UPDATE -- Tabula Rasa HealthCare Announces Third Quarter 2017 Results and Revised Financial Outlook

Total Revenue of $33 million, up 38% year over year; Adjusted EBITDA of $4.6 million, up 43% year over year, Positive Net Income for the quarter


MOORESTOWN, N.J., Nov. 07, 2017 (GLOBE NEWSWIRE) -- Tabula Rasa HealthCare, Inc. (“TRHC”) (NASDAQ:TRHC), a healthcare technology company optimizing medication safety by deploying new medication risk mitigation digital software solutions and novel, proprietary medication decision support tools, today announced its financial results for the third quarter ended September 30, 2017.

“I’m extremely pleased with our performance this quarter both from a financial and operational perspective,” said Calvin H. Knowlton, PhD, TRHC’s Chairman and Chief Executive Officer. “The momentum we experienced in the first half of the year continued in the third quarter throughout all areas of our business and as a result we are increasing our revenue guidance by two million dollars for the 2017 fiscal year.”

Dr. Knowlton continued, “Our proprietary medication risk stratification engine and medication risk score continue to get recognized as a tool for health plans to better manage medication risk for their members. By the end of the 2017 fiscal year we expect to have run 10 million patients through our engine for a variety of commercial and government sponsored health plan prospects. We plan to continue to use these tools to demonstrate the differentiated nature of our Medication Risk Mitigation platform in order to build our pipeline and, ultimately, we believe this will result in winning new customers within the health plan and PACE markets.”

“I am also very pleased with the progress we have made toward integrating the SinfoníaRx business which we acquired on September 6th. The reaction from our existing customers has been very positive. We continue to believe that the combined company has meaningful cross-selling opportunities that we believe we will be able to capitalize on in the coming years.”

Financial Performance for the Three Months Ended September 30, 2017

All comparisons, unless otherwise noted, are to the three months ended September 30, 2016.

  • Total revenue was $33.3 million, an increase of 38%. Total revenue included product revenue of $24.6 million, an increase of 19%, and service revenue of $8.6 million, an increase of 151%. Product revenue increased as a result of a combination of expansion from existing clients and new clients onboarded this year. The majority of the increase in service revenue resulted from TRHC’s participation in the Enhanced Medication Therapy Management program, sponsored by the Center for Medicare and Medication Innovation, which started on January 1, 2017, as well as the contribution from the SinfoníaRx acquisition which was completed on September 6, 2017.

  • Gross margin was 29.5%, compared to 28.9%. The year over year increase is primarily related to an increase in the service revenue contribution as compared to the third quarter of 2017. Service revenue, which carries a higher gross margin, represented 26% of total revenue for the third quarter of 2017 as compared to 14% for the same period in 2016.

  • Non-GAAP Adjusted EBITDA was $4.6 million, compared to $3.3 million, an increase of 43% compared to a year ago. The increase in Adjusted EBITDA was primarily driven by growth in the business, both in the PACE market and health plan market as well as a contribution from the SinfoníaRx acquisition.

  • Adjusted EBITDA margin was 14.0% in the third quarter of 2017, up slightly from 13.5% in the same period of 2016 and was in line with management’s expectations.

  • Net income of $7.7 million compared to a net loss of $0.1 million in the third quarter of 2016. Net income was positively impacted by the partial reversal of TRHC’s deferred tax asset valuation allowance and recognition of tax windfall benefits which combined had a one-time benefit of $9.4 million in the third quarter. TRHC is no longer incurring expenses related to the restricted stock grants issued in connection with TRHC’s initial public offering.

  • Net income per diluted share was $0.41, compared to net loss per diluted share of $0.08. The net income (loss) per share calculations were based on a diluted share count of 18.6 million for the third quarter of 2017, compared to 10.3 million shares for the same period in 2016.

  • Non-GAAP Adjusted net income per diluted share was $0.08, compared to adjusted net income per diluted share of $0.04.

  • Cash at the end of the third quarter was $5.9 million compared to $4.3 million at December 31, 2016. The increase in cash was due to positive cash flow from operations, which was partially offset by a $1.5 million payment for contingent consideration made in the first quarter of 2017, $2.1 million in payments for payroll taxes remitted to taxing authorities in the second quarter of 2017 on behalf of employees from the net exercise of stock options, and $1.0 million in payments for the repurchase of common stock. TRHC also had $35.0 million drawn on its line of credit, which was used to fund the SinfoníaRx acquisition, at the end of the third quarter. 

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 expense, acquisition-related expense, payroll tax expense related to stock option exercises, stock-based compensation expense, and adjustments for the partial reversal of the deferred tax asset valuation allowance and recognition of tax windfall benefits. An explanation of these measures is also included below under the heading “Non-GAAP Financial Measures”.

Financial Outlook

Fourth Quarter 2017 Guidance: Revenue for TRHC’s fourth quarter 2017 is expected to be in the range of $37.5 million to $39.5 million. Net income is expected to be in the range of $2.1 million to $3.1 million. Adjusted EBITDA is expected to be in the range of $6.2 million to $7.2 million.

Full Year 2017 Guidance: Revenue for fiscal year 2017 is now expected to be in the range of $128.0 million to $130.0 million. TRHC now expects a net income in the range of $5.4 million to $6.4 million. Net income projections include incremental stock-based compensation expense of approximately $5.2 million related to restricted stock grants issued in connection with TRHC’s initial public offering, which was fully expensed by May 2017 as well as the partial reversal of the valuation allowance and recognition of tax windfall benefits which resulted in tax benefits of $9.4 million. Adjusted EBITDA is still expected to be in the range of $17.5 million to $18.5 million.

Quarterly Conference Call

As previously announced, TRHC will hold a conference call with members of executive management to discuss its third quarter 2017 performance today, Monday, November 6, 2017, at 5:00 p.m. ET. Stockholders and 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 95876057 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 website (ir.trhc.com) and an audio file of the call will also be archived and available for replay approximately two hours after the live event for a period of 90 days thereafter at ir.trhc.com. After the conference call, a replay will be available until November 13, 2017 and can be accessed by dialing 855-859-2056 or 404-537-3406 for international callers, and referencing participant code 95876057.

About Tabula Rasa HealthCare

Tabula Rasa HealthCare (NASDAQ: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 payors, providers and other healthcare organizations. For more information, visit: www.TRHC.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 income (loss) plus certain other expenses, which includes interest expense, provision (benefit) for income tax, depreciation and amortization, loss on extinguishment of debt, change in fair value of acquisition-related contingent consideration expense, change in fair value of warrant liability, acquisition-related expense, payroll tax expense related to stock option exercises and stock-based compensation expense. TRHC defines Adjusted Diluted EPS as net income (loss) attributable to common stockholders before decretion of redeemable convertible preferred stock, fair value adjustments related to the remeasurement of warrant liabilities, loss on extinguishment of debt, fair value adjustments for acquisition-related contingent consideration, acquisition-related expense, payroll tax expense related to stock option exercises, stock-based compensation expense, and the tax impact of those items as well as adjustments for tax benefits related to the partial release of our valuation allowance and recognition of tax windfall benefits 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.  Forward-looking statements give current expectation or forecasts of future events or our future financial or operating performance, and include TRHC’s expectations regarding the goals and expectations regarding the SinfoníaRx acquisition, the expected financial and operating performance of TRHC following such acquisition and expectations regarding revenues, net income and Adjusted EBITDA. 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 good-faith expectations, judgements 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 filings with the Securities and Exchange Commission (“SEC”),  including those factors discussed under the caption “Risk Factors” in our most recent annual report on Form 10-K, filed with the SEC on March 14, 2017, and in subsequent reports filed with or furnished to the SEC, copies of which are available free of charge within the Investor Relations section of the Tabula Rasa HealthCare website http://ir.trhc.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) 
 
  September 30,  December 31, 
  2017
 2016
Assets   (unaudited)   
Current assets:      
Cash $5,939  $4,345 
Accounts receivable, net  16,631   6,646 
Inventories  2,781   2,911 
Rebates receivable  342   312 
Prepaid expenses  2,278   869 
Other current assets  315   581 
Total current assets  28,286   15,664 
Property and equipment, net  8,872   6,409 
Software development costs, net  4,264   3,350 
Goodwill  63,125   21,686 
Intangible assets, net  63,347   25,297 
Other assets  647   333 
Total assets $168,541  $72,739 
Liabilities and stockholders’ equity      
Current liabilities:      
Current portion of long-term debt $927  $674 
Acquisition-related consideration payable  50   568 
Acquisition-related contingent consideration  15,224   1,493 
Accounts payable  14,366   6,115 
Accrued expenses and other liabilities  8,101   2,159 
Total current liabilities  38,668   11,009 
Line of credit  35,000    
Long-term debt  1,019   1,072 
Long-term acquisition-related contingent consideration  13,652   1,515 
Deferred income tax liability  1,592   832 
Other long-term liabilities  2,637   2,205 
Total liabilities  92,568   16,633 
       
Stockholders' equity:      
Preferred stock      
Common stock  2   2 
Additional paid-in capital  108,503   91,027 
Treasury stock  (959)   
Accumulated deficit  (31,573)  (34,923)
Total stockholders’ equity  75,973   56,106 
Total liabilities and stockholders’ equity $168,541  $72,739 
         


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,  
  2017  2016  2017  2016  
Revenue:             
Product revenue $24,621  $20,731  $71,391  $58,732  
Service revenue  8,647   3,443   19,222   8,017  
Total revenue  33,268   24,174   90,613   66,749  
Cost of revenue, exclusive of depreciation and amortization shown below:             
Product cost  18,979   15,951   54,847   44,103  
Service cost  4,486   1,232   9,241   3,135  
Total cost of revenue  23,465   17,183   64,088   47,238  
Gross profit  9,803   6,991   26,525   19,511  
Operating expenses:             
Research and development  1,527   1,028   4,037   2,878  
Sales and marketing  1,325   881   3,869   2,511  
General and administrative  4,098   2,053   16,097   5,762  
Change in fair value of acquisition-related contingent consideration expense  923   47   960   146  
Depreciation and amortization  2,166   1,276   5,730   3,415  
Total operating expenses  10,039   5,285   30,693   14,712  
Income (loss) from operations  (236)  1,706   (4,168)  4,799  
Other (income) expense:             
Change in fair value of warrant liability     (626)     (639) 
Interest expense  174   1,242   327   4,250  
Loss on extinguishment of debt     1,396      1,396  
Total other expense  174   2,012   327   5,007  
Income (loss) before income taxes  (410)  (306)  (4,495)  (208) 
Income tax (benefit) expense  (8,105)  (164)  (7,845)  11  
Net income (loss) $7,695  $(142) $3,350  $(219) 
Net income (loss) attributable to common stockholders:             
Basic $7,695  $1,228  $3,350  $1,080  
Diluted $7,695  $(803) $3,350  $(894) 
Net income (loss) per share attributable to common stockholders:             
Basic $0.46  $0.25  $0.20  $0.22  
Diluted $0.41  $(0.08) $0.18  $(0.09) 
Weighted average common shares outstanding:             
Basic  16,699,102   4,918,885   16,483,169   4,817,285  
Diluted  18,646,031   10,333,723   18,411,800   10,232,050  
                  


TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands) 
 
  Nine Months Ended
  September 30, 
  2017  2016 
Cash flows from operating activities:      
Net income (loss) $3,350  $(219)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Depreciation and amortization  5,730   3,415 
Amortization of deferred financing costs and debt discount  72   1,255 
Payment of imputed interest on debt     (3,893)
Deferred taxes  (8,137)  (27)
Stock-based compensation  7,776   481 
Change in fair value of warrant liability     (639)
Change in fair value of acquisition-related contingent consideration  960   146 
Other noncash items  17    
Loss on extinguishment of debt     1,396 
Changes in operating assets and liabilities, net of effect from acquisition:      
Accounts receivable, net  (1,676)  (1,729)
Inventories  130   (305)
Rebates receivable  (30)  759 
Prepaid expenses and other current assets  (169)  (114)
Other assets  (58)  (171)
Accounts payable  29   (191)
Accrued expenses and other liabilities  3,274   340 
Other long-term liabilities  432   1,973 
Net cash provided by operating activities  11,700   2,477 
       
Cash flows from investing activities:      
Purchases of property and equipment  (2,618)  (2,947)
Software development costs  (2,223)  (1,201)
Purchases of intangible assets     (29)
Change in restricted cash     200 
Purchase of businesses, net of cash acquired  (34,452)  (1,000)
Net cash used in investing activities  (39,293)  (4,977)
       
Cash flows from financing activities:      
Payments for repurchase of common stock  (959)   
Proceeds from exercise of stock options  194    
Payments for employee taxes for shares withheld  (2,123)   
Payments for debt financing costs  (220)  (1,521)
Borrowings on line of credit  35,342   6,000 
Repayments of line of credit  (342)   
Payments of acquisition-related consideration  (550)  (180)
Repayment of note payable related to acquisition     (14,337)
Payments of initial public offering costs  (132)  (2,191)
Payments of contingent consideration  (1,498)  (1,895)
Proceeds from long-term debt     30,000 
Repayments of long-term debt  (525)  (13,609)
Net cash provided by financing activities  29,187   2,267 
Net increase (decrease) in cash  1,594   (233)
Cash, beginning of period  4,345   2,026 
Cash, end of period $5,939  $1,793 
         


TABULA RASA HEALTHCARE, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP MEASURES
(In thousands except share and per share amounts)
 
  Three Months Ended September 30,  Nine Months Ended September 30, 
  2017
 2016
 2017
 2016
Reconciliation of net income (loss) to Adjusted EBITDA            
Net income (loss) $7,695  $(142) $3,350  $(219)
Add:            
Change in fair value of warrant liability     (626)     (639)
Interest expense  174   1,242   327   4,250 
Loss on extinguishment of debt     1,396      1,396 
Income tax (benefit) expense  (8,105)  (164)  (7,845)  11 
Depreciation and amortization  2,166   1,276   5,730   3,415 
Change in fair value of acquisition-related contingent consideration expense  923   47   960   146 
Acquisition-related expense  855      855    
Payroll tax expense related to stock option exercises        95    
Stock-based compensation expense  939   223   7,776   481 
Adjusted EBITDA $4,647  $3,252  $11,248  $8,841 
                 


                         
  Three Months Ended September 30,  Nine Months Ended September 30, 
  2017 2016  2017 2016 
                               
  (In thousands except per share amounts) (In thousands except per share amounts)
Reconciliation of diluted net income (loss) per share attributable to common shareholders to Adjusted Diluted EPS                        
Net income (loss) $7,695     $(142)    $3,350     $(219)   
Decretion of redeemable convertible preferred stock        2,641            2,439    
Undistributed income attributable to redeemable convertible preferred stockholders        (1,271)           (1,140)   
Net income attributable to common stockholders, basic, and net income per share attributable to common stockholders, basic $7,695  $0.46 $1,228  $0.25  $3,350  $0.20 $1,080  $0.22 
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 $7,695  $0.41 $(803) $(0.08) $3,350  $0.18 $(894) $(0.09)
Adjustments:                        
Loss on extinguishment of debt        1,396            1,396    
Change in fair value of acquisition-related contingent consideration expense  923      47      960      146    
Acquistion-related expense  855            855          
Payroll tax expense on stock option exercises              95          
Stock-based compensation expense  939      223      7,776      481    
Impact to income taxes (1)  (8,963)     (404)     (9,803)     (394)   
Adjusted net income attributable to common stockholders and Adjusted Diluted EPS $1,449  $0.08 $459  $0.04  $3,233  $0.18 $735  $0.06 
                               

(1) The impact to taxes was calculated using a normalized statutory tax rate applied to pre-tax income (loss) adjusted for the respective items above and then subtracting the tax provision as determined for GAAP purposes.

         
  Three Months Ended  Nine Months Ended
  September 30,  September 30, 
  2017 2016 2017 2016
Reconciliation of weighted average shares of common stock outstanding, diluted, to weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS        
Weighted average shares of common stock outstanding 16,699,102 4,918,885 16,483,169 4,817,285
Effect of potential dilutive securities:        
Weighted average dilutive effect of stock options 1,235,883  1,308,202 
Weighted average dilutive effect of restricted shares 711,046  607,988 
Weighted average dilutive effect of common shares from warrants   12,441 
Dilutive effect from preferred stock and preferred stock warrants assuming conversion at beginning of the year  5,414,838  5,414,765
Weighted average shares of common stock outstanding, basic and diluted for GAAP 18,646,031 10,333,723 18,411,800 10,232,050
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
Weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS 18,646,031 12,534,819 18,411,800 12,482,930
         


TABULA RASA HEALTHCARE, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP GUIDANCE RANGES
(In millions)
 
  LOW HIGH LOW HIGH
  Three Months Ended December 31, 2017 Year Ended December 31, 2017
Reconciliation of Adjusted EBITDA to net income            
Net income $2.1  $3.1  $5.4  $6.4 
Add:            
Interest expense  0.5   0.5   0.8   0.8 
Income tax benefit  (0.8)  (0.8)  (8.6)  (8.6)
Depreciation and amortization  3.4   3.4   9.1   9.1 
Change in fair value of acquisition-related contingent consideration expense           1.0   1.0 
Payroll tax expense related to stock option exercises           0.1   0.1 
Stock-based compensation expense  1.0   1.0   8.8   8.8 
Acquisition-related expense
        0.9   0.9 
Adjusted EBITDA $6.2  $7.2  $17.5  $18.5 
                 

Contact:

Investors
Bob East or Asher Dewhurst
Westwicke Partners
443-213-0500
tabularasa@westwicke.com 

Media
Dianne Semingson
dsemingson@TRHC.com 
T: 215-870-0829