UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
☒QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2022March 31, 2023
OR
☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For transition period from         to
Commission File Number 001-39439
ATI Physical Therapy, Inc.
(Exact name of registrant as specified in its charter)
Delaware85-1408039
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification Number)
790 Remington Boulevard
Bolingbrook, IL 60440
(630) 296-2223
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of each exchange on which registered
Class A common stock, $0.0001 par valueATIPNew York Stock Exchange
Redeemable Warrants, each whole warrant exercisable for one share of Class A common stock at an exercise price of $11.50 per shareATIP WSNew York Stock Exchange
Indicate by check mark whether the Registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer☒☐Accelerated filer☐☒
Non-accelerated filer☐Smaller reporting company☐
Emerging growth company☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act): Yes ☐ No ☒
As of November 2, 2022,May 3, 2023, there were approximately 207,252,179208,495,548 shares of the registrant's common stock legally outstanding.
1


Table of Contents

Page
PART I - FINANCIAL INFORMATION - UNAUDITED
Item 1. Financial Statements
6
Condensed Consolidated Balance Sheets
7
Condensed Consolidated Statements of OperationsBalance Sheets
8
Condensed Consolidated Statements of Comprehensive LossOperations
9
Condensed Consolidated Statements of Comprehensive Loss
10
Condensed Consolidated Statements of Changes in Stockholders' Equity
1011
Condensed Consolidated Statements of Cash Flows
12
Notes to Condensed Consolidated Financial Statements
14
Item 2.2. Management's Discussion and Analysis of Financial Condition and Results of Operations
4744
Item 3.3. Quantitative and Qualitative Disclosures About Market Risk
7568
Item 4.4. Controls and Procedures
7669
PART II - OTHER INFORMATION
Item 1.1. Legal Proceedings
7871
Item 1A. Risk Factors
7871
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
8071
Item 3. Defaults Upon Senior Securities
8071
Item 4. Mine Safety Disclosures
8071
Item 5.5. Other Information
80
Item 6. Exhibits
8171
Item 6. Exhibits
72
Signatures
8173

2
Table of Contents
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
Certain statements included in this Form 10-Q that are not historical facts are forward-looking statements for purposes of the safe harbor provisions under the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of the words such as “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “should,” “would,” “plan,” “project,” “forecast,” “predict,” “potential,” “seem,” “seek,” “future,” “outlook,” “target” or similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements include, but are not limited to, statements regarding the impact of physical therapist attrition and ability to achieve and maintain clinical staffing levels and clinician productivity, anticipated visit and referral volumes and other factors on the Company's overall profitability, and estimates and forecasts of other financial and performance metrics and projections of market opportunity. These statements are based on various assumptions, whether or not identified in this Form 10-Q, and on the current expectations of the Company’s management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by any investor as, a guarantee, an assurance, a prediction or a definitive statement of fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions. Many actual events and circumstances are beyond the control of the Company.
These forward-looking statements are subject to a number of risks and uncertainties, including:
•our liquidity position raises substantial doubt about our ability to continue as a going concern;
•risks associated with liquidity and capital markets, including the Company's ability to generate sufficient cash flows, together with cash on hand, to run its business, cover liquidity and capital requirements and resolve substantial doubt about the Company's ability to continue as a going concern;
•our ability to meet financial covenants as required by our 2022 Credit Agreement;
•risks related to outstanding indebtedness and preferred stock, rising interest rates and potential increases in borrowing costs, compliance with associated covenants and provisions and the potential need to seek additional or alternative debt or capital financing in the future;
•risks related to the Company's ability to access additional financing or alternative options when needed;
•our dependence upon governmental and third-party private payors for reimbursement and that decreases in reimbursement rates, renegotiation or termination of payor contracts or unfavorable changes in payor, state and service mix may adversely affect our financial results;
•federal and state governments’ continued efforts to contain growth in Medicaid expenditures, which could adversely affect the Company’s revenue and profitability;
•payments that we receive from Medicare and Medicaid being subject to potential retroactive reduction;
•further unfavorable shiftschanges in payor,Medicare rules and guidelines and reimbursement or failure of our clinics to maintain their Medicare certification and/or enrollment status;
•compliance with federal and state laws and service mix;regulations relating to the privacy of individually identifiable patient information, and associated fines and penalties for failure to comply;
3
Table of Contents
•risks associated with public health crises, including COVID-19 (and any existing and future variants) and its direct and indirect impacts on the business, which could lead to a decline in visit volumes and referrals;
•risks related to the impact on our workforce of mandatory COVID-19 vaccination of employees;
•our inability to compete effectively in a competitive industry, subject to rapid technological change and cost inflation, including competition that could impact the effectiveness of our strategies to improve patient referrals and our ability to identify, recruit and retain skilled physical therapists;
•failureour inability to maintain high levels of steps being taken to reduce attrition of physical therapistsservice and increase hiring of physical therapists and the impact of unfavorable labor market dynamics and wage inflation;
•failure or ineffectiveness of our strategies to improve patient referrals;satisfaction;
•risks associated with future acquisitions,the locations of our clinics, including the economies in which may use significant resources, may be unsuccessfulwe operate, size and could expose usexpected growth of our addressable markets, and the potential need to unforeseen liabilities;
•failure of third-party customer serviceclose clinics and technical support providers to adequately address customers’ requests;incur closure costs;
3
Table of Contents
•our dependence upon the cultivation and maintenance of relationships with customers, suppliers, physicians and other referral sources;
•the severity of climate change or the weather and natural disasters that can occur in the regions of the U.S. in which we operate, which could cause disruption to our business;
•risks associated with future acquisitions, which may use significant resources, may be unsuccessful and could expose us to unforeseen liabilities;
•failure of third-party vendors, including customer service, technical and IT support providers and other outsourced professional service providers to adequately address customers’ requests and meet Company requirements;
•risks associated with our reliance on IT infrastructure in critical areas of our operations including, but not limited to, cyber and other security threats;
•a security breach of our IT systems or our third-party vendors’ IT systems may subject us to potential legal action and reputational harm and may result in a violation of the Health Insurance Portability and Accountability Act of 1996 or the Health Information Technology for Economic and Clinical Health Act;
•maintaining clients for which we perform management and other services, as a breach or termination of those contractual arrangements by such clients could cause operating results to be less than expected;
•our failure to maintain financial controls and processes over billing and collections or disputes with third-parties could have a significant negative impact on our financial condition and results of operations;
•our operations are subject to extensive regulation and macroeconomic uncertainty;
•our ability to meet revenue and earnings expectations;
•risks associated with applicable state laws regarding fee-splitting and professional corporation laws;
4
Table of Contents
•inspections, reviews, audits and investigations under federal and state government programs and payor contracts that could have adverse findings that may negatively affect our business, including our results of operations, liquidity, financial condition and reputation;
•changes in or our failure to comply with existing federal and state laws or regulations or the inability to comply with new government regulations on a timely basis;
•the outcome of any legal and regulatory matters, proceedings or investigations instituted against us or any of our directors or officers, and whether insurance coverage will be available and/or adequate to cover such matters or proceedings;
•inspections, reviews, audits and investigations under federal and state government programs and payor contracts that could have adverse findings that may negatively affect our business, including our results of operations, liquidity, financial condition and reputation;
•our ability to attract and retain talented executives and employees;
•our facilities face competition for experienced physical therapists and other clinical providers that may increase labor costs and reduce profitability;
•risks associated with our reliance on IT infrastructure in critical areasability to attract and retain talented executives and employees amidst the impact of our operationsunfavorable labor market dynamics and wage inflation, including but not limitedpotential failure of steps being taken to cyberreduce attrition of physical therapists and other security threats;increase hiring of physical therapists;
•riskrisks resulting from the IPO Warrants, Earnout Shares and Vesting Shares being accounted for as liabilities;liabilities and the changes in fair value affecting our financial results;
•further impairments of goodwill and other intangible assets, which represent a significant portion of our total assets, especially in view of the Company’s recent market valuation;
•our inability to remediate the material weaknesses in internal control over financial reporting related to income taxes and to maintain effective internal control over financial reporting;
•risks related to outstanding indebtedness, rising interest rates and potential increases in borrowing costs, compliance with associated covenants and the potential need to incur additional debt in the future;
•risks associated with liquidity and capital markets, including the Company's ability to generate sufficient cash flows, together with cash on hand, to run its business, cover liquidity and capital requirements and continue to operate as a going concern; and
•costs related to operating as a public companycompany; and
•risks associated with our efforts and ability to maintainregain and sustain compliance with the listing requirements of our securities on the New York Stock Exchange ("NYSE").
4
Table of Contents
If any of these risks materialize or our assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements.
These and other factors that could cause actual results to differ from those implied by the forward-looking statements in this Form 10-Q are more fully described under the heading “Item 1A. Risk Factors” in our Annual Report on Form 10-K filed with the SEC on March 16, 2023 and elsewhere in this Form 10-Q. The risks described under the heading “Item 1A. Risk Factors” are not exhaustive. Other sections of this Form 10-Q describe additional factors that could adversely affect the business, financial condition or results of operations of the Company. New risk factors emerge from time to time and it is not possible to predict all such risk factors, nor can the Company assess the impact of all such risk factors on the business of the Company or the extent to which any factor or combination of factors may cause actual results to differ materially from those contained in any forward-looking statements. All forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by the foregoing cautionary statements. Readers should not place undue reliance on forward-looking statements. The Company undertakes no obligations to publicly update or revise publicly any forward-looking statements after the date they are made or to reflect the occurrence of unanticipated events, whether as a result of new information, future events or otherwise, except as required by law.
5
Table of Contents
In addition, statements of belief and similar statements reflect the beliefs and opinions of the Company on the relevant subject. These statements are based upon information available to the Company, as applicable, as of the date of this Form 10-Q, and while the Company believes such information forms a reasonable basis for such statements, such information may be limited or incomplete, and statements should not be read to indicate that the Company has conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and you are cautioned not to unduly rely upon these statements.
56
Table of Contents
PART I - FINANCIAL INFORMATION - UNAUDITED
Item 1. Financial Statements
Table of Contents
ATI Physical Therapy, Inc.
Condensed Consolidated Balance Sheets
($ in thousands, except share and per share data)
(unaudited)
September 30, 2022December 31, 2021
Assets:
Current assets:
Cash and cash equivalents$48,569 $48,616 
Accounts receivable (net of allowance for doubtful accounts of $50,910 and $53,533 at September 30, 2022 and December 31, 2021, respectively)82,323 82,455 
Prepaid expenses12,470 9,303 
Other current assets13,765 3,204 
Total current assets157,127 143,578 
Property and equipment, net129,761 139,730 
Operating lease right-of-use assets238,476 256,646 
Goodwill, net338,011 608,811 
Trade name and other intangible assets, net291,767 411,696 
Other non-current assets2,068 2,233 
Total assets$1,157,210 $1,562,694 
Liabilities, Mezzanine Equity and Stockholders' Equity:
Current liabilities:
Accounts payable$11,099 $15,146 
Accrued expenses and other liabilities52,511 64,584 
Current portion of operating lease liabilities52,366 49,433 
Current portion of long-term debt— 8,167 
Total current liabilities115,976 137,330 
Long-term debt, net479,906 543,799 
Warrant liability690 4,341 
Contingent common shares liability12,600 45,360 
Deferred income tax liabilities23,927 67,459 
Operating lease liabilities229,460 250,597 
Other non-current liabilities1,944 2,301 
Total liabilities864,503 1,051,187 
Commitments and contingencies (Note 17)
Mezzanine equity:
Series A Senior Preferred Stock, $0.0001 par value; 1.0 million shares authorized; $1,074.32 stated value per share and 0.2 million shares issued and outstanding at September 30, 2022; none issued and outstanding at December 31, 2021140,340 — 
Stockholders' equity:
Class A common stock, $0.0001 par value; 470.0 million shares authorized; 207.3 million shares issued, 198.1 million shares outstanding at September 30, 2022; 207.4 million shares issued, 197.4 million shares outstanding at December 31, 202120 20 
Treasury stock, at cost, 0.06 million shares and 0.03 million shares at September 30, 2022 and December 31, 2021, respectively(136)(95)
Additional paid-in capital1,377,152 1,351,597 
Accumulated other comprehensive income7,143 28 
Accumulated deficit(1,236,746)(847,132)
Total ATI Physical Therapy, Inc. equity147,433 504,418 
Non-controlling interests4,934 7,089 
Total stockholders' equity152,367 511,507 
Total liabilities, mezzanine equity and stockholders' equity$1,157,210 $1,562,694 
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.
7
Table of Contents
ATI Physical Therapy, Inc.
Condensed Consolidated Statements of Operations
(in thousands, except per share data)
(unaudited)
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Net patient revenue$142,313 $141,855 $429,744 $420,805 
Other revenue14,479 17,158 44,163 51,303 
Net operating revenue156,792 159,013 473,907 472,108 
Cost of services:
Salaries and related costs90,309 86,838 267,330 248,409 
Rent, clinic supplies, contract labor and other51,417 45,765 153,437 133,140 
Provision for doubtful accounts2,797 3,514 11,408 14,270 
Total cost of services144,523 136,117 432,175 395,819 
Selling, general and administrative expenses25,263 30,795 87,095 81,912 
Goodwill and intangible asset impairment charges106,663 508,972 390,224 962,303 
Operating loss(119,657)(516,871)(435,587)(967,926)
Change in fair value of warrant liability (Note 12)(790)(15,885)(3,651)(20,424)
Change in fair value of contingent common shares liability (Note 13)(6,930)(146,317)(32,760)(167,265)
Loss on settlement of redeemable preferred stock— — — 14,037 
Interest expense, net11,780 7,386 31,815 39,105 
Interest expense on redeemable preferred stock— — — 10,087 
Other expense, net195 52 3,181 5,831 
Loss before taxes(123,912)(362,107)(434,172)(849,297)
Income tax benefit(7,218)(35,333)(43,532)(65,579)
Net loss(116,694)(326,774)(390,640)(783,718)
Net loss attributable to non-controlling interests(376)(2,109)(1,026)(4,569)
Net loss attributable to ATI Physical Therapy, Inc.$(116,318)$(324,665)$(389,614)$(779,149)
Loss per share of Class A common stock:
Basic$(0.60)$(1.65)$(1.98)$(5.02)
Diluted$(0.60)$(1.65)$(1.98)$(5.02)
Weighted average shares outstanding:
Basic and diluted204,282 196,996 202,708 155,197 
March 31, 2023December 31, 2022
Assets:
Current assets:
Cash and cash equivalents$63,075 $83,139 
Accounts receivable (net of allowance for doubtful accounts of $52,549 and $47,620 at March 31, 2023 and December 31, 2022, respectively)82,210 80,673 
Prepaid expenses9,373 13,526 
Other current assets6,722 10,040 
Assets held for sale5,469 6,755 
Total current assets166,849 194,133 
Property and equipment, net119,508 123,690 
Operating lease right-of-use assets224,725 226,092 
Goodwill, net286,458 286,458 
Trade name and other intangible assets, net246,398 246,582 
Other non-current assets1,823 2,030 
Total assets$1,045,761 $1,078,985 
Liabilities, Mezzanine Equity and Stockholders' Equity:
Current liabilities:
Accounts payable$10,245 $12,559 
Accrued expenses and other liabilities47,564 53,672 
Current portion of operating lease liabilities51,911 47,676 
Liabilities held for sale1,503 2,614 
Total current liabilities111,223 116,521 
Long-term debt, net534,137 531,600 
Warrant liability296 98 
Contingent common shares liability2,126 2,835 
Deferred income tax liabilities18,948 18,886 
Operating lease liabilities216,396 218,424 
Other non-current liabilities1,821 1,834 
Total liabilities884,947 890,198 
Commitments and contingencies (Note 16)
Mezzanine equity:
Series A Senior Preferred Stock, $0.0001 par value; 1.0 million shares authorized; 0.2 million shares issued and outstanding; $1,140.48 stated value per share at March 31, 2023; $1,108.34 stated value per share at December 31, 2022140,340 140,340 
Stockholders' equity:
Class A common stock, $0.0001 par value; 470.0 million shares authorized; 208.7 million shares issued, 199.5 million shares outstanding at March 31, 2023; 207.5 million shares issued, 198.4 million shares outstanding at December 31, 202220 20 
Treasury stock, at cost, 0.24 million shares and 0.08 million shares at March 31, 2023 and December 31, 2022, respectively(197)(146)
Additional paid-in capital1,380,150 1,378,696 
Accumulated other comprehensive income1,443 4,899 
Accumulated deficit(1,365,781)(1,339,511)
Total ATI Physical Therapy, Inc. equity15,635 43,958 
Non-controlling interests4,839 4,489 
Total stockholders' equity20,474 48,447 
Total liabilities, mezzanine equity and stockholders' equity$1,045,761 $1,078,985 
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.
8
Table of Contents
ATI Physical Therapy, Inc.
Condensed Consolidated Statements of Comprehensive LossOperations
($ in thousands)thousands, except per share data)
(unaudited)
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Net loss$(116,694)$(326,774)$(390,640)$(783,718)
Other comprehensive income:
Unrealized gain on interest rate cap655 181 7,115 1,378 
Comprehensive loss$(116,039)$(326,593)$(383,525)$(782,340)
Net loss attributable to non-controlling interests(376)(2,109)(1,026)(4,569)
Comprehensive loss attributable to ATI Physical Therapy, Inc.$(115,663)$(324,484)$(382,499)$(777,771)
Three Months Ended
March 31, 2023March 31, 2022
Net patient revenue$150,754 $138,925 
Other revenue16,178 14,897 
Net revenue166,932 153,822 
Cost of services:
Salaries and related costs90,703 87,415 
Rent, clinic supplies, contract labor and other52,878 51,615 
Provision for doubtful accounts4,125 5,105 
Total cost of services147,706 144,135 
Selling, general and administrative expenses30,595 30,024 
Goodwill, intangible and other asset impairment charges— 155,741 
Operating loss(11,369)(176,078)
Change in fair value of warrant liability198 (1,677)
Change in fair value of contingent common shares liability(709)(24,334)
Interest expense, net13,936 8,656 
Other expense, net354 2,781 
Loss before taxes(25,148)(161,504)
Income tax expense (benefit)62 (23,281)
Net loss(25,210)(138,223)
Net income (loss) attributable to non-controlling interests1,060 (473)
Net loss attributable to ATI Physical Therapy, Inc.$(26,270)$(137,750)
Loss per share of Class A common stock:
Basic$(0.15)$(0.70)
Diluted$(0.15)$(0.70)
Weighted average shares outstanding:
Basic and diluted204,921 199,971 
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.
9
Table of Contents
ATI Physical Therapy, Inc.
Condensed Consolidated Statements of Changes in Stockholders' EquityComprehensive Loss
($ in thousands, except share data)thousands)
(unaudited)
Common StockTreasury StockAdditional Paid-In CapitalAccumulated Other
Comprehensive Income		Accumulated DeficitNon-Controlling InterestsTotal Stockholders' Equity
SharesAmountSharesAmount
Balance at January 1, 2022197,409,964$20 29,791$(95)$1,351,597 $28 $(847,132)$7,089 $511,507 
Issuance of 2022 Warrants—— — — 19,725 — — — 19,725 
Vesting of restricted shares distributed to holders of ICUs75,497— — — — — — — — 
Issuance of common stock upon vesting of restricted stock awards40,613— — — — — — — — 
Tax withholdings related to net share settlement of restricted stock awards(12,824)— 12,824 (22)— — — — (22)
Non-cash share-based compensation—— — — 1,960 — — — 1,960 
Other comprehensive income (1)
—— — — — 3,752 — — 3,752 
Distribution to non-controlling interest holders—— — — — — — (473)(473)
Net loss attributable to non-controlling interests—— — — — — — (473)(473)
Net loss attributable to ATI Physical Therapy, Inc.—— — — — — (137,750)— (137,750)
Balance at March 31, 2022197,513,250$20 42,615$(117)$1,373,282 $3,780 $(984,882)$6,143 $398,226 
Vesting of restricted shares distributed to holders of ICUs118,857———————— 
Issuance of common stock upon vesting of restricted stock units and awards330,418———————— 
Tax withholdings related to net share settlement of restricted stock units and awards(6,607)—6,607(12)————(12)
Non-cash share-based compensation————1,959———1,959 
Other comprehensive income (1)
—————2,708——2,708 
Distribution to non-controlling interest holders———————(139)(139)
Net loss attributable to non-controlling interests——————(177)(177)
Net loss attributable to ATI Physical Therapy, Inc.——————(135,546)—(135,546)
Balance at June 30, 2022197,955,918$20 49,222$(129)$1,375,241 $6,488 $(1,120,428)$5,827 $267,019 
Vesting of restricted shares distributed to holders of ICUs58,795——— — — — 
Issuance of common stock upon vesting of restricted stock units and awards109,518———————— 
Tax withholdings related to net share settlement of restricted stock units and awards(6,268)—6,268(7)————(7)
Non-cash share-based compensation————1,911— — — 1,911 
Other comprehensive income (1)
—— ——— 655 — — 655 
Distribution to non-controlling interest holders—— ——— — — (517)(517)
Net loss attributable to non-controlling interests—— ——— — — (376)(376)
Net loss attributable to ATI Physical Therapy, Inc.—— ——— — (116,318)— (116,318)
Balance at September 30, 2022198,117,963$20 55,490$(136)$1,377,152 $7,143 $(1,236,746)$4,934 $152,367 
(1)Other comprehensive income related to unrealized gain on interest rate cap
Three Months Ended
March 31, 2023March 31, 2022
Net loss$(25,210)$(138,223)
Other comprehensive (loss) income:
Cash flow hedges(3,456)3,752 
Comprehensive loss(28,666)(134,471)
Net income (loss) attributable to non-controlling interests1,060 (473)
Comprehensive loss attributable to ATI Physical Therapy, Inc.$(29,726)$(133,998)
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.
10
Table of Contents

ATI Physical Therapy, Inc.

Condensed Consolidated Statements of Changes in Stockholders' Equity
Common StockTreasury StockAdditional Paid-In CapitalAccumulated Other Comprehensive (Loss) IncomeAccumulated DeficitNon-Controlling InterestsTotal Stockholders' Equity
SharesAmountSharesAmount
Balance at January 1, 2021938,557 $9 — $— $954,732 $(1,907)$(68,804)$17,087 $901,117 
Retrospective application of reverse recapitalization127,346,957 4 — — (4)— — — — 
Adjusted balance at January 1, 2021128,285,514 $13 — $— $954,728 $(1,907)$(68,804)$17,087 $901,117 
Non-cash share-based compensation— — — — 504 — — — 504 
Other comprehensive income (1)
— — — — — 561 — — 561 
Distribution to non-controlling interest holders— — — — — — — (3,575)(3,575)
Net income attributable to non-controlling interests— — — — — — — 1,309 1,309 
Net loss attributable to ATI Physical Therapy, Inc.— — — — — — (19,127)— (19,127)
Balance at March 31, 2021128,285,514 $13 — $— $955,232 $(1,346)$(87,931)$14,821 $880,789 
Net proceeds from FAII in Business Combination25,512,254 3 — — 210,102 — — — 210,105 
Shares issued through PIPE investment30,000,000 3 — — 299,997 — — — 300,000 
Shares issued to Wilco Holdco Series A Preferred stockholders12,845,282 1 — — 128,452 — — — 128,453 
Warrant liability recognized upon the closing of the Business Combination— — — — (26,936)— — — (26,936)
Contingent common shares liability recognized upon the closing of the Business Combination— — — — (220,500)— — — (220,500)
Non-cash share-based compensation— — — — 3,112 — — — 3,112 
Other comprehensive income (1)
— — — — — 636 — — 636 
Distribution to non-controlling interest holders— — — — — — — (920)(920)
Net loss attributable to non-controlling interests— — — — — — — (3,769)(3,769)
Net loss attributable to ATI Physical Therapy, Inc.— — — — — — (435,357)— (435,357)
Balance at June 30, 2021196,643,050 $20 — $— $1,349,459 $(710)$(523,288)$10,132 $835,613 
Vesting of restricted shares distributed to holders of ICUs611,356 — — — — — — — — 
Non-cash share-based compensation— — — — 1,248 — — — 1,248 
Other comprehensive income (1)
— — — — — 181 — — 181 
Distribution to non-controlling interest holders— — — — — — — (1,120)(1,120)
Net loss attributable to non-controlling interests— — — — — — — (2,109)(2,109)
Net loss attributable to ATI Physical Therapy, Inc.— — — — — — (324,665)— (324,665)
Balance at September 30, 2021197,254,406 $20 — $— $1,350,707 $(529)$(847,953)$6,903 $509,148 
($ in thousands, except share data)
(1)Other comprehensive income related to unrealized gain on interest rate cap(unaudited)
Common StockTreasury StockAdditional Paid-In CapitalAccumulated Other
Comprehensive Income (Loss)		Accumulated DeficitNon-Controlling InterestsTotal Stockholders' Equity
SharesAmountSharesAmount
Balance at January 1, 2023198,357,356$20 77,026$(146)$1,378,696 $4,899 $(1,339,511)$4,489 $48,447 
Vesting of restricted shares distributed to holders of ICUs37,545— — — — — — — — 
Issuance of common stock upon vesting of restricted stock units and awards1,269,367— — — — — — — — 
Tax withholdings related to net share settlement of restricted stock units and awards(158,079)— 158,079 (51)— — — — (51)
Non-cash share-based compensation—— — — 1,454 — — — 1,454 
Other comprehensive loss—— — — — (3,456)— — (3,456)
Distribution to non-controlling interest holders—— — — — — — (710)(710)
Net income attributable to non-controlling interests—— — — — — — 1,060 1,060 
Net loss attributable to ATI Physical Therapy, Inc.—— — — — — (26,270)— (26,270)
Balance at March 31, 2023199,506,189$20 235,105$(197)$1,380,150 $1,443 $(1,365,781)$4,839 $20,474 
Common StockTreasury StockAdditional Paid-In CapitalAccumulated Other Comprehensive IncomeAccumulated DeficitNon-Controlling InterestsTotal Stockholders' Equity
SharesAmountSharesAmount
Balance at January 1, 2022197,409,964 $20 29,791 $(95)$1,351,597 $28 $(847,132)$7,089 $511,507 
Issuance of 2022 Warrants— — — — 19,725 — — — 19,725 
Vesting of restricted shares distributed to holders of ICUs75,497 — — — — — — — — 
Issuance of common stock upon vesting of restricted stock awards40,613 — — — — — — — — 
Tax withholdings related to net share settlement of restricted stock awards(12,824)— 12,824 (22)— — — — (22)
Non-cash share-based compensation— — — — 1,960 — — — 1,960 
Other comprehensive income— — — — — 3,752 — — 3,752 
Distribution to non-controlling interest holders— — — — — — — (473)(473)
Net loss attributable to non-controlling interests— — — — — — — (473)(473)
Net loss attributable to ATI Physical Therapy, Inc.— — — — — — (137,750)— (137,750)
Balance at March 31, 2022197,513,250 $20 42,615 $(117)$1,373,282 $3,780 $(984,882)$6,143 $398,226 
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.

11
Table of Contents
ATI Physical Therapy, Inc.
Condensed Consolidated Statements of Cash Flows
($ in thousands)
(unaudited)
Nine Months Ended
September 30, 2022September 30, 2021
Operating activities:
Net loss$(390,640)$(783,718)
Adjustments to reconcile net loss to net cash used in operating activities:
Goodwill and intangible asset impairment charges390,224 962,303 
Depreciation and amortization30,477 27,990 
Provision for doubtful accounts11,408 14,270 
Deferred income tax provision(43,532)(65,579)
Amortization of right-of-use assets36,155 33,868 
Non-cash share-based compensation5,830 4,864 
Amortization of debt issuance costs and original issue discount1,934 2,644 
Non-cash interest expense889 — 
Non-cash interest expense on redeemable preferred stock— 10,087 
Loss on extinguishment of debt2,809 5,534 
Loss on settlement of redeemable preferred stock— 14,037 
(Gain) loss on disposal and impairment of assets(42)219 
Change in fair value of warrant liability(3,651)(20,424)
Change in fair value of contingent common shares liability(32,760)(167,265)
Changes in:
Accounts receivable, net(11,276)(8,564)
Prepaid expenses and other current assets(5,507)(6,580)
Other non-current assets52 (269)
Accounts payable(2,100)151 
Accrued expenses and other liabilities(702)(11,820)
Operating lease liabilities(36,431)(39,084)
Other non-current liabilities52 824 
Medicare Accelerated and Advance Payment Program Funds(12,269)(8,540)
Transaction-related amount due to former owners— (3,611)
Net cash used in operating activities(59,080)(38,663)
Investing activities:
Purchases of property and equipment(22,091)(27,701)
Purchases of intangible assets— (1,375)
Proceeds from sale of property and equipment152 125 
Proceeds from sale of clinics77 248 
Net cash used in investing activities(21,862)(28,703)

Three Months Ended
March 31, 2023March 31, 2022
Operating activities:
Net loss$(25,210)$(138,223)
Adjustments to reconcile net loss to net cash used in operating activities:
Goodwill, intangible and other asset impairment charges— 155,741 
Depreciation and amortization9,691 10,111 
Provision for doubtful accounts4,125 5,105 
Deferred income tax provision62 (23,281)
Amortization of right-of-use assets11,850 11,807 
Non-cash share-based compensation1,454 1,960 
Amortization of debt issuance costs and original issue discount838 660 
Non-cash interest expense1,736 — 
Loss on extinguishment of debt— 2,809 
Loss (gain) on disposal and sale of assets489 (219)
Change in fair value of warrant liability198 (1,677)
Change in fair value of contingent common shares liability(709)(24,334)
Changes in:
Accounts receivable, net(5,770)(10,459)
Prepaid expenses and other current assets4,073 588 
Other non-current assets33 14 
Accounts payable(2,439)(928)
Accrued expenses and other liabilities(6,168)(544)
Operating lease liabilities(8,476)(11,555)
Other non-current liabilities(1)(37)
Medicare Accelerated and Advance Payment Program Funds— (4,269)
Net cash used in operating activities(14,224)(26,731)
Investing activities:
Purchases of property and equipment(5,434)(8,772)
Proceeds from sale of property and equipment— 114 
Proceeds from sale of clinics355 — 
Net cash used in investing activities(5,079)(8,658)


12
Table of Contents
Financing activities:Financing activities:Financing activities:
Proceeds from long-term debtProceeds from long-term debt500,000 — Proceeds from long-term debt— 500,000 
Deferred financing costsDeferred financing costs(12,952)— Deferred financing costs— (12,952)
Original issue discountOriginal issue discount(10,000)— Original issue discount— (10,000)
Principal payments on long-term debtPrincipal payments on long-term debt(555,048)(454,160)Principal payments on long-term debt— (555,048)
Proceeds from issuance of Series A Senior Preferred StockProceeds from issuance of Series A Senior Preferred Stock144,667 — Proceeds from issuance of Series A Senior Preferred Stock— 144,667 
Proceeds from issuance of 2022 WarrantsProceeds from issuance of 2022 Warrants20,333 — Proceeds from issuance of 2022 Warrants— 20,333 
Cash inflow from Business Combination— 229,338 
Payments to Series A Preferred stockholders— (59,000)
Proceeds from shares issued through PIPE investment— 300,000 
Equity issuance costs and original issue discountEquity issuance costs and original issue discount(4,935)(19,233)Equity issuance costs and original issue discount— (4,935)
Taxes paid on behalf of employees for shares withheldTaxes paid on behalf of employees for shares withheld(41)— Taxes paid on behalf of employees for shares withheld(51)(22)
Distribution to non-controlling interest holdersDistribution to non-controlling interest holders(1,129)(5,615)Distribution to non-controlling interest holders(710)(473)
Net cash provided by (used in) financing activities80,895 (8,670)
Net cash (used in) provided by financing activitiesNet cash (used in) provided by financing activities(761)81,570 
Changes in cash and cash equivalents:Changes in cash and cash equivalents:Changes in cash and cash equivalents:
Net decrease in cash and cash equivalents(47)(76,036)
Net (decrease) increase in cash and cash equivalentsNet (decrease) increase in cash and cash equivalents(20,064)46,181 
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period48,616 142,128 Cash and cash equivalents at beginning of period83,139 48,616 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period$48,569 $66,092 Cash and cash equivalents at end of period$63,075 $94,797 
Supplemental noncash disclosures:Supplemental noncash disclosures:Supplemental noncash disclosures:
Derivative changes in fair value$(7,115)$(1,378)
Derivative changes in fair value (1)
Derivative changes in fair value (1)
$3,456 $(3,752)
Purchases of property and equipment in accounts payablePurchases of property and equipment in accounts payable$2,230 $1,733 Purchases of property and equipment in accounts payable$1,771 $2,223 
Warrant liability recognized upon the closing of the Business Combination$— $(26,936)
Contingent common shares liability recognized upon the closing of the Business Combination$— $(220,500)
Shares issued to Wilco Holdco Series A Preferred stockholders$— $128,453 
Other supplemental disclosures:Other supplemental disclosures:Other supplemental disclosures:
Cash paid for interestCash paid for interest$29,453 $35,334 Cash paid for interest$9,563 $3,932 
Cash received from hedging activitiesCash received from hedging activities$1,080 $— Cash received from hedging activities$3,418 $— 
Cash paid for taxesCash paid for taxes$82 $156 Cash paid for taxes$— $35 
(1) Derivative changes in fair value related to unrealized loss (gain) on cash flow hedges, including the impact of reclassifications.
The accompanying notes to the condensed consolidated financial statements are an integral part of these statements.
13
Table of Contents

Note 1. Overview of the Company
ATI Physical Therapy, Inc., together with its subsidiaries (herein referred to as “we,” “the Company,” “ATI Physical Therapy” and “ATI”), is a nationally recognized healthcare company, specializing in outpatient rehabilitation and adjacent healthcare services. The Company provides outpatient physical therapy services under the name ATI Physical Therapy and, as of September 30, 2022,March 31, 2023, had 929909 clinics located in 24 states (as well as 2019 clinics under management service agreements) located in 25 states.. The Company offers a variety of services within its clinics, including physical therapy to treat spine, shoulder, knee and neck injuries or pain; work injury rehabilitation services, including work conditioning and work hardening; hand therapy; and other specialized treatment services. The Company’s direct and indirect wholly-owned subsidiaries include, but are not limited to, Wilco Holdco, Inc., ATI Holdings Acquisition, Inc. and ATI Holdings, LLC.
On June 16, 2021 (the “Closing Date”), a Business Combination transaction (the “Business Combination”) was finalized pursuant to the Agreement and Plan of Merger ("Merger Agreement"), dated February 21, 2021 between the operating company, Wilco Holdco, Inc. (“Wilco Holdco”), and Fortress Value Acquisition Corp. II (herein referred to as "FAII" and "FVAC"), a special purpose acquisition company. In connection with the closing of the Business Combination, the Company changed its name from Fortress Value Acquisition Corp. II to ATI Physical Therapy, Inc. The Company’s common stock is listed on the New York Stock Exchange ("NYSE") under the symbol “ATIP.”
The Business Combination was accounted for as a reverse recapitalization in accordance with U.S. generally accepted accounting principles ("GAAP"). Under this method of accounting, FAII is treated as the acquired company and Wilco Holdco is treated as the acquirer for financial statement reporting and accounting purposes. As a result, the historical operations of Wilco Holdco are deemed to be those of the Company. Therefore, the financial statements included in this report reflect (i) the historical operating results of Wilco Holdco prior to the Business Combination; (ii) the combined results of FAII and Wilco Holdco following the Business Combination on June 16, 2021; (iii) the assets and liabilities of Wilco Holdco at their historical cost; and (iv) the Company’s equity structure for all periods presented. The recapitalization of the number of shares of common stock attributable to the Business Combination is reflected retroactively to the earliest period presented and will be utilized for calculating earnings per share in all prior periods presented. No step-up basis of intangible assets or goodwill was recorded in the Business Combination consistent with the treatment of the transaction as a reverse recapitalization of Wilco Holdco, Inc. Refer to Note 3 - Business Combinations and Divestiture for additional information.
Impact of COVID-19 and CARES Act
The coronavirus ("COVID-19") pandemic in the United States resulted in changes to our operating environment. We continue to closely monitor the impact of COVID-19 on all aspects of our business, and our priorities remain protecting the health and safety of employees and patients, maximizing the availability of services to satisfy patient needs and improving the operational and financial stability of our business. While we expect the disruption caused by COVID-19 and resulting impacts to diminish over time, we cannot predict the length of such impacts, and if such impacts continue for an extended period, it could have a continued effect on the Company’s results of operations, financial condition and cash flows, which could be material.
14
Table of Contents
On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) was signed into law providing reimbursement, grants, waivers and other funds to assist health care providers during the COVID-19 pandemic. The Company has realized benefits under the CARES Act including, but not limited to, the following:
•The Company applied for and obtained approval to receive $26.7 millionreceipt of Medicare Accelerated and Advance Payment Program ("MAAPP") funds duringand deferral of depositing the quarter ended June 30, 2020.employer portion of Social Security taxes, interest-free and penalty-free. During the nineyear ended December 31, 2022, the remaining obligations related to these benefits were applied and repaid. During the three months ended September 30,March 31, 2022, and 2021, the Company applied $12.3 million and $8.5$4.3 million in MAAPP funds against the outstanding liability respectively. During the quarter ended September 30, 2022, the Company met the required performance obligations and performed the remaining services related to the MAAPP funds. Therefore, the remaining funds were applied and repaid during the quarter ended September 30, 2022. As of September 30, 2022 and December 31, 2021, zero and $12.3 million of the funds are recorded in accrued expenses and other liabilities, respectively.
•The Company elected to defer depositing the employer portion of Social Security taxes for payments due from March 27, 2020 through December 31, 2020, interest-free and penalty-free. Related to these payments, as of September 30, 2022 and December 31, 2021, $5.9 million is included in accrued expenses and other liabilities.at that time.
Note 2. Basis of Presentation and Recent Accounting Standards
Basis of presentation
The accompanying unaudited condensed consolidated financial statements of the Company were prepared in accordance with U.S. GAAPgenerally accepted accounting principles ("GAAP") for interim financial information and in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the disclosures are adequate to make the information presented not misleading.
Management believes the unaudited condensed consolidated financial statements for interim periods presented contain all necessary adjustments to state fairly, in all material respects, the Company's financial position, results of operations and cash flows for the interim periods presented.
14
Table of Contents
Operating results for the three and nine months ended September 30, 2022March 31, 2023 are not necessarily indicative of the results the Company expects for the entire year. In addition, the influence of seasonality, changes in payor contracts, changes in rate per visit, changes in referral and visit volumes, strategic transactions, labor market dynamics and wage inflation, changes in laws and general economic conditions in the markets in which the Company operates and other factors impacting the Company's operations may result in any period not being comparable to the same period in previous years.
15
Table of Contents
Immaterial revisions to prior periods
As previously disclosedFor further information regarding the Company's accounting policies and other information, the condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto for the Company’syear ended December 31, 2022 included in our Annual Report on Form 10-K filed with the SEC on March 1, 2022, the Company identified immaterial prior period revisions with respect to the amount of income tax benefit recorded for the three and nine months ended September 30, 2021. As previously disclosed, we evaluated the effects of these errors on our previously issued condensed consolidated financial statements and concluded that no prior period is materially misstated. The revision increased income tax benefit by $7.0 million for the three and nine months ended September 30, 2021, from $28.3 million to $35.3 million and $58.5 million to $65.6 million, respectively. The revision decreased net loss by $7.0 million for the three and nine months ended September 30, 2021, from $333.8 million to $326.8 million and $790.8 million to $783.7 million, respectively. The revision decreased loss per share from $1.68 to $1.65, and $5.07 to $5.02 for the three and nine months ended September 30, 2021, respectively. The impacted prior periods have been revised in subsequent filings as applicable.16, 2023.
Liquidity and going concern
In accordance with Accounting Standards Codification ("ASC") Topic 205-40, Going Concern, the Company has evaluated whether there are certain conditions and events, considered in the aggregate, that raise substantial doubt about the Company’s ability to continue as a going concern within twelve months after the date that these condensed consolidated financial statements are issued. This evaluation includes considerations related to the covenants contained in the Company’s 2022 Credit Agreement as well as the Company’s liquidity position overall.
As detailed in Note 8 - Borrowings, the Company’s 2022 Credit Agreement contains customary covenants and restrictions, including financial and nonfinancial covenants. The financial covenants require the Company to maintain $30.0 million of minimum liquidity, as defined in the agreement, at each test date through the first quarter of 2024. Additionally, beginning in the second quarter of 2024, the Company must maintain a Secured Net Leverage Ratio, as defined in the agreement, not to exceed 7.00:1.00. The net leverage ratio covenant decreases in the third quarter of 2024 to 6.75:1.00 and further decreases in the first quarter of 2025 to 6.25:1.00, which remains applicable through maturity. The financial covenants are tested as of each fiscal quarter end for the respective periods. Failure to comply with these covenants and restrictions would result in an event of default, subject to customary cure periods.
As of September 30, 2022, we had $48.6 million in cash and cash equivalents and $48.2 million of available capacity under our 2022 revolving credit facility, resulting in $96.8 million of liquidity. As measured based on the definitions in the Company’s 2022 Credit Agreement, liquidity was $99.6 million as of September 30, 2022.
The Company has negative operating cash flows, operating losses and net losses which will continue until operating results improve. For the nine months ended September 30, 2022, the Company had cash flow used in operating activities of $59.1 million, operating loss of $435.6 million and net loss of $390.6 million. In addition, as of September 30, 2022, the Company had an accumulated deficit of $1,236.7 million. These results are, in part, due to trends experienced by the Company including a tight labor market for available physical therapy and other providers in the workforce, visit volume softness, decreases in rate per visit and increases in interest costs.
Improving operating results and cash flow is dependent upon the Company’s ability to achieve its business plan to increase clinical staffing levels and clinician productivity, control costs and capital expenditures, increase patient visit volumes and referrals and stabilize rate per visit. However, there can be no assurance that it will be successful in any of these respects. If business results in the coming twelve months do not improve relative to the previous twelve months, the Company would be at risk of violating its $30.0 million minimum liquidity covenant under its 2022 Credit Agreement. As a result, there is substantial doubt about the Company’s ability to continue as a going concern within twelve months following the issuance date of the condensed consolidated financial statements as of and for the period ended September 30, 2022.
16
Table of Contents
If business results do not improve relative to the previous twelve months, the Company will need to consider other alternatives, such as pursuing an amendment to or waiver of the minimum liquidity covenant and other requirements under the 2022 Credit Agreement, raising funds from other sources, obtaining alternate financing, disposal of assets, or pursuing other strategic alternatives to improve its liquidity position and business results. There can be no assurance that the Company will be successful in accessing such alternative options or financing when needed. Failure to obtain such an amendment to or waiver of the minimum liquidity covenant, complete the other financings or execute on other strategic alternatives when needed would have a material adverse effect on the liquidity, financial condition and results of operations.
The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business within twelve months after the date that these condensed consolidated financial statements are issued.
The Company has negative operating cash flows, operating losses and net losses. For the three months ended March 31, 2023, the Company had cash flows used in operating activities of $14.2 million, operating loss of $11.4 million and net loss of $25.2 million. These results are, in part, due to recent trends experienced by the Company including a tight labor market for available physical therapy and other healthcare providers in the workforce, visit volume softness, decreases in rate per visit and increases in interest costs.
Further, based on current liquidity and projected cash use, the Company anticipates violation of its minimum liquidity covenant under its 2022 Credit Agreement (as defined in Note 8) within the next twelve months following the issuance date of the condensed consolidated financial statements as of and for the period ended March 31, 2023 (refer to Note 8 - Borrowings for further discussion of the 2022 Credit Agreement and related covenants).
These conditions and events raise substantial doubt about the Company's ability to continue as a going concern.
In addition, the report of the Independent Registered Public Accounting Firm accompanying the consolidated financial statements for the year ended December 31, 2022 contains an explanatory paragraph expressing substantial doubt about our ability to continue as a going concern. Absent an amendment or waiver, the 2022 Credit Agreement provides that the receipt of a report of the Independent Registered Public Accounting Firm containing an explanatory paragraph expressing substantial doubt about our ability to continue as a going concern could be an event of default, subject to certain exceptions. Pursuant to the Transaction Support Agreement, dated as of March 15, 2023, the First Lien Lenders have agreed that, prior to June 15, 2023 (the “Outside Closing Date”), they will forbear in the exercise of any rights, remedies, powers, privileges and defenses under the 2022 Credit Agreement arising on account of a default, alleged default or event of default (if any) resulting from the going concern explanatory paragraph in the report of the Independent Registered Public Accounting Firm accompanying the consolidated financial statements for the year ended December 31, 2022. However, if the Transaction (as defined and for which the terms are further described in Note 8) is not consummated on its terms or at all, the First Lien Lenders could claim that a default or event of default has occurred under the 2022 Credit Agreement. If such claim is not waived by the First Lien Lenders and the Company is unsuccessful in disputing any such claims (including with respect to the applicability of one of the enumerated exceptions to the 2022 Credit Agreement requirement), the Company could be considered to have an event of default after the expiration of the applicable cure periods.
15
Table of Contents
In the event of a default, all amounts outstanding under the 2022 Credit Facility, together with any accrued interest, could then be declared immediately due and payable and could be reclassified to current in the Company's condensed consolidated financial statements for the period. A default on our obligations and an acceleration of our indebtedness by our lenders would have a material adverse impact on our business, financial condition, results of operations and cash flows, and may lead to events including bankruptcy, reorganization or insolvency.
In response to these conditions, management plans include improving operating results and cash flows and refinancing the Company's debt under its 2022 Credit Agreement.
The Company's plan to improve operating results and cash flow is dependent upon its ability to achieve its business plan to increase clinical staffing levels, improve clinician productivity, control costs and capital expenditures, increase patient visit volumes and referrals and stabilize rate per visit. There can be no assurance that it will be successful in any of these respects.
In order to refinance the Company’s debt under its 2022 Credit Agreement, the Company has agreed, subject to stockholder approval of the Transaction (as defined and for which the terms are further described in Note 8), to (i) a delayed draw new money financing in an aggregate principal amount of $25.0 million, comprised of (A) second lien PIK convertible notes (the “Notes”) and (B) shares of Series B Preferred Stock (as defined in Note 8), which will provide the holder thereof with voting rights such that the holders thereof will have the right to vote on an as-converted basis, (ii) facilitate the exchange of $100.0 million of the aggregate principal amount of the term loans under the 2022 Credit Agreement held by certain of the Preferred Equityholders for Notes and Series B preferred Stock and (iii) agree to certain other changes to the terms of the 2022 Credit Agreement, including modifications of the financial covenants thereunder. Holders of the Notes will also receive additional Notes upon the in-kind payment of interest on any outstanding Notes. The Notes will be convertible into shares of Class A common stock at a fixed conversion price.
If the Company does not consummate the Transaction on a timely basis as further described in Note 8 or otherwise access additional financing, the Company will need to consider other alternatives, including pursuing separate amendments to or waivers of the minimum liquidity covenant, the requirement to deliver audited financial statements without certain going concern qualifications, and other requirements under the 2022 Credit Agreement, as well as raising funds from other sources, obtaining alternate financing, disposal of assets, or pursuing other strategic alternatives to improve its liquidity position and business results. There can be no assurance that the Company will be successful in completing the Transaction or accessing such alternative options or financing when needed. Failure to do so could have a material adverse impact on our business, financial condition, results of operations and cash flows, and may lead to events including bankruptcy, reorganization or insolvency.
16
Table of Contents
Management plans have not been fully implemented and, as a result, the Company has concluded that management’s plans do not alleviate substantial doubt about the Company’s ability to continue as a going concern.
The condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of this uncertainty.
Use of estimates
The preparation of the condensed consolidated financial statements in accordance with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. The effect of any change in estimates will be recognized in the current period of the change.
Segment reporting
The Company reports segment information based on the management approach. The management approach designates the internal reporting used by management for making decisions and assessing performance as the source of the Company’s reportable segments. All of the Company’s operations are conducted within the United States. Our chief operating decision maker (“CODM”) is our Chief Executive Officer, who reviews financial information presented on a consolidated basis for purposes of making decisions, assessing financial performance and allocating resources. We operate our business as one operating segment and therefore we have one reportable segment.
For further information regardingCash, cash equivalents and restricted cash
Cash and cash equivalents include all cash balances and highly liquid investments with original maturities of three months or less when issued. Restricted cash consists of cash held as collateral in relation to the Company's accounting policiescorporate card agreement. Restricted cash included within cash and other information, thecash equivalents as presented within our condensed consolidated financialbalance sheets as of March 31, 2023 and December 31, 2022, and our condensed consolidated statements should be read in conjunction with our audited consolidated financial statements and notes theretoof cash flows for the yearthree months ended DecemberMarch 31, 2021 included in our Annual Report on Form 10-K filed with the SEC on March 1, 2022.
17
Table of Contents
2023 was $0.8 million.
Recently adopted accounting guidance
In March 2020,October 2021, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, which provides optional guidance for a limited period of time to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting. This standard was subsequently amended by ASU No. 2021-01, Reference Rate Reform (Topic 848): Scope. This standard is optional and may be applied by entities after March 12, 2020, but no later than December 31, 2022. As of September 30, 2022, the Company has a derivative instrument for which the interest rate is indexed to the London InterBank Offered Rate (“LIBOR”). During the period ended March 31, 2022, the Company modified the reference rate index on its hedged items, which are future variable-rate cash payments, from LIBOR to the Secured Overnight Financing Rate ("SOFR"). The Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivative, which is LIBOR. The guidance allows for different expedient elections to be made at different points in time. As of September 30, 2022, the Company continues to apply the hedge accounting expedients and does not anticipate that this guidance will have a material impact on its consolidated financial statements, however, the Company will continue to assess the potential impact on its future hedging relationships and expedient elections, as applicable.
Recent accounting pronouncements
In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Liabilities from Contracts with Customers, which provides guidance to improve the accounting for acquired revenue contracts with customers in a business combination by addressing diversity in practice. This ASU is effective for the Company on January 1, 2023, with early adoption permitted, and shall be applied on a prospective basis to business combinations that occur on or after the adoption date. The Company is evaluating the effect that the implementation of this standard may have on the Company's consolidated financial statements, but does not currently expect the impact to be material.
In November 2021, the FASB issued ASU 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance, which provides guidance to increase the transparency of government assistance transactions with business entities that are accounted for by applying a grant or contribution accounting model. This ASU is effective for the Company's annual financial statements to be issued for the year ended December 31, 2022, with early adoption permitted. The Company expects to adoptadopted this new accounting standard in its Annual Report on Form 10-K for the year ended December 31, 2022, and does not expect theeffective January 1, 2023. The adoption of this standard todid not have a material impact on the Company's condensed consolidated financial statements.
Note 3. Business CombinationsDivestitures
Clinics held for sale
During the fourth quarter of 2022, the Company classified the assets and Divestiture
The Business Combination
As discussed in Note 1 - Overviewliabilities of certain clinics as held for sale as a result of the Company's decision to sell the clinics. The divestiture transactions are anticipated to be completed within twelve months. The clinics did not meet the criteria to be classified as discontinued operations. During the first quarter of 2023, the Company, on June 16, 2021, completed a business combination between Wilco Holdco and FAII was consummated,portion of its anticipated divestiture transactions, which was accounted for as a reverse recapitalization of Wilco Holdco, Inc. At the time of the Business Combination, stockholders of Wilco Holdco, Inc. received 130.3 million shares of the Company’s Class A common stock, par value $0.0001 per share (the “Common Stock”), for the outstanding shares of Wilco Holdco common stock, par value $0.01 per share, that such stockholders owned. Upon distribution of shares of Common Stock to holders of vested and unvested Incentive Common Units (“ICUs”) granted prior to the Business Combination under the Wilco Acquisition, LP 2016 Equity Incentive Plan, 2.0 million of these shares were restricted subject to vesting requirements, resulting in total unrestricted shares of 128.3 million and an exchange ratio of 136.7 unrestricted shares of ATI Physical Therapy, Inc. for every previously outstanding Wilco Holdco share.immaterial.
1817
Table of Contents
Immediately following the Business Combination, there were 207.3 million shares issued and 196.6 million outstanding shares of common stock of ATI Physical Therapy, Inc., consisting of the following (in thousands):
Class A Common Shares
FAII Class A common stock prior to Business Combination34,500
FAII Class F common stock prior to Business Combination(1)
8,625
Less: FAII Class A common stock redemptions(8,988)
FAII common shares (Class A and Class F)34,137
Add: Shares issued to Wilco Holdco stockholders(2, 3)
130,300
Add: Shares issued through PIPE investment30,000
Add: Shares issued to Wilco Holdco Series A Preferred stockholders12,845
Total shares issued as of the Closing Date of the Business Combination(4)
207,282
Less: Vesting Shares(1)
(8,625)
Less: Restricted shares(3)
(2,014)
Total shares outstanding as of the Closing Date of the Business Combination(4)
196,643
(1) Per the Merger Agreement, as of the closing of the Business Combination, all Class F shares converted into the equivalent number of Class A common shares and became subject to certain vesting and forfeiture provisions ("Vesting Shares") as detailed in Note 13 - Contingent Common Shares Liability.
(2) Includes 1.2 million unrestricted shares upon distribution to holders of vested ICUs under the Wilco Acquisition, LP 2016 Equity Incentive Plan.
(3)Includes 2.0 million restricted shares upon distribution to holders of unvested ICUs under the Wilco Acquisition, LP 2016 Equity Incentive Plan.
(4) Excludes 15.0 million Earnout Shares, 6.9 million Public Warrants and 3.0 million Private Placement Warrants to purchase Class A common stock. Refer to Note 12 - IPO Warrant Liability and Note 13 - Contingent Common Shares Liabilityfor further details.
PIPE investment
Concurrently with the closing of the Business Combination, pursuant to Subscription Agreements executed between FAII and certain investors, 30.0 million shares of Class A common stock (the “PIPE” investment) were newly issued in a private placement at a purchase price of $10.00 per share for an aggregate purchase price of $300.0 million. The initial PIPE investment included 7.5 million shares of Class A common stock newly issued to certain investment funds managed by affiliates of Fortress Investment Group LLC (“Fortress”) at a purchase price of $10.00 per share for an aggregate purchase price of $75.0 million.
Wilco Holdco Series A Preferred Stock
Immediately following the Business Combination, all holders of the previously outstanding shares of Wilco Holdco Series A Preferred Stock received a proportionate share of $59.0 million and 12.8 million shares of ATI Physical Therapy, Inc. Class A common stock based on the terms of the Merger Agreement. Refer to Note 11 - Wilco Holdco Redeemable Preferred Stock for further details.
19
Table of Contents
Earnout Shares
Subject to the terms and conditions of the Merger Agreement, certain stockholders of Wilco Holdco, Inc. were provided the contingent right to receive, in the aggregate, up to 15.0 million shares of Class A common stock that may be issued pursuant to an earnout arrangement if certain Class A common stock price targets are achieved between the Closing Date and the 10 year anniversary of the Closing Date (“Earnout Shares”). The Earnout Shares are subject to acceleration in the event of a sale or other change in control if the holders of Class A common stock would receive a per share price in excess of the applicable Earnout Shares price target.
Refer to Note 13 - Contingent Common Shares Liabilityand Note 14 - Fair Value Measurements for further details.
Vesting Shares
Pursuant to the Sponsor Letter Agreement executed in connection with the Merger Agreement, 8.6 million shares of Class F common stock of FAII outstanding immediately prior to the Business Combination converted to potential Class A common shares and became subject to certain vesting and forfeiture provisions (“Vesting Shares”). The Vesting Shares are subject to acceleration in the event of a sale or other change in control if the holders of Class A common stock would receive a per share price in excess of the applicable Vesting Shares price target.
Refer to Note 13 - Contingent Common Shares Liabilityand Note 14 - Fair Value Measurements for further details.
IPO Warrants
Immediately following the Business Combination, the Company had outstanding Public Warrants to purchase an aggregate of 6.9 million shares of the Company’s Class A common stock ("Public Warrants") and outstanding Private Placement Warrants to purchase an aggregate of 3.0 million shares of the Company's Class A common stock ("Private Placement Warrants") (collectively, the “IPO Warrants”). In conjunction with the Business Combination, 3.0 million Private Placement Warrants were transferred and surrendered for no consideration based on terms of the Sponsor Letter Agreement.
Refer to Note 12 - IPO Warrant Liability and Note 14 - Fair Value Measurementsfor further details.
The following table reflects the components of cash movement related to the Business Combination, PIPE investment and debt repayments (in thousands):
Cash in trust with FAII as of the Closing Date of the Business Combination$345,036 
Cash used for redemptions of FAII Class A common stock(89,877)
FAII transaction costs paid at closing(25,821)
Cash inflow from Business Combination229,338 
Wilco Holdco, Inc. transaction costs offset against proceeds(19,233)
Net proceeds from FAII in Business Combination210,105 
Cash proceeds from PIPE investment300,000 
Repayment of second lien subordinated loan(231,335)
Partial repayment of 2016 first lien term loan(216,700)
Cash payment to Wilco Holdco Series A Preferred stockholders(59,000)
Wilco Holdco, Inc. transaction costs expensed during 2021(5,543)
Net decrease in cash related to Business Combination, PIPE investment and debt repayments$(2,473)
20
Table of Contents
During 2021, the Company expensed $5.5 million in transaction costs related to the Business Combination, which were classified as selling, general and administrative expenses in the consolidated statement of operations. In addition, $19.2 million of Wilco Holdco, Inc. transaction costs related to the Business Combination were offset against additional paid-in capital in the consolidated statements of changes in stockholders’ equity as these costs were determined to be directly attributable to the recapitalization.
Home Health divestiture
On August 25, 2021, the Company entered into an agreement to divest its Home Health service line. On October 1, 2021, the transaction closed with a sale price of $7.3 million. The majorMajor classes of assets and liabilities associated with the Home Health service line consisted predominantlyclassified as held for sale as of accounts receivable, accrued expenses and other liabilities which were not material.
2021 acquisitions
During 2021, the Company completed 3 acquisitions consisting of 7 total clinics. The Company paid approximately $4.5 million in cash and $1.4 million in future payment consideration, subject to certain time or performance conditions set out in the purchase agreements, to complete the acquisitions. The acquisitions qualified for purchase accounting treatment under ASC Topic 805, Business Combinations, whereby the purchase price was allocated to the assets acquired and liabilities assumed based upon their estimated fair values on the respective acquisition dates. Of the total amount of consideration, $5.5 million was allocated to goodwill based on management's valuations, which were preliminary and subject to completion of the Company's valuation analysis through the 12 month measurement period. Management finalized its valuation analysis at March 31, 2023 and December 31, 2022 and valuation adjustments to the assets acquired and liabilities assumed were not material. Goodwill represents the future economic benefits arising from the other assets acquired that could not be individually identified and separately recognized, such as assembled workforce, synergies, and location. The entire amount of goodwill recorded from these purchases will be deductible for income tax purposes. Acquisition-related costs to complete the transactions, net operating revenue and net income recognized in 2021 related to the acquisitions were not material, individually and in the aggregate. Unaudited proforma consolidated financial information for the acquisitions have not been included as the results are not material, individually and in the aggregate.follows (in thousands):
March 31, 2023December 31, 2022
Accounts receivable, net$594 $486 
Prepaid expenses20 23 
Property and equipment, net403 1,113 
Operating lease right-of-use assets1,251 1,929 
Goodwill, net3,192 3,192 
Other non-current assets9 12 
Total assets held for sale$5,469 $6,755 
Accounts payable$8 $22 
Accrued expenses and other liabilities80 201 
Current portion of operating lease liabilities376 685 
Operating lease liabilities1,039 1,706 
Total liabilities held for sale$1,503 $2,614 
Note 4. Revenue from Contracts with Customers
The following table disaggregates net operating revenue by major service line for the periods indicated below (in thousands):
Three Months EndedNine Months EndedThree Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021March 31, 2023March 31, 2022
Net patient revenueNet patient revenue$142,313 $141,855 $429,744 $420,805 Net patient revenue$150,754 $138,925 
ATI Worksite Solutions (1)
ATI Worksite Solutions (1)
9,053 8,626 26,429 25,830 
ATI Worksite Solutions (1)
9,201 8,651 
Management Service Agreements (1)
Management Service Agreements (1)
3,251 4,201 9,671 11,523 
Management Service Agreements (1)
3,725 3,155 
Other revenue (1)
Other revenue (1)
2,175 4,331 8,063 13,950 
Other revenue (1)
3,252 3,091 
$156,792 $159,013 $473,907 $472,108 $166,932 $153,822 
(1)ATI Worksite Solutions, Management Service Agreements and Other revenue are included within other revenue on the face of the condensed consolidated statements of operations.
21
Table of Contents
The following table disaggregates net patient revenue for each associated payor class as a percentage of total net patient revenue for the periods indicated below:
Three Months EndedNine Months EndedThree Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021March 31, 2023March 31, 2022
CommercialCommercial57.7 %56.3 %57.2 %56.0 %Commercial58.1 %56.8 %
GovernmentGovernment24.7 %24.3 %24.3 %23.6 %Government23.6 %23.6 %
Workers’ compensationWorkers’ compensation12.0 %13.7 %12.7 %14.8 %Workers’ compensation12.0 %13.2 %
Other (1)
Other (1)
5.6 %5.7 %5.8 %5.6 %
Other (1)
6.3 %6.4 %
100.0 %100.0 %100.0 %100.0 %100.0 %100.0 %
(1) Other is primarily comprised of net patient revenue related to auto personal injury.
18
Table of Contents
Note 5. Goodwill, Trade Name and Other Intangible Assets
Changes in the carrying amount of goodwill consisted of the following (in thousands):

Goodwill at December 31, 2022 (1)
Total Goodwill$286,458 
Impairment charges (2)
— 
Goodwill at DecemberMarch 31, 2021 (1)
2023		$608,811 
Impairment charges(270,564)
Acquisitions (2)
(236)
Goodwill at September 30, 2022$338,011286,458 
(1) Net of accumulated impairment losses of $726.8$1,045.7 million.
(2) Represents final valuation adjustments related to 2021 acquisitions. Refer to Note 3 - Business Combinations and Divestiture for additional information.The Company did not note any triggering events during the three months ended March 31, 2023 that resulted in the recording of an impairment loss.
The table below summarizes the Company’s carrying amount of trade name and other intangible assets at September 30, 2022March 31, 2023 and December 31, 20212022 (in thousands):
September 30, 2022December 31, 2021March 31, 2023December 31, 2022
Gross intangible assets:Gross intangible assets:Gross intangible assets:
ATI trade name (1)
ATI trade name (1)
$290,000 $409,360 
ATI trade name (1)
$245,000 $245,000 
Non-compete agreementsNon-compete agreements2,395 2,405 Non-compete agreements2,395 2,395 
Other intangible assetsOther intangible assets640 640 Other intangible assets640 640 
Accumulated amortization:Accumulated amortization:Accumulated amortization:
Accumulated amortization – non-compete agreementsAccumulated amortization – non-compete agreements(952)(425)Accumulated amortization – non-compete agreements(1,299)(1,126)
Accumulated amortization – other intangible assetsAccumulated amortization – other intangible assets(316)(284)Accumulated amortization – other intangible assets(338)(327)
Total trade name and other intangible assets, netTotal trade name and other intangible assets, net$291,767 $411,696 Total trade name and other intangible assets, net$246,398 $246,582 
(1) Not subject to amortization. The Company recorded $119.4 million of impairment charges related to the trade name indefinite-lived intangible asset during the nine months ended September 30, 2022.
Amortization expense for the three and nine months ended September 30,March 31, 2023 and 2022 and 2021 was immaterial. The Company estimates that amortization expense related to intangible assets is expected to be immaterial over the next five fiscal years and thereafter.
22
Table of Contents
Interim impairment testing as of March 31,during 2022
During the quarter ended March 31, 2022, the Company identified an interim triggering event as a result of factors including potential changes in discount rates and the recent decreasedecreases in share price. The Company determined that the combination of these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets.
As it was determined that it was more likely than not that the fair value of our trade name indefinite-lived intangible asset was below its carrying value, the Company performed an interim quantitative impairment test as of the March 31, 2022 balance sheet date. The Company utilized the relief from royalty method to estimate the fair value of the trade name indefinite-lived intangible asset. The key assumptions associated with determining the estimated fair value includeincluded projected revenue growth rates, the royalty rate, the discount rate and the terminal growth rate. As a result of the analysis, during the three months ended March 31, 2022, the Company recognized a $39.4 million non-cash interim impairment in the line item goodwill, intangible and intangibleother asset impairment charges in its condensed consolidated statements of operations, which representsrepresented the difference between the estimated fair value of the Company’s trade name indefinite-lived intangible asset and its carrying value.
The Company evaluated its long-lived asset groups, including operating lease right-of-use assets that were evaluated based on clinic-level cash flows and clinic-specific market factors, noting no material impairment.
As it was determined that it was more likely than not that the fair value of our single reporting unit was below its carrying value, the Company performed an interim quantitative impairment test. In order to determine the fair value of our single reporting unit, the Company utilized an average of a discounted cash flow analysis and comparable public company analysis. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, earnings before interest, taxes, depreciation and amortization ("EBITDA") margins, the terminal growth rate, the discount rate and relevant market multiples. As a result of the analysis, the Company recognized a $116.3 million non-cash interim impairment in the line item goodwill and intangible asset impairment charges in its condensed consolidated statements of operations, which represented the difference between the estimated fair value of the Company’s single reporting unit and its carrying value.
Interim impairment testing as of June 30, 2022
During the quarter ended June 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets.
As it was determined that it was more likely than not that the fair value of our trade name indefinite-lived intangible asset was below its carrying value, the Company performed an interim quantitative impairment test as of the June 30, 2022 balance sheet date. The Company utilized the relief from royalty method to estimate the fair value of the trade name indefinite-lived intangible asset. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, the royalty rate, the discount rate and the terminal growth rate. As a result of the analysis, the Company recognized an approximate $40.0 million non-cash interim impairment in the line item goodwill and intangible asset impairment charges in its condensed consolidated statements of operations, which represents the difference between the estimated fair value of the Company’s trade name indefinite-lived intangible asset and its carrying value.
The Company evaluated its asset groups, including operating lease right-of-use assets that were evaluated based on clinic-level cash flows and clinic-specific market factors, noting no material impairment.
2319
Table of Contents
As it was determined that it was more likely than not that the fair value of our single reporting unit was below its carrying value, the Company performed an interim quantitative impairment test.test with respect to goodwill. In order to determine the fair value of our single reporting unit, the Company utilized an average of a discounted cash flow analysis and comparable public company analysis. The key assumptions associated with determining the estimated fair value includeincluded projected revenue growth rates, EBITDAearnings before interest, taxes, depreciation and amortization ("EBITDA") margins, the terminal growth rate, the discount rate and relevant market multiples. As a result of the analysis, during the three months ended March 31, 2022, the Company recognized an approximate $87.9a $116.3 million non-cash interim impairment in the line item goodwill, intangible and intangibleother asset impairment charges in its condensed consolidated statements of operations, which represented the difference between the estimated fair value of the Company’s single reporting unit and its carrying value.
Interim impairment testing as of September 30, 2022
During the quarter ended September 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets.
As it was determined that it was more likely than not that the fair value of our trade name indefinite-lived intangible asset was below its carrying value, the Company performed an interim quantitative impairment test as of the September 30, 2022 balance sheet date. The Company utilized the relief from royalty method to estimate the fair value of the trade name indefinite-lived intangible asset. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, the royalty rate, the discount rate and the terminal growth rate. As a result of the analysis and primarily driven by an increase in the discount rate, the Company recognized a $40.0 million non-cash interim impairment in the line item goodwill and intangible asset impairment charges in its condensed consolidated statements of operations, which represents the difference between the estimated fair value of the Company’s trade name indefinite-lived intangible asset and its carrying value.
The Company evaluated its asset groups, including operating lease right-of-use assets that were evaluated based on clinic-level cash flows and clinic-specific market factors, noting no material impairment.
As it was determined that it was more likely than not that the fair value of our single reporting unit was below its carrying value, the Company performed an interim quantitative impairment test. In order to determine the fair value of our single reporting unit, the Company utilized an average of a discounted cash flow analysis and comparable public company analysis. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, EBITDA margins, the terminal growth rate, the discount rate and relevant market multiples. As a result of the analysis and primarily driven by an increase in the discount rate and lower public company comparative multiples, the Company recognized an approximate $66.4 million non-cash interim impairment in the line item goodwill and intangible asset impairment charges in its condensed consolidated statements of operations, which represented the difference between the estimated fair value of the Company’s single reporting unit and its carrying value.
24
Table of Contents
Fair value determinations require considerable judgment and are sensitive to changes in underlying assumptions, estimates and market factors. Estimating the fair value of the Company’s reporting unit and the indefinite-lived intangible assetsasset requires us to make assumptions and estimates regarding our future plans, as well as industry, economic, and regulatory conditions. These assumptions and estimates include projected revenue growth rates, EBITDA margins, terminal growth rates, discount rates, relevant market multiples, royalty rates and other market factors. If current expectations of future growth rates,margins and cash flows are not met, or if market factors outside of our control change significantly, including discount rates, relevant market multiples, company share price and other market factors, then our reporting unit or the indefinite-lived intangible assetsasset might become impaired in the future, negatively impacting our operating results and financial position. As the carrying amounts of goodwill and the Company’s trade name indefinite-lived intangible asset have beenwere impaired as of MarchDecember 31, 2022, June 30, 2022 and September 30, 2022 and written down to fair value, those amounts are more susceptible to an impairment risk if there are unfavorable changes in assumptions and estimates.
Note 6. Property and Equipment
Property and equipment consisted of the following at September 30, 2022March 31, 2023 and December 31, 20212022 (in thousands):


September 30, 2022December 31, 2021

March 31, 2023December 31, 2022
EquipmentEquipment$38,414 $36,278 Equipment$38,170 $38,102 
Furniture and fixturesFurniture and fixtures17,392 17,141 Furniture and fixtures17,334 17,215 
Leasehold improvementsLeasehold improvements193,198 183,542 Leasehold improvements192,162 191,182 
AutomobilesAutomobiles19 19 Automobiles19 19 
Computer equipment and softwareComputer equipment and software100,882 95,362 Computer equipment and software103,954 102,651 
Construction-in-progressConstruction-in-progress3,012 3,793 Construction-in-progress4,021 3,727 


352,917 336,135 

355,660 352,896 
Accumulated depreciation and amortizationAccumulated depreciation and amortization(223,156)(196,405)Accumulated depreciation and amortization(236,152)(229,206)
Property and equipment, net(1)Property and equipment, net(1)$129,761 $139,730 Property and equipment, net(1)$119,508 $123,690 
(1) Excludes $0.4 million and $1.1 million reclassified as held for sale as of March 31, 2023 and December 31, 2022, respectively. Refer to Note 3 - Divestitures for additional information.
20
Table of Contents
The following table presents the amount of depreciation and amortization expense related to property and equipment recorded in rent, clinic supplies, contract labor and other and selling, general and administrative expenses in the Company’s condensed consolidated statements of operations for the periods indicated below (in thousands):

Three Months EndedNine Months Ended

September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Rent, clinic supplies, contract labor and other$6,876 $6,512 $20,785 $19,492 
Selling, general and administrative expenses3,048 2,583 9,133 8,219 
Total depreciation expense$9,924 $9,095 $29,918 $27,711 
25

Three Months Ended

March 31, 2023March 31, 2022
Rent, clinic supplies, contract labor and other$6,458 $7,086 
Selling, general and administrative expenses3,049 2,835 
Total depreciation expense$9,507 $9,921 
Table of Contents
Note 7. Accrued Expenses and Other Liabilities
Accrued expenses and other liabilities consisted of the following at September 30, 2022March 31, 2023 and December 31, 20212022 (in thousands):


September 30, 2022December 31, 2021

March 31, 2023December 31, 2022
Salaries and related costsSalaries and related costs$17,910$27,257Salaries and related costs$16,786$28,949
Accrued professional feesAccrued professional fees6,039

5,998Accrued professional fees7,948

5,551
CARES Act funds (1)
5,91018,179
Credit balance due to patients and payors5,0844,240
Accrued legal settlement (2)
5,000—
Credit balances due to patients and payorsCredit balances due to patients and payors6,7346,117
Accrued interestAccrued interest6,089762
Accrued contract laborAccrued contract labor4,7252,057Accrued contract labor2,6854,483
Accrued occupancy costsAccrued occupancy costs2,350

2,410
Other payables and accrued expensesOther payables and accrued expenses7,8436,853Other payables and accrued expenses4,9725,400
TotalTotal$52,511$64,584Total$47,564$53,672
21
(1) Includes current portionTable of MAAPP funds received and deferred employer Social Security tax payments.Contents
(2) Represents estimated liability related to a probable settlement associated with a payor billing dispute. The liability is recorded gross of estimated insurance coverage of approximately $2.0 million, which has been recorded as a receivable in other current assets in the Company's condensed consolidated balance sheets. Refer to Note 17 - Commitments and Contingencies for additional information.
Note 8. Borrowings
Long-term debt consisted of the following at September 30, 2022March 31, 2023 and December 31, 20212022 (in thousands):
September 30, 2022December 31, 2021March 31, 2023December 31, 2022
Senior Secured Term Loan (1, 2) (due February 24, 2028)
Senior Secured Term Loan (1, 2) (due February 24, 2028)
$500,889 $— 
Senior Secured Term Loan (1, 2) (due February 24, 2028)
$505,217 $503,481 
2016 first lien term loan (3)
— 555,048 
Revolving Loans (3) (due February 24, 2027)
Revolving Loans (3) (due February 24, 2027)
48,200 48,200 
Less: unamortized debt issuance costsLess: unamortized debt issuance costs(11,637)(1,935)Less: unamortized debt issuance costs(10,693)(11,137)
Less: unamortized original issue discountLess: unamortized original issue discount(9,346)(1,147)Less: unamortized original issue discount(8,587)(8,944)
Total debt, netTotal debt, net479,906 551,966 Total debt, net534,137 531,600 
Less: current portion of long-term debtLess: current portion of long-term debt— (8,167)Less: current portion of long-term debt— — 
Long-term debt, netLong-term debt, net$479,906 $543,799 Long-term debt, net$534,137 $531,600 
(1) Interest rate of 10.8%12.6% and 12.1% at September 30,March 31, 2023 and December 31, 2022, respectively, with interest payable in designated installments at a variable interest rate. The effective interest rate for the Senior Secured Term Loan was 11.4%13.7% and 13.1% at September 30, 2022.March 31, 2023 and December 31, 2022, respectively.
(2)During Beginning in the third quarter of 2022, the Company elected to pay a portion of its interest in-kind on its Senior Secured Term Loan by capitalizing and adding such interest to the principal amount of the debt. As of September 30, 2022,March 31, 2023, the Company recognized paid in-kind interest in the amount of $0.9$5.2 million.
(3) Loan balance was repaid in its entirety on February 24, 2022. The effective interestInterest rate for the 2016 first lien term loan was 4.9%of 8.8% and 8.3% at March 31, 2023 and December 31, 2021.
2016 first and second lien credit agreements
In connection2022, respectively, with the Business Combination on June 16, 2021, the Company paid down $216.7 million of its 2016 first lien term loan. The Company recognized $1.7 millioninterest payable in loss on debt extinguishment related to the derecognition of the proportionate amount of remaining unamortized deferred financing costs and unamortized original issue discount associated with the partial debt repayment.
26
Table of Contents
In connection with the Business Combination on June 16, 2021, the Company paid $231.3 million to settle its second lien subordinated term loan. The Company recognized $3.8 million in loss on debt extinguishment related to the derecognition of the remaining unamortized deferred financing costs in conjunction with the debt repayment.
On February 24, 2022, the Company paid $555.0 million to settle its existing term loan (the "2016 first lien term loan"). The Company accounted for the transaction asdesignated installments at a debt extinguishment and recognized $2.8 million in loss on debt extinguishment related to the derecognition of the remaining unamortized deferred financing costs and unamortized original issue discount in conjunction with the debt repayment. The loss on debt extinguishment associated with the repayment of the 2016 first lien term loan has been reflected in other expense, net in the condensed consolidated statements of operations.variable interest rate.
2022 Credit Agreement
On February 24, 2022 (the "Refinancing Date"), the Company entered into various financing arrangements to refinance its existingprevious long-term debt (the "2022 Debt Refinancing"). As part of the 2022 Debt Refinancing, ATI Holdings Acquisition, Inc. (the "Borrower"), an indirect subsidiary of ATI Physical Therapy, Inc., entered into a credit agreement among the Borrower, Wilco Intermediate Holdings, Inc. ("Holdings"), as loan guarantor, Barclays Bank PLC, as administrative agent and issuing bank, and a syndicate of lenders (the "2022 Credit Agreement"). The 2022 Credit Agreement provides a $550.0 million credit facility (the "2022 Credit Facility") that is comprised of a $500.0 million senior secured term loan (the "Senior Secured Term Loan") which was fully funded at closing and a $50.0 million "super priority" senior secured revolver (the "Revolving Loans") with a $10.0 million letter of credit sublimit.
The 2022 Credit Facility refinanced and replaced the Company's prior credit facility for which Barclays Bank PLC served as administrative agent for a syndicate of lenders. The Company paid $555.0 million to settle its previous term loan (the "2016 first lien term loan"). The Company accounted for the transaction as a debt extinguishment and recognized $2.8 million in loss on debt extinguishment during the three months ended March 31, 2022 related to the derecognition of the remaining unamortized deferred financing costs and unamortized original issue discount in conjunction with the debt repayment. The loss on debt extinguishment associated with the repayment of the 2016 first lien term loan has been reflected in other expense (income), net in the condensed consolidated statements of operations.
In connection with the 2022 Debt Refinancing, the Company also entered into a preferred stock purchase agreement, consisting of senior preferred stock with detachable warrants to purchase common stock for an aggregate stated value of $165.0 million (collectively, the “Preferred Stock Financing”). See Note 10 - Mezzanine and Stockholders' Equity for further information regarding the Preferred Stock Financing.
The Company capitalized debt issuance costs totaling $12.5 million related to the 2022 Credit Facility as well as an original issue discount of $10.0 million, which are amortized over the terms of the respective financing arrangements.
22
Table of Contents
The Senior Secured Term Loan matures on February 24, 2028 and bears interest, at the Company's election, at a base interest rate of the Alternate Base Rate ("ABR"), as defined in the agreement, plus an applicable credit spread, or the Adjusted Term SOFRSecured Overnight Financing Rate ("SOFR"), as defined in the agreement, plus an applicable credit spread. The credit spread is determined based on a pricing grid and the Company's Secured Net Leverage Ratio. The Company may elect to pay 2.0% interest in-kind at a 0.5% premium during the first year under the agreement. The Company elected to pay a portion of its interest in-kind duringbeginning in the third quarter ended September 30,of 2022. As of September 30, 2022,March 31, 2023, borrowings on the Senior Secured Term Loan bear interest at 1-month3-month SOFR, subject to a 1.0% floor, plus 7.25% plus the 0.5% paid-in-kind interest premium.
27
Table of Contents
The Revolving Loans are subject to a maximum borrowing capacity of $50.0 million and mature on February 24, 2027. Borrowings on the Revolving Loans bear interest, at the Company's election, at a base interest rate of the ABR, as defined in the agreement, plus an applicable credit spread, or the Adjusted Term SOFR Rate, as defined in the agreement, plus an applicable credit spread. The credit spread is determined based on a pricing grid and the Company's Secured Net Leverage Ratio. In December 2022, the Company drew $48.2 million in Revolving Loans. As of March 31, 2023, $48.2 million in Revolving Loans were outstanding and bearing interest at 3-month SOFR plus a credit spread of 4.1%.
The Company capitalized issuance costs of $0.5 million related to the Revolving Loans. Unamortized issuance costs of $0.2 million related to the revolving loans under the 2016 credit agreement were added to the balance of unamortized issuance costs to be amortized over the term of the Revolving Loans pursuant to debt extinguishment accounting guidance. Commitment fees on the Revolving Loans are payable quarterly at 0.5% per annum on the daily average undrawn portion for the quarter and are expensed as incurred. The balances of unamortized issuance costs related to the Revolving Loans and the revolving loans under the 2016 credit agreement, respectively, were $0.6 million as of September 30, 2022,March 31, 2023, and $0.3$0.6 million as of December 31, 2021.2022.
The 2022 Credit Facility is guaranteed by certain of the Company’s subsidiaries and is secured by substantially all of the assets of Holdings, the Borrower and the Borrower’s wholly owned subsidiaries, including a pledge of the stock of the Borrower, in each case, subject to customary exceptions.
The 2022 Credit Agreement contains customary covenants and restrictions, including financial and non-financial covenants. The financial covenants require the Company to maintain $30.0 million of minimum liquidity, as defined in the agreement, at each test date through the first quarter of 2024. Additionally, beginning in the second quarter of 2024, the Company must maintain a Secured Net Leverage Ratio, as defined in the agreement, not to exceed 7.00:1.00. The net leverage ratio covenant decreases in the third quarter of 2024 to 6.75:1.00 and further decreases in the first quarter of 2025 to 6.25:1.00, which remains applicable through maturity. The financial covenants are tested as of each fiscal quarter end for the respective periods. As of March 31, 2023, the Company is in compliance with its minimum liquidity financial covenant.
The 2022 Credit Facility contains customary representations and warranties, events of default, reporting and other affirmative covenants and negative covenants, including requirements related to the delivery of independent audit reports without certain going concern independent audit reports,qualifications, limitations on indebtedness, liens, investments, negative pledges, dividends, junior debt payments, fundamental changes and asset sales and affiliate transactions. Failure to comply with the 2022 Credit Facility covenants and restrictions could result in an event of default under the 2022 Credit Facility, subject to customary cure periods. In such an event, all amounts outstanding under the 2022 Credit Facility, together with any accrued interest, could then be declared immediately due and payable.
23
Table of Contents
Under the 2022 Credit Facility, the Company may be required to make certain mandatory prepayments upon the occurrence of certain events, including: an event of default, a Prepayment Asset Saleprepayment asset sale or receipt of Net Insurance Proceeds (as defined in the 2022 Credit Agreement)net insurance proceeds in excess of $15.0 million, or excess cash flows exceeding certain thresholds (asthresholds. A prepayment asset sale includes dispositions at fair market value, and net insurance proceeds is generally defined inas insurance proceeds received on a covered loss or as a result of assets taken under the 2022 Credit Agreement).power of eminent domain, net of costs related to the matter.
The Company had letters of credit totaling $1.8 million and $1.2$1.8 million under the letter of credit sub-facility on the revolving credit facilitiesfacility as of September 30, 2022March 31, 2023 and December 31, 2021,2022, respectively. The letters of credit auto-renew on an annual basis and are pledged to insurance carriers as collateral.
Aggregate maturities of long-term debt at March 31, 2023 are as follows (in thousands):
2023 (remainder of year)$— 
2024— 
2025— 
2026— 
202748,200 
Thereafter505,217 
Total future maturities553,417 
Unamortized original issue discount and debt issuance costs(19,280)
Total debt, net$534,137 
Amended and Restated Transaction Support Agreement
On April 17, 2023, the Company entered into (i) an Amended and Restated Transaction Support Agreement (the "A&R TSA") to that certain Transaction Support Agreement, dated as of March 15, 2023, by and among the Company and certain of the Company’s affiliates, certain of its first lien lenders under the 2022 Credit Agreement (the “First Lien Lenders”), the administrative agent under the 2022 Credit Agreement, holders of its Series A Senior Preferred Stock (the “Preferred Equityholders”) and holders of the majority of its common stock (collectively, the “Parties”), (ii) Amendment No. 2 (the “Credit Agreement Amendment”) to the Company’s Credit Agreement, dated as of February 24, 2022, by and among the Borrower, Holdings, as loan guarantor, Barclays Bank PLC, as administrative agent and issuing bank, and the lenders party thereto (the “2022 Credit Agreement” and together with the Credit Agreement Amendment, the “Credit Agreement”), (iii) a Second Lien Note Purchase Agreement (the “Note Purchase Agreement”), by and among the Company, Wilco Holdco, Inc. (“Wilco”), Holdings, the Borrower, the purchasers from time to time party thereto (the “Purchasers”) and Wilmington Savings Fund Society, FSB, as purchaser representative and (iv) certain other definitive agreements relating to the comprehensive transaction to enhance the Company’s liquidity (the “Transaction,” and such documents referred to collectively as the “Signing Date Definitive Documents”).
28
24
Table of Contents
Aggregate maturitiesTransaction Support Agreement
The A&R TSA sets forth the principal terms of long-term debta comprehensive transaction to enhance the Company’s liquidity. Pursuant to the A&R TSA, the Company and the Parties agreed to and appended thereto substantially final forms of the remaining definitive documents (together with the Signing Date Definitive Documents, the “Definitive Documents”) and subject to the terms and conditions thereof, the Parties have agreed to support, act in good faith and take all steps reasonably necessary and desirable to consummate the transactions referenced therein by the Outside Closing Date. Specifically, the Company has agreed, subject to stockholder approval of the Transaction, to a delayed draw new money financing in which the Company (i) may cause to be issued to the Purchasers an aggregate principal amount of $25.0 million (the “Delayed Draw Amounts”) in the form of a new stapled security, comprised of (A) second lien PIK convertible notes (the “Notes”) and (B) shares of Series B Preferred Stock (the "Series B Preferred Stock"), which will provide the holder thereof with voting rights such that the holders thereof will have the right to vote on an as-converted basis as if the conversion occurred at an initial price per share equal to the average closing price for the five trading days immediately preceding the date on which the Note Purchase Agreement was signed (the “NYSE Minimum Price”), (ii) will facilitate the exchange of $100.0 million of the aggregate principal amount of the term loans under the 2022 Credit Agreement held by certain of the Preferred Equityholders for Notes and Series B Preferred Stock and (iii) will agree to certain other changes to the terms of the 2022 Credit Agreement, including modifications of the financial covenants thereunder. Holders of the Notes will also receive additional Notes upon the in-kind payment of interest on any outstanding Notes. The Notes will be convertible into shares of Class A common stock, par value $0.0001 per share, of the Company (“Common Stock”) at a fixed conversion price of $0.25 (subject to adjustment as provided in the Note Purchase Agreement, the “Conversion Price”).
In addition, as part of the Transaction, (1) the Preferred Equityholders’ preexisting rights as holders of the Company’s Series A Senior Preferred Stock to designate and elect one director to the Company’s board of directors (the “Board”) will be revised to provide that (a) the Preferred Equityholders have the right to appoint three additional directors to the Board (resulting in the right of the Preferred Equityholders to appoint a total of four directors to the Board) until such time after the closing date of the Transaction (the "Closing Date") that the Lead Purchaser (in each case, as defined in certain of the transaction agreements entered into in connection with the original issuance of the Series A Preferred Stock) ceases to hold at least 50.1% of the Series A Preferred Stock held by it as of the Closing Date, one of whom must be unaffiliated with (and independent of) the Preferred Equityholders and who must meet the definition of “independent” under the listing standards of the New York Stock Exchange, and by the SEC; and (b) all such designee directors of the Preferred Equityholders will be subject to consideration by the Board (acting in good faith and consistent with their review of other Board candidates) and (2) the provision in the certificate of designation of the Company’s Series A Senior Preferred Stock that eliminated the Preferred Equityholders’ director designation rights upon the Company’s achievement of certain amounts of EBITDA will be deleted (and the equivalent provision in that certain Investors’ Rights Agreement, dated as of February 24, 2022, by and among the Company and the Preferred Equityholders listed therein, will also be deleted).
In addition, the A&R TSA contains certain representations, warranties and other agreements by the Company and the Parties. The Company’s and the Parties’ obligations under the A&R TSA are, and the closing of the Transaction is, subject to various customary terms and conditions set forth therein, including the execution and delivery of definitive documentation and approval by the Company’s stockholders.
25
Table of Contents
Credit Agreement Amendment
The Credit Agreement Amendment provides, among other things, (i) a reduction of the thresholds applicable to the minimum liquidity financial covenant under the 2022 Credit Agreement for certain periods, (ii) a waiver of the requirement to comply with the Secured Net Leverage Ratio financial covenant under the 2022 Credit Agreement for the fiscal quarters ending June 30, 2024, September 30, 2024 and December 31, 2024 and a modification of the levels and certain component definitions applicable thereto in the fiscal quarters ending after December 31, 2024, (iii) an extension of the minimum liquidity financial covenant for the fiscal quarters in which the Secured Net Leverage Ratio financial covenant was waived, (iv) a waiver of the requirement for the Company to deliver audited financial statements without certain going concern qualifications for the years ended December 31, 2022, December 31, 2023, and December 31, 2024, (v) an increase in the interest rate payable on the existing term loans and revolving loans until the achievement of a specified financial metric and (vi) board representation and observer rights and other changes to the governance of the Company.
Note Purchase Agreement and Series B Preferred Stock
The Note Purchase Agreement contains customary representations, warranties, conditions and indemnification obligations by each party thereto. The representation, warranties and covenants contained therein were made only for the purposes of the Note Purchase Agreement, and as of specific dates, were solely for the benefit of the parties to such agreement and are subject to certain limitations set forth therein.
Draws. Draws on the Delayed Draw Amounts will be available beginning immediately on the Closing Date and ending on the date that is 18 months after the Closing Date, the Company may request either (i) two draws in an amount of $12.5 million each, or (ii) one draw in an amount of $25.0 million, subject in each case to, (a) projected liquidity at any time during the 6-month period following the date of the relevant draw being below either (i) $20 million or (ii) the prevailing minimum liquidity covenant threshold, as follows (in thousands):determined by reference to the Credit Agreement and (b) the consent of at least a majority of the disinterested directors on our Board. The Note Purchase Agreement also provides, subject to certain conditions (including the receipt of commitments therefor) and consent rights outlined in the Note Purchase Agreement for the ability of the Company to issue up to an additional $150.0 million in Notes. Proceeds of the Notes may be used for general corporate purposes, subject to certain exceptions.
2022 (remainder of year)$— 
2023— 
2024— 
2025— 
2026— 
Thereafter500,889 
Total future maturities500,889 
Unamortized original issue discount and debt issuance costs(20,983)
Total debt, net$479,906 
Interest. The Notes will bear interest at a rate of 8.00% per annum, payable quarterly in-kind in the form of additional Notes by capitalizing the amount of such interest on the outstanding principal balance of the Notes in arrears on each interest payment date.
Maturity. The Notes will mature on August 24, 2028, unless earlier repurchased or converted.
Conversion. The Notes may be converted, in whole or in part (if the portion to be converted is $1,000 principal amount or an integral multiple thereof), at the option of the holder, into shares of Common Stock based on the Conversion Price.
Forced Conversion. On or after the second anniversary of the Closing Date, the Company may, at its option, from time to time, elect to convert a portion of the outstanding Notes into the number of shares of Common Stock issuable upon conversion based on the Conversion Price then in effect, subject in each case to the satisfaction of the conditions contained in the Note Purchase Agreement.

26
Table of Contents
Adjustments to Conversion Price. The Conversion Price is subject to adjustment as a result of certain events including, but not limited to, certain issuances of Common Stock as a dividend or distribution, issuances of rights, options or warrants to purchase Common Stock at a price per share less than the average closing price per share of Common Stock for the ten trading days preceding the date of announcement of such issuance, effecting a share split or combination of the shares of Common Stock, issuance of a cash dividend or distribution and other issuances for a consideration per share less than the Conversion Price.
Guarantees; Collateral; Ranking. The Notes will be guaranteed by Wilco, Holdings, the Borrower, and the subsidiaries of ATI Holdings Acquisition, Inc. that guaranty the obligations under the Credit Agreement. The Notes will be secured by the same collateral that secures the obligations under the Credit Agreement.
Pursuant to the terms of an intercreditor and subordination agreement, the Notes (and the guarantees thereof) will rank junior in right of payment to the obligations under the Credit Agreement, and the liens on the collateral securing the Notes will rank junior to the liens on such collateral securing the obligations under the Credit Agreement.
Other Covenants. The Note Purchase Agreement includes affirmative and negative covenants (other than financial covenants) that are substantially consistent with the Credit Agreement, as well as customary events of default.
Voting. The Company will issue to each holder of Notes shares of Series B Preferred Stock in an amount equal to the quotient (rounded down to the nearest whole number) obtained by dividing (A) the amount paid by such holder to the Company for the Notes by (B) $1,000, resulting in more votes per share of Series B Preferred Stock than one share of Common Stock. Notwithstanding that one share of Series B Preferred Stock shall represent more votes than one share of Common Stock, the holders of shares of Series B Preferred Stock shall have full voting rights and powers equal to the voting rights and powers of the holders of Common Stock, and shall be entitled to notice of any stockholders' meeting in accordance with the bylaws of the Company, shall be entitled to vote, together with holders of Common Stock, with respect to any question upon which holders of Common Stock have the right to vote. Fractional votes shall not, however, be permitted, and any fractional voting rights available on an as-converted basis (after aggregating all shares into which shares of Series B Preferred Stock held by each holder could be converted) shall be rounded down to the nearest whole share of Series B Preferred Stock.
The Series B Preferred Stock shall not have any dividend or redemption rights and, in the event of any voluntary or involuntary liquidation, dissolution or winding up of the Company, the holders of Series B Preferred Stock shall be entitled to be paid out of the assets of the Company available for distribution to its stockholders, after satisfying any senior payment obligations and before any payment in respect of any Common Stock, an amount per share of Series B Preferred Stock equal to $0.0001.
The Series B Preferred Stock shall be governed in all respects by Delaware law.
The Transaction is subject to the execution of the Definitive Documents, as well as customary closing conditions. In addition, the closing of the Transaction and the matters contemplated by each of the A&R TSA, Credit Agreement Amendment and Note Purchase Agreement, are subject in each case to approval by the Company’s stockholders.
There is no assurance that the Transaction will be consummated on the terms as described above, on a timely basis or at all.
27
Table of Contents
Note 9. Share-Based Compensation
The Company recognizes compensation expense for all share-based compensation awarded to employees, net of forfeitures, using a fair value-based method. The grant-date fair value of each award is amortized to expense on a straight-line basis over the award’s vesting period. Compensation expense associated with share-based awards is included in salaries and related costs and selling, general and administrative expenses in the accompanying condensed consolidated statements of operations, depending on whether the award recipient is a clinic-level or corporate employee, respectively. Share-based compensation expense is adjusted for forfeitures as incurred.
ATI 2021 Equity Incentive Plan
The Company adopted the ATI Physical Therapy 2021 Equity Incentive Plan (the "2021 Plan") under which it may grant equity interests of ATI Physical Therapy, Inc., in the form of stock options, stock appreciation rights, restricted stock awards and restricted stock units, to members of management, key employees and independent directors of the Company and its subsidiaries. The Compensation Committee is authorized to make grants and to make various other decisions under the 2021 Plan. The maximum number of shares reserved for issuance under the 2021 Plan is approximately 21.3 million. As of September 30, 2022,The Company intends to amend, subject to stockholder approval, the 2021 Plan to increase the share reserve by 37.0 million Class A common shares. If approved, approximately 9.212.0 million shares werewould have been available for future grant.grant as of March 31, 2023.
20222023 grants
During the ninethree months ended September 30, 2022,March 31, 2023, the Company granted stock options and restricted stock units ("RSUs") to certain employees and independent directors of the Company.Company, which are subject to stockholder approval of an increase to the share reserve under the 2021 Plan. For the ninethree months ended September 30, 2022,March 31, 2023, approximately 6.4 million stock options and 5.436.3 million RSUs were granted under the 2021 Plan. The weighted averageweighted-average grant date fair values related to the 2022 grantsRSUs granted were $0.98 and $2.08 for the stock options and RSUs, respectively.
29
Table of Contents
The fair values of each stock option granted was determined using the Black-Scholes option-pricing model. As the Company does not have sufficient historical share option exercise experience for such "plain-vanilla" awards, the expected option term was determined using the simplified method, which is the average of the option's vesting and contractual term. Volatility is measured using the historical volatility of certain comparable companies, using daily log-returns of stock prices, as adjusted for the impact of financial leverage. The risk-free interest rate reflects the U.S. Treasury yield curve in effect at the time of the grant. The following weighted-average assumptions were used for the options granted in 2022:
2022
Weighted-average grant-date fair value of options$0.98
Risk-free interest rate1.74%
Term (years)6.2
Volatility61.19%
Expected dividend—%
$0.34.
As of September 30, 2022,March 31, 2023, the unrecognized compensation expense related to stock optionsoutstanding RSUs was $5.5$16.6 million, to be recognized over a weighted-average period of 3.0 years, and the unrecognized compensation expense related to RSUs was $7.6 million, to be recognized over a weighted-average period of 2.12.6 years.
Total non-cash share-based compensation expense recognized in the three and nine months ended September 30, 2022March 31, 2023 was approximately $1.9 million and $5.8 million, respectively.$1.5 million.
Note 10. Mezzanine and Stockholders' Equity
ATI Physical Therapy, Inc. Series A Senior Preferred Stock
In connection with the 2022 Debt Refinancing, the Company issued 165,000 shares of non-convertible preferred stock (the "Series A Senior Preferred Stock") plus 5.2 million warrants to purchase shares of the Company's common stock at an exercise price of $3.00 per share (the "Series I Warrants") and warrants to purchase 6.3 million shares of the Company's common stock at an exercise price equal to $0.01 per share (the "Series II Warrants"). The shares of the Series A Senior Preferred Stock have a par value of $0.0001 per share and an initial stated value of $1,000 per share, for an aggregate initial stated value of $165.0 million. The Company is authorized to issue 1.0 million shares of preferred stock per the Certificate of Designation. As of September 30, 2022,March 31, 2023, there was 0.2 million shares of Series A Senior Preferred Stock issued and outstanding.
28
Table of Contents
The gross proceeds received from the issuance of the Series A Senior Preferred Stock and the Series I and Series II Warrants were $165.0 million, which was allocated among the instruments based on the relative fair values of each instrument. Of the gross proceeds, $144.7 million was allocated to the Series A Senior Preferred Stock, $5.1 million to the Series I Warrants and $15.2 million to the Series II Warrants. The resulting discount on the Series A Senior Preferred Stock will be recognized as a deemed dividend when those shares are subsequently remeasured upon becoming redeemable or probable of becoming redeemable. The Company recognized $2.9 million in issuance costs and $1.4 million of original issue discount related to the Series A Senior Preferred Stock.
30
Table of Contents
The following table reflects the components of proceeds related to the Series A Senior Preferred Stock (in thousands):
Gross proceeds allocated to Series A Senior Preferred Stock$144,667 
Less: original issue discount(1,447)
Less: issuance costs(2,880)
Net proceeds received from issuance of Series A Senior Preferred Stock$140,340 
The Series A Senior Preferred Stock has priority over the Company's Class A common stock and all other junior equity securities of the Company, and is junior to the Company's existing or future indebtedness and other liabilities (including trade payables), with respect to payment of dividends, distribution of assets, and all other liquidation, winding up, dissolution, dividend and redemption rights.
The Series A Senior Preferred Stock carries an initial dividend rate of 12.0% per annum (the "Base Dividend Rate"), payable quarterly in arrears. Dividends will be paid in-kind and added to the stated value of the Series A Senior Preferred Stock. The Company may elect to pay dividends on the Series A Senior Preferred Stock in cash beginning on the third anniversary of the Refinancing Date and, with respect to any such dividends paid in cash, the dividend rate then in effect will be decreased by 1.0%.
The Base Dividend Rate is subject to certain adjustments, including an increase of 1.0% per annum on the first day following the fifth anniversary of the Refinancing Date and on each one-year anniversary thereafter, and 2.0% per annum upon the occurrence of either an Event of Noncompliance (as defined in the Certificate of Designation) or a failure by the Company to redeem in full all Series A Senior Preferred Stock upon a Mandatory Redemption Event, which includes a change of control, liquidation, bankruptcy or certain restructurings. The paid in-kind dividends related to the Series A Preferred Stock were $5.3 million and $12.3$1.9 million for the three and nine months ended September 30,March 31, 2023 and 2022, respectively. As of September 30, 2022,March 31, 2023, the accumulated paid in-kind dividends related to the Series A Preferred Stock were $12.3$23.2 million and the aggregate stated value was $177.3$188.2 million.
The following table presents the changeChanges in the aggregate stated value and stated value per share of the Series A Senior Preferred Stock sinceconsisted of the Refinancing Datefollowing (in thousands, except per share data):
Series A Senior Preferred Stock
Aggregate stated value as of February 24, 2022$165,000 
Accumulated paid in-kind dividends as of September 30, 202212,263 
Aggregate stated value as of September 30, 2022$177,263 
Preferred shares issued and outstanding as of September 30, 2022165
Stated value per share as of September 30, 2022$1,074.32
March 31, 2023December 31, 2022
Aggregate stated value, beginning of period$182,876 $165,000 
Paid in-kind dividends(1)
5,303 17,876 
Aggregate stated value, end of period$188,179 $182,876 
Preferred shares issued and outstanding, end of period165165
Stated value per share, end of period$1,140.48$1,108.34
(1) Changes in the stated value for the year ended December 31, 2022 represent changes since the Refinancing Date, which is when the Series A Senior Preferred Stock was issued and established.
29
Table of Contents
The Company has the right to redeem the Series A Senior Preferred Stock, in whole or in part, at any time (subject to certain limitations on partial redemptions). The Redemption Price (as defined in the Certificate of Designation) for each share of Series A Senior Preferred Stock dependsis equal to the stated value subject to certain price adjustments depending on when such optional redemption takes place, if at all.
31
Table of Contents
The Series A Senior Preferred Stock is perpetual and is not mandatorily redeemable at the option of the holders, except upon the occurrence of a Mandatory Redemption Event (as defined in the Certificate of Designation).Event. Upon the occurrence of a Mandatory Redemption Event, to the extent not prohibited by law, the Company is required to redeem all Series A Senior Preferred Stock, in cash, at a price per share equal to the then applicable Redemption Price. Because the Series A Senior Preferred Stock is mandatorily redeemable contingent on certain events outside the Company’s control, such as a change in control, the Series A Senior Preferred Stock is classified as mezzanine equity in the Company's condensed consolidated balance sheets. Based on the Company’s assessment of the conditions which would trigger the redemption of the Series A Senior Preferred Stock, the Company has determined that the Series A Senior Preferred Stock is neither currently redeemable nor probable of becoming redeemable. Because the Series A Senior Preferred Stock is classified as mezzanine equity and is not considered redeemable or probable of becoming redeemable, the paid in-kind dividends that are added to the stated value do not impact the carrying value of the Series A Senior Preferred Stock in the Company’s condensed consolidated balance sheets. Should the Series A Senior Preferred Stock become probable of becoming redeemable, the Company will recognize changes in the redemption value of the Series A Senior Preferred Stock immediately as they occur and adjust the carrying amount accordingly at the end of each reporting period. As of September 30, 2022,March 31, 2023, the redemption value of the Series A Senior Preferred Stock was $177.3$188.2 million, which is the stated value.
If an Event of Noncompliance occurs, then the holders of a majority of the then outstanding shares of Series A Senior Preferred Stock (the “Majority Holders”) have the right to demand that the Company engage in a sale/refinancing process to consummate a Forced Transaction (as defined in the Certificate of Designation).Transaction. A Forced Transaction includes a refinancing of the Series A Senior Preferred Stock or a sale of the Company. Upon consummation of any Forced Transaction, to the extent not prohibited by law, the Company is required to redeem all Series A Senior Preferred Stock, in cash, at a price per share equal to the then applicable Redemption Price.
Holders of shares of Series A Senior Preferred Stock have no voting rights with respect to the Series A Senior Preferred Stock except as set forth in the Certificate of Designation, other documents entered into in connection with the Purchase Agreement and the transactions contemplated thereby, (collectively, the “Transaction Documents”), or as otherwise required by law. For so long as any Series A Senior Preferred Stock is outstanding, the Company is prohibited from taking certain actions without the prior consent of the Majority Holders as set forth in the Certificate of Designation which include: issuing equity securities ranking senior to or pari passu with the Series A Senior Preferred Stock, incurring indebtedness or liens, engaging in affiliate transactions, making restricted payments, consummating certain investments or asset dispositions, consummating a change of control transaction unless the Series A Senior Preferred Stock is redeemed in full, altering the Company’s organizational documents, and making material changes to the nature of the Company’s business.
Holders of Series A Senior Preferred Stock, voting as a separate class, have the right to designate and elect one director to serve on the Company’s board of directors until such time after the Refinancing Date that (i) as of any applicable fiscal quarter end, the Company’s trailing 12-month Consolidated Adjusted EBITDA (as defined in the Certificate of Designation) exceeds $100 million, or (ii) the Lead Purchaser ceases to hold at least 50.1% of the Series A Senior Preferred Stock held by it as of the Refinancing Date.
3230
Table of Contents
2022 Warrants
In connection with the Preferred Stock Financing, the Company agreed to issue to the preferred stockholders the Series I Warrants entitling the holders thereof to purchase 5.2 million shares of the Company's common stock at an exercise price equal to $3.00 per share, exercisable for 5 years from the Refinancing Date; and the Series II Warrants entitling holders thereof to purchase 6.3 million shares of the Company's common stock, at an exercise price equal to $0.01 per share, exercisable for 5 years from the Refinancing Date (collectively, the "2022 Warrants"). Such number of shares of common stock purchasable pursuant to the 2022 Warrant Agreement (the "2022 Warrant Shares")and related exercise prices may be adjusted from time to time under certain scenarios as set forth in the 2022 Warrant Agreement.Agreement, which relate to potential changes in the Company's capital structure.
The 2022 Warrants are classified as equity instruments and were initially recorded at an amount equal to the proceeds received from the Preferred Stock Financing allocated among the Series A Senior Preferred Stock, the Series I Warrants, and the Series II Warrants based upon their relative fair values. Of the gross proceeds, $5.1 million was allocated to the Series I Warrants and $15.2 million was allocated to the Series II Warrants. The Company recognized total issuance costs and original issue discount of approximately $0.2 million and $0.5 million related to the Series I Warrants and Series II Warrants, respectively.
The following table reflects the components of proceeds related to the 2022 Warrants (in thousands):
Series I WarrantsSeries II WarrantsTotal
Gross proceeds allocated to 2022 Warrants$5,101 $15,232 $20,333 
Less: original issue discount(51)(152)(203)
Less: issuance costs(102)(303)(405)
Net proceeds received from issuance of 2022 Warrants$4,948 $14,777 $19,725 
Class A common stock
The Company is authorized to issue 470.0 million shares of Class A common stock with a par value of $0.0001 per share. Holders of the Company’s Class A common stock are entitled to one vote for each share on each matter on which they are entitled to vote. At September 30, 2022,March 31, 2023, there were 207.3208.7 million shares of Class A common stock issued and 198.1199.5 million shares outstanding.
As a result of the recapitalization associated with the Business Combination, shares are reflected as if they were issued and outstanding as of the earliest reported period to reflect the new capital structure. At the time of the Business Combination, stockholders of Wilco Holdco, Inc. received 130.3 million shares of the Company’s Class A common stock, par value $0.0001 per share, for the outstanding shares of Wilco Holdco common stock, par value $0.01 per share, that such stockholders owned. Upon distribution of shares to holders of unvested Incentive Common Units granted prior to the Business Combination under the Wilco Acquisition, LP 2016 Equity Incentive Plan, 2.0 million of these shares were restricted subject to vesting requirements, resulting in total unrestricted shares of 128.3 million and an exchange ratio of 136.7 unrestricted shares of ATI Physical Therapy, Inc. for every previously outstanding Wilco Holdco share.
33
Table of Contents
As of September 30, 2022,March 31, 2023, shares of Class A common stock reserved for potential future issuance, on an as-if converted basis, were as follows (in thousands):
September 30, 2022March 31, 2023
Shares available for grant under the 2021 Plan(1)
9,15412,041 
2021 Plan share-based awards outstanding(2)
11,54944,239 
Earnout Shares reserved15,000 
2022 Warrants outstanding11,498 
IPO Warrants outstanding9,867 
Vesting Shares reserved(1)(3)
8,625 
Restricted shares(1,2)(3)
509364 
Total shares of common stock reserved66,202101,634 
(1)Represents shares of Class A common stock available for grant if the proposed increase to 2021 Plan share reserve and 2023 grants are approved by stockholders. Refer to Note 9 - Share-Based Compensation for further details.
(2) Represents share-based awards outstanding under the 2021 Plan if the proposed increase to 2021 Plan share reserve and 2023 grants are approved by stockholders. Refer to Note 9 - Share-Based Compensation for further details.
31
Table of Contents
(3) Represents shares of Class A common stock legally issued, but not outstanding, as of September 30, 2022.
(2) Represents a portion of the 2.0 million restricted shares distributed following the Business Combination to holders of unvested Incentive Common Units under the Wilco Acquisition, LP 2016 Equity Incentive Plan.March 31, 2023.
Treasury stock
During the ninethree months ended September 30, 2022,March 31, 2023, the Company net settled 0.030.16 million shares of its Class A common stock related to employee tax withholding obligations associated with the Company's share-based compensation program. These shares are reflected at cost as treasury stock in the condensed consolidated financial statements. As of September 30, 2022,March 31, 2023, there were 0.060.24 million shares of treasury stock totaling $0.1$0.2 million recognized in the condensed consolidated balance sheets.
Note 11. Wilco Holdco Redeemable Preferred Stock
On May 10, 2016, Wilco Holdco, Inc. issued shares of Series A Preferred Stock (the “Wilco Holdco preferred stock”) for a total consideration value of $98.0 million. Prior to the Business Combination, the Wilco Holdco preferred stock was a class of equity that had priority over the Common Stock with respect to distribution rights, liquidation rights and dividend rights.
The Wilco Holdco preferred stockholders, from and after issuance, were entitled to cumulative preferred dividends at an annual rate per share equal to 10.25% of the original issue price. The dividend rate of the Wilco Holdco preferred stock increased by 0.25% at the end of each fiscal quarter beginning after the second anniversary of the issuance of the Wilco Holdco preferred stock.
Based on the terms of the Wilco Holdco preferred stockholder agreement, Wilco Holdco, Inc. was required to redeem all outstanding shares of preferred stock upon the occurrence of certain events, such as those related to full repayment of the 2016 first and second lien credit agreements or a deemed liquidating event.Based on these redemption requirements, the Wilco Holdco preferred stock was classified as debt (redeemable preferred stock) in the Company’s historical consolidated balance sheets.
Cumulative dividends related to the Wilco Holdco preferred stock were accrued as preferred dividends that increased the balance of the redeemable preferred stock on the Company’s consolidated balance sheets and were recognized as interest expense on redeemable preferred stock in the Company’s consolidated statements of operations. For the three and nine months ended September 30, 2021, the Company incurred cumulative preferred dividends related to the preferred stock of zero and $10.1 million, respectively. No dividends were paid related to the preferred stock.
34
Table of Contents
In connection with the Business Combination, holders of the outstanding shares of Wilco Holdco Series A Preferred Stock received a proportionate share of $59.0 million and 12.8 million shares of Class A common stock based on the settlement terms in the Merger Agreement. During 2021, the Company recorded a loss on settlement of redeemable preferred stock in the condensed consolidated statement of operations of $14.0 million based on the value of the cash and equity provided to preferred stockholders in relation to the outstanding redeemable preferred stock liability. As a result of the Business Combination, the balance of redeemable preferred stock was fully settled.
Note 12.11. IPO Warrant Liability
The Company has outstanding Public Warrantspublic warrants to purchase an aggregate of 6.9 million shares of the Company’s Class A common stock at an exercise price of $11.50 per share ("Public Warrants") and outstanding Private Placement Warrantsprivate placement warrants to purchase an aggregate of 3.0 million shares of the Company's Class A common stock at an exercise price of $11.50 per share.share ("Private Placement Warrants") (collectively, the "IPO Warrants"). There were no IPO Warrants exercised during the three and nine months ended September 30, 2022March 31, 2023.
The Company accounts for its outstanding IPO Warrants in accordance with the guidance contained in Accounting Standards CodificationASC 815-40, Derivatives and Hedging - Contracts on an Entity’s Own Equity, and determined that the IPO Warrants do not meet the criteria for equity treatment thereunder. As such, each IPO Warrant must be recorded as a liability and is subject to re-measurement at each balance sheet date. Refer to Note 1413 - Fair Value Measurements for further details. Changes in fair value are recognized in change in fair value of warrant liability in the Company’s condensed consolidated statements of operations.
The following table presents the change in the fair value of Private Placement Warrants that is recognized in change in fair value of warrant liability in the condensed consolidated statementstatements of operations for the periods indicated below (in thousands):
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Fair value, beginning of period(1)
$445 $6,734 $1,305 $8,099 
Changes in fair value(238)(4,776)(1,098)(6,141)
Fair value, end of period$207 $1,958 $207 $1,958 
(1) The nine months ended September 30, 2021 represents changes in fair value from the Closing Date of the Business Combination, which is when the liabilities were established.
Three Months Ended
March 31, 2023March 31, 2022
Fair value, beginning of period$29 $1,305 
Increase (decrease) in fair value60 (504)
Fair value, end of period$89 $801 
The following table presents the changes in the fair value of the Public Warrants that is recognized in change in fair value of warrant liability in the condensed consolidated statements of operations for the periods indicated below (in thousands):
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Fair value, beginning of period(1)
$1,035 $15,663 $3,036 $18,837 
Changes in fair value(552)(11,109)(2,553)(14,283)
Fair value, end of period$483 $4,554 $483 $4,554 
(1) The nine months ended September 30, 2021 represents changes in fair value from the Closing Date of the Business Combination, which is when the liabilities were established.
Three Months Ended
March 31, 2023March 31, 2022
Fair value, beginning of period$69 $3,036 
Increase (decrease) in fair value138 (1,173)
Fair value, end of period$207 $1,863 
3532
Table of Contents
Note 13.12. Contingent Common Shares Liability
Earnout Shares
Subject to the terms and conditions of the Merger Agreement,merger agreement between Wilco Holdco, Inc. and Fortress Value Acquisition Corp. II (herein referred to as "FAII" and "FVAC"), certain stockholders of Wilco Holdco, Inc. were provided the contingent right to receive, in the aggregate, up to 15.0 million shares of Class A common stock if, from the closing of the Business CombinationCompany's business combination with FAII until the 10th anniversary thereof, the dollar volume-weighted average price (“VWAP”) of Class A common stock exceeds certain thresholds.thresholds (the "Earnout Shares"). The Earnout Shares vest in three equal tranches of 5.0 million shares each if the VWAP of Class A common stock exceeds $12.00, $14.00 and $16.00 per share, respectively, over the designated period of time.
The Earnout Shares are subject to acceleration in the event of a sale or other change in control if the holders of Class A common stock would receive a per share price in excess of the applicable Earnout Shares price target. The Company accounts for the potential Earnout Shares as a liability in accordance with the guidance in ASC 480, Distinguishing Liabilities from Equity, and ASC 815, Derivatives and Hedging, and is subject to re-measurement at each balance sheet date. Changes in fair value are recognized in the Company’s condensed consolidated statements of operations. As of September 30, 2022,March 31, 2023, no Earnout Shares have been issued as none of the corresponding share price thresholds have been met.
The following table presents the changes in the fair value of the Earnout Shares that is recognized in change in fair value of contingent common shares liability in the condensed consolidated statements of operations for the periods indicated below (in thousands):
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Fair value, beginning of period(1)
$12,400 $126,700 $28,800 $140,000 
Changes in fair value(4,400)(92,900)(20,800)(106,200)
Fair value, end of period$8,000 $33,800 $8,000 $33,800 
(1) The nine months ended September 30, 2021 represents changes in fair value from the Closing Date of the Business Combination, which is when the liabilities were established.
Three Months Ended
March 31, 2023March 31, 2022
Fair value, beginning of period$1,800 $28,800 
Decrease in fair value(450)(15,450)
Fair value, end of period$1,350 $13,350 
Refer to Note 1413 - Fair Value Measurements for further details.
Vesting Shares
Subject to the terms and conditions of the Sponsor Letter Agreementsponsor letter agreement that was executed in connection with the Merger Agreement,merger agreement between Wilco Holdco, Inc. and FAII, 8.6 million shares of Class F common stock of FAII outstanding immediately prior to the Business CombinationCompany's business combination with FAII converted to potential Class A common shares and became subject to vesting and forfeiture provisions.provisions (the "Vesting Shares"). The Vesting Shares vest in three equal tranches of 2.9 million shares each if the VWAP of Class A common stock exceeds $12.00, $14.00 and $16.00 per share, respectively, over the designated period of time. The Vesting Shares are subject to acceleration in the event of a sale or other change in control if the holders of Class A common stock would receive a per share price in excess of the applicable Vesting Shares price target.
The Company accounts for the Vesting Shares as a liability in accordance with the guidance in ASC 480, Distinguishing Liabilities from Equity, and ASC 815, Derivatives and Hedging, and is subject to re-measurement at each balance sheet date. Changes in fair value are recognized in the Company’s condensed consolidated statements of operations.As of September 30, 2022,March 31, 2023, no Vesting Shares are outstanding as none of the corresponding share price thresholds have been met.
3633
Table of Contents
The following table presents the changes in the fair value of the Vesting Shares that is recognized in change in fair value of contingent common shares liability in the condensed consolidated statements of operations for the periods indicated below (in thousands):
Three Months EndedNine Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021
Fair value, beginning of period(1)
$7,130 $72,852 $16,560 $80,500 
Changes in fair value(2,530)(53,417)(11,960)(61,065)
Fair value, end of period$4,600 $19,435 $4,600 $19,435 
(1) The nine months ended September 30, 2021 represents changes in fair value from the Closing Date of the Business Combination, which is when the liabilities were established.
Three Months Ended
March 31, 2023March 31, 2022
Fair value, beginning of period$1,035 $16,560 
Decrease in fair value(259)(8,884)
Fair value, end of period$776 $7,676 
Refer to Note 1413 - Fair Value Measurements for further details.
Note 14.13. Fair Value Measurements
The Company determines fair value measurements used in its condensed consolidated financial statements based upon the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Fair value is estimated by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels, with Level 1 having the highest priority and Level 3 having the lowest.
•Level 1: Observable inputs, which include unadjusted quoted prices in active markets for identical instruments.
•Level 2: Observable inputs other than Level 1 inputs, such as quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the instruments.
•Level 3: Unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions, such as valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.
As of September 30, 2022March 31, 2023 and December 31, 20212022, respectively, the recorded values of cash and cash equivalents, accounts receivable, other current assets, accounts payable, accrued expenses and deferred revenue approximate their fair values due to the short-term nature of these items. Money market funds categorized in Level 1 of the fair value hierarchy are measured at fair value based on quoted market prices. As of March 31, 2023 and December 31, 2022, respectively, the fair value of money market fund investments included in cash and cash equivalents was zero and $30.0 million.
The Company's Senior Secured Term Loan and Revolving Loans are Level 2 fair value measures which have variable interest rates and, as of September 30, 2022,March 31, 2023, the recorded amounts approximate fair value. The Company utilizes the market approach valuation technique based on interest rates and credit data that are currently available to the Company for issuance of debt with similar terms or maturities.
Fair value measurement of share-based financial liabilities
The Company determined the fair value of the Public Warrant liability using Level 1 inputs.
The Company determined the fair value of the Private Placement Warrant liability using the price of the Public Warrants as a Level 2 input.
3734
Table of Contents
The Company determined the fair value of the Earnout Shares liability and Vesting Shares liability using Level 3 inputs. The contingent common shares contain specific market conditions to determine whether the shares vest based on the Company’s common stock price over a specified measurement period. Given the path-dependent nature of the requirement in which the shares are earned, a Monte-Carlo simulation was used to estimate the fair value of the liability. The Company’s common stock price was simulated to each measurement period based on the above methodology. In each iteration, the simulated stock price was compared to the conditions under which the shares vest. In iterations where the stock price corresponded to shares vesting, the future value of the vestingcontingent common shares was discounted back to present value. The fair value of the liability was estimated based on the average of all iterations of the simulation.
Inherent in a Monte CarloMonte-Carlo valuation model are assumptions related to expected stock-price volatility, expected term, risk-free interest rate and dividend yield. The Company estimates the volatility based on the historical volatility of certain guideline companies as of the valuation date. The risk-free interest rate is based on the U.S. Treasury zero-coupon yield curve on the grant date for a maturity similar to the expected term of the Earnout Shares and Vesting Shares. The dividend yield percentage is zero based on the Company's current expectations related to the payment of dividends during the expected term of the Earnout Shares or Vesting Shares.
The key inputs into the Monte CarloMonte-Carlo option pricing model were as follows as of September 30, 2022March 31, 2023 and December 31, 20212022 for the respective Level 3 instruments:
Earnout SharesVesting SharesEarnout SharesVesting Shares
September 30, 2022December 31, 2021September 30, 2022December 31, 2021March 31, 2023December 31, 2022March 31, 2023December 31, 2022
Risk-free interest rateRisk-free interest rate3.85%1.50%3.85%1.50%Risk-free interest rate3.49%3.88%3.49%3.88%
VolatilityVolatility66.20%44.86%66.20%44.86%Volatility77.30%74.60%77.30%74.60%
Dividend yieldDividend yield—%—%—%—%Dividend yield—%—%—%—%
Expected term (years)Expected term (years)8.79.58.79.5Expected term (years)8.28.58.28.5
Share priceShare price$1.00$3.39$1.00$3.39Share price$0.25$0.31$0.25$0.31
Refer to Note 1312 - Contingent Common Shares Liability for further details on the change in fair value of the Earnout Shares and Vesting Shares.
Fair value measurement of interest rate derivative instruments
The Company is exposed to interest rate variability with regard to its existing variable-rate debt instrument, which exposure primarily relates to movements in various interest rates, such as SOFR. The Company utilizes interest rate cap derivative instruments for purposes of hedging exposures related to such variable-rate cash payments. The Company's interest rate caps are designated as cash flow hedging instruments.
The Company records derivatives on the balance sheet at fair value, which represents the estimated amounts it would receive or pay upon termination of the derivative prior to the scheduled expiration date. The fair value is derived from model-driven information based on observable Level 2 inputs, such as LIBORthe London InterBank Offered Rate ("LIBOR") or SOFR forward rates. For derivatives designated and that qualify as cash flow hedges of interest rate risk, the gain or loss on the derivative is recorded in accumulated other comprehensive income and subsequently reclassified into interest expense in the same period(s) during which the hedged transaction affects earnings.
3835
Table of Contents
As discussed in Note 2 – Basis of Presentation and Recent Accounting Standards, the Company has a derivative instrument for which the interest rate is indexed to LIBOR. During the period ended March 31, 2022, the Company modified the reference rate index on its hedged items from LIBOR to SOFR. The Company elected to apply the hedge accounting expedients under ASC Topic 848, Reference Rate Reform, related to probability and the assessments of effectiveness for future cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivative, which is LIBOR. As of September 30, 2022, the Company continues to apply the hedge accounting expedients and does not anticipate this guidance will have a material impact on its consolidated financial statements.
The following table presents the activity of cash flow hedges included in accumulated other comprehensive income (loss) for the three and nine months ended September 30,March 31, 2023 and 2022, and 2021, respectively (in thousands). Amounts reclassified into interest expense were immaterial for the periods presented::
Cash Flow Hedges
Balance as of December 31, 2022$4,899 
Unrealized loss recognized in other comprehensive income before reclassifications(99)
Reclassification to interest expense, net(3,357)
Balance as of March 31, 2023$1,443 
Balance as of December 31, 2021$28 
Unrealized gain recognized in other comprehensive income before reclassifications3,7523,681 
Reclassification to interest expense, net71 
Balance as of March 31, 20223,780 
Unrealized gain recognized in other comprehensive income2,708 
Balance as of June 30, 20226,488 
Unrealized gain recognized in other comprehensive income655 
Balance as of September 30, 2022$7,1433,780 
Balance as of December 31, 2020$
(1,907)
Unrealized gain recognized in other comprehensive income561 
Balance as of March 31, 2021(1,346)
Unrealized gain recognized in other comprehensive income636 
Balance as of June 30, 2021(710)
Unrealized gain recognized in other comprehensive income181 
Balance as of September 30, 2021$(529)
The following table presents the fair value of derivative assets and liabilities within the condensed consolidated balance sheets as of September 30, 2022March 31, 2023 and December 31, 20212022 (in thousands):
September 30, 2022December 31, 2021March 31, 2023December 31, 2022
AssetsLiabilitiesAssetsLiabilitiesAssetsLiabilitiesAssetsLiabilities
Derivatives designated as cash flow hedging instruments:Derivatives designated as cash flow hedging instruments:Derivatives designated as cash flow hedging instruments:
Other current assetsOther current assets$7,157 $— $— $— Other current assets$1,708 — $5,028 — 
Other non-current assetsOther non-current assets84 — 277 — Other non-current assets— — — — 
Accrued expenses and other liabilitiesAccrued expenses and other liabilities— 42 — 288 Accrued expenses and other liabilities— — — — 
Other non-current liabilitiesOther non-current liabilities— $237 — $73 
Note 15.14. Income Taxes
The effective tax rate and income tax benefitexpense for the three months ended September 30, 2022March 31, 2023 were 5.8%(0.2)% and $7.2$0.1 million, compared to an effective tax rate and income tax benefit of 9.8%14.4% and $35.3$23.3 million for the three months ended September 30, 2021. The effective tax rate and income tax benefit for the nine months ended September 30, 2022 were 10.0% and $43.5 million, compared to an effective tax rate and income tax benefit of 7.7% and $65.6 million for the nine months ended September 30, 2021.
39
Table of Contents
March 31, 2022.
The effective tax rate for the three and nine months ended September 30,March 31, 2023 was estimated based on full-year 2023 forecast. The estimated effective tax rate was different than the statutory rate primarily due to the recognition of valuation allowances against federal and state net operating losses and other tax attributes, such as interest disallowances, for which future realization is uncertain. The estimated effective tax rate applicable to year-to-date losses as adjusted for discrete items including nontaxable fair value adjustments related to liability-classified share-based instruments, resulted in a tax expense of $0.1 million for the three months ended March 31, 2023.
The effective tax rate for the three months ended March 31, 2022 was estimated based on full-year 2022 forecast. The estimated effective tax rate was different than the statutory rate primarily due to attributes in federal and state jurisdictions for which no benefit can be recognized and book impairment of goodwill. There was no tax basis established in a significant component of the goodwill impaired. As a result, the impairment had a substantial permanent impact on the effective tax rate. The estimated effective tax rate applicable to year-to-date losses as adjusted for discrete items including nontaxable fair value adjustments related to liability-classified share-based instruments, resulted in a tax benefit of $7.2$23.3 million for the three months ended September 30, 2022, and a tax benefitMarch 31, 2022.
36
Table of $43.5 million for the nine months ended September 30, 2022.Contents
The effective tax rate for the three and nine months ended September 30, 2021 was estimated based on full-year 2021 forecast. The effective tax rate was different than the statutory rate primarily due to book impairment of goodwill, nondeductible transactions costs and interest expense on redeemable preferred stock. The estimated effective tax rate applicable to year-to-date losses as adjusted for discrete items including the tax-effect of nondeductible impairment charges, nondeductible loss on settlement of redeemable preferred stock and fair value adjustments related to liability-classified share-based instruments, resulted in a tax benefit of $35.3 million for the three months ended September 30, 2021, and a tax benefit of $65.6 million for the nine months ended September 30, 2021.
In evaluating the Company's ability to recover deferred income tax assets, all available positive and negative evidence is considered, including scheduled reversal of deferred tax liabilities, operating results and forecasts of future taxable income in each of the jurisdictions in which the Company operates. As of September 30, 2022,March 31, 2023, the Company continues to maintain a valuation allowance related todetermined that a significant portion of its federal and state net operating loss carryforwards with definite and certain indefinite carryforward periods and certain deferred tax assets that are not more likely than not to be realized based on the weight of available evidence. As a result, the Company did not record a tax benefit against its current year losses due to the continued need for a valuation allowance.
Note 16.15. Leases
The Company leases various facilities and office equipment for its physical therapy operations and administrative support functions under operating leases. The Company’s initial operating lease terms are generally between 7 and 10 years, and typically contain options to renew for varying terms. Right-of-use ("ROU") assets and lease liabilities are recognized at the lease commencement date based on the present value of lease payments over the lease term. The amortization of operating lease ROU assets and the accretion of operating lease liabilities are reported together as fixed lease expense. The fixed lease expense is recognized on a straight-line basis over the life of the lease. If the ROU asset has been impaired, lease expense is no longer recognized on a straight-line basis. The lease liability continues to amortize using the effective interest method, while the ROU asset is subsequently amortized on a straight-line basis.
Lease costs are included as components of cost of services and selling, general and administrative expenses on the condensed consolidated statements of operations. Lease charges related to ROU asset impairments are included in goodwill, intangible and other asset impairment charges on the condensed consolidated statements of operations. Lease costs incurred by lease type were as follows for the periods indicated below (in thousands):
Three Months EndedNine Months EndedThree Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021March 31, 2023March 31, 2022
Lease costLease costLease cost
Operating lease costOperating lease cost$16,826 $16,096 $50,313 $47,822 Operating lease cost$16,689 $16,703 
Variable lease cost (1)
Variable lease cost (1)
5,198 4,425 15,734 14,361 
Variable lease cost (1)
5,362 5,205 
Total lease cost (2)
Total lease cost (2)
$22,024 $20,521 $66,047 $62,183 
Total lease cost (2)
$22,051 $21,908 
(1) Includes short term lease costs, which are immaterial .immaterial.
(2) Sublease income was immaterial .immaterial.
40
Table of Contents
During the ninethree months ended September 30,March 31, 2023 and 2022, and 2021, the Company modified the lease terms for a significant number of its real estate leases, primarily related to lease term extensions and renewals in the normal course of business. Modifications during the nine monthsyears ended September 30,March 31, 2023 and 2022 and 2021 resulted in an increase to the Company’s operating lease ROU assets and operating lease liabilities of approximately $11.0$5.9 million and $13.2$5.7 million, respectively.
37
Table of Contents
Other supplemental quantitative disclosures were as follows for the periods indicated below (in thousands):
Nine Months EndedThree Months Ended
September 30, 2022September 30, 2021March 31, 2023March 31, 2022
Cash paid for amounts included in the measurement of lease liabilities:Cash paid for amounts included in the measurement of lease liabilities:Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leasesOperating cash flows from operating leases$50,641 $48,918 Operating cash flows from operating leases$13,133 $16,438 
Cash payments related to lease terminations$— $4,570 
Right-of-use assets obtained in exchange for new operating lease liabilitiesRight-of-use assets obtained in exchange for new operating lease liabilities$8,404 $19,370 Right-of-use assets obtained in exchange for new operating lease liabilities$4,898 $5,142 
Average lease terms and discount rates as of September 30, 2022March 31, 2023 and December 31, 20212022 were as follows:
September 30, 2022December 31, 2021March 31, 2023December 31, 2022
Weighted-average remaining lease term:Weighted-average remaining lease term:Weighted-average remaining lease term:
Operating leasesOperating leases6.0 years6.4 yearsOperating leases5.8 years5.9 years
Weighted-average discount rate:Weighted-average discount rate:Weighted-average discount rate:
Operating leasesOperating leases6.8%6.5%Operating leases7.1%6.9%
Estimated undiscounted future lease payments under non-cancellable operating leases, along with a reconciliation of the undiscounted cash flows to operating lease liabilities, respectively, at September 30, 2022March 31, 2023 were as follows (in thousands):
YearYearYear
Amount(1)
2022 (remainder of year after September 30, 2022)$16,886 
202368,962 
2023 (remainder of year)2023 (remainder of year)$51,578 
2024202461,479 202464,446 
2025202551,983 202554,923 
2026202645,643 202648,378 
2027202737,201 
ThereafterThereafter101,471 Thereafter73,641 
Total undiscounted future cash flowsTotal undiscounted future cash flows346,424 Total undiscounted future cash flows330,167 
Less: Imputed InterestLess: Imputed Interest(64,598)Less: Imputed Interest(61,860)
Present value of future cash flowsPresent value of future cash flows$281,826 Present value of future cash flows$268,307 
Presentation on Balance Sheet
Presentation on Balance Sheet:Presentation on Balance Sheet:
CurrentCurrent$52,366 Current$51,911 
Non-currentNon-current$229,460 Non-current$216,396 
41
(1) Excludes $0.4 million of current portion of operating lease liabilities and $1.0 million of operating lease liabilities, respectively, reclassified as held for sale as of March 31, 2023. Refer to Note 3 - Divestitures for additional information.
Table of Contents
Note 17.16. Commitments and Contingencies
The Company has contractual commitments that are not required to be recognized in the condensed consolidated financial statements related to cloud computing and telecommunication services agreements. As of March 31, 2023, minimum amounts due under these agreements are approximately $15.2 million through January of 2026 subject to customary business terms and conditions.
38
Table of Contents
From time to time, the Company is a party to legal proceedings, governmental audits and investigations that arise in the ordinary course of business. Management is not aware of any legal proceedings, governmental audits and investigations of which the outcome is probable to have a material adverse effect on the Company’s results of operations, cash flows or financial condition. The outcome of any litigation and claims against the Company cannot be predicted with certainty, and the resolution of current or future claims could materially affect our future results of operations, cash flows or financial condition.
Section 205 proceeding
On March 2, 2023, we filed a petition in the Delaware Court of Chancery (the "Court of Chancery") pursuant to Section 205 of the Delaware General Corporation Law ("DGCL"), seeking validation of an amendment to our certificate of incorporation increasing the authorized shares of our Class A Common Stock (as further described below) and the shares issued pursuant thereto.
At a special meeting of the stockholders of the Company held on June 15, 2021 (the “Special Meeting”), a majority of the then-outstanding shares of the Company’s Class A Common Stock and Class F Common Stock, voting together as a single class, voted to approve the Company’s Second Amended and Restated Certificate of Incorporation, which, among other things, increased the authorized shares of the Company’s Class A Common Stock from 200,000,000 shares to 450,000,000 shares (the “Class A Increase Amendment”). Notwithstanding the fact that the proxy statement relating to the Special Meeting did not disclose that a separate vote of the Class A Common Stock was required, a majority of the then-outstanding shares of Class A Common Stock voted in favor of the Class A Increase Amendment.
A recent decision of the Court of Chancery has created uncertainty regarding the validity of the Class A Increase Amendment and whether a separate vote of the majority of the then-outstanding shares of Class A Common Stock would have been required under Section 242(b)(2) of the DGCL.
The Company has engagedcontinues to believe that a separate vote of Class A Common Stock was not required to approve the Class A Increase Amendment. However, in light of the recent discussions with a payor regarding a billing dispute related to certain historical claims. Management believes, based on discussions with its legal counsel, thatCourt of Chancery decision, the Company has meritorious defenses against such unasserted claim. However, basedfiled a petition in the Court of Chancery pursuant to Section 205 of the DGCL seeking validation of the Class A Increase Amendment and the shares issued pursuant thereto to resolve any uncertainty with respect to those matters. Section 205 of the DGCL permits the Court of Chancery, in its discretion, to validate potentially defective corporate acts and stock after considering a variety of factors.
On March 3, 2023, the Court of Chancery granted the motion to expedite and set a hearing date for the petition to be heard. On March 17, 2023, the Court of Chancery heard and orally granted the petition. On March 17, 2023, the Court of Chancery issued a final order granting the petition, thereby validating the Class A Increase Amendment and all shares of capital stock of the Company issued in reliance on the progressClass A Increase Amendment, eliminating the previous uncertainty that had been introduced by a recent decision of settlement discussions to avoid the costCourt of potential litigation,Chancery regarding the Company recorded an estimated charge for a probable net settlement liability related to the billing disputevalidity of $3.0 million, which is included in selling, general and administrative expenses in its condensed consolidated statement of operations.those provisions.
ShareholderStockholder class action complaints
On August 16, 2021, two purported ATI shareholders,stockholders, Kevin Burbige and Ziyang Nie, filed a putative class action complaint in the U.S. District Court for the Northern District of Illinois against ATI;ATI, Labeed Diab, Joe Jordan, and Drew McKnight (collectively, the “ATI Individual Defendants”);, and Joshua Pack, Marc Furstein, Leslee Cowen, Aaron Hood, Carmen Policy, Rakefet Russak-Aminoach, and Sunil Gulati (collectively, the “FVAC Defendants”). The Burbige/Nie complaint asserted claims against: (i) ATI and the ATI Individual Defendants under Section 10(b) of the Securities Exchange Act of 1934 (the “Exchange Act”); (ii) the ATI Individual Defendants under Section 20(a) of the Exchange Act; and (iii) all defendants under Section 14(a) of the Exchange Act. Plaintiffs Burbige and Nie purported to assert their claims on behalf of those ATI shareholders who purchased or otherwise acquired their ATI shares between April 1, 2021 and July 23, 2021, inclusive, and/or held FVAC Class A common shares as of May 24, 2021 and were eligible to vote at FVAC’s June 15, 2021 special meeting.
On October 7, 2021, another purported ATI shareholder,stockholder, City of Melbourne Firefighters' Retirement System ("City of Melbourne"), filed a nearly identical putative class action complaint in the U.S. District Court for the Northern District of Illinois against ATI, the ATI Individual Defendants, and the FVAC Defendants. Like the Burbige/Nie complaint, the City of Melbourne complaint asserted claims against (i) ATI and the ATI Individual Defendants under Section 10(b) of the Exchange Act; (ii) the ATI Individual Defendants under Section 20(a) of the Exchange Act; and (iii) all defendants under Section 14(a) of the Exchange Act. City of Melbourne purported to assert its claims on behalf of those ATI shareholders who purchased or otherwise acquired their ATI shares between February 22, 2021 and July 23, 2021, inclusive, and/or held FVAC Class A common shares as of May 24, 2021 and were eligible to vote at FVAC’s June 15, 2021 special meeting.
42
Table of Contents
On November 18, 2021, the court consolidated the cases and appointed The Phoenix Insurance Company Ltd. and The Phoenix Pension & Provident Funds as Lead Plaintiffs (“Leadlead plaintiffs (together, “Lead Plaintiffs”) and Pomerantz LLP as Lead Counsel. .
39
Table of Contents
On February 8, 2022, Lead Plaintiffs filed a consolidated amended complaint against ATI, the ATI Individual Defendants, and the FVAC Defendants, which asserts claims against (i) ATI and the ATI Individual Defendants under Section 10(b) of the Exchange Act; (ii) the ATI Individual Defendants under Section 20(a) of the Exchange Act (in connection with the Section 10(b) claim); (iii) all defendants under Section 14(a) of the Exchange Act; and (iv) the ATI Individual Defendants and the FVAC Defendants under Section 20(a) of the Exchange Act (in connection with the Section 14(a) claim). Lead Plaintiffs purport to assert these claims on behalf of those ATI shareholdersstockholders who purchased or otherwise acquired their ATI shares between February 22, 2021 and October 19, 2021, inclusive, and/or held FVAC Class A common shares as of May 24, 2021 and were eligible to vote at FVAC’s June 15, 2021 special meeting. The consolidated amended complaint like the predecessor Burbige/Nie and City of Melbourne complaints, generally alleges that the proxy materials for the FVAC/ATI merger, as well as other ATI disclosures (including the press release announcing ATI’s financial results for the first quarter of 2021), were false and misleading (and, thus, in violation of Sections 10(b) and 14(a) of the Exchange Act) because they failed to disclose that: (i) ATI was experiencing attrition among its physical therapists; (ii) ATI faced increasing competition for clinicians in the labor market; (iii) as a result, ATI faced difficulty retaining therapists and incurred increased labor costs; (iv) also as a result, ATI would open fewer new clinics; and (v) also as a result, the defendants’ positive statements about ATI’s business, operations, and prospects were materially misleading and/or lacked a reasonable basis. Lead Plaintiffs, on behalf of themselves and the putative class, seek money damages in an unspecified amount and costs and expenses, including attorneys’ and experts’ fees. On April 11, 2022, defendants filed motions to dismiss the consolidated amended complaint, which were fully briefed onas of July 25, 2022 and remain pending. The Company has determined that potential liabilities related to the consolidated amended complaint are not considered probable or reasonably estimable at this time.
ShareholderOn February 7, 2023, another purported ATI stockholder, Wendell Robinson, filed a putative class action complaint in the Court of Chancery of the State of Delaware against Fortress Acquisition Sponsor II, LLC, Andrew A. McKnight, Joshua A. Pack, Marc Furstein, Leslee Cowen, Aaron F. Hood, Carmen A. Policy, Rakefet Russak-Aminoach, Sunil Gulati, Daniel N. Bass, Micah B. Kaplan and Labeed Diab. The complaint asserts claims against: (i) Fortress Acquisition Sponsor II, LLC, Andrew A. McKnight, Joshua A. Pack, Marc Furstein, Leslee Cowen, Aaron F. Hood, Carmen A. Policy, Rafeket Russak-Aminoach, Sunil Gulati, Daniel N. Bass and Micah B. Kaplan for breach of fiduciary duty; and (ii) Labeed Diab for aiding and abetting breach of fiduciary duty. Plaintiff's allegations generally mirror those asserted in the federal stockholder class action described above, and Plaintiff further alleges that the alleged misrepresentations and omissions in the proxy materials for the FVAC/ATI merger prevented stockholders from making a fully informed decision on whether to approve the merger or have their shares redeemed. Defendants filed motions to dismiss on April 28, 2023, which remain pending.
40
Table of Contents
Stockholder derivative complaint
OnBetween December 1, 2021 anotherand September 22, 2022, five purported ATI shareholder, Hamza Ghaith,stockholders filed afour derivative action (the "Ghaith Action"),actions, purportedly on behalf of ATI, in the U.S. District Court for the Northern District of IllinoisIllinois. On November 21, 2022, four of these stockholder plaintiffs, Vinay Kumar, Brendan Reginbald, Ziyang Nie and Julia Chang, filed a consolidated amended complaint against Labeed Diab, Joe Jordan, John Larsen, John Maldonado, Carmine Petrone, Christopher Krubert, Joanne Burns Christopher Krubert,and James Parisi Drew McKnight, Joshua Pack, Aaron Hood, Carmen Policy, Marc Furstein, Leslee Cowen, Rafeket Russak-Aminoach, and Sunil Gulati (collectively, the “Ghaith Individual Defendants”). The Ghaith complaint asserts claims on behalf of ATI against: (i) the Ghaith Individual Defendants for breach of fiduciary duty; (ii) Labeed Diab, Joe Jordan, and Drew McKnight for contribution under Sections 10(b) and 21(d) of the Exchange Act; and (iii) Drew McKnight, Joshua Pack, Aaron Hood, Carmen Policy, Marc Furstein, Leslee Cowen, Rafeket Russak-Aminoach, and Sunil Gulati under Section 14(a) of the Exchange Act. Plaintiff Ghaith’s allegations generally mirror those asserted in the securities complaints described above, and the Ghaith complaint seeks damages in an unspecified amount, certain corporate governance reforms, restitution from the Ghaith Individual Defendants and disgorgement of all of their compensation, and costs and expenses, including attorneys’ and experts’ fees.
43
Table of Contents
On May 10, 2022, another purported ATI shareholder, Vinay Kumar, filed a derivative action (the “Kumar Action”), purportedly on behalf of ATI, in the U.S. District Court for the Northern District of Illinois against Labeed Diab, Joe Jordan, John Larsen, John Maldonado, Carmine Petrone, Joanne Burns, Teresa Sparks, James Parisi, Drew McKnight, Joshua Pack, Aaron Hood, Carmen Policy, Marc Furstein, Leslee Cowen, Rafeket Russak-Aminoach, and Sunil Gulati (collectively, the “Kumar Individual Defendants”). The Kumar complaint asserts claims on behalf of ATI against: (i) the Kumar Individual Defendants for breach of fiduciary duty; (ii) Labeed Diab, Joe Jordan, and Drew McKnight for contribution under Section 21D of the Exchange Act; (iii) Drew McKnight, Joshua Pack, Aaron Hood, Carmen Policy, Marc Furstein, Leslee Cowen, Rafeket Russak-Aminoach, and Sunil Gulati under Section 14(a) of the Exchange Act; (iv) Labeed Diab, Joe Jordan, Carmine Petrone, Joanne Burns, Teresa Sparks, James Parisi, and Drew McKnight for unjust enrichment; (v) the Kumar Individual Defendants for waste; and (vi) the Kumar Individual Defendants for contribution and indemnification under Delaware law. Plaintiff Kumar’s allegations generally mirror those asserted in the securities complaints described above, and the Kumar complaint also seeks damages in an unspecified amount, certain corporate governance reforms, restitution from the Kumar Individual Defendants and disgorgement of all of their compensation, and costs and expenses, including attorneys’ and experts’ fees. On June 9, 2022, the Ghaith Action and the Kumar Action were consolidated (the "Initial Consolidated Derivative Action"). On June 30, 2022, Judge Edmond E. Chang, before whom the consolidated securities action described above is pending, accepted reassignment of the Initial Consolidated Derivative Action, which the Executive Committee of the District Court for the Northern District of Illinois approved and entered on July 1, 2022. The initial consolidated amended derivative complaint in the Initial Consolidated Derivative Action was filed on August 5, 2022.
On September 22, 2022, another purported ATI shareholder, Brendan Reginbald, filed a derivative action (the “Reginbald Action”), purportedly on behalf of ATI, in the U.S. District Court for the Northern District of Illinois against Fortress Acquisition Sponsor II LLC and Fortress Investment Group LLC (the “Fortress Entity Defendants”), as well as against Labeed Diab, Joe Jordan, John Larsen, John Maldonado, Carmine Petrone, Joanne Burns, James Parisi, Drew McKnight (collectively, the “Legacy ATI Defendants”) and, Drew McKnight, Joshua Pack, Aaron Hood, Carmen Policy, Marc Furstein, Leslee Cowen, Rafeket Russak-Aminoach, and Sunil Gulati (collectively, the “FVACII Individual Defendants”), and Fortress Acquisition Sponsor II, LLC and Fortress Investment Group LLC (together, the "Fortress Entity Defendants,”" and together with the Fortress EntityFVACII Individual Defendants, the “FVACII Defendants”). The Reginbaldconsolidated amended complaint asserts claims on behalf of ATI against: (i) the FVACII Defendants for breach of fiduciary duty; (ii) Fortress Acquisition Sponsor II, LLC and the Legacy ATI Defendants for aiding and abetting breach of fiduciary duty; (iii) Labeed Diab, Joe Jordan, and Drew McKnight for contribution under Section 21D of the Exchange Act; (iv) the FVACII Defendants under Section 14(a) of the Exchange Act; (v) the Legacy ATI Defendants for unjust enrichment; and (vi) all the defendants for contribution and indemnification under Delaware law. Plaintiff Reginbald’sPlaintiffs' allegations generally mirror those asserted in the securities complaints and the derivative complaintsstockholder class action described above, and the Reginbald complaint also seeks damages in an unspecified amount, certain corporate governance reforms, restitution from theabove. On January 20, 2023, defendants and disgorgement of all of their profits, benefits, and compensation, and costs and expenses, including attorneys’ and experts’ fees. On October 12, 2022, Judge Chang, before whom bothfiled motions to dismiss the consolidated securities actionamended complaint, which remain pending. On March 3, 2023, in lieu of filing a response to defendants' motions to dismiss, Plaintiffs filed a motion for leave to file an amended complaint, which was fully briefed as of April 7, 2023 and Initial Consolidated Derivative Action described above are pending, accepted reassignment of the Reginbald Action, which the Executive Committee of the District Court for the Northern District of Illinois approved and entered on October 13, 2022. On October 12, 2022, the Reginbald Action was consolidated with the pending consolidated derivative action (the “Consolidated Derivative Action”). An operative complaint is due in the Consolidated Derivative Action on or before November 21, 2022.remains pending. The Company has determined that potential liabilities related to the Ghaith complaint, the Kumar complaint, the Reginbald complaint and the initial consolidated amended derivative compliantcomplaint are not considered probable or reasonably estimable at this time.
Insurance coverage complaint
44
TableOn March 8, 2023, the Company filed a complaint against Federal Insurance Company, U.S. Specialty Insurance Company and other insurers titled ATI Physical Therapy, Inc. v. Federal Insurance Company et. al., Case No. N23C-03-074, in the Superior Court of Contents
the State of Delaware related to a coverage dispute and those certain insurers’ denial of coverage for the stockholder class action complaints and stockholder derivative complaint discussed above. The complaint asserts claims against Federal Insurance Company for breach of contract and bad faith, and claims for declaratory judgment as to Federal Insurance Company, U.S. Specialty Insurance Company, XL Specialty Insurance Company and the Company’s excess insurance carriers, seeking coverage for the stockholder class action complaints and stockholder derivative complaint. Defendants have until May 15, 2023 to respond to the complaint.
Regulatory matters
On November 5, 2021, the Company received from the SEC a voluntary request for the production of documents relating to the earnings forecast and financial information referenced in the Company's July 26, 2021 Form 8-K and related matters. The Company has subsequently received from the SEC additional requests for documents and information related to the same matters, and is cooperating with the SEC in connection with this request.SEC's review and investigation of those matters.
Indemnifications
The Company has agreed to indemnify its current and former directors and executive officers for costs associated with any fees, expenses, judgments, fines and settlement amounts incurred by them in any action or proceeding to which any of them are, or are threatened to be, made a party by reason of their service as a director or officer. The Company maintains director and officer insurance coverage that would generally enable it to recover a portion of any amounts paid. The ultimate cost of current or potential future litigation may exceed the Company’s current insurance coverages and may have a material adverse impact on our results of operations, cash flows and financial condition. The Company also may be subject to indemnification obligations by law with respect to the actions of its employees under certain circumstances and in certain jurisdictions.
41
Table of Contents
Note 18.17. Loss per Share
Basic loss per share is computed by dividing net loss by the weighted average number of common shares outstanding during the period. For the three and nine months ended September 30, 2021,March 31, 2023 and 2022, shares of Wilco Holdco preferredSeries A Senior Preferred stock are treated as participating securities and therefore are included in computing earnings per common share using the two-class method. The two-class method is an earnings allocation formula that calculates basic and diluted net earnings per common share for each class of common stock separately based on dividends declared and participation rights in undistributed earnings as if the earnings for the year had been distributed. As the Wilco Holdco preferred stockholders do not participate in losses, for any periods with a net loss, there is no allocation to participating securities in the period. As of the closing of the Business Combination, the Wilco Holdco preferred stock is no longer outstanding.
For the three and nine months ended September 30,March 31, 2023 and 2022, the income (loss) available to common shareholdersstockholders is reduced by the amount of the cumulative dividend for the Series A Senior Preferred Stock that was issued as part of the 2022 Debt Refinancing.
45
Table of Contents
The calculation of both basic and diluted loss per share for the periods indicated below was as follows (in thousands, except per share data):


Three Months EndedNine Months Ended

Three Months Ended


September 30, 2022

September 30, 2021September 30, 2022

September 30, 2021

March 31, 2023

March 31, 2022
Basic and diluted loss per share:Basic and diluted loss per share:Basic and diluted loss per share:
Net lossNet loss$(116,694)$(326,774)$(390,640)$(783,718)Net loss$(25,210)$(138,223)
Less: Net loss attributable to non-controlling interests(376)(2,109)(1,026)(4,569)
Less: Net income (loss) attributable to non-controlling interestsLess: Net income (loss) attributable to non-controlling interests1,060(473)
Less: Series A Senior Preferred cumulative dividendLess: Series A Senior Preferred cumulative dividend5,274—12,263—Less: Series A Senior Preferred cumulative dividend5,3031,925
Loss available to common stockholdersLoss available to common stockholders$(121,592)$(324,665)$(401,877)$(779,149)Loss available to common stockholders$(31,573)$(139,675)



Weighted average shares outstanding(1,2)
204,282196,996202,708155,197
Weighted average shares outstanding(1)
Weighted average shares outstanding(1)
204,921199,971



Basic and diluted loss per shareBasic and diluted loss per share$(0.60)$(1.65)$(1.98)$(5.02)Basic and diluted loss per share$(0.15)$(0.70)
(1) The weighted-average number of shares outstanding in periods presented prior to the closing of the Business Combination has been retrospectively adjusted based on the exchange ratio established through the transaction.
(2) Included within weighted average shares outstanding following the 2022 Debt Refinancing are common shares issuable upon the exercise of the Series II Warrants, as the Series II Warrants are exercisable at any time for nominal consideration. As such, the shares are considered to be outstanding for the purpose of calculating basic and diluted loss per share.
For the periods presented, the following securities were not required to be included in the computation of diluted shares outstanding, as their impact would have been anti-dilutive. Figures presented are based on the number of underlying Class A common shares following the Business Combinationanti-dilutive (in thousands):


Three Months EndedNine Months Ended

Three Months Ended
September 30, 2022

September 30, 2021September 30, 2022

September 30, 2021March 31, 2023

March 31, 2022
Series I WarrantsSeries I Warrants5,226—5,226—Series I Warrants5,2265,226
IPO WarrantsIPO Warrants9,8679,8679,8679,867IPO Warrants9,8679,867
Restricted shares(1)
Restricted shares(1)
5091,4035091,403
Restricted shares(1)
3641,248
Stock optionsStock options6,400—6,400—Stock options5,0035,951
RSUs(2)RSUs(2)4,889—4,889—RSUs(2)39,0924,886
RSAsRSAs260—260—RSAs144366
TotalTotal27,15111,27027,15111,270Total59,69627,544
(1) Represents a portioncertain shares of the 2.0 million restricted shares distributed following the Business Combination to holdersClass A common stock legally issued, but not outstanding, as of unvested Incentive Common UnitsMarch 31, 2023.
(2) Represents RSUs outstanding under the Wilco Acquisition, LP 2016 Equity Incentive Plan.2021 Plan if the proposed increase to 2021 Plan share reserve and 2023 grants are approved by stockholders. Refer to Note 9 - Share-Based Compensation for further details.
15.0 million Earnout Shares and 8.6 million Vesting Shares were excluded from the calculation
42
Table of basic and diluted per share calculations asContents
As the vesting thresholds have not yet been met as of the end of the reporting period.period, 15.0 million Earnout Shares and 8.6 million Vesting Shares were excluded from the basic and diluted shares outstanding calculations.
4643
Table of Contents
Item 2.    Management's Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of ATI Physical Therapy, Inc. and its subsidiaries (herein referred to as “we,” ”us,” “the Company,” “our Company,” "ATI," or "ATI""ATIP") should be read in conjunction with the Company’s condensed consolidated financial statements and related notes thereto included elsewhere in this Quarterly Report.
We make statements in this discussion that are forward-looking and involve risks and uncertainties. These statements contain forward-looking information relating to the financial condition, results of operations, plans, objectives, future performance and business of the Company. The forward-looking statements are based on our current views and assumptions, and actual results could differ materially from those anticipated in such forward-looking statements due to factors including, but not limited to, those discussed under “Cautionary Note Regarding Forward-Looking Statements” and Part II, Item 1A. “Risk Factors.”
Many factors are beyond our control. Given these uncertainties, you should not place undue reliance on our forward-looking statements. Our forward-looking statements represent our estimates and assumptions only as of the date of this Quarterly Report. Except as required by law, we are under no obligation to update any forward-looking statement, regardless of the reason the statement may no longer be accurate.
Certain amounts in this Management's Discussion and Analysis may not add due to rounding. All percentages have been calculated using unrounded amounts for the three and nine months ended September 30,March 31, 2023 and 2022 and 2021.
All dollar amounts are presented in thousands, unless indicated otherwise.
Company Overview
We are a nationally recognized outpatient physical therapy provider in the United States specializing in outpatient rehabilitation and adjacent healthcare services, with 929 owned909 clinics located in 24 states (as well as 2019 clinics under management service agreements) located in 25 states as of September 30, 2022.March 31, 2023. We operate with a commitment to providing our patients, medical provider partners, payors and employers with evidence-based, patient-centric care.
We offer a variety of services within our clinics, including physical therapy to treat spine, shoulder, knee and neck injuries or pain; work injury rehabilitation services, including work conditioning and work hardening; hand therapy; and other specialized treatment services. Our Company’s team of professionals is dedicated to helping return patients to optimal physical health.
Physical therapy patients receive team-based care, leading-edge techniques and individualized treatment plans in an encouraging environment. To achieve optimal results, we use an extensive array of techniques including therapeutic exercise, manual therapy and strength training, among others. Our physical therapy model aims to deliver optimized outcomes and time to recovery for patients, insights and service satisfaction for referring providers and predictable costs and measurable value for payors.
4744
Table of Contents
In addition to providing services to physical therapy patients at outpatient rehabilitation clinics, we provide services through our ATI Worksite Solutions (“AWS”) program, Management Service Agreements (“MSA”) and Sports Medicine arrangements. AWS provides an on-site team of healthcare professionals at employer worksites to promote work-related injury prevention, facilitate expedient and appropriate return-to-work follow-up and maintain the health and well-being of the workforce. Our MSA arrangements typically include the Company providing management and physical therapy-related services to physician-owned physical therapy clinics. Sports Medicine arrangements provide certified healthcare professionals to various schools, universities and other institutions to perform on-site physical therapy and rehabilitation services.
Appointment of Chief Executive Officer
On April 28, 2022, the Company appointed Sharon Vitti as its Chief Executive Officer and to the Board of Directors. Ms. Vitti has 30 years of healthcare experience, including nearly two decades of executive leadership in clinical and consumer-focused healthcare companies.
In connection with Ms. Vitti’s appointment, John (Jack) Larsen stepped down as Executive Chairman of the Company, effective April 28, 2022 and will continue in his role as Chairman of the Board of the Company. Mr. Larsen was appointed Executive Chairman of the Company on August 9, 2021. In addition, effective April 28, 2022, John (Jack) Larsen, Joseph Jordan, the Company’s Chief Financial Officer, and Ray Wahl, the Company’s Chief Operating Officer, no longer fulfill the role of Principal Executive Officer.
2022 Debt Refinancing and Preferred Stock Financing
On February 24, 2022, the Company entered into various financing arrangements to refinance its existing long-term debt (the "2022 Debt Refinancing"). The Company entered into a new 2022 Credit Agreement which is comprised of a senior secured term loan which matures on February 24, 2028, and a "super priority" senior secured revolver, which matures on February 24, 2027. Refer to Note 8 - Borrowings in the condensed consolidated financial statements for further details.
In connection with the 2022 Debt Refinancing, the Company issued shares of non-convertible preferred stock and warrants to purchase shares of the Company's common stock.stock (the "Preferred Stock Financing"). Refer to Note 10 - Mezzanine and Stockholders' Equity in the condensed consolidated financial statements for further details.
The Business Combination
On June 16, 2021 (the “Closing Date”), a Business Combination transaction (the “Business Combination”) was finalized pursuant to the Agreement and Plan of Merger ("Merger Agreement"), dated February 21, 2021 between the operating company, Wilco Holdco, Inc. (“Wilco Holdco”), and Fortress Value Acquisition Corp. II (herein referred to as "FAII" and "FVAC"), a special purpose acquisition company. In connection with the closing of the Business Combination, the Company changed its name from Fortress Value Acquisition Corp. II to ATI Physical Therapy, Inc. The Business Combination was accounted for as a reverse recapitalization in accordance with U.S. generally accepted accounting principles ("GAAP"). The Company’s common stock is listed on the New York Stock Exchange ("NYSE") under the symbol “ATIP.” Refer to Note 3 - Business Combinations and Divestiture in the condensed consolidated financial statements for further details.
Home Health divestiture
On August 25, 2021, the Company entered into an agreement to divest its Home Health service line. On October 1, 2021, the transaction closed with a sale price of $7.3 million. The major classes of assets and liabilities associated with the Home Health service line consisted predominantly of accounts receivable, accrued expenses and other liabilities which were not material.
48
Table of Contents
2021 acquisitions
During the fourth quarter of 2021, the Company completed 3 acquisitions consisting of 7 total clinics. The Company paid approximately $4.5 million in cash and $1.4 million in future payment consideration, subject to certain time or performance conditions set out in the purchase agreements, to complete the acquisitions.
Trends and Factors Affecting the Company’s Future Performance and Comparability of Results
ThroughDuring the thirdfirst quarter of 2022,2023, we observed the following trends in our business:operations:
•Improved referral and patient visit volumes relative to the comparative periods in 2021 and relative to volume softness experienced during the beginning of 2022, which was driven by an increase in COVID-19 cases due to the outbreak of additional variants.higher clinician productivity.
•A continued tight labor market for available physical therapy and other healthcare providers in the workforce, contributing to competition in hiring, attrition, clinicianclinical staffing level challenges, continued use of contract labor and continued wage inflation in the physical therapy industry and at ATI.
•DecreaseModest decrease in rate per visit primarilyrelative to the fourth quarter of 2022, driven by rate headwinds including general mix shifts, unfavorable state mix shifts and Medicare rate cuts that became effective on January 1, 2022, Medicare sequestration reductions that began after March 31, 2022 and June 30, 2022 and less2023, partially offset by favorable payor and stateservice mix when comparedshifts which are contributing to prior periods.rate stabilization.
Our ability to achieve our business plan depends upon a number of factors, including, but not limited to, the success of a number of continued steps being taken related to increasing clinical staffing levels, increasingimproving and sustaining clinician productivity, controlling costs and capital expenditures, increasing visit volumes and referrals and stabilizing rate per visit.
During the quarter ended March 31, 2022, the Company identified an interim triggering event as a result of factors including potential changes in discount rates and the recent decrease in share price. The Company determined that the combination of these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of $116.3 million related to goodwill and $39.4 million related to the trade name indefinite-lived intangible asset during the period ended March 31, 2022.
During the quarter ended June 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of approximately $87.9 million related to goodwill and $40.0 million related to the trade name indefinite-lived intangible asset during the period ended June 30, 2022.
49
Table of Contents
During the quarter ended September 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of approximately $66.4 million related to goodwill and $40.0 million related to the trade name indefinite-lived intangible asset during the period ended September 30, 2022, which was primarily driven by an increase in the discount rate and lower public company comparative multiples. These charges are non-cash in nature and do not affect our liquidity or debt covenants. Refer to Note 5 - Goodwill, Trade Name and Other Intangible Assets in the condensed consolidated financial statements for further details.
COVID-19 pandemic and volume impacts 
The coronavirus ("COVID-19") pandemic in the United States resulted in changes to our operating environment. We continue to closely monitor the impact of COVID-19 on all aspects of our business, and our priorities remain protecting the health and safety of employees and patients, maximizing the availability of services to satisfy patient needs, and improving the operational and financial stability of our business.
45
Table of Contents
As a result of the COVID-19 pandemic, visits per day ("VPD") decreased to a low point of 12,643 during the quarter ended June 30, 2020. The Company has experienced relative increases in quarterly VPD following the low point, as local restrictions in certain markets, referral levels and individual routines evolved compared to prior periods. During the fourth quarterbeginning of 2021,2022, we observed volume softness caused, in part, by an increase in COVID-19 cases due to the outbreak of additional variants, which continued to impact visit volumes in the beginning of 2022.variants. Through the remainder of the first quarter of 2022 and the second quarterhalf of 2022, we experienced increases in visit volumes relative to the beginning of 2022. Additionally, while we observed volume softness during the third quarter of 2022 due, in part, to seasonality, we experienced increases in quarterly VPD through the thirdfourth quarter of 2022 relative to the comparative quarters in 2021.which has continued into 2023.
The chart below reflects the quarterly trend in VPD.
ati-20220930_g1.jpg
50
Table of Contents
3750
As demand for physical therapy services has increased in the market since its low point during the quarter ended June 30, 2020, the Company has focused on attempting to increase its clinical staffing levels by hiring clinicians, optimizing clinician hours based on available workforce and attempting to reduce levels of clinician attrition that have been elevated relative to historical levels. The elevated levels of attrition were initially caused, in part, by changes made during the COVID-19 pandemic related to compensation, staffing levels and support for clinicians. We have implemented a range of actions related to compensation, staffing levels, clinical and professional development and other initiatives in an effort to retain and attract therapists across our platform, which has increased our current and future expectations for labor costs. While the Company has observed improvement in hiring and attrition levels since implementing these actions, attrition remains above historical levels due to a continued tight labor market for available physical therapy and other healthcare providers in the workforce which may impede our progress toward increasing visit volumes. In an effort to drive more volume and visits per day, in addition to focusing on clinical staffing levels and clinician productivity, we are working to establish relationships with new referral sources and strengthen relationships with our partner providers and existing referral sources across our geographic footprint.
46
Table of Contents
The COVID-19 pandemic is still evolving and the full extent of its future impact remains unknown and difficult to predict. The future impact of the COVID-19 pandemic on our performance will depend on certain developments, including the duration and spread of the virus and its newly identified strains, effectiveness and adoption rates of vaccines and other therapeutic remedies, the potential for continued or reinstated restrictive policies enforced by federal, state and local governments, and the impact of the virus and vaccination requirements on our workforce, all of which create uncertainty and cannot be predicted. While we expect the disruption caused by COVID-19 and resulting impacts to diminish over time, we cannot predict the length of such impacts, and if such impacts continue for an extended period, it could have a continued effect on the Company’s results of operations, financial condition and cash flows, which could be material.
CARES Act
On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act") was signed into law providing reimbursement, grants, waivers and other funds to assist health care providers during the COVID-19 pandemic. The Company has realized benefits under the CARES Act including, but not limited to, the following:
•The Company applied for and obtained approval to receive $26.7 millionreceipt of Medicare Accelerated and Advance Payment Program ("MAAPP") funds duringand deferral of depositing the quarter ended June 30, 2020.employer portion of Social Security taxes, interest-free and penalty-free. During the nineyear ended December 31, 2022, the remaining obligations related to these benefits were applied and repaid. During the three months ended September 30,March 31, 2022, and 2021, the Company applied $12.3 million and $8.5$4.3 million in MAAPP funds against the outstanding liability respectively. During the quarter ended September 30, 2022, the Company met the required performance obligations and performed the remaining services related to the MAAPP funds. Therefore, the remaining funds were applied and repaid during the quarter ended September 30, 2022. As of September 30, 2022 and December 31, 2021, zero and $12.3 million of the funds are recorded in accrued expenses and other liabilities, respectively. 
•The Company elected to defer depositing the employer portion of Social Security taxes for payments due from March 27, 2020 through December 31, 2020, interest-free and penalty-free. Related to these payments, as of September 30, 2022 and December 31, 2021, $5.9 million is included in accrued expenses and other liabilities. The Company expects the remaining deferred payments to be repaid prior to the end of 2022.
51
Table of Contents
at that time.
Market and industry trends and factors
•Outpatient physical therapy services growth. Outpatient physical therapy continues to play a key role in treating musculoskeletal conditions for patients. According to the Centers for Medicare & Medicaid Services ("CMS"), musculoskeletal conditions impact individuals of all ages and include some of the most common health issues in the U.S. As healthcare trends in the U.S. continue to evolve, with a growing focus on value-based care emphasizing up-front, conservative care to deliver better outcomes, quality healthcare services addressing such conditions in lower cost outpatient settings may continue increasing in prevalence.
•U.S. population demographics. The population of adults aged 65 and older in the U.S. is expected to continue to grow and thus expand the Company’s market opportunity. According to the U.S. Census Bureau, the population of adults over the age of 65 is expected to grow 30% from 2020 through 2030.
•Federal funding for Medicare and Medicaid. Federal and state funding of Medicare and Medicaid and the terms of access to these reimbursement programs affect demand for physical therapy services. In December 2021,recent years, through legislative and regulatory actions, the Protectingfederal government has made substantial changes to various payment systems under the Medicare and American Farmers from Sequester Cuts Act was signed into law. As a result, the reimbursement rate reduction beginning in January 2022 was approximately 0.75%. The Act did not address a previously proposed 15% decrease in payments for services performed by physical therapy assistants, which began on January 1, 2022. Additionally, a further reduction through resuming sequestration was postponed. Sequestration reductions resumed at 1% after March 31, 2022, and by an additional 1% after June 30, 2022, which resulted in an overall reduction of 2% in reimbursement rates related to sequestration after June 30, 2022.program. In July 2022, the CMS released its proposed 2023 Medicare Physician Fee Schedule. The proposed fee schedule callsSchedule which called for an approximate 4.5% reduction in the calendar year 2023 conversion factor. In December 2022, the Consolidated Appropriations Act (2023) was signed into law. The Consolidated Appropriations Act (2023) provides partial relief related to Medicare cuts including 2.5% relief in 2023 and 1.25% relief in 2024. As a result, the reimbursement rate reduction beginning in January 2023 was approximately 2.0%, and the incremental reduction expected to begin in January 2024 is 1.25% if no further modifications to the calendar year 2024 conversion factor which would lead to further reductions in reimbursement rates unless acted upon through a Congressional measure.are proposed by the CMS.
•Workers’ compensation funding. Payments received under certain workers’ compensation arrangements may be based on predetermined state fee schedules, which may be impacted by changes in state funding.
47
Table of Contents
•Number of people with private health insurance. Physical therapy services are often covered by private health insurance. Individuals covered by private health insurance may be more likely to use healthcare services because it helps offset the cost of such services. As health insurance coverage rises, demand for physical therapy services tends to also increase.
Key Components of Operating Results
Net patient revenue. Net patient revenues are recorded for physical therapy services that the Company provides to patients including physical therapy, work conditioning, hand therapy, aquatic therapy and functional capacity assessment. Net patient revenue is recognized based on contracted amounts with payors or other established rates, adjusted for the estimated effects of any variable consideration, such as contractual allowances and implicit price concessions. Visit volume is primarily driven by conversion of physician referrals and marketing efforts.
Other revenue. Other revenue consists of revenue generated by our AWS, MSA and Sports Medicine service lines.
Salaries and related costs. Salaries and related costs consist primarily of wages and benefits for our healthcare professionals engaged directly and indirectly in providing services to patients.
52
Table of Contents
Rent, clinic supplies, contract labor and other. Comprised of non-salary, clinic related expenses consisting of rent, clinic supplies, contract labor and other costs including travel expenses and depreciation at our clinics.
Provision for doubtful accounts. Provision for doubtful accounts represents the Company’s estimate of accounts receivable recorded during the period that may ultimately prove uncollectible based upon several factors, including the age of outstanding receivables, the historical experience of collections, the impact of economic conditions and, in some cases, the specific customer account's ability to pay.
Selling, general and administrative expenses. Selling, general and administrative expenses consist primarily of wages and benefits for corporate personnel, corporate outside services, marketing costs, depreciation of corporate fixed assets, amortization of intangible assets and certain corporate level professional fees, including those related to legal, accounting and payroll.
Goodwill, intangible and intangibleother asset impairment charges. Goodwill, intangible and intangibleother asset impairment charges represent non-cash charges associated with the write-down of both goodwill, and trade name indefinite-lived intangible and other assets.
Change in fair value of warrant liability. Represents non-cash amounts related to the change in the estimated fair value of the IPO Warrants.
Change in fair value of contingent common shares liability. Represents non-cash amounts related to the change in the estimated fair value of Earnout Shares and Vesting Shares.
Loss on settlement of redeemable preferred stock. Represents the loss on settlement of the Wilco Holdco redeemable preferred stock liability based on the value of cash and equity provided to preferred stockholders in relation to the outstanding Wilco Holdco redeemable preferred stock liability at the time of the closing of the Business Combination.
Interest expense, net. Interest expense includes the cost of borrowing under the Company’s credit facility and amortization of deferred financing costs.
Interest expense on redeemable preferred stock. Represents interest expense related to accruing dividends on the Wilco Holdco redeemable preferred stock based on contract terms.
Other expense, net. Other expense, net is comprised of income statement activity not related to the core operations of the Company.
5348
Table of Contents
Key Business Metrics
When evaluating the results of operations, management has identified a number of metrics that allow for specific evaluation of performance on a more detailed basis. See “Results of Operations” for further discussion on financial statement metrics such as net operating revenue, net income, EBITDA and Adjusted EBITDA.
Patient visits
As the main operations of the Company are driven by physical therapy services provided to patients, management considers total patient visits to be a key volume measure of such services. In addition to total patient visits, management analyzes (1) average VPD calculated as total patient visits divided by business days for the period, as this allows for comparability between time periods with an unequal number of business days, and (2) average VPD per clinic, calculated as average VPD divided by the average number of owned clinics open during the period.period (excluding clinics under management service agreements).
Net patient revenue ("NPR") per visit
The Company calculates net patient revenue per visit, its most significant reimbursement metric, by dividing net patient revenue in a period by total patient visits in the same period.
Clinics
To better understand geographical and location-based trends, the Company evaluates metrics based on the 929 owned909 clinics (excluding clinics under management service agreements) and 2019 managed clinic locations as of September 30, 2022.March 31, 2023. De novo clinics represent organic new clinics opened during the current period based on sophisticated site selection analytics. Acqui-novo clinics represent new clinics opened during the current period, that were existing clinicsclinic operations not previously owned by the Company, in a target geography that provides the Company with an immediate presence, available staff and referral relationships of the former owner within the surrounding areas. Acquired clinics represent new clinics from purchases of physical therapy practices. Same clinic revenue growth rate identifies revenue growth year over year on clinics that have been owned and operating for over one year. This metric is determined by isolating the population of clinics that have been open for at least 12 months and calculating the percentage change in revenue of this population between the current and prior period.comparable periods.
The following table presents selected operating and financial data that we believe are key indicators of our operating performance:
Three Months EndedNine Months EndedThree Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021 March 31, 2023March 31, 2022
Number of clinics owned (end of period)929900929900
Number of clinics (end of period)Number of clinics (end of period)909922
Number of clinics managed (end of period)Number of clinics managed (end of period)20262026Number of clinics managed (end of period)1920
New clinics during the periodNew clinics during the period11183338New clinics during the period412
Business daysBusiness days6465192192Business days6464
Average visits per dayAverage visits per day21,49320,67421,65320,594Average visits per day22,70121,062
Average visits per day per clinicAverage visits per day per clinic23.223.123.423.2Average visits per day per clinic25.022.9
Total patient visitsTotal patient visits1,375,5671,343,7994,157,3603,953,977Total patient visits1,452,8481,347,978
Net patient revenue per visitNet patient revenue per visit$103.46$105.56$103.37$106.43Net patient revenue per visit$103.76$103.06
Same clinic revenue growth rateSame clinic revenue growth rate(0.7)%5.8 %1.2 %5.4 %Same clinic revenue growth rate8.7 %4.3 %
5449
Table of Contents
The following table provides a rollforward of activity related to the number of clinics owned during the corresponding periods:
Three Months EndedNine Months EndedThree Months Ended
September 30, 2022September 30, 2021September 30, 2022September 30, 2021 March 31, 2023March 31, 2022
Number of clinics owned (beginning of period)926889910875
Number of clinics (beginning of period)Number of clinics (beginning of period)923910
Add: New clinics opened during the periodAdd: New clinics opened during the period11183338Add: New clinics opened during the period412
Less: Clinics closed/sold during the periodLess: Clinics closed/sold during the period871413Less: Clinics closed/sold during the period18—
Number of clinics owned (end of period)929900929900
Number of clinics (end of period)Number of clinics (end of period)909922
5550
Table of Contents

Results of Operations
Three months ended September 30, 2022March 31, 2023 compared to three months ended September 30, 2021March 31, 2022
The following table summarizes the Company’s consolidated results of operations for the three months ended September 30, 2022March 31, 2023 and 2021:2022:
 Three Months Ended September 30,  Three Months Ended March 31,
 20222021Increase/(Decrease)  20232022Increase/(Decrease)
($ in thousands, except percentages)($ in thousands, except percentages) $% of Revenue $% of Revenue$%($ in thousands, except percentages) $% of Revenue $% of Revenue$%
Net patient revenueNet patient revenue $142,313 90.8 %$141,855 89.2 %$458 0.3 %Net patient revenue $150,754 90.3 %$138,925 90.3 %$11,829 8.5 %
Other revenueOther revenue 14,479 9.2 %17,158 10.8 %(2,679)(15.6)%Other revenue 16,178 9.7 %14,897 9.7 %1,281 8.6 %
Net operating revenue 156,792 100.0 %159,013 100.0 %(2,221)(1.4)%
Net revenueNet revenue 166,932 100.0 %153,822 100.0 %13,110 8.5 %
Cost of services:Cost of services:  Cost of services:  
Salaries and related costsSalaries and related costs 90,309 57.6 %86,838 54.6 %3,471 4.0 %Salaries and related costs 90,703 54.3 %87,415 56.8 %3,288 3.8 %
Rent, clinic supplies, contract labor and otherRent, clinic supplies, contract labor and other 51,417 32.8 %45,765 28.8 %5,652 12.4 %Rent, clinic supplies, contract labor and other 52,878 31.7 %51,615 33.6 %1,263 2.4 %
Provision for doubtful accountsProvision for doubtful accounts 2,797 1.8 %3,514 2.2 %(717)(20.4)%Provision for doubtful accounts 4,125 2.5 %5,105 3.3 %(980)(19.2)%
Total cost of servicesTotal cost of services 144,523 92.2 %136,117 85.6 %8,406 6.2 %Total cost of services 147,706 88.5 %144,135 93.7 %3,571 2.5 %
Selling, general and administrative expensesSelling, general and administrative expenses 25,263 16.1 %30,795 19.4 %(5,532)(18.0)%Selling, general and administrative expenses 30,595 18.3 %30,024 19.5 %571 1.9 %
Goodwill and intangible asset impairment charges106,663 68.0 %508,972 320.1 %(402,309)n/m
Goodwill, intangible and other asset impairment chargesGoodwill, intangible and other asset impairment charges— — %155,741 101.2 %(155,741)n/m
Operating lossOperating loss (119,657)(76.3)%(516,871)(325.0)%397,214 n/mOperating loss (11,369)(6.8)%(176,078)(114.5)%164,709 n/m
Change in fair value of warrant liabilityChange in fair value of warrant liability(790)(0.5)%(15,885)(10.0)%15,095 n/mChange in fair value of warrant liability198 0.1 %(1,677)(1.1)%1,875 (111.8)%
Change in fair value of contingent common shares liabilityChange in fair value of contingent common shares liability(6,930)(4.4)%(146,317)(92.0)%139,387 n/mChange in fair value of contingent common shares liability(709)(0.4)%(24,334)(15.8)%23,625 (97.1)%
Interest expense, netInterest expense, net 11,780 7.5 %7,386 4.6 %4,394 59.5 %Interest expense, net 13,936 8.3 %8,656 5.6 %5,280 61.0 %
Other expense, netOther expense, net 195 0.1 %52 — %143 n/mOther expense, net 354 0.2 %2,781 1.8 %(2,427)(87.3)%
Loss before taxesLoss before taxes (123,912)(79.0)%(362,107)(227.7)%238,195 n/mLoss before taxes (25,148)(15.1)%(161,504)(105.0)%136,356 (84.4)%
Income tax benefit (7,218)(4.6)%(35,333)(22.2)%28,115 n/m
Income tax expense (benefit)Income tax expense (benefit) 62 — %(23,281)(15.1)%23,343 (100.3)%
Net lossNet loss$(116,694)(74.4)%$(326,774)(205.5)%$210,080 n/mNet loss$(25,210)(15.1)%$(138,223)(89.9)%$113,013 (81.8)%
5651
Table of Contents
Net patient revenue. Net patient revenue for the three months ended September 30, 2022March 31, 2023 was $142.3$150.8 million compared to $141.9$138.9 million for the three months ended September 30, 2021,March 31, 2022, an increase of approximately $0.5$11.8 million or 0.3%8.5%.
The increase in net patient revenue was primarily driven by increased visit volumes as a result of higher clinician staffing and higher clinic countproductivity in the current period, partially offset by unfavorableas well as favorable net patient revenue per visit and one less business day in the current period. Furthermore, visit volumes during the three months ended March 31, 2022 were negatively impacted by an increase in COVID-19 cases due to the outbreak of additional variants. Total patient visits increased by approximately 0.030.1 million visits, despite one less business day, or 2.4%7.8%, driving an increase in average visits per day of 819,1,639, or 4.0%7.8%. Net patient revenue per visit decreased $2.10,increased $0.70, or 2.0%0.7%, to $103.46$103.76 for the three months ended September 30, 2022March 31, 2023 compared to $105.56$103.06 for the three months ended September 30, 2021.March 31, 2022. The decreaseincrease in net patient revenue per visit during the three months ended September 30, 2022March 31, 2023 compared to the three months ended September 30, 2021March 31, 2022 was primarily driven by favorable service mix shift, partially offset by unfavorable mix shifts related to payor classes and states and Medicare rate cuts, partially offset by favorable service mix shift.states.
The following chart reflects additional detail with respect to drivers of the change in quarter-to-dateyear-to-date net patient revenue (in millions).:

ati-20220930_g2.jpg1109
Other revenue. Other revenue for the three months ended September 30, 2022March 31, 2023 was $14.5$16.2 million compared to $17.2$14.9 million for the three months ended September 30, 2021, a decreaseMarch 31, 2022, an increase of $2.7$1.3 million or 15.6%8.6%. The decreaseincrease in other revenue was primarily driven by the absence of Home Health service line revenue for the three months ended September 30, 2022 as a result of its divestiture on October 1, 2021.higher AWS and MSA revenues.
Salaries and related costs. Salaries and related costs for the three months ended September 30, 2022March 31, 2023 were $90.3$90.7 million compared to $86.8$87.4 million for the three months ended September 30, 2021,March 31, 2022, an increase of $3.5approximately $3.3 million or 4.0%3.8%. Salaries and related costs as a percentage of net operating revenue was 57.6%54.3% and 54.6%56.8% for the three months ended September 30,March 31, 2023 and 2022, and 2021, respectively. The increase of $3.5$3.3 million was primarily driven by higher compensation due to wage inflation for clinic labor, andpartially offset by higher wages as the Company increased its clinician and support stafflower cost per visit due to higher visit volumes.clinician productivity. The increasedecrease as a percentage of net operating revenue was primarily driven by higher compensation due to wage inflation for clinic labor, higher share-based compensation for clinical employees, lower clinic laborclinician productivity and lowerhigher net patient revenue per visit during the three months ended September 30, 2022.March 31, 2023.
5752
Table of Contents
Rent, clinic supplies, contract labor and other. Rent, clinic supplies, contract labor and other costs for the three months ended September 30, 2022March 31, 2023 were $51.4$52.9 million compared to $45.8$51.6 million for the three months ended September 30, 2021,March 31, 2022, an increase of approximately $5.7$1.3 million or 12.4%2.4%. Rent, clinic supplies, contract labor and other costs as a percentage of net operating revenue was 32.8%31.7% and 28.8%33.6% for the three months ended September 30,March 31, 2023 and 2022, and 2021, respectively. The increase of $5.7$1.3 million was primarily driven by higher employee relations costs, partially offset by lower contract labor costs during the three months ended March 31, 2023, and increasethe decrease as a percentage of net operating revenue was primarily driven by a higher clinic countnet revenue and higherlower contract labor costs forduring the three months ended September 30, 2022.March 31, 2023.
Provision for doubtful accounts. Provision for doubtful accounts for the three months ended September 30, 2022March 31, 2023 was $2.8$4.1 million compared to $3.5$5.1 million for the three months ended September 30, 2021,March 31, 2022, a decrease of $0.7$1.0 million or 20.4%19.2%. Provision for doubtful accounts as a percentage of net revenue was 2.5% and 3.3% for the three months ended March 31, 2023 and 2022, respectively. The decrease of $0.7$1.0 million and decrease as a percentage of net operating revenue was primarily driven by favorable cash collections during the three months ended September 30, 2022.March 31, 2023.
Selling, general and administrative expenses. Selling, general and administrative expenses for the three months ended September 30, 2022March 31, 2023 were $25.3$30.6 million compared to $30.8$30.0 million for the three months ended September 30, 2021, a decreaseMarch 31, 2022, an increase of $5.5$0.6 million or 18.0%1.9%. Selling, general and administrative expenses as a percentage of net operating revenue was 16.1%18.3% and 19.4%19.5% for the three months ended September 30,March 31, 2023 and 2022, and 2021, respectively. The decreaseincrease of $5.5$0.6 million was primarily due to higher transaction costs, partially offset by lower non-ordinary legal and regulatory costs and other professional fees during the three months ended March 31, 2023. The decrease as a percentage of net revenue was primarily due todriven by higher net revenue, lower reorganizationnon-ordinary legal and severanceregulatory costs and lower transaction costs incurredother professional fees during the three months ended September 30, 2022 relative to the three months ended September 30, 2021.March 31, 2023.
Goodwill, intangible and intangibleother asset impairment charges. Goodwill, intangible and intangibleother asset impairment charges for the three months ended September 30,March 31, 2022 was $106.7 million compared to $509.0 million for three months ended September 30, 2021.$155.7 million. The amount primarily relates to the non-cash write-down of both goodwill and the trade name indefinite-lived intangible assetsasset as a result of factors including increaseincreases in discount rates and lower public company comparative multiples in 2022,during the three months ended March 31, 2022. There were no goodwill, intangible and revised forecasts reflecting lower than expected patient visit volumes in 2021. Refer to Note 5 - Goodwill, Trade Name and Other Intangible Assets inother asset impairment charges during the condensed consolidated financial statements for further details.three months ended March 31, 2023.
Change in fair value of warrant liability. Change in fair value of warrant liability for the three months ended September 30, 2022March 31, 2023 was a gainloss of $0.8$0.2 million compared to a gain of $15.9$1.7 million for the three months ended September 30, 2021.March 31, 2022. The gainloss relates to the increase in each periodthe estimated fair value of the Company's IPO Warrants, primarily driven by increases in price of the Company's Public Warrants during the three months ended March 31, 2023, and the gain relates to the decrease in the estimated fair value of the Company’s IPO Warrants, primarily driven by decreases in price of the Company's Public Warrants during the three months ended September 30, 2022 and 2021, respectively.March 31, 2022.
Change in fair value of contingent common shares liability. Change in fair value of contingent common shares liability for the three months ended September 30, 2022March 31, 2023 was a gain of $6.9$0.7 million compared to a gain of $146.3$24.3 million for the three months ended September 30, 2021.March 31, 2022. The gain in each period relates to the decrease in the estimated fair value of the Company’s Earnout Shares and Vesting Shares, primarily driven by decreases in the Company's share price during the three months ended September 30,March 31, 2023 and 2022, and 2021, respectively.
Interest expense, net. Interest expense, net for the three months ended September 30, 2022March 31, 2023 was $11.8$13.9 million compared to $7.4$8.7 million for the three months ended September 30, 2021,March 31, 2022, an increase of approximately $4.4$5.3 million or 59.5%61.0%. The increase in interest expense was primarily driven by higher interest rates under the Company’sCompany's credit agreement, partially offset by higher cash flow hedge benefits recognized during the three months ended September 30, 2022.March 31, 2023.
53
Table of Contents
Other expense, net. Other expense, net for the three months ended September 30, 2022March 31, 2023 was $0.2$0.4 million compared to $0.1$2.8 million for the three months ended September 30, 2021, an increase of $0.1 million. Amounts in other expense, net were immaterial for the three months ended September 30,March 31, 2022, and 2021.
58
Table of Contents
Income tax benefit.Income tax benefit for the three months ended September 30, 2022 was $7.2 million compared to $35.3 million for the three months ended September 30, 2021, a decrease in benefit of approximately $28.1 million. The decrease was primarily driven by the difference in the effective tax rate for the respective periods. The effective tax rate was different between the respective periods primarily due to higher nondeductible impairment charges, nondeductible transaction costs and fair value adjustments related to liability-classified share-based instruments for the three months ended September 30, 2021.
Net loss.Net loss for the three months ended September 30, 2022 was $116.7 million compared to $326.8 million for the three months ended September 30, 2021, a decrease in loss of $210.1 million. The comparatively lower loss was primarily driven by lower goodwill and intangible asset impairment charges, partially offset by lower gains related to changes in fair value of warrant liability and contingent common shares liability and lower income tax benefit during the three months ended September 30, 2022 as compared to the three months ended September 30, 2021.
59
Table of Contents
Nine months ended September 30, 2022 compared to nine months ended September 30, 2021
The following table summarizes the Company’s consolidated results of operations for the nine months ended September 30, 2022 and 2021:
  Nine Months Ended September 30,
  20222021Increase/(Decrease)
($ in thousands, except percentages) $% of Revenue $% of Revenue$%
Net patient revenue $429,744 90.7 %$420,805 89.1 %$8,939 2.1 %
Other revenue 44,163 9.3 %51,303 10.9 %(7,140)(13.9)%
Net operating revenue 473,907 100.0 %472,108 100.0 %1,799 0.4 %
Cost of services:  
Salaries and related costs 267,330 56.4 %248,409 52.6 %18,921 7.6 %
Rent, clinic supplies, contract labor and other 153,437 32.4 %133,140 28.2 %20,297 15.2 %
Provision for doubtful accounts 11,408 2.4 %14,270 3.0 %(2,862)(20.1)%
Total cost of services 432,175 91.2 %395,819 83.8 %36,356 9.2 %
Selling, general and administrative expenses 87,095 18.4 %81,912 17.4 %5,183 6.3 %
Goodwill and intangible asset impairment charges390,224 82.3 %962,303 203.8 %(572,079)n/m
Operating loss (435,587)(91.9)%(967,926)(205.0)%532,339 n/m
Change in fair value of warrant liability(3,651)(0.8)%(20,424)(4.3)%16,773 n/m
Change in fair value of contingent common shares liability(32,760)(6.9)%(167,265)(35.4)%134,505 n/m
Loss on settlement of redeemable preferred stock— — %14,037 3.0 %(14,037)n/m
Interest expense, net 31,815 6.7 %39,105 8.3 %(7,290)(18.6)%
Interest expense on redeemable preferred stock— — %10,087 2.1 %(10,087)n/m
Other expense, net 3,181 0.7 %5,831 1.2 %(2,650)(45.4)%
Loss before taxes (434,172)(91.6)%(849,297)(179.9)%415,125 n/m
Income tax benefit (43,532)(9.2)%(65,579)(13.9)%22,047 n/m
Net loss$(390,640)(82.4)%$(783,718)(166.0)%$393,078 n/m
60
Table of Contents
Net patient revenue. Net patient revenue for the nine months ended September 30, 2022 was $429.7 million compared to $420.8 million for the nine months ended September 30, 2021, an increase of $8.9 million or 2.1%.
The increase in net patient revenue was primarily driven by increased visit volumes as a result of higher clinician staffing and higher clinic count in the current period, partially offset by unfavorable net patient revenue per visit in the current period. Total patient visits increased by approximately 0.2 million visits, or 5.1%, driving an increase in average visits per day of 1,059, or 5.1%. Net patient revenue per visit decreased $3.06, or 2.9%, to $103.37 for the nine months ended September 30, 2022 compared to $106.43 for the nine months ended September 30, 2021. The decrease in net patient revenue per visit during the nine months ended September 30, 2022 compared to the nine months ended September 30, 2021 was primarily driven by unfavorable mix shifts related to payor classes and states and Medicare rate cuts.
The following chart reflects additional detail with respect to drivers of the change in year-to-date net patient revenue (in millions):
ati-20220930_g3.jpg
Other revenue. Other revenue for the nine months ended September 30, 2022 was $44.2 million compared to $51.3 million for the nine months ended September 30, 2021, a decrease of $7.1 million or 13.9%. The decrease in other revenue was primarily driven by the absence of Home Health service line revenue for the nine months ended September 30, 2022 as a result of its divestiture on October 1, 2021.
Salaries and related costs. Salaries and related costs for the nine months ended September 30, 2022 were $267.3 million compared to $248.4 million for the nine months ended September 30, 2021, an increase of approximately $18.9 million or 7.6%. Salaries and related costs as a percentage of net operating revenue was 56.4% and 52.6% for the nine months ended September 30, 2022 and 2021, respectively. The increase of $18.9 million was primarily driven by higher compensation due to wage inflation for clinic labor and by higher wages as the Company increased its clinician and support staff due to higher visit volumes. The increase as a percentage of net operating revenue was primarily driven by higher compensation due to wage inflation for clinic labor, higher share-based compensation for clinical employees, lower clinic labor productivity and lower net patient revenue per visit during the nine months ended September 30, 2022.
61
Table of Contents
Rent, clinic supplies, contract labor and other. Rent, clinic supplies, contract labor and other costs for the nine months ended September 30, 2022 were $153.4 million compared to $133.1 million for the nine months ended September 30, 2021, an increase of $20.3 million or 15.2%. Rent, clinic supplies, contract labor and other costs as a percentage of net operating revenue was 32.4% and 28.2% for the nine months ended September 30, 2022 and 2021, respectively. The increase of $20.3 million and increase as a percentage of net operating revenue was primarily driven by a higher clinic count and higher contract labor costs during the nine months ended September 30, 2022.
Provision for doubtful accounts. Provision for doubtful accounts for the nine months ended September 30, 2022 was $11.4 million compared to $14.3 million for the nine months ended September 30, 2021, a decrease of $2.9 million or 20.1%. Provision for doubtful accounts as a percentage of net operating revenue was 2.4% and 3.0% for the nine months ended September 30, 2022 and 2021, respectively. The decrease of $2.9 million and decrease as a percentage of net operating revenue was primarily driven by favorable cash collections during the nine months ended September 30, 2022.
Selling, general and administrative expenses. Selling, general and administrative expenses for the nine months ended September 30, 2022 were $87.1 million compared to $81.9 million for the nine months ended September 30, 2021, an increase of $5.2 million or 6.3%. Selling, general and administrative expenses as a percentage of net operating revenue was 18.4% and 17.4% for the nine months ended September 30, 2022 and 2021, respectively. The increase of $5.2 million and increase as a percentage of net operating revenue was primarily due to a loss on legal settlement, higher public company operating costs and non-ordinary legal and regulatory costs during the nine months ended September 30, 2022, partially offset by lower reorganization and severance costs and lower transaction costs incurred relative to the nine months ended September 30, 2021.
Goodwill and intangible asset impairment charges. Goodwill and intangible asset impairment charges for the nine months ended September 30, 2022 was $390.2 million compared to $962.3 million for the nine months ended September 30, 2021. The amount relates to the non-cash write-down of both goodwill and trade name indefinite-lived intangible assets as a result of factors including increase in discount rates and lower public company comparative multiples in 2022, and revised forecasts reflecting lower than expected patient visit volumes, the acceleration of clinician attrition, competition for clinicians in the labor market and net patient revenue per visit decreases primarily driven by unfavorable payor, state and service mix shifts in 2021. Refer to Note 5 - Goodwill, Trade Name and Other Intangible Assets in the condensed consolidated financial statements for further details.
Change in fair value of warrant liability. Change in fair value of warrant liability for the nine months ended September 30, 2022 was a gain of $3.7 million compared to a gain of $20.4 million for the nine months ended September 30, 2021. The gain in each period relates to the decrease in the estimated fair value of the Company’s IPO Warrants, primarily driven by decreases in price of the Company's Public Warrants during the nine months ended September 30, 2022 and 2021, respectively.
Change in fair value of contingent common shares liability. Change in fair value of contingent common shares liability for the nine months ended September 30, 2022 was a gain of $32.8 million compared to a gain of $167.3 million for the nine months ended September 30, 2021. The gain in each period relates to the decrease in the estimated fair value of the Company’s Earnout Shares and Vesting Shares, primarily driven by decreases in the Company's share price during the nine months ended September 30, 2022 and 2021, respectively.
Loss on settlement of redeemable preferred stock. Loss on settlement of redeemable preferred stock for the nine months ended September 30, 2021 was $14.0 million. The loss is based on the value of cash and equity provided to preferred stockholders in relation to the outstanding Wilco Holdco redeemable preferred stock liability at the time of the closing of the Business Combination.
62
Table of Contents
Interest expense, net. Interest expense, net for the nine months ended September 30, 2022 was $31.8 million compared to $39.1 million for the nine months ended September 30, 2021, a decrease of $7.3 million or 18.6%. The decrease in interest expense was primarily driven by lower outstanding principal balances under the Company's credit agreement during the nine months ended September 30, 2022, partially offset by higher interest rates under the Company’s credit agreement during the nine months ended September 30, 2022.
Interest expense on redeemable preferred stock. Interest expense on redeemable preferred stock for the nine months ended September 30, 2021 was $10.1 million. The redeemable preferred stock was fully settled in June 2021 and no longer accrued interest following the Business Combination.
Other expense, net. Other expense, net for the nine months ended September 30, 2022 was $3.2 million compared to $5.8 million for the nine months ended September 30, 2021, a decrease of approximately $2.7$2.4 million. The decrease was driven by $5.5 million in loss on debt extinguishment related to the derecognition of the unamortized deferred financing costs and original issue discount associated with the partial and full repayment of the 2016 first and second lien term loans during the nine months ended September 30, 2021, compared to $2.8 million in loss on debt extinguishment related to the derecognition of the unamortized deferred financing costs and original issuance discount associated with the full repayment of the 2016 first lien term loan during the ninethree months ended September 30, 2022.March 31, 2022 that did not recur in 2023.
Income tax benefit.expense (benefit). Income tax benefitexpense for the ninethree months ended September 30, 2022March 31, 2023 was $43.5approximately $0.1 million compared to $65.6income tax benefit of $23.3 million for the ninethree months ended September 30, 2021,March 31, 2022, a decrease in benefit of approximately $22.0$23.3 million. The decrease was primarily driven by the difference in the effective tax rate for the respective periods. The effective tax rate was different between the respective periods primarily due to higher nondeductible impairment charges, nondeductible transaction costs, nondeductible loss on settlementthe recognition of redeemable preferred stock,valuation allowances against federal and state net operating losses and other tax attributes, such as interest expense on redeemable preferred stock and fair value adjustments related to liability-classified share-based instrumentsdisallowances, for which future realization is uncertain during the ninethree months ended September 30, 2021.March 31, 2023.
Net loss. Net loss for the ninethree months ended September 30, 2022March 31, 2023 was $390.6$25.2 million compared to $783.7$138.2 million for the ninethree months ended September 30, 2021,March 31, 2022, a decrease in loss of approximately $393.1$113.0 million. The comparatively lower loss was primarily driven by lowerthe absence of goodwill, intangible and intangibleother asset impairment charges, partially offset by lower net gains related to changes in fair value of warrant liability and contingent common shares liability and lower income tax benefit during the ninethree months ended September 30, 2022March 31, 2023 as compared to the ninethree months ended September 30, 2021.March 31, 2022.
6354
Table of Contents
Non-GAAP Financial Measures
The following table reconciles the supplemental non-GAAP financial measures, as defined under the rules of the U.S. Securities and Exchange Commission ("SEC"), presented herein to the most directly comparable financial measures calculated and presented in accordance with GAAP.U.S. generally accepted accounting principles ("GAAP"). The Company has provided the non-GAAP financial measures, which are not calculated or presented in accordance with GAAP, as supplemental information and in addition to the financial measures that are calculated and presented in accordance with GAAP. EBITDA and Adjusted EBITDA are defined as net income from continuing operations calculated in accordance with GAAP, less net income attributable to non-controlling interests, plus the sum of income tax expense, interest expense, net, depreciation and amortization (“EBITDA”) and further adjusted to exclude certain items of a significant or unusual nature, including but not limited to, goodwill, intangible and intangibleother asset impairment charges, changes in fair value of warrant liability and contingent common shares liability, loss on debt extinguishment, loss on legal settlement, share-based compensation,transaction and integration costs, non-ordinary legal and regulatory matters, share-based compensation, business optimization costs, pre-opening de novo costs, transactionreorganization and integrationseverance costs, loss on debt extinguishment, and gain on sale of Home Health service line loss on settlement of redeemable preferred stock and reorganization and severance costs (“Adjusted EBITDA”).
We present EBITDA and Adjusted EBITDA because they are key measures used by our management team to evaluate our operating performance, generate future operating plans and make strategic decisions. The Company believes EBITDA and Adjusted EBITDA are useful to investors for the purposes of comparing our results period-to-period and alongside peers and understanding and evaluating our operating results in the same manner as our management team and board of directors.
These supplemental measures should not be considered superior to, as a substitute for or as an alternative to, and should be considered in conjunction with, the GAAP financial measures presented. In addition, since these non-GAAP measures are not determined in accordance with GAAP, they are susceptible to varying calculations and may not be comparable to other similarly titled non-GAAP measures of other companies.
6455
Table of Contents
EBITDA and Adjusted EBITDA (Non-GAAP Financial Measures)
The following is a reconciliation of net loss, the most directly comparable GAAP financial measure, to EBITDA and Adjusted EBITDA (each of which is a non-GAAP financial measure) for each of the periods indicated. For additional information on these non-GAAP financial measures, see “Non-GAAP Financial Measures” above.
Three Months EndedNine Months EndedThree Months Ended
($ in thousands)($ in thousands)September 30, 2022September 30, 2021September 30, 2022September 30, 2021($ in thousands)March 31, 2023March 31, 2022
Net lossNet loss$(116,694)$(326,774)$(390,640)$(783,718)Net loss$(25,210)$(138,223)
Plus (minus):Plus (minus):Plus (minus):
Net loss attributable to non-controlling interests376 2,109 1,026 4,569 
Net (income) loss attributable to non-controlling interestsNet (income) loss attributable to non-controlling interests(1,060)473 
Interest expense, netInterest expense, net11,780 7,386 31,815 39,105 Interest expense, net13,936 8,656 
Interest expense on redeemable preferred stock— — — 10,087 
Income tax benefit(7,218)(35,333)(43,532)(65,579)
Income tax expense (benefit)Income tax expense (benefit)62 (23,281)
Depreciation and amortization expenseDepreciation and amortization expense9,907 9,222 29,862 27,990 Depreciation and amortization expense9,564 9,900 
EBITDAEBITDA$(101,849)$(343,390)$(371,469)$(767,546)EBITDA$(2,708)$(142,475)
Goodwill and intangible asset impairment charges(1)
106,663 508,972 390,224 962,303 
Goodwill and intangible asset impairment charges attributable to non-controlling interests(1)
(457)(2,928)(2,051)(7,949)
Goodwill, intangible and other asset impairment charges(1)
Goodwill, intangible and other asset impairment charges(1)
— 155,741 
Goodwill, intangible and other asset impairment charges attributable to non-controlling interests(1)
Goodwill, intangible and other asset impairment charges attributable to non-controlling interests(1)
— (940)
Changes in fair value of warrant liability and contingent common shares liability(2)
Changes in fair value of warrant liability and contingent common shares liability(2)
(7,720)(162,202)(36,411)(187,689)
Changes in fair value of warrant liability and contingent common shares liability(2)
(511)(26,011)
Loss on debt extinguishment(3)
— — 2,809 5,534 
Loss on legal settlement(4)
— — 3,000 — 
Transaction and integration costs(3)
Transaction and integration costs(3)
5,408 1,538 
Non-ordinary legal and regulatory matters(4)
Non-ordinary legal and regulatory matters(4)
1,523 2,497 
Share-based compensationShare-based compensation1,920 1,248 5,888 4,864 Share-based compensation1,478 1,964 
Non-ordinary legal and regulatory matters(5)
772 442 5,471 442 
Business optimization costs(5)
Business optimization costs(5)
(702)— 
Pre-opening de novo costs(6)
Pre-opening de novo costs(6)
224 511 891 1,386 
Pre-opening de novo costs(6)
172 381 
Transaction and integration costs(7)
55 2,335 2,196 8,833 
Reorganization and severance costs(7)
Reorganization and severance costs(7)
130 — 
Loss on debt extinguishment(8)
Loss on debt extinguishment(8)
— 2,809 
Gain on sale of Home Health service line, netGain on sale of Home Health service line, net— — (199)— Gain on sale of Home Health service line, net— (199)
Loss on settlement of redeemable preferred stock— — — 14,037 
Reorganization and severance costs(8)
— 3,551 — 3,913 
Adjusted EBITDAAdjusted EBITDA$(392)$8,539 $349 $38,128 Adjusted EBITDA$4,790 $(4,695)
(1)Represents non-cash charges related to the write-down of goodwill, and trade name indefinite-lived intangible and other assets. Refer to Note 5 of the accompanying condensed consolidated financial statements for further details.
(2)Represents non-cash amounts related to the change in the estimated fair value of IPO Warrants, Earnout Shares and Vesting Shares. Refer to Notes 3,11 and 12 and 13 of the accompanying condensed consolidated financial statements for further details.
65
Table of Contents
(3)Represents charges related to the derecognition of the unamortized deferred financing costsnon-capitalizable debt and original issuance discount associated with the full repayment of the 2016 first lien term loan and the partial and full repayment of the 2016 first and second lien term loans, respectively. Refer to Note 8 of the accompanying condensed consolidated financial statements for further details.capital transaction costs.
(4)Represents estimated charge for probable net settlement liabilitynon-ordinary course legal costs related to billing dispute.the previously disclosed ATIP stockholder class action complaints, derivative complaint and SEC matter. Refer to Note 1716 of the accompanying condensed consolidated financial statements for further details.
(5)Represents non-ordinary course legal costsrealized benefit of labor related CARES Act credit that was not previously considered probable and relates to the previously disclosed ATIP shareholder class action complaints, derivative complaint and SEC inquiry. Refer to Note 17 of the accompanying condensed consolidated financial statements for further details.prior years.
(6)Represents expenses associated with renovation, equipment and marketing costs relating to the start-up and launch of new locations incurred prior to opening.
(7)Represents costs related to the Business Combination, non-capitalizable debt transaction costs and consulting and planning costs related to preparation to operate as a public company.
(8)Represents severance consulting and other costs related to discrete initiatives focused on reorganization and delayering of the Company’s labor model, management structure and support functions.
(8)Represents charges related to the derecognition of the unamortized deferred financing costs and original issuance discount associated with the full repayment of the 2016 first lien term loan. Refer to Note 8 of the accompanying condensed consolidated financial statements for further details.
56
Table of Contents
Liquidity and Capital Resources
Our principal sources of liquidity are historical operating cash flows, borrowings under our credit agreement and proceeds from equity issuances. We have used these funds for our short-term and long-term capital uses,needs, which include salaries, benefits and other employee-related expenses, rent, clinical supplies, outside services, capital expenditures, acquisitions, de novos, acqui-novos and debt service. Our capital expenditure, acquisition, de novo and acqui-novo spend will depend on many factors, including, but not limited to, the targeted number of new clinic openings, patient volumes, clinician labor market, revenue growth rates and level of operating cash flows.
As of September 30, 2022March 31, 2023 and December 31, 20212022, we had $48.6$63.1 million and $83.1 million in cash and cash equivalents.equivalents, respectively. As of September 30, 2022,March 31, 2023, we had $50.0 millionno available capacity under our 2022 revolving credit facility, less $1.8 million of outstanding letters of credit.facility.
For the ninethree months ended September 30, 2022,March 31, 2023, we had operating cash outflows of $59.1$14.2 million driven by items including net losses and the applicationpayments related to operating lease liabilities, accounts payable, accrued expenses and repayment of MAAPP funds.other liabilities. Our ability to generate future operating cash flows depends on many factors, including clinical staffing levels and productivity, costs and capital expenditures, patient volumes, referrals and revenue growth rates.
As of September 30, 2022 and December 31, 2021, the Company had zero and $12.3 million of MAAPP funds included in the balance of cash and cash equivalents, respectively. In addition, as of September 30, 2022 and December 31, 2021, the Company had $5.9 million of deferred Social Security taxes included in the balance of cash and cash equivalents. The Company began applying MAAPP funds to Medicare billings in the second quarter of 2021 and remitted payments on its deferred employer Social Security taxes in the third and fourth quarters of 2021. The remaining MAAPP funds have been applied and repaid, and the deferred employer Social Security taxes are required to be applied or repaid prior to the end of 2022. The repayment of CARES Act funds, together with other operational activity, is expected to result in a net operating cash outflow for 2022.
We make reasonable and appropriate efforts to collect accounts receivable, including payor amounts and applicable patient deductibles, co-payments and co-insurance, in a consistent manner for all payor types. Claims are submitted to payors daily, weekly or monthly in accordance with our policy or payor’s requirements. When possible, we submit our claims electronically. The collection process is time consuming and typically involves the submission of claims to multiple payors whose payment of claims may be dependent upon the payment of another payor. Claims under litigation and vehicular incidents can take a year or longer to collect.
66
Table of Contents
Liquidity and going concern
In accordance with Accounting Standards Codification ("ASC") Topic 205-40, Going Concern, the Company has evaluated whether there are certain conditions and events, considered in the aggregate, that raise substantial doubt about the Company’s ability to continue as a going concern within twelve months after the date that these condensed consolidated financial statements are issued. This evaluation includes considerations related to the covenants contained in the Company’s 2022 Credit Agreement as well as the Company’s liquidity position overall.
As detailed in Note 8 - Borrowings, the Company’s 2022 Credit Agreement contains customary covenants and restrictions, including financial and nonfinancial covenants. The financial covenants require the Company to maintain $30.0 million of minimum liquidity, as defined in the agreement, at each test date through the first quarter of 2024. Additionally, beginning in the second quarter of 2024, the Company must maintain a Secured Net Leverage Ratio, as defined in the agreement, not to exceed 7.00:1.00. The net leverage ratio covenant decreases in the third quarter of 2024 to 6.75:1.00 and further decreases in the first quarter of 2025 to 6.25:1.00, which remains applicable through maturity. The financial covenants are tested as of each fiscal quarter end for the respective periods. Failure to comply with these covenants and restrictions would result in an event of default, subject to customary cure periods.
As of September 30, 2022, we had $48.6 million in cash and cash equivalents and $48.2 million of available capacity under our 2022 revolving credit facility, resulting in $96.8 million of liquidity. As measured based on the definitions in the Company’s 2022 Credit Agreement, liquidity was $99.6 million as of September 30, 2022.
The Company has negative operating cash flows, operating losses and net losses which will continue until operating results improve. For the nine months ended September 30, 2022, the Company had cash flow used in operating activities of $59.1 million, operating loss of $435.6 million and net loss of $390.6 million. In addition, as of September 30, 2022, the Company had an accumulated deficit of $1,236.7 million. These results are, in part, due to trends experienced by the Company including a tight labor market for available physical therapy and other providers in the workforce, visit volume softness, decreases in rate per visit and increases in interest costs.
Improving operating results and cash flow is dependent upon the Company’s ability to achieve its business plan to increase clinical staffing levels and clinician productivity, control costs and capital expenditures, increase patient visit volumes and referrals and stabilize rate per visit. However, there can be no assurance that it will be successful in any of these respects. If business results in the coming twelve months do not improve relative to the previous twelve months, the Company would be at risk of violating its $30.0 million minimum liquidity covenant under its 2022 Credit Agreement. As a result, there is substantial doubt about the Company’s ability to continue as a going concern within twelve months following the issuance date of the condensed consolidated financial statements as of and for the period ended September 30, 2022.
If business results do not improve relative to the previous twelve months, the Company will need to consider other alternatives, such as pursuing an amendment to or waiver of the minimum liquidity covenant and other requirements under the 2022 Credit Agreement, raising funds from other sources, obtaining alternate financing, disposal of assets, or pursuing other strategic alternatives to improve its liquidity position and business results. There can be no assurance that the Company will be successful in accessing such alternative options or financing when needed. Failure to obtain such an amendment to or waiver of the minimum liquidity covenant, complete the other financings or execute on other strategic alternatives when needed would have a material adverse effect on the liquidity, financial condition and results of operations.
67
Table of Contents
The accompanying unaudited condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business within twelve months after the date that these condensed consolidated financial statements are issued.
As of March 31, 2023, the Company had $63.1 million in cash and cash equivalents and no available capacity under its revolving credit facility. The Company was in compliance with its minimum liquidity covenant under the 2022 Credit Agreement as of March 31, 2023.
The Company has negative operating cash flows, operating losses and net losses. For the three months ended March 31, 2023, the Company had cash flows used in operating activities of $14.2 million, operating loss of $11.4 million and net loss of $25.2 million. These results are, in part, due to recent trends experienced by the Company including a tight labor market for available physical therapy and other healthcare providers in the workforce, visit volume softness, decreases in rate per visit and increases in interest costs.
Further, based on current liquidity and projected cash use, the Company anticipates violation of its minimum liquidity covenant under its 2022 Credit Agreement (as defined in Note 8) within the next twelve months following the issuance date of the condensed consolidated financial statements as of and for the period ended March 31, 2023 (refer to Note 8 - Borrowings for further discussion of the 2022 Credit Agreement and related covenants).
These conditions and events raise substantial doubt about the Company's ability to continue as a going concern.
57
Table of Contents
In addition, the report of the Independent Registered Public Accounting Firm accompanying the consolidated financial statements for the year ended December 31, 2022 contains an explanatory paragraph expressing substantial doubt about our ability to continue as a going concern. Absent an amendment or waiver, the 2022 Credit Agreement provides that the receipt of a report of the Independent Registered Public Accounting Firm containing an explanatory paragraph expressing substantial doubt about our ability to continue as a going concern could be an event of default, subject to certain exceptions. Pursuant to the Transaction Support Agreement, dated as of March 15, 2023, the First Lien Lenders have agreed that, prior to June 15, 2023 (the “Outside Closing Date”), they will forbear in the exercise of any rights, remedies, powers, privileges and defenses under the 2022 Credit Agreement arising on account of a default, alleged default or event of default (if any) resulting from the going concern explanatory paragraph in the report of the Independent Registered Public Accounting Firm accompanying the consolidated financial statements for the year ended December 31, 2022. However, if the Transaction (as defined and for which the terms are further described in Note 8) is not consummated on its terms or at all, the First Lien Lenders could claim that a default or event of default has occurred under the 2022 Credit Agreement. If such claim is not waived by the First Lien Lenders and the Company is unsuccessful in disputing any such claims (including with respect to the applicability of one of the enumerated exceptions to the 2022 Credit Agreement requirement), the Company could be considered to have an event of default after the expiration of the applicable cure periods.
In the event of a default, all amounts outstanding under the 2022 Credit Facility, together with any accrued interest, could then be declared immediately due and payable and could be reclassified to current in the Company's condensed consolidated financial statements for the period. A default on our obligations and an acceleration of our indebtedness by our lenders would have a material adverse impact on our business, financial condition, results of operations and cash flows, and may lead to events including bankruptcy, reorganization or insolvency.
In response to these conditions, management plans include improving operating results and cash flows and refinancing the Company's debt under its 2022 Credit Agreement.
The Company's plan to improve operating results and cash flow is dependent upon its ability to achieve its business plan to increase clinical staffing levels, improve clinician productivity, control costs and capital expenditures, increase patient visit volumes and referrals and stabilize rate per visit. There can be no assurance that it will be successful in any of these respects.
In order to refinance the Company’s debt under its 2022 Credit Agreement, the Company has agreed, subject to stockholder approval of the Transaction (as defined and for which the terms are further described in Note 8), to (i) a delayed draw new money financing in an aggregate principal amount of $25.0 million, comprised of (A) second lien PIK convertible notes (the “Notes”) and (B) shares of Series B Preferred Stock (as defined in Note 8), which will provide the holder thereof with voting rights such that the holders thereof will have the right to vote on an as-converted basis, (ii) facilitate the exchange of $100.0 million of the aggregate principal amount of the term loans under the 2022 Credit Agreement held by certain of the Preferred Equityholders for Notes and Series B preferred Stock and (iii) agree to certain other changes to the terms of the 2022 Credit Agreement, including modifications of the financial covenants thereunder. Holders of the Notes will also receive additional Notes upon the in-kind payment of interest on any outstanding Notes. The Notes will be convertible into shares of Class A common stock at a fixed conversion price.
58
Table of Contents
If the Company does not consummate the Transaction on a timely basis as further described in Note 8 or otherwise access additional financing, the Company will need to consider other alternatives, including pursuing separate amendments to or waivers of the minimum liquidity covenant, the requirement to deliver audited financial statements without certain going concern qualifications, and other requirements under the 2022 Credit Agreement, as well as raising funds from other sources, obtaining alternate financing, disposal of assets, or pursuing other strategic alternatives to improve its liquidity position and business results. There can be no assurance that the Company will be successful in completing the Transaction or accessing such alternative options or financing when needed. Failure to do so could have a material adverse impact on our business, financial condition, results of operations and cash flows, and may lead to events including bankruptcy, reorganization or insolvency.
Management plans have not been fully implemented and, as a result, the Company has concluded that management’s plans do not alleviate substantial doubt about the Company’s ability to continue as a going concern.
The condensed consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of this uncertainty.
Amended and Restated Transaction Support Agreement
On April 17, 2023, the Company entered into (i) an Amended and Restated Transaction Support Agreement (the "A&R TSA") to that certain Transaction Support Agreement, dated as of March 15, 2023, by and among the Company and certain of the Company’s affiliates, certain of its first lien lenders under the 2022 Credit Agreement (the “First Lien Lenders”), the administrative agent under the 2022 Credit Agreement, holders of its Series A Senior Preferred Stock (the “Preferred Equityholders”) and holders of the majority of its common stock (collectively, the “Parties”), (ii) Amendment No. 2 (the “Credit Agreement Amendment”) to the Company’s Credit Agreement, dated as of February 24, 2022, by and among ATI Holdings Acquisition, Inc. (the "Borrower"), Wilco Intermediate Holdings, Inc. (“Holdings”), as loan guarantor, Barclays Bank PLC, as administrative agent and issuing bank, and the lenders party thereto (the “2022 Credit Agreement” and together with the Credit Agreement Amendment, the “Credit Agreement”), (iii) a Second Lien Note Purchase Agreement (the “Note Purchase Agreement”), by and among the Company, Wilco Holdco, Inc. (“Wilco”), Holdings, the Borrower, the purchasers from time to time party thereto (the “Purchasers”) and Wilmington Savings Fund Society, FSB, as purchaser representative and (iv) certain other definitive agreements relating to the comprehensive transaction to enhance the Company’s liquidity (the “Transaction,” and such documents referred to collectively as the “Signing Date Definitive Documents”).
59
Table of Contents
Transaction Support Agreement
The A&R TSA sets forth the principal terms of a comprehensive transaction to enhance the Company’s liquidity. Pursuant to the A&R TSA, the Company and the Parties agreed to and appended thereto substantially final forms of the remaining definitive documents (together with the Signing Date Definitive Documents, the “Definitive Documents”) and subject to the terms and conditions thereof, the Parties have agreed to support, act in good faith and take all steps reasonably necessary and desirable to consummate the transactions referenced therein by the Outside Closing Date. Specifically, the Company has agreed, subject to stockholder approval of the Transaction, to a delayed draw new money financing in which the Company (i) may cause to be issued to the Purchasers an aggregate principal amount of $25.0 million (the “Delayed Draw Amounts”) in the form of a new stapled security, comprised of (A) second lien PIK convertible notes (the “Notes”) and (B) shares of Series B Preferred Stock (the "Series B Preferred Stock"), which will provide the holder thereof with voting rights such that the holders thereof will have the right to vote on an as-converted basis as if the conversion occurred at an initial price per share equal to the average closing price for the five trading days immediately preceding the date on which the Note Purchase Agreement was signed (the “NYSE Minimum Price”), (ii) will facilitate the exchange of $100.0 million of the aggregate principal amount of the term loans under the 2022 Credit Agreement held by certain of the Preferred Equityholders for Notes and Series B Preferred Stock and (iii) will agree to certain other changes to the terms of the 2022 Credit Agreement, including modifications of the financial covenants thereunder. Holders of the Notes will also receive additional Notes upon the in-kind payment of interest on any outstanding Notes. The Notes will be convertible into shares of Class A common stock, par value $0.0001 per share, of the Company (“Common Stock”) at a fixed conversion price of $0.25 (subject to adjustment as provided in the Note Purchase Agreement, the “Conversion Price”).
In addition, as part of the Transaction, (1) the Preferred Equityholders’ preexisting rights as holders of the Company’s Series A Senior Preferred Stock to designate and elect one director to the Company’s board of directors (the “Board”) will be revised to provide that (a) the Preferred Equityholders have the right to appoint three additional directors to the Board (resulting in the right of the Preferred Equityholders to appoint a total of four directors to the Board) until such time after the closing date of the Transaction (the "Closing Date") that the Lead Purchaser (in each case, as defined in certain of the transaction agreements entered into in connection with the original issuance of the Series A Preferred Stock) ceases to hold at least 50.1% of the Series A Preferred Stock held by it as of the Closing Date, one of whom must be unaffiliated with (and independent of) the Preferred Equityholders and who must meet the definition of “independent” under the listing standards of the New York Stock Exchange, and by the SEC; and (b) all such designee directors of the Preferred Equityholders will be subject to consideration by the Board (acting in good faith and consistent with their review of other Board candidates) and (2) the provision in the certificate of designation of the Company’s Series A Senior Preferred Stock that eliminated the Preferred Equityholders’ director designation rights upon the Company’s achievement of certain amounts of EBITDA will be deleted (and the equivalent provision in that certain Investors’ Rights Agreement, dated as of February 24, 2022, by and among the Company and the Preferred Equityholders listed therein, will also be deleted).
In addition, the A&R TSA contains certain representations, warranties and other agreements by the Company and the Parties. The Company’s and the Parties’ obligations under the A&R TSA are, and the closing of the Transaction is, subject to various customary terms and conditions set forth therein, including the execution and delivery of definitive documentation and approval by the Company’s stockholders.
60
Table of Contents
Credit Agreement Amendment
The Credit Agreement Amendment provides, among other things, (i) a reduction of the thresholds applicable to the minimum liquidity financial covenant under the 2022 Credit Agreement for certain periods, (ii) a waiver of the requirement to comply with the Secured Net Leverage Ratio financial covenant under the 2022 Credit Agreement for the fiscal quarters ending June 30, 2024, September 30, 2024 and December 31, 2024 and a modification of the levels and certain component definitions applicable thereto in the fiscal quarters ending after December 31, 2024, (iii) an extension of the minimum liquidity financial covenant for the fiscal quarters in which the Secured Net Leverage Ratio financial covenant was waived, (iv) a waiver of the requirement for the Company to deliver audited financial statements without certain going concern qualifications for the years ended December 31, 2022, December 31, 2023, and December 31, 2024, (v) an increase in the interest rate payable on the existing term loans and revolving loans until the achievement of a specified financial metric and (vi) board representation and observer rights and other changes to the governance of the Company.
Note Purchase Agreement and Series B Preferred Stock
The Note Purchase Agreement contains customary representations, warranties, conditions and indemnification obligations by each party thereto. The representation, warranties and covenants contained therein were made only for the purposes of the Note Purchase Agreement, and as of specific dates, were solely for the benefit of the parties to such agreement and are subject to certain limitations set forth therein.
Draws. Draws on the Delayed Draw Amounts will be available beginning immediately on the Closing Date and ending on the date that is 18 months after the Closing Date, the Company may request either (i) two draws in an amount of $12.5 million each, or (ii) one draw in an amount of $25.0 million, subject in each case to, (a) projected liquidity at any time during the 6-month period following the date of the relevant draw being below either (i) $20 million or (ii) the prevailing minimum liquidity covenant threshold, as determined by reference to the Credit Agreement and (b) the consent of at least a majority of the disinterested directors on our Board. The Note Purchase Agreement also provides, subject to certain conditions (including the receipt of commitments therefor) and consent rights outlined in the Note Purchase Agreement for the ability of the Company to issue up to an additional $150.0 million in Notes. Proceeds of the Notes may be used for general corporate purposes, subject to certain exceptions.
Interest. The Notes will bear interest at a rate of 8.00% per annum, payable quarterly in-kind in the form of additional Notes by capitalizing the amount of such interest on the outstanding principal balance of the Notes in arrears on each interest payment date.
Maturity. The Notes will mature on August 24, 2028, unless earlier repurchased or converted.
Conversion. The Notes may be converted, in whole or in part (if the portion to be converted is $1,000 principal amount or an integral multiple thereof), at the option of the holder, into shares of Common Stock based on the Conversion Price.
Forced Conversion. On or after the second anniversary of the Closing Date, the Company may, at its option, from time to time, elect to convert a portion of the outstanding Notes into the number of shares of Common Stock issuable upon conversion based on the Conversion Price then in effect, subject in each case to the satisfaction of the conditions contained in the Note Purchase Agreement.

61
Table of Contents
Adjustments to Conversion Price. The Conversion Price is subject to adjustment as a result of certain events including, but not limited to, certain issuances of Common Stock as a dividend or distribution, issuances of rights, options or warrants to purchase Common Stock at a price per share less than the average closing price per share of Common Stock for the ten trading days preceding the date of announcement of such issuance, effecting a share split or combination of the shares of Common Stock, issuance of a cash dividend or distribution and other issuances for a consideration per share less than the Conversion Price.
Guarantees; Collateral; Ranking. The Notes will be guaranteed by Wilco, Holdings, the Borrower, and the subsidiaries of ATI Holdings Acquisition, Inc. that guaranty the obligations under the Credit Agreement. The Notes will be secured by the same collateral that secures the obligations under the Credit Agreement.
Pursuant to the terms of an intercreditor and subordination agreement, the Notes (and the guarantees thereof) will rank junior in right of payment to the obligations under the Credit Agreement, and the liens on the collateral securing the Notes will rank junior to the liens on such collateral securing the obligations under the Credit Agreement.
Other Covenants. The Note Purchase Agreement includes affirmative and negative covenants (other than financial covenants) that are substantially consistent with the Credit Agreement, as well as customary events of default.
Voting. The Company will issue to each holder of Notes shares of Series B Preferred Stock in an amount equal to the quotient (rounded down to the nearest whole number) obtained by dividing (A) the amount paid by such holder to the Company for the Notes by (B) $1,000, resulting in more votes per share of Series B Preferred Stock than one share of Common Stock. Notwithstanding that one share of Series B Preferred Stock shall represent more votes than one share of Common Stock, the holders of shares of Series B Preferred Stock shall have full voting rights and powers equal to the voting rights and powers of the holders of Common Stock, and shall be entitled to notice of any stockholders' meeting in accordance with the bylaws of the Company, shall be entitled to vote, together with holders of Common Stock, with respect to any question upon which holders of Common Stock have the right to vote. Fractional votes shall not, however, be permitted, and any fractional voting rights available on an as-converted basis (after aggregating all shares into which shares of Series B Preferred Stock held by each holder could be converted) shall be rounded down to the nearest whole share of Series B Preferred Stock.
The Series B Preferred Stock shall not have any dividend or redemption rights and, in the event of any voluntary or involuntary liquidation, dissolution or winding up of the Company, the holders of Series B Preferred Stock shall be entitled to be paid out of the assets of the Company available for distribution to its stockholders, after satisfying any senior payment obligations and before any payment in respect of any Common Stock, an amount per share of Series B Preferred Stock equal to $0.0001.
The Series B Preferred Stock shall be governed in all respects by Delaware law.
The Transaction is subject to the execution of the Definitive Documents, as well as customary closing conditions. In addition, the closing of the Transaction and the matters contemplated by each of the A&R TSA, Credit Agreement Amendment and Note Purchase Agreement, are subject in each case to approval by the Company’s stockholders.
There is no assurance that the Transaction will be consummated on the terms as described above, on a timely basis or at all.
62
Table of Contents
2022 Credit Agreement
On February 24, 2022 (the "Refinancing Date"), the Company entered into various financing arrangements to refinance its existingprevious long-term debt, which consisted of $555.0 million in principal under the Company's existingprevious term loan (the "2016 first lien term loan"), which was repaid in full on the Refinancing Date. As part of the 2022 Debt Refinancing, ATI Holdings Acquisition, Inc. (the "Borrower"), an indirect subsidiary of ATI Physical Therapy, Inc., entered into a credit agreement among the Borrower, Wilco Intermediate Holdings, Inc. ("Holdings"), as loan guarantor, Barclays Bank PLC, as administrative agent and issuing bank, and a syndicate of lenders (the "2022 Credit Agreement").lenders. The 2022 Credit Agreement provides a $550.0 million credit facility (the "2022 Credit Facility") that is comprised of a $500.0 million senior secured term loan (the "Senior Secured Term Loan") which was fully funded at closing and a $50.0 million "super priority" senior secured revolver (the "Revolving Loans") with a $10.0 million letter of credit sublimit. The 2022 Credit Facility refinanced and replaced the Company's prior credit facility for which Barclays Bank PLC served as administrative agent for a syndicate of lenders.
The Company recognized $2.8 million in loss on debt extinguishment related to the derecognition of the remaining unamortized deferred financing costs and unamortized original issue discount in conjunction with the repayment of the 2016 first lien term loan. The Company capitalized debt issuance costs totaling $12.5 million related to the 2022 Credit Facility as well as an original issue discount of $10.0 million. The Company capitalized issuance costs of $0.5 million related to the Revolving Loans.
The Senior Secured Term Loan matures on February 24, 2028 and bears interest, at the Company's election, at a base interest rate of the Alternate Base Rate ("ABR"), as defined in the agreement, plus an applicable credit spread, or the Adjusted Term Secured Overnight Financing Rate ("SOFR"), as defined in the agreement, plus an applicable credit spread. The credit spread is determined based on a pricing grid and the Company's Secured Net Leverage Ratio. The Company may elect to pay 2.0% interest in-kind at a 0.5% premium during the first year under the agreement. The Company elected to pay a portion of its interest in-kind duringbeginning in the third quarter ended September 30,of 2022. As of September 30, 2022,March 31, 2023, borrowings on the Senior Secured Term Loan bear interest at 1-month3-month SOFR, subject to a 1.0% floor, plus 7.25% plus the 0.5% paid-in-kind interest premium. As of September 30, 2022,March 31, 2023, the interest rate on the Senior Secured Term loanLoan was 10.8%12.6% and the effective interest rate was 11.4%13.7%. As of September 30, 2022,March 31, 2023, the outstanding principal amount under the Senior Secured Term Loan was $500.9$505.2 million.
The Revolving Loans are subject to a maximum borrowing capacity of $50.0 million and mature on February 24, 2027. Borrowings on the Revolving Loans bear interest, at the Company's election, at a base interest rate of the ABR, as defined in the agreement, plus an applicable credit spread, or the Adjusted Term SOFR Rate, as defined in the agreement, plus an applicable credit spread. The credit spread is determined based on a pricing grid and the Company's Secured Net Leverage Ratio. Commitment fees on the Revolving Loans are payable quarterly at 0.5% per annum on the daily average undrawn portion for the quarter and are expensed as incurred. In December 2022, the Company drew $48.2 million in Revolving Loans. As of March 31, 2023, $48.2 million in Revolving Loans were outstanding and bearing interest at a rate of 8.8%.
The 2022 Credit Facility is guaranteed by certain of the Company’s subsidiaries and is secured by substantially all of the assets of Holdings, the Borrower and the Borrower’s wholly owned subsidiaries, including a pledge of the stock of the Borrower, in each case, subject to customary exceptions.
6863
Table of Contents
The 2022 Credit Agreement contains customary covenants and restrictions, including financial and non-financial covenants. The financial covenants require the Company to maintain $30.0 million of minimum liquidity, as defined in the agreement, at each test date through the first quarter of 2024. Additionally, beginning in the second quarter of 2024, the Company must maintain a Secured Net Leverage Ratio, as defined in the agreement, not to exceed 7.00:1.00. The net leverage ratio covenant decreases in the third quarter of 2024 to 6.75:1.00 and further decreases in the first quarter of 2025 to 6.25:1.00, which remains applicable through maturity. The financial covenants are tested as of each fiscal quarter end for the respective periods. As of March 31, 2023, the Company is in compliance with its minimum liquidity financial covenant.
The 2022 Credit Facility contains customary representations and warranties, events of default, reporting and other affirmative covenants and negative covenants, including requirements related to the delivery of independent audit reports without certain going concern independent audit reports,qualifications, limitations on indebtedness, liens, investments, negative pledges, dividends, junior debt payments, fundamental changes and asset sales and affiliate transactions. Failure to comply with the 2022 Credit Facility covenants and restrictions could result in an event of default under the 2022 Credit Facility, subject to customary cure periods. In such an event, all amounts outstanding under the 2022 Credit Facility, together with any accrued interest, could then be declared immediately due and payable.
Under the 2022 Credit Facility, the Company may be required to make certain mandatory prepayments upon the occurrence of certain events, including: an event of default, a Prepayment Asset Saleprepayment asset sale or receipt of Net Insurance Proceedsnet insurance proceeds (as defined in the 2022 Credit Agreement) in excess of $15.0 million, or excess cash flows exceeding certain thresholds (as defined in the 2022 Credit Agreement).
Preferred Stock Financing
In connection with the 2022 Debt Refinancing, the Company issued 165,000 shares of non-convertible preferred stock (the "Series A Senior Preferred Stock") plus 5.2 million warrants to purchase shares of the Company's common stock at an exercise price of $3.00 per share (the "Series I Warrants") and warrants to purchase 6.3 million shares of the Company's common stock at an exercise price equal to $0.01 per share (the "Series II Warrants"). The shares of the Series A Senior Preferred Stock have a par value of $0.0001 per share and an initial stated value of $1,000 per share, for an aggregate initial stated value of $165.0 million. The Series I and Series II Warrants are exercisable for 5 years from the Refinancing DateDate.
The gross proceeds received from the issuance of the Series A Senior Preferred Stock and the Series I and Series II Warrants were $165.0 million, which was allocated among the instruments based on the relative fair values of each instrument. Of the gross proceeds, $144.7 million was allocated to the Series A Senior Preferred Stock, $5.1 million to the Series I Warrants and $15.2 million to the Series II Warrants. The resulting discount on the Series A Senior Preferred Stock will be recognized as a deemed dividend when those shares are subsequently remeasured upon becoming redeemable or probable of becoming redeemable. The Company recognized $2.9 million in issuance costs and $1.4 million of original issue discount related to the Series A Senior Preferred Stock. The Company recognized total issuance costs and original issue discount of approximately $0.2 million and $0.5 million related to the Series I Warrants and Series II Warrants, respectively.
The Series A Senior Preferred Stock has priority over the Company's Class A common stock and all other junior equity securities of the Company, and is junior to the Company's existing or future indebtedness and other liabilities (including trade payables), with respect to payment of dividends, distribution of assets, and all other liquidation, winding up, dissolution, dividend and redemption rights.
64
Table of Contents
The Series A Senior Preferred Stock carries an initial dividend rate of 12.0% per annum (the "Base Dividend Rate"), payable quarterly in arrears. Dividends will be paid in-kind and added to the stated value of the Series A Senior Preferred Stock. The Company may elect to pay dividends on the Series A Senior Preferred Stock in cash beginning on the third anniversary of the Refinancing Date and, with respect to any such dividends paid in cash, the dividend rate then in effect will be decreased by 1.0%.
69
Table of Contents
The Base Dividend Rate is subject to certain adjustments, including an increase of 1.0% per annum on the first day following the fifth anniversary of the Refinancing Date and on each one-year anniversary thereafter, and 2.0% per annum upon the occurrence of either an Event of Noncompliance (as defined in the Certificate of Designation) or a failure by the Company to redeem in full all Series A Senior Preferred Stock upon a Mandatory Redemption Event, which includes a change of control, liquidation, bankruptcy or certain restructurings. The paid in-kind dividends related to the Series A Preferred Stock were $5.3 million and $12.3$1.9 million for the three and nine months ended September 30,March 31, 2023 and 2022, respectively. As of September 30, 2022,March 31, 2023, the accumulated paid in-kind dividends related to the Series A Preferred Stock were $12.3$23.2 million and the aggregate stated value was $177.3$188.2 million.
The Company has the right to redeem the Series A Senior Preferred Stock, in whole or in part, at any time (subject to certain limitations on partial redemptions). The Redemption Price (as defined in the Certificate of Designation) for each share of Series A Senior Preferred Stock dependsis equal to the stated value subject to certain price adjustments depending on when such optional redemption takes place, if at all.
The Series A Senior Preferred Stock is perpetual and is not mandatorily redeemable at the option of the holders, except upon the occurrence of a Mandatory Redemption Event (as defined in the Certificate of Designation).Event. Upon the occurrence of a Mandatory Redemption Event, to the extent not prohibited by law, the Company is required to redeem all Series A Senior Preferred Stock, in cash, at a price per share equal to the then applicable Redemption Price. Based on the Company’s assessment of the conditions which would trigger the redemption of the Series A Senior Preferred Stock, the Company has determined that the Series A Senior Preferred Stock is neither currently redeemable nor probable of becoming redeemable. Because the Series A Senior Preferred Stock is classified as mezzanine equity and is not considered redeemable or probable of becoming redeemable, the paid in-kind dividends that are added to the stated value do not impact the carrying value of the Series A Senior Preferred Stock in the Company’s condensed consolidated balance sheets. Should the Series A Senior Preferred Stock become probable of becoming redeemable, the Company will recognize changes in the redemption value of the Series A Senior Preferred Stock immediately as they occur and adjust the carrying amount accordingly at the end of each reporting period. As of September 30, 2022,March 31, 2023, the redemption value of the Series A Senior Preferred Stock was $177.3$188.2 million, which is the stated value.
If an Event of Noncompliance occurs, then the holders of a majority of the then outstanding shares of Series A Senior Preferred Stock (the “Majority Holders”) have the right to demand that the Company engage in a sale/refinancing process to consummate a Forced Transaction (as defined in the Certificate of Designation).Transaction. A Forced Transaction includes a refinancing of the Series A Senior Preferred Stock or a sale of the Company. Upon consummation of any Forced Transaction, to the extent not prohibited by law, the Company is required to redeem all Series A Senior Preferred Stock, in cash, at a price per share equal to the then applicable Redemption Price.
65
Table of Contents
Holders of shares of Series A Senior Preferred Stock have no voting rights with respect to the Series A Senior Preferred Stock except as set forth in the Certificate of Designation, other documents entered into in connection with the Purchase Agreement and the transactions contemplated thereby, (collectively, the “Transaction Documents”), or as otherwise required by law. For so long as any Series A Senior Preferred Stock is outstanding, the Company is prohibited from taking certain actions without the prior consent of the Majority Holders as set forth in the Certificate of Designation which include: issuing equity securities ranking senior to or pari passu with the Series A Senior Preferred Stock, incurring indebtedness or liens, engaging in affiliate transactions, making restricted payments, consummating certain investments or asset dispositions, consummating a change of control transaction unless the Series A Senior Preferred Stock is redeemed in full, altering the Company’s organizational documents, and making material changes to the nature of the Company’s business.
70
Table of Contents
Holders of Series A Senior Preferred Stock, voting as a separate class, have the right to designate and elect one director to serve on the Company’s board of directors until such time after the Refinancing Date that (i) as of any applicable fiscal quarter end, the Company’s trailing 12-month Consolidated Adjusted EBITDA (as defined in the Certificate of Designation) exceeds $100 million, or (ii) the Lead Purchaser ceases to hold at least 50.1% of the Series A Senior Preferred Stock held by it as of the Refinancing Date.
As a result of the 2022 Debt Refinancing and the Preferred Stock Financing, the Company added approximately $77.3 million of cash to its balance sheet.
Consolidated Cash Flows
The following table presents selected data from our condensed consolidated statements of cash flows:
Nine Months EndedThree Months Ended
($ in thousands)($ in thousands)September 30, 2022September 30, 2021($ in thousands)March 31, 2023March 31, 2022
     
Net cash used in operating activitiesNet cash used in operating activities$(59,080)$(38,663)Net cash used in operating activities$(14,224)$(26,731)
Net cash used in investing activitiesNet cash used in investing activities(21,862)(28,703)Net cash used in investing activities(5,079)(8,658)
Net cash provided by (used in) financing activities80,895 (8,670)
Net decrease in cash and cash equivalents(47)(76,036)
Net cash (used in) provided by financing activitiesNet cash (used in) provided by financing activities(761)81,570 
Net (decrease) increase in cash and cash equivalentsNet (decrease) increase in cash and cash equivalents(20,064)46,181 
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period48,616 142,128 Cash and cash equivalents at beginning of period83,139 48,616 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period$48,569 $66,092 Cash and cash equivalents at end of period$63,075 $94,797 
NineThree months ended September 30, 2022March 31, 2023 compared to ninethree months ended September 30, 2021March 31, 2022
Net cash used in operating activities for the ninethree months ended September 30, 2022March 31, 2023 was $59.1$14.2 million compared to $38.7$26.7 million for the ninethree months ended September 30, 2021 an increaseMarch 31, 2022, a decrease in cash used of $20.4$12.5 million. The changedecrease was primarily the result of $3.7 million higher application of MAAPP funds and approximately $29.7$4.1 million higher net losses as adjusted for non-cash items such as goodwill, intangible and other asset impairment charges and changes in fair value of warrant liability and contingent common shares liability during the ninethree months ended September 30,March 31, 2022, partially offset by $4.6$3.3 million of cash outflows related to lease terminations, a $3.6 million payment of transaction-related amount due to former owners and approximately $5.5 million inlower cash outflows from expenses related to activity associated withoperating leases during the Business Combinationthree months ended March 31, 2023 and $4.3 million of partial application of MAAPP funds during the three months ended March 31, 2022 not recurring in 2022.2023.
Net cash used in investing activities for the ninethree months ended September 30, 2022March 31, 2023 was $21.9$5.1 million compared to $28.7$8.7 million for the ninethree months ended September 30, 2021,March 31, 2022, a decrease of $6.8approximately $3.6 million. The decrease was primarily driven by cash outflows related to purchases of acqui-novo clinics during the nine months ended September 30, 2021 not recurring in 2022 and lower capital expenditures during the ninethree months ended September 30, 2022March 31, 2023 primarily due to fewer clinic openings.
66
Table of Contents
Net cash used in financing activities for the three months ended March 31, 2023 was $0.8 million compared to $81.6 million of cash provided by financing activities for the ninethree months ended September 30,March 31, 2022, was $80.9 million compared to $8.7 million of cash used in financing activities for the nine months ended September 30, 2021, an increasea decrease in cash provided of $89.6approximately $82.3 million. The change was primarily driven by net cash inflows related to the 2022 Debt Refinancing (refer to Note 8 - Borrowings for further details) and a lower distribution to non-controlling interest holders during the ninethree months ended September 30,March 31, 2022.
71
Table of Contents
Commitments and Contingencies
The Company may be subject to loss contingencies, such as legal proceedings and claims arising out of its business. The Company records accruals for such loss contingencies when it is probable that a liability has been incurred and the amount of loss can be reasonably estimated. As of September 30, 2022,March 31, 2023, the Company has recordeddid not record any accruals related to the outcomes of certainthe legal matters described in Note 1716 - Commitments and Contingencies. Refer to Note 1716 to our condensed consolidated financial statements included elsewhere in this Quarterly Report for further information.
We enter into contractual obligations and commitments from time to time in the normal course of business, primarily related to our debt financing and operating leases. Refer to Notes 8 and 15 to our condensed consolidated financial statements included elsewhere in this Quarterly Report for further information. Additionally, the Company has contractual commitments related to cloud computing and telecommunication service agreements. Refer to Note 16 to our condensed consolidated financial statements included elsewhere in this Quarterly Report for further information.As noted previously, we have commitments related to MAAPP funds and deferred Social Security taxes which are required to be applied or repaid prior to the end of 2022.
Off-Balance Sheet Arrangements
As of September 30, 2022March 31, 2023 and December 31, 2021,2022, the Company did not have any off-balance sheet arrangements.
Critical Accounting Estimates
The discussion and analysis of the Company’s financial condition and results of operations is based upon the Company’s condensed consolidated financial statements, which have been prepared in accordance with USU.S. GAAP. The preparation of the Company’s condensed consolidated financial statements requires its management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses and related disclosures. The Company’s management bases its estimates, assumptions and judgments on historical experience and various other factors that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Different assumptions and judgments would change the estimates used in the preparation of the Company’s condensed consolidated financial statements which, in turn, could change the results from those reported. In addition, actual results may differ from these estimates and such differences could be material to the Company’s financial position and results of operations.
Critical accounting estimates are those that the Company’s management considers the most important to the portrayal of the Company’s financial condition and results of operations because they require management's most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. The Company’s critical accounting estimates in relation to its condensed consolidated financial statements include those related to:
•Patient revenue recognition and allowance for doubtful accounts
•Realization of deferred tax assets
•Goodwill and intangible assets
67
Table of Contents
Additional information related to our critical accounting estimates can be found in Note 2 - Basis of Presentation and Summary of Significant Accounting Policies of our audited consolidated financial statements and Part II, Item 7 included in our Annual Report on Form 10-K filed with the SEC on March 1, 2022. Other than as described below, there have been no material changes to our critical accounting estimates since our Annual Report on Form 10-K for the year ended December 31, 2021.
72
Table of Contents
Goodwill and intangible assets
Goodwill represents the excess of the purchase price over the fair value of assets acquired and liabilities assumed. The Company accounts for goodwill and indefinite-lived intangible assets under ASC Topic 350, Intangibles – Goodwill and Other, which requires the Company to test goodwill and other indefinite-lived assets for impairment annually or whenever events or circumstances indicate that impairment may exist.
The cost of acquired businesses is allocated first to its identifiable assets, both tangible and intangible, based on estimated fair values. Costs allocated to finite-lived identifiable intangible assets are generally amortized on a straight-line basis over the remaining estimated useful lives of the assets. The excess of the purchase price over the fair value of identifiable assets acquired, net of liabilities assumed, is recorded as goodwill.
Goodwill and intangible assets with indefinite lives are not amortized but must be reviewed at least annually for impairment. If the impairment test indicates that the carrying value of an intangible asset exceeds its fair value, then an impairment loss should be recognized in the condensed consolidated statements of operations in an amount equal to the excess carrying value over fair value. Fair value is determined using valuation techniques based on estimates, judgments and assumptions the Company believes are appropriate in the circumstances. The Company completed the interim and annual impairment analyses of goodwill as of June 30, 2021, September 30, 2021 and October 1, 2021 using an average of a discounted cash flow analysis and comparable public company analysis. The Company concluded that no goodwill impairment occurred during the fourth quarter of 2021. Goodwill impairment charges were recorded during the second and third quarters of 2021. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, EBITDA margins, the terminal growth rate, the discount rate and relevant market multiples.
The Company completed the interim and annual impairment analysis of indefinite lived intangible assets as of June 30, 2021, September 30, 2021 and October 1, 2021 using the relief from royalty method. The Company concluded that no indefinite lived intangible asset impairment occurred during the fourth quarter of 2021. Indefinite lived intangibles asset impairment charges were recorded during the second and third quarters of 2021. The key assumptions associated with determining the estimated fair value include projected revenue growth rates, the royalty rate, the discount rate and the terminal growth rate.
The Company has one reporting unit for purposes of the Company’s goodwill impairment tests.
During the quarter ended March 31, 2022, the Company identified an interim triggering event as a result of factors including potential changes in discount rates and the recent decrease in share price. The Company determined that the combination of these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of $116.3 million related to goodwill and $39.4 million related to the trade name indefinite-lived intangible asset during the period ended March 31, 2022.
During the quarter ended June 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of approximately $87.9 million related to goodwill and $40.0 million related to the trade name indefinite-lived intangible asset during the period ended June 30, 2022.
73
Table of Contents
During the quarter ended September 30, 2022, the Company identified an interim triggering event as a result of factors primarily driven by potential changes in discount rates. The Company determined that these factors constituted an interim triggering event that required further analysis with respect to potential impairment to goodwill, trade name indefinite-lived intangible and other assets. Accordingly, the Company performed interim quantitative impairment testing and determined that the fair value amounts were below the respective carrying amounts. As a result, the Company recorded non-cash impairment charges of approximately $66.4 million related to goodwill and $40.0 million related to the trade name indefinite-lived intangible asset during the period ended September 30, 2022, which was primarily driven by an increase in the discount rate and lower public company comparative multiples. These charges are non-cash in nature and do not affect our liquidity or debt covenants. Refer to Note 5 - Goodwill, Trade Name and Other Intangible Assets in the condensed consolidated financial statements for further details.
Fair value determinations require considerable judgment and are sensitive to changes in underlying assumptions, estimates and market factors. Estimating the fair value of the Company’s reporting unit and indefinite-lived intangible assets requires us to make assumptions and estimates regarding our future plans, as well as industry, economic, and regulatory conditions. These assumptions and estimates include projected revenue growth rates, EBITDA margins, terminal growth rates, discount rates, relevant market multiples, royalty rates and other market factors. If current expectations of future growth rates, margins and cash flows are not met, or if market factors outside of our control change significantly, including discount rates, relevant market multiples, company share price and other market factors, then our reporting unit or indefinite-lived intangible assets might become impaired in the future, negatively impacting our operating results and financial position. As the carrying amounts of goodwill and the Company’s trade name indefinite-lived intangible asset were impaired as of March 31, 2022, June 30, 2022 and September 30, 2022 and written down to fair value, those amounts are more susceptible to an impairment risk if there are unfavorable changes in assumptions and estimates. Additionally, goodwill and indefinite-lived intangible assets associated with acquisitions that may occur in the future are recorded on the balance sheet at their estimated acquisition date fair values, those amounts are more susceptible to impairment risk if business operating results or market conditions deteriorate.
To further illustrate sensitivity of the valuation models, if we had changed the assumptions used to estimate the fair value of our goodwill reporting unit and trade name indefinite-lived intangible asset in our most recent quantitative analysis, these isolated changes, which are reasonably possible to occur, would have led to the following approximate increase/(decrease) in the aggregate fair value of the reporting unit under the discounted cash flow analysis or trade name indefinite-lived intangible asset (in thousands):
Discount rate
Terminal growth rate(1)
EBITDA marginRoyalty rate
50 basis points100 basis points100 basis points50 basis points
IncreaseDecreaseIncreaseDecreaseIncreaseDecreaseIncreaseDecrease
Goodwill$(45,000)$50,000$55,000$(40,000)$50,000$(50,000)
Trade name$(20,000)$10,000$10,000$(20,000)$30,000$(40,000)
(1) A change of 100 basis points to our assumed non-terminal revenue growth rates would result in approximately $50 million of an estimated impact to the fair value of our goodwill reporting unit.16, 2023.
Recent Accounting Pronouncements
For information regarding recent accounting pronouncements, refer to Note 2 - Basis of Presentation and Recent Accounting Standards in the accompanying condensed consolidated financial statements.
74
Table of Contents
Item 3. Quantitative and Qualitative Disclosures About Market Risk
As of September 30, 2022,March 31, 2023, the Company is exposed to interest rate variability with regard to its existing variable-rate debt instrument, which exposure primarily relates to movements in various interest rates, such as SOFR. The Company utilizes interest rate cap derivative instruments for purposes of hedging exposures related to such variable-rate cash payments. Based on our current hedging instruments as of September 30, 2022,March 31, 2023, a hypothetical increase of interest rates by 100 basis points would increase our annual cash interest expense by approximately $2.3$4.1 million and a hypothetical decrease of interest rates by 100 basis points would decrease our annual cash interest expense by approximately $2.5$4.3 million. As of September 30,March 31, 2023, the fair value of the Company’s derivative instruments consisted of assets of $1.7 million and liabilities of $0.2 million. As of December 31, 2022, the fair value of the Company’s derivative instruments consisted of assets of $7.2$5.0 million and liabilities of $0.04$0.1 million. As of December 31, 2021, the fair value of the Company’s derivative instrument consisted of a $0.3 million non-current asset and $0.3 million current liability.
In March 2020, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting. The amendments in this update provide optional guidance for a limited period of time to ease the potential burden in accounting for (or recognizing the effects of) reference rate reform on financial reporting. This standard was subsequently amended by ASU No. 2021-01, Reference Rate Reform (Topic 848): Scope. This standard is optional and may be applied by entities after March 12, 2020, but no later than December 31, 2022. As of September 30, 2022, the Company has a derivative instrument for which the interest rate is indexed to the LIBOR. During the period ended March 31, 2022, the Company modified the reference rate index on its hedged items, which are future variable-rate cash payments, from LIBOR to SOFR. The Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivative, which is LIBOR. The guidance allows for different expedient elections to be made at different points in time. As of September 30, 2022, the Company continues to apply the hedge accounting expedients and does not anticipate that this guidance will have a material impact on its consolidated financial statements, however, the Company will continue to assess the potential impact on its future hedging relationships and expedient elections, as applicable.
7568
Table of Contents
Item 4. Controls and Procedures
Disclosure Controls and Procedures
Disclosure controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in our reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the commission’sSEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed in companyour reports filed or submitted under the Exchange Act is accumulated and communicated to management to allow timely decisions regarding required disclosure.
We do not expect that our disclosure controls and procedures will prevent all errors and all instances of fraud. Disclosure controls and procedures, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the disclosure controls and procedures are met. Further, the design of disclosure controls and procedures must reflect the fact that there are resource constraints, and the benefits must be considered relative to their costs. Because of the inherent limitations in all disclosure controls and procedures, no evaluation of disclosure controls and procedures can provide absolute assurance that we have detected all control deficiencies and instances of fraud, if any. The design of disclosure controls and procedures also is based partly on certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.
As required by Rules 13a-15 and 15d-15 under the Exchange Act, our Principal Executive Officer and our Principal Financial Officer carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2022.March 31, 2023. Based upon their evaluation, our Principal Executive Officer and our Principal Financial Officer concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) were not effective as of September 30, 2022March 31, 2023 due to the previously reported material weaknesses in internal control over financial reporting described in Part II, Item 9A of our Annual Report on Form 10-K for the year ended December 31, 2021.below.
Management concluded that notwithstanding the existence of the material weaknesses, the condensed consolidated financial statements included in this Quarterly Report on Form 10-Q present fairly, in all material respects, the Company's financial position, results of operations and cash flows for the periods presented in conformity with U.S. GAAP.
Remediation Efforts with Respect to the Material Weaknesses
We are inThe Company's management, under the oversight of the Audit Committee, has continued the process of implementing ourexecuting its remediation plan forplan. Management has executed on the previously reported material weaknessesfollowing measures in internal control over financial reporting described in in Part II, Item 9A of our Annual Report on Form 10-K for the year ended December 31, 2021. The material weaknesses were identified in our control environment related to the income tax provision. Theits remediation plan includes steps to reviseplan:
•revised the Company's tax staffing model, refineand implemented technology to assist in the income tax provision processes, in order to better position the capabilities and capacity of the Company's in-house tax department based on tax reporting requirements;
•refined the scope of the Company's external tax advisors and enhanceto provide advice related to complex or unusual items, as well as advise on end-to-end corporate tax accounting matters;
•enhanced the design and precision of the Company's controls related to the income tax provision calculations and documentation, including controls related to the valuation allowance assessment.
The
69
Table of Contents
We believe the measures described above will contribute to remediating the control deficiencies we have identified and strengthen our internal control over financial reporting. We are committed to continuing to improve our internal control processes and will continue to review, optimize and enhance our financial reporting controls and procedures. As we continue to evaluate and work to improve our internal control over the income tax provision, we may take additional measures to address control deficiencies, or we may modify, or in appropriate circumstances not complete, certain of the remediation measures described above. These material weaknesses will not be considered remediated until management completes the remediation plan and the enhancedapplicable controls operate for a sufficient period of time and management has concluded, through testing, that the relatedthese controls are effective. The Company will monitor the effectiveness of its remediation plan and will refine its remediation plan as appropriate.operating effectively.
76
Table of Contents
Changes in Internal Control over Financial Reporting
ThereOther than the changes related to the material weaknesses above, there have been no changes in our internal control over financial reporting during the fiscal quarter ended September 30, 2022March 31, 2023 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
7770
Table of Contents
PART II
Item 1. Legal Proceedings
From time to time, the Company may be involved in legal proceedings or subject to claims arising in the ordinary course of business. The outcome of any litigation and claims against the Company cannot be predicted with certainty, and the resolution of these matters could materially affect our future results of operations, cash flows, or financial condition. Refer to Note 1716 - Commitments and Contingencies in the condensed consolidated financial statements included in Part I, Item 1, of this Form 10-Q for further details.
Item 1A. Risk Factors
Other than as described below, thereThere have been no material changes from the Risk Factors previously disclosed in our Annual Report on Form 10-K filed with the SECU.S. Securities and Exchange Commission on March 1, 2022.
Certain of our borrowings and other obligations are based upon variable rates of interest, which could result in higher expense in the event of increases in interest rates.
Borrowings under the 2022 Credit Agreement are subject to variable rates of interest and subject us to interest rate risk. During 2022, a rising interest rate environment was observed and interest rates may continue to rise again in the future. Such increases in interest rates would increase interest payment obligations under the 2022 Credit Agreement and could have a negative effect on our cash flow and/or financial condition.
At times, we have sought to reduce our exposure to interest rate fluctuations by entering into interest rate hedging arrangements. However, any hedging arrangements we enter into may not fully mitigate our interest rate risk, may prove disadvantageous or may create additional risks.
Our outstanding indebtedness and our Series A Senior Preferred Stock contains covenants that may limit certain operating and financial decisions. Non-compliance with these covenants may result in the acceleration of our indebtedness which could lead to bankruptcy, reorganization or insolvency.
Our credit agreements contain restrictive and financial covenants and the Certificate of Designation for our Series A Senior Preferred Stock contains provisions that impose significant operating and financial restrictions that may limit our ability to take actions that may be in our long-term best interest, including, but not limited to, limitations on indebtedness, liens, investments, negative pledges, dividends, junior debt payments, fundamental changes and asset sales and affiliate transactions. Failure to comply with these covenants and restrictions could result in an event of default, subject to customary cure periods. The financial covenants also require us to maintain a secured net leverage ratio, which we may be unable to meet.
In addition, the Certificate of Designation for our Series A Senior Preferred Stock contains provisions that may likewise impose significant operating and financial restrictions on our business. If an Event of Noncompliance (as defined in the Certificate of Designation), then the holders of a majority of the then outstanding shares of Series A Senior Preferred Stock (but excluding any shares of Series A Senior Preferred Stock then held by Advent International Corporation or its controlled affiliates) (the “Majority Holders”) have the right to demand that the Company engage in a sale/refinancing process for the Series A Senior Preferred Stock.
Failure to comply with our debt agreements or our Series A Senior Preferred Stock could have a material adverse effect on our business, prospects, liquidity, financial condition or result of operation, and could result in the acceleration of some or all of our indebtedness, which could lead to bankruptcy, reorganization or insolvency.
78
Table of Contents
Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited.
We have incurred significant cumulative net taxable losses in the past. Our deferred tax assets as of December 31, 2021 include federal net operating losses, or NOLs, of $237.3 million and state NOLs of $577.3 million. Our unused NOLs generally carry forward to offset future taxable income, if any, until such unused losses expire, if subject to expiration. The earliest NOLs will expire by statute in 2022 for state NOLs, and in 2036 for federal NOLs. We may be unable to use these NOLs to offset income before such unused NOLs expire.
In addition, if a corporation undergoes an “ownership change” (generally defined as a greater than 50 percentage-point cumulative change in the equity ownership of certain stockholders over a rolling three-year period) under Sections 382 and 383 of the Internal Revenue Code of 1986, as amended (the “Code”), the corporation’s ability to use its pre-change NOL carryforwards and other pre-change tax attributes to offset future taxable income or taxes may be limited. This limitation is based in part on the pre-change equity value of the corporation, with a lower equity value resulting in a lower and more severe limitation. We may experience an “ownership change” as a result of future changes in our stock ownership (including dispositions of our Common Stock by the Selling Securityholders), some of which changes may not be within our control. If we are unable to use NOL carryforwards before they expire or they become subject to limitation, it could have a material adverse effect on our business, financial condition and results of operations.
There is currently no market for our Series I Warrants and Series II Warrants and a market for our Series I Warrants and Series II Warrants may not develop, which would adversely affect the liquidity and price of our Series I Warrants and Series II Warrants.
Our Series I Warrants and Series II Warrants are not listed or traded on any stock exchange and there is currently no market for our Series I Warrants and Series II Warrants. Warrantholders therefore have no access to trading price or volume information about prior market history on which to base their investment decision. Furthermore, an active trading market for our Series I Warrants and Series II Warrants may never develop or, if developed, it may not be sustained. You may be unable to sell your Series I Warrants and Series II Warrants unless a market can be established and sustained.
Our liquidity position could lead to our inability to continue as a going concern.
The Company has negative operating cash flows, operating losses and net losses in the current year, which will continue until operating results improve. If business results in the coming twelve months do not improve relative to the previous twelve months, the Company would be at risk of violating its $30.0 million minimum liquidity covenant under its 2022 Credit Agreement. As a result, there is substantial doubt about the Company’s ability to continue as a going concern within the twelve months following the issuance date of the condensed consolidated financial statements as of and for the period ended September 30, 2022.
Investing in our securities involves a high degree of risk. Investors should carefully consider the risks described in our Form 10-K and all of the other information set forth in this Form 10-Q, including our financial statements and related notes and “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” before deciding to invest in our Common Stock. If any of the events or developments described in our Form 10-K or herein occur, our business, financial condition, or results of operations could be materially or adversely affected. As a result, the market price of our Common Stock could decline, and investors could lose all or part of their investment. The risks and uncertainties described in our Form 10-K and in this Form 10-Q are not the only risks and uncertainties that we face. Additional risks and uncertainties not presently known to us or that we currently deem immaterial may also impair our business operations. The risks discussed also include forward-looking statements, and our actual results may differ substantially from those discussed in these forward-looking statements. See “Cautionary Note Regarding Forward-Looking Statements.”
79
16, 2023.
Table of Contents
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Recent Sales of Unregistered Securities
During the quarter ended September 30, 2022,March 31, 2023, the Company did not have any sales of equity securities in transactions that were not registered under the Securities Act.
Issuer Purchases of Equity Securities
During the three months ended September 30, 2022,March 31, 2023, the Company withheld shares of our common stock in connection with employee minimum statutory tax withholding obligations payable upon the vesting of restricted stock, as follows:
Total Number of Shares Purchased(1)
Average Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number of Shares that May Yet Be Purchased Under the Plans of Programs
July 1 - July 31, 2022— $— — — 
August 1 - August 31, 2022158 $1.79 — — 
September 1 - September 30, 20226,110 $1.15 — — 
Total6,268 $1.17 — — 
Total Number of Shares Purchased(1)
Average Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number of Shares that May Yet Be Purchased Under the Plans of Programs
January 1 - January 31, 2023— $— — — 
February 1 - February 28, 2023— $— — — 
March 1 - March 31, 2023158,079 $0.32 — — 
Total158,079 $0.32 — — 
(1) Represents shares delivered to or withheld by us in connection with employee minimum tax withholding obligations upon exercise or vesting of stock awards. No shares were purchased in the open market pursuant to a repurchase program.
Item 3. Defaults Upon Senior Securities
Not applicable.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
None.
8071
Table of Contents
Item 6. Exhibits
Exhibit NumberDescription
Amended and Restated Transaction Support Agreement, dated April 17, 2023, by and among ATI Physical Therapy, Inc., ATI Holdings Acquisition, Inc., Wilco Intermediate
Holdings, and other parties thereto (filed as exhibit 10.1 to the Current Report on Form 8-K of the Company on April 21, 2023 and incorporated herein by reference)
Amendment No. 2 to Credit Agreement, dated April 17, 2023, by and among ATI Holdings Acquisition, Inc., Wilco Intermediate Holdings, Inc., HPS Investment Partners, LLC, as Lender Representative and Barclays Bank PLC, as Administrative Agent (filed as exhibit 10.2 to the Current Report on Form 8-K of the Company on April 21, 2023 and incorporated herein by reference)
Second Lien Note Purchase Agreement, dated April 17, 2023, by and among ATI Physical Therapy, Inc., Wilco Holdco, Inc., Wilco Intermediate Holdings, Inc., ATI Holdings Acquisition, Inc., the Purchasers party thereto and Wilmington Savings Fund Society, FSB (filed as exhibit 10.3 to the Current Report on Form 8-K of the Company on April 21, 2023 and incorporated herein by reference)
Certification of Principal Executive Officer pursuant to Rules 13a-14(a) and 15(d)-14(a) under the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
Certification of Principal Financial Officer pursuant to Rules 13a-14(a) and 15(d)-14(a) under the Securities Exchange Act of 1934, as adopted Pursuantpursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
Certification of Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*XBRL Instance Document
101.SCH*XBRL Taxonomy Extension Schema Document
101.CAL*XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*XBRL Taxonomy Extension Label Linkbase Document
101.PRE*XBRL Taxonomy Extension Presentation Linkbase Document
* Filed or furnished herewith
72
Table of Contents
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on our behalf by the undersigned thereunto duly authorized.

    
ATI PHYSICAL THERAPY, INC.
         
Date: NovemberMay 8, 20222023

/s/ JOSEPH JORDAN
Joseph Jordan
Chief Financial Officer
(Duly Authorized Officer and Principal Financial Officer)


8173