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Tabula Rasa HealthCare Announces Third Quarter 2016 Operating Results

MOORESTOWN, N.J., Nov. 09, 2016 -- Tabula Rasa HealthCare, Inc. (“TRHC”) (NASDAQ:TRHC), a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize medication regimens to improve patient outcomes, reduce hospitalizations, lower healthcare costs and manage risk, today announced its financial results for the third quarter ended September 30, 2016.

TRHC Chairman and CEO, Calvin H. Knowlton, Ph.D., commented, “I’m pleased with our performance during our first publically reported quarter. We continue to win new business within our core market, PACE (Program of All-Inclusive Care for the Elderly, a Medicare Advantage-type plan), as well as successfully expand our Medication Risk Mitigation platform into adjacent markets with other types of health plans, further proving its scalability.”

Dr. Knowlton continued, “There is significant runway ahead of us as we continue to develop and evolve our proprietary Medication Risk Mitigation platform and address larger patient populations with our goal of improving outcomes and lowering healthcare cost.”

Financial Performance for the Three Months Ended September 30, 2016

All comparisons, unless otherwise noted, are to the three months ended September 30, 2015.

  • Total revenue was $24.2 million, an increase of 35%. Total revenue included product revenue of $20.7 million, an increase of 35%, and service revenue of $3.4 million, an increase of 34%.

  • Gross margin was 29%, compared to 32%. The year over year decline is primarily related to a mix shift in client and business make-up, as well as to staffing increases associated with upcoming contracts.

  • Net loss was $142 thousand, compared to a net loss of $3.3 million. Third quarter 2016 included a $1.4 million expense related to the early extinguishment of debt.

  • Net loss per diluted share was $0.08, compared to a net loss per share of $3.21. The net loss per share calculations were based on a diluted share count of 10.3 million for the third quarter of 2016, compared to 4.4 million shares a year ago.

  • Non-GAAP Adjusted EBITDA was $3.3 million, compared to $2.4 million, an increase of 38% compared to a year ago. Adjusted EBITDA margin of 13.5% in the third quarter of 2016 compared favorably to 13.2% during the same period in 2015.

  • Non-GAAP Adjusted net income per diluted share was $0.06, compared to a net loss per share of $0.01.

A reconciliation of GAAP to non-GAAP results has been provided in this press release in the accompanying tables. Non-GAAP results exclude change in fair value of warrant liability, loss on extinguishment of debt, change in fair value of acquisition-related contingent consideration (income) expense and stock-based compensation expense. An explanation of these measures is also included below under the heading “Non-GAAP Financial Measures”.

Business Outlook

Fourth Quarter 2016 Guidance: Revenue for TRHC’s fourth quarter 2016 is expected to be in the range of $25 million to $26 million. Net loss is expected to be in the range of $6 million to $7 million. Net loss projections include approximately $5 million of expense related to the extinguishment of debt associated with the early repayment of a credit facility in connection with TRHC’s initial public offering, as well as stock based compensation expense of approximately $3.5 million related to restricted stock grants and shares issued in connection with the initial public offering. Adjusted EBITDA is expected to be in the range of $3.5 million to $4.0 million.

Full Year 2016 Guidance: Revenue for fiscal year 2016 is expected to be in the range of $92 million to $93 million. Net loss is expected to be in the range of $6 million to $7 million. Net loss projections include approximately $6.4 million of expense related to the extinguishment of debt, as well as stock based compensation expense of approximately $3.6 million related to restricted stock grants and shares issued in connection with the initial public offering.  Adjusted EBITDA is expected to be in the range of $12.5 million to $13.0 million.

TRHC has not provided a reconciliation of projected GAAP Net Income to Adjusted EBITDA guidance because estimates of certain reconciling items cannot be provided without unreasonable effort. Our Adjusted EBITDA guidance for the year ending December 31, 2016, assumes anticipated losses of $6.4 million related to the extinguishment of debt, income of $0.6 million related to the remeasurement of our warrant liability, projected stock compensation of $4.2 million, projected depreciation and amortization charges of $5.1 million and interest expense of $4.5 million. In addition, we assume $0.4 million of income tax expense related to indefinite-lived deferred tax liabilities for goodwill amortization. We cannot provide a reliable forward-looking estimate of certain other reconciling items because they are either event-driven or difficult to quantify without unreasonable effort, in particular the revaluation of our contingent consideration.

Quarterly Conference Call

As previously announced, TRHC will hold a conference call with members of executive management to discuss its third quarter 2016 performance today, Wednesday, November 9, 2016, at 5:00 p.m. EST. Stockholders and other interested participants may listen to a live broadcast of the conference call by dialing 844-413-0947 or 216-562-0423 for international callers, and referencing participant code 98688454 approximately 15 minutes prior to the call. A live webcast of the conference call will be available on the investor relations section of TRHC’s web site (ir.tabularasahealthcare.com) and an audio file of the call will also be archived for 90 days at ir.tabularasahealthcare.com. After the conference call, a replay will be available until December 9, 2016 and can be accessed by dialing 855-859-2056 or 404-537-3406 for international callers, and referencing participant code 98688454.

About Tabula Rasa HealthCare

Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize medication regimens to improve patient outcomes, reduce hospitalizations, lower healthcare costs and manage risk. Medication risk management is TRHC’s lead offering, and its cloud-based software applications provide solutions for a range of payers, providers and other healthcare organizations. For more information, please visit: www.tabularasahealthcare.com.

Non-GAAP Financial Measures

In addition to reporting all financial information required in accordance with accounting principles generally accepted in the United States of America (GAAP), TRHC is also reporting Adjusted EBITDA and Adjusted Diluted EPS, each of which is a non-GAAP financial measure. Generally, a non-GAAP financial measure is a numerical measure of a company's performance or financial position that either excludes or includes amounts that are not normally excluded or included in the most directly comparable measure calculated and presented in accordance with GAAP. 

Adjusted EBITDA consists of net loss plus total other expenses, which includes change in fair value of warrant liability, interest expense, loss on extinguishment of debt, provision (benefit) for income tax, depreciation and amortization, change in fair value of acquisition-related contingent consideration (income) expense and stock-based compensation expense. TRHC defines Adjusted Diluted EPS as net income (loss) attributable to common stockholders before accretion of redeemable convertible preferred stock, fair value adjustments related to the remeasurement of warrant liabilities, losses on the extinguishment of debt, fair value adjustments for acquisition-related contingent consideration, stock-based compensation expense, and the tax impact of those items expressed on a per share basis using weighted average diluted shares outstanding. TRHC believes the exclusion of these items assists in providing a more complete understanding of the company’s underlying operations results and trends and allows for comparability with TRHC’s peer company index and industry and to be more consistent with TRHC’s expected capital structure on a going forward basis. Please note that other companies might define their non-GAAP financial measures differently than TRHC does.

TRHC presents these non-GAAP financial measures in this release because it considers them to be important supplemental measures of performance. TRHC uses these non-GAAP financial measures for planning purposes, including analysis of the company's performance against prior periods, the preparation of operating budgets and determination of appropriate levels of operating and capital investments. TRHC believes that these non-GAAP financial measures provide additional insight for analysts and investors in evaluating the company's financial and operational performance. TRHC also intends to provide these non-GAAP financial measures as part of the company's future earnings discussions and, therefore, their inclusion should provide consistency in the company's financial reporting.

Non-GAAP financial measures have limitations as an analytical tool. Investors are encouraged to review the reconciliation of the non-GAAP measures to their most directly comparable GAAP measures provided in this release, including in the accompanying tables.

Safe Harbor Statement

This press release includes forward-looking statements that we believe to be reasonable as of today’s date.  Such statements are identified by use of the words “anticipates,” “believes,” “estimates,” “expects,” “intends,” “plans,” “predicts,” “projects,” “should,” and similar expressions.  These forward-looking statements are based on management's expectations and assumptions as of the date of this press release.  Actual results might differ materially from those explicit or implicit in the forward-looking statements. Important factors that could cause actual results to differ materially include: our continuing losses and need to achieve profitability; fluctuations in our financial results; the acceptance and use of our products and services by PACE organizations; the need to innovate and provide useful products and services; risks related to changing healthcare and other applicable regulations; our ability to maintain relationships with a specified drug wholesaler; increasing consolidation in the healthcare industry; managing our growth effectively; our ability to adequately protect our intellectual property; the requirements of being a public company; our ability to recognize the expected benefits from acquisitions on a timely basis or at all; our status as an “emerging growth company”; and the other risk factors set forth from time to time in our SEC filings,  including those factors discussed under the caption “Risk Factors” in our prospectus, filed with the SEC on September 29, 2016, pursuant to Rule 424(b) under the Securities Act, copies of which are available free of charge within the Investor Relations section of the Tabula Rasa HealthCare website http://ir.tabularasahealthcare.com or upon request from our Investor Relations Department. Tabula Rasa HealthCare assumes no obligation and does not intend to update these forward-looking statements, except as required by law, to reflect events or circumstances occurring after today’s date.

 
TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share amounts)
       
   September 30,   December 31, 
  2016 2015
Assets   (unaudited)   
Current assets:      
Cash $ 1,793  $ 2,026 
Restricted cash       200 
Accounts receivable, net   7,742    6,013 
Inventories   2,609    2,304 
Rebates receivable   305    1,064 
Prepaid expenses and other current assets   636    522 
Total current assets   13,085    12,129 
       
Property and equipment, net   5,558    1,962 
Software development costs, net   3,073    2,505 
Goodwill   21,726    21,606 
Intangible assets, net   26,229    17,687 
Other assets   4,219    2,713 
Total assets $ 73,890  $ 58,602 
       
Liabilities, redeemable convertible preferred stock  and stockholders’ equity (deficit)      
Current liabilities:      
Line of credit $   $ 10,000 
Current portion of long-term debt   29,193    13,526 
Notes payable to related parties   250    250 
Notes payable related to acquisition       15,620 
Acquisition-related consideration payable   9,402    235 
Acquisition-related contingent consideration   1,634    1,886 
Accounts payable   5,998    6,808 
Accrued expenses and other liabilities   3,584    3,244 
Total current liabilities   50,061    51,569 
       
Line of credit   16,000     
Long-term debt   1,119    430 
Long-term acquisition-related contingent consideration   1,858    3,355 
Warrant liability   4,930    5,569 
Deferred income taxes   307    334 
Other long-term liabilities   1,973     
Total liabilities   76,248    61,257 
       
Redeemable convertible preferred stock:      
Series A and A-1 redeemable convertible preferred stock, $0.0001 par value, 7,224,266 shares authorized, 6,911,766 shares issued and outstanding at September 30, 2016 and December 31, 2015 (liquidation preference of $6,884 and $6,589 at September 30, 2016 and December 31, 2015 respectively)   6,859    6,553 
Series B redeemable convertible preferred stock, $0.0001 par value, 3,548,614 shares authorized, 2,961,745 shares issued and outstanding at September 30, 2016 and December 31, 2015 (liquidation preference of $5,455 and $5,223 at September 30, 2016 and December 31, 2015, respectively)   19,675    22,420 
Total redeemable convertible preferred stock   26,534    28,973 
Stockholders' deficit:      
Common stock, $0.0001 par value; 27,836,869 shares authorized, 5,583,405 and 4,575,867 shares issued and outstanding at September 30, 2016 and December 31, 2015 respectively        
Additional paid-in capital        
Accumulated deficit   (28,892)   (31,628)
Total stockholders’ deficit   (28,892)   (31,628)
Total liabilities, redeemable convertible preferred stock and stockholders’ deficit $ 73,890  $ 58,602 
       


TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)
 
  Three Months Ended  Nine Months Ended
  September 30,  September 30, 
  2016 2015 2016 2015
Revenue:            
Product revenue $ 20,731  $ 15,389  $ 58,732  $ 42,684 
Service revenue   3,443    2,563    8,017    7,594 
Total revenue   24,174    17,952    66,749    50,278 
Cost of revenue, exclusive of depreciation and amortization shown below:            
Product cost   15,951    11,461    44,103    32,811 
Service cost   1,232    816    3,135    2,398 
Total cost of revenue   17,183    12,277    47,238    35,209 
Gross profit   6,991    5,675    19,511    15,069 
             
Operating (income) expenses:            
Research and development   1,028    693    2,878    1,879 
Sales and marketing   881    703    2,511    2,071 
General and administrative   2,053    2,084    5,762    5,374 
Change in fair value of acquisition-related contingent consideration expense (income)   47    (330)   146    (1,348)
Depreciation and amortization   1,276    992    3,415    2,935 
Total operating expenses   5,285    4,142    14,712    10,911 
Income from operations   1,706    1,533    4,799    4,158 
             
Other (income) expense:            
Change in fair value of warrant liability   (626)   3,293    (639)   3,477 
Interest expense   1,242    1,468    4,250    4,418 
Loss on extinguishment of debt   1,396        1,396     
Total other expense   2,012    4,761    5,007    7,895 
Loss before income taxes   (306)   (3,228)   (208)   (3,737)
Income tax (benefit) expense   (164)   36    11    212 
Net loss $ (142) $ (3,264) $ (219) $ (3,949)
Net income (loss) attributable to common stockholders:            
Basic $ 1,228  $ (14,066) $ 1,080  $ (16,007)
Diluted $ (803) $ (14,066) $ (894) $ (16,007)
Net income (loss) per share attributable to common stockholders:            
Basic $ 0.25  $ (3.21) $ 0.22  $ (3.78)
Diluted $ (0.08) $ (3.21) $ (0.09) $ (3.78)
Weighted average common shares outstanding:            
Basic   4,918,885    4,379,796    4,817,285    4,232,350 
Diluted   10,333,723    4,379,796    10,232,050    4,232,350 
             


TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
 
  Nine Months Ended
  September 30, 
  2016 2015
Cash flows from operating activities:      
Net loss $ (219) $ (3,949)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization   3,415    2,935 
Amortization of deferred financing costs and debt discount   1,255    1,575 
Payment of imputed interest on debt   (3,893)   (105)
Deferred taxes   (27)   212 
Issuance of common stock warrants       16 
Stock-based compensation   481    471 
Change in fair value of warrant liability   (639)   3,477 
Change in fair value of acquisition-related contingent consideration   146    (1,348)
Loss on extinguishment of debt   1,396     
Other noncash items       (13)
Changes in operating assets and liabilities, net of effect from acquisitions:          
Accounts receivable, net   (1,729)   (951)
Inventories   (305)   (353)
Rebates receivable   759    308 
Prepaid expenses and other current assets   (114)   (191)
Other assets   (171)   79 
Acquisition-related contingent consideration       (610)
Accounts payable   (191)   322 
Accrued expenses and other liabilities   340    912 
Other long-term liabilities   1,973    (4)
Net cash provided by operating activities   2,477    2,783 
       
Cash flows from investing activities:      
Purchases of property and equipment   (2,947)   (135)
Software development costs   (1,201)   (669)
Purchases of intangible assets   (29)    
Change in restricted cash   200    300 
Purchase of businesses, net of cash acquired   (1,000)   (2,403)
Net cash used in investing activities   (4,977)   (2,907)
       
Cash flows from financing activities:      
Payments for debt financing costs   (1,521)   (69)
Repayments of notes payable to related parties       (354)
Borrowings on line of credit   6,000    10,000 
Repayments of line of credit       (6,860)
Payments of acquisition-related consideration   (180)   (1,895)
Repayment of note payable related to acquisition   (14,337)    
Payments of initial public offering costs   (2,191)   (390)
Payments of contingent consideration   (1,895)   (267)
Proceeds from long-term debt   30,000     
Repayments of long-term debt   (13,609)   (1,605)
Net cash provided by (used in) financing activities   2,267    (1,440)
       
Net decrease in cash   (233)   (1,564)
Cash, beginning of period   2,026    4,122 
Cash, end of period $ 1,793  $ 2,558 
       
Supplemental disclosure of cash flow information      
Acquisition of equipment under capital leases $ 1,470  $ 353 
Additions to property, equipment, and software development purchases included in accounts payable $ 238  $ 15 
Deferred offering costs included in accounts payable $ 1,006  $ 1,222 
Cash paid for interest $ 7,901  $ 1,807 
(Decretion) accretion of redeemable convertible preferred stock to redemption value $ (2,439) $ 12,058 
       


TABULA RASA HEALTHCARE, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP MEASURES
(In thousands)
 
  Three Months Ended September 30,  Nine Months Ended September 30, 
  2016 2015 2016 2015
                     
  (In thousands)
Reconciliation of Adjusted EBITDA to net income (loss)            
Net loss $ (142) $ (3,264) $ (219) $ (3,949)
Add:            
Change in fair value of warrant liability   (626)   3,293    (639)   3,477 
Interest expense   1,242    1,468    4,250    4,418 
Loss on extinguishment of debt   1,396        1,396     
Income tax (benefit) expense   (164)   36    11    212 
Depreciation and amortization   1,276    992    3,415    2,935 
Change in fair value of acquisition-related contingent consideration expense (income)   47    (330)   146    (1,348)
Stock-based compensation expense   223    159    481    471 
Adjusted EBITDA $ 3,252  $ 2,354  $ 8,841  $ 6,216 
             


                         
  Three Months Ended September 30,  Nine Months Ended September 30, 
  2016 2015 2016 2015
                                         
   (In thousands except per share amounts)
Reconciliation of diluted net income (loss) per share attributable to common shareholders to Adjusted Diluted EPS                        
Net loss $ (142)    $ (3,264)    $ (219)    $ (3,949)   
Decretion (accretion) of redeemable convertible preferred stock   2,641       (10,802)      2,439       (12,058)   
Undistributed income attributable to redeemable convertible preferred stockholders   (1,271)             (1,140)          
Net income (loss) attributable to common stockholders, basic, and net income (loss) per share attributable to common stockholders, basic $ 1,228  $ 0.25  $ (14,066) $ (3.21) $ 1,080  $ 0.22  $ (16,007) $ (3.78)
Decretion of redeemable convertible preferred stock   (2,641)             (2,439)          
Revaluation of warrant liability, net of tax (1)   (661)             (675)          
Adjustment to undistributed income attributable to redeemable convertible preferred stockholders   1,271              1,140           
GAAP Net income (loss) attributable to common stockholders, diluted, and net income (loss) per share attributable to common stockholders, diluted $ (803) $ (0.08) $ (14,066) $ (3.21) $ (894) $ (0.09) $ (16,007) $ (3.78)
Adjustments:                        
Accretion of redeemable convertible preferred stock          10,802              12,058    
Change in fair value of warrant liability         3,293              3,477    
Loss on extinguishment of debt   1,396              1,396           
Change in fair value of acquisition-related contingent consideration expense (income)   47       (330)      146       (1,348)   
Stock-based compensation expense   223       159       481       471    
Impact to income taxes (1)   (51)             (51)          
Adjusted net income (loss) attributable to common stockholders and Adjusted Diluted EPS $ 812  $ 0.06  $ (142) $ (0.01) $ 1,078  $ 0.09  $ (1,349) $ (0.14)
                         

(1)  Impact to income taxes is calculated by taking the tax provision as determined for GAAP purposes and subtracting a recalculated tax provision that excludes the effect of the respective items added back in determining adjusted net income (loss).

         
         
  Three Months Ended  Nine Months Ended
  September 30,  September 30, 
  2016 2015 2016 2015
Reconciliation of weighted average shares of common stock outstanding, diluted, to weighted average shares of common stock oustanding, diluted for Adjusted Diluted EPS        
Weighted average shares of common stock outstanding 4,918,885 4,379,796 4,817,285 4,232,350
Effect of potential dilutive securities:       
Dilutive effect from preferred stock and preferred stock warrants assuming conversion 5,414,838  5,414,765 
Weighted average shares of common stock outstanding, diluted for GAAP 10,333,723 4,379,796 10,232,050 4,232,350
Adjustments:        
Weighted average dilutive effect of stock options 1,994,389  1,983,298 
Weighted average dilutive effect of common shares from stock warrants 203,486  266,501 
Weighted average dilutive effect of restricted stock 3,221  1,081 
Dilutive effect from preferred stock and preferred stock warrants assuming conversion (1)  5,353,497  5,337,534
Weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS 12,534,819 9,733,293 12,482,930 9,569,884
         

(1) In computing Adjusted Diluted EPS, net income attributable to common stockholders was adjusted to eliminate the effects of outstanding preferred stock and preferred stock warrants. As such, the weighted average share amounts of these potentially dilutive securities were included in the computation of diluted net loss per share attributable to common stockholders for the three and nine months ended September 30, 2015.

Contact:
 
Investors
Bob East or Asher Dewhurst
Westwicke Partners
443-213-0500
[email protected]
 
Media
Dianne Semingson
[email protected]
T: 215-870-0829

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