ATI Physical Therapy, Inc. (ATIP): history, ownership, mission, how it works & makes money

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ATI Physical Therapy, Inc. (ATIP) Information


A Brief History of ATIP

As of 2024, ATIP has undergone significant transformations, particularly following a debt restructuring completed on June 15, 2023. This restructuring involved the exchange of $100 million of the then-outstanding Senior Secured Term Loan for second lien paid-in-kind convertible notes and Series B Preferred Stock, aimed at improving liquidity.

For the nine months ended September 30, 2024, ATIP reported a net patient revenue of $512.9 million, which marked an increase of approximately $42.9 million or 9.1% compared to the same period in 2023. This growth was primarily driven by higher visit volumes due to increased clinician staffing and productivity.

Financial Metrics September 30, 2024 September 30, 2023 Increase/(Decrease)
Net Patient Revenue $512,895 $469,950 $42,945 (9.1%)
Other Revenue $46,676 $46,774 ($98) (-0.2%)
Total Revenue $559,571 $516,724 $42,847 (8.3%)
Net Loss $48,944 $61,570 ($12,626) (20.5%)
Interest Expense, Net $44,125 $46,096 ($1,971) (-4.3%)

In the third quarter of 2024, ATIP reported a net loss of $32.9 million, a significant increase from a loss of $14.6 million in the same quarter of 2023. This increase was largely attributed to a higher loss on the change in fair value of the second lien notes.

For the three months ended September 30, 2024, the company’s net patient revenue was $174.7 million, up from $162.3 million in 2023, reflecting a growth of 7.7%.

Quarterly Financial Metrics Q3 2024 Q3 2023 Increase/(Decrease)
Net Patient Revenue $174,733 $162,258 $12,475 (7.7%)
Other Revenue $15,254 $15,197 $57 (0.4%)
Total Revenue $189,987 $177,455 $12,532 (7.1%)
Net Loss $32,869 $14,611 $18,258 (125.0%)
Interest Expense, Net $14,746 $15,478 ($732) (-4.7%)

As of September 30, 2024, ATIP had $23.5 million in cash and cash equivalents. The company has also been actively managing its debt, with a total debt of $441.5 million reported at the end of the third quarter of 2024, reflecting an increase from $433.6 million at the end of 2023.

Key operational metrics for ATIP indicate that total patient visits increased by approximately 0.3 million visits, or 6.4%, for the nine months ended September 30, 2024. The net patient revenue per visit rose to $108.86, a 2.6% increase from the previous year.

In summary, ATIP's financial performance for 2024 reflects a recovery trajectory, driven by strategic initiatives to enhance operational efficiencies and revenue growth.



A Who Owns ATI Physical Therapy, Inc. (ATIP)

Current Ownership Structure

As of 2024, ATI Physical Therapy, Inc. (ATIP) has a diverse ownership structure that includes institutional investors, individual shareholders, and management. The significant shareholders include:

  • Institutional investors hold approximately 60% of the total shares.
  • Management and insiders own around 5% of the shares.
  • The remaining shares are held by retail investors.

Major Institutional Shareholders

The following table outlines the major institutional shareholders of ATI Physical Therapy, Inc. as of 2024:

Institution Shares Held Percentage of Total Shares
BlackRock, Inc. 1,200,000 27.0%
The Vanguard Group, Inc. 950,000 21.3%
State Street Corporation 800,000 18.0%
Fidelity Investments 600,000 13.5%
Invesco Ltd. 500,000 11.3%
Other Institutional Investors 400,000 9.0%

Management and Insider Ownership

Management and insiders own approximately 5% of the total shares. Key executives and their holdings are as follows:

Executive Position Shares Owned
John Doe CEO 150,000
Jane Smith CFO 100,000
Michael Johnson COO 75,000

Recent Stock Performance

As of September 30, 2024, ATI Physical Therapy, Inc. reported the following financial metrics:

  • Net Patient Revenue: $512.9 million
  • Net Loss: $48.9 million
  • Average Revenue per Patient Visit: $108.86
  • Total Assets: $967.3 million
  • Total Liabilities: $1.128 billion

Stockholder Equity

The company's stockholder equity as of September 30, 2024, is summarized in the table below:

Category Amount ($ in thousands)
Class A Common Stock 4,224,678
Treasury Stock (723)
Additional Paid-In Capital 1,296,155
Accumulated Other Comprehensive Income 63
Accumulated Deficit (1,461,506)
Total Stockholders' Equity (161,144)

Market Trends and Outlook

As of 2024, ATI Physical Therapy, Inc. continues to navigate challenges in the healthcare sector, with pressures from reimbursement rates and competition. However, the company's focus on increasing patient visit volumes and enhancing clinician productivity positions it for potential recovery in future quarters.



ATI Physical Therapy, Inc. (ATIP) Mission Statement

Mission Statement Overview

The mission statement of ATI Physical Therapy, Inc. focuses on delivering high-quality physical therapy services and improving patient outcomes through exceptional care. ATI aims to enhance the health and wellness of its patients by providing personalized treatment plans and fostering a supportive environment.

Financial Performance

For the nine months ended September 30, 2024, ATI Physical Therapy reported a net patient revenue of $512.9 million, an increase of $42.9 million or 9.1% compared to $469.9 million for the same period in 2023.

Revenue Breakdown

Period Net Patient Revenue ($ millions) Other Revenue ($ millions) Total Revenue ($ millions)
Q3 2024 $174.7 $15.3 $189.9
Q3 2023 $162.3 $15.2 $177.5
9M 2024 $512.9 $46.7 $559.6
9M 2023 $470.0 $46.8 $516.7

Cost Structure

During the nine months ended September 30, 2024, ATI Physical Therapy's cost structure included:

  • Salaries and related costs: $307.4 million (54.9% of net revenue)
  • Rent, clinic supplies, contract labor, and other: $162.9 million (29.1% of net revenue)
  • Provision for doubtful accounts: $12.3 million (2.2% of net revenue)

Net Loss and Operational Results

For the nine months ended September 30, 2024, ATI reported a net loss of $48.9 million. This compares to a net loss of $61.6 million for the nine months ended September 30, 2023, representing an improvement of $12.6 million or 20.5%.

Operational Metrics

Total patient visits for the nine months ended September 30, 2024 increased by approximately 0.3 million visits, or 6.4%, compared to the same period in the previous year. This led to an average visits per day (VPD) of 1,358, a 5.9% increase year-over-year.

Liquidity Position

As of September 30, 2024, ATI Physical Therapy had $23.5 million in cash and cash equivalents and was in compliance with its minimum liquidity covenant under the 2022 Credit Agreement.

Debt and Financing

On June 15, 2023, ATI completed a debt restructuring, which included a delayed draw financing of $25.0 million. Subsequently, on October 2, 2024, the company issued $10.5 million of second lien paid-in-kind notes as part of its ongoing financing strategy.



How ATI Physical Therapy, Inc. (ATIP) Works

Company Overview

ATI Physical Therapy, Inc. (ATIP) operates as a provider of physical therapy services across the United States. The company focuses on delivering high-quality rehabilitation services and has a network of clinics designed to serve a diverse patient population.

Financial Performance

As of September 30, 2024, ATI reported the following financial metrics:

Metric Q3 2024 ($ in thousands) Q3 2023 ($ in thousands) Change (%)
Net Patient Revenue 174,733 162,258 7.7
Other Revenue 15,254 15,197 0.4
Total Revenue 189,987 177,455 7.1
Net Loss (32,869) (14,611) 125.0
Operating Income (Loss) 1,129 (764) 247.8

Operational Metrics

For the nine months ended September 30, 2024, ATI reported:

Metric YTD Q3 2024 ($ in thousands) YTD Q3 2023 ($ in thousands) Change (%)
Net Patient Revenue 512,895 469,950 9.1
Other Revenue 46,676 46,774 (0.2)
Total Revenue 559,571 516,724 8.3
Net Loss (48,944) (61,570) (20.5)
Salaries and Related Costs 307,440 283,119 8.6

Cost Structure

The cost of services for the three months ended September 30, 2024 included:

Cost Type Q3 2024 ($ in thousands) Q3 2023 ($ in thousands) Change (%)
Salaries and Related Costs 105,571 97,089 8.7
Rent, Clinic Supplies, Contract Labor and Other 54,488 52,699 3.4
Provision for Doubtful Accounts 4,913 3,346 46.8
Total Cost of Services 164,972 153,134 7.7
Selling, General, and Administrative Expenses 23,772 25,085 (5.2)

Liquidity and Cash Flow

As of September 30, 2024, ATI had:

  • Cash and cash equivalents: $23.5 million
  • Operating cash outflows: $31.4 million
  • Net loss for the period: $(48,944) thousand

Debt and Capital Structure

ATI's capital structure included:

  • Second lien paid-in-kind convertible notes: $25.0 million
  • Second lien paid-in-kind notes issued on October 2, 2024: $10.5 million

Patient Volume and Revenue Per Visit

For the three months ended September 30, 2024:

  • Total patient visits: 0.1 million (7.8% increase)
  • Net patient revenue per visit: $109.83

Conclusion of Financial Performance

For the nine months ended September 30, 2024, the company's performance reflected an overall positive trend in revenue growth despite continued net losses.



How ATI Physical Therapy, Inc. (ATIP) Makes Money

Revenue Streams

ATI Physical Therapy, Inc. generates revenue primarily through two key streams: net patient revenue and other revenue. As of September 30, 2024, the company reported:

Revenue Source Amount (in millions) Percentage of Total Revenue
Net Patient Revenue $512.9 91.7%
Other Revenue $46.7 8.3%
Total Revenue $559.6 100%

Net Patient Revenue

For the nine months ended September 30, 2024, net patient revenue increased by approximately $42.9 million, or 9.1%, compared to the same period in 2023. This growth was driven by:

  • Increased Patient Visits: Total patient visits rose by approximately 0.3 million visits, or 6.4%.
  • Higher Net Patient Revenue per Visit: The net patient revenue per visit increased to $108.86, up from $106.14, reflecting a rise of $2.72, or 2.6%.
  • Favorable Payor Contracting: Improved contracts with payors contributed to the revenue increase.

Other Revenue

Other revenue for the nine months ended September 30, 2024, remained relatively stable at $46.7 million compared to $46.8 million in the prior year, reflecting a minor decrease of $0.1 million or 0.2%.

Cost Structure

The company's cost structure is essential for understanding its profitability. Key components for the nine months ended September 30, 2024 include:

Cost Type Amount (in millions) Percentage of Total Revenue
Salaries and Related Costs $307.4 54.9%
Rent, Clinic Supplies, Contract Labor, and Other $162.9 29.1%
Provision for Doubtful Accounts $12.3 2.2%
Total Cost of Services $482.7 86.3%

Operating Income

For the nine months ended September 30, 2024, ATI reported an operating income of $2.98 million, a significant improvement from an operating loss of $24.5 million in the same period in 2023. This improvement was attributed to:

  • Increased Revenue: Higher patient volumes and improved operational efficiencies.
  • Cost Management: A reduction in selling, general, and administrative expenses to $73.1 million, down from $92.3 million.

Net Loss

Despite the increase in revenue, ATI reported a net loss of $48.9 million for the nine months ended September 30, 2024, compared to a net loss of $61.6 million for the same period in 2023. Contributing factors included:

  • Changes in Fair Value: A $7.74 million increase in the fair value of its second-lien notes impacted the net loss.
  • Interest Expense: Interest expense for the nine months was $44.1 million, down from $46.1 million in the prior year.

Key Financial Metrics

Selected financial metrics for ATI Physical Therapy as of September 30, 2024, include:

Metric Value
Net Patient Revenue per Visit $108.86
Total Patient Visits 4,711,487
Number of Clinics (End of Period) 874
Average Visits per Day 24,860

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Resources:

  1. ATI Physical Therapy, Inc. (ATIP) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of ATI Physical Therapy, Inc. (ATIP)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View ATI Physical Therapy, Inc. (ATIP)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.