MSP RECOVERY, INC. – 10-Q – Management's Discussion and Analysis of Financial Condition and Results of Operations.
FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion and analysis provides information that MSP's management believes is relevant to an assessment and understanding of MSP's consolidated results of operations and financial condition. The discussion should be read together with "Selected Historical Combined and Consolidated Financial and Operating Data of MSP" and the historical audited annual combined and consolidated financial statements as of and for the years endedDecember 31, 2021 and 2020 included in the S-1 Registration Statement filed onJuly 7, 2022 with theSecurities and Exchange Commission (the "SEC"), and our condensed consolidated financial statements and the related notes and other information included elsewhere in this Quarterly Report on Form 10-Q (the "Form 10-Q"). Unless the context otherwise requires, all references in this subsection to "We", "the Company" or "MSP" refers to the business of the MSP Companies prior to the consummation of the Business Combination, which will be the business of thePost-Combination Company and its subsidiaries following the consummation of the Business Combination. This discussion may contain forward-looking statements based upon MSP's current expectations, estimates and projections that involve risks and uncertainties. Actual results could differ materially from those anticipated in these forward-looking statements due to, among other considerations, the matters discussed under "Risk Factors" and "Cautionary Note Regarding Forward-Looking Statements."
Cautionary Note Regarding Forward-Looking Statements
This Form 10-Q contains forward-looking statements within the meaning of the federal securities laws. Forward-looking statements may generally be identified by the use of words such as "anticipate," "believe," "expect," "intend," "plan" and "will" or, in each case, their negative, or other variations or comparable terminology. These forward-looking statements include all matters that are not historical facts, including for example guidance for 2022 portfolio recovery and revenue. By their nature, forward-looking statements involve risks and uncertainties because they relate to events and depend on circumstances that may or may not occur in the future. As a result, these statements are not guarantees of future performance or results and actual events may differ materially from those expressed in or suggested by the forward-looking statements. Any forward-looking statement made byMSP Recovery herein speaks only as of the date made. New risks and uncertainties come up from time to time, and it is impossible for MSP to predict or identify all such events or how they may affect it. MSP has no obligation, and does not intend, to update any forward-looking statements after the date hereof, except as required by federal securities laws. Factors that could cause these differences include, but are not limited to, MSP's ability to capitalize on its assignment agreements and recover monies that were paid by the assignors; litigation results; the validity of the assignments of claims to MSP; the ability to successfully expand the scope of MSP's claims or obtain new data and claims from MSP's existing assignor base or otherwise; MSP's ability to innovate and develop new solutions, and whether those solutions will be adopted by MSP's existing and potential assignors; negative publicity concerning healthcare data analytics and payment accuracy; and those other factors included in MSP's Quarterly Reports on Form 10-Q and other reports filed by it with theSEC . These statements constitute the Company's cautionary statements under the Private Securities Litigation Reform Act of 1995.
Our Business
We are a leading healthcare recoveries and data analytics company. We focus on the Medicare, Medicaid and commercial insurance spaces. We are disrupting the antiquated healthcare reimbursement system, using data and analytics to identify and recover improper payments made by Medicare, Medicaid, andCommercial Health Insurers. Medicare and Medicaid are payers of last resort. Too often, they end up being the first and only payers, because the responsible payer is not identified or billed. Because Medicare and Medicaid pay a far lower rate than what other insurers are often billed, this costs the healthcare system (and the supporting taxpayers) tens of billions of dollars a year in improper billing and lost recoveries. By discovering, quantifying and settling the billed-to-paid gap on a large scale basis, MSP is positioned to generate meaningful annual recovery revenue at high profit margins. Our access to large volumes of data, sophisticated data analytics and a leading technology platform provide a unique opportunity to discover and recover claims. We have developed over 1,400 proprietary algorithms which help identify billions in waste, fraud and abuse in the Medicare, Medicaid, andCommercial Health Insurance segments. Our deep team of data scientists and medical professionals analyze historical medical claims data to identify recoverable opportunities. Once these potential recoveries are reviewed by our team, they are aggregated and pursued. Through federal statutory law and a series of legal cases and precedents, we believe we have an established basis for future recoveries. We differ from some of our competitors because we receive our recovery rights through irrevocable assignments of claims. When we are assigned these rights, we take on a risk that our competitors do not. Rather than provide services under a third-party vendor services contract, we receive the rights to certain recovery proceeds from our Assignors' claims (and, in many cases, actually take 25 -------------------------------------------------------------------------------- assignment of the claims themselves, which allow us to step into the Assignors' shoes). In the instances where we take claims by assignment, we have total control over the direction of the litigation. We would be the plaintiff in any action filed and would have total control over the direction of the lawsuit. By receiving claims through assignment, we can pursue additional recoveries under numerous legal theories that our competitors cannot. In the cases where we take claims by assignment, we typically agree that 50% of the recoveries generated by those claims is paid to the applicable Assignor. In the cases where we do not take claims by assignment, we typically would still be entitled to receive 50% of the recoveries generated by those claims, subject to certain expenses. Although we typically own assigned claims, for a significant portion of assigned claims our ability to pursue recoveries depends on our ongoing access to data through data access rights granted to us. In these cases, termination of such health care data access would affect our ability to generate recoveries on those claims. Our current portfolio has scaled significantly. We are entitled to a portion of any recovery rights associated with approximately$1,553 billion in Billed Amount (and approximately$370 billion in Paid Amount), which contains approximately$88 billion in Paid Value of Potentially Recoverable Claims, as ofJune 30, 2022 . We are typically entitled to 50% of recovery rights pursuant to our CCRAs but in certain cases we have also purchased from our Assignors, from time to time, rights to 100% of the recovery. We believe it would take any competitor a long time to amass the portfolio of claims rights currently owned by us due, among things, to the volume of our claims data retained and strength of our data analytics, which we believe are key to attracting counterparties willing to assign claims to us.
Our Business Model
Recovery Model
In our current business model, we receive irrevocable assignments of health claims recovery rights through Claims Cost Recovery Agreements ("CCRA") from a variety of sources including, but not limited to, MAOs, MSOs, HMOs, Hospitals, and other at risk entities. Prior to executing a CCRA, we utilize our proprietary internal data analytics platform to review the set of claims and identify claims with probable recovery paths. Once claims have been assigned, our data analysts run proprietary algorithms to identify potential recoveries. Results are then analyzed by our internal Medical Team. Each claim is then reviewed on an individual basis to ensure that the identified claim can be pursued. We contract with the Law Firm and various other firms across the country. After the Data and Medical teams review the claims, they are aggregated and ready to be pursued through the legal system.The Law Firm then reaches out to the liable parties to pay the amounts that are owed. Prior to litigation, there is an incentive for the primary insurer to settle. If legal action is required for recovery from primary insurers, claimholders are entitled to "double damages" under the Medicare Secondary Payer Act. We are engaged on an Assignor by Assignor basis. As compensation for identifying and pursuing the assigned claims, under our typical assignment arrangement, our Assignors assign a percentage, typically 50%, of the net proceeds of any recovery made on the assigned claims. In some instances, we may purchase outright an Assignor's recovery rights and, in such an instance, we are entitled to the entire recovery. In some cases, we have entered into arrangements to transfer CCRAs or rights to proceeds from CCRAs to other parties. Such sales include variable consideration in the form of payments that will be made only upon achievement of certain recoveries or based on a percentage of actual recoveries. We have yet to generate substantial revenue from the Recovery Model. To date, the majority of our revenue has been generated by claims recovery services which are either performance-based or fee for service arrangements as described below.
Chase to Pay
Over time, we plan to pivot the business to the "Chase to Pay" model. Chase to Pay is a real-time analytics driven platform that identifies the proper primary insurer at the point of care. Chase to Pay is intended to plug into the real-time medical utilization platforms used by providers at the points of care. Rather than allow an MAO to make a wrongful payment whereby we need to chase down the Primary Payer and collect a reimbursement for the MAO, Chase to Pay is intended to prevent the MAO from making a wrongful payment and ensures that the correct payer pays in the first instance. Furthermore, the Primary Payer typically will make payments at a higher multiple than the MAO would have paid, and MSP will be entitled to receive its portion of the recovery proceeds on the amounts paid by the Primary Payer.
As Chase to Pay works at the point of care, it is expected to decrease legal
costs of recovery. As a result, Chase to Pay would improve the net recovery
margin as the recovery multiple grows and variable legal costs to recover
decline.
We have yet to generate revenue from this model, nor have we executed any
agreements with customers to date. We are currently in the process of
determining the pricing and form of these arrangements. As part of our "Chase to
Pay" model, we launched LifeWallet
26 -------------------------------------------------------------------------------- inJanuary 2022 , a platform powered by our sophisticated data analysis, designed to locate and organize users' medical records, facilitating efficient access to enable informed decision-making and improved patient care.
Claims Recovery Services
We also recognize claims recovery service revenue from our services to customers to assist those entities with the pursuit of claims recovery rights. We provide services to other parties in identifying recoverable claims as well as provide data matching and legal services. Under our claims recovery services model, we do not own the rights to claims but provide our services for a fee based on budgeted expenses for the month with an adjustment for the variance between budget and actual expense from the prior month. We are party to that certain Recovery Services Agreement (the "MSP RH Series 01 Recovery Services Agreement"), dated as ofOctober 23, 2020 , by and between MSP Recovery Holdings Series 01, LLC ("MSP RH Series 01") andMSP Recovery, LLC , pursuant to whichMSP Recovery will provide services including identifying, processing, prosecuting and recovering money for certain claims of MSP RH Series 01. In return for these services, MSP RH Series 01 paid a one-time fee of approximately$7.2 million and has agreed to pay annual service fees of approximately$3.0 million commencingJanuary 1, 2021 , subject to adjustment based on the aggregate value of claims of MSP RH Series 01 that is subject to the MSP RH Series 01 Recovery Services Agreement. The fees received pursuant to this agreement are related to expenses incurred and are not tied to the Billed Amount or potential recovery amounts. Although we believe our future business to be highly tied to the Recovery Model and Chase to Pay, we will continue to enter into these contracts as the market dictates.
Key Factors Affecting Our Results
Our Claims Portfolio
We differ from some of our competitors because we receive our recovery rights through irrevocable assignments. When we are assigned these rights, we take on the risk that such claims may not be recoverable. We are entitled to a portion of any recovery rights associated with approximately$1,553 billion in Billed Amount (and approximately$370 billion in Paid Amount), which contained approximately$88 billion in Paid Value of Potentially Recoverable Claims, as ofJune 30, 2022 . We are typically entitled to 50% of recovery rights pursuant to our CCRAs but in certain cases we have also purchased from our Assignors, from time to time, rights to 100% of the recovery. By discovering, quantifying, and settling the gap between Billed Amount and Paid Amount on a large scale, we believe we are positioned to generate substantial annual recovery revenue at high profit margins for our assigned claims. In litigation, we have a competitive advantage by our experienced management and legal teams. While our model of being assigned the claim rights allows us the flexibility to direct the litigation and potentially generate higher margins, we have, on an opportunistic basis, paid the Assignor an upfront purchase price for these rights. To date, we have not generated substantial revenue from our claims portfolio, and our business model is dependent of achieving revenue from this model in the future. If we are unable to recover the upfront purchase price from the assigned claims or the investments we have made in pursuing recoveries, it would have an adverse effect on our profitability and business. Our potential claims recovery revenue in a given period will be impacted by the amount of claims we review and ultimately pursue. The number of claims that we review is driven by the claims we receive through assignment. As we are assigned more claims, we can review the claims and identify additional recoveries. To expand our Assignor base and obtain more claims, we plan to implement new strategies to secure new Assignors. These strategies will include a platform to educate potential Assignors about our company, making strategic business partnerships, potential mergers, acquisitions of personnel, as well as other marketing strategies. Our Assignors have grown from 32 in 2015, to 105 in 2018, to 123 in 2019, to 134 in 2020 and over 150 Assignors to date. If we are unable to continue to attract new Assignors to our platform, this could adversely affect future profitability. In addition to obtaining new claims, our ability to collect on identified claims on our estimated multiples is key to our future profitability. Per the Medicare Secondary Payer Act, we are entitled to reasonable and customary rates. Under existing statutory and case law, the private cause of action under the Medicare Secondary Payer Act permits an award of double damages when a primary plan fails to provide for primary payment or appropriate reimbursement. In addition to double damages, MSP is entitled to interest from Primary Payers on any amounts owed. Federal law also provides express authority to assess interest on Medicare Secondary Payer debts. Further, the Medicare, Medicaid and SCHIP Extension Act ("MMSEA") requires defendants and healthcare providers to report certain settlements with Medicare beneficiaries. The MMSEA statute includes a$1,000 per day, per claim penalty for inaccurate or untimely reporting. As a result, we are able to pursue double damages, interest, and applicable penalties for non-compliance from Primary Payers in our Medicare Secondary Payer Act-related recoveries. We can recover these amounts under either the Recovery Model or the Chase to Pay Model. Federal law also expressly provides MAOs with the right to charge providers for the Billed Amount when auto insurer 27 -------------------------------------------------------------------------------- liability exists. Per the terms of various legal services agreements that MSP has with the Law Firm, for legal services provided, the Law Firm would receive a percentage of the total claim recovery which would include double damages and additional penalties. In the near term, we believe our claims portfolio can achieve a 1.9x Recovery Multiple. As we continue to expand our claims portfolio and data matching capabilities, we believe we can reach up to 2.9x Recovery Multiple. Our ability to pursue double damages may be impacted by the Repair Abuses of MSP Payments Act ("RAMP Act") as disclosed in Note 12, Commitments and Contingencies. Our claims recovery revenue is typically recognized upon reaching a binding settlement or arbitration with the counterparty or when the legal proceedings, including any appellate process, are resolved. A decrease in the willingness of courts to grant these judgments, a change in the requirements for filing these cases or obtaining these judgments, or a decrease in our ability to collect on these judgments could have an adverse effect on our business, financial condition and operating results. Of our Property & Casualty portfolio as ofJune 30, 2022 , approximately 76% of claims are already in the recovery process, which are claims where either the recovery process has been initiated, data has been collected and matched or resolution discussions are in process.
Key Performance Indicators
To evaluate our business, key trends, risks and opportunities, prepare projections, make strategic decisions and measure our performance, we track several key performance indicators ("KPIs"). As our company has yet to achieve significant revenues and the drivers of expected revenues require significant lead time before revenue can be generated, MSP's management utilizes KPIs to assist in tracking progress and believes such KPIs are useful in evaluating the performance of our business, in addition to our financial results prepared in accordance with GAAP. The KPIs are Total Paid Amount, Paid Value of Potentially Recoverable Claims, Recovery Multiple and Penetration Status of Portfolio. Total Paid Amount: Total Paid Amount represents the total within the claims portfolio of the amount actually paid to the provider from the health plan, including incorporation of capitated amounts. As we continue to expand, we anticipate our revenue growth will be greatly dependent on our ability to increase the Total Paid Amount and, correspondingly, the Paid Value of Potentially Recoverable Claims, in our portfolio. Management believes this metric is a useful measure to investors and is useful in managing or monitoring company performance because we view an increase in Paid Amount as a positive indicator as it should provide the Company with the ability to increase the Paid Value of Potentially Recoverable Claims. Conversely, a decrease would produce a diminishing expectation of the Paid Value of Potentially Recoverable Claims. Paid Value of Potentially Recoverable Claims: The Paid Value of Potentially Recoverable Claims ("PVPRC") represents the cumulative Paid Amount of potentially recoverable claims. We analyze our claims portfolio and identify potentially recoverable claims using MSP proprietary algorithms that comb through historical paid claims data and search for possible recoveries based on our approximately 600 Funnels and 1,100 Layers. The PVPRC is a measure of the actual Paid Amount that has been paid to providers in respect of those potentially recoverable claims. Management believes this measure provides a useful baseline for potential recoveries, but it is not a measure of the total amount that may be recovered in respect of potentially recoverable claims, which in turn may be influenced by any applicable potential statutory recoveries such as double damages or fines, as described below. We believe our ability to generate future claims recovery income is largely dependent on our ability to accurately identify potentially recoverable claims through our data analytics and ultimately recover on these claims. Management believes this metric is a useful measure to investors and in managing or monitoring company performance because we view an increase in PVPRC as a positive indicator as it should provide the Company with the ability to increase claims recovery income and otherwise shows growth. Billed Value of Potentially Recoverable Claims: Billed Value of Potentially Recoverable Claims ("BVPRC") represents the cumulative Billed Amount of potentially recoverable claims. We analyze our claims portfolio and identify potentially recoverable claims using MSP proprietary algorithms that comb through historical paid claims data and search for possible recoveries based on our approximately 600 Funnels and 1,100 Layers. For a majority of our claims, the Company believes it has the ability to recover in excess of the Paid Amount by collecting the Billed Amount plus interest plus double damages under applicable law. Under existing statutory and case law, the private cause of action under the Medicare Secondary Payer Act permits an award of double damages when a primary plan fails to provide for primary payment or appropriate reimbursement. Federal law expressly provides MAOs with the right to charge providers for the Billed Amount when auto insurer liability exists. We believe our ability to generate future claim recovery income is largely dependent on our ability to accurately identify potentially recoverable claims through our data analytics and ultimately recover on these claims. Management believes this metric is a useful measure to investors and in managing or monitoring company performance because we view an increase in BVPRC as a positive indicator as it should provide the Company with the ability to increase claims recovery income and otherwise shows growth. Recovery Multiple: The Recovery Multiple is the amount of income of any generated claims recovery income obtained by the Company in respect of any claims as compared to the Paid Amount of those claims (e.g., on a$600 recovery, if the paid amount for said claim was$100 , the Recovery Multiple is 6x). For these purposes, we record values under the Recovery Multiple only once we have recorded claims recovery income either through the receipt of cash or recognition of accounts receivable on the claims. Management believes this metric is useful to investors and is useful in managing or monitoring company performance because the Recovery Multiple provides 28 -------------------------------------------------------------------------------- a measure of the Company's ability to recover on its claims recovery rights. A Recovery Multiple above 1x would illustrate the Company's ability to collect in excess of the Paid Amount. MSP has entered into settlement agreements to recover amounts in excess of the paid amount. In MSPA Claims 1, LLC v.Ocean Harbor Cas . Ins. Co., Case No. 2015-1946-CA-01, MSP was granted class certification and obtained approval of a class action settlement agreement, pursuant to which, subject to certain time and threshold limitations,Ocean Harbor has agreed to pay more than the Medicare Fee-for-Service Schedule Rate by 3.5 times, for Medicare Part A emergency services and Medicare Part D claims, and by 1.6 times, for Medicare Part A non-emergency services, claims for MRI services and Medicare Part B claims. In MSP Recovery Claims,Series LLC v.Horace Mann Insurance Company , Case No. 1:20-cv-24419, we entered into a settlement agreement with Horace Mann in which Horace Mann has agreed to pay matched claims according to applicable commercial rates, subject to the assertion of certain agreed-upon defenses. We believe the difference between the Paid Amount of claims in that case and commercial rates would generally be between 4 to 6 times. To date, because actual recoveries have been limited, this measure has had limited utility in historical periods. However, management believes this measure will become more meaningful during 2022 and beyond to the extent the Company begins to report actual increases in recoveries during those periods. As ofJune 30, 2022 , the Company has obtained settlements with two counterparties where the Recovery Multiple would be in excess of the Paid Amount. However, the settlement amounts have not been finally tabulated and therefore do not provide a large enough sample to be statistically significant and are therefore not shown in the table. Because the Recovery Multiple is based on actual recoveries, this measure is not based on the Penetration Status of Portfolio, as described below. Penetration Status of Portfolio: Penetration Status of Portfolio provides a measure of the Company's recovery efforts by taking into account the current stages of recovery of claims in the portfolio and tying it in with the estimated market share of the related Primary Payers. The total percentage represents the estimated aggregate market share for the respective Primary Payers in which the Company is in some stage of recovery. As the Company initiates additional recovery efforts against additional Primary Payers, the Company expects this number to increase. These stages of recovery include where (1) the recovery process has been initiated, (2) data has been collected and matched or (3) potential resolution discussions are in process. The Company uses third-party sources to estimate the aggregate market share of those Primary Payers in the property and casualty auto insurance market with whom the Company is engaged in one of these stages of recovery. Management believes this metric is useful to investors and in managing or monitoring company performance because it provides insight as to the estimated share of the market that is covered by existing recovery efforts. We estimate that cases that are in the potential resolution discussions and/or data matching are closer to generating potential future claims recovery income. As of and for the As of and for the As of
and for the As of and for the
Six Months Ended Three Months Year Ended Year Ended June 30, 2022 Ended December 31, 2021 December 31, 2020 March 31, 2022 $ in billions Paid Amount $ 370.2 $ 366.9 $ 364.4 $ 58.4 Paid Value of Potentially 88.3 87.3 86.6 14.7 Recoverable Claims Billed Value of Potentially 371.3 367.8 363.2 52.3 Recoverable Claims Recovery Multiple N/A(1) N/A(1) N/A(1) N/A(1) Penetration Status of 76.3 % 76.3 % 75.6 % N/A Portfolio (1) Each claim line that is paid or is otherwise converted from encounter data to Paid Amount and Billed Amount for which recoveries can be made has a potential for recovery through different Funnels. As ofJune 30, 2022 , the Company has obtained settlements with two counterparties who have agreed to pay multiples of Paid Amount. However, the settlement amounts have not been finally tabulated and therefore do not provide a large enough sample to be statistically significant, and are therefore not shown in the table.
Healthcare Industry
Our business is directly related to the healthcare industry and is affected by healthcare spending and complexity in the healthcare industry. We estimate that our total addressable market is over$150 billion annually. Our primary focus is on the Medicare and Medicaid market segments. Medicare is the second largest government program, with estimated annual expenditures during 2021 of approximately$923 billion and approximately 63.5 million enrollees. Medicaid has a combined estimated annual expenditure during 2021 of approximately$684 billion with approximately 76.5 million enrollees. Of the billions spent yearly by Medicare on medical expenses for its beneficiaries, we estimate that at least 10% of this was improperly paid by private Medicare plans. Our addressable market and therefore revenue potential is impacted by the expansion or contraction of healthcare coverage and spending, which directly affects the number of claims available. CMS has projected that health spending will continue to grow at an average rate of 5.4% a year between 2019 and 2028. We also believe reimbursement models may become more complex as healthcare payers accommodate new markets and lines of business and as advancements in medical care increase the number of testing and treatment options available. As reimbursement models grow more complex and healthcare coverage increases, the complexity and number of claims may also increase, which could impact the demand for our solutions. Such changes could have a further impact on our results of operations. 29 -------------------------------------------------------------------------------- Approximately 88% of our expected recoveries arise from claims being brought under the Medicare Secondary Payer Act. While we believe the act has bipartisan support, changes to the laws on which we base our recoveries, particularly the Medicare Secondary Payer Act, can adversely affect our business. Our ability to generate future revenue is therefore significantly dependent on factors outside our control.
Impact of the COVID-19 Pandemic
The impact of the COVID-19 pandemic ("COVID-19") and related stay-at-home orders and social distancing guidelines caused significant disruptions in many of the jurisdictions in which we operate. These measures had an impact on many aspects of our business operations, including delays within the court system due to court/administrative closures or reduced court dockets and the availability of associates, employees, and business partners. While we were able to continue operations throughout these periods, these delays potentially impacted timing of resolving pending legal matters as a result of court, administrative and other closures and could impact any potential future legislation or litigation. For the three and six months endedJune 30, 2022 and 2021 and the years endedDecember 31, 2021 and 2020, there was not a material impact to our operations or financial results including total claims recovery, claims recovery service revenue or cost of recoveries. In addition, changes in KPIs such as Paid Amount, Paid Value of Potentially Recoverable Claims, Recovery Multiple and Penetration Status of Portfolio were not materially impacted for the three and six months endedJune 30, 2022 and 2021 and the years endedDecember 31, 2021 and 2020 and the number of Assignors or Clients has also not been negatively impacted by COVID-19. For more information on our operations and risks related to health epidemics, including the coronavirus. Please see the section Item 1A "Risk Factors."
Key Components of Sales and Expenses
The following represent the components of our results of operations.
Claims Recovery Income
Our primary income-producing activities are associated with the pursuit and recovery of proceeds related to claims recovery rights that the Company obtains through CCRAs, in which we become the owner of those rights. As such, this income is not generated from the transfer of control of goods or services to customers, but through the proceeds realized from perfection of claims recoveries from rights we hold outright. We recognize claims recovery income based on a gain contingency model - that is, when the amounts are reasonably certain of collection. This typically occurs upon reaching a binding settlement or arbitration with the counterparty or when the legal proceedings, including any appellate process, are resolved. In some cases, we would owe an additional payment to the original assignor in connection with the realized value of the recovery right. Claims recovery income is recognized on a gross basis, as we are entitled to the full value of proceeds and make payment to the original assignor similar to a royalty arrangement. Such payments to prior owners are recognized as cost of claims recovery in the same period the claims recovery income is recognized.
Claims Recovery Service Income
We also recognize claims recovery service income for our services to a related party and a third party to assist those entities with pursuit of claims recovery rights. We have determined we have a single performance obligation for the series of daily activities that comprise claims recovery services, which are recognized over time using a time-based progress measure. We enter into claims recovery service contracts with third parties. Amounts payable for services to third parties are typically based on budgeted expenses for the current month with an adjustment for the variance between budget and actual expenses from the prior month. Costs of Recoveries
Costs of recoveries consist of all directly attributable costs specifically
associated with claims processing activities, including contingent payments
payable to assignors (i.e., settlement expenses).
Claims Amortization Expense
Claims Amortization Expense consists of the amortization of CCRA intangible
assets for those CCRAs
in which we made upfront payments or commitments in order to acquire claims
recovery rights.
Operating Expenses
General and Administrative Expenses
30 --------------------------------------------------------------------------------
General and administrative expenses consist primarily of personnel-related
expenses for employees involved in general corporate, sales and marketing
functions, including executive management and administration, legal, human
resources, accounting, finance, tax, and information technology.
Personnel-related expenses primarily include wages and bonuses. General and
administrative expenses also consist of rent, IT costs, insurance, and other
office expenses.
As we continue to grow as a company and build out our team, we expect that our sales, general and administrative costs will increase. We also expect to incur additional expenses as a result of operating as a public company, including expenses necessary to comply with the rules and regulations applicable to companies listed on a national securities exchange and related to compliance and reporting obligations pursuant to the rules and regulations of theSEC , as well as higher expenses for general and director and officer insurance, investor relations, and professional services.
Professional Fees
Professional Fees consist of consulting, accounting, and other professional
services from third party providers.
Professional Fees - legal Professional Fees - legal consist of payments for the expenses of the Law Firm covered by the Legal Services Agreement and other legal professional services from third party providers including payments to co-counsel. Depreciation and Amortization Depreciation and amortization expense consist of depreciation and amortization of property and equipment related to our investments in leasehold improvements, office and computer equipment, and internally generated capitalized software development costs. We provide for depreciation and amortization using the straight-line method to allocate the cost of depreciable assets over their estimated useful lives.
Interest Expense
In some cases, we have entered into arrangements to transfer CCRAs or rights to proceeds from CCRAs to other parties. When such transfers are considered to be sales of future revenue that are debt-like in nature as defined in Accounting Standards Codification ("ASC") 470, these arrangements are recognized as debt based on the proceeds received, and are imputed an interest rate based on the expected timing and amount of payments to achieve contractual hurdles. Our interest expense consists of the imputed interest on these payments. We anticipate that as we recognize claims recoveries related to CCRAs in these arrangements, the interest expense on these arrangements will decrease.
Interest income consists primarily of interest on short term investments.
Other Income (expense)
Other income consists of equity investment earnings and some affiliate related income. Other expenses consist of bank service charges, airing fees, tax penalties, settlement expense, political contributions and donations, and some affiliate related expense.
Changes in Fair Value of Warrant and Derivative Liabilities
Changes in fair value of warrants and derivative liabilities consists of the mark to market of warrant liabilities and derivatives as part of the OTC Equity Prepaid Forward Transaction noted in Note 16, Derivative Liability in the notes to condensed consolidated financial statements.
Net (income) loss attributable to non-controlling members
Net (income) loss attributable to non-controlling members consists of income or
loss of attributable to Class V shareholders.
Income Tax Benefit
The various entities that comprise MSP are each currently treated as partnerships forU.S. federal and most applicable state and local income tax purposes. As a partnership, our taxable income or loss is passed through to and included in the tax returns of its members. Consequently, no income tax, income tax payable, or deferred tax assets and liabilities are recorded for any financial reporting date. 31 --------------------------------------------------------------------------------
Results of Operations
Comparison of six months ended
The following table sets forth a summary of our consolidated results of operations for the six months endedJune 30, 2022 andJune 30, 2021 indicated. Six Months Ended June 30 2022 2021 $ Change % Change Claims recovery income$ 1,428 $ 15 $ 1,413 9,420 % Claims recovery service income 12,047 6,774 5,273 78 % Total Claims Recovery$ 13,475 $ 6,789 $ 6,686 98 % Operating expenses Cost of claims recoveries$ 701 $ 8 $ 693 8,663 % Claims amortization expense 26,535 67 26,468 39,504 % General and administrative$ 10,428 $ 5,336 $ 5,092 95 % Professional fees 5,056 3,067 1,989 65 % Professional fees - legal$ 26,237 $ 30 $ 26,207 87,357 % Depreciation and amortization 151 167 (16 ) (10 ) % Total operating expenses$ 69,108 $ 8,675 $ 60,433 697 % Operating Income/ (Loss) (55,633 ) (1,886 ) (53,747 ) 2,850 % Interest expense$ (21,392 ) $ (12,589 ) $ (8,803 ) 70 % Other income (expense), net 37 1,323 (1,286 ) (97 ) % Change in fair value of warrant and$ (14,353 ) $ -$ (14,353 ) (100 ) % derivative liabilities Net loss before provision for income (91,341 ) (13,152 ) (78,189 ) 595 % taxes Provision for income tax benefit$ 326 $ -$ 326 100 % (expense) Net loss (91,015 ) (13,152 ) (77,863 ) 592 % Less: Net (income) loss attributable$ 89,727 $ -$ 89,727 100 % to non-controlling members Net loss attributable to controlling (1,288 ) (13,152 ) 11,864 (90 ) % members Claims recovery income. Claims recovery income increased by$1.4 million for the six months endedJune 30, 2022 driven by an increase in settlements during the period. Claims recovery service income. Claims recoveries service income increased by$5.3 million , or 78%, to$12 million for the six months endedJune 30, 2022 from$6.7 million for the six months endedJune 30, 2021 , primarily driven by an increase in third party service fees due to volume as the headcount needed and related operational expenses to service the claims expanded. Cost of claims recoveries. Cost of claims recoveries increased by$693 thousand , to$701 thousand for the six months endedJune 30, 2022 from$8 thousand for the six months endedJune 30, 2021 , primarily driven by payments due to assignors and the Law Firm on claims recoveries during the period. Claims amortization expense. Claims amortization expense increased by$26.5 million , to$26.5 million for the six months endedJune 30, 2022 from$0.1 million for the six months endedJune 30, 2021 , primarily driven by increased amortization due to the acquisition of CCRAs obtained as part of the business combination. In addition, the Company purchased additional CCRAs during the six months endedJune 30, 2022 , included in Intangible assets, which further contributed to the increase in claims amortization expense. General and administrative. General and administrative increased by$5.1 million , or 95%, to$10.4 million for the six months endedJune 30, 2022 from$5.3 million for the six months endedJune 30, 2021 , primarily driven by increase in wages of$2.8 million and advertising expenses of$1.8 million . Professional fees. Professional fees increased by$2.0 million , or 65%, to$5.1 million for the six months endedJune 30, 2022 from$3.1 million for the six months endedJune 30, 2021 , primarily driven by an increase in accounting and consulting fees due to the Business Combination. Professional fees - legal. Professional fees increased by$26.2 million for the six months endedJune 30, 2022 , primarily driven by a one-time share based payment expense of$20.1 million and fees to outsourced law firms of$6.2 million . Interest expense. Interest expense increased by$8.8 million , or 70%, to$21.4 million for the six months endedJune 30, 2022 from$12.6 million for the six months endedJune 30, 2021 , primarily driven by an increase in the basis for which interest is incurred on our Claims Financing Obligations, additional interest on commitments incurred at the end of 2021 and accrued interest on the related party loan incurred inJune 2022 . Other income, net. Other income decreased by$1.3 million , to$37 thousand for the six months endedJune 30, 2022 from$1.3 million for the six months endedJune 30, 2021 primarily driven by a gain on debt extinguishment related to PPP loans recognized for the six months endedJune 30, 2021 . 32 -------------------------------------------------------------------------------- Change in fair value of warrant and derivative liabilities. For the six months endedJune 30, 2022 ,$14.4 million of loss was recorded related to mark to market adjustments for the fair value of warrants for$5.4 million and for the fair value of derivative liabilities related to the Committed Equity facility for$9.0 million . Provision for income tax benefit. For the six months endedJune 30, 2022 , a$0.3 million income tax benefit was recognized related to the increase in the deferred tax asset for current period losses.
Comparison of three months ended
2021
The following table sets forth a summary of our consolidated results of operations for the three months endedJune 30, 2022 to three months endedJune 30, 2021 indicated. Three Months Ended June 30 2022 2021 $ Change % Change Claims recovery income$ 1,319 $ -$ 1,319 100 % Claims recovery service income 3,971 3,360 611 18 % Total Claims Recovery$ 5,290 $ 3,360 $ 1,930 57 % Operating expenses Cost of claims recoveries$ 694 $ -$ 694 100 % Claims amortization expense 23,818 36 23,782 66,061 % General and administrative$ 5,982 $ 2,723 $ 3,259 120 % Professional fees 3,118 1,970 1,148 58 % Professional fees - legal$ 23,765 $ 8 $ 23,757 296,963 % Depreciation and amortization 72 135 (63 ) (47 ) % Total operating expenses$ 57,449 $ 4,872 $ 52,577 1,079 % Operating Income/ (Loss) (52,159 ) (1,512 ) (50,647 ) 3,350 % Interest expense$ (10,977 ) $ (6,667 ) $ (4,310 ) 65 % Other income (expense), net 39 899 (860 ) (96 ) % Change in fair value of warrant and$ (14,353 ) $ -$ (14,353 ) (100 ) % derivative liabilities Net loss before provision for income (77,450 ) (7,280 ) (70,170 ) 964 % taxes Provision for income tax benefit$ 326 $ -$ 326 100 % (expense) Net loss (77,124 ) (7,280 ) (69,844 ) 959 % Less: Net (income) loss attributable to$ 75,836 $ -$ 75,836 100 % non-controlling members Net loss attributable to controlling (1,288 ) (7,280 ) 5,992 (82 ) % members Claims recovery income. Claims recovery income increased by$1.3 million for the three months endedJune 30, 2022 driven by an increase in settlements during the period. Claims recovery service income. Claims recoveries service income increased by$0.6 million , or 18%, to$4.0 million for the three months endedJune 30, 2022 from$3.4 million for the three months endedJune 30, 2021 , primarily driven by an increase in third party service fees due to volume as the headcount needed and related operational expenses to service the claims expanded. Cost of claims recoveries. Cost of claims recoveries increased by$0.7 million , or 100%, driven by assignor and law firm payments on claims recovery income. Claims amortization expense. Claims amortization expense increased by$23.8 million primarily driven by increased amortization due to the acquisition of CCRAs obtained as part of the business combination. In addition to the aforementioned CCRAs acquired as part of the Business Combination, the Company also purchased additional CCRAs during the three months endedJune 30, 2022 , included in Intangible assets, which further contributed to the increase in claims amortization expense. General and administrative. General and administrative increased by$3.3 million , to$6.0 in three months endedJune 30, 2022 from$2.7 million for the three months endedJune 30, 2021 , primarily driven by increases in legal expenses of$2.4 million , wages of$1.1 million , data storage costs of$0.5 million and advertising of$0.4 million as compared to the three months endedJune 30, 2021 . Professional fees. Professional fees increased by$1.1 million , or 58%, to$3.1 million for the three months endedJune 30 , 20221 from$2.0 million for the three months endedJune 30, 2021 , primarily driven by an increase in accounting and consulting fees due to the Business Combination. Professional fees - legal. Professional fees increased by$23.8 million , primarily driven by a one-time share based payment expense of$20.1 million , and fees to outsourced law firms of$3.7 million . Interest expense. Interest expense increased by$4.3 million , or 65%, to$11.0 million in three months endedJune 30, 2022 from$6.7 million for the three months endedJune 30, 2021 , primarily driven by an increase in the basis for which interest is incurred on our Claims Financing Obligations, additional interest on commitments incurred at the end of 2021 and accrued interest on the related party loan incurred inJune 2022 . 33 -------------------------------------------------------------------------------- Other income (expense), net. Other income (expense), net decreased by$860 thousand to$39 thousand in three months endedJune 30, 2022 from income of$899 thousand for the three months endedJune 30, 2021 , primarily driven by a gain on debt extinguishment related to PPP loans in 2021. Change in fair value of warrant and derivative liabilities. For the three months endedJune 30, 2022 $14.4 million of loss was recorded related to mark to market adjustments for the fair value of warrants for$5.4 million and for the fair value of derivative liabilities related to the Committed Equity facility for$9.0 million . Provision for income tax benefit. For the three months endedJune 30, 2022 a$0.3 million income tax benefit was recognized related to the increase in the deferred tax asset for current period losses.
Non-GAAP Financial Measures
In addition to the financial measures prepared in accordance with GAAP, this Form 10-Q also contains Non-GAAP financial measures. We consider "adjusted net loss" and "adjusted operating loss" as non-GAAP financial measures and important indicators of performance and useful metrics for management and investors to evaluate our business's ongoing operating performance on a consistent basis across reporting periods. Adjusted net loss represents Net loss adjusted for certain non-cash and non-recurring expenses, and adjusted operating loss items represents Operating loss adjusted for certain non-cash and non-recurring expenses. These measures provide useful information to investors, and a reconciliation of these measures to the most directly comparable GAAP measures and other information relating to these Non-GAAP measures is included in Note 2 to our consolidated financial statements appearing elsewhere in this Form 10-Q. A reconciliation of these Non-GAAP measures is included below: Three months ended Six months ended (In thousands) June 30, 2022 June 30, 2022 GAAP Operating Loss (52,159 ) (55,633 ) Share based compensation 20,055 20,055 Claims amortization expense 23,818 26,535 Adjusted operating loss $ (8,286 ) $ (9,043 ) GAAP Net Loss (77,124 ) (91,015 ) Share based compensation 20,055 20,055 Claims amortization expense 23,818 26,535 Paid-in-kind Interest 10,977 21,392 Change in fair value of warrant and derivative liabilities 14,353 14,353 Adjusted net loss $ (7,921 ) $ (8,680 )
Liquidity and Capital Resources
Sources of Liquidity
Since inception, we have financed our operations primarily from partnership contributions. As ofJune 30, 2022 , we had$25.0 million in cash and cash equivalents. As ofJune 30, 2022 , we had loan payables of$111.4 million consisting of our Claims Financing Obligations and notes payable. We had$111.3 million in interest payable related to our Claims Financing Obligations. In addition, we had a loan from related parties with a balance of$125.8 million . This loan bears interest at an annual rate of 4%, payable in kind, and will mature on the four year anniversary of the issuance and the terms were more favorable than we could have obtained from another party. As an early stage growth company, we have incurred substantial net losses since inception. Our liquidity will depend on our ability to generate substantial claims recovery income and claims recovery services income in the near future. Our principal liquidity needs have been, and will continue to be, capital expenditures, working capital and claims obligation financing. Our capital expenditures support investments in our underlying infrastructure to enhance our solutions and technology for future growth. We expect our capital expenditures to increase primarily due to investments in our technology stack. Our strategy includes the expansion of our existing solutions and the development of new solutions, which will require cash expenditures over the next several years and will be funded primarily by cash provided by operating activities and the cash from the Business Combination. We also expect our operating expenses to increase as we hire additional employees to support to the claim recovery team. We expect these investments to be a key driver of our long-term growth and competitiveness but to negatively impact our free cash flow. We believe that our cash on hand of$25.0 million , along with our other current assets and available resources, will be sufficient to meet our operating expenditure and working capital requirements for a period of at least twelve months from the date of this Form 10-Q. If we are required to raise additional capital to finance our operations, which may include seeking additional capital through equity offerings or debt financings, the amount and timing of our future funding will depend on many factors, including the pace and results of our claims recovery efforts. We may be unable to obtain any such additional financing on reasonable terms or at all. Our ability to access capital when needed is not assured and, if capital is not available to us when, and in the amounts needed, we could be required to delay, scale back or abandon some or all of our claims recovery efforts and other operations, which could materially harm our business, prospects, financial condition and operating results. 34 --------------------------------------------------------------------------------
MSP Principals Promissory Note
OnJune 16, 2022 , to finance the Company's operations, the MSP Principals provided cash to the Company in an aggregate amount of$112.8 million . The Company issued the MSP Principals Promissory Note to the MSP Principals in an aggregate principal amount of$112.8 million that has an annual interest rate of 4%, payable in kind, and matures on the day that is the four year anniversary of the issuance. On the maturity date, the Company is required to pay the MSP Principals an amount in cash equal to the outstanding principal amount, plus accrued and unpaid interest. The promissory notes is prepayable by the Company at any time, without prepayment penalties, fees or other expenses. A portion of the proceeds under the MSP Principals Promissory Note in an amount equal to$36.5 million was advanced to the Law Firm for certain operating expenses as contemplated by the Legal Services Agreement. The MSP Principals Promissory Note contains customary events of default that would allow the MSP Principals to declare the MSP Principals Promissory Note immediately due and payable or the MSP Principals Promissory Note will immediately and automatically become due and payable without notice, presentment, demand, protest or other request of any kind. In addition, the MSP Principals Promissory Note may be accelerated by the MSP Principals if the board of directors of the Company (excluding the MSP Principals) terminates the Legal Services Agreement.
Nomura and KBW Promissory Notes
OnMay 27, 2022 , the Company issued an unsecured promissory note to Nomura in a principal amount of approximately$24.5 million and an unsecured promissory note to KBW in a principal amount of approximately$20.3 million , in each case related to advisory fees and deferred underwriting fees and expenses that became due and payable by the Company to Nomura and advisory fees and expenses that became due and payable by the Company to KBW, in connection with the consummation of the Business Combination. The maturity date of each of the promissory notes isMay 29, 2023 . On the maturity date, the Company is required to pay to each of Nomura and KBW an amount in cash equal to the outstanding principal amount, plus accrued and unpaid interest, plus any other obligations then due or payable under each of the promissory notes. Upon two days prior written notice to Nomura or KBW, as applicable, the Company may prepay all or any portion of the then outstanding principal amount under each promissory note together with all accrued and unpaid interest thereon. As ofJune 30, 2022 , approximately$20.3 million has been repaid on the promissory notes.
OTC Equity Prepaid Forward Agreement
OnMay 17, 2022 , the Company and CF entered into the Prepaid Forward. Pursuant to the terms of the Prepaid Forward, CF agreed to (a) transfer to MSP for cancellation any New Warrants received as a result of being the stockholder of record of any shares of Class A Common Stock as of the close of business on the closing date of the Business Combination, in connection with the New Warrant Dividend, and (b) waive any redemption right that would require the redemption of the number of shares of Class A Common Stock owned by CF at the closing of the Business Combination in exchange for a pro rata amount of the funds held in the Trust Account. At closing of the Business Combination, the Company transferred from the trust account to an escrow account an amount equal to (a) the aggregate number of the Subject Shares (as defined below) (approximately 1.1 million shares), multiplied by (b) the per share redemption price for shares out of the Trust Account, as a prepayment to CF of the amount to be paid to CF in settlement of the Prepaid Forward for the Subject Shares. CF may sell the Subject Shares at its sole discretion in one or more transactions, publicly or privately. Any such sale shall constitute an optional early termination of the Prepaid Forward upon which (a) CF will receive from the escrow account an amount equal to the positive excess, if any, of (x) the product of the redemption price and the aggregate number of shares over (y) an amount equal to the proceeds received by CF in connection with sales of the shares, and (b) the Company will receive from the escrow account the amount set forth in (y) above. Any shares not sold will be returned to the Company and the redemption price relating to such shares will be released to CF. Pursuant to the terms of the Prepaid Forward, CF purchased 1,129,589 shares of Class A Common Stock prior to the approval of the Business Combination and outside of the redemption process in connection with the Business Combination, for a purchase price of$10.11 per share, reflecting an aggregate purchase price of approximately$11.4 million . Pursuant to the terms of the Prepaid Forward, 133,291,502 of the New Warrants will be transferred for cancelation to the Company.
Committed Equity Facility
OnMay 17, 2022 , the Company entered into the CF Purchase Agreement with CF. Pursuant to the CF Purchase Agreement, after the closing of the Business Combination, the Company will have the right to sell to CF from time to time at its option up to$1 billion in Class A common stock shares, subject to the terms, conditions and limitations set forth in the CF Purchase Agreement. Sales of the shares of the Company's common stock to CF under the CF Purchase Agreement, and the timing of any such sales, will be determined by the Company from time to time in its sole discretion and will depend on a variety of factors, including, among other things, market conditions, the trading price of the common stock, as well as determinations by the Company about the use of proceeds of such common stock sales. The net proceeds from any such sales under the CF Purchase Agreement will depend on the frequency with, and the price at, which the shares of common stock are sold to CF. Upon the initial satisfaction of the conditions to CF's obligation to purchase shares of common stock set forth under the CF Purchase Agreement, the Company will have the right, but not the obligation, from time to time, at its sole discretion and on the terms and subject to the limitations contained in the CF Purchase Agreement, until no later than the first day of the month following the 36 35 -------------------------------------------------------------------------------- month anniversary of the date that the registration statement of the shares is declared effective, to direct CF to purchase up to a specified maximum amount of common stock as set forth in the CF Purchase Agreement by delivering written notice to CF prior to the commencement of trading on any trading day. The purchase price of the common stock that the Company elects to sell to CF pursuant to the CF Purchase Agreement will be 98% of the VWAP of the common stock during the applicable purchase date on which the Company has timely delivered a written notice to CF, directing it to purchase common stock under the CF Purchase Agreement.
Assignment and Sale of Proceeds Agreement
OnJune 30, 2022 , the Company entered into an Assignment and Sale of Proceeds Agreement (the "Assignment Agreement") and a Recovery Services Agreement (the "Services Agreement" and collectively, the "Agreements") with thePrudent Group ("Prudent") in order to monetize up to$250 million of the value of the Company's net recovery interest in claim demand letters that the Company has commenced sending to insurers who admitted they had primary payer responsibility for the underlying accidents to the federal government ("MSPR's Net Recovery Proceeds"). Pursuant to the Agreements, at the Company's sole and absolute discretion, the Company has the right to direct Prudent to acquire, on a non-recourse basis, a percentage of MSPR's Net Recovery Proceeds, up to an aggregate of$250 million , at a purchase price of 90% of MSPR's Net Recovery Proceeds of such claim. Under the Services Agreement, the Company will service and recover on the demand letters and will retain any revenues generated in excess of the amount received from Prudent, plus up to an 18% annual return on the amount Prudent paid for MSPR's Net Recovery Proceeds. Prudent may terminate the Services Agreement upon sixty (60) days prior written notice to the Company. The Company anticipates the first close to be approximately$10 million and to be finalized in the third quarter of 2022. Actual results, including sources and uses of cash, may differ from our current estimates due to the inherent uncertainty involved in making those estimates and any such differences may impact the Company's ability to continue as a going concern in the future. The expenditures associated with the development and launch of our additional recovery services and the anticipated increase in claims recovery capacity are subject to significant risks and uncertainties, many of which are beyond our control, which may affect the timing and magnitude of these anticipated expenditures. These risk and uncertainties are described in more detail in the section entitled "Risk Factors"
PPP Loan
During 2020, we obtained funds under the Paycheck Protection Program (the "PPP Loans") in the amount of$1.1 million . As ofDecember 31, 2021 , all of the PPP Loans have been forgiven.
Claims Financing Obligations
OnFebruary 20, 2015 , the Company entered into aClaims Proceeds Investment Agreement with a third-party investor to invest directly and indirectly in claims, disputes, and litigation and arbitration claims. For such investment, the Company has assigned to the investor a portion of the future proceeds of certain claims, albeit the Company remains the sole owner and assignee of rights to claims because the investor is only acquiring rights to a portion of the proceeds of the claims. The investor return is based on its investment ($23 million between the original and amended agreements) and an internal rate of return of 30% calculated from the Closing Date. The investor has priority of payment regarding any proceeds until full payment of the investment is satisfied. To the extent that, upon final resolution of the claims, the investor receives from proceeds an amount that is less than the agreed-upon return, the investor has no recourse to recover such deficit from the Company. See Note 10 to our consolidated financial statements for a description of the claims financing obligations. 36 --------------------------------------------------------------------------------
Tax Receivable Agreement
Under the terms of the Tax Receivable Agreement, we generally will be required to pay to the Members, and to each other person from time to time that becomes a "TRA Party " under the Tax Receivable Agreement, 85% of the tax savings, if any, that we are deemed to realize in certain circumstances as a result of certain tax attributes that exist following the Business Combination and that are created thereafter, including as a result of payments made under the Tax Receivable Agreement. The term of the Tax Receivable Agreement will continue until all such tax benefits have been utilized or expired unless we exercise our right to terminate the Tax Receivable Agreement for an amount representing the present value of anticipated future tax benefits under the Tax Receivable Agreement or certain other acceleration events occur. Any payments made by us under the Tax Receivable Agreement will generally reduce the amount of overall cash flow that might have otherwise been available to us, and, to the extent that we are unable to make payments under the Tax Receivable Agreement for any reason, the unpaid amounts generally will be deferred and will accrue interest until paid by us. Cash Flows
The following table summarizes our cash flows for the periods indicated:
Six Months ended June 30, 2022 2021 (in thousands) Net cash used in operating activities$ (60,912 ) $ (6,196 ) Net cash used in investing activities (3,015 ) (3,572 ) Net cash provided by (used in) financing activities 98,728 (303 ) Net increase (decrease) in cash and cash equivalents 34,801 (10,071 ) and restricted cash Cash and cash equivalents and restricted cash at 1,664
11,879
beginning of period Cash and cash equivalents and restricted cash at end$ 36,465 $ 1,808 of period
Cash Flows Used in Operating Activities
Net cash used in operating activities increased by$54.7 million to$60.9 million for the six months endedJune 30, 2022 compared to net cash used of$6.2 million for the six months endedJune 30, 2021 . During the six months endedJune 30, 2022 , Net cash used in operating activities was impacted primarily by our net loss, an increase in Prepaid and other assets of$36.8 million and decrease in affiliate payable of$25.1 million . This was partially offset by a$9.3 million increase in accounts payable and accrued liabilities. Net cash used in operating activities was further offset by non-cash charges primarily relating to claims amortization of$26.5 million , paid in kind interest of$21.4 million , share-based compensation of$20.1 million , change in fair value of derivatives of$9 million and change in fair value of warrant liabilities of$5.4 million .
Cash Flows Used in Investing Activities
Net cash used in investing activities decreased by$0.6 million to$3.0 million for the six months endedJune 30, 2022 compared to$3.6 million for the six months endedJune 30, 2021 . During the six months endedJune 30, 2022 , our cash used in investing activities was primarily due to acquisition of additional CCRAs included in Intangible assets, net, of which$2.7 million was paid for in cash and$0.3 million of additions to property, plant and equipment.
Cash Flows Provided by (Used in) Financing Activities
Net cash provided in financing activities increased to$98.7 million for the six months endedJune 30, 2022 compared to$0.3 million net cash used in financing activities for the six months endedJune 30, 2021 . This is primarily due to proceeds from the related party loan of$125.8 million , proceeds from the Business Combination of$12.0 million , and$8.2 million from the issuance of common stock. These were partially offset by$50.5 million of transaction costs incurred in connection with the Business Combination.
Contractual Obligations, Commitments and Contingencies
The following table and the information that follows summarizes our contractual
obligations as of
37 --------------------------------------------------------------------------------
The future minimum lease payments under non-cancelable operating leases as of
Year Ending December 31, Lease Payments Remaining 2022 $ 115 2023 (1) 217 Total $ 332 (1)
Operating lease expires before or during the year ending
Based on claims financing obligations and notes payable agreements, as ofJune 30, 2022 andDecember 31, 2021 , the present value of amounts owed under these obligations were$222.7 million and$201.4 million , respectively, including unpaid interest to date of$111.3 million and$94.5 million , respectively. The weighted average interest rate is 22% based on the current book value of$222.7 million with rates that range from 2% to 30%. The Company is expected to repay these obligations from cash flows from claim recovery income. As ofJune 30, 2022 , the minimum required payments on these agreements are$384.8 million with$134.3 million of the required payments being non-recourse. Certain of these agreements have priority of payment regarding any proceeds until full payment of the balance due is satisfied. However, in some cases, to the extent that, upon final resolution of the claims, the investors receive from proceeds an amount that is less than the agreed-upon return, the investors have no recourse to recover such deficit from the Company. Certain of these agreements fall under ASC 470 for the sale of future revenues classified as debt. The maturity of the commitments range from the date sufficient claims recoveries are received to cover the required return or in some cases by 2031.
Off-Balance Sheet Commitments and Arrangements
As of the balance sheet dates ofJune 30, 2022 andDecember 31, 2021 , we have not engaged in any off-balance sheet arrangements, as defined in the rules and regulations of theSEC . Critical Accounting Policies Our consolidated financial statements and the related notes thereto included elsewhere in this Form 10-Q are prepared in accordance with GAAP. The preparation of our consolidated financial statements requires us to make estimates and assumptions that affect the reported amounts and related disclosures in our financial statements and accompanying notes. We base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions due to the inherent uncertainty involved in making those estimates and any such differences may be material. We believe that the following accounting policies involve a high degree of judgment and complexity. Accordingly, these are the policies we believe are the most critical to aid in fully understanding and evaluating our consolidated financial condition and results of our operations. See Note 2 to our consolidated financial statements appearing elsewhere in this Form 10-Q for a description of our other significant accounting policies.
Revenue Recognition
Claims Recovery Income We recognize revenue based on a gain contingency model when the amounts are reasonably certain of collection, typically upon reaching a binding settlement or arbitration with the counterparty or when the legal proceedings, including any appellate process, are resolved. Claims recovery income is recognized on a gross basis, as the Company is entitled to the full value of proceeds and makes a payment to the original assignor similar to a royalty arrangement. Such payments to prior owners are recognized as cost of claims recovery in the same period the claims recovery income is recognized. Claims Recovery Service Income We recognize claims recovery service income for our services to third parties for our services to assist those entities with pursuit of claims recovery rights. We have determined that we have a single performance obligation for the series of daily activities that comprise claims recovery services, which are recognized over time using a time-based progress measure. Amounts owed under existing arrangements or as a result of actual settlements or resolved litigation are recognized as accounts receivable. Amounts estimated and recognized, but not yet fully settled or resolved as part of litigation are recognized as contract assets. We enter into claims recovery service contracts with third parties. Amounts for services to third parties are typically based on budgeted expenses for the current month with an adjustment for the variance between budget and actual expenses from the prior month.
Impairment of Intangible Assets
38
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We evaluate long-lived assets, such as property and equipment, and finite-lived intangibles, such as claims recovery rights and capitalized software costs, for impairment whenever events or changes in circumstances indicate that the carrying value of an asset or asset group may not be recoverable. If the estimated future cash flows (undiscounted and without interest charges) from the use of an asset group are less than the carrying value, a write-down would be recorded to reduce the related asset group to its estimated fair value. There were no impairment indicators or charges in the three and six months endedJune 30, 2022 and 2021 and the years endedDecember 31, 2021 and 2020. For the CCRA intangibles, we will also assess the intangible assets recognized for CCRAs for impairment in accordance with ASC 350-30-35-14, whereby an impairment loss shall be recognized if the carrying amount of the intangible asset is not recoverable and its carrying amount exceeds its fair value based on the model for long-lived assets to be held and used under ASC 360-10. ASC 360-10 requires entities to evaluate long-lived assets (including finite-lived intangible assets) when indicators are present. Impairment indicators would result only when the potential recoveries under the claim paths of all remaining claims suggests the unamortized carrying value is not recoverable. As the amount of upfront payments for CCRAs is typically only a fraction of the potential recoveries, it would typically take a substantial negative event (such as an unfavorable court ruling upheld on appeal or a change in law/statute with retroactive effect) to suggest an impairment may be triggered. There were no impairment indicators or charges in the three and six months endedJune 30, 2022 and 2021 or the years endedDecember 31, 2021 and 2020.
Insurance Fraud Detection Market 2022 Size, Share, Application, Key Players Analysis, Growth Factors, Future Technology and Regional Forecast to 2028: Insurance Fraud Detection market size is projected to reach US$ 5334.7 million by 2027, from US$ 1990.4 million in 2020, at a CAGR of 14.6% during 2021-2027.
DELWINDS INSURANCE ACQUISITION CORP. – 10-Q – MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
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