995

 

Noncash lease activity

 

 

 

 

 

 

Right-of-use lease assets obtained in exchange for new operating lease liabilities

 

$

9,177

 

 

$

14,554

 

The future minimum lease payments under noncancellable operating leases as of June 30, 2024 are as follows:

Year Ended December 31,

 

Amount

 

Remainder of 2024

 

$

30,349

 

2025

 

 

64,448

 

2026

 

 

57,174

 

2027

 

 

43,502

 

2028

 

 

30,942

 

Thereafter

 

 

26,122

 

Total lease payments

 

$

252,537

 

Less: imputed interest

 

 

(37,599

)

Total lease liabilities

 

$

214,938

 

Related party lease transactions were not material as of June 30, 2024 and December 31, 2023 and for the three and six months ended June 30, 2024 and 2023.

9


 

Real Estate Optimization and Restructuring Charges

In 2023, the Company announced a strategic re-focus, to prioritize resources and close certain centers as a direct result of changes to the Company's business model driven by a shift to more virtual visits initiated by the COVID-19 pandemic. The Company substantially completed a significant reduction in physical space and exited several underoccupied offices by both negotiating terminations of and abandoning certain real estate leases during the year ended December 31, 2023. The Company accounts for real estate optimization restructuring charges in accordance with ASC 420, Exit or Disposal Cost Obligations and ASC 360-10, Property, Plant, and Equipment. The costs are included in general and administrative expenses in the unaudited consolidated statements of operations and comprehensive loss.

During the three and six months ended June 30, 2023, the Company recorded $3,720 of office space reductions, including primarily of $2,339 of right-of-use asset impairment and $300 of property and equipment disposal and impairment costs. The portion of these amounts to be settled by cash disbursements was accounted for as an exit cost liability within other current liabilities and other noncurrent liabilities within the unaudited consolidated balance sheets and are not material as of June 30, 2024.

NOTE 6 GOODWILL AND INTANGIBLE ASSETS

Goodwill

Goodwill was $1,293,346 as of June 30, 2024 and December 31, 2023. There have been no changes to the goodwill carrying value during the period.

Intangible Assets

Intangible assets consist of the following:

June 30, 2024

 

Gross
Carrying Amount

 

 

Accumulated
Amortization

 

 

Net
Carrying Amount

 

 

Weighted
Average Useful
Life (Years)

 

Regional trade names

 

$

36,694

 

 

$

(33,217

)

 

$

3,477

 

 

 

4.0

 

LifeStance trade names

 

 

235,500

 

 

 

(43,256

)

 

 

192,244

 

 

 

22.5

 

Non-competition agreements

 

 

94,535

 

 

 

(90,198

)

 

 

4,337

 

 

 

4.2

 

Total intangible assets

 

$

366,729

 

 

$

(166,671

)

 

$

200,058

 

 

 

 

 

December 31, 2023

 

Gross
Carrying Amount

 

 

Accumulated
Amortization

 

 

Net
Carrying Amount

 

 

Weighted
Average Useful
Life (Years)

 

Regional trade names

 

$

36,694

 

 

$

(26,399

)

 

$

10,295