UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
(Mark One)
EXCHANGE ACT OF 1934
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EXCHANGE ACT OF 1934
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TABLE OF CONTENTS
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InnovAge Holding Corp. and Subsidiaries
Quarterly Report on Form 10-Q
For the quarterly period ended September 30, 2022
Cautionary Note on Forward-Looking Statements
Throughout this Quarterly Report on Form 10-Q, we make “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements describe future expectations, plans, results or strategies and can often be identified by the use of terminology such as “may,” “will,” “estimate,” “intend,” “plan,” “continue,” “believe,” “expect,” “anticipate,” “target,” “should,” “could,” “potential,” “opportunity,” “goal” or similar terminology. Forward-looking statements may be identified by the fact that they do not relate strictly to historical or current facts and may include statements about our expectations with respect to current audits and legal proceedings and actions, relationships and discussions with regulatory agencies, our expectations with respect to correcting deficiencies raised in audits and other processes, and our expectations to increase the number of participants we serve, to grow enrollment and capacity within existing centers, to build de novo centers, and other similar statements. The forward-looking statements contained in this Quarterly Report on Form 10-Q are generally located in the material set forth under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” included in Part I, Item 2, and “Risk Factors,” included in Part II, Item 1A, but may be found in other locations as well. These statements are based upon management’s current expectations, assumptions and estimates and are not guarantees of timing, future results or performance. Therefore, you should not rely on any of these forward-looking statements as predictions of future events. Actual results may differ materially from those contemplated in these statements due to a variety of risks and uncertainties and other factors, including, among other things:
● | the results of periodic inspections, reviews, audits and investigations under the federal and state government programs, including the sanctions currently in place on our centers in Colorado and in our Sacramento center in California and our ability to sufficiently cure any deficiencies identified by the respective federal and state government programs including with respect to the audits of our Albuquerque, New Mexico center and San Bernardino, California center; |
● | the adverse impact of inspections, reviews, audits, investigations, legal proceedings, enforcement actions and litigation, including the current civil investigative demands initiated by federal and state agencies, as well as the litigation and other proceedings initiated by, or on behalf, of our stockholders; |
● | the risk that the cost of providing services will exceed our compensation under the Program of All Inclusive Care for the Elderly (“PACE”); |
● | the dependence of our revenues and operations upon a limited number of government payors; |
● | changes in the rules governing the Medicare, Medicaid or PACE programs or applicable licensure requirements; |
● | the risk that our submissions to government payors may contain inaccurate or unsupportable information, including regarding risk adjustment scores of participants; |
● | the viability of our business strategy and our ability to realize expected results; |
● | the impact on our business of renegotiation, non-renewal or termination of capitation agreements with government payors; |
● | the impact of state and federal efforts to reduce healthcare spending; |
● | the impact on our business from an economic downturn |
● | the effects of a pandemic, epidemic or outbreak of an infectious disease, including the ongoing effects of COVID-19; |
● | our dependence on our senior management team and other key employees; |
● | the effect of sustained inflation on our business; |
● | the impact of failures by our suppliers, sustained material price increases on supplies or limitations on our ability to access new technology or medical products; |
● | the effect of our relatively limited operating history as a for-profit company on investors’ ability to evaluate our current business and future prospects; |
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● | our ability to enroll or attract new participants and grow our revenue, especially as a result of the sanctions currently in place on our centers in Colorado and in our Sacramento center in California and actions from other states; |
● | the concentration of our presence in Colorado; |
● | our ability to manage our operations effectively, execute our business plan, maintain effective levels of service and participant satisfaction and adequately address competitive challenges; |
● | our ability to compete in the healthcare industry; |
● | our ability to establish a presence in new geographic markets, especially as a result of the actions taken by certain states and us in light of our ongoing audit processes; |
● | the impact of competition for physicians and other clinical personnel and related increases in our labor costs; |
● | the impact on our business of security breaches, loss of data or other disruptions causing the compromise of sensitive information or preventing us from accessing critical information; |
● | 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 ability to accurately estimate incurred but not reported medical expense or the risk scores of our participants; |
● | risks associated with our use of “open-source” software; |
● | the impact on our business of the termination of our leases, increases in rent or inability to renew or extend leases; |
● | our ability to maintain our corporate culture; |
● | the impact of negative publicity regarding the managed healthcare industry; |
● | the impact of weather and other factors beyond our control; |
● | our ability to adhere to complex and changing government laws and regulations in the healthcare industry, including U.S. Healthcare reform, the regulation of the corporate practice of medicine and the Health Information Technology for Economic and Clinical Health Act of 2009 (the “HITECH Act”), and their implementing regulations (collectively, “HIPAA”), CCPA and other privacy laws and regulations in the healthcare industry; |
● | our status as a “controlled company”; |
● | our ability to maintain effective internal controls over financial reporting and other enhanced requirements of being a public company; |
● | our ability to maintain and enhance our reputation and brand recognition; |
● | the impact on our business of disruptions in our disaster recovery systems or business continuity planning; |
● | changes in accounting principles and guidance, resulting in unfavorable accounting charges or effects; and |
We derive many of our forward-looking statements from our operating budgets and forecasts, which are based on many detailed assumptions. While we believe that our assumptions are reasonable, we caution that it is very difficult to predict the impact of known factors, and it is impossible for us to anticipate all factors that could affect our actual results. All written and oral forward-looking statements attributable to us, or persons acting on our behalf, are expressly qualified in their entirety by these cautionary statements as well as other cautionary statements that are made from time to time in our other public communications and filings with the SEC. You should evaluate all forward-looking statements made in this Quarterly Report on Form 10-Q in the context of these risks and uncertainties.
We caution you that the important factors referenced above may not contain all of the factors that are important to you. In addition, we cannot assure you that we will realize the results or developments we expect or anticipate or, even if substantially realized, that they will result in the consequences or affect us or our operations in the way we expect. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date hereof. We undertake no obligation to update or revise any forward-looking statement as a result of new information, future events or otherwise, except as otherwise required by law. Unless otherwise specified or unless the context requires otherwise, all references in this Quarterly Report on Form 10-Q to “InnovAge,” “the Company,” “we,” “us,” and “our,” or similar references, refer to InnovAge Holding Corp. and our consolidated subsidiaries.
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PART I —FINANCIAL INFORMATION
Item 1. Financial Statements
INNOVAGE HOLDING CORP. AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(In thousands, except per share data)
(Unaudited)
| September 30, |
| June 30, | |||
2022 | 2022 | |||||
Assets | ||||||
Current Assets |
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Cash and cash equivalents | $ | | $ | | ||
Restricted cash |
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Accounts receivable, net of allowance ($ |
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Prepaid expenses |
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Income tax receivable |
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Total current assets |
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Noncurrent Assets |
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Property and equipment, net |
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Operating lease assets | | — | ||||
Investments |
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Deposits and other |
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Goodwill |
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Other intangible assets, net |
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Total noncurrent assets |
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Total assets | $ | | $ | | ||
Liabilities and Stockholders' Equity |
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Current Liabilities |
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Accounts payable and accrued expenses | $ | | $ | | ||
Reported and estimated claims |
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Due to Medicaid and Medicare | | | ||||
Current portion of long-term debt |
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Current portion of finance lease obligations |
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Current portion of operating lease obligations | | — | ||||
Deferred revenue |
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Total current liabilities |
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Noncurrent Liabilities |
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Deferred tax liability, net |
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Finance lease obligations | | | ||||
Operating lease obligations |
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| — | ||
Other noncurrent liabilities |
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Long-term debt, net of debt issuance costs |
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Total liabilities |
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Commitments and Contingencies (See Note 9) |
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Redeemable Noncontrolling Interests (See Note 4) | | | ||||
Stockholders’ Equity |
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Common stock, $ |
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Additional paid-in capital |
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Retained earnings (deficit) |
| ( |
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Total InnovAge Holding Corp. |
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Noncontrolling interests |
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Total stockholders’ equity |
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Total liabilities and stockholders’ equity | $ | | $ | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INNOVAGE HOLDING CORP. AND SUBSIDIARIES
Condensed Consolidated Statements of Operations
(In thousands, except number of shares and per share data)
(Unaudited)
Three Months Ended September 30, | ||||||
2022 | 2021 | |||||
Revenues |
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Capitation revenue | $ | | $ | | ||
Other service revenue |
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Total revenues |
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Expenses |
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External provider costs |
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Cost of care, excluding depreciation and amortization |
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Sales and marketing |
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Corporate, general and administrative |
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Depreciation and amortization |
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Total expenses |
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Operating Income (Loss) |
| ( |
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Other Income (Expense) |
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Interest expense, net |
| ( |
| ( | ||
Other income (expense) |
| |
| ( | ||
Total other expense |
| ( |
| ( | ||
Income (Loss) Before Income Taxes |
| ( |
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Provision (Benefit) for Income Taxes |
| ( |
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Net Income (Loss) |
| ( |
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Less: net loss attributable to noncontrolling interests |
| ( |
| ( | ||
Net Income (Loss) Attributable to InnovAge Holding Corp. | $ | ( | $ | | ||
Weighted-average number of common shares outstanding - basic |
| |
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Weighted-average number of common shares outstanding - diluted |
| |
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Net income (loss) per share - basic | $ | ( | $ | | ||
Net income (loss) per share - diluted | $ | ( | $ | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INNOVAGE HOLDING CORP. AND SUBSIDIARIES
Condensed Consolidated Statements of Stockholders’ Equity
(In thousands, except share amounts)
(Unaudited)
|
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| Additional |
| Retained |
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| Total |
| Redeemable |
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Capital Stock | Paid-in | Earnings | Treasury Stock | Noncontrolling | Permanent | Noncontrolling Interests | Net Income | |||||||||||||||||||||
Shares | Amount | Capital | (Deficit) | Shares | Amount | Interests | Stockholders' Equity | (Temporary Equity) | (Loss) | |||||||||||||||||||
Balances, June 30, 2021 |
| | $ | | $ | | $ | |
| — | $ | — | $ | | $ | | | |||||||||||
Stock-based compensation |
| — |
| — |
| |
| — |
| — |
| — |
| — |
| | — | |||||||||||
Adjustments to redemption value |
| — |
| — |
| — |
| |
| — |
| — |
| — |
| | ( | |||||||||||
Net income (loss) |
| — |
| — |
| — |
| |
| — |
| — |
| ( |
| | | | ||||||||||
Balances, September 30, 2021 | | $ | | $ | | $ | |
| — | $ | — | $ | | $ | | $ | | $ |
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| Additional |
| Retained |
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| Total |
| Redeemable |
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Capital Stock | Paid-in | Earnings | Treasury Stock | Noncontrolling | Permanent | Noncontrolling Interests | Net Income | |||||||||||||||||||||
Shares | Amount | Capital | (Deficit) | Shares | Amount | Interests | Stockholders' Equity | (Temporary Equity) | (Loss) | |||||||||||||||||||
Balances, June 30, 2022 |
| | $ | | $ | | $ | |
| — | $ | — | $ | | $ | | | |||||||||||
Stock-based compensation |
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| — |
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| — |
| — |
| — |
| — |
| | — | |||||||||||
Adjustments to redemption value | — | — | — | — | — | — | — | — | — | |||||||||||||||||||
Net income (loss) |
| — |
| — |
| — |
| ( |
| — |
| — |
| ( |
| ( | ( | ( | ||||||||||
Balances, September 30, 2022 | | $ | | $ | | $ | ( |
| — | $ | — | $ | | $ | | $ | | $ |
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INNOVAGE HOLDING CORP. AND SUBSIDIARIES
Condensed Consolidated Statements of Cash Flows
(In thousands)
(Unaudited)
For the Three Months Ended September 30, | ||||||
2022 | 2021 | |||||
Operating Activities | ||||||
Net income (loss) | $ | ( | $ | | ||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities |
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(Gain) Loss on disposal of assets |
| ( |
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Provision for uncollectible accounts |
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Depreciation and amortization |
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Noncash lease expense | | — | ||||
Amortization of deferred financing costs |
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Stock-based compensation |
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Deferred income taxes |
| ( |
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Changes in operating assets and liabilities, net of acquisitions |
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Accounts receivable, net |
| ( |
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Prepaid expenses |
| |
| ( | ||
Income tax receivable |
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Deposits and other |
| |
| ( | ||
Accounts payable and accrued expenses |
| |
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Reported and estimated claims |
| ( |
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Due to Medicaid and Medicare |
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Operating lease liabilities |
| ( |
| — | ||
Deferred revenue |
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| — | ||
Net cash provided by operating activities |
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Investing Activities |
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Purchases of property and equipment |
| ( |
| ( | ||
Purchase of cost method investment |
| — |
| ( | ||
Net cash used in investing activities | $ | ( | $ | ( | ||
Financing Activities |
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Payments for finance lease obligations |
| ( |
| ( | ||
Principal payments on long-term debt |
| ( |
| ( | ||
Net cash used in financing activities |
| ( |
| ( | ||
INCREASE IN CASH, CASH EQUIVALENTS & RESTRICTED CASH |
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CASH, CASH EQUIVALENTS & RESTRICTED CASH, BEGINNING OF PERIOD |
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CASH, CASH EQUIVALENTS & RESTRICTED CASH, END OF PERIOD | $ | | $ | | ||
Supplemental Cash Flows Information |
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Interest paid | $ | | $ | | ||
Income taxes paid | $ | | $ | — | ||
Property and equipment included in accounts payable | $ | | $ | | ||
Property and equipment purchased under finance leases | $ | | $ | |
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INNOVAGE HOLDING CORP. AND SUBSIDIARIES
Notes to Condensed Consolidated Financial Statements
(Unaudited)
Note 1: Business
InnovAge Holding Corp. and its subsidiaries, are headquartered in Denver, Colorado. The Company manages, and in many cases directly provides, a broad range of medical and ancillary services for seniors in need of care and support to safely live independently in their homes and communities, including in-home care services (skilled, unskilled and personal care); in-center services such as primary care, physical therapy, occupational therapy, speech therapy, dental services, mental health and psychiatric services, meals, and activities; transportation to the Program of All-Inclusive Care for the Elderly (“PACE”) center and third-party medical appointments; and care management. The Company manages its business as
As of September 30, 2022, the Company served approximately
PACE is a fully-capitated managed care program, which serves the frail elderly, and predominantly dual-eligible, population in a community-based service model. InnovAge is obligated to provide, and participants receive all needed healthcare services through an all-inclusive, coordinated model of care, and the Company is at risk for
The Company’s common stock is traded on the Nasdaq Stock Market LLC (“NASDAQ”) under the ticker symbol “INNV.”
Note 2: Summary of Significant Accounting Policies
The Company described its significant accounting policies in Note 2, “Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements in its Annual Report on Form 10-K for the year ended June 30, 2022 (“2022 10-K”). With the exception of Recently Adopted Accounting Pronouncements described below, there were no significant changes to those accounting policies during the three months ended September 30, 2022.
Basis of Preparation and Principles of Consolidation
The unaudited interim condensed consolidated financial statements and accompanying notes have been prepared in accordance with accounting principles generally accepted in the U.S. (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been omitted pursuant to such regulations. These financial statements have been prepared on a basis consistent with the accounting principles applied for the fiscal year ended June 30, 2022. In the opinion of management, all adjustments (consisting of all normal and recurring adjustments) considered necessary for a fair presentation have been included. The condensed consolidated financial statements include the accounts of InnovAge, its wholly owned subsidiaries, variable interest entities (“VIEs”)
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for which it is the primary beneficiary and entities for which it has a controlling interest. All intercompany accounts and transactions have been eliminated in consolidation.
The Company does not have any components of comprehensive income and comprehensive income is equal to net income (loss) reported in the statements of operations for all periods presented.
Property and Equipment
Property and equipment were comprised of the following as of September 30, 2022 and June 30, 2022:
| Estimated |
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| |||||
dollars in thousands | Useful Lives | September 30, 2022 | June 30, 2022 | |||||
Land |
| N/A | $ | | $ | | ||
Buildings and leasehold improvements |
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Software |
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Equipment and vehicles |
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Construction in progress |
| N/A |
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Less: accumulated depreciation and amortization |
|
| ( |
| ( | |||
Total property and equipment, net | $ | | $ | |
Depreciation of $
Recently Adopted Accounting Pronouncements
Leases
In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02 Leases (“ASU 2016-02”), which was intended to increase transparency and comparability among organizations by recognizing lease assets and liabilities on the balance sheet and disclosing key information about leasing arrangements. Under the new guidance, lessees are required to recognize a right-of-use (“ROU”) asset and a lease liability, measured on a discounted basis, at the commencement date for all leases with terms greater than 12 months. Additionally, this guidance requires enhanced disclosures to help investors and other financial statement users to better understand the amount, timing, and uncertainty of cash flows arising from leases, including qualitative and quantitative requirements. In June 2020, the FASB issued ASU 2020-05 Revenue from contracts with customers (Topic 606) and leases (Topic 842) – Effective dates for certain entities which deferred the new lease standard effective date for the Company to interim periods beginning after December 15, 2022, with early adoption permitted.
We adopted the new standard on July 1, 2022 using the modified retrospective transition approach as permitted in ASU 2018-11. In accordance with this approach, the effective date of Topic 842 is also the application date of the new requirements, with prior comparative periods presented in the financial statements with the legacy requirements of ASC Topic 840, Leases. We elected the package of practical expedients which permits us not to reassess under the new lease standard our prior conclusions for lease identification and lease classification on expired or existing contracts and whether initial direct costs previously capitalized would qualify for capitalization under the new lease standard. We also elected to adopt the optional transition method which allows an entity to recognize, if necessary, a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The Company did not elect the practical expedient to use hindsight in determining the lease term and in assessing impairment conclusions on the ROU assets. Comparative periods presented in the financial statements continue to be presented in accordance with GAAP related to leases prior to transitioning to the new lease standard. The adoption of Topic 842 resulted in the recognition of operating lease liabilities and ROU assets of $
10
Recent Accounting Pronouncements Not Yet Adopted
Financial Instruments
In April 2019, the FASB issued ASU 2019-04, Codification Improvements to Topic 326, Financial Instruments—Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments (“ASU 2019-04”), which requires entities to use a current expected credit loss (“CECL”) model to measure impairment for most financial assets that are not recorded at fair value through net income. Under the CECL model, an entity will estimate lifetime expected credit losses considering available relevant information about historical events, current conditions and supportable forecasts. The CECL model does not apply to available-for-sale debt securities. This guidance also expands the required credit loss disclosures and will be applied using a modified retrospective approach by recording a cumulative effect adjustment to retained earnings as of the beginning of the fiscal year of adoption. ASU 2019-04 is effective for the Company for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. The Company will adopt this guidance for the annual and interim reporting periods beginning July 1, 2023. The Company has not determined the effect of the standard on its condensed consolidated financial statements.
We do not expect that any other recently issued accounting guidance will have a significant effect on our condensed consolidated financial statements.
Note 3: Revenue Recognition
Under ASC 606, revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the Company performed the following five steps: (i) Identify the contract(s) with a customer; (ii) Identify the performance obligations in the contract; (iii) Determine the transaction price; (iv) Allocate the transaction price to the performance obligations in the contract; and (v) Recognize revenue as the entity satisfies a performance obligation.
Capitation Revenue and Accounts Receivable
Our capitation revenue relates to contracts with participants in which our performance obligation is to provide healthcare services to the participants. Revenues are recorded during the period our obligations to provide healthcare services are satisfied as noted below within each service type. The Company contracts directly with Medicare and Medicaid on a per member, per month (“PMPM”) basis. We receive
Fees are recorded gross in revenues because the Company is acting as a principal in providing for or overseeing comprehensive care provided to the participants. Neither the Company nor any of its affiliates is a registered insurance company because state law in the states in which it operates does not require such registration for risk-bearing providers.
In general, a participant enrolls in the PACE program and is considered a customer of InnovAge. The Company considers all contracts with participants as a single performance obligation to provide comprehensive medical, health, and social services that integrate acute and long-term care. The Company identified that contracts with customers in the PACE program have similar performance obligations and therefore groups them into one portfolio. This performance obligation is satisfied as the Company provides comprehensive care to its participants.
Our revenues are based on the estimated PMPM amounts we expect to be entitled to receive from the capitated fees per participant that are paid monthly by Medicaid, Medicare, the VA, and private pay sources. Medicaid and Medicare capitation revenues are based on PMPM capitation rates under the PACE program. VA is included in “Private Pay and other” and is also capitated. Private pay includes direct payments from participants who do not qualify for the full capitated rate and have to pay all or a portion of the capitated rate.
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The Company disaggregates capitation revenue from the following sources for the three months ended:
September 30, | |||||
| 2022 |
| 2021 |
| |
Medicaid |
| | % | | % |
Medicare |
| | % | | % |
Private pay and other |
| * | % | * | % |
Total |
| | % | | % |
* Less than
The Company determined the transaction price for these contracts is the amount we expect to be entitled to, which is the most likely amount. For certain capitation payments, the Company is subject to retroactive premium risk adjustments based on various factors. The Company estimates the amount of the adjustment and records it monthly on a straight-line basis. These adjustments are not expected to be material.
The capitation revenues are recognized based on the estimated PMPM transaction price to transfer the service for a distinct increment of the series (i.e. month). We recognize revenue in the month in which participants are entitled to receive comprehensive care benefits during the contract term. As the period between the time of service and time of payment is typically one year or less, the Company elected the practical expedient under ASC 606-10-32-18 and did not adjust for the effects of a significant financing component.
The Company also provides prescription drug benefits in accordance with Medicare Part D. Monthly payments received from CMS and the participants represent the bid amount for providing prescription drug coverage. The portion received from CMS is subject to risk sharing through Medicare Part D risk-sharing corridor provisions. These risk-sharing corridor provisions compare costs targeted in the Company’s bid to actual prescription drug costs. The Company estimates and records a monthly adjustment to Medicare Part D revenues associated with these risk-sharing corridor provisions. Medicare Part D comprised
Our accounts receivable as of September 30, 2022 and June 30, 2022 is primarily from capitation revenue arrangements. The concentration of net receivables from participants and third-party payers was as follows:
September 30, | June 30, | ||||
| 2022 |
| 2022 |
| |
Medicaid |
| | % | | % |
Medicare |
| | % | | % |
Private pay and other |
| | % | | % |
Total |
| | % | | % |
The Company records accounts receivable at net realizable value, which includes an allowance for estimated uncollectible accounts. The allowance for uncollectible accounts reflects the Company’s best estimate of probable losses considering eligibility, historical experience, and existing economic conditions. The balance of the allowance for uncollectible accounts was $
Other Service Revenue and Accounts Receivable
Other service revenue is comprised of rents earned related to Senior Housing and other fee for service revenue. Other service revenue was
12
Laws and regulations governing the Medicare and Medicaid programs are complex and subject to change, as well as government review. Failure to comply with these laws can expose the entity to significant regulatory action, including fines, penalties, and exclusion from the Medicare and Medicaid programs. See Note 9, “Commitments and Contingencies.”
Note 4: Investments
The Company holds equity method and cost method investments as of:
September 30, | June 30, | |||||
in thousands |
| 2022 |
| 2022 | ||
Cost method investments | $ | | $ | | ||
Equity method investments |
| |
| | ||
Total investments | $ | | $ | |
Nonconsolidated Entities
Cost Method Investments
The Company maintains
Jetdoc
In August 2021, the Company acquired a minority interest equal to
stock of Jetdoc, Inc. (“Jetdoc”), a telehealth and virtual urgent care app dedicated to effectively connecting users with medical professionals, for cash consideration of $
DispatchHealth
On June 14, 2019, the Company invested $
Equity Method Investments
Pinewood Lodge
The Company’s operations include a Senior Housing unit that primarily includes the accounts of Continental Community Housing (“CCH”), the general partner of Pinewood Lodge, LLP (“ PWD”) which was organized to develop, construct, own, maintain, and operate certain apartment complexes intended for rental to low-income elderly individuals aged 62 or older.
PWD is a VIE, but the Company is not the primary beneficiary. The Company does not have the power to direct the activities that most significantly impact the economic performance of PWD. Accordingly, the Company does not consolidate PWD. PWD is accounted for using the equity method of accounting. The equity earnings of PWD are insignificant. As of September 30, 2022, the balance of the Company’s investment in PWD is $
13
Noncontrolling Interest
Senior Housing
The Company’s operations include a
SH1 is a VIE. The Company is the primary beneficiary of SH1 and consolidates SH1. The Company is the primary beneficiary of SH1 as it has the power to direct the activities that are most significant to SH1 and has an obligation to absorb losses or the right to receive benefits from SH1. The most significant activity of SH1 is the operation of the senior housing facility. The Company has provided a subordinated loan to SH1 and has provided a guarantee for a convertible term loan held by SH1.
Redeemable Noncontrolling Interest
InnovAge Sacramento
On March 18, 2019, in connection with the formation of InnovAge Sacramento, the joint venture with Adventist Health System/West (“Adventist”) and Eskaton Properties, Incorporated (“Eskaton”), the Company contributed $
The InnovAge California PACE-Sacramento LLC Limited Liability Company Agreement (the “JV Agreement”) includes numerous provisions whereby, if certain conditions are met, the Joint Venture may be required to purchase, at fair market value, certain members’ interests or certain members may be required to purchase, at fair market value, the interests of certain other members. As of September 30, 2022, none of the conditions specified in the JV Agreement had been met. At the time the Company became a publicly traded company these put rights held by the noncontrolling interests of the joint venture were required to be presented as temporary equity. The redeemable noncontrolling interest of $
Note 5: Fair Value Measurements
Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants, at the measurement date. A fair value hierarchy was established that requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. Observable inputs are inputs that reflect the assumptions market participants would use in pricing the asset or liability developed based on market data obtained from sources outside the reporting entity. Unobservable inputs are inputs that reflect the Company’s own assumptions based on market data and assumptions that market participants would use in pricing the asset or liability developed based on the best information available in the circumstances. The sensitivity to changes in inputs and their impact on fair value measurements can be significant.
The three levels of inputs that may be used to measure fair value are:
Level 1 | Unadjusted quoted prices in active markets for identical assets or liabilities that the entity has the ability to access at the measurement date |
Level 2 | Quoted prices in markets that are not active or inputs that are observable, either directly or indirectly, for substantially the full term of the assets or liabilities |
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Level 3 | Unobservable inputs to the valuation techniques that are significant to the fair value measurements of the assets or liabilities |
Recurring Measurements
The Company’s investment in InnovAge Sacramento includes a put right for the noncontrolling interest holders to require the Company to repurchase the interest of the noncontrolling interest holders at fair value, after the initial term of the management services agreement in 2028. As a result, at each fiscal period end the Company reports this put right at the greater of (i) carrying value of the redeemable noncontrolling interest or (ii) fair value of the redeemable noncontrolling interest. Because this asset does not have observable inputs, level 3 inputs are used to measure fair value. The fair value of the redeemable noncontrolling interest is determined utilizing a discounted cash flow model. As of September 30, 2022, the Company’s redeemable noncontrolling interest was recorded at carrying value of $
There were
Note 6: Goodwill and Intangible Assets
Goodwill represents the excess of cost over the fair value of net assets acquired. Goodwill amounted to $
Pursuant to ASC 350, “Intangibles – Goodwill and Other,” we review the recoverability of goodwill annually as of April 1 or whenever significant events or changes occur which might impair the recovery of recorded amounts. For purposes of the annual goodwill impairment assessment, the Company has identified
Intangibles assets consisted of the following as of:
September 30, | June 30, | |||||
in thousands |
| 2022 |
| 2022 | ||
Definite-lived intangible assets | $ | | $ | | ||
Indefinite-lived intangible assets | | | ||||
Total intangible assets | | | ||||
Accumulated amortization | ( | ( | ||||
Balance as of end of period | $ | | $ | |
Intangible assets consist primarily of customer relationships acquired through business acquisitions. The Company recorded amortization expense of $
We review the recoverability of other intangible assets in conjunction with long-lived assets whenever events or changes in circumstances indicate the carrying amount of such assets may not be recoverable. There were
Note 7: Leases
Leasing Arrangements as Lessee
The Company leases certain property and equipment under various third-party operating and finance lease agreements. The Company determines if an arrangement is or contains a lease at the lease inception date by evaluating whether the arrangement conveys the right to use an identified asset and whether the Company obtains substantially all of the economic benefits from and has the ability to direct the use of the asset. The leases are noncancelable and expire on various terms from 2022 through 2032. We determine if an arrangement is a lease upon commencement of the contract. If an arrangement
15
is determined to be a long-term lease (greater than 12 months), we recognize an ROU asset and lease liability based on the present value of the future minimum lease payments over the lease term at the commencement date. As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of future payments. Our lease terms may also include options to extend or terminate the lease when it is reasonably certain that we will exercise those options. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term.
We have elected to apply the short-term lease exception for contracts that have a lease term of twelve months or less and do not include an option to purchase the underlying asset. Therefore, we do not recognize a ROU asset or lease liability for such contracts. We recognize short-term lease payments as expense on a straight-line basis over the lease term. Variable lease payments that do not depend on an index or rate are recognized as expense. Certain leases include escalations based on inflation indexes and fair market value adjustments. Operating lease liabilities are calculated using the prevailing index or rate at lease commencement for such leases.
The following table presents the components of our ROU assets and their classification in our Balance Sheet at September 30, 2022:
Component of Lease Balances | Balance Sheet Line Items | Three months ended September 30, | |
2022 | |||
in thousands | |||
Assets: | |||
Operating lease assets | Operating lease assets | $ | |
Finance lease assets |
| | |
Total leased assets | $ | |
The following table presents the components of our lease cost and the classification of such costs in our Statements of Operations for the three months ended September 30, 2022:
Component of Lease Cost | Statements of Operations Line Items | Three months ended September 30, | |
2022 | |||
in thousands | |||
Operating lease cost | Cost of care excluding depreciation and amortization and Corporate, general and administrative | $ | |
Finance lease expense: | |||
Amortization of leased assets | Depreciation and amortization |
| |
Interest on lease liabilities | Interest expense, net | | |
Variable lease cost | Cost of care excluding depreciation and amortization and Corporate, general and administrative | — | |
Short-term lease cost | Cost of care excluding depreciation and amortization and Corporate, general and administrative | | |
Total lease expense | $ | |
The following table includes the weighted-average lease terms and discount rates for operating and finance leases as of September 30, 2022:
Weighted average remaining lease term: | September 30, | |
2022 | ||
Operating leases |
| |
Finance leases |
16
Weighted average discount rate: | September 30, | ||
2022 | |||
Operating leases |
| | % |
Finance leases | | % |
The following table includes the future maturities of lease payments for operating leases and finance leases for periods subsequent to September 30, 2022:
Operating | Finance | ||||||||
in thousands | Lease | Lease | Total | ||||||
Amount remaining in 2023 | $ | | $ | | $ | | |||
2024 |
| |
| |
| | |||
2025 |
| |
| |
| | |||
2026 |
| |
| |
| | |||
2027 |
| |
| |
| | |||
Thereafter |
| |
| |
| | |||
Total lease payments |
| |
| |
| | |||
Less liability accretion / imputed interest |
| ( |
| ( |
| ( | |||
Total lease liabilities |
| |
| |
| | |||
Less: Current lease liabilities |
| |
| |
| | |||
Total long-term lease liabilities | $ | | $ | | $ | |
The following table includes the future maturities of minimum rental payments that are required to be paid under all non-cancelable operating and capital lease obligations as previously disclosed in our 2022 Annual Report on Form 10-K as of June 30, 2022, prior to the adoption of ASC 842:
Operating | Capital | |||||
in thousands | Lease | Lease | ||||
Amount remaining in 2023 | $ | | $ | | ||
2024 |
| |
| | ||
2025 |
| |
| | ||
2026 |
| |
| | ||
2027 |
| |
| | ||
Thereafter |
| |
| | ||
Total minimal rental payments |
| |
| | ||
Less: Amount representing interest |
| ( | ||||
Subtotal |
| | ||||
Current portion |
| | ||||
Long-term portion | $ | |
17
Note 8. Long Term Debt
Long-term debt consisted of the following at September 30, 2022 and June 30, 2022:
| September 30, |
| June 30, | |||
2022 | 2022 | |||||
in thousands | ||||||
Senior secured borrowings: | ||||||
Term Loan Facility | $ | | $ | | ||
Convertible term loan |
| |
| | ||
Total debt |
| |
| | ||
Less: unamortized debt issuance costs |
| |
| | ||
Less: current maturities |
| |
| | ||
Noncurrent maturities | $ | | $ | |
(a) | The interest rates on the Term Loan Facility and Revolving Credit Facility are described below. |
(b) | The remaining capacity under the Revolving Credit Facility as of September 30, 2022 was $ |
2021 Credit Agreement
On March 8, 2021, the Company entered into a credit agreement (the “2021 Credit Agreement”) that replaced its prior credit agreement. The 2021 Credit Agreement consists of a senior secured term loan (the “Term Loan Facility”) of $
Outstanding principal amounts under the 2021 Credit Agreement accrue interest at a variable interest rate. As of September 30, 2022, the interest rate on the Term Loan Facility was
The 2021 Credit Agreement requires the Company to meet certain operational and reporting requirements, including, but not limited to, a secured net leverage ratio. Additionally, annual capital expenditures and permitted investments, including acquisitions, are limited to amounts specified in the 2021 Credit Agreement. The 2021 Credit Agreement also provides certain restrictions on dividend payments and other equity transactions and requires the Company to make prepayments under specified circumstances. As of September 30, 2022, the Company was in compliance with the covenants of the 2021 Credit Agreement.
The deferred financing costs of $
Convertible Term Loan
On June 29, 2015, SH1 entered into a convertible term loan. Monthly principal and interest payments of $
18
Note 9: Commitments and Contingencies
Professional Liability
The Company pays fixed premiums for annual professional liability insurance coverage under a claims-made policy. Under such policy, only claims made and reported to the insurer are covered during the policy term, regardless of when the incident giving rise to the claim occurred. The Company records claim liabilities and expected recoveries, if any, at gross amounts. The Company is not currently aware of any unasserted claims or unreported incidents that are expected to exceed medical malpractice insurance coverage limits.
Litigation
From time to time, in the normal course of business, the Company is involved in or subject to legal proceedings related to its business, including those described below. The Company regularly evaluates the status of claims and legal proceedings in which it is involved in order to assess whether a loss is probable or there is a reasonable possibility that a loss may have been incurred, and to determine if accruals are appropriate. The Company expenses legal costs as such costs are incurred.
On October 14, 2021, and subsequently amended on June 21, 2022, the Company was named as a defendant in a putative class action complaint filed in the District Court for the District of Colorado on behalf of individuals who purchased or acquired shares of the Company’s common stock during a specified period. Through the complaint, plaintiffs are asserting claims against the Company, certain of the Company’s officers and the underwriters in the Company’s IPO, alleging violations of Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 and Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), for making allegedly inaccurate and misleading statements and omissions in connection with the Company’s IPO and subsequent earnings calls and public filings, and seeking compensatory damages, among other things. We are currently unable to predict the outcome of this matter.
In July 2021, the Company received a civil investigative demand from the Attorney General for the State of Colorado under the Colorado Medicaid False Claims Act. The demand requests information and documents regarding Medicaid billing, patient services and referrals in connection with the Company’s PACE program in Colorado. The Company continues to fully cooperate with the Attorney General and produce the requested information and documentation. We are currently unable to predict the outcome of this investigation.
In February 2022, the Company received a civil investigative demand from the Department of Justice (“DOJ”) under the Federal False Claims Act on similar subject matter. The demand requests information and documents regarding audits, billing, orders tracking, and quality and timeliness of patient services in connection with the Company’s PACE programs in the states where the Company operates (California, Colorado, New Mexico, Pennsylvania, and Virginia). The Company continues to fully cooperate with the DOJ and produce the requested information and documentation. We are currently unable to predict the outcome of this investigation.
On April 20, 2022, the Board of Directors of the Company received a books and records demand pursuant to Section 220 of the Delaware General Corporation Law, from a purported stockholder of the Company, in connection with the stockholder’s investigation of, among other matters, potential breaches of fiduciary duty, mismanagement, self-dealing, corporate waste or other violations of law by the Company’s Board with respect to these matters. We are currently unable to predict the outcome of this matter.
Because the results of legal proceedings and claims are inherently unpredictable and uncertain, we are currently unable to predict whether the legal proceedings we are involved in will, either individually or in the aggregate, have a material adverse effect on our business, financial condition, or cash flows. The outcomes of legal proceedings and claims could be material to the Company’s operating results for any particular period, depending in part, upon the operating results of such period. Regardless of the outcome, litigation has the potential to have an adverse impact on us due to any related defense and settlement costs, diversion of management resources, and other factors.
19
Note 10: Stock-based Compensation
A summary of our aggregate stock-based compensation expense is set forth below. Stock-based compensation expense is included in corporate, general and administrative expenses on our consolidated statements of operations.
Three months ended September 30, | ||||||
| 2022 |
| 2021 | |||
in thousands | ||||||
Stock options | $ | | $ | — | ||
Profits interests units |
| |
| | ||
Restricted stock units | | | ||||
Total stock-based compensation expense | $ | | $ | |
2020 Equity Incentive Plan
Profits Interests
TCO Group Holdings, L.P. (the “LP”), the Company’s largest shareholder and prior to the IPO, the Company’s parent, maintains the 2020 Equity Incentive Plan pursuant to which interests in the LP in the form of Class B Units (profits interests) could be granted to employees, directors, consultants, and advisers. A maximum number of
The Company used the Monte Carlo option model to determine the fair value of the profits interests units at the time of the grant. There were
A summary of profits interests activity for the three months ended September 30, 2022 was as follows:
Number of | Weighted average | ||||
Time-based unit awards | units | grant date fair value | |||
Outstanding balance, June 30, 2022 |
| | $ | | |
Granted | — | $ | — | ||
Forfeited |
| — | $ | — | |
Vested | ( | $ | | ||
Outstanding balance, September 30, 2022 |
| | $ | |
Number of | Weighted average | ||||
Performance-based unit awards | units | grant date fair value | |||
Outstanding balance, June 30, 2022 |
| | $ | | |
Granted | — | $ | — | ||
Forfeited |
| — | $ | — | |
Vested | — | $ | — | ||
Outstanding balance, September 30, 2022 |
| | $ | |
The total unrecognized compensation cost related to profits interests units outstanding as of September 30, 2022 was $
20
2021 Omnibus Incentive Plan
In March 2021, the compensation committee of our Board of Directors approved the InnovAge Holding Corp. 2021 Omnibus Incentive Plan (the “2021 Omnibus Incentive Plan”), pursuant to which various stock-based awards may be granted to employees, directors, consultants, and advisers. The total number of shares of the Company’s common stock authorized under the 2021 Omnibus Incentive Plan is
Restricted Stock Units
A summary of time-based vesting restricted stock units activity for the three months ended September 30, 2022 was as follows:
Weighted | |||||
|
| average | |||
Number of | grant-date fair | ||||
Restricted stock units - time based | awards | value per share | |||
Outstanding balance, June 30, 2022 |
| | $ | | |
Forfeited | ( | $ | | ||
Vested | ( | $ | | ||
Granted |
| | $ | | |
Outstanding balance, September 30, 2022 |
| | $ | |
The total unrecognized compensation cost related to time based restricted stock units outstanding as of September 30, 2022 was $