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Tabula Rasa HealthCare Reports First Quarter 2020 Results

MOORESTOWN, N.J., May 07, 2020 (GLOBE NEWSWIRE) -- Tabula Rasa HealthCare®, Inc. (“TRHC”) (TRHC), a healthcare technology company advancing the field of medication safety, today reported financial results for the first quarter ended March 31, 2020.

First Quarter 2020 Highlights

  • Total revenue of $72.8 million, near the high end of our guidance range of $68.5 million to $73.5 million for the first quarter of 2020, increased 19%, on a reported basis, and 9%, on an organic basis, compared to a year ago.

  • Non-GAAP Adjusted EBITDA of $4.8 million, near the high end of our guidance range of $4.0 million to $5.0 million for the first quarter of 2020, decreased 16% compared to a year ago due to increased investments to drive future growth. The company also incurred modest expenses in response to the COVID-19 pandemic.

  • Non-GAAP Adjusted diluted EPS decreased to $0.01 from $0.10 a year ago.

  • As part of our previously communicated reorganization, as of January 1, 2020, we operate through two business segments, CareVention (i.e. PACE) HealthCare and MedWise HealthCare, the latter encompassing our payer, pharmacy and provider-focused businesses.

  • CareVention HealthCare revenue increased 15% to $48.7 million driven by organic growth.

  • MedWise HealthCare revenue increased 29% to $24.2 million, driven by the acquisition of PrescribeWellness.

  • Bookings, based on Annualized Recurring Revenue, or ARR, increased more than 102% compared to any quarter during 2019 due to key new business relationships with Health Mart, MODA Health Plan, WellCare, and two of the top ten health plans.

  • Our overall sales pipeline as of May 1, 2020, is 49% higher vs. January 1, 2020 with the number of aggregate sales opportunities up 68%.

  • Full year 2020 guidance remains unchanged.

“I am proud of the actions we have taken as a company to keep our team members safe, well informed, and engaged during these challenging times, all while continuing to deliver for our clients and execute on our long-term vision. We are particularly excited about the proactive role we are taking with the current pandemic through our scientific research efforts and support of COVID-19 testing at our nationwide network of community pharmacies, as well as the growing recognition of the important role pharmacists are playing under new federal and state legislative actions,” said TRHC Chief Executive Officer, Chairman and Founder Calvin H. Knowlton, PhD.

Dr. Knowlton continued, “During 2019, we made significant investments in our sales and marketing organization and I am pleased to report we have begun to benefit from these investments with a record number of bookings in the first quarter. Our performance was driven by our MedWise HealthCare business segment and specifically, important pharmacy wins at Health Mart and with a large pharmacy chain, as well as a number of exciting new relationships including WellCare, MODA Health Plan and two of the top ten largest plans in the United States. We signed a multi-year enterprise license agreement with Health Mart, the nation’s largest independent pharmacy franchise with more than 5,000 members. We plan to share more about this expanded relationship in the coming months.”

First Quarter 2020 Results

All comparisons, unless otherwise noted, are to the three months ended March 31, 2019.

  • Total revenue - Total revenue increased 19% to $72.8 million, near the high end of our guidance range of $68.5 million to $73.5 million for the first quarter of 2020. Total revenue included product revenue of $37.1 million, an increase of 20% and service revenue of $35.7 million, an increase of 19%. On an organic basis, adjusting for the March 2019 acquisition of PrescribeWellness®, total revenue increased 9% while service revenue remained flat due to changes in CMS Star Ratings and the front-loading of work in anticipation of a large year-end contract.

  • Total revenue by segment - CareVention HealthCare™ revenue increased 15% to $48.7 million, comprised of $37.1 million of PACE product revenue (a 20% increase compared to a year ago) and $11.6 million of PACE solutions revenue (a 4% increase compared to a year ago). MedWise HealthCare revenue increased 29% to $24.2 million, comprised of $14.3 million (a 7% decrease compared to a year ago) of medication safety services and $9.8 million (a 185% increase compared to a year ago) of software subscriptions, the latter driven by the acquisition of PrescribeWellness. On an organic basis, MedWise HealthCare total revenue declined by 4% compared to a year ago with software subscriptions increasing 7%. MedWise medication safety services was negatively impacted by the above cited CMS Star Ratings and the front-loading of work in anticipation of a large year-end contract, resulting in a lower number of clinical interventions in the first quarter of 2020.

  • Gross margin - Gross margin, excluding depreciation and amortization expense, was 34.0% compared to 31.6% a year ago. Product gross margin increased from 24.2% to 26.7%, benefiting from our transition to a new prime vendor, and service gross margin increased 39.3% to 42.0%, benefiting from our PrescribeWellness acquisition and growing mix of high-margin software subscriptions revenue. Software-related revenue, largely comprised of software subscriptions, represented 19% of total revenue as compared with 12% a year ago.

  • Non-GAAP Adjusted EBITDA - Non-GAAP Adjusted EBITDA of $4.8 million, near the high end of our guidance range of $4.0 million to $5.0 million for the first quarter of 2020, decreased 16% compared to $5.7 million a year ago, due to higher operating investments in the first quarter of 2020 to drive future growth. Non-GAAP Adjusted EBITDA margin decreased to 6.6% compared to 9.3% a year ago.

  • Non-GAAP Adjusted EBITDA by segment - Excluding $9.7 million of shared services allocated to corporate, CareVention HealthCare non-GAAP Adjusted EBITDA of $11.7 million (24.1% margin) increased 11% compared to $10.6 million (25.2% margin) a year ago. MedWise HealthCare non-GAAP Adjusted EBITDA of $2.8 million (11.7% margin) increased 72% compared to $1.6 million (8.8% margin) a year ago due to staffing efficiencies and higher member engagement.

  • GAAP Net loss - Net loss was $14.4 million compared to a net loss of $11.0 million a year ago. The primary factors contributing to the net loss were stock-based compensation expense of $7.1 million (up from $6.9 million), depreciation and amortization of $9.9 million (up from $6.3 million), and interest expense of $4.6 million (up from $2.7 million).

  • GAAP EPS - Net loss per diluted share of $0.68 compared to $0.54 a year ago. The net loss per share calculations were based on a diluted share count of 21.4 million for the first quarter of 2020, compared to 20.4 million for the same period a year ago.

  • Non-GAAP EPS - Non-GAAP Adjusted net income per diluted share, or Adjusted Diluted EPS, was $0.01 as compared to $0.10 a year ago. The net income per share calculations were based on a diluted share count of 23.3 million for the first quarter of 2020, compared to 22.9 million for the same period a year ago.

  • Cash - Unrestricted cash at the end of the first quarter was $38.1 million as compared to $42.5 million at the end of 2019. The decrease in cash was driven by net cash used in operating activities of less than $1.0 million and capitalized software of $4.2 million compared to $2.6 million a year ago. No amounts were drawn on our $60 million line of credit.

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.”

Financial Outlook

Our guidance is based on current market conditions and our expectations as of today. Given the uncertainty associated with the duration and magnitude of the COVID-19 pandemic, as well as its broader impact, the factors underlying our outlook may change in the coming months.

For the second quarter ending June 30, 2020 we expect:

  • Total revenue in the range of $76 million to $81 million, driven by sequential growth compared to the first quarter of 2020 in both the CareVention HealthCare and MedWise HealthCare segments.

  • GAAP net loss in the range of $12.3 million to $10.8 million.

  • Non-GAAP adjusted EBITDA in the range of $7 million to $9 million.

For the full year ending December 31, 2020 we continue to expect:

  • Revenue in the range of $332 million to $352 million with stronger organic growth rates in the third and fourth quarters as: 1) year-to-date bookings come online and are fully reflected in revenue and 2) the total number of clinical interventions increases significantly compared to the first half of 2020 and the second half of 2019.

  • GAAP net loss in the range of $35.5 million to $30.5 million.

  • Non-GAAP adjusted EBITDA in the range of $46 million to $52 million.

  • Free cash flow, excluding capitalized software and capital expenditures, in the range of $15 million to $20 million.

Upcoming Events
Brian Adams, TRHC’s Chief Financial Officer, will be presenting at the RBC Capital Markets Global Healthcare Virtual Conference on Wednesday, May 20, 2020. Dr. Knowlton and Mr. Adams will be presenting at the William Blair 40th Annual Growth Stock Conference on Wednesday, June 10, 2020.

Quarterly Conference Call
The first quarter 2020 earnings conference call and webcast will be held today, Thursday, May 7, 2020, at 5:00 p.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 Conference ID Number: 4293305 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 until May 14, 2020 by dialing 855-859-2056 for U.S. participants or 404-537-3406 for international participants and referencing Conference ID Number: 4293305.

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 performance 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, visit TRHC.com.

Non-GAAP Financial Measures
In addition to reporting all financial information required in accordance with GAAP, TRHC is also reporting gross margin excluding depreciation and amortization expense, Adjusted EBITDA 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.

Gross margin is calculated as total revenue minus total cost of revenue, exclusive of depreciation and amortization (as presented in the Consolidated Statements of Operations), as a percentage of total revenue. Product margin is calculated as product revenue minus cost of product revenue, exclusive of depreciation and amortization (as presented in the Consolidated Statements of Operations), as a percentage of product revenue. Service margin is calculated as service revenue minus cost of service revenue, exclusive of depreciation and amortization (as presented in the Consolidated Statements of Operations), as a percentage of service revenue.

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 (income) expense, acquisition-related expense and stock-based compensation expense. 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, acquisition-related expense, stock-based compensation expense, and the tax impact of using a normalized tax rate on pre-tax income 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 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 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 expectation 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 and the financial and operating performance of TRHC, including with respect to international expansion and integration of recent acquisitions, and the impacts of the COVID-19 pandemic. 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 current 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 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 March 2, 2020, 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)

March 31,

December 31,

2020

2019

Assets

Current assets:

Cash

$

38,134

$

42,478

Restricted cash

3,763

4,103

Accounts receivable, net

36,237

29,123

Inventories

5,135

3,700

Prepaid expenses

4,615

4,299

Other current assets

5,780

10,835

Total current assets

93,664

94,538

Property and equipment, net

15,612

15,798

Operating lease right-of-use assets

23,260

22,100

Software development costs, net

20,906

18,501

Goodwill

150,760

150,760

Intangible assets, net

182,591

189,413

Other assets

1,058

1,281

Total assets

$

487,851

$

492,391

Liabilities and stockholders’ equity

Current liabilities:

Current portion of long-term debt and finance leases, net

$

10

$

125

Current operating lease liabilities

4,635

4,350

Accounts payable

10,354

8,622

Accrued expenses and other liabilities

25,312

26,906

Total current liabilities

40,311

40,003

Long-term debt and finance leases, net

229,444

226,294

Noncurrent operating lease liabilities

21,853

21,017

Long-term acquisition-related contingent consideration

11,500

10,800

Deferred income tax liability

5,289

8,656

Other long-term liabilities

53

73

Total liabilities

308,450

306,843

Stockholders' equity:

Common stock

2

2

Treasury stock

(3,956

)

(3,865

)

Additional paid-in capital

296,726

288,345

Accumulated deficit

(113,371

)

(98,934

)

Total stockholders’ equity

179,401

185,548

Total liabilities and stockholders’ equity

$

487,851

$

492,391


TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)

Three Months Ended

March 31,

2020

2019

Revenue:

Product revenue

$

37,087

$

30,982

Service revenue

35,740

29,977

Total revenue

72,827

60,959

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

Product cost

27,199

23,475

Service cost

20,874

18,193

Total cost of revenue, exclusive of depreciation and amortization

48,073

41,668

Operating expenses:

Research and development

4,828

5,550

Sales and marketing

5,540

4,850

General and administrative

16,967

13,743

Change in fair value of acquisition-related contingent consideration expense

700

1,176

Depreciation and amortization

9,913

6,299

Total operating expenses

37,948

31,618

Loss from operations

(13,194

)

(12,327

)

Interest expense, net

4,610

2,693

Loss before income taxes

(17,804

)

(15,020

)

Income tax benefit

(3,367

)

(4,041

)

Net loss

$

(14,437

)

$

(10,979

)

Net loss per share, basic and diluted

$

(0.68

)

$

(0.54

)

Weighted average common shares outstanding, basic and diluted

21,374,897

20,384,557


TABULA RASA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

Three Months Ended

March 31,

2020

2019

Cash flows from operating activities:

Net loss

$

(14,437

)

$

(10,979

)

Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation and amortization

9,913

6,299

Amortization of deferred financing costs and debt discount

3,252

1,575

Deferred taxes

(3,367

)

(3,381

)

Stock-based compensation

7,137

6,852

Change in fair value of acquisition-related contingent consideration

700

1,176

Acquisition-related contingent consideration paid

(24,428

)

Other noncash items

12

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

Accounts receivable, net

(7,114

)

(3,258

)

Inventories

(1,435

)

(117

)

Prepaid expenses and other current assets

4,625

(2,029

)

Other assets

54

(354

)

Accounts payable

1,528

(1,458

)

Accrued expenses and other liabilities

(1,633

)

3,464

Other long-term liabilities

(20

)

(20

)

Net cash used in operating activities

(797

)

(26,646

)

Cash flows from investing activities:

Purchases of property and equipment

(763

)

(1,019

)

Software development costs

(4,228

)

(2,630

)

Proceeds from repayment of note receivable

1,000

Acquisitions of businesses, net of cash acquired

(158,726

)

Net cash used in investing activities

(4,991

)

(161,375

)

Cash flows from financing activities:

Proceeds from exercise of stock options

1,153

1,037

Payments for debt financing costs

(9,418

)

Repayments of line of credit

(45,000

)

Payments of acquisition-related contingent consideration

(18,722

)

Repayments of long-term debt and finance leases

(49

)

(276

)

Proceeds from issuance of convertible senior subordinated notes

325,000

Proceeds from sale of warrants

65,910

Purchase of convertible note hedges

(101,660

)

Net cash provided by financing activities

1,104

216,871

Net (decrease) increase in cash and restricted cash

(4,684

)

28,850

Cash and restricted cash, beginning of period

46,581

25,029

Cash and restricted cash, end of period

$

41,897

$

53,879


TABULA RASA HEALTHCARE, INC.
UNAUDITED SEGMENT RESULTS
(In thousands)

Three Months Ended

March 31, 2020

Revenue

CareVention HealthCare:

PACE product revenue

$

37,087

PACE solutions

11,571

Total CareVention HealthCare

48,658

MedWise HealthCare:

Medication safety services

14,320

Software subscriptions

9,849

Total MedWise HealthCare

24,169

Total Revenue

$

72,827

Adjusted EBITDA

CareVention HealthCare

$

11,748

MedWise HealthCare

2,831

Shares Services

(9,772

)

Total Adjusted EBITDA

$

4,807


Three Months Ended

Year Ended

March 31, 2019

June 30, 2019

September 30, 2019

December 31, 2019

December 31, 2019

Revenue

CareVention HealthCare:

PACE product revenue

$

30,982

$

33,372

$

34,966

$

37,810

$

137,130

PACE solutions

11,174

11,437

11,276

12,021

45,908

Total CareVention HealthCare

42,156

44,809

46,242

49,831

183,038

MedWise HealthCare:

Medication safety services

15,351

22,498

18,706

13,362

69,917

Software subscriptions

3,452

8,948

9,322

10,030

31,752

Total MedWise HealthCare

18,803

31,446

28,028

23,392

101,669

Total Revenue

$

60,959

$

76,255

$

74,270

$

73,223

$

284,707

Adjusted EBITDA

CareVention HealthCare

$

10,620

$

11,466

$

12,632

$

12,773

$

47,491

MedWise HealthCare

1,648

9,059

5,388

2,181

18,276

Shares Services

(6,577

)

(6,873

)

(7,444

)

(6,952

)

(27,846

)

Total Adjusted EBITDA

$

5,691

$

13,652

$

10,576

$

8,002

$

37,921

TABULA RASA HEALTHCARE, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP MEASURES
(In thousands except share and per share amounts)

Three Months Ended March 31,

2020

2019

Reconciliation of net loss to Adjusted EBITDA

Net loss

$

(14,437

)

$

(10,979

)

Add:

Interest expense, net

4,610

2,693

Income tax benefit

(3,367

)

(4,041

)

Depreciation and amortization

9,913

6,299

Change in fair value of acquisition-related contingent consideration expense

700

1,176

Acquisition-related expense

251

3,691

Stock-based compensation related expense

7,137

6,852

Adjusted EBITDA

$

4,807

$

5,691


Three Months Ended March 31,

2020

2019

Reconciliation of diluted net loss per share to Adjusted Diluted EPS

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

$

(14,437

)

$

(0.68

)

$

(10,979

)

$

(0.54

)

Adjustments:

Change in fair value of acquisition-related contingent consideration expense

700

1,176

Amortization of acquired intangibles

6,822

4,667

Amortization of debt discount and issuance costs

3,152

1,527

Acquisition-related expense

251

3,691

Stock-based compensation expense

7,137

6,852

Impact to income taxes (1)

(3,435

)

(4,737

)

Adjusted net income and Adjusted Diluted EPS

$

190

$

0.01

$

2,197

$

0.10

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

Three Months Ended

March 31,

2020

2019

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

21,374,897

20,384,557

Adjustments:

Weighted average dilutive effect of stock options

1,384,878

1,675,014

Weighted average dilutive effect of restricted stock

484,979

842,134

Weighted average dilutive effect of contingent shares

75,569

28,665

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

23,320,323

22,930,370

(1) TRHC account for the convertible senior subordinated notes utilizing the Treasury Stock Method as we currently intend to settle the notes entirely or partly in cash. Under this method, the underlying shares of TRHC common stock issuable upon conversion of the notes are excluded from the calculation of diluted EPS, except to the extent that the average stock price for the reporting period exceeds their conversion price of $69.95 per share. For the three months ended March 31, 2020, there was no impact on diluted EPS from the convertible senior subordinated notes as the conversion price exceeded TRHC’s average stock price.

TABULA RASA HEALTHCARE, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP GUIDANCE RANGES
(In millions)

LOW

HIGH

LOW

HIGH

Three Months Ended June 30, 2020

Year Ended December 31, 2020

Reconciliation from Net Loss Guidance to Adjusted EBITDA Guidance

Net loss:

$

(12.3

)

$

(10.8

)

$

(35.5

)

$

(30.5

)

Add:

Interest expense

4.7

4.7

19.0

19.0

Income tax benefit

(2.6

)

(2.1

)

(7.3

)

(6.3

)

Depreciation and amortization

10.2

10.2

40.7

40.7

Stock-based compensation expense

7.0

7.0

28.1

28.1

Change in fair value of contingent consideration

0.7

0.7

Acquisition-related expense

0.3

0.3

Adjusted EBITDA

$

7.0

$

9.0

$

46.0

$

52.0

Contact:

Investors
Frank Sparacino
fsparacino@TRHC.com
T: 866-648-2767

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

Amanda Bednar
abednar@trhc.com
T: (856) 912-5714