INNV on Nasdaq

InnovAge Holding Corp.

In its 2026 annual report the company says: “InnovAge is the leading healthcare delivery platform by number of participants focused on providing all-inclusive, capitated care to high-cost, seniors, many of whom are dual-eligible. Our programs are designed to address two of the most pressing challenges facing the U.S. healthcare industry: rising costs and poor outcomes.”5 It is headquartered in Denver, Colorado.1 Its shares trade on Nasdaq under the symbol INNV.1

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Last updated Oct 21, 2026.

Overview

$989.7MRevenue, fiscal 20262
-$2.5MNet income, fiscal 20262

Compare with Pennant Group, Inc., U S PHYSICAL THERAPY INC /NV or LifeStance Health Group, Inc., or pick any stock.

  • TickerINNV on Nasdaq1
  • IndustryServices-Health Services1
  • HeadquartersDenver, Colorado1
  • Incorporated inDE3
  • Business address8950 E. Lowry Boulevard, Denver, Co 802303
  • Filer categoryAccelerated filer, Smaller reporting company3

InnovAge is the leading healthcare delivery platform by number of participants focused on providing all-inclusive, capitated care to high-cost, seniors, many of whom are dual-eligible. Our programs are designed to address two of the most pressing challenges facing the U.S. healthcare industry: rising costs and poor outcomes. The purpose of our participant-centered care delivery approach is to improve the quality of care our participants receive, while keeping them in their homes for as long as safely possible and reducing over-utilization of high-cost care settings such as hospitals and nursing homes. Through our Program of All-Inclusive Care for the Elderly (“PACE”), we fulfill a broad range of medical and ancillary services for seniors, including in-home care services (skilled, unskilled and personal care), in-center services such as primary care, physical therapy, occupational therapy…5 From its latest annual report

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2026

23.0%Gross margin2
0.3%Operating margin2
-0.3%Net margin2
15.9%Revenue growth, 20262
-1.1%Return on equity2
0.19×Debt to equity2
$50.4MFree cash flow2

What sells

Revenue by product, business segment and region, as the company reports it to the SEC.

Products and services

Capitation revenue brought in 100% of the revenue InnovAge Holding Corp. broke down this way in fiscal 2026.

  1. Capitation revenue$988.4M2100%up 16% from 2025
  2. Other service revenue$1.3M20%down 2% from 2025
Products and services by year
Products and services20252026
Capitation revenue$852.4M$988.4M
Other service revenue$1.3M$1.3M

Business segments

PACE brought in 100% of the revenue InnovAge Holding Corp. broke down this way in fiscal 2026.

  1. PACE$989.5M2100%up 16% from 2025
  2. Other Operating$257.0K20%down 74% from 2025
Business segments by year
Business segments20252026
PACE$852.7M$989.5M
Other Operating$990.0K$257.0K

Where the money goes

Where each dollar of revenue went, fiscal 2026

  • Other costs100¢$988.8M
  • Income tax0¢$949.0K

Out of $989.7M in revenue.2 The company lost money this year.

Where each dollar of operating cash went, fiscal 2026

  • Capital spending22¢$14.3M
  • Kept or used elsewhere78¢$50.4M

Out of $64.7M of cash from operations.2

Financial statements

Revenue6789102$989.7M in 2026+74% since 2020
0$250.0M$500.0M$750.0M$1.0B2020: $567.2M$567.2M20202021: $637.8M$637.8M2021+12%2022: $698.6M$698.6M2022+10%2023: $688.1M$688.1M2023−2%2024: $763.9M$763.9M2024+11%2025: $853.7M$853.7M2025+12%2026: $989.7M$989.7M2026+16%
Gross profit89102$227.8M in 2026+68% since 2022
0$100.0M$200.0M$300.0M2022: $135.4M$135.4M20222023: $101.3M$101.3M2023−25%2024: $132.1M$132.1M2024+30%2025: $153.6M$153.6M2025+16%2026: $227.8M$227.8M2026+48%
Operating income6789102$2.6M in 2026−95% since 2020
-$50.0M0$50.0M$100.0M2020: $50.9M$50.9M20202021: -$12.3M-$12.3M20212022: -$4.4M-$4.4M2022−64%2023: -$49.4M-$49.4M2023+1021%2024: -$23.2M-$23.2M2024−53%2025: -$29.8M-$29.8M2025+28%2026: $2.6M$2.6M2026
Net income6789102-$2.5M in 2026
-$60.0M-$40.0M-$20.0M0$20.0M$40.0M2020: $26.3M$26.3M20202021: -$44.0M-$44.0M20212022: -$6.5M-$6.5M2022−85%2023: -$40.7M-$40.7M2023+524%2024: -$21.3M-$21.3M2024−48%2025: -$30.3M-$30.3M2025+42%2026: -$2.5M-$2.5M2026−92%

Every line of the income statement as filed: the last 2 fiscal years, latest first.2

Period ending2026-06-302025-06-30
Total revenues$989.7M$853.7M
External provider costs$449.8M$431.2M
Cost of care, excluding depreciation and amortization$312.1M$268.9M
Sales and marketing$34.4M$28.2M
Corporate, general and administrative$166.5M$122.1M
Depreciation and amortization$21.1M$19.5M
Impairments and loss on assets held for sale$3.2M$13.6M
Total expenses$987.1M$883.5M
Operating Income (Loss)$2.6M-$29.8M
Interest expense, net-$4.3M-$4.6M
Loss on cost and equity method investments$0-$1.4M
Other income, net$1.9M$1.7M
Total other expense-$2.4M-$4.3M
Income (Loss) Before Income Taxes$266.0K-$34.0M
Provision for Income Taxes$949.0K$1.3M
Net Loss-$683.0K-$35.3M
Less: net income (loss) attributable to noncontrolling interests$1.9M-$5.0M
Net Loss Attributable to InnovAge Holding Corp.-$2.5M-$30.3M
Weighted-average number of common shares outstanding - basic (in shares)135.7M shares135.4M shares
Weighted-average number of common shares outstanding - diluted (in shares)135.7M shares135.4M shares
Net loss per share - basic (in dollars per share)-$0.02-$0.22
Net loss per share - diluted (in dollars per share)-$0.02-$0.22

Compare InnovAge Holding Corp. with another company

Corporate structure

InnovAge Holding Corp. sits at the top of its group. 25 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of InnovAge Holding Corp.

  • InnovAge Holding Corp. Denver, Colorado
    • ConcertoCare PACE of Bakersfield, LLC Subsidiary · Delaware, United States
    • ConcertoHealth PACE of Los Angeles, LLC Subsidiary · Delaware, United States
    • InnovAge California PACE - Los Angeles, LLC Subsidiary · Delaware, United States
    • InnovAge California PACE - Sacramento, LLC Subsidiary · Delaware, United States
    • InnovAge Florida PACE II, LLC Subsidiary · Delaware, United States
    • InnovAge Florida PACE, LLC Subsidiary · Delaware, United States
    • InnovAge Greater Colorado PACE - Loveland, LLC Subsidiary · Colorado, United States
    • InnovAge Investment Holdings, LLC Subsidiary · Delaware, United States
    • InnovAge Pennsylvania LIFE, LLC Subsidiary · Pennsylvania, United States
    • InnovAge Pharmacy, LLC Subsidiary · Delaware, United States
    • InnovAge Virginia PACE - Charlottesville, LLC Subsidiary · Virginia, United States
    • InnovAge Virginia PACE - Roanoke Valley, LLC Subsidiary · Virginia, United States
    • InnovAge Virginia PACE II, LLC Subsidiary · Virginia, United States
    • Innovative Care Management, Inc. Subsidiary · Delaware, United States
    • Senior Life at Home II, LLC Subsidiary · Colorado, United States
    • Senior Life at Home, LLC Subsidiary · Colorado, United States
    • TCO Eastern Holdings, LLC Subsidiary · Delaware, United States
    • TCO Intermediate Holdings, Inc. Subsidiary · Delaware, United States
    • TCO Western Holdings, LLC Subsidiary · Delaware, United States
    • TLC Inland, LLC Subsidiary · Delaware, United States
    • Total Community Care, LLC Subsidiary · Colorado, United States
    • Total Community Options, Inc. Subsidiary · Colorado, United States
    • Total Longterm Care Solutions, LLC Subsidiary · Colorado, United States
    • Total Longterm Care, Inc. Subsidiary · Colorado, United States

Built from subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What InnovAge Holding Corp. reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Finance-lease assets$14.5M2 Jun 30, 2026$13.4M2 Jun 30, 2025+8.2%
Operating-lease assets (leased space)$21.4M2 Jun 30, 2026$26.9M2 Jun 30, 2025−20.4%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$97.9M2 Jun 30, 2026$64.1M2 Jun 30, 2025+52.6%
Marketable securities, current$43.4M2 Jun 30, 2026$41.8M2 Jun 30, 2025+4.0%
Long-term investments$010 Jun 30, 2025$2.6M10 Jun 30, 2024−100.0%

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$142.0M2 Jun 30, 2026$142.0M2 Jun 30, 20250%
Intangible assets, net (excluding goodwill)$3.2M2 Jun 30, 2026$3.9M2 Jun 30, 2025−17.0%
Indefinite-lived intangibles (excluding goodwill)$2.0M2 Jun 30, 2026$2.0M2 Jun 30, 20250%
Finite-lived intangibles, gross$6.6M2 Jun 30, 2026$6.6M2 Jun 30, 20250%
Accumulated amortization$5.4M2 Jun 30, 2026$4.7M2 Jun 30, 2025+14.0%

Properties, in its own words

As of June 30, 2026, we operated an aggregate of 20 PACE centers, of which ten were owned and ten were leased, representing approximately 410,000 and 240,000 gross square feet, respectively. Our centers are located in 14 markets and six states.

Our principal executive offices are located in Denver, Colorado, where we own facilities totaling approximately 290,000 square feet across the state. We occupy a 69,000 square foot facility for administration, sales and marketing, technology and development and professional services in Denver, Colorado. We also own and lease properties for operational PACE centers in Denver, Colorado; Loveland, Colorado; Pueblo, Colorado; Albuquerque, New Mexico; Los Angeles, California; Sacramento, California; San Bernardino, California; Philadelphia, Pennsylvania; Charlottesville, Virginia; Newport News, Virginia; Richmond, Virginia; Roanoke, Virginia; Orlando, Florida; and Tampa, Florida. We also lease properties for PACE centers that are not operational. We do not have any PACE centers or properties located outside of the United States.

The rest of Item 2

Our leases have an average original term of ten years, and generally provide for renewal or extension options. Our lease obligations often include annual fixed rent escalators ranging between 2.0% and 3.0%. Generally, our leases are “modified gross” leases, which require us to pay the cost of insurance, taxes, maintenance and utilities, but not for costs related to the structure of the building. We generally cannot cancel these leases at our option.

We believe that our facilities and centers are adequate to meet our needs for the immediate future, and that, should it be needed, suitable additional space will be available to accommodate any such expansion of our operations.

Item 2 of the 10-K filed Sep 9, 2026.5

Leadership

Who has led InnovAge Holding Corp., and when. Pick a name to see everywhere that person has worked.

Board members and other officers (19)

Subsidiaries and ownership

Subsidiaries (Exhibit 21)

  • ConcertoCare PACE of Bakersfield, LLC Delaware4
  • ConcertoHealth PACE of Los Angeles, LLC Delaware4
  • InnovAge California PACE - Los Angeles, LLC Delaware4
  • InnovAge California PACE - Sacramento, LLC Delaware4
  • InnovAge Florida PACE II, LLC Delaware4
  • InnovAge Florida PACE, LLC Delaware4
  • InnovAge Greater Colorado PACE - Loveland, LLC Colorado4
  • InnovAge Holding Corp. Delaware4
  • InnovAge Investment Holdings, LLC Delaware4
  • InnovAge Pennsylvania LIFE, LLC Pennsylvania4
  • InnovAge Pharmacy, LLC Delaware4
  • InnovAge Virginia PACE - Charlottesville, LLC Virginia4
  • InnovAge Virginia PACE - Roanoke Valley, LLC Virginia4
  • InnovAge Virginia PACE II, LLC Virginia4
  • Innovative Care Management, Inc. Delaware4
  • Senior Life at Home II, LLC Colorado4
  • Senior Life at Home, LLC Colorado4
  • TCO Eastern Holdings, LLC Delaware4
  • TCO Intermediate Holdings, Inc. Delaware4
  • TCO Western Holdings, LLC Delaware4
  • TLC Inland, LLC Delaware4
  • Total Community Care, LLC Colorado4
  • Total Community Options, Inc. Colorado4
  • Total Longterm Care Solutions, LLC Colorado4
All 25 listed subsidiaries
  • Total Longterm Care, Inc. Colorado4

The subsidiaries the company lists in Exhibit 21 of its annual report, as filed.

Former names

  • TCO GROUP HOLDINGS, INC.Dec 17, 2020 to Jan 20, 20213

Timeline

  1. Sep 24, 20268-K Other events39
  2. Sep 8, 20268-K Results of operations40
  3. May 18, 20268-K Regulation FD disclosure41
  4. May 12, 20268-K Executive or director change; Regulation FD disclosure42
  5. May 5, 20268-K Results of operations43
  6. Mar 17, 20268-K Regulation FD disclosure44
  7. Feb 3, 20268-K Results of operations45
  8. Jan 29, 20268-K Executive or director change; Regulation FD disclosure46
  9. Jan 12, 20268-K Regulation FD disclosure47
  10. Dec 4, 20258-K Shareholder vote48
  11. Nov 4, 20258-K Results of operations49
  12. Oct 23, 20258-K Executive or director change50
  13. Dec 5, 2022New chief executive Patrick T. Blair becomes CEO14
  14. Mar 3, 2021New chief executive Maureen Hewitt becomes CEO15

Calendar

Coming up

  1. Nov 3, 2026Reports results for the quarter ending Sep/2026 A year earlier it reported $0.06 a share, on Nov 4, 2025.51

When it reported results

  1. Sep 8, 2026Reported quarterly or annual results40
  2. May 5, 2026Reported quarterly or annual results43
  3. Feb 3, 2026Reported quarterly or annual results45
  4. Nov 4, 2025Reported quarterly or annual results49
  5. Sep 9, 2025Reported quarterly or annual results52
  6. May 6, 2025Reported quarterly or annual results53
  7. Feb 4, 2025Reported quarterly or annual results54
  8. Nov 5, 2024Reported quarterly or annual results55

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

212 filings to the SEC since October 2021: 6 annual reports, 15 quarterly reports, 52 major events, 113 insider forms, 2 large holders, 24 other. The latest 20:

  1. Sep 29, 20264 EDGAR
  2. Sep 28, 20264 EDGAR
  3. Sep 28, 20264 EDGAR
  4. Sep 28, 20264 EDGAR
  5. Sep 25, 2026144 EDGAR
  6. Sep 24, 20268-K EDGAR
  7. Sep 24, 2026424B4 EDGAR
  8. Sep 22, 2026424B7 EDGAR
  9. Sep 9, 202610-K EDGAR
  10. Sep 8, 20268-K EDGAR
  11. Sep 8, 20264 EDGAR
  12. Sep 8, 20264 EDGAR
  13. Sep 8, 20264 EDGAR
  14. Aug 17, 20263 EDGAR
  15. Aug 4, 2026EFFECT EDGAR
  16. Jul 31, 2026S-3 EDGAR
  17. Jul 27, 20264 EDGAR
  18. Jul 23, 20264 EDGAR
  19. Jul 23, 20264 EDGAR
  20. Jul 23, 20264 EDGAR

The 212 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

29 open-market trades by officers, directors and large owners since October 2021: 12 buys and 17 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Sep 25, 2026DAMATO NICOLECHIEF LEGAL OFFICERSale23,814$8.70$207.2KForm 4
Sep 24, 2026TCO GROUP HOLDINGS, L.P.10% ownerSale10,000,000$9.25$92.5MForm 4
Sep 24, 2026IGNITE AGGREGATOR LP10% ownerSale10,000,000$9.25$92.5MForm 4
Sep 24, 2026WCAS CO-INVEST ASSOCIATES LLC10% ownerSale10,000,000Form 4
Nov 14, 2025SCARBROUGH MICHAEL ANTHONYPresident and COOSale33,000$4.90$161.7KForm 4
May 30, 2025ZORETIC RICHARD CDirectorBuy8,450$4.08$34.5KForm 4
May 29, 2025ZORETIC RICHARD CDirectorBuy14,265$4.04$57.6KForm 4
May 28, 2025ZORETIC RICHARD CDirectorBuy20,000$4.06$81.2KForm 4
May 23, 2025ZORETIC RICHARD CDirectorBuy1,198$3.93$4.7KForm 4
May 22, 2025ZORETIC RICHARD CDirectorBuy700$4.09$2.9KForm 4
May 21, 2025ZORETIC RICHARD CDirectorBuy1,147$4.13$4.7KForm 4
May 20, 2025ZORETIC RICHARD CDirectorBuy807$4.20$3.4KForm 4
May 16, 2025ZORETIC RICHARD CDirectorBuy2,086$4.28$8.9KForm 4
May 13, 2025SCARBROUGH MICHAEL ANTHONYPresident and COOBuy10,000$3.89$38.9KForm 4
May 12, 2025SCARBROUGH MICHAEL ANTHONYPresident and COOBuy13,000$3.73$48.5KForm 4
May 9, 2025SCARBROUGH MICHAEL ANTHONYPresident and COOBuy10,000$3.55$35.5KForm 4
Nov 6, 2024DAMATO NICOLECHIEF LEGAL OFFICERSale1,660$6.54$10.9KForm 4
Sep 17, 2024DAMATO NICOLECHIEF LEGAL OFFICERSale7,521$6.00$45.1KForm 4
Sep 16, 2024DAMATO NICOLECHIEF LEGAL OFFICERSale4,372$5.95$26.0KForm 4
Jul 18, 2023DAMATO NICOLECHIEF LEGAL OFFICERSale4,000$7.12$28.5KForm 4

All 29 trades can be filtered by person here when JavaScript is on.

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

Executive pay

What the company paid its top executives, from the summary compensation table in its proxy statement. Total pay includes salary, bonus, stock and option awards and other pay, as the company valued them.

YearExecutiveAgeSalaryTotal pay
2025Patrick BlairChief Executive Officer54$770.0K$1.5M57
2025Michael ScarbroughPresident and Chief Operating Officer$317.6K$1.5M57
2025Nicole D’AmatoChief Legal Officer and Corporate Secretary46$457.0K$766.1K57
2024Patrick BlairChief Executive Officer54$826.5K$4.9M57
2024Nicole D’AmatoChief Legal Officer and Corporate Secretary46$468.9K$1.6M57

Held by these funds

The largest holders among investment managers' 13F reports for the quarter ending Jun 30, 2026, the top 25 of 100. Change is in shares since the quarter before.

FundSharesValueShare of the fundChange
Federated Hermes, Inc.1,903,713$22.6M0.0%+1,899,133
BlackRock, Inc.1,489,609$17.7M0.0%+241,518
Vanguard Capital Management LLC935,264$11.1M0.0%+58,128
Arrowstreet Capital, Limited Partnership668,742$7.9M0.0%+251,204
Algert Global LLC630,520$7.5M0.1%+563,735
Geode Capital Management, LLC602,127$7.1M0.0%+28,710
State Street Corp461,656$5.5M0.0%+30,230
Dimensional Fund Advisors LP439,962$5.2M0.0%+203,477
O'shaughnessy Asset Management, LLC314,585$3.7M0.0%+42,045
Renaissance Technologies LLC249,633$3.0M0.0%−121,184
Ritholtz Wealth Management243,633$2.9M0.0%−4,439
Goldman Sachs Group Inc217,609$2.6M0.0%+38,368
Los Angeles Capital Management LLC203,785$2.4M0.0%New
Charles Schwab Investment Management Inc186,580$2.2M0.0%+6,992
Northern Trust Corp175,208$2.1M0.0%−91,929
Nuveen, LLC166,622$2.0M0.0%−38,840
Qube Research & Technologies Ltd156,641$1.9M0.0%New
Vanguard Fiduciary Trust Co156,084$1.8M0.0%+15,577
Vanguard Portfolio Management LLC151,917$1.8M0.0%+33,277
Millennium Management LLC148,840$1.8M0.0%+126,675
Alliancebernstein L.P.212,156$1.7M0.0%+52,186
State Of Wisconsin Investment Board142,822$1.7M0.0%+76,583
Prudential Financial Inc132,865$1.6M0.0%+54,580
Two Sigma Investments, LP114,798$1.4M0.0%+19,272
Aqr Capital Management LLC98,525$1.2M0.0%+60,871

13F reports cover disclosed long positions in U.S. stocks only.

SEC filer profile

How InnovAge Holding Corp. is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARInnovAge Holding Corp.1
  • CIK0001834376
  • Employer ID (EIN)81-07108195
  • Filer statusAccelerated filer not an emerging growth company; a smaller reporting company; not a shell company5
  • Incorporated inDelaware5
  • Fiscal year endsJune 301
  • Industry code (SIC)8000 Services-Health Services1
  • SEC reviewing officeOffice of Industrial Applications and Services, Division of Corporation Finance1
  • Business address8950 E. Lowry Boulevard, Denver, CO 802301
  • Phone(303) 869-46641
  • Shares outstanding136,451,425 shares as of Sep 1, 20265
  • Public float$111.4M as of Dec 31, 20255
  • AuditorDELOITTE & TOUCHE LLP, Denver, CO PCAOB ID 34; it also attests to the company’s internal control over financial reporting5
  • On EDGAR sinceDec 17, 20201
  • Filings261 in all: 4 (104), 8-K (56), 3 (31), 10-Q (16), 10-K (6), CORRESP (5), DEF 14A (5), DEFA14A (5)1
    All 27 form types

    144 (4), UPLOAD (4), ARS (3), S-1/A (3), 424B4 (2), DRS (2), EFFECT (2), PRE 14A (2), 10-K/A (1), 424B7 (1), 8-A12B (1), CERT (1), DRS/A (1), DRSLTR (1), S-1 (1), S-3 (1), S-8 (1), SC 13G (1), SC 13G/A (1)

  • Latest filingsAnnual report (10-K) Sep 9, 2026
    Quarterly report (10-Q) May 8, 2026
    Proxy statement (DEF 14A) Oct 23, 2025
    Latest 8-K (8-K) Sep 24, 2026

Securities registered for trading

ClassSymbolExchange
Common Stock, $0.001 par valueINNVThe Nasdaq Stock Market LLC

From the cover page of the 10-K filed Sep 9, 2026 (Section 12(b) of the Exchange Act).5

Risk factors and legal proceedings

The risks InnovAge Holding Corp. names in Item 1A of its 10-K filed Sep 9, 2026: 43 risks under these headings, as written.5

  • •Our growth strategy may not prove viable.
  • •Our growth strategy depends upon our ability to identify and complete acquisitions, joint ventures and other strategic partnerships.
  • Risks Related to Our Business
  • Our growth strategy may not prove viable and we may fail to realize expected results therefrom fully or at all.
  • Our growth strategy is partially dependent upon our ability to identify and successfully complete acquisitions, joint ventures and other strategic partnerships.
  • If we are unable to attract new participants and retain existing participants, our revenue growth will be adversely affected.
  • Our overall business results have been, and we expect will continue to be, impacted by ongoing macroeconomic, geopolitical and industry-related challenges, including labor shortages, labor competition, inflation, and supply chain disruption as a result of tariffs and trade disputes.
  • Under our PACE contracts, we assume all of the risk that the cost of providing services will exceed our compensation.
  • We have experienced, and expect to continue experiencing, increased costs and expenditures in the future.
  • Our dependence on Medicare and Medicaid exposes us to risks from government funding reductions, legislative changes including the Reconciliation Act, and federal and state budgetary pressures.
  • Reductions in PACE reimbursement rates, changes in risk adjustment methodologies, or changes in the rules governing PACE programs could have a material adverse effect on our financial condition and results of operations.
  • We have faced and continue to face inspections, reviews, audits and investigations under federal and state government programs and contracts. These audits have required and may in the future require corrective actions and have resulted
The other 32 risks
  • in adverse findings that have negatively affected and continue to affect our business, including our results of operations, liquidity, financial condition and reputation.
  • We are subject to legal proceedings, enforcement actions and litigation, malpractice and privacy disputes, which are costly to defend and could materially harm our business and results of operations.
  • Our records and other information and materials submitted to government payors may contain inaccurate or unsupportable information applicable to participants’ risk scores, which could cause us to overstate or understate our revenue and subject us to repayment obligations or penalties.
  • We depend on our senior management team and other key employees, and the loss of one or more of these employees or an inability to attract and retain other highly skilled employees could harm our business.
  • If certain of our suppliers do not meet our needs, if we are not reimbursed or adequately reimbursed for medical products we purchase or if we are unable to effectively access new technology or medical products, our ability to effectively provide the services we offer could be negatively impacted.
  • Our acquisition of certain pharmacy assets and the management of our own pharmacy services exposes us to novel risks.
  • If we fail to manage our operations effectively, we may be unable to execute our business plan, maintain effective levels of service and participant satisfaction or adequately address competitive challenges.
  • The healthcare industry is highly competitive and, if we are not able to compete effectively, our business could be harmed.
  • Our presence is currently limited to six states, with a significant percentage of our operations in the States of California and Colorado. As a result, we are particularly susceptible to regulatory issues and reduction in budget appropriations for our services or any other adverse developments in that state.
  • Security breaches, loss of data and other disruptions, including disruptions in our disaster recovery systems, have in the past and could in the future compromise sensitive information related to our business or our participants, or prevent us from accessing critical information and expose us to liability, and could adversely affect our business and our reputation.
  • Our use of AI and machine learning technologies, and the use of such technologies by our third-party vendors, may expose us to operational, competitive, regulatory, legal and reputational risks that could adversely affect our business, financial condition and results of operations.
  • A failure to accurately estimate incurred but not reported medical expenses could adversely affect our results of operations.
  • We lease half of our centers and may experience risks relating to lease termination, lease expense escalators, lease extensions and special charges.
  • A pandemic, epidemic or outbreak of an infectious disease in the United States or worldwide, as well as weather and other factors, have affected, and could in the future adversely affect our business.
  • Risks Related to Regulation
  • We operate in a highly regulated environment at the federal and state level, and failure to adhere to the laws and regulations that apply to our business could result in regulatory scrutiny, which have had, and could in the future have, a material adverse effect on our business, results of operations, financial condition, cash flows, reputation and stock price.
  • Federal and state manuals, policies, and other guidance may affect our operations.
  • If we are unable to effectively adapt to changes in the healthcare industry, including changes to laws and regulations regarding or affecting U.S. healthcare reform, our business could be harmed.
  • Laws regulating the corporate practice of medicine could restrict the manner in which we are permitted to conduct our business, and the failure to comply with such laws could subject us to penalties or require a restructuring of our business.
  • Our use, disclosure, and other processing of PHI/PII is subject to HIPAA, CCPA as amended by the CPRA and other federal and state privacy and security regulations, and our failure to comply with those laws and regulations or to adequately secure the information we hold could result in significant liability or reputational harm and, in turn, a material adverse effect on our participant base and revenue.
  • Risks Related to Our Indebtedness and Liquidity
  • Our existing indebtedness could adversely affect our business.
  • Our failure to raise additional capital or generate cash flows necessary to expand our operations and invest in participant services in the future could reduce our ability to compete successfully and harm our results of operations.
  • Risks Related to Our Common Stock
  • Our operating results have fluctuated and may fluctuate significantly in the future, which makes our future operating results difficult to predict and could cause such results to fall below any guidance, targets or goals we provide.
  • Our stock price is volatile.
  • Our Principal Shareholders control us, and their interests may conflict with our interests and those of our other shareholders.
  • We are a “controlled company” within the meaning of the rules of Nasdaq and, as a result, we qualify for, and intend to continue relying on, exemptions from certain corporate governance requirements. Therefore, shareholders do not have the same protections as those afforded to shareholders of companies that are subject to such governance requirements.
  • We qualify as a “smaller reporting company” and we have elected to comply with reduced public company reporting requirements, which could make our common stock less attractive to investors.
  • The requirements of being a public company may strain our resources and distract our management, which could make it difficult to manage our business, particularly since we no longer qualify as an “emerging growth company.”
  • Provisions of our corporate governance documents could make an acquisition of us more difficult and may prevent attempts by our shareholders to replace or remove our current management, even if beneficial to our shareholders.
  • Our certificate of incorporation designates the Court of Chancery of the State of Delaware as the exclusive forum for certain litigation that may be initiated by our shareholders and the federal district courts of the United States as the exclusive forum for litigation arising under the Securities Act, which could limit our shareholders’ ability to obtain a favorable judicial forum for disputes with us.
  • A significant portion of our total outstanding shares may be sold into the market. This could cause the market price of our common stock to drop significantly, even if our business is doing well.
  • Our Board has in the past approved, and may in the future approve, a share repurchase program that would subject us to certain risks, which could be exacerbated because our stock is thinly traded.
  • Future offerings of debt or equity securities by us may materially adversely affect the market price of our common stock.

Legal proceedings

From time to time, we may be involved in various legal proceedings and be subject to claims.

For information regarding our material pending legal proceedings, refer to Note 9 “Commitments and Contingencies” to the consolidated financial statements included in this Annual Report for more information.

The opening of Item 3, Legal Proceedings.5

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