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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 07, 2025

 

 

LifeStance Health Group, Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-40478

86-1832801

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

4800 N. Scottsdale Road

Suite 2500

 

Scottsdale, Arizona

 

85251

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: 602 767-2100

 

 

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

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


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock, par value $0.01 per share

 

LFST

 

The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company ☐

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

 


Item 2.02 Results of Operations and Financial Condition.

On May 7, 2025, LifeStance Health Group, Inc. ("LifeStance Health Group", "LifeStance" or the "Company") issued a press release announcing its results of operations for the first quarter ended March 31, 2025. A copy of the press release is furnished as Exhibit 99.1.

The information furnished under Item 2.02 of this Current Report on Form 8-K, including the exhibit, shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), nor shall it be deemed incorporated by reference into LifeStance Health Group's filings with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

Item 7.01 Regulation FD Disclosure.

A slide presentation, which includes supplemental information related to LifeStance Health Group, is furnished as Exhibit 99.2. The information furnished under Item 7.01 of this Current Report on Form 8-K, including the exhibit, shall not be deemed "filed" for purposes of Section 18 of the Exchange Act, nor shall it be deemed incorporated by reference into LifeStance Health Group's filings with the SEC under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

 

Exhibit

 

Description

99.1

 

Press Release dated May 7, 2025.

99.2

 

Slide presentation providing supplemental information.

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

 

LifeStance Health Group, Inc.

 

 

 

 

Date:

May 7, 2025

By:

/s/ Ryan McGroarty

 

 

 

Ryan McGroarty
Chief Financial Officer and Treasurer
(principal financial and accounting officer)

 


EX-99.1 2 lfst-ex99_1.htm EX-99.1 EX-99.1

 

Exhibit 99.1

 

Investor Relations Contact

Monica Prokocki

VP of Finance & Investor Relations

602-767-2100

investor.relations@lifestance.com

 

LifeStance Reports First Quarter 2025 Results

 

SCOTTSDALE, Ariz. – May 7, 2025 – LifeStance Health Group, Inc. (Nasdaq: LFST), one of the nation’s largest providers of outpatient mental healthcare, today announced financial results for the first quarter ended March 31, 2025.

(All results compared to prior-year comparative period, unless otherwise noted)

Q1 2025 Highlights and FY 2025 Outlook

Revenue of $333.0 million increased 11% compared to revenue of $300.4 million
Clinician base increased 10% to 7,535 clinicians, a sequential net increase of 152 in the first quarter
First quarter visit volumes increased 10% to 2.1 million
Net income of $0.7 million compared to net loss of $21.1 million
Net cash used in operations of $3.1 million in the first quarter
Adjusted EBITDA of $34.6 million compared to Adjusted EBITDA of $27.7 million
Free Cash Flow of negative $10.3 million in the first quarter
For full year 2025, reiterating expectations for revenue of $1.40 billion to $1.44 billion, Center Margin of $440 million to $464 million, and Adjusted EBITDA of $130 million to $150 million

“We delivered a solid quarter to kick off 2025, thanks to the commitment and dedication of our employees, including over 7,500 clinicians,” said Dave Bourdon, CEO of LifeStance. “We exceeded our financial expectations with double-digit margins as well as positive net income in the quarter for the first time in our history as a public company. We look forward to continuing to enhance the patient and clinician experience at LifeStance while delivering on our mission of expanding access to mental healthcare services.”

Financial Highlights

 

 

 

 

 

 

 

 

 

 

 

Q1 2025

 

 

Q1 2024

 

 

Y/Y

 

(in millions)

 

 

 

 

 

 

 

 

 

Total revenue

 

$

333.0

 

 

$

300.4

 

 

 

11

%

Income (loss) from operations

 

 

1.6

 

 

 

(16.8

)

 

 

(110

%)

Center Margin

 

 

109.8

 

 

 

94.7

 

 

 

16

%

Net income (loss)

 

 

0.7

 

 

 

(21.1

)

 

 

(103

%)

Adjusted EBITDA

 

 

34.6

 

 

 

27.7

 

 

 

25

%

As % of Total revenue:

 

 

 

 

 

 

 

 

 

Income (loss) from operations

 

 

0.5

%

 

 

(5.6

%)

 

 

 

Center Margin

 

 

33.0

%

 

 

31.5

%

 

 

 

Net income (loss)

 

 

0.2

%

 

 

(7.0

%)

 

 

 

Adjusted EBITDA

 

 

10.4

%

 

 

9.2

%

 

 

 

 

(All results compared to prior-year period, unless otherwise noted)

Revenue grew 11% to $333.0 million. Revenue growth in the first quarter was driven primarily by higher visit volumes from net clinician growth and improvements in total revenue per visit.
Income from operations was $1.6 million and net income was $0.7 million.
Center Margin grew 16% to $109.8 million, or 33.0% of total revenue.
Adjusted EBITDA increased 25% to $34.6 million, or 10.4% of total revenue. Adjusted EBITDA as a percentage of revenue increased in the first quarter as a result of higher total revenue per visit and lower center costs as a percentage of revenue.

 


 

Balance Sheet, Cash Flow and Capital Allocation

For the three months ended March 31, 2025, LifeStance used $3.1 million cash flow from operations. The Company ended the first quarter with cash of $134.3 million and net long-term debt of $276.3 million.

2025 Guidance

LifeStance is providing the following outlook for 2025:

The Company is reiterating full year revenue of $1.40 billion to $1.44 billion, Center Margin of $440 million to $464 million, and Adjusted EBITDA of $130 million to $150 million.
For the second quarter of 2025, the Company expects total revenue of $332 million to $352 million, Center Margin of $100 million to $114 million, and Adjusted EBITDA of $28 million to $34 million.

 

Conference Call, Webcast Information, and Presentations

LifeStance will hold a conference call today, May 7, 2025 at 8:30 a.m. Eastern Time to discuss the first quarter 2025 results. Investors who wish to participate in the call should dial 1-800-715-9871, domestically, or 1-646-307-1963, internationally, approximately 10 minutes before the call begins and provide conference ID number 6060781 or ask to be joined into the LifeStance call. A real-time audio webcast can be accessed via the Events and Presentations section of the LifeStance Investor Relations website (https://investor.lifestance.com), where related materials will be posted prior to the conference call.

About LifeStance Health Group, Inc.

Founded in 2017, LifeStance (Nasdaq: LFST) is reimagining mental health. We are one of the nation’s largest providers of virtual and in-person outpatient mental healthcare for children, adolescents and adults experiencing a variety of mental health conditions. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. LifeStance and its supported practices employ approximately 7,500 psychiatrists, advanced practice nurses, psychologists and therapists and operates across 33 states and more than 550 centers. To learn more, please visit www.LifeStance.com.

We routinely post information that may be important to investors on the “Investor Relations” section of our website at investor.lifestance.com. We encourage investors and potential investors to consult our website regularly for important information about us.

Forward-Looking Statements

Statements in this press release and on the related teleconference that express a belief, expectation or intention, as well as those that are not historical fact, are forward-looking statements. These statements include, but are not limited to, statements with respect to: full year and second quarter guidance and management's related assumptions; business plans and objectives; and other statements contained in this press release that are not historical facts. When used in this press release and on the related teleconference, words such as “may,” “will,” “should,” “could,” “intend,” “potential,” “continue,” “anticipate,” “believe,” “estimate,” “expect,” “plan,” “target,” “predict,” “project,” “seek” and similar expressions as they relate to us are intended to identify forward-looking statements. They involve a number of risks and uncertainties that may cause actual events and results to differ materially from such forward-looking statements. These risks and uncertainties include, but are not limited to: if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be materially harmed; we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide healthcare services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business and financial performance would be harmed; the impact on us of healthcare reform legislation and other changes in the healthcare industry and in healthcare spending is currently unknown, but may harm our business; if our or our vendors’ security measures fail or are breached and unauthorized access to our employees’, patients’ or partners’ data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; our existing indebtedness could adversely affect our business and growth prospects; and other risks and uncertainties set forth under “Risk Factors” included in the reports we have filed or will file with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2024 and subsequent filings made with the Securities and Exchange Commission.

 


 

LifeStance does not undertake to update any forward-looking statements made in this press release to reflect any change in management's expectations or any change in the assumptions or circumstances on which such statements are based, except as otherwise required by law.

Non-GAAP Financial Information

This press release contains certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA margin. Tables showing the reconciliation of these non-GAAP financial measures to the comparable GAAP measures are included at the end of this release. Management believes these non-GAAP financial measures are useful in evaluating the Company’s operating performance, and may be helpful to securities analysts, institutional investors and other interested parties in understanding the Company’s operating performance and prospects. This press release also refers to Free Cash Flow, which is calculated as net cash used in operating activities less purchases of property and equipment. Management believes Free Cash Flow is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. These non-GAAP financial measures, as calculated, may not be comparable to companies in other industries or within the same industry with similarly titled measures of performance. Therefore, the Company’s non-GAAP financial measures should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP, such as net income (loss) or income (loss) from operations.

Center Margin and Adjusted EBITDA anticipated for the second quarter of 2025 and full year 2025 are calculated in a manner consistent with the historical presentation of these measures at the end of this release. Reconciliation for the forward-looking second quarter of 2025 and full year 2025 Center Margin, Adjusted EBITDA guidance and Free Cash Flow is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. As such, LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results.

Management acknowledges that there are many items that impact a company’s reported results and the adjustments reflected in these non-GAAP measures are not intended to present all items that may have impacted these results.

# # # #

 

Consolidated Financial Information and Reconciliations

 


 

CONSOLIDATED BALANCE SHEETS

(unaudited)

(In thousands, except for par value)

 

 

 

 

March 31, 2025

 

 

December 31, 2024

 

CURRENT ASSETS

 

 

 

 

 

 

Cash and cash equivalents

 

$

134,336

 

 

$

154,571

 

Patient accounts receivable, net

 

 

140,370

 

 

 

131,802

 

Prepaid expenses and other current assets

 

 

29,927

 

 

 

26,137

 

Total current assets

 

 

304,633

 

 

 

312,510

 

NONCURRENT ASSETS

 

 

 

 

 

 

Property and equipment, net

 

 

163,718

 

 

 

166,041

 

Right-of-use assets

 

 

148,068

 

 

 

147,878

 

Intangible assets, net

 

 

187,333

 

 

 

190,799

 

Goodwill

 

 

1,293,346

 

 

 

1,293,346

 

Other noncurrent assets

 

 

7,574

 

 

 

7,724

 

Total noncurrent assets

 

 

1,800,039

 

 

 

1,805,788

 

Total assets

 

$

2,104,672

 

 

$

2,118,298

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

CURRENT LIABILITIES

 

 

 

 

 

 

Accounts payable

 

$

7,415

 

 

$

7,242

 

Accrued payroll expenses

 

 

99,922

 

 

 

117,461

 

Other accrued expenses

 

 

43,245

 

 

 

46,942

 

Operating lease liabilities, current

 

 

47,301

 

 

 

49,449

 

Other current liabilities

 

 

9,502

 

 

 

7,792

 

Total current liabilities

 

 

207,385

 

 

 

228,886

 

NONCURRENT LIABILITIES

 

 

 

 

 

 

Long-term debt, net

 

 

276,322

 

 

 

279,790

 

Operating lease liabilities, noncurrent

 

 

149,391

 

 

 

148,699

 

Deferred tax liability, net

 

 

14,221

 

 

 

14,329

 

Other noncurrent liabilities

 

 

254

 

 

 

309

 

Total noncurrent liabilities

 

 

440,188

 

 

 

443,127

 

Total liabilities

 

$

647,573

 

 

$

672,013

 

COMMITMENTS AND CONTINGENCIES

 

 

 

 

 

 

STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

Preferred stock – par value $0.01 per share; 25,000 shares authorized as of
   March 31, 2025 and December 31, 2024; 0 shares issued and outstanding as
   of March 31, 2025 and December 31, 2024

 

 

 

 

 

 

Common stock – par value $0.01 per share; 800,000 shares authorized as of
   March 31, 2025 and December 31, 2024; 388,826 and 382,735 shares
   issued and outstanding as of March 31, 2025 and December 31, 2024,
   respectively

 

 

3,888

 

 

 

3,827

 

Additional paid-in capital

 

 

2,270,179

 

 

 

2,259,818

 

Accumulated other comprehensive income

 

 

612

 

 

 

929

 

Accumulated deficit

 

 

(817,580

)

 

 

(818,289

)

Total stockholders' equity

 

 

1,457,099

 

 

 

1,446,285

 

Total liabilities and stockholders’ equity

 

$

2,104,672

 

 

$

2,118,298

 

 

 


 

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)

(unaudited)

(In thousands, except per share amounts)

 

 

Three Months Ended March 31,

 

 

 

2025

 

 

2024

 

TOTAL REVENUE

 

$

332,970

 

 

$

300,437

 

OPERATING EXPENSES

 

 

 

 

 

 

Center costs, excluding depreciation and amortization
  shown separately below

 

 

223,179

 

 

 

205,711

 

General and administrative expenses

 

 

94,431

 

 

 

88,934

 

Depreciation and amortization

 

 

13,756

 

 

 

22,564

 

Total operating expenses

 

$

331,366

 

 

$

317,209

 

INCOME (LOSS) FROM OPERATIONS

 

$

1,604

 

 

$

(16,772

)

OTHER EXPENSE

 

 

 

 

 

 

Gain on remeasurement of contingent consideration

 

 

 

 

 

2,015

 

Interest expense, net

 

 

(3,073

)

 

 

(5,903

)

Other expense

 

 

(1

)

 

 

(74

)

Total other expense

 

$

(3,074

)

 

$

(3,962

)

LOSS BEFORE INCOME TAXES

 

 

(1,470

)

 

 

(20,734

)

INCOME TAX BENEFIT (PROVISION)

 

 

2,179

 

 

 

(363

)

NET INCOME (LOSS)

 

$

709

 

 

$

(21,097

)

EARNINGS (LOSS) PER SHARE

 

 

 

 

 

 

Basic

 

 

0.00

 

 

 

(0.06

)

Diluted

 

 

0.00

 

 

 

(0.06

)

Weighted-average shares outstanding

 

 

 

 

 

 

Basic

 

 

383,272

 

 

 

376,331

 

Diluted

 

 

390,666

 

 

 

376,331

 

 

 

 

 

 

 

 

NET INCOME (LOSS)

 

$

709

 

 

$

(21,097

)

OTHER COMPREHENSIVE (LOSS) INCOME

 

 

 

 

 

 

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

 

 

(317

)

 

 

583

 

COMPREHENSIVE INCOME (LOSS)

 

$

392

 

 

$

(20,514

)

 

 


 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(In thousands)

 

 

Three Months Ended March 31,

 

 

 

2025

 

 

2024

 

CASH FLOWS FROM OPERATING ACTIVITIES

 

 

 

 

 

 

Net income (loss)

 

$

709

 

 

$

(21,097

)

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

 

 

 

 

 

 

Depreciation and amortization

 

 

13,756

 

 

 

22,564

 

Non-cash operating lease costs

 

 

10,231

 

 

 

9,687

 

Stock-based compensation

 

 

18,584

 

 

 

20,581

 

Amortization of discount and debt issue costs

 

 

251

 

 

 

424

 

Gain on remeasurement of contingent consideration

 

 

 

 

 

(2,015

)

Other, net

 

 

357

 

 

 

(47

)

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

 

 

 

 

 

 

Patient accounts receivable, net

 

 

(8,568

)

 

 

(50,532

)

Prepaid expenses and other current assets

 

 

(4,515

)

 

 

2,491

 

Accounts payable

 

 

(77

)

 

 

4,981

 

Accrued payroll expenses

 

 

(17,540

)

 

 

(2,045

)

Operating lease liabilities

 

 

(11,894

)

 

 

(9,608

)

Other accrued expenses

 

 

(4,386

)

 

 

2,778

 

Net cash used in operating activities

 

$

(3,092

)

 

$

(21,838

)

CASH FLOWS FROM INVESTING ACTIVITIES

 

 

 

 

 

 

Purchases of property and equipment

 

 

(7,168

)

 

 

(5,104

)

Net cash used in investing activities

 

$

(7,168

)

 

$

(5,104

)

CASH FLOWS FROM FINANCING ACTIVITIES

 

 

 

 

 

 

Payments of long-term debt

 

 

(1,813

)

 

 

(731

)

Payments of contingent consideration

 

 

 

 

 

(1,700

)

Taxes related to net share settlement of equity awards

 

 

(8,162

)

 

 

 

Net cash used in financing activities

 

$

(9,975

)

 

$

(2,431

)

NET DECREASE IN CASH AND CASH EQUIVALENTS

 

 

(20,235

)

 

 

(29,373

)

Cash and Cash Equivalents - Beginning of period

 

 

154,571

 

 

 

78,824

 

CASH AND CASH EQUIVALENTS – END OF PERIOD

 

$

134,336

 

 

$

49,451

 

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION

 

 

 

 

 

 

Cash paid for interest, net

 

$

4,382

 

 

$

6,270

 

Cash paid for taxes, net of refunds

 

$

609

 

 

$

(252

)

SUPPLEMENTAL DISCLOSURES OF NON CASH INVESTING AND
   FINANCING ACTIVITIES

 

 

 

 

 

 

Acquisition of property and equipment included in liabilities

 

$

2,348

 

 

$

3,104

 

 

 


 

RECONCILIATION OF INCOME (LOSS) FROM OPERATIONS TO CENTER MARGIN

 

 

Three Months Ended March 31,

 

 

 

2025

 

 

2024

 

(in thousands)

 

 

 

 

 

 

Income (loss) from operations

 

$

1,604

 

 

$

(16,772

)

Adjusted for:

 

 

 

 

 

 

Depreciation and amortization

 

 

13,756

 

 

 

22,564

 

General and administrative expenses (1)

 

 

94,431

 

 

 

88,934

 

Center Margin

 

$

109,791

 

 

$

94,726

 

(1)
Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees.

 

RECONCILIATION OF NET INCOME (LOSS)TO ADJUSTED EBITDA

 

 

Three Months Ended March 31,

 

 

 

2025

 

 

2024

 

(in thousands)

 

 

 

 

 

 

Net income (loss)

 

$

709

 

 

$

(21,097

)

Adjusted for:

 

 

 

 

 

 

Interest expense, net

 

 

3,073

 

 

 

5,903

 

Depreciation and amortization

 

 

13,756

 

 

 

22,564

 

Income tax (benefit) provision

 

 

(2,179

)

 

 

363

 

Gain on remeasurement of contingent consideration

 

 

 

 

 

(2,015

)

Stock-based compensation expense

 

 

18,584

 

 

 

20,581

 

Loss on disposal of assets

 

 

1

 

 

 

74

 

Executive transition costs

 

 

185

 

 

 

31

 

Litigation costs (1)

 

 

205

 

 

 

537

 

Strategic initiatives (2)

 

 

 

 

 

751

 

Real estate optimization and restructuring
  charges (3)

 

 

(45

)

 

 

(147

)

Amortization of cloud-based software
  implementation costs (4)

 

 

357

 

 

 

11

 

Other expenses (5)

 

 

 

 

 

95

 

Adjusted EBITDA

 

$

34,646

 

 

$

27,651

 

(1)
Litigation costs include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During each of the three months ended March 31, 2025 and 2024, litigation costs included cash expenses related to distinct litigation matters, including a privacy class action litigation and a compensation model class action litigation, and for the three months ended March 31, 2024, a securities class action litigation.
(2)
Strategic initiatives consist of expenses directly related to a multi-phase system upgrade in connection with our recent and significant expansion. During the three months ended March 31, 2024, we continued a process of evaluating and adopting critical enterprise-wide systems for (i) human resources management and (ii) clinician credentialing and onboarding process. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to these enterprise-wide systems. We considered the frequency and scale of this multi-part enterprise upgrade when determining that the expenses were not normal, recurring operating expenses.
(3)
Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which included certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures was greater than what would be expected as part of ordinary business operations and did not constitute normal recurring operating activities. During the three months ended March 31, 2025 and 2024, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023.
(4)
Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive income (loss).
(5)
Represents costs incurred pre- and post-center acquisition to integrate operations, including expenses related to conversion of compensation model, legacy system costs and data migration, consulting and legal services, and overtime and temporary labor costs, which are included in our unaudited consolidated statements of operations and comprehensive income (loss).

 


EX-99.2 3 lfst-ex99_2.htm EX-99.2

Slide 1

ReimaginingMental Health Q1 2025 Earnings Presentation • May 7, 2025 Exhibit 99.2


Slide 2

Forward-Looking Statements DISCLAIMERS Cautionary Note Regarding Forward-Looking Statements This presentation and related oral statements, including during any question and answer portion of the presentation, contain forward-looking statements about LifeStance Health Group, Inc. and its subsidiaries (“LifeStance”) and the industry in which LifeStance operates, including statements regarding: full-year and second quarter guidance and management’s related assumptions; the Company's financial position; business plans and objectives; including capital allocation; and potential for disciplined acquisitions; operating results; working capital and liquidity; and other statements contained in this presentation that are not historical facts. These statements are subject to known and unknown uncertainties and contingencies outside of LifeStance's control and which are largely based on our current expectations and projections about future events and financial trends that we believe may affect LifeStance's financial condition, results of operations, business strategy, and prospects. LifeStance's actual results, events, or circumstances may differ materially from these statements. Forward-looking statements include all statements that are not historical facts. Words such as “anticipate,” “believe,” “envision,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” “contemplate” and other similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements are subject to a number of risks, uncertainties, factors and assumptions, including, among other things: if reimbursement rates paid by third-party payors are reduced or if third-party payors otherwise restrain our ability to obtain or deliver care to patients, our business could be materially harmed; we may not grow at the rates we historically have achieved or at all, even if our key metrics may imply future growth, including if we are unable to successfully execute on our growth initiatives and business strategies; if we fail to manage our growth effectively, our expenses could increase more than expected, our revenue may not increase proportionally or at all, and we may be unable to execute on our business strategy; our ability to recruit new clinicians and retain existing clinicians; we conduct business in a heavily regulated industry and if we fail to comply with these laws and government regulations, we could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have a material adverse effect on our business, results of operations and financial condition; we are dependent on our relationships with supported practices, which we do not own, to provide health care services, and our business would be harmed if those relationships were disrupted or if our arrangements with these entities became subject to legal challenges; we operate in a competitive industry, and if we are not able to compete effectively, our business and financial performance would be harmed; the impact on us of healthcare reform legislation and other changes in the healthcare industry and in healthcare spending is currently unknown, but may harm our business; if our or our vendors' security measures fail or are breached and unauthorized access to our employees', patients' or partners' data is obtained, our systems may be perceived as insecure, we may incur significant liabilities, including through private litigation or regulatory action, our reputation may be harmed, and we could lose patients and partners; our business depends on our ability to effectively invest in, implement improvements to and properly maintain the uninterrupted operation and data integrity of our information technology and other business systems; our existing indebtedness could adversely affect our business and growth prospects; and the other factors set forth in our filings with the Securities and Exchange Commission. The forward-looking statements, together with statements relating to our past performance, should not be regarded as a reliable indicator of our future performance. We undertake no obligation to update any forward-looking statements made in this presentation to reflect events or circumstances after the date of this presentation or to reflect new information or the occurrence of unanticipated events, except as may be required by law. We may not actually achieve the plans, intentions, or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Our forward-looking statements do not reflect the potential impact of any future mergers, dispositions, joint ventures, or investments. Use of Non-GAAP Financial Measures In addition to financial measures presented in accordance with U.S. generally accepted accounting principles (“GAAP”), this presentation includes certain non-GAAP financial measures, including Center Margin, Adjusted EBITDA, and Adjusted EBITDA Margin. These non-GAAP measures are in addition to, and not a substitute for, or superior to, measures of financial performance prepared in accordance with U.S. GAAP. The non-GAAP financial measures used by LifeStance may differ from the non-GAAP financial measures used by other companies. A reconciliation of these measures to the most directly comparable U.S. GAAP measure is included in the Appendix to these slides or as otherwise described in these slides. Market and Industry Data This presentation also contains information regarding our market and industry that is derived from third-party research and publications. This information involves a number of assumptions and limitations. Forecasts, assumptions, expectations, beliefs, estimates and projections involve risk and uncertainties and are subject to change based on various factors.


Slide 3

Building the Leading Outpatient Mental Health Platform Increasing access to trusted, affordable, and personalized mental healthcare A truly healthy society where mental and physical healthcare are unified to make lives better OUR VISION OUR MISSION Tech-enabled platform supporting hybrid model of virtual and in-person care In-network reimbursement providing affordable access to high-quality care National platform with unmatched scale Multidisciplinary clinician model composed of W-2 employed psychiatrists, APNs, psychologists & therapists 7,535Clinicians 10% Y/Y Growth $1,284M Revenue | TTM(1) 16% Y/Y TTM(1) Growth 8.1M Visits | TTM(1) 550+ Centers in 33 States 1 2 3 4 Note: See appendix for reconciliation of prior period reported clinicians. Unless otherwise stated, data is as of March 31, 2025; (1) Trailing twelve months LifeStance: Reimagining Mental Healthcare


Slide 4

Q1 2025 Highlights Q1 Revenue of $333.0 million increased 11% year-over-year Total Clinicians of 7,535 increased +10% Y/Y; 152 net clinician adds in Q1 Q1 Visit Volumes of 2.1 million increased +10% Y/Y Q1 Center Margin of $109.8 million, or 33.0% as a percentage of revenue Q1 Adjusted EBITDA of $34.6 million, or 10.4% as a percentage of revenue Ended Q1 with a Cash position of $134.3 million Note: See reconciliation of GAAP to non-GAAP measures and of prior period reported clinicians in the Appendix to this presentation. Amounts are unaudited.


Slide 5

Clinicians Q1 2025 Results Adjusted EBITDA (in $M) Center Margin (in $M) Revenue (in $M) 9.2% 10.4% 31.5% 33.0% Center Margin (% of total revenue) +16% +11% +10% +25% Adj. EBITDA (% of total revenue) Note: See reconciliation of GAAP to non-GAAP measures and of prior period reported clinicians in the Appendix to this presentation. Amounts are unaudited.


Slide 6

Quarterly Trends Clinicians Adjusted EBITDA (in $M) Adj. EBITDA (% of total revenue) Center Margin (in $M) Revenue (in $M) Center Margin (% of total revenue) 31.5% 31.3% 32.1% 33.6% 33.0% 9.2% 9.2% 9.8% 10.1% 10.4% Note: See reconciliation of GAAP to non-GAAP measures and of prior period reported clinicians in the Appendix to this presentation. Amounts above may not cross-foot due to rounding. Amounts are unaudited.


Slide 7

Balance Sheet, Cash Flow, and Capital Allocation *Long-Term Debt is Net of Current Portion and Unamortized Discount and Debt Issue Costs Balance Sheet & Cash Flow Capital Allocation Evolving from purely growth mindset to balanced set of objectives that include operational excellence, profitable growth, and disciplined capital deployment $276M Net Long-term Debt* Cash & Cash Equivalents $134M ($3M) Operating Cash Flow (YTD) $7M Capital Expenditures (YTD) De Novos Selective deployment to enable clinician and market growth Acquisitions Potential for disciplined M&A in 2025


Slide 8

2025 Guidance (All $ in M) FY 2025 Q2 2025 Revenue $1,400 – $1,440(Reaffirmed) $332 – $352 Center Margin $440 – $464(Reaffirmed) $100 – $114 Adj. EBITDA $130 – $150(Reaffirmed) $28 – $34 Note: Center Margin and Adjusted EBITDA anticipated for second quarter of 2025 and full year 2025 are calculated in a manner consistent with the historical presentation of these measures in the Appendix to this presentation. Reconciliation for the forward-looking second quarter of 2025 and full year 2025 Center Margin, and Adjusted EBITDA guidance is not being provided, as LifeStance does not currently have sufficient data to accurately estimate the variables and individual adjustments for such reconciliation. LifeStance management cannot estimate on a forward-looking basis without unreasonable effort the impact these variables and individual adjustments will have on its reported results. Planning Assumptions Assumes 25 to 30 de novo center openings Potential for M&A not reflected in planning assumptions


Slide 9

Appendix


Slide 10

2025 2024 ($M) Q1 Q4 Q3 Q2 Q1 Total revenue $333.0 $325.5 $312.7 $312.3 $300.4 Operating expenses Center costs, excluding depreciation and amortization 223.2 216.0 212.3 214.5 205.7 General and administrative expenses 94.4 93.7 85.3 95.2 88.9 Depreciation and amortization 13.8 14.7 15.1 18.6 22.6 Income (loss) from operations $1.6 $1.1 $0.0 ($15.9) ($16.8) Other expense (Loss) gain on remeasurement of contingent consideration — (0.3) 0.0 (0.1) 2.0 Transaction costs — (0.0) (0.0) (0.8) — Interest expense, net (3.1) (9.4) (5.4) (5.8) (5.9) Other expense (0.0) (0.3) (0.0) (0.0) (0.1) Total other expense (3.1) (9.9) (5.4) (6.7) (4.0) Loss before income taxes ($1.5) ($8.9) ($5.4) ($22.6) ($20.7) Income tax benefit (provision) 2.2 1.8 (0.6) (0.7) (0.4) Net income (loss) $0.7 ($7.1) ($6.0) ($23.3) ($21.1) Other comprehensive (loss) income Unrealized (losses) gains on cash flow hedge, net of tax (0.3) 0.2 (1.9) (0.2) 0.6 Comprehensive income (loss) $0.4 ($7.0) ($7.8) ($23.5) ($20.5) Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly Statements of Operations and Comprehensive Income (Loss)


Slide 11

2025 2024 ($M) Q1 Q4 Q3 Q2 Q1 Income (loss) from operations $1.6 $1.1 $0.0 ($15.9) ($16.8) Adjusted for: Depreciation and amortization 13.8 14.7 15.1 18.6 22.6 General and administrative expenses (1) 94.4 93.7 85.3 95.2 88.9 Center Margin $109.8 $109.4 $100.4 $97.8 $94.7 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. (1) Represents salaries, wages and employee benefits for our executive leadership, finance, human resources, marketing, billing and credentialing support and technology infrastructure and stock-based compensation for all employees.  Quarterly GAAP to Non-GAAP Reconciliations – Center Margin


Slide 12

  2025 2024 ($M) Q1 Q4 Q3 Q2 Q1   Net income (loss) $0.7 ($7.1) ($6.0) ($23.3) ($21.1)   Adjusted for: Interest expense, net 3.1 9.4 5.4 5.8 5.9 Depreciation and amortization 13.8 14.7 15.1 18.6 22.6 Income tax (benefit) provision (2.2) (1.8) 0.6 0.7 0.4 Loss (gain) on remeasurement of contingent consideration — 0.3 (0.0) 0.1 (2.0) Stock-based compensation 18.6 16.1 14.9 24.6 20.6 Loss on disposal of assets 0.0 0.3 0.0 0.0 0.1 Transaction costs (1) — 0.0 0.0 0.8 — Executive transition costs 0.2 0.1 — 0.6 0.0 Litigation costs (2) 0.2 0.5 0.2 0.3 0.5 Strategic initiatives (3) — — 0.1 0.4 0.8 Real estate optimization and restructuring charges (4) (0.0) (0.1) — (0.1) (0.1) Amortization of cloud-based software implementation costs (5) 0.4 0.4 0.3 0.2 0.0 Other expenses (6) — — — 0.1 0.1 Adjusted EBITDA $34.6 $32.8 $30.7 $28.6 $27.7     Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited.   (1) - Primarily includes capital markets advisory, consulting, accounting and legal expenses related to our acquisitions and to our underwritten public offering completed in the second quarter of 2024. (2) - Litigation costs include only those costs which are considered non-recurring and outside of the ordinary course of business based on the following considerations, which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) the complexity of the case (e.g., complex class action litigation), (iii) the nature of the remedy(ies) sought, including the size of any monetary damages sought, (iv) the counterparty involved, and (v) our overall litigation strategy. During each of the three months ended March 31, 2025 and 2024, litigation costs included cash expenses related to distinct litigation matters, including a privacy class action litigation and a compensation model class action litigation, and for the three months ended March 31, 2024, a securities class action litigation. (3) - Strategic initiatives consist of expenses directly related to a multi-phase system upgrade in connection with our recent and significant expansion. During the three months ended March 31, 2024, we continued a process of evaluating and adopting critical enterprise-wide systems for (i) human resources management and (ii) clinician credentialing and onboarding process. Strategic initiatives represents costs, such as third-party consulting costs and one-time costs, that are not part of our ongoing operations related to these enterprise-wide systems. We considered the frequency and scale of this multi-part enterprise upgrade when determining that the expenses were not normal, recurring operating expenses. (4) - Real estate optimization and restructuring charges consist of cash expenses and non-cash charges related to our real estate optimization initiative, which included certain asset impairment and disposal costs, certain gains and losses related to early lease terminations, and exit and disposal costs related to our real estate optimization initiative to consolidate our physical footprint during 2023. As the decision to close these centers was part of a significant strategic project driven by a historic shift in behavior, the magnitude of center closures was greater than what would be expected as part of ordinary business operations and did not constitute normal recurring operating activities. During the three months ended March 31, 2025 and 2024, real estate optimization and restructuring charges consisted of certain gains and losses related to early lease terminations of previously abandoned real estate leases in 2023. (5) - Represents amortization of capitalized implementation costs related to cloud-based software arrangements that are included within general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive income (loss). (6) - Primarily includes costs incurred to consummate or integrate acquired centers, certain of which are wholly-owned and certain of which are supported practices, in addition to the compensation paid to former owners of acquired centers and related expenses that are not reflective of the ongoing operating expenses of our centers. Acquired center integration and other are components of general and administrative expenses included in our unaudited consolidated statements of operations and comprehensive income (loss). Quarterly GAAP to Non-GAAP Reconciliations – Adjusted EBITDA


Slide 13

2025 2024 ($M) Q1 Q4 Q3 Q2 Q1 Key Metrics Clinicians 7,535 7,383 7,232 6,960 6,836 Total Revenue $333.0 $325.5 $312.7 $312.3 $300.4 Center costs, excluding depreciation and amortization 223.2 216.0 212.3 214.5 205.7 Center Margin (Non-GAAP) $109.8 $109.4 $100.4 $97.8 $94.7 % Margin 33.0% 33.6% 32.1% 31.3% 31.5% General and administrative expenses 94.4 93.7 85.3 95.2 88.9 Depreciation and amortization 13.8 14.7 15.1 18.6 22.6 Income (loss) from operations 1.6 1.1 0.0 (15.9) (16.8) Other expense Other expense (0.9) (8.2) (6.0) (7.3) (4.3) Net income (loss) 0.7 (7.1) (6.0) (23.3) (21.1) Other comprehensive (loss) income Unrealized (losses) gains on cash flow hedge, net of tax (0.3) 0.2 (1.9) (0.2) 0.6 Comprehensive income (loss) $0.4 ($7.0) ($7.8) ($23.5) ($20.5) Adjusted EBITDA build Net income (loss) 0.7 (7.1) (6.0) (23.3) (21.1) Interest expense, net 3.1 9.4 5.4 5.8 5.9 Depreciation and amortization 13.8 14.7 15.1 18.6 22.6 Income tax (benefit) provision (2.2) (1.8) 0.6 0.7 0.4 Loss (gain) on remeasurement of contingent consideration — 0.3 (0.0) 0.1 (2.0) Stock-based compensation 18.6 16.1 14.9 24.6 20.6 Loss on disposal of assets 0.0 0.3 0.0 0.0 0.1 Transaction costs — 0.0 0.0 0.8 — Executive transition costs 0.2 0.1 — 0.6 0.0 Litigation costs 0.2 0.5 0.2 0.3 0.5 Strategic initiatives — — 0.1 0.4 0.8 Real estate optimization and restructuring charges (0.0) (0.1) — (0.1) (0.1) Amortization of cloud-based software implementation costs 0.4 0.4 0.3 0.2 0.0 Other expenses — — — 0.1 0.1 Adjusted EBITDA (Non-GAAP) $34.6 $32.8 $30.7 $28.6 $27.7 % Margin 10.4% 10.1% 9.8% 9.2% 9.2% Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. See appendix for reconciliation of prior period reported clinicians. Non-GAAP Financial Metrics


Slide 14

  2025 2024 ($M)   Q1 Q4 Q3 Q2 Q1  Current assets    Cash and cash equivalents   134.3 154.6 102.6 87.0 49.5 Patient accounts receivable, net   140.4 131.8 158.2 167.2 175.9 Prepaid expenses and other current assets   29.9 26.1 26.2 23.6 18.7 Total current assets   304.6 312.5 287.0 277.7 244.1 Property and equipment, net   163.7 166.0 170.0 175.9 182.4 Right-of-use assets   148.1 147.9 154.8 160.2 165.8 Intangible assets, net   187.3 190.8 195.4 200.1 208.5 Goodwill   1,293.3 1,293.3 1293.3 1,293.3 1,293.3 Other noncurrent assets   7.6 7.7 7.4 12.0 12.1 Total noncurrent assets   1,800.0 1,805.8 1,820.9 1,841.6 1,862.2 Total assets   $2,104.7 $2,118.3 $2,107.9 $2,119.4 $2,106.3 Accounts payable   7.4 7.2 7.3 10.0 11.9 Accrued payroll expenses   99.9 117.5 111.9 122.6 100.4 Other accrued expenses   43.2 46.9 43.3 38.5 37.3 Contingent consideration   — — 2.5 3.8 4.5 Operating lease liabilities, current   47.3 49.4 49.0 49.2 49.7 Other current liabilities   9.5 7.8 3.6 3.6 3.6 Total current liabilities   207.4 228.9 217.5 227.7 207.5 Long-term debt, net   276.3 279.8 279.1 279.5 279.9 Operating lease liabilities, noncurrent 149.4 148.7 158.7 165.8 173.3 Deferred tax liability, net   14.2 14.3 15.2 15.9 16.0 Other noncurrent liabilities 0.3 0.3 0.4 0.6 0.8 Total noncurrent liabilities   440.2 443.1 453.3 461.7 469.9 Total liabilities    $647.6 $672.0 $670.8 $689.3 $677.3 Common stock   3.9 3.8 3.8 3.8 3.8 Additional paid-in capital   2,270.2 2,259.8 2,243.7 2,228.8 2,204.2 Accumulated other comprehensive income 0.6 0.9 0.8 2.6 2.9 Accumulated deficit   (817.6) (818.3) (811.2) (805.2) (781.9) Total stockholders’ equity   1,457.1 1,446.3 1,437.1 1,430.0 1,429.0 Total liabilities and stockholders’ equity   $2,104.7 $2,118.3 $2,107.9 $2,119.4 $2,106.3   Subtotals in the schedule above may not foot due to rounding. Amounts are unaudited.     Quarterly Balance Sheets


Slide 15

($M) Q1’25 Q1’24 CASH FLOWS FROM OPERATING ACTIVITIES Net income (loss) 0.7 (21.1) Adjustments to reconcile net income (loss) to net cash used in operating activities:    Depreciation and amortization 13.8 22.6 Non-cash operating lease costs 10.2 9.7 Stock-based compensation 18.6 20.6 Amortization of discount and debt issue costs 0.3 0.4 Gain on remeasurement of contingent consideration — (2.0) Other, net 0.4 (0.0) Change in operating assets and liabilities, net of businesses acquired: Patient accounts receivable, net (8.6) (50.5) Prepaid expenses and other current assets (4.5) 2.5 Accounts payable (0.1) 5.0 Accrued payroll expenses (17.5) (2.0) Operating lease liabilities (11.9) (9.6) Other accrued expenses (4.4) 2.8 Net cash used in operating activities ($3.1) ($21.8) CASH FLOWS FROM INVESTING ACTIVITIES Purchases of property and equipment (7.2) (5.1) Net cash used in investing activities ($7.2) ($5.1) CASH FLOWS FROM FINANCING ACTIVITIES Payments of long-term debt (1.8) (0.7) Payments of contingent consideration — (1.7) Taxes related to net share settlement of equity awards (8.2) — Net cash used in financing activities ($10.0) ($2.4) NET DECREASE IN CASH AND CASH EQUIVALENTS ($20.2) ($29.4) Cash and Cash Equivalents - Beginning of period $154.6 $78.8 CASH AND CASH EQUIVALENTS – END OF PERIOD $134.3 $49.5 Subtotals in the schedule above may not foot due to rounding. Amounts are unaudited. Statements of Cash Flows


Slide 16

2024 Q4 Q3 Q2 Q1 Prior Reported Ending Clinicians 7,424 7,269 6,984 6,866 Updated Ending Clinicians 7,383 7,232 6,960 6,836 Adjustment (41) (37) (24) (30) In the first quarter of 2025, and in conjunction with its focus on standardization efforts, the Company made minor modifications to certain internal definitions. In order to provide consistent comparisons, clinicians presented for 2024 have been recast using the new definition for all periods presented. 2024 Adjusted Clinician Count


Slide 17

2025 2024 ($M) Q1 Q4 Q3 Q2 Q1 Net cash (used in) provided by operating activities ($3.1) $62.3 $22.7 $44.0 ($21.8) Purchases of property and equipment ($7.2) ($6.3) ($5.1) ($5.1) ($5.1) Free Cash Flow ($10.3) $56.0 $17.7 $38.9 ($26.9) We define FCF, a non-GAAP performance measure, as net cash (used in) provided by operating activities less purchases of property and equipment. We believe that FCF is a useful indicator of liquidity that provides information to management and investors about the amount of cash generated from our operations that, after investments in property and equipment, can be used for future growth. FCF is presented for supplemental informational purposes only and has limitations as an analytical tool and should not be considered in isolation or as a substitute for analysis of other GAAP financial measures, such as net cash (used in) provided by operating activities. It is important to note that other companies, including companies in our industry, may not use this metric, may calculate metrics differently, or may use other financial measures to evaluate their liquidity, all of which could reduce the usefulness of this non-GAAP metrics as a comparative measure. The above table presents a reconciliation of net cash (used in) provided by operating activities to FCF, the most directly comparable financial measure calculated in accordance with GAAP. Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly GAAP to Non-GAAP Reconciliations – Free Cash Flow (FCF)


Slide 18

2025 2024 Q1 Q4 Q3 Q2 Q1 Total Revenue ($M) $333.0 $325.5 $312.7 $312.3 $300.4 Total Visits (000s) 2,098 2,033 1,973 1,969 1,912 Total Revenue Per Visit (TRPV) $158.7 $160.1 $158.5 $158.6 $157.1 Subtotals in the schedule above may not foot or cross-foot due to rounding. Amounts are unaudited. Quarterly Visits and Total Revenue Per Visit