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| | | | S-1 | | |
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ApolloMed:
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| | Apollo Medical Holdings, Inc. is a Delaware corporation with its common stock traded on the Nasdaq Capital Market under the symbol “AMEH.” Our address is 1668 South Garfield Avenue, Second Floor, Alhambra, CA 91801, and our telephone number is (626) 282-0288. The Company, together with our affiliated physician groups and consolidated entities, is a physician-centric integrated population health management company working to provide coordinated, outcomes-based medical care in a cost-effective manner to California patients. There will be no change in the business or operations of ApolloMed as a result of the consummation of the APC Transactions. | |
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APC:
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| | Allied Physicians of California, a Professional Medical Corporation, is a California professional corporation doing business as Allied Pacific of California IPA. APC’s address is 1668 South Garfield Avenue, Second Floor, Alhambra, CA 91801. APC, operating as an independent practice association (“IPA”), contracts with various health maintenance organizations or licensed healthcare service plans to arrange for delivery of healthcare services, which it provides by contracting with physicians or professional medical corporations for primary care and specialty care | |
| | | | services. APC, which has a management services agreement with our wholly-owned subsidiary, Network Medical Management, Inc. (“NMM”), is considered a variable interest entity (“VIE”) of NMM because NMM is deemed to be the primary beneficiary resulting from the Management Services Agreement between the parties, and therefore, is a consolidating VIE of ApolloMed. | |
| | | | In May 2019, APC, through APC-LSMA Designated Shareholder Medical Corporation (“APC-LSMA”) acquired 100% of the outstanding capital stock of Alpha Care Medical Group, Inc. (“Alpha Care” or “ACMG”). Dr. Thomas Lam, our Chief Executive Officer, is the sole shareholder of APC-LSMA. Future results of Alpha Care will be reflected in our consolidated statements of income as part of APC’s consolidation. | |
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AP-AMH:
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| | AP-AMH Medical Corporation is a California professional medical corporation. AP-AMH’s address is 1668 South Garfield Avenue, Second Floor, Alhambra, CA 91801. AP-AMH was incorporated in May 2019 primarily for the purpose of investing in APC. It is solely owned by Dr. Lam. | |
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NMM:
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| | Network Medical Management, Inc. is a California corporation. NMM’s address is 1668 South Garfield Avenue, Second Floor, Alhambra, CA 91801. NMM is the principal wholly-owned subsidiary of ApolloMed, resulting from the December 2017 merger between ApolloMed and NMM. NMM is in the business of providing and performing non-medical management and administrative services. The ApolloMed Board of Directors is controlled by former NMM affiliates, and certain of ApolloMed’s current executive officers are NMM affiliates. | |
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Thomas Lam:
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| | Thomas S. Lam, M.D. holds executive officer positions and is a member of the respective boards of directors in each of ApolloMed, APC, AP-AMH, APC-LSMA and NMM. He is the sole shareholder of AP-AMH; owns approximately 3.7% of the outstanding shares of APC and approximately 4.6% of ApolloMed prior to the consummation of the ApolloMed Private Placement. | |
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Relationships of the Parties
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| | APC has entered into a 30-year management services agreement (expiring on June 30, 2029) with our wholly-owned subsidiary, NMM. APC is a VIE of NMM and as such, its results are consolidated with those of NMM but are reflected in our consolidated financial statements as a noncontrolling interest. Before the purchase of the ApolloMed shares in the pending ApolloMed Private Placement, APC owns approximately 5% of ApolloMed. ApolloMed owns no interest in APC nor AP-AMH. Prior to the APC Transactions, AP-AMH owns no interest in APC or ApolloMed. Certain of our executive officers and directors also hold affiliate positions at APC and AP-AMH. | |
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Certain Persons who have Overlapping ApolloMed and APC Interests in the Transactions:
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| | Certain ApolloMed directors and officers are also directors and/or officers of APC: Dr. Lam, together with Kenneth Sim, M.D. and Albert W. Young, M.D. are executive officers and, as to Drs. Sim and Lam, also directors, of ApolloMed, APC and NMM. They all own shares of common stock in ApolloMed and APC. Dr. Lam is also the sole owner of AP-AMH. In addition, Linda Marsh, a director of ApolloMed, holds ceremonial officer positions in NMM and APC, although she has | |
| | | | no ability to exercise control or influence over either entity nor the management thereof in her officer capacity. She is an indirect beneficial owner of ApolloMed but holds no ownership interest in APC. While none of these directors and officers has a direct interest in the APC Transactions, they could benefit as stockholders of ApolloMed and APC, if the purposes for which the APC Transactions were structured are realized, of which there can be no assurance. | |
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Reason for Securing a Credit Facility:
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| | In order for the APC Transactions to be consummated, ApolloMed will be entering into a senior secured credit facility with a commercial financial institution in the principal amount of $250,000,000. ApolloMed will apply $245,000,000 from the credit facility to fund approximately 45% of the AP-AMH Loan. The balance of the AP-AMH Loan will be funded through the sale of the ApolloMed Shares to APC, as discussed immediately below. The funds from the credit facility will be the only cash that will flow from or to any of the parties, and APC will be the recipient of such funds as partial consideration for the sale of its Series A Preferred Stock to AP-AMH (the “APC Retained Proceeds”). We do not yet have a definitive agreement with any commercial bank for the needed credit facility. See page 39 for a discussion of terms, including restrictions, that we anticipate will be included in any definitive credit agreement. | |
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The Transactions:
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| | On May 10, 2019, ApolloMed and APC entered into a Stock Purchase Agreement under the terms of which APC has agreed to purchase 15,015,015 ApolloMed Shares at $19.98 per share, for total consideration of $300,000,000, subject to customary representations and warranties, covenants and conditions to closing. This transaction is sometimes referred to as the “ApolloMed Private Placement.” Because this is one piece of a series of interrelated transactions that includes our loan to AP-AMH and AP-AMH’s purchase of APC Preferred Stock, no cash will change hands in the purchase of the ApolloMed Shares. However, the $300,000,000 consideration for the sale of our common stock to APC represents 55% of the proceeds of the AP-AMH Loan and that amount will be netted against the $545,000,000 AP-AMH will pay for the APC Preferred Stock. See “Transactions between ApolloMed and AP-AMH” and “Transactions between AP-AMH and APC” below. | |
| | | | On the Closing Date, we and APC will enter into a Voting and Registration Rights Agreement (the “Registration Rights Agreement”). Under the terms of the Registration Rights Agreement, at any time after six months from the closing of the APC Transactions, the holders of at least 25% of the ApolloMed Shares may require us to prepare, file and use commercially reasonable efforts to cause the SEC to declare effective a registration statement covering the ApolloMed Shares for resale. In return, APC will agree that, to the extent it has voting power in excess of 9.99% of all voting securities of ApolloMed, any such excess shares above 9.99% will be cast by the proxy holders in proportion to all other votes cast on any particular proposal. APC has further agreed that it will grant a proxy to ApolloMed’s management to vote any excess shares, and ApolloMed has agreed that such proxy will vote the APC excess shares in the same percentages as the votes otherwise cast by ApolloMed stockholders on any particular matter voted upon after the APC Transactions close. | |
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Pricing the Apollo Private Placement:
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| | The closing prices of ApolloMed’s common stock on the five preceding trading days before the Stock Purchase Agreement was executed were: $19.93 (May 3, 2019), $19.90 (May 6, 2019), $19.77 (May 7, 2019), $20.04 (May 8, 2019) and $20.25 (May 9, 2019). The average closing price for that five-day period was $19.98. On May 10, 2019, the parties agreed to a purchase price for the ApolloMed Shares of $19.98 per share. | |
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Conditions to Closing:
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| | In addition to customary closing conditions, the closing of the ApolloMed Private Placement is conditioned upon receipt of the stockholder approval sought at the Special Meeting, as well as both parties having received satisfactory fairness opinions from their respective financial advisors, and as to ApolloMed, having also received a satisfactory tax analysis of the APC Transactions from its tax advisors and modified lock-up agreements from substantially all of the ApolloMed stockholders whose shares of common stock are currently subject to a lockup agreement. Certain of these key conditions have already been satisfied as of the date of this proxy statement. In addition, all interrelated APC Transactions must close concurrently, together with the senior secured credit facility ApolloMed will need in order to fulfill its obligation to loan AP-AMH the funds it requires to purchase the APC Preferred Stock. See discussion on page 58. | |
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Use of Proceeds:
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| | APC will pay no cash to ApolloMed for the purchase of the ApolloMed Shares as a result of the set off of funds among ApolloMed, APC and AP-AMH throughout the APC Transactions as a whole. However, the $300,000,000 purchase price will account for approximately 55% of the funds that we contemplate loaning to AP-AMH as described below. | |
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The Closing:
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| | The closing will take place concurrently with the closing of the transactions between ApolloMed and AP-AMH, the closing of the credit facility transaction between ApolloMed and a commercial financial institution, as well as the transactions between AP-AMH and APC and AP-AMH and NMM. The concurrent closings are anticipated to take place promptly upon receipt of stockholder approval by both the ApolloMed and APC stockholders, but in no event later than September 30, 2019, unless the parties agree to extend that deadline. | |
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Relationship of the Parties:
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| | ApolloMed has no ownership interest in APC and, under California law, cannot own any interest in APC, which is a California professional corporation. Prior to the APC Transactions, APC is the largest single stockholder in ApolloMed, currently holding approximately 5% of the outstanding shares of common stock. APC has entered into a long-term management services agreement with our wholly-owned subsidiary, NMM, which provides the non-medical-related services needed or advisable to run APC’s Healthcare Services Business. APC is considered a VIE of NMM and therefore its financial results are consolidated with those of NMM. Certain of the executive officers and directors of ApolloMed are also executive officers and directors of APC. | |
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The Transactions:
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| | On May 10, 2019, ApolloMed and AP-AMH entered into a Loan Agreement under the terms of which ApolloMed has agreed, subject to certain conditions, to loan AP-AMH $545,000,000 to enable AP-AMH to purchase shares of tracking preferred stock of APC (the “AP-AMH Loan”). The AP-AMH Loan, which will be secured by a first priority security interest in all of the assets of AP-AMH, will have a 10-year term and will bear simple interest at 10% per annum (10.75% under certain circumstances), payable quarterly in arrears. Principal, which is payable at maturity, is not prepayable without the prior written consent of ApolloMed. Interest will be payable solely out of the APC Series A Dividend (defined below). Funding for the AP-AMH Loan will come from two sources: (i) $245,000,000 from the senior secured credit facility; and (ii) the remaining $300,000,000 from the sale of ApolloMed Shares to APC in the ApolloMed Private Placement (see above). As a result of the interrelated nature of the APC Transactions, the only flow of cash funds pursuant to the AP-AMH Loan will be the payment of the $245,000,000 that ApolloMed will take down from its credit facility and pay to APC on behalf of AP-AMH in partial payment for its purchase of APC Preferred Stock. | |
| | | | On the Closing Date, ApolloMed and AP-AMH will enter into a Security Agreement to secure the payment and performance of AP-AMH’s obligations under the Loan Agreement. Under the terms of the Security Agreement, AP-AMH will grant to ApolloMed a security interest in and to AP-AMH’s assets, whether now owned or after acquired, including, without limitation, the APC Preferred Stock being purchased as part of the APC Transactions, which is expected to be the primary collateral. However, under California’s corporate practice of medicine doctrine discussed below (see page 30), ApolloMed is prohibited from owning the APC Preferred Stock, and accordingly, in the event of a foreclosure, ApolloMed will need to designate an eligible nominee to hold the APC Preferred Stock or take other action to derive benefit from the collateral. | |
| | | | On May 10, 2019, ApolloMed and AP-AMH also entered into a Tradename Licensing Agreement under which ApolloMed has granted AP-AMH a nonexclusive, non-sublicensable, non-transferable and royalty-bearing right to use the tradename “Apollo Medical Associates” for certain specified uses. The fee will be equal to a percentage multiplied by the aggregate gross revenues of AP-AMH on an accrual basis during each calendar quarter and will be payable solely out of the APC Series A Dividend. This agreement will remain in effect as long as AP-AMH owns shares of APC Preferred Stock. | |
| | | | On May 10, 2019, AP-AMH entered into an Administrative Services Agreement with NMM under the terms of which NMM has agreed to provide administrative and management services to AP-AMH for a fee equal to a percentage multiplied by the aggregate gross revenues of AP-AMH. The fee is payable solely out of the APC Series A Dividend. This agreement will remain in effect as long as AP-AMH owns shares of APC Preferred Stock. | |
| | | | On May 10, 2019, Dr. Lam, as the sole shareholder of AP-AMH, entered into a Physician Shareholder Agreement with NMM and ApolloMed for the benefit of AP-AMH. Pursuant to this agreement, Dr. Lam has agreed that he will (i) not assign, transfer, gift, pledge, hypothecate, encumber or otherwise dispose of any or all of his shares of AP-AMH, (ii) provide notice to ApolloMed and NMM of certain material business actions of AP-AMH; and | |
| | | | (c) upon request of ApolloMed, sell his shares of AP-AMH to a designee of ApolloMed or cause AP-AMH to issue such designee at least the number of newly-issued shares of AP-AMH that would represent 51% or more of the ownership of AP-AMH, in either instance, for $100. | |
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Conditions to Closing:
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| | In addition to customary closing conditions, the Closing is conditioned upon APC being prepared to close on its purchase of the ApolloMed Shares and its sale to AP-AMH of APC Preferred Stock, that ApolloMed has secured the necessary funding to enable it to loan AP-AMH $545,000,000, that it has completed its business, legal and collateral due diligence of AP-AMH to its satisfaction and that ApolloMed has received a satisfactory fairness opinion from its financial advisors, among other conditions. Certain of the conditions have been satisfied as of the date of this proxy statement. See discussion on page 58. | |
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The Closing:
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| | The Closing will take place concurrently with the Closing of the sale of ApolloMed Shares to APC, the Closing by ApolloMed of the $250,000,000 credit facility, the sale of APC Preferred Stock to AP-AMH and ancillary transactions associated with these transactions. The concurrent Closings are anticipated to take place promptly upon receipt of stockholder approval by both the ApolloMed and APC stockholders, but in no event later than September 30, 2019, unless the parties agree to extend that deadline. | |
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Relationship of the Parties:
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| | Prior to the execution of the transaction documents referred to above, AP-AMH did not have a direct relationship with either ApolloMed or NMM. However, AP-AMH was established for the purpose of facilitating the APC Transactions. Dr. Lam, the Chief Executive Officer and sole shareholder of AP-AMH, is Chief Executive Officer and a member of the Board of Directors of both ApolloMed and NMM. | |
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The Transactions:
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| | On May 10, 2019, APC and AP-AMH entered into a Series A Preferred Stock Purchase Agreement. Under the terms of this agreement, subject to the satisfaction or waiver of certain conditions, APC has agreed to sell to AP-AMH 1,000,000 shares of “tracking” Series A Preferred Stock at $545 per share for total consideration of $545,000,000. APC is a private professional medical corporation. As such, the purchase price was determined by the APC board of directors, based on a multiple of Adjusted Earnings Before Interest, Tax, Depreciation and Amortization. AP-AMH will pay for the APC Preferred Stock with the proceeds of the AP-AMH Loan from ApolloMed, the net effect of which is that ApolloMed will pay APC $245,000,000 in cash on behalf of AP-AMH, with the $300,000,000 balance being an offset against APC’s purchase of ApolloMed Shares. | |
| | | | On May 10, 2019, APC and AP-AMH, as the sole holder of the APC Preferred Stock upon closing of the concurrent APC Transactions, entered into the Special Purpose Shareholder Agreement. Under the terms of this agreement, (i) AP-AMH agreed to fund any losses or deficits related to APC’s Healthcare Services assets; and (ii) AP-AMH was granted consent rights with respect to certain material corporate decisions of APC. This agreement will remain in effect as long as AP-AMH owns shares of APC Preferred Stock. | |
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Terms of the APC Preferred:
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| | Following is a summary of certain significant terms of the APC Preferred Stock. See page 50 for a more detailed description of the terms of the APC Preferred Stock. | |
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Dividends:
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| | The APC Preferred Stock will bear a preferential mandatory cumulative dividend that will accrue daily from the date of the purchase and will be paid quarterly in arrears, if, when and as declared by the APC board of directors. The amount of the APC Series A Dividend for any determination period will be equal to the sum of (A) APC’s Net Income from Healthcare Services (as defined in the Certificate of Determination for the APC Series A Preferred Stock, the “Certificate of Determination”), plus (B) any dividends received by APC in such period from certain affiliated entities, minus (C) any Retained Amounts (as defined in the Certificate of Determination). The Retained Amounts provision will allow APC to retain 50% of the Net Income from its Healthcare Services Business in excess of a baseline amount (initially, $54,000,000), with the remaining 50% paid to AP-AMH as part of the APC Series A Dividend. Accordingly, a substantial amount, but not necessarily all, of APC’s Net Income from its Healthcare Services Business will be distributed to AP-AMH, with those funds thereafter available to pay ApolloMed under its various APC Transactions Agreements. | |
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Voting Rights:
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| | AP-AMH, as the holder of the APC Preferred Stock will be entitled to vote only on certain material events that could materially affect the value of the APC Preferred Stock, such as changes that modify the rights of the APC Preferred Stock, increases or decreases in the authorized number of shares of APC Preferred Stock, liquidation events and issuances of any stock that has preferential rights to the APC Preferred Stock. Other than as set forth in the Certificate of Determination, the holder of APC Preferred Stock is not entitled to vote. | |
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Liquidation:
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| | Upon the sale of APC or certain other liquidation events specified in the Certificate of Determination, subject to the prior rights of APC creditors, AP-AMH will be entitled to payment of all accrued but unpaid Series A Dividends, plus $545,000,000 before any payment may be made to the holders of APC common stock (the “Series A Liquidation Preference”). After payment in full of the Series A Liquidation Preference, the remaining assets or surplus funds legally available for distribution, if any, in an amount equal to the positive difference between the then-current fair value of the Healthcare Services Assets (as defined in the Certificate of Determination) and the Series A Liquidation Preference shall be distributed ratably 90% to the holders of the APC Preferred Stock and the remaining 10% to the holders of APC common stock (the “Additional Series A Preference Distribution”). If assets or surplus funds available for distribution remain after the Series A Liquidation Preference and the Additional Series A Preference Distribution, such available assets or surplus funds shall be distributed ratably 90% to the holder of the APC Preferred Stock and 10% to the holders of the APC common stock until such point as the holder of the APC Preferred Stock has received an amount equal to its Additional Series A Preference Distribution (the “Common Preference Distribution”). If any assets or surplus funds remain after the above-mentioned distributions, such remaining amounts shall be distributed ratably to the holders of the APC common stock. | |
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Conditions to Closing:
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| | In addition to customary closing conditions, the Closing of the APC Transactions is conditioned upon AP-AMH having secured the $545,000,000 loan from ApolloMed for the purchase of the APC Preferred Stock, APC shareholders shall have approved the sale of the APC Preferred Stock and our stockholders shall have approved sale of ApolloMed Shares to APC, AP-AMH shall have completed its due diligence investigation of APC to its satisfaction, ApolloMed and APC must be prepared to close on the sale of | |
| | | | the ApolloMed Shares, ApolloMed stockholders who entered into lockup agreements in connection with the ApolloMed-NMM merger shall have extended the term of the initial lockup period to September 30, 2019, and APC shall have received a satisfactory fairness opinion from its financial advisors and tax opinion from tax counsel, among other conditions. Some of these conditions have been satisfied as of the date of this proxy statement. See page 58. | |
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The Closing:
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| | The Closing will take place concurrently with the Closing of the sale of ApolloMed common stock to APC, the Closing of a $250,000,000 credit facility to be entered into by ApolloMed with a commercial financial institution and the sale of APC Preferred Stock to AP-AMH and ancillary transactions associated with these transactions. The concurrent Closings are anticipated to take place promptly upon receipt of stockholder approval by both the ApolloMed and APC stockholders, but in no event later than September 30, 2019, unless the parties agree to extend that deadline. | |
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Relationship of the Parties:
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| | Prior to the execution of the transaction documents referred to above, AP-AMH did not have a direct relationship with either ApolloMed or NMM. However, AP-AMH was established for the purpose of facilitating the APC Transactions. Dr. Lam, the Chief Executive Officer and sole shareholder of AP-AMH, is Chief Executive Officer and a member of the Board of Directors of both ApolloMed and NMM. | |
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Reasons for the APC Transactions (page 38):
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| | Since the consummation of the merger with NMM in 2017, the ApolloMed Board of Directors has been considering various means by which the Company can enhance stockholder value by being able to more fully realize the benefits (and detriments, when applicable) of APC’s relationship with ApolloMed. Because of the required U.S. generally accepted account principles (“GAAP”) regarding VIEs and noncontrolling interests, management believes that the market may not fully value ApolloMed on its own merits and in comparison to its peer group. Even were it desired, acquiring APC is not an option because the corporate practice of medicine doctrine prohibits ApolloMed from owning an interest in APC. The APC Transactions have been structured to retain the separate ownership of APC required under California law, but will enable ApolloMed to allocate APC’s operating results derived from its Excluded Assets as “attributable to noncontrolling interest,” rather than APC’s total operating results, net of eliminations, which is the current accounting treatment. In addition, the payments from AP-AMH, even after servicing the debt on our anticipated credit facility, could potentially enhance revenue and cash flows, although there can be no assurance that such outcomes will occur in every period, or at all. After consultation with advisors and diligent consideration, the Independent Committee of the ApolloMed Board determined that the APC Transactions could successfully achieve the recharacterization of APC’s net income (or loss, if applicable) so that it will be taken into account in calculating ApolloMed’s net income, earnings per share and the price/earnings ratio (“P/E Ratio”) derived therefrom. This, in turn, could inure to the benefit of our Company and our stockholders over time. However, the success of this structure will depend on the results of operations of APC’s Healthcare Services Business, which is not controlled, and cannot be controlled, by ApolloMed. Therefore, ApolloMed can give no assurance that the APC Transactions will result in increased earnings in every period or at all. | |
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Risk Factors:
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| | In evaluating how to vote on the APC Stock Issuance Proposal and the AP-AMH Loan Proposal, which in effect, grants approval of the APC Transactions as a whole, you should carefully consider all of the information in this proxy statement. In particular, you are urged to read and consider all of the factors discussed in the section entitled “Risk Factors” beginning on page 67. The APC Transactions give rise to many serious risks to ApolloMed, a number of which will be completely out of our control. | |
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Expected Timing of the APC Transaction Closings:
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| | ApolloMed, APC and AP-AMH currently expect to complete the APC Transactions promptly following this Special Meeting and the APC Special Meeting. The latest Closing Date contemplated by the various APC Transactions Agreements is September 30, 2019, but that date is subject to extension upon mutual agreement of the parties. Completion of all of the APC Transactions is subject to all conditions to closing applicable to each separate Transaction being satisfied or waived and that all of the Transactions close concurrently. It is possible that factors outside of any one party’s control could require the parties to complete the APC Transactions at a later time or not complete it at all. | |
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The Special Meeting (page 75):
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| | The Special Meeting will be held on August 27, 2019 at 10:00 a.m. Pacific Daylight Time, in the Third Floor Ballroom of our corporate headquarters, which is located at 1668 South Garfield Avenue, Alhambra, California. ApolloMed stockholders will be asked to consider and vote on the following: | |
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(1)
The AP-AMH Loan Proposal (Proposal No. 1) — to approve a loan by ApolloMed of $545,000,000 to AP-AMH for the purpose of providing the funds needed by AP-AMH to purchase 1,000,000 shares of APC Series A Preferred Stock at $545 per share, for total consideration of $545,000,000;
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(2)
The APC Stock Issuance Proposal (Proposal No. 2) — to approve the issuance of 15,015,015 shares of ApolloMed common stock to APC at a purchase price of $19.98 per share, for total consideration of $300,000,000; and
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(3)
The Adjournment Proposal (Proposal No. 3) — to vote upon a proposal to adjourn the Special Meeting to a later date or dates, if necessary, to permit the solicitation of additional proxies if, based upon the tabulated vote at the time of the Special Meeting, there are not sufficient votes to approve either Proposal No. 1 or Proposal No. 2.
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Recommendations of the ApolloMed Board (page 65):
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ApolloMed’s Board of Directors, based upon the consideration, evaluation, assessment and recommendation of its Independent Committee, unanimously determined that the APC Stock Issuance Proposal, the AP-AMH Loan Proposal and APC Transactions as a whole are in the best interests of ApolloMed and its stockholders. The ApolloMed Board of Directors unanimously recommends that our stockholders vote “FOR” each of the proposals. Note that a vote against either Proposal No. 1 or Proposal No. 2 will, in effect, be a vote against both proposals and the APC Transactions as a whole.
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Year Ended December 31,
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Three Months Ended
March 31, 2019 |
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2018
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2017
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(unaudited)
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Revenue | | | | | | | | | | | | | | | | | | | |
Capitation, net
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| | | $ | 344,207,058 | | | | | $ | 272,921,240 | | | | | $ | 71,516,778 | | |
Risk pool settlements and incentives
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| | | | 100,927,841 | | | | | | 44,598,373 | | | | | | 10,093,841 | | |
Management fee income
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| | | | 49,742,755 | | | | | | 26,983,695 | | | | | | 8,996,600 | | |
Fee-for-service, net
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| | | | 19,703,999 | | | | | | 7,449,249 | | | | | | 4,080,674 | | |
Other income
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| | | | 5,226,099 | | | | | | 4,403,373 | | | | | | 1,069,278 | | |
Total revenue
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| | | | 519,907,752 | | | | | | 356,355,930 | | | | | | 95,757,171 | | |
Total expenses
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| | | | 431,475,590 | | | | | | 321,209,963 | | | | | | 99,065,029 | | |
Income (loss) from operations
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| | | | 88,432,162 | | | | | | 35,145,967 | | | | | | (3,307,858) | | |
Other income (expense) | | | | | | | | | | | | | | | | | | | |
Loss from equity method investments
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| | | | (8,125,285) | | | | | | (1,112,541) | | | | | | (849,657) | | |
Interest expense
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| | | | (560,515) | | | | | | (79,689) | | | | | | (210,979) | | |
Interest income
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| | | | 1,258,638 | | | | | | 1,015,204 | | | | | | 323,008 | | |
Change in fair value of derivative instrument
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| | | | — | | | | | | (44,886) | | | | | | — | | |
Gain on settlement of preexisting receivable from ApolloMed
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| | | | — | | | | | | 921,938 | | | | | | — | | |
Gain from investments – fair value adjustments
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| | | | — | | | | | | 13,697,018 | | | | | | — | | |
Other income
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| | | | 1,622,131 | | | | | | 168,102 | | | | | | 187,116 | | |
Total other (expense) income, net
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| | | | (5,805,031) | | | | | | 14,565,146 | | | | | | (550,512) | | |
Income (loss) before provision for (benefit from) for income taxes
|
| | | | 82,627,131 | | | | | | 49,711,113 | | | | | | (3,858,370) | | |
Provision for (benefit from) income taxes
|
| | | | 22,359,640 | | | | | | 3,886,785 | | | | | | (1,408,241) | | |
Net (loss) income
|
| | | | 60,267,491 | | | | | | 43,824,328 | | | | | | (2,450,129) | | |
Net income (loss) attributable to non-controlling interests
|
| | | | 49,432,489 | | | | | | 20,022,486 | | | | | | (2,589,793) | | |
Net income attributable to Apollo Medical Holdings, Inc.
|
| | | $ | 10,835,002 | | | | | $ | 25,801,842 | | | | | $ | 139,664 | | |
Earnings per share – basic
|
| | | $ | 0.33 | | | | | $ | 1.01 | | | | | $ | 0.00 | | |
Earnings per share – diluted
|
| | | $ | 0.29 | | | | | $ | 0.90 | | | | | $ | 0.00 | | |
Weighted average shares of common stock outstanding – basic
|
| | | | 32,893,940 | | | | | | 25,525,786 | | | | | | 34,496,622 | | |
Weighted average shares of common stock outstanding – diluted
|
| | | | 37,914,886 | | | | | | 28,661,735 | | | | | | 38,074,174 | | |
| | |
Year Ended December 31, 2018
|
| |
Three Months Ended March 31, 2019
|
| ||||||||||||||||||||||||||||||
| | |
Actual
|
| |
Modified to
Reflect APC Transactions |
| |
Modified
Including ACMG |
| |
Actual
|
| |
Modified to
Reflect APC Transactions |
| |
Modified
Including ACMG |
| ||||||||||||||||||
| | | | | | | | |
(Unaudited)
|
| |
(Unaudited)
|
| |
(Unaudited)
|
| |
(Unaudited)
|
| |
(Unaudited)
|
| |||||||||||||||
Total revenue
|
| | | $ | 519,907,752 | | | | | $ | 519,907,752 | | | | | $ | 629,870,514 | | | | | $ | 95,757,171 | | | | | $ | 95,757,171 | | | | | $ | 130,686,352 | | |
Net income (loss)
|
| | | | 60,267,491 | | | | | | 56,688,817 | | | | | | 55,666,610 | | | | | | (2,450,129) | | | | | | (3,753,129) | | | | | | (4,877,344) | | |
Net income (loss) attributable to noncontrolling interests
|
| | | | 49,432,489 | | | | | | (4,315,496) | | | | | | (4,315,496) | | | | | | (2,589,793) | | | | | | 1,613,449 | | | | | | 1,613,449 | | |
Net income (loss) attributable
to Apollo Medical Holdings, Inc. |
| | | | 10,835,002 | | | | | | 61,004,314 | | | | | | 59,982,107 | | | | | | 139,664 | | | | | | (5,366,578) | | | | | | (6,490,793) | | |
Earnings per share – basic
|
| | | $ | 0.33 | | | | | $ | 1.85 | | | | | $ | 1.82 | | | | | $ | 0.00 | | | | | $ | (0.16) | | | | | $ | (0.19) | | |
Earnings per share – diluted
|
| | | $ | 0.29 | | | | | $ | 1.61 | | | | | $ | 1.58 | | | | | $ | 0.00 | | | | | $ | (0.16) | | | | | $ | (0.19) | | |
Weighted average shares of common stock outstanding – basic
|
| | | | 32,893,940 | | | | | | 32,893,940 | | | | | | 32,893,940 | | | | | | 34,496,622 | | | | | | 34,496,622 | | | | | | 34,496,622 | | |
Weighted average shares of common stock outstanding – diluted
|
| | | | 37,914,886 | | | | | | 37,914,886 | | | | | | 37,914,886 | | | | | | 38,074,174 | | | | | | 38,074,174 | | | | | | 38,074,174 | | |
| |
Important Notice Regarding the Availability of Proxy Materials for the Special Meeting of Stockholders to be Held on August 27, 2019:
This proxy statement is available at https://materials.proxyvote.com. You may request and receive a paper or email copy of our proxy materials relating to the Special Meeting free of charge by emailing sendmaterial@proxyvote.com or by calling 1-800-579-1639, or by visiting www.proxyvote.com. |
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| | |
Shares Beneficially Owned
|
| |||||||||||||||||||||
| | |
Before the APC Shares Issuance
|
| |
After the APC Stock Issuance
|
| ||||||||||||||||||
Name of Beneficial Owner
|
| |
Number of
Shares |
| |
Percent of
Class |
| |
Number of
Shares(1) |
| |
Percent of
Class |
| ||||||||||||
5% and Greater Stockholders
|
| | | | | | | | | | | | | | | | | | | | | | | | |
Allied Physicians of California, A
Professional Medical Corporation 1668 South Garfield Avenue, 2nd Floor Alhambra, CA 91801 |
| | | | 1,985,634(2) | | | | | | 5.50% | | | | | | 17,000,649 | | | | | | 33.25% | | |
Lakhi Sakhrani, M.D.
333 South Garfield Avenue, Suite H Alhambra, CA 91801 |
| | | | 1,834,318(3) | | | | | | 5.08 | | | | | | 1,834,318 | | | | | | 3.59 | | |
Directors and Named Executive Officers
|
| | | | | | | | | | | | | | | | | | | | | | | | |
Kenneth Sim, M.D.
|
| | | | 1,852,978(4) | | | | | | 5.13 | | | | | | 1,852,978 | | | | | | 3.63 | | |
Thomas S. Lam, M.D.
|
| | | | 1,852,833(5) | | | | | | 5.13 | | | | | | 1,852,833 | | | | | | 3.63 | | |
Albert Young, M.D.
|
| | | | 1,019,283(6) | | | | | | 2.83 | | | | | | 1,019,283 | | | | | | 2.00 | | |
Adrian Vazquez, M.D.
|
| | | | 610,567(7) | | | | | | 1.70 | | | | | | 610,567 | | | | | | 1.20 | | |
Hing Ang
|
| | | | 37,593 | | | | | | * | | | | | | 37,593 | | | | | | * | | |
Eric Chin
|
| | | | 3,639 | | | | | | * | | | | | | 3,639 | | | | | | * | | |
Linda Marsh
|
| | | | 582,581(8) | | | | | | 1.62 | | | | | | 582,581 | | | | | | 1.14 | | |
David G. Schmidt
|
| | | | 83,750(9) | | | | | | * | | | | | | 83,750 | | | | | | * | | |
Mark Fawcett
|
| | | | 48,750(10) | | | | | | * | | | | | | 48,750 | | | | | | * | | |
Mitchell W. Kitayama
|
| | | | 3,750(11) | | | | | | * | | | | | | 3,750 | | | | | | * | | |
Michael F. Eng
|
| | | | 3,750(11) | | | | | | * | | | | | | 3,750 | | | | | | * | | |
Ernest A. Bates, M.D.
|
| | | | 3,750(11) | | | | | | * | | | | | | 3,750 | | | | | | * | | |
Li Yu
|
| | | | 3,750(11) | | | | | | * | | | | | | 3,750 | | | | | | * | | |
John Chiang
|
| | | | 100 | | | | | | * | | | | | | 100 | | | | | | * | | |
All Executive Officers and Directors as a Group (14 Persons)
|
| | | | 6,107,074(12) | | | | | | 16.68 | | | | | | 6,107,074 | | | | | | 11.83 | | |
| |
APOLLO MEDICAL HOLDINGS, INC.
Special Meeting of Stockholders August 27, 2019, 10:00 a.m., Pacific Daylight Time |
| |
| |
This proxy is solicited by the Board of Directors
|
| |
| | The undersigned, revoking any previous proxies relating to these shares, hereby appoints Hing Ang and Eric Chin and each of them (with full power to act alone), the attorneys and proxies of the undersigned, with power of substitution to each, to vote all shares of the common stock of Apollo Medical Holdings, Inc. (the “Company”) registered in the name provided in this proxy which the undersigned is entitled to vote at the special meeting of stockholders of the Company, to be held at 10:00 a.m., Pacific Daylight Time, on Tuesday, August 27, 2019, at the Company’s offices at 1668 S. Garfield Avenue, Third Floor (Ballroom), Alhambra, California 91801, and at any adjournment or postponement of the meeting (the “Special Meeting”), with all the powers the undersigned would have if personally present at the meeting. The undersigned hereby authorizes and instructs each of said attorneys and proxies to vote on Proposals 1, 2 and 3 as indicated on the reverse side hereof, and in accordance with their best judgment in connection with such other business as may properly come before the Special Meeting. Without limiting the general authorization given by this proxy, if the undersigned signs and returns this proxy but does not specify how the proxy is to be voted, all shares of common stock of the Company that the undersigned is entitled to vote at the Special Meeting will be voted in accordance with the recommendations of the Board of Directors as follows: | | |
| | THIS PROXY, WHEN PROPERLY EXECUTED, WILL BE VOTED IN THE MANNER DESIGNATED ON THE REVERSE SIDE. IN THE ABSENCE OF SPECIFIC INSTRUCTIONS APPEARING ON THIS PROXY, THIS PROXY WILL BE VOTED “FOR” PROPOSALS 1, 2 AND 3. IF ANY OTHER MATTERS PROPERLY COME BEFORE THE SPECIAL MEETING, THE PERSONS NAMED IN THIS PROXY WILL VOTE IN THEIR DISCRETION. | | |
| |
Continued and to be signed on reverse side
|
| |
|
APOLLO MEDICAL HOLDINGS, INC.
1668 S. GARFIELD AVENUE, 2ND FLOOR ALHAMBRA, CA 91801 |
| |
VOTE BY INTERNET — www.proxyvote.com Use the Internet to transmit your voting instructions and for electronic delivery of information up until 11:59 Eastern Time the day before the cut-off date or meeting date. Have your proxy card in hand when you access the website and follow the instructions to obtain your records and to create an electronic voting instruction form.
|
|
| ELECTRONIC DELIVERY OF FUTURE PROXY MATERIALS If you would like to reduce the costs incurred by our company in mailing proxy materials, you can consent to receiving all future proxy statements, proxy cards and annual reports electronically via e-mail or the Internet. To sign up for electronic delivery, please follow the instructions above to vote using the Internet and, when prompted, indicated that you agree to receive or access proxy materials electronically in future years. | | |||
| | | | VOTE BY PHONE — 1-800-690-6903 Use any touch-tone telephone to transmit your voting instructions up until 11:59 p.m. Eastern Time the day before the cut-off date or meeting date. Have your proxy card in hand when you call and then follow the instructions. |
|
| | | | VOTE BY MAIL Mark, sign and date your proxy card and return it in the postage pre-paid envelope we have provided or return it to Voting Processing, c/o Broadridge, 51 Mercedes Way, Edgewood, NY 11717. | |
| | | |
For
|
| |
Against
|
| |
Abstain
|
|
|
1.
To approve the Company making a loan of $545,000,000 to AP-AMH Medical Corporation, a California Professional Medical Corporation (“AP-AMH”) pursuant to the Loan Agreement dated May 10, 2019 between the Company and AP-AMH.
|
| |
☐
|
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☐
|
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☐
|
|
|
2.
To approve the issuance of 15,015,015 shares of the Company’s Common Stock to Allied Physicians of California, a Professional Medical Corporation (“APC”), pursuant to the Stock Purchase Agreement dated May 10, 2019 between the Company and APC.
|
| |
☐
|
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☐
|
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☐
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|
|
3.
To approve an adjournment of the special meeting of stockholders of Apollo Medical Holdings, Inc. from time to time, if necessary or appropriate, for the purpose of soliciting additional votes for the approval of Proposal No. 1 and/or Proposal No. 2.
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☐
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☐
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☐
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Signature (PLEASE SIGN WITHIN BOX)
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Date
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Signature (Joint Owners)
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Date
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