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      Tabula Rasa HealthCare Reports Third Quarter 2021 Results

      -- Third quarter revenue grew 23% year-over-year to $86.6 million.

      -- Third quarter organic revenue growth of 17% compares with 1% during the first half of 2021.

      -- MedWise HealthCare software subscriptions revenue of $11.8 million increased 16% year-over-year and 17% on a sequential basis as compared to the second quarter of 2021.

      (PRNewsfoto/Tabula Rasa HealthCare)

      News provided by

      Tabula Rasa HealthCare, Inc.

      Nov 04, 2021, 16:30 ET

      Share this article

      Share this article


      MOORESTOWN, N.J., Nov. 4, 2021 /PRNewswire/ -- Tabula Rasa HealthCare, Inc. ("TRHC") (Nasdaq: TRHC), a leading healthcare technology company advancing the safe use of medications, today reported financial results for the third quarter ended September 30, 2021.

      "Our improved third quarter revenue growth was driven by continued strength in PACE and our CareVention HealthCare segment. While I am pleased with our markedly improved organic growth, we are not satisfied with these results and are taking a number of important steps to better position the company to deliver higher growth in 2022 and ultimately increase shareholder value," said Calvin H. Knowlton, PhD, TRHC's Chief Executive Officer, Chairman and Founder.

      Third Quarter 2021 Financial Results

      All comparisons, unless otherwise noted, are to the three months ended September 30, 2020.

      • Total revenue - Total revenue of $86.6 million increased 23% compared to $70.5 million in 2020. Total revenue included product revenue of $50.6 million, an increase of 29%, and solutions (i.e., software and services) revenue of $36.0 million, an increase of 15%. The October 2020 acquisition of Personica contributed 6% of inorganic growth during the third quarter.
      • Total revenue by segment
        • CareVention HealthCare revenue increased 29% to $65.0 million, comprised of $50.3 million of PACE product revenue (up 29%) and $14.7 million of PACE solutions revenue (up 31%). Personica contributed 8% of inorganic growth to overall segment growth and continues to perform in line with our original projections. Our net PACE enrollment for the third quarter represented a continuation of the strong recovery that began in March 2021 with third quarter net enrollment increasing more than three-fold as compared with the third quarter of 2020.
        • MedWise HealthCare revenue increased 7% to $21.6 million, primarily comprised of software subscriptions revenue of $11.8 million (up 16%), in-line with our expectations, and medication safety services revenue of $9.5 million (down 4%). Medication safety services revenue fell short of our internal projections with the primary factor being hiring challenges within our tele-pharmacy call centers. As of today, we are adequately staffed to deliver on our fourth quarter medication safety services revenue projections.
      • GAAP net loss - Net loss was $17.1 million compared to a net loss of $21.6 million with the improvement driven by a $16.1 million increase in total revenue, offset by a $14.2 million, or 19%, increase in combined cost of revenue, research and development, sales and marketing, and general and administrative expenses. 
      • Non-GAAP Adjusted EBITDA - Non-GAAP Adjusted EBITDA of $5.7 million (6.6% margin) increased 12% as compared with $5.1 million (7.2% margin) in 2020. Our investments across the business, led by sales and marketing expenses, have moderated in recent quarters but remain elevated when compared to 2020.
      • Non-GAAP Adjusted EBITDA by segment - Excluding $10.9 million of shared services:
        • CareVention HealthCare non-GAAP Adjusted EBITDA of $14.0 million (21.6% margin) increased 10% as compared to $12.7 million (25.3% margin) a year ago.
        • MedWise HealthCare non-GAAP Adjusted EBITDA of $2.6 million (12.1% margin) increased 159% as compared to $1.0 million (5.0% margin) a year ago.

      A reconciliation of generally accepted accounting principles ("GAAP") in the United States to non-GAAP results has been provided in this press release in the accompanying tables. An explanation of these measures is also included below under the heading "Non-GAAP Financial Measures."

      Future Outlook

      Based on current market conditions and our expectations as of today, we are introducing fourth quarter 2021 guidance and revised full year 2021 guidance, as summarized below.

      For the fourth quarter 2021, we expect:

      • Total revenue in the range of $84 million to $86 million represents growth of 9% to 12%, all of which is organic.
      • Adjusted EBITDA in the range of $4 million to $5 million as compared with $4.7 million a year ago.

      For the full year 2021, we expect:

      • Total revenue in the range of $329.6 million to $331.6 million represents growth of 11% to 12% with organic growth of 7%.
      • Adjusted EBITDA in the range of $19.3 million to $20.3 million as compared with $21.8 million a year ago



















      Three Months Ended December 31, 2021



      Year Ended December 31, 2021




      LOW



      HIGH



      LOW



      HIGH




      (in millions except percentages)


      Total revenue


      $

      84.0



      $

      86.0



      $

      329.6



      $

      331.6


      Year over year growth



      9

      %



      12

      %



      11

      %



      12

      %

      GAAP net loss


      $

      (19.8)



      $

      (18.8)



      $

      (77.5)



      $

      (76.5)


      Adjusted EBITDA


      $

      4.0



      $

      5.0



      $

      19.3



      $

      20.3


      Adjusted EBITDA margin



      5

      %



      6

      %



      6

      %



      6

      %

      Quarterly Conference Call

      The third quarter 2021 earnings conference call and webcast will be held tomorrow, Friday, November 5, 2021, at 8:30 a.m. ET. The conference call can be accessed by dialing 844-413-0947 for U.S. participants or 216-562-0423 for international participants, and referencing passcode 5917496 or via a live audio webcast available online at TRHC's investor website (ir.trhc.com). An audio webcast replay will be available approximately two hours after completion of the call for a period of 90 days thereafter at ir.trhc.com and a replay will be available for seven days by dialing 855-859-2056 for U.S. participants or 404-537-3406 for international participants and referencing passcode 5917496.

      About Tabula Rasa HealthCare

      Tabula Rasa HealthCare (TRHC) provides medication safety solutions that empower healthcare professionals and consumers to optimize medication regimens, combatting medication overload and reducing adverse drug events – the fourth leading cause of death in the U.S. TRHC's proprietary technology solutions, including DoseMeRx™ and MedWise®, improve patient outcomes, reduce hospitalizations, and lower healthcare costs. TRHC's extensive clinical tele-pharmacy network improves care for patients nationwide. Its solutions are trusted by health plans and pharmacies to help drive value-based care. For more information, visit TRHC.com.

      Non-GAAP Financial Measures

      In addition to reporting all financial information required in accordance with GAAP, TRHC is also reporting Adjusted EBITDA, Adjusted EBITDA margin, and Adjusted Diluted EPS, each of which is considered 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 or loss excluding certain other expenses, which includes interest expense, provision (benefit) for income tax, depreciation and amortization, change in fair value of acquisition-related contingent consideration expense, settlement costs, severance expense incurred in 2021 related to a realignment of resources, acquisition-related expense, and stock-based compensation expense. TRHC defines Adjusted EBITDA margin as Adjusted EBITDA as a percentage of revenue. TRHC defines Adjusted Diluted EPS as net income or loss before fair value adjustments for acquisition-related contingent consideration, amortization of acquired intangibles, amortization of debt discount and issuance costs, settlement costs, severance expense incurred in 2021 related to a realignment of resources, stock-based compensation expense, and the tax impact of those items using a normalized tax rate on pre-tax income (loss) adjusted for those items expressed on a per share basis using weighted average diluted shares outstanding. TRHC considers acquisition-related expense to include non-recurring direct transaction and integration costs, severance, and the impact of purchase accounting adjustments related to the fair value of acquired deferred revenue. 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 may define their non-GAAP financial measures differently than TRHC.

      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 Adjusted EBITDA and Adjusted Diluted EPS 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 within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, that we believe to be reasonable as of today's date. Forward-looking statements give current expectations or forecasts of future events or our future financial or operating performance, and include TRHC's expectations regarding healthcare regulations, industry trends, available opportunities to TRHC, the financial and operating performance of TRHC, the impacts of the COVID-19 pandemic and TRHC's expectations for the remainder of 2021. 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: the impacts of the ongoing COVID-19 pandemic and other health epidemics; 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 governmental 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; 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 February 26, 2021, 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, 



      2021


      2020

      Assets 





      Current assets: 







      Cash


      $

      11,347


      $

      23,362

      Restricted cash



      4,014



      5,170

      Accounts receivable, net



      31,736



      32,516

      Inventories



      5,127



      4,261

      Prepaid expenses



      5,344



      3,739

      Client claims receivable



      15,284



      14,412

      Other current assets



      15,398



      9,752

      Total current assets



      88,250



      93,212

      Property and equipment, net



      13,234



      15,070

      Operating lease right-of-use assets



      21,935



      21,711

      Software development costs, net



      40,297



      27,882

      Goodwill



      170,835



      170,862

      Intangible assets, net



      161,626



      183,094

      Other assets



      4,801



      2,609

      Total assets


      $

      500,978


      $

      514,440

      Liabilities and stockholders' equity







      Current liabilities:







      Current portion of finance leases


      $

      —


      $

      4

      Current operating lease liabilities



      4,706



      4,402

      Acquisition-related contingent consideration



      —



      166

      Acquisition-related notes payable



      3,995



      16,662

      Accounts payable



      13,019



      11,245

      Client claims payable



      8,157



      7,773

      Accrued expenses and other liabilities



      35,443



      31,968

      Total current liabilities



      65,320



      72,220

      Line of credit



      27,500



      10,000

      Long-term debt, net



      318,969



      239,285

      Noncurrent operating lease liabilities



      20,152



      20,381

      Deferred income tax liability, net



      1,226



      3,354

      Other long-term liabilities



      563



      671

      Total liabilities



      433,730



      345,911








      Stockholders' equity:







      Common stock



      2



      2

      Treasury stock



      (4,292)



      (4,018)

      Additional paid-in capital



      310,514



      352,445

      Accumulated deficit



      (238,976)



      (179,900)

      Total stockholders' equity



      67,248



      168,529

      Total liabilities and stockholders' equity


      $

      500,978


      $

      514,440

      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, 



      2021


      2020


      2021


      2020

      Revenue:










      Product revenue


      $

      50,636


      $

      39,365


      $

      139,496


      $

      115,825

      Service revenue



      35,950



      31,141



      106,079



      104,342

      Total revenue



      86,586



      70,506



      245,575



      220,167

      Cost of revenue, exclusive of depreciation and amortization shown below:













      Product cost



      38,770



      28,638



      105,326



      84,879

      Service cost



      22,392



      20,610



      67,126



      64,140

      Total cost of revenue, exclusive of depreciation and amortization



      61,162



      49,248



      172,452



      149,019

      Operating expenses: 













      Research and development 



      4,984



      5,101



      14,893



      13,750

      Sales and marketing



      6,218



      5,030



      18,786



      15,597

      General and administrative 



      16,870



      15,620



      54,360



      48,914

      Change in fair value of acquisition-related contingent consideration expense



      —



      2,005



      —



      2,605

      Depreciation and amortization



      12,099



      12,199



      35,343



      32,323

      Total operating expenses 



      40,171



      39,955



      123,382



      113,189

      Loss from operations



      (14,747)



      (18,697)



      (50,259)



      (42,041)

      Interest expense, net



      2,230



      4,722



      6,959



      14,000

      Loss before income taxes



      (16,977)



      (23,419)



      (57,218)



      (56,041)

      Income tax expense (benefit)



      134



      (1,830)



      466



      (5,705)

      Net loss


      $

      (17,111)


      $

      (21,589)


      $

      (57,684)


      $

      (50,336)

      Net loss per share, basic and diluted


      $

      (0.73)


      $

      (0.99)


      $

      (2.48)


      $

      (2.33)

      Weighted average common shares outstanding, basic and diluted



      23,407,391



      21,779,808



      23,230,138



      21,571,214

      TABULA RASA HEALTHCARE, INC.

      UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS

      (In thousands)










      Nine Months Ended



      September 30, 



      2021


      2020

      Cash flows from operating activities:






      Net loss


      $

      (57,684)


      $

      (50,336)

      Adjustments to reconcile net loss to net cash provided by operating activities:







      Depreciation and amortization



      35,343



      32,323

      Amortization of deferred financing costs and debt discount



      1,714



      9,925

      Deferred taxes



      337



      (5,705)

      Stock-based compensation



      28,962



      22,408

      Change in fair value of acquisition-related contingent consideration



      —



      2,605

      Acquisition-related contingent consideration paid



      (67)



      (2,390)

      Other noncash items



      9



      (70)

      Changes in operating assets and liabilities, net of effect from acquisitions:







      Accounts receivable, net



      789



      (3,220)

      Inventories



      (866)



      (494)

      Prepaid expenses and other current assets



      (6,084)



      7,209

      Client claims receivables



      (872)



      —

      Other assets



      (2,604)



      (382)

      Accounts payable   



      1,587



      (1,432)

      Accrued expenses and other liabilities



      2,138



      (5,408)

      Client claims payables



      423



      —

      Other long-term liabilities



      (108)



      315

      Net cash provided by operating activities



      3,017



      5,348








      Cash flows from investing activities:







      Purchases of property and equipment



      (1,611)



      (2,537)

      Software development costs



      (22,649)



      (13,734)

      Net cash used in investing activities



      (24,260)



      (16,271)








      Cash flows from financing activities:







      Proceeds from exercise of stock options



      3,683



      3,225

      Payments for employee taxes for shares withheld



      —



      (2,993)

      Payments for debt financing costs



      (8)



      (38)

      Borrowings on line of credit



      17,500



      —

      Payment of acquisition-related notes payable



      (13,000)



      —

      Payments of acquisition-related contingent consideration



      (99)



      (3,504)

      Repayments of long-term debt and finance leases



      (4)



      (54)

      Net cash provided by (used in) financing activities



      8,072



      (3,364)








      Net decrease in cash and restricted cash



      (13,171)



      (14,287)

      Cash and restricted cash, beginning of period



      28,532



      46,581

      Cash and restricted cash, end of period


      $

      15,361


      $

      32,294

      TABULA RASA HEALTHCARE, INC.

      UNAUDITED SEGMENT RESULTS

      (In thousands)
















      Three Months Ended


      Nine Months Ended



      September 30, 2021


      September 30, 2020


      September 30, 2021


      September 30, 2020

      Revenue













      CareVention HealthCare:













      PACE product revenue


      $

      50,321


      $

      39,086


      $

      139,021


      $

      115,103

      PACE solutions



      14,707



      11,214



      42,973



      34,307

      Total CareVention HealthCare



      65,028



      50,300



      181,994



      149,410














      MedWise HealthCare:













      Product revenue



      315



      279



      475



      722

      Medication safety services



      9,467



      9,817



      31,247



      39,844

      Software subscription and services



      11,776



      10,110



      31,859



      30,191

      Total MedWise HealthCare



      21,558



      20,206



      63,581



      70,757














      Total Revenue


      $

      86,586


      $

      70,506


      $

      245,575


      $

      220,167














      Adjusted EBITDA













      CareVention HealthCare


      $

      14,014


      $

      12,735


      $

      40,983


      $

      36,560

      MedWise HealthCare



      2,618



      1,009



      7,532



      8,537

      Shared Services



      (10,915)



      (8,650)



      (33,236)



      (28,062)

      Total Adjusted EBITDA


      $

      5,717


      $

      5,094


      $

      15,279


      $

      17,035














      Adjusted EBITDA margin













      CareVention HealthCare



      21.6%



      25.3%



      22.5%



      24.5%

      MedWise HealthCare



      12.1%



      5.0%



      11.8%



      12.1%

      Total Adjusted EBITDA margin



      6.6%



      7.2%



      6.2%



      7.7%

      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, 



      2021


      2020


      2021


      2020

      Reconciliation of Net Loss to Adjusted EBITDA













      Net loss


      $

      (17,111)


      $

      (21,589)


      $

      (57,684)


      $

      (50,336)

      Add:













      Interest expense, net



      2,230



      4,722



      6,959



      14,000

      Income tax expense (benefit)



      134



      (1,830)



      466



      (5,705)

      Depreciation and amortization



      12,099



      12,199



      35,343



      32,323

      Change in fair value of acquisition-related contingent
      consideration expense



      —



      2,005



      —



      2,605

      Settlement



      —



      —



      500



      —

      Severance expense



      354



      917



      516



      917

      Acquisition-related expense



      —



      572



      217



      823

      Stock-based compensation expense



      8,011



      8,098



      28,962



      22,408

      Adjusted EBITDA


      $

      5,717


      $

      5,094


      $

      15,279


      $

      17,035














      Total revenue


      $

      86,586


      $

      70,506


      $

      245,575


      $

      220,167

      Adjusted EBITDA margin



      6.6%



      7.2%



      6.2%



      7.7%




























      Three Months Ended September 30, 


      Nine Months Ended September 30, 



      2021


      2020


      2021


      2020



      (In thousands except per share amounts)


      (In thousands except per share amounts)

      Reconciliation of diluted net loss per share
      to Adjusted Diluted EPS

























      GAAP net loss, basic and diluted, and net l
      oss per share, basic and diluted


      $

      (17,111)


      $

      (0.73)


      $

      (21,589)


      $

      (0.99)


      $

      (57,684)


      $

      (2.48)


      $

      (50,336)


      $

      (2.33)

      Adjustments:

























      Change in fair value of acquisition-related contingent consideration expense



      —






      2,005






      —






      2,605




      Amortization of acquired intangibles



      7,060






      8,291






      21,468






      21,936




      Amortization of debt discount and issuance costs



      406






      3,280






      1,310






      9,647




      Settlement



      —






      —






      500






      —




      Severance expense



      354






      917






      516






      917




      Acquisition-related expense



      —






      572






      217






      823




      Stock-based compensation expense



      8,011






      8,098






      28,962






      22,408




      Impact to income taxes (1)



      439






      (1,762)






      1,588






      (6,306)




      Adjusted net (loss) income and Adjusted Diluted EPS


      $

      (841)


      $

      (0.04)


      $

      (188)


      $

      (0.01)


      $

      (3,123)


      $

      (0.13)


      $

      1,694


      $

      0.07

      (1)

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












      Three Months Ended


      Nine Months Ended



      September 30, 


      September 30, 



      2021


      2020


      2021


      2020

      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, basic and diluted for GAAP


      23,407,391


      21,779,808


      23,230,138


      21,571,214

      Adjustments:









      Weighted average dilutive effect of stock options


      —


      —


      —


      1,281,367

      Weighted average dilutive effect of restricted stock


      —


      —


      —


      491,245

      Weighted average dilutive effect of contingent shares


      —


      —


      —


      74,102

      Weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS (1)


      23,407,391


      21,779,808


      23,230,138


      23,417,928

      (1)

      For the three and nine months ended September 30, 2021, we accounted for the convertible senior subordinated notes utilizing the if-converted method.
      Under this method, we are required to presume that the convertible senior subordinated notes are converted at the beginning of the current period and
      settled entirely in our common stock. However, no potential shares are assumed outstanding and are excluded from the diluted EPS calculation if
      including them would have an anti-dilutive effect. For the three and nine months ended September 30, 2021, there was no impact on diluted EPS from
      the convertible senior subordinated notes as the conversion would have had an anti-dilutive effect.




      For the three and nine months ended September 30, 2020, we accounted for the convertible senior subordinated notes utilizing the treasury stock method.
      Under this method, we presumed that we would settle the notes entirely or partly in cash. The underlying shares issuable upon conversion of the notes
      were excluded from the calculation of diluted EPS, except to the extent that the average stock price for the reporting period exceeded their conversion
      price of $69.95 per share. For the three and nine months ended September 30, 2020, there was no impact on diluted EPS from the convertible senior
      subordinated notes as the conversion price exceeded our average stock price.

      TABULA RASA HEALTHCARE, INC.

      UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP GUIDANCE RANGES

      (In millions)











      Three Months Ended December 31, 2021


      Year Ended December 31, 2021



      LOW


      HIGH


      LOW


      HIGH

      Reconciliation from Net Loss Guidance to Adjusted
      EBITDA Guidance













      Net loss:


      $

      (19.8)


      $

      (18.8)


      $

      (77.5)


      $

      (76.5)

      Add:













      Interest expense



      2.2



      2.2



      9.2



      9.2

      Income tax expense



      0.1



      0.1



      0.6



      0.6

      Depreciation and amortization



      12.1



      12.1



      47.4



      47.4

      Settlement



      —



      —



      0.5



      0.5

      Severance expense



      0.4



      0.4



      0.9



      0.9

      Stock-based compensation expense



      9.0



      9.0



      38.0



      38.0

      Acquisition-related expense



      —



      —



      0.2



      0.2

      Adjusted EBITDA


      $

      4.0


      $

      5.0


      $

      19.3


      $

      20.3

      SOURCE Tabula Rasa HealthCare, Inc.

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