| | |
Per share
|
| |
Total
|
| ||||||
Initial public offering price
|
| | | $ | 11.00 | | | | | $ | 77,000,000 | | |
Underwriting discounts and commissions(1)
|
| | | $ | 0.77 | | | | | $ | 5,390,000 | | |
Proceeds, before expenses, to us
|
| | | $ | 8.5206 | | | | | $ | 18,523,043 | | |
Proceeds, before expenses, to the selling stockholders
|
| | | $ | 11.00 | | | | | $ | 53,086,957 | | |
| Morgan Stanley | | |
Piper Sandler
|
| |
SVB Leerink
|
|
|
Raymond James
|
|
| | | | | 1 | | | |
| | | | | 15 | | | |
| | | | | 50 | | | |
| | | | | 51 | | | |
| | | | | 52 | | | |
| | | | | 53 | | | |
| | | | | 54 | | | |
| | | | | 55 | | | |
| | | | | 56 | | | |
| | | | | 76 | | | |
| | | | | 77 | | | |
| | | | | 92 | | |
| | |
Three Months Ended
September 30, |
| |||||||||
| | |
2021
(Estimate) |
| |
2020
(Actual) |
| ||||||
Consolidated Statements of Operations Data: | | | | | | | | | | | | | |
($ in thousands) | | | | | | | | | | | | | |
Revenue
|
| | | $ | 34,651 | | | | | $ | 17,837 | | |
Operating expenses: | | | | | | | | | | | | | |
Cost of service
|
| | | | 11,410 | | | | | | 6,758 | | |
Selling, general and administrative
|
| | | | 11,830 | | | | | | 6,199 | | |
Depreciation and amortization
|
| | | | 1,641 | | | | | | 1,432 | | |
Total operating expenses
|
| | | | 24,881 | | | | | | 14,389 | | |
Income from operations
|
| | | | 9,770 | | | | | | 3,448 | | |
Interest expense, net
|
| | | | 1,566 | | | | | | 529 | | |
Net income
|
| | | | 8,204 | | | | | | 2,919 | | |
Pro forma income tax expense
|
| | | | 1,969 | | | | | | 496 | | |
Pro forma net income
|
| | | $ | 6,235 | | | | | $ | 2,423 | | |
Net income (loss) per unit data (unaudited): | | | | | | | | | | | | | |
Net income (loss) per unit | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 82 | | | | | | 29 | | |
Pro forma net income (loss) per unit | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 62 | | | | | | 24 | | |
Weighted average units outstanding | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 100 | | | | | | 100 | | |
Other Data: | | | | | | | | | | | | | |
Adjusted EBITDA(1)
|
| | | $ | 12,266 | | | | | $ | 5,333 | | |
Adjusted EBITDA Margin(2)
|
| | | | 35.4% | | | | | | 29.9% | | |
Cases
|
| | | | 2,743 | | | | | | 1,710 | | |
Revenue per case
|
| | | $ | 12,633 | | | | | $ | 10,431 | | |
| | |
Three Months Ended
September 30, |
| |||||||||
($ in thousands)
|
| |
2021
|
| |
2020
|
| ||||||
Net Income
|
| | | $ | 8,204 | | | | | $ | 2,919 | | |
Plus | | | | | | | | | | | | | |
Depreciation and amortization
|
| | | | 1,641 | | | | | | 1,432 | | |
Interest expense, net
|
| | | | 1,566 | | | | | | 529 | | |
Pre-opening de novo and relocation costs
|
| | | | 307 | | | | | | 247 | | |
Restructuring and related severance costs
|
| | | | 45 | | | | | | — | | |
Sponsor management fee
|
| | | | 417 | | | | | | 125 | | |
Unit-based compensation
|
| | | | 86 | | | | | | 81 | | |
Adjusted EBITDA
|
| | | $ | 12,266 | | | | | $ | 5,333 | | |
Adjusted EBITDA Margin
|
| | | | 35.4% | | | | | | 29.9% | | |
|
Common stock offered by us
|
| | 2,173,913 shares. | |
|
Common stock offered by the selling stockholders
|
| | 4,826,087 shares. | |
|
Option to purchase additional shares
|
| |
Certain of the selling stockholders have granted to the underwriters the option, exercisable for 30 days from the date of this prospectus, to purchase up to 1,050,000 additional shares of common stock at the initial public offering price, less underwriting discounts and commissions.
|
|
|
Common stock to be outstanding immediately after completion of this offering
|
| | 55,640,154 shares. | |
|
Use of proceeds
|
| |
We expect to receive net proceeds to us, after deducting estimated offering expenses and underwriting discounts and commissions, will be approximately $15.4 million (or $14.6 million if the underwriters exercise in full their option to purchase additional shares of common stock).
|
|
| | | |
We intend to use a portion of the net proceeds from this offering to fund our growth strategy. We intend to use the balance of the net proceeds for general corporate purposes and working capital. See the section entitled “Use of Proceeds” in this prospectus.
|
|
| | | |
We will not receive any of the proceeds from the sale of our common stock offered by the selling stockholders.
|
|
|
Directed Share Program
|
| |
At our request, the underwriters have reserved up to 490,000 shares of our common stock, or up to 7% of the shares offered by this prospectus, for sale at the initial public offering price to certain individuals associated with us and our Sponsor (as defined hereinafter), including our directors, officers, employees, and certain other individuals identified by management. The sales will be made at our direction by Morgan Stanley & Co. LLC and its affiliates through a directed share program. The number of shares of our common stock available for sale to the general public in this offering will be reduced to the extent that such persons purchase such reserved shares. Any reserved shares not so purchased will be offered by Morgan Stanley & Co. LLC to the general public on the same terms as the other shares of our common stock offered by this prospectus. If purchased by our directors and officers, the shares will be subject to a 180-day lock-up restriction. See the section titled “Underwriting” for additional information.
|
|
|
Dividend policy
|
| |
We have no current plans to pay dividends on our common stock. See the section entitled “Dividend Policy” in this prospectus.
|
|
|
Trading Symbol
|
| |
We have been approved to list our common stock on NASDAQ under the symbol “AIRS.”
|
|
|
Risk factors
|
| |
You should read carefully the “Risk Factors” section of this prospectus for a discussion of factors that you should consider before deciding to invest in shares of our common stock.
|
|
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
| | |
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||
Consolidated Statements of Operations Data: | | | | | | ||||||||||||||||||||
($ in thousands) | | | | | | | | | | | | | | | | | | | | | | | | | |
Revenue
|
| | | $ | 61,108 | | | | | $ | 22,086 | | | | | $ | 62,766 | | | | | $ | 41,236 | | |
Operating expenses: | | | | | | | | | | | | | | | | ||||||||||
Cost of service
|
| | | | 20,008 | | | | | | 8,983 | | | | | | 23,471 | | | | | | 15,488 | | |
Selling, general and administrative
|
| | | | 18,990 | | | | | | 10,031 | | | | | | 23,621 | | | | | | 20,125 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | | | | | — | | | | | | — | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | | | | | 5,641 | | | | | | 4,960 | | |
Total operating expenses
|
| | | | 42,703 | | | | | | 21,747 | | | | | | 52,733 | | | | | | 40,573 | | |
Income from operations
|
| | | | 18,405 | | | | | | 339 | | | | | | 10,033 | | | | | | 663 | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | | | | | 2,456 | | | | | | 2,875 | | |
Net income (loss)
|
| | | | 16,648 | | | | | | (908) | | | | | | 7,577 | | | | | | (2,212) | | |
Pro forma income tax expense (unaudited)
|
| | | | 3,975 | | | | | | — | | | | | | 1,827 | | | | | | — | | |
Pro forma net income (loss) (unaudited)
|
| | | $ | 12,673 | | | | | $ | (908) | | | | | $ | 5,750 | | | | | $ | (2,212) | | |
Consolidated Statements of Cash Flow Data: | | | | | | ||||||||||||||||||||
Net cash provided by operating activities
|
| | | $ | 23,814 | | | | | $ | 1,683 | | | | | $ | 13,957 | | | | | $ | 4,938 | | |
Net cash used in investing activities
|
| | | | (3,149) | | | | | | (1,720) | | | | | | (3,689) | | | | | | (4,439) | | |
Net cash used in financing activities
|
| | | | (14,196) | | | | | | (2,034) | | | | | | (5,017) | | | | | | (783) | | |
Net income (loss) per unit data (unaudited): | | | | | | ||||||||||||||||||||
Net income (loss) per unit | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 166 | | | | | | (9) | | | | | | 76 | | | | | | (22) | | |
Pro forma net income (loss) per unit | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 127 | | | | | | (9) | | | | | | 58 | | | | | | (22) | | |
Weighted average units outstanding | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 100 | | | | | | 100 | | | | | | 100 | | | | | | 100 | | |
Other Data: | | | | | | ||||||||||||||||||||
Adjusted EBITDA(1)
|
| | | $ | 23,784 | | | | | $ | 4,040 | | | | | $ | 17,493 | | | | | $ | 7,337 | | |
Adjusted EBITDA Margin(2)
|
| | | | 38.9% | | | | | | 18.3% | | | | | | 27.9% | | | | | | 17.8% | | |
Number of procedure rooms as of the end of the period
|
| | | | 25 | | | | | | 18 | | | | | | 23 | | | | | | 16 | | |
Number of centers as of the end of the period
|
| | | | 15 | | | | | | 11 | | | | | | 14 | | | | | | 10 | | |
Cases
|
| | | | 5,422 | | | | | | 2,169 | | | | | | 5,885 | | | | | | 3,865 | | |
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
| | |
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||
Revenue per case
|
| | | $ | 11,270 | | | | | $ | 10,183 | | | | | $ | 10,665 | | | | | $ | 10,669 | | |
Same-center case growth
|
| | | | 110.2% | | | | | | N/A | | | | | | 9.8% | | | | | | N/A | | |
Same-center revenue per case growth
|
| | | | 9.5% | | | | | | N/A | | | | | | (0.6)% | | | | | | N/A | | |
| | |
June 30,
|
| |
December 31,
|
| ||||||||||||
| | |
2021
|
| |
2020
|
| |
2019
|
| |||||||||
Consolidated Balance Sheet Data: | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents
|
| | | $ | 16,848 | | | | | $ | 10,379 | | | | | $ | 5,128 | | |
Total current assets
|
| | | | 17,546 | | | | | | 11,563 | | | | | | 6,587 | | |
Total assets
|
| | | $ | 185,300 | | | | | $ | 179,610 | | | | | $ | 171,502 | | |
Current portion of long-term debt
|
| | | $ | 850 | | | | | $ | 400 | | | | | $ | 400 | | |
Long-term debt, net
|
| | | | 82,123 | | | | | | 32,119 | | | | | | 32,308 | | |
Total liabilities
|
| | | | 108,582 | | | | | | 55,934 | | | | | | 51,111 | | |
Total member’s equity
|
| | | $ | 76,718 | | | | | $ | 123,676 | | | | | $ | 120,391 | | |
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
($ in thousands)
|
| |
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||
Net Income (Loss)
|
| | | $ | 16,648 | | | | | $ | (908) | | | | | $ | 7,577 | | | | | $ | (2,212) | | |
Plus | | | | | | | | | | | | | | | | | | | | | | | | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | | | | | 5,641 | | | | | | 4,960 | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | | | | | 2,456 | | | | | | 2,875 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | | | | | — | | | | | | — | | |
Pre-opening de novo and relocation costs
|
| | | | 982 | | | | | | 440 | | | | | | 879 | | | | | | 391 | | |
Restructuring and related severance costs
|
| | | | 270 | | | | | | 115 | | | | | | 115 | | | | | | 482 | | |
Sponsor management fee
|
| | | | 250 | | | | | | 250 | | | | | | 500 | | | | | | 500 | | |
Unit-based compensation
|
| | | | 172 | | | | | | 163 | | | | | | 325 | | | | | | 341 | | |
Adjusted EBITDA
|
| | | $ | 23,784 | | | | | $ | 4,040 | | | | | $ | 17,493 | | | | | $ | 7,337 | | |
Adjusted EBITDA Margin
|
| | | | 38.9% | | | | | | 18.3% | | | | | | 27.9% | | | | | | 17.8% | | |
| | |
As of June 30, 2021
|
| |||||||||
($ in thousands)
|
| |
Historical
|
| |
Adjusted
|
| ||||||
Cash and cash equivalents
|
| | | $ | 16,848 | | | | | $ | 32,221 | | |
Debt: | | | | | | | | | | | | | |
Term loan
|
| | | $ | 82,973 | | | | | $ | 82,973 | | |
Member’s equity
|
| | | | 76,718 | | | | | | — | | |
Preferred stock, par value $0.001 per share: no shares authorized, issued and outstanding, actual; and 50,000,000 shares authorized and no shares issued and outstanding, as adjusted
|
| | | | — | | | | | | — | | |
Common Stock, par value $0.001 per share: no shares authorized, issued and outstanding, actual; and 450,000,000 shares authorized and 55,640,154 shares issued and outstanding, as adjusted
|
| | | | — | | | | | | 56 | | |
Retained earnings
|
| | | | — | | | | | | 6,267 | | |
Additional paid-in capital
|
| | | | — | | | | | | 85,768 | | |
Total capitalization
|
| | | $ | 159,691 | | | | | $ | 175,064 | | |
|
Initial public offering price per share
|
| | | | | | | | | $ | 11.00 | | |
|
Pro forma net tangible book value per share as of June 30, 2021
|
| | | $ | (1.18) | | | | | | | | |
|
Increase in net tangible book value per share attributable to new investors in this offering
|
| | | | 0.32 | | | | | | | | |
|
Pro forma and as-adjusted net tangible book value per share after this offering
|
| | | | | | | | | | (0.86) | | |
|
Dilution per share to new investors
|
| | | | | | | | | $ | (11.86) | | |
| | |
Shares Purchased
|
| |
Total Consideration
|
| |
Average
Price Per Share |
| |||||||||||||||||||||
| | |
Number
|
| |
Percent
|
| |
Amount
|
| |
Percent
|
| ||||||||||||||||||
Existing Owners
|
| | | | 48,640,154 | | | | | | 87.4% | | | | | | 151,000,000 | | | | | | 66.2% | | | | | $ | 3.10 | | |
New investors
|
| | | | 7,000,000 | | | | | | 12.6% | | | | | | 77,000,000 | | | | | | 33.8% | | | | | $ | 11.00 | | |
Total
|
| | | | 55,640,154 | | | | | | 100.0% | | | | | | 228,000,000 | | | | | | 100.0% | | | | | | | | |
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
| | |
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||
Consolidated Statements of Operations Data:
($ in thousands) |
| | | | | | | | | | | | | | | | | | | | | | | | |
Revenue
|
| | | $ | 61,108 | | | | | $ | 22,086 | | | | | $ | 62,766 | | | | | $ | 41,236 | | |
Operating expenses: | | | | | | | | | | | | | | | | | | | | | | | | | |
Cost of service
|
| | | | 20,008 | | | | | | 8,983 | | | | | | 23,471 | | | | | | 15,488 | | |
Selling, general and administrative
|
| | | | 18,990 | | | | | | 10,031 | | | | | | 23,621 | | | | | | 20,125 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | | | | | — | | | | | | — | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | | | | | 5,641 | | | | | | 4,960 | | |
Total operating expenses
|
| | | | 42,703 | | | | | | 21,747 | | | | | | 52,733 | | | | | | 40,573 | | |
Income from operations
|
| | | | 18,405 | | | | | | 339 | | | | | | 10,033 | | | | | | 663 | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | | | | | 2,456 | | | | | | 2,875 | | |
Net income (loss)
|
| | | | 16,648 | | | | | | (908) | | | | | | 7,577 | | | | | | (2,212) | | |
Pro forma income tax expense (unaudited)
|
| | | | 3,975 | | | | | | — | | | | | | 1,827 | | | | | | — | | |
Pro forma net income (loss) (unaudited)
|
| | | $ | 12,673 | | | | | $ | (908) | | | | | $ | 5,750 | | | | | $ | (2,212) | | |
Consolidated Statements of Cash Flow Data: | | | | | | | | | | | | | | | | | | | | | |||||
Net cash provided by operating activities
|
| | | $ | 23,814 | | | | | $ | 1,683 | | | | | $ | 13,957 | | | | | $ | 4,938 | | |
Net cash used in investing activities
|
| | | | (3,149) | | | | | | (1,720) | | | | | | (3,689) | | | | | | (4,439) | | |
Net cash used in financing activities
|
| | | | (14,196) | | | | | | (2,034) | | | | | | (5,017) | | | | | | (783) | | |
Net income (loss) per unit data (unaudited): | | | | | | | | | | | | | | | | | | | | | | | | | |
Net income (loss) per unit | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 166 | | | | | | (9) | | | | | | 76 | | | | | | (22) | | |
Pro forma net income (loss) per unit | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 127 | | | | | | (9) | | | | | | 58 | | | | | | (22) | | |
Weighted average units outstanding | | | | | | | | | | | | | | | | | | | | | | | | | |
Basic and diluted
|
| | | | 100 | | | | | | 100 | | | | | | 100 | | | | | | 100 | | |
| | |
June 30,
|
| |
December 31,
|
| ||||||||||||
| | |
2021
|
| |
2020
|
| |
2019
|
| |||||||||
Consolidated Balance Sheet Data: | | | | | | | | | | | | | | | | | | | |
Cash and cash equivalents
|
| | | $ | 16,848 | | | | | $ | 10,379 | | | | | $ | 5,128 | | |
Total current assets
|
| | | | 17,546 | | | | | | 11,563 | | | | | | 6,587 | | |
Total assets
|
| | | $ | 185,300 | | | | | $ | 179,610 | | | | | $ | 171,502 | | |
Current portion of long-term debt
|
| | | $ | 850 | | | | | $ | 400 | | | | | $ | 400 | | |
Long-term debt, net
|
| | | | 82,123 | | | | | | 32,119 | | | | | | 32,308 | | |
Total liabilities
|
| | | | 108,582 | | | | | | 55,934 | | | | | | 51,111 | | |
Total member’s equity
|
| | | $ | 76,718 | | | | | $ | 123,676 | | | | | $ | 120,391 | | |
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
|
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||||
Cases
|
| | | | 5,422 | | | | | | 2,169 | | | | | | 5,885 | | | | | | 3,865 | | |
Case growth
|
| | | | 150.0% | | | | | | N/A | | | | | | 52.3% | | | | | | N/A | | |
Revenue per case
|
| | | $ | 11,270 | | | | | $ | 10,183 | | | | | $ | 10,665 | | | | | $ | 10,669 | | |
Revenue per case growth
|
| | | | 10.7% | | | | | | N/A | | | | | | 0.0% | | | | | | N/A | | |
Number of total facilities
|
| | | | 15 | | | | | | 11 | | | | | | 14 | | | | | | 10 | | |
Number of total procedure rooms
|
| | | | 25 | | | | | | 18 | | | | | | 23 | | | | | | 16 | | |
| | |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
|
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||||
Cases
|
| | | | 4,559 | | | | | | 2,169 | | | | | | 4,074 | | | | | | 3,712 | | |
Case growth
|
| | | | 110.2% | | | | | | N/A | | | | | | 9.8% | | | | | | N/A | | |
Revenue per case
|
| | | $ | 11,149 | | | | | $ | 10,182 | | | | | $ | 10,603 | | | | | $ | 10,669 | | |
Revenue per case growth
|
| | | | 9.5% | | | | | | N/A | | | | | | -0.6% | | | | | | N/A | | |
Number of total facilities
|
| | | | 11 | | | | | | 11 | | | | | | 7 | | | | | | 7 | | |
Number of total procedure rooms
|
| | | | 18 | | | | | | 18 | | | | | | 10 | | | | | | 10 | | |
($ in thousands)
|
| |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
|
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||||
Net income (loss)
|
| | | $ | 16,648 | | | | | $ | (908) | | | | | $ | 7,577 | | | | | $ | (2,212) | | |
Plus
|
| | | | | | | | | | | | | | | | | | | | | | | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | | | | | 5,641 | | | | | | 4,960 | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | | | | | 2,456 | | | | | | 2,875 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | | | | | — | | | | | | — | | |
Pre-opening de novo and relocation costs
|
| | | | 982 | | | | | | 440 | | | | | | 879 | | | | | | 391 | | |
Restructuring and related severance costs
|
| | | | 270 | | | | | | 115 | | | | | | 115 | | | | | | 482 | | |
Sponsor management fee
|
| | | | 250 | | | | | | 250 | | | | | | 500 | | | | | | 500 | | |
Unit-based compensation
|
| | | | 172 | | | | | | 163 | | | | | | 325 | | | | | | 341 | | |
Adjusted EBITDA
|
| | | $ | 23,784 | | | | | $ | 4,040 | | | | | $ | 17,493 | | | | | $ | 7,337 | | |
Adjusted EBITDA Margin
|
| | | | 38.9% | | | | | | 18.3% | | | | | | 27.9% | | | | | | 17.8% | | |
($ in thousands)
|
| |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||||||||||||||||||||||||||
|
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||||||||||||||||||||||||||||
|
Amount
|
| |
% of
Revenues |
| |
Amount
|
| |
% of
Revenues |
| |
Amount
|
| |
% of
Revenues |
| |
Amount
|
| |
% of
Revenues |
| ||||||||||||||||||||||||||
Revenue
|
| | | $ | 61,108 | | | | | | 100.0% | | | | | $ | 22,086 | | | | | | 100.0% | | | | | $ | 62,766 | | | | | | 100.0% | | | | | $ | 41,236 | | | | | | 100.0% | | |
Operating expenses: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Cost of service
|
| | | | 20,008 | | | | | | 32.7% | | | | | | 8,983 | | | | | | 40.7% | | | | | | 23,471 | | | | | | 37.4% | | | | | | 15,488 | | | | | | 37.6% | | |
Selling, general and administrative
|
| | | | 18,990 | | | | | | 31.1% | | | | | | 10,031 | | | | | | 45.4% | | | | | | 23,621 | | | | | | 37.6% | | | | | | 20,125 | | | | | | 48.8% | | |
Loss on debt modification
|
| | | | 682 | | | | | | 1.1% | | | | | | — | | | | | | 0.0% | | | | | | — | | | | | | 0.0% | | | | | | — | | | | | | 0.0% | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 4.9% | | | | | | 2,733 | | | | | | 12.4% | | | | | | 5,641 | | | | | | 9.0% | | | | | | 4,960 | | | | | | 12.0% | | |
Total operating expenses
|
| | | | 42,703 | | | | | | 69.9% | | | | | | 21,747 | | | | | | 98.5% | | | | | | 52,733 | | | | | | 84.0% | | | | | | 40,573 | | | | | | 98.4% | | |
Income from operations
|
| | | | 18,405 | | | | | | 30.1% | | | | | | 339 | | | | | | 1.5% | | | | | | 10,033 | | | | | | 16.0% | | | | | | 663 | | | | | | 1.6% | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 2.9% | | | | | | 1,247 | | | | | | 5.6% | | | | | | 2,456 | | | | | | 3.9% | | | | | | 2,875 | | | | | | 7.0% | | |
Net income (loss)
|
| | | | 16,648 | | | | | | 27.2% | | | | | | (908) | | | | | | (4.1%) | | | | | | 7,577 | | | | | | 12.1% | | | | | | (2,212) | | | | | | (5.4%) | | |
Pro forma income tax expense (unaudited)
|
| | | | 3,975 | | | | | | 6.5% | | | | | | — | | | | | | 0.0% | | | | | | 1,827 | | | | | | 2.9% | | | | | | — | | | | | | 0.0% | | |
Pro forma net income (loss) (unaudited)
|
| | | $ | 12,673 | | | | | | 20.7% | | | | | $ | (908) | | | | | | (4.1%) | | | | | $ | 5,750 | | | | | | 9.2% | | | | | $ | (2,212) | | | | | | (5.4%) | | |
($ in thousands)
|
| |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||||||||||||||
|
2021
|
| |
2020
|
| | | | | | | |
2020
|
| |
2019
|
| | | | | | | ||||||||||||||
|
Amount
|
| |
Amount
|
| |
$ Change
|
| |
Amount
|
| |
Amount
|
| |
$ Change
|
| ||||||||||||||||||||
Revenue
|
| | | $ | 61,108 | | | | | $ | 22,086 | | | | | $ | 39,022 | | | | | $ | 62,766 | | | | | $ | 41,236 | | | | | $ | 21,530 | | |
Operating expenses: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Cost of service
|
| | | | 20,008 | | | | | | 8,983 | | | | | | 11,025 | | | | | | 23,471 | | | | | | 15,488 | | | | | | 7,983 | | |
Selling, general and administrative
|
| | | | 18,990 | | | | | | 10,031 | | | | | | 8,959 | | | | | | 23,621 | | | | | | 20,125 | | | | | | 3,496 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | | | | | 682 | | | | | | — | | | | | | — | | | | | | — | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | | | | | 290 | | | | | | 5,641 | | | | | | 4,960 | | | | | | 681 | | |
Total operating expenses
|
| | | | 42,703 | | | | | | 21,747 | | | | | | 20,956 | | | | | | 52,733 | | | | | | 40,573 | | | | | | 12,160 | | |
Income from operations
|
| | | | 18,405 | | | | | | 339 | | | | | | 18,066 | | | | | | 10,033 | | | | | | 663 | | | | | | 9,370 | | |
($ in thousands)
|
| |
Six Months Ended
June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||||||||||||||
|
2021
|
| |
2020
|
| | | | | | | |
2020
|
| |
2019
|
| | | | | | | ||||||||||||||
|
Amount
|
| |
Amount
|
| |
$ Change
|
| |
Amount
|
| |
Amount
|
| |
$ Change
|
| ||||||||||||||||||||
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | | | | | 510 | | | | | | 2,456 | | | | | | 2,875 | | | | | | (419) | | |
Net income (loss)
|
| | | | 16,648 | | | | | | (908) | | | | | | 17,556 | | | | | | 7,577 | | | | | | (2,212) | | | | | | 9,789 | | |
Pro forma income tax
expense (unaudited) |
| | | | 3,975 | | | | | | — | | | | | | 3,975 | | | | | | 1,827 | | | | | | — | | | | | | 1,827 | | |
Pro forma net income
(loss) (unaudited) |
| | | $ | 12,673 | | | | | $ | (908) | | | | | $ | 13,581 | | | | | $ | 5,750 | | | | | $ | (2,212) | | | | | $ | 7,962 | | |
|
| | |
Six Months
Ended June 30, |
| |
Fiscal Year Ended
December 31, |
| ||||||||||||||||||
($ in thousands)
|
| |
2021
|
| |
2020
|
| |
2020
|
| |
2019
|
| ||||||||||||
Cash Flows Provided By (Used For): | | | | | | | | | | | | | | | | ||||||||||
Operating activities
|
| | | $ | 23,814 | | | | | $ | 1,683 | | | | | $ | 13,957 | | | | | $ | 4,938 | | |
Investing activities
|
| | | | (3,149) | | | | | | (1,720) | | | | | | (3,689) | | | | | | (4,439) | | |
Financing activities
|
| | | | (14,196) | | | | | | (2,034) | | | | | | (5,017) | | | | | | (783) | | |
Net increase (decrease) in cash and cash equivalents
|
| | | | 6,469 | | | | | | (2,071) | | | | | | 5,251 | | | | | | (284) | | |
| | |
Payments due by Period
|
| |||||||||||||||||||||||||||
($ in thousands)
|
| |
Total
|
| |
Less than 1 Year
|
| |
1-3 Years
|
| |
4-5 Years
|
| |
More than 5 Years
|
| |||||||||||||||
Debt – principal(1) | | | | $ | 85,100 | | | | | $ | 838 | | | | | $ | 84,262 | | | | | $ | — | | | | | $ | — | | |
Interest expense(1)(2)
|
| | | | 12,873 | | | | | | 4,059 | | | | | | 8,813 | | | | | | | | | | | | | | |
Operating lease agreements
|
| | | | 19,992 | | | | | | 3,321 | | | | | | 8,809 | | | | | | 5,245 | | | | | | 2,617 | | |
Total
|
| | | $ | 117,965 | | | | | $ | 8,218 | | | | | $ | 101,884 | | | | | $ | 5,245 | | | | | $ | 2,617 | | |
| | |
2019
|
| |||
Expected volatility
|
| | | | 26.6% | | |
Expected term
|
| | | | 5.0 | | |
Risk-free interest rate
|
| | | | 2.27% | | |
Expected dividend yield
|
| | | | 0% | | |
|
1. Pain Management
|
| |
|
| |
Prior to the procedure, patient is given a sedative cocktail and local anesthesia via air pressure from a needleless jet injector.
*Patient remains fully awake during the procedure
|
|
|
2. Access Point Creation
|
| |
|
| |
One to three entryways are created by the jet injector, which are widened to 2mm (freckle-sized) by means of a biopsy punch.
|
|
|
3. Local Numbing
|
| |
|
| |
A thin cannula is inserted in each entryway, at which point a local numbing solution is dispersed subdermally to the target areas.
|
|
|
4. Laser Ablation
|
| |
|
| |
Laser ablation, which is the use of the heat from laser light to destroy unwanted cells, is then applied to soften the fat cells for extraction. As a byproduct of the laser’s heat, the skin in the treated area is tightened for post-surgery effects.
|
|
|
5. Fat Removal Process
|
| |
|
| |
Proprietary fat removal process uses industry accepted, FDA approved tools to grab, separate, and remove fat cells.
An FDA-approved handpiece drives cannula 1,000 times per minute in a corkscrew motion to remove fat cells, without harming surrounding tissue and structures.
The amount of fat removed via the AirSculpt® method depends on patient body size, desired outcomes and state regulations. After the procedure is complete, a piece of dry gauze is used to cover the entryway to protect against infection.
|
|
|
|
| |
|
|
|
Scottsdale, AZ
|
| |
Beverly Hills, CA
|
|
State
|
| |
City
|
| |
Number of
Procedure Rooms |
|
Arizona | | |
Scottsdale
|
| |
1
|
|
California | | |
Beverly Hills
|
| |
2
|
|
California | | |
Sacramento
|
| |
1
|
|
California | | |
San Diego
|
| |
2
|
|
Colorado | | |
Denver
|
| |
2
|
|
Florida | | |
Orlando
|
| |
2
|
|
Georgia | | |
Atlanta
|
| |
2
|
|
Illinois | | |
Chicago
|
| |
1
|
|
Minnesota | | |
Minneapolis
|
| |
2
|
|
New York | | |
New York
|
| |
2
|
|
North Carolina | | |
Charlotte
|
| |
2
|
|
Tennessee | | |
Nashville
|
| |
2
|
|
Texas | | |
Dallas
|
| |
1
|
|
Texas | | |
Houston
|
| |
1
|
|
Washington | | |
Seattle
|
| |
2
|
|
Virginia | | |
Vienna
|
| |
2
|
|
Name
|
| |
Age
|
| |
Position
|
|
Dr. Aaron Rollins
|
| |
46
|
| | Chief Executive Officer and Director | |
Adam Feinstein
|
| |
49
|
| | Non-Executive Chairman of the Board | |
Ronald P. Zelhof
|
| |
57
|
| | Chief Operating Officer and President | |
Dennis Dean
|
| |
49
|
| | Chief Financial Officer | |
Daniel Sollof
|
| |
38
|
| | Director | |
Caroline Chu
|
| |
41
|
| | Director | |
Thomas Aaron
|
| |
59
|
| | Director | |
Kenneth Higgins
|
| |
56
|
| | Director | |
Pamela Netzky
|
| |
46
|
| | Director | |
Name and Principal Position
|
| |
Year
|
| |
Salary
($) |
| |
Bonus
($)(1) |
| |
Non-Equity
Incentive Plan Compensation ($)(2) |
| |
All Other
Compensation ($)(3) |
| |
Total
($) |
| ||||||||||||||||||
Dr. Aaron Rollins
Chief Executive Officer |
| | | | 2020 | | | | | | 300,000 | | | | | | 150,000 | | | | | | 140,241 | | | | | | 8,569 | | | | | | 598,810 | | |
Ronald P. Zelhof
Chief Operating Officer and President |
| | | | 2020 | | | | | | 300,000 | | | | | | 120,000 | | | | | | — | | | | | | 13,328 | | | | | | 433,328 | | |
| | | | | | | | |
Stock Awards
|
| |||||||||
Name
|
| |
Grant Date
|
| |
Number of
Shares or Units of Stock That Have Not Vested (#)(1) |
| |
Market Value of
Shares or Units of Stock That Have Not Vested ($)(2) |
| |||||||||
Ronald P. Zelhof
|
| | | | 3/31/2019 | | | | | | 578,051 | | | | | $ | 6,358,561 | | |
Name and Address of
Beneficial Owner |
| |
Common Stock Beneficially
Owned Prior to the Offering |
| |
Common
Stock to be Sold in the Offering |
| |
Common Stock Beneficially
Owned After the Offering (assuming no option exercise) |
| |
Common Stock Beneficially
Owned After the Offering (assuming full option exercise) |
| ||||||||||||||||||||||||||||||
|
Number
|
| |
Percentage
|
| |
Number
|
| |
Number
|
| |
Percentage
|
| |
Number
|
| |
Percentage
|
| |||||||||||||||||||||||
Directors, Director
Nominees and Named Executive Officers: |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Dr. Aaron Rollins
|
| | | | 13,986,583 | | | | | | 26.2 | | | | | | — | | | | | | 13,986,583 | | | | | | 25.1 | | | | | | 13,461,614 | | | | | | 24.2 | | |
Adam Feinstein(1)
|
| | | | 33,881,509 | | | | | | 63.4 | | | | | | 4,557,329 | | | | | | 29,324,180 | | | | | | 52.7 | | | | | | 29,324,180 | | | | | | 52.7 | | |
Ronald P. Zelhof
|
| | | | 578,051 | | | | | | 1.1 | | | | | | — | | | | | | 578,051 | | | | | | 1.0 | | | | | | 578,051 | | | | | | 1.0 | | |
Daniel Sollof
|
| | | | — | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | | | | | — | | | | | | * | | |
Caroline Chu
|
| | | | — | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | | | | | — | | | | | | * | | |
Thomas Aaron
|
| | | | — | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | | | | | — | | | | | | * | | |
Kenneth Higgins
|
| | | | — | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | | | | | — | | | | | | * | | |
Pamela Netzky
|
| | | | — | | | | | | * | | | | | | — | | | | | | — | | | | | | * | | | | | | — | | | | | | * | | |
All executive officers,
directors and director nominees as a group (9 persons) |
| | | | 48,446,143 | | | | | | 90.6 | | | | | | 4,557,329 | | | | | | 43,888,845 | | | | | | 78.9 | | | | | | 43,363,845 | | | | | | 77.9 | | |
Other Selling Stockholders:
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Vesey Street Capital
Partners and affiliated entities(1) |
| | | | 33,881,509 | | | | | | 63.4 | | | | | | 4,557,329 | | | | | | 29,324,180 | | | | | | 52.7 | | | | | | 29,324,180 | | | | | | 52.7 | | |
J. Christopher Burch(2)
|
| | | | 3,506,044 | | | | | | 6.6 | | | | | | 268,758 | | | | | | 3,237,286 | | | | | | 5.8 | | | | | | 2,712,286 | | | | | | 4.9 | | |
Name
|
| |
Number of Shares
|
| |||
Morgan Stanley & Co. LLC
|
| | | | 3,405,405 | | |
Piper Sandler & Co.
|
| | | | 1,513,514 | | |
SVB Leerink LLC
|
| | | | 1,513,514 | | |
Raymond James & Associates, Inc.
|
| | | | 567,567 | | |
Total:
|
| | | | 7,000,000 | | |
| | | | | | | | |
Total
|
| |||||||||
| | |
Per
Share |
| |
No
Exercise |
| |
Full
Exercise |
| |||||||||
Public offering price
|
| | | $ | 11.00 | | | | | $ | 77,000,000 | | | | | $ | 88,550,000 | | |
Underwriting discounts and commissions(1)
|
| | | $ | 0.77 | | | | | $ | 5,390,000 | | | | | $ | 6,198,500 | | |
Proceeds, before expenses, to us
|
| | | $ | 8.5206 | | | | | $ | 18,523,043 | | | | | $ | 17,714,543 | | |
Proceeds, before expenses, to the selling stockholders
|
| | | $ | 11.00 | | | | | $ | 53,086,957 | | | | | $ | 64,636,957 | | |
| | |
Page(s)
|
| |||
Audited Financial Statements | | | |||||
| | | | F-2 | | | |
| | | | F-3 | | | |
| | | | F-4 | | | |
EBS Intermediate Parent LLC and Subsidiaries
|
| ||||||
Audited Consolidated Financial Statements | | | | | | | |
| | | | F-5 | | | |
| | | | F-6 | | | |
| | | | F-7 | | | |
| | | | F-8 | | | |
| | | | F-9 | | | |
| | | | F-10 | | | |
Unaudited Interim Condensed Consolidated Financial Statements | | | | | | | |
| | | | F-23 | | | |
| | | | F-24 | | | |
| | | | F-25 | | | |
| | | | F-26 | | | |
| | | | F-27 | | |
| | |
June 30,
2021 |
| |||
Stockholder’s Equity | | | |||||
Common stock, $0.0001 par value, 1,000,000 shares authorized, 100 shares outstanding
|
| | | $ | — | | |
Accumulated paid in capital
|
| | | | 10 | | |
Stockholder receivable
|
| | | | (10) | | |
Total stockholder’s equity
|
| | | $ | — | | |
($000s)
|
| |
2020
|
| |
2019
|
| ||||||
Assets | | | | | | | | | | | | | |
Current assets | | | | | | | | | | | | | |
Cash and cash equivalents
|
| | | $ | 10,379 | | | | | $ | 5,128 | | |
Prepaid expenses and other current assets
|
| | | | 1,184 | | | | | | 1,459 | | |
Total current assets
|
| | | | 11,563 | | | | | | 6,587 | | |
Property and equipment, net
|
| | | | 7,108 | | | | | | 4,306 | | |
Other long-term assets
|
| | | | 1,544 | | | | | | 1,339 | | |
Right of use operating lease assets
|
| | | | 17,053 | | | | | | 12,174 | | |
Intangible assets, net
|
| | | | 60,608 | | | | | | 65,362 | | |
Goodwill
|
| | | | 81,734 | | | | | | 81,734 | | |
Total assets
|
| | | $ | 179,610 | | | | | $ | 171,502 | | |
Liabilities and Member’s Equity | | | | | | | | | | | | | |
Current liabilities | | | | | | | | | | | | | |
Accounts payable
|
| | | $ | 1,095 | | | | | $ | 2,114 | | |
Accrued payroll and benefits
|
| | | | 1,258 | | | | | | 534 | | |
Current portion of long-term debt
|
| | | | 400 | | | | | | 400 | | |
Deferred revenue and patient deposits
|
| | | | 3,233 | | | | | | 3,188 | | |
Accrued and other current liabilities
|
| | | | 581 | | | | | | 174 | | |
Current right of use operating lease liabilities
|
| | | | 2,890 | | | | | | 1,943 | | |
Total current liabilities
|
| | | | 9,457 | | | | | | 8,353 | | |
Long-term debt, net
|
| | | | 32,119 | | | | | | 32,308 | | |
Long-term right of use operating lease liability
|
| | | | 14,358 | | | | | | 10,450 | | |
Total liabilities
|
| | | | 55,934 | | | | | | 51,111 | | |
Commitments and contingent liabilities (Note 9) | | | | | | | | | | | | | |
Member’s equity
|
| | | | 123,676 | | | | | | 120,391 | | |
Total liabilities and member’s equity
|
| | | $ | 179,610 | | | | | $ | 171,502 | | |
($000s)
|
| |
2020
|
| |
2019
|
| ||||||
Revenue
|
| | | $ | 62,766 | | | | | $ | 41,236 | | |
Operating expenses: | | | | | | | | | | | | | |
Cost of service (exclusive of depreciation and amortization shown below)
|
| | | | 23,471 | | | | | | 15,488 | | |
Selling, general and administrative
|
| | | | 23,621 | | | | | | 20,125 | | |
Depreciation and amortization
|
| | | | 5,641 | | | | | | 4,960 | | |
Total operating expenses
|
| | | | 52,733 | | | | | | 40,573 | | |
Income from operations
|
| | | | 10,033 | | | | | | 663 | | |
Interest expense, net
|
| | | | 2,456 | | | | | | 2,875 | | |
Net income (loss)
|
| | | | 7,577 | | | | | | (2,212) | | |
Pro forma income tax expense (unaudited)
|
| | | | 1,827 | | | | | | — | | |
Pro forma net income (loss) (unaudited)
|
| | | $ | 5,750 | | | | | $ | (2,212) | | |
($000s)
|
| | | | | | |
Balance at December 31, 2018
|
| | | $ | 122,548 | | |
Distributions
|
| | | | (283) | | |
Unit-based compensation
|
| | | | 341 | | |
Net loss
|
| | | | (2,212) | | |
Other
|
| | | | (3) | | |
Balance at December 31, 2019
|
| | | | 120,391 | | |
Distributions
|
| | | | (4,617) | | |
Unit-based compensation
|
| | | | 325 | | |
Net income
|
| | | | 7,577 | | |
Balance at December 31, 2020
|
| | | $ | 123,676 | | |
($000s)
|
| |
2020
|
| |
2019
|
| ||||||
Cash flows from operating activities | | | | | | | | | | | | | |
Net income (loss)
|
| | | $ | 7,577 | | | | | $ | (2,212) | | |
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
|
| | | | | | | | | | | | |
Depreciation and amortization
|
| | | | 5,641 | | | | | | 4,960 | | |
Unit-based compensation
|
| | | | 325 | | | | | | 341 | | |
Non-cash interest expense; amortization of debt costs
|
| | | | 211 | | | | | | 226 | | |
Changes in assets and liabilities
|
| | | | | | | | | | | | |
Prepaid expense and other current assets
|
| | | | 275 | | | | | | (1,841) | | |
Other assets
|
| | | | (204) | | | | | | (635) | | |
Accounts payable
|
| | | | (1,019) | | | | | | 1,872 | | |
Deferred revenue and patient deposits
|
| | | | 45 | | | | | | 1,835 | | |
Accrued and other liabilities
|
| | | | 1,106 | | | | | | 392 | | |
Net cash provided by operating activities
|
| | | | 13,957 | | | | | | 4,938 | | |
Cash flows from investing activities | | | | | | | | | | | | | |
Purchases of property and equipment, net
|
| | | | (3,689) | | | | | | (4,439) | | |
Net cash used in investing activities
|
| | | | (3,689) | | | | | | (4,439) | | |
Cash flows from financing activities | | | | | | | | | | | | | |
Payment on term loan
|
| | | | (2,900) | | | | | | (500) | | |
Borrowings on term loan
|
| | | | 2,500 | | | | | | — | | |
Distribution to member
|
| | | | (4,617) | | | | | | (283) | | |
Net cash used in financing activities
|
| | | | (5,017) | | | | | | (783) | | |
Net increase (decrease) in cash and cash equivalents
|
| | | | 5,251 | | | | | | (284) | | |
Cash and cash equivalents | | | | | | | | | | | | | |
Beginning of period
|
| | | | 5,128 | | | | | | 5,412 | | |
End of period
|
| | | $ | 10,379 | | | | | $ | 5,128 | | |
Supplemental disclosure of cash flow information: | | | | | | | | | | | | | |
Cash paid for interest
|
| | | $ | 2,293 | | | | | $ | 2,683 | | |
| | |
2020
|
| |
2019
|
| |
Useful Life
|
| ||||||
Technology and know-how
|
| | | $ | 53,600 | | | | | $ | 53,600 | | | |
15 years
|
|
Trademarks and tradenames
|
| | | | 17,700 | | | | | | 17,700 | | | |
15 years
|
|
| | | | | 71,300 | | | | | | 71,300 | | | | | |
Accumulated amortization of technology and know-how
|
| | | | (8,038) | | | | | | (4,464) | | | | | |
Accumulated amortization of tradenames and trademarks
|
| | | | (2,654) | | | | | | (1,474) | | | | | |
Total intangible assets
|
| | | $ | 60,608 | | | | | $ | 65,362 | | | | | |
Year ending December 31,
|
| | | | | | |
2021
|
| | | $ | 4,753 | | |
2022
|
| | | | 4,753 | | |
2023
|
| | | | 4,753 | | |
2024
|
| | | | 4,753 | | |
2025
|
| | | | 4,753 | | |
Thereafter
|
| | | | 36,843 | | |
Total
|
| | | $ | 60,608 | | |
| | |
2020
|
| |
2019
|
| ||||||
Medical equipment
|
| | | $ | 1,955 | | | | | $ | 533 | | |
Office and computer equipment
|
| | | | 137 | | | | | | 72 | | |
Furniture and fixtures
|
| | | | 741 | | | | | | 288 | | |
Leasehold improvements
|
| | | | 5,374 | | | | | | 3,627 | | |
Less: Accumulated depreciation and amortization
|
| | | | (1,099) | | | | | | (214) | | |
Property and equipment, net
|
| | | $ | 7,108 | | | | | $ | 4,306 | | |
| | |
2020
|
| |
2019
|
| ||||||
Term loan
|
| | | $ | 33,100 | | | | | $ | 33,500 | | |
Unamortized debt issuance costs
|
| | | | (581) | | | | | | (792) | | |
Total debt, net
|
| | | | 32,519 | | | | | | 32,708 | | |
Less: Current portion
|
| | | | (400) | | | | | | (400) | | |
Long-term debt, net
|
| | | $ | 32,119 | | | | | $ | 32,308 | | |
|
2021
|
| | | $ | 400 | | |
|
2022
|
| | | | 400 | | |
|
2023
|
| | | | 32,300 | | |
|
Total maturities
|
| | | $ | 33,100 | | |
| | |
2020
|
| |
2019
|
|
Weighted-average remaining lease term
|
| |
5 years
|
| |
4.8 years
|
|
Weight average discount rate
|
| |
4.6%
|
| |
4.1%
|
|
| | |
2020
|
| |
2019
|
| ||||||
Cash paid for amounts included in the measurement of lease liabilities: | | | | | | | | | | | | | |
Operating cash outflows from operating leases
|
| | | $ | 2,540 | | | | | $ | 1,325 | | |
Right-of-use assets obtained in exchange for lease obligations: | | | | | | | | | | | | | |
Operating leases
|
| | | $ | 6,447 | | | | | $ | 8,910 | | |
Year ended December 31,
|
| | | | | | |
2021
|
| | | $ | 3,321 | | |
2022
|
| | | | 3,192 | | |
2023
|
| | | | 2,861 | | |
2024
|
| | | | 2,757 | | |
2025
|
| | | | 2,740 | | |
Thereafter
|
| | | | 5,121 | | |
Total lease payments
|
| | | | 19,992 | | |
Less: imputed interest
|
| | | | (2,744) | | |
Total lease obligations
|
| | | $ | 17,248 | | |
| | |
Unvested
Units |
| |
Weighted Average
Grant Date Fair Value of Units |
| ||||||
Outstanding at December 31, 2018 | | | | | — | | | | | | | | |
Granted
|
| | | | 12,363 | | | | | $ | 278.99 | | |
Vested
|
| | | | (347) | | | | | | 278.99 | | |
Outstanding at December 31, 2019
|
| | | | 12,016 | | | | | $ | 278.99 | | |
Vested
|
| | | | (1,167) | | | | | | 278.99 | | |
Outstanding at December 31, 2020
|
| | | | 10,849 | | | | | $ | 278.99 | | |
| | |
2019
|
| |||
Expected volatility
|
| | | | 26.6% | | |
Expected term
|
| | | | 5.0 | | |
Risk-free interest rate
|
| | | | 2.27% | | |
Expected dividend yield
|
| | | | 0% | | |
($000s)
|
| |
June 30,
2021 |
| |
December 31,
2020 |
| ||||||
Assets | | | | | | | | | | | | | |
Current assets | | | | | | | | | | | | | |
Cash and cash equivalents
|
| | | $ | 16,848 | | | | | $ | 10,379 | | |
Prepaid expenses and other current assets
|
| | | | 698 | | | | | | 1,184 | | |
Total current assets
|
| | | | 17,546 | | | | | | 11,563 | | |
Property and equipment, net
|
| | | | 10,578 | | | | | | 7,108 | | |
Other long-term assets
|
| | | | 1,709 | | | | | | 1,544 | | |
Right of use operating lease assets
|
| | | | 15,504 | | | | | | 17,053 | | |
Intangible assets, net
|
| | | | 58,229 | | | | | | 60,608 | | |
Goodwill
|
| | | | 81,734 | | | | | | 81,734 | | |
Total assets
|
| | | $ | 185,300 | | | | | $ | 179,610 | | |
Liabilities and Member’s Equity | | | | | | | | | | | | | |
Current liabilities | | | | | | | | | | | | | |
Accounts payable
|
| | | $ | 1,636 | | | | | $ | 1,095 | | |
Accrued payroll and benefits
|
| | | | 1,962 | | | | | | 1,258 | | |
Current portion of long-term debt
|
| | | | 850 | | | | | | 400 | | |
Deferred revenue and patient deposits
|
| | | | 4,998 | | | | | | 3,233 | | |
Accrued and other current liabilities
|
| | | | 1,397 | | | | | | 581 | | |
Current right of use operating lease liabilities
|
| | | | 2,899 | | | | | | 2,890 | | |
Total current liabilities
|
| | | | 13,742 | | | | | | 9,457 | | |
Long-term debt, net
|
| | | | 82,123 | | | | | | 32,119 | | |
Long-term right of use operating lease liability
|
| | | | 12,717 | | | | | | 14,358 | | |
Total liabilities
|
| | | | 108,582 | | | | | | 55,934 | | |
Commitments and contingent liabilities (Note 9) | | | | | | | | | | | | | |
Member’s equity
|
| | | | 76,718 | | | | | | 123,676 | | |
Total liabilities and member’s equity
|
| | | $ | 185,300 | | | | | $ | 179,610 | | |
($000s)
|
| |
Six Months Ended
June 30, |
| |||||||||
|
2021
|
| |
2020
|
| ||||||||
Revenue
|
| | | $ | 61,108 | | | | | $ | 22,086 | | |
Operating expenses: | | | | | | | | | | | | | |
Cost of service (exclusive of depreciation and amortization shown below)
|
| | | | 20,008 | | | | | | 8,983 | | |
Selling, general and administrative
|
| | | | 18,990 | | | | | | 10,031 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | |
Total operating expenses
|
| | | | 42,703 | | | | | | 21,747 | | |
Income from operations
|
| | | | 18,405 | | | | | | 339 | | |
Interest expense, net
|
| | | | 1,757 | | | | | | 1,247 | | |
Net income (loss)
|
| | | | 16,648 | | | | | | (908) | | |
Pro forma income tax expense
|
| | | | 3,975 | | | | | | — | | |
Pro forma net income (loss)
|
| | | $ | 12,673 | | | | | $ | (908) | | |
($000s)
|
| | | | | | |
Balance at December 31, 2019
|
| | | $ | 120,391 | | |
Distributions
|
| | | | (4,334) | | |
Unit-based compensation
|
| | | | 163 | | |
Net loss
|
| | | | (908) | | |
Balance at June 30, 2020
|
| | | $ | 115,312 | | |
Balance at December 31, 2020
|
| | | $ | 123,676 | | |
Distributions
|
| | | | (63,778) | | |
Unit-based compensation
|
| | | | 172 | | |
Net income
|
| | | | 16,648 | | |
Balance at June 30, 2021
|
| | | $ | 76,718 | | |
($000s)
|
| |
Six Months Ended
June 30, |
| |||||||||
|
2021
|
| |
2020
|
| ||||||||
Cash flows from operating activities | | | | | | | | | | | | | |
Net income (loss)
|
| | | $ | 16,648 | | | | | $ | (908) | | |
Adjustments to reconcile net income (loss) to net cash provided by
operating activities: |
| | | | | | | | | | | | |
Depreciation and amortization
|
| | | | 3,023 | | | | | | 2,733 | | |
Unit-based compensation
|
| | | | 172 | | | | | | 163 | | |
Non-cash interest expense; amortization of debt costs
|
| | | | 191 | | | | | | 106 | | |
Loss on debt modification
|
| | | | 682 | | | | | | — | | |
Changes in assets and liabilities
|
| | | | | | | | | | | | |
Prepaid expense and other current assets
|
| | | | (478) | | | | | | 560 | | |
Other assets
|
| | | | 1,384 | | | | | | (2,964) | | |
Accounts payable
|
| | | | 541 | | | | | | (829) | | |
Deferred revenue and patient deposits
|
| | | | 1,765 | | | | | | (699) | | |
Accrued and other liabilities
|
| | | | (114) | | | | | | 3,521 | | |
Net cash provided by operating activities
|
| | | | 23,814 | | | | | | 1,683 | | |
Cash flows from investing activities | | | | | | | | | | | | | |
Purchases of property and equipment, net
|
| | | | (3,149) | | | | | | (1,720) | | |
Net cash used in investing activities
|
| | | | (3,149) | | | | | | (1,720) | | |
Cash flows from financing activities | | | | | | | | | | | | | |
Payment on term loan
|
| | | | (413) | | | | | | (200) | | |
Borrowings on term loan
|
| | | | 49,995 | | | | | | 2,500 | | |
Distribution to member
|
| | | | (63,778) | | | | | | (4,334) | | |
Net cash used in financing activities
|
| | | | (14,196) | | | | | | (2,034) | | |
Net increase (decrease) in cash and cash equivalents
|
| | | | 6,469 | | | | | | (2,071) | | |
Cash and cash equivalents | | | | | | | | | | | | | |
Beginning of period
|
| | | | 10,379 | | | | | | 5,128 | | |
End of period
|
| | | $ | 16,848 | | | | | $ | 3,057 | | |
Supplemental disclosure of cash flow information: | | | | | | | | | | | | | |
Cash paid for interest
|
| | | $ | 1,570 | | | | | $ | 1,143 | | |
| | |
June 30,
2021 |
| |
December 31,
2020 |
| |
Useful Life
|
| ||||||
Technology and know-how
|
| | | $ | 53,600 | | | | | $ | 53,600 | | | |
15 years
|
|
Trademarks and tradenames
|
| | | | 17,700 | | | | | | 17,700 | | | |
15 years
|
|
| | | | | 71,300 | | | | | | 71,300 | | | | | |
Accumulated amortization of technology and know-how
|
| | | | (9,826) | | | | | | (8,038) | | | | | |
Accumulated amortization of tradenames and trademarks
|
| | | | (3,245) | | | | | | (2,654) | | | | | |
Total intangible assets
|
| | | $ | 58,229 | | | | | $ | 60,608 | | | | | |
| | |
June 30,
2021 |
| |
December 31,
2020 |
| ||||||
Medical equipment
|
| | | $ | 2,332 | | | | | $ | 1,955 | | |
Office and computer equipment
|
| | | | 164 | | | | | | 137 | | |
Furniture and fixtures
|
| | | | 1,016 | | | | | | 741 | | |
Leasehold improvements
|
| | | | 6,649 | | | | | | 5,374 | | |
Construction in progress
|
| | | | 2,152 | | | | | | — | | |
Less: Accumulated depreciation and amortization
|
| | | | (1,735) | | | | | | (1,099) | | |
Property and equipment, net
|
| | | $ | 10,578 | | | | | $ | 7,108 | | |
| | |
June 30,
2021 |
| |
December 31,
2020 |
| ||||||
Term loan
|
| | | $ | 84,688 | | | | | $ | 33,100 | | |
Unamortized debt issuance costs
|
| | | | (1,715) | | | | | | (581) | | |
Total debt, net
|
| | | | 82,973 | | | | | | 32,519 | | |
Less: Current portion
|
| | | | (850) | | | | | | (400) | | |
Long-term debt, net
|
| | | $ | 82,123 | | | | | $ | 32,119 | | |
|
2021
|
| | | $ | 425 | | |
|
2022
|
| | | | 850 | | |
|
2023
|
| | | | 83,413 | | |
|
Total maturities
|
| | | $ | 84,688 | | |
| | |
June 30,
2021 |
| |
June 30,
2020 |
| ||||||
Cash paid for amounts included in the measurement of lease liabilities: | | | | | | | | | | | | | |
Operating cash outflows from operating leases
|
| | | $ | 1,494 | | | | | $ | 1,146 | | |
Right-of-use assets obtained in exchange for lease obligations: | | | | | | | | | | | | | |
Operating leases
|
| | | $ | — | | | | | $ | 3,775 | | |
| Year ended December 31, | | | | | | | |
|
2021 (excluding the six months ended June 30, 2021)
|
| | | $ | 1,708 | | |
|
2022
|
| | | | 3,340 | | |
|
2023
|
| | | | 3,352 | | |
|
2024
|
| | | | 3,307 | | |
|
2025
|
| | | | 3,345 | | |
|
Thereafter
|
| | | | 5,584 | | |
|
Total lease payments
|
| | | | 20,636 | | |
|
Less: imputed interest
|
| | | | (5,020) | | |
|
Total lease obligations
|
| | | $ | 15,616 | | |
| Morgan Stanley | | |
Piper Sandler
|
| |
SVB Leerink
|
|
|
Raymond James
|
|