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Tabula Rasa HealthCare Reports Fourth Quarter and Full Year 2022 Financial Results

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Fourth Quarter Concludes Successful Transformational Year, With Company Sharpening Focus and Laying a Foundation for Sustainable, Profitable Growth

Recently Completed Sales of SinfoníaRx and DoseMe

Shares Full Year 2023 Revenue Guidance and Adjusted EBITDA Guidance

MOORESTOWN, N.J., March 6, 2023 /PRNewswire/ -- Tabula Rasa HealthCare, Inc.® (Nasdaq: TRHC) ("TRHC" or the "Company"), a leading healthcare technology company advancing the safe use of medications, today reported financial results for the fourth quarter and full year ended December 31, 2022.

Highlights from fourth quarter and full year 2022 include:

Quarter ended December 31, 2022:

  • Fourth quarter revenue from continuing operations of $82.7 million, representing a 20% increase versus the prior year fourth quarter
  • Fourth quarter GAAP net loss and adjusted EBITDA from continuing operations of $18.4 million and $4.1 million, respectively

Full year ended December 31, 2022:

  • Full year 2022 revenue from continuing operations of $299.5 million, representing a 15% increase versus the prior year
  • Full year 2022 GAAP net loss and adjusted EBITDA from continuing operations of $77.3 million and $9.3 million, respectively

"Since the leadership changes announced last September, we have taken a number of transformational steps to reposition TRHC for long-term success and profitable growth. These include strengthening our management team, refreshing our Board of Directors, and divesting two non-core businesses, which is allowing the Company to refocus its vision and better deliver consistent execution of our financial and strategic objectives. We are in a strong position as we enter 2023, and I am extremely proud of our team members and what we have accomplished over the last year as we continue to make positive impacts on patient care for our customers," said Brian Adams, President and Interim Chief Executive Officer.




















Key Financial Results

(in millions except percentages)






















Q4


Full Year



2022


2021


% Change


2022


2021


% Change

Revenue from continuing operations


$

82.7


$

68.9


20

%


$

299.5


$

259.9


15

%

Gross margin



23.8 %



26.6 %






22.3 %



25.6 %




Adjusted gross margin



24.6 %



28.7 %






23.7 %



27.6 %




GAAP net loss from continuing operations


$

(18.4)


$

(13.0)


(41)

%


$

(77.3)


$

(52.2)


48

%

Adjusted net loss from continuing operations


$

(1.2)


$

(0.8)


(41)

%


$

(10.1)


$

(5.7)


77

%

Adjusted EBITDA from continuing operations


$

4.1


$

4.1


%


$

9.3


$

12.1


(23)

%

 

Fourth Quarter 2022 Financial Results

All comparisons, unless otherwise noted, are to the three months ended December 31, 2021, and reflect continuing operations. During the fourth quarter of 2022, the Company retitled its revenue categories from product revenue and service revenue to medication revenue and technology-enabled solutions revenue, respectively, in its consolidated statements of operations and notes to the consolidated financial statements. The changes had no impact to amounts previously reported.

  • Revenue – Revenue of $82.7 million increased 20% compared to $68.9 million in 2021 and increased 7% as compared to the third quarter of 2022. Medication revenue (previously, product revenue) of $64.4 million increased 27% due to continued strong PACE participant growth at existing centers and the onboarding of a large, new PACE program. Technology-enabled solutions revenue (previously, service revenue) of $18.3 million was flat as compared to the year ago period. Excluding $2.2 million of revenue related to the concluded CMS Enhanced Medication Therapy Management ("EMTM") pilot program included in the fourth quarter of 2021, technology-enabled solutions revenue increased 14%, driven by our pharmacy benefits management ("PBM") and risk adjustment services.
  • Gross Margin – Gross margin (exclusive of depreciation and amortization) of $19.7 million (23.8% of revenue) increased 7% as compared to $18.3 million (26.6% of revenue) a year ago and increased 17% as compared to the third quarter of 2022. Adjusted gross margin of $20.4 million (24.6% of revenue) increased 3% as compared to $19.8 million (28.7% of revenue) a year ago and increased 13% as compared to the third quarter of 2022. The decline in gross margin (exclusive of depreciation and amortization) vs. the year-ago period as a percentage of revenue was largely driven by revenue mix and increased shipping charges.
  • GAAP Net Loss – GAAP net loss from continuing operations of $18.4 million compared to a net loss of $13.0 million for the fourth quarter of 2021 and to a net loss of $25.9 million in the third quarter of 2022. The decline vs. the prior year quarter was primarily driven by non-cash impairment charges related to lease termination and other costs in connection with a reduced real estate footprint and severance costs.

    GAAP net loss from discontinued operations of $11.3 million compares to a net loss of $8.3 million a year ago and to a net loss of $14.2 million in the third quarter of 2022. All periods include the SinfoníaRx and DoseMe businesses. As previously announced on March 2, 2023, TRHC completed the sales of SinfoníaRx and DoseMe during the first quarter of 2023.
  • Adjusted EBITDA – Adjusted EBITDA from continuing operations of $4.1 million (5.0% of revenue) is flat to the prior year and increased 102% as compared to the third quarter of 2022.

Full Year 2022 Financial Results

All comparisons, unless otherwise noted, are to the full year 2021 and reflect continuing operations.

  • Revenue – Revenue of $299.5 million increased 15% compared to $259.9 million in 2021. Medication revenue of $231.1 million increased 22% due to strong PACE participant growth among existing centers and new clients onboarded during the year. Technology-enabled solutions revenue of $68.5 million decreased 3% from the year ago period. Excluding $9.2 million of revenue related to the EMTM pilot program included in 2021, technology-enabled solutions revenue increased 12%, driven by PBM and risk adjustment services.
  • Gross Margin – Gross margin (exclusive of depreciation and amortization) of $66.9 million (22.3% of revenue) increased 1% as compared to $66.5 million (25.6% of revenue) a year ago. Adjusted gross margin of $71.1 million (23.7% of revenue) decreased 1% as compared to $71.6 million (27.6% of revenue) a year ago. The decline in gross margin (exclusive of depreciation and amortization) as a percentage of revenue was largely driven by revenue mix and increased shipping charges.
  • GAAP Net Loss – GAAP net loss from continuing operations of $77.3 million compared to a net loss of $52.2 million a year ago, with the decline primarily driven by non-cash impairment charges, divestiture activities, and severance costs.

    GAAP net loss from discontinued operations of $70.2 million compares to a net loss of $26.8 million a year ago and includes PrescribeWellness for the first seven months of 2022, SinfoníaRx, and DoseMe. All three businesses were identified by management as non-strategic and have been divested.
  • Adjusted EBITDA – Adjusted EBITDA from continuing operations of $9.3 million (3.1% of revenue) declined as compared to $12.1 million (4.7% of revenue) a year ago, primarily due to increased expenses related to business process outsourcing agreements, as well as reasons above impacting gross margin.

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."

Operational Metrics

To provide transparency into our financial results, we are providing the following operational metrics. The average revenue per participant per month figures below are calculated in the same manner as the previously reported per member per month metrics.



















As of



December 31, 2021


March 31, 2022


June 30, 2022


September 30, 2022


December 31, 2022

PACE census1:
















Medication census



17,170



17,621



18,639



19,806



20,555

Technology-enabled solutions census



49,769



50,038



50,763



52,230



53,430

Total PACE census



49,769



50,038



50,763



52,230



53,430



















Three Months Ended



December 31, 2021


March 31, 2022


June 30, 2022


September 30, 2022


December 31, 2022

PACE average revenue per participant per month:
















Medication average revenue per participant per month2


$

989


$

978


$

1,036


$

1,051


$

1,056

Technology-enabled solutions revenue per participant per month3



90



89



91



91



92

Total PACE average revenue per participant per month



427



428



459



474



494


















 

PACE backlog as of December 31, 2022, was valued at $78 million in annual revenue at maturity, which the Company defines as enrollment of 250 participants for PACE clients. By comparison, PACE backlog was valued at $54 million as of September 30, 2022.

Outlook

Based on current market conditions and our expectations as of today, we are introducing first quarter and full year 2023 financial guidance as follows:


















Year over year growth



Low


High



Low

High

Three Months Ended March 31, 2023


(in millions except percentages)

Total revenue from continuing operations


$

82.0


$

84.0



22 %


25 %

Adjusted EBITDA from continuing operations


$

3.0


$

4.0



177 %


270 %




















Year over year growth



Low


High



Low

High

Year Ended December 31, 2023


(in millions except percentages)

Total revenue from continuing operations


$

343.0


$

354.0



15 %


18 %

Adjusted EBITDA from continuing operations


$

17.0


$

20.0



82 %


114 %

 

Upcoming Events

Members of TRHC's executive team are currently expected to present at the following conferences:

  • RBC Capital Markets 2023 Global Healthcare Conference in New York, NY, May 16-17,
  • SVB Securities Healthcare Crossroads Conference in Austin, TX, May 30-June 1,
  • Stifel 2023 Cross Sector Insight Conference in Boston, MA, June 6-7, and
  • 43rd Annual William Blair Growth Conference in Chicago, IL, June 6-8

 







1 Defined as the number of PACE participants utilizing at least one of our solution lines.

2 This metric is calculated as quarterly medication revenue from PACE clients divided by quarterly member months.

3 This metric is calculated as quarterly technology-enabled solutions revenue from PACE clients across all solution lines divided by quarterly member months.

Quarterly Conference Call

The fourth quarter and full year 2022 earnings conference call and webcast will be held tomorrow, Tuesday, March 7, at 8:30 a.m. ET. Those interested in participating via webcast in listen-only mode can access the event here. For participants who would like to participate via telephone, please register here to receive the dial-in number along with a unique PIN number that is required to access the call. A replay of the earnings call will be available via webcast at the Investor Relations section of TRHC's website (ir.tabularasahealthcare.com).

About Tabula Rasa HealthCare

Tabula Rasa HealthCare provides medication safety solutions that empower healthcare professionals and consumers to optimize medication regimens, combating medication overload and reducing adverse drug events. TRHC's proprietary technology solutions, including 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 at-risk provider groups 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 gross margin, adjusted EBITDA, adjusted cost of revenue, adjusted gross margin, adjusted operating expenses, adjusted operating income (loss), and adjusted net income (loss), which are considered non-GAAP financial measures. 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. TRHC presents adjusted EBITDA and the other non-GAAP financial measures in this release because it considers each of them to be an important supplemental measure of performance. TRHC also intends to provide adjusted EBITDA and the other non-GAAP financial measures in this release as part of the Company's future earnings discussions and, therefore, their inclusion should provide consistency in the Company's financial reporting.

Adjusted EBITDA consists of net loss plus certain other expenses, which include interest expense, provision for income tax, depreciation and amortization, change in fair value of contingent consideration receivable, impairment charges, business optimization expenses, severance costs, executive transition costs, cooperation agreement costs, divestiture-related expense, acquisition-related expense, stock-based compensation expense, loss on disposal of business, and settlement costs. TRHC considers business optimization expenses to include contract termination payments, lease termination costs, retention payments, and other employee and non-recurring vendor costs incurred related to its business optimization initiatives during 2022 and 2021. TRHC considers severance costs to include severance costs related to the realignment of its resources. TRHC considers executive transition costs to include non-recurring costs related to the hiring and onboarding of new named executive officers and separation costs related to former named executive officers. TRHC considers cooperation agreement costs to include legal, professional services, and other non-recurring costs related to the Company's cooperation agreement with Indaba Capital Management. TRHC considers divestiture-related expense to include non-recurring direct transaction costs. TRHC considers acquisition-related expense to include non-recurring direct transaction and integration costs. TRHC considers loss on disposal of business to include non-recurring loss resulting from the sale of the PrescribeWellness Business. TRHC considers settlement costs to include amounts payable by TRHC or reductions to amounts owed to TRHC as a result of a contractual settlement. TRHC uses adjusted EBITDA 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 adjusted EBITDA provides additional insight for analysts and investors in evaluating the Company's financial and operational performance.

TRHC defines adjusted cost of revenue as cost of revenue as presented on the consolidated statements of operations less those certain other expenses which are added to operating loss in calculating adjusted operating loss, including stock-based compensation expense and such other expenses, in each case to the extent that they are included in cost of revenue. TRHC believes adjusted cost of revenue provides the analyst and investor more accurate information regarding the actual cost of products and services provided by TRHC, excluding the impact of certain non-cash charges like stock-based compensation expense, and cost of revenue that are not recurring components of its core product and service costs, for better comparability of its cost of revenue between periods.

TRHC defines gross margin as total revenue less total cost of revenue (exclusive of depreciation and amortization) as presented on the consolidated statements of operations. TRHC defines adjusted gross margin as total revenue less total cost of revenue (exclusive of depreciation and amortization) as presented on the consolidated statements of operations, excluding the impact of those certain other expenses which are added to operating loss in calculating adjusted operating loss, including stock-based compensation expense and such other expenses, in each case to the extent that they are included in cost of revenue. TRHC believes adjusted gross margin provides the analyst and investor more accurate information regarding its core profit margin on sales, excluding the impact of certain non-cash charges like stock-based compensation expense, and cost of revenue that are not recurring components of its core product and service costs, for better comparability of gross margin between periods.

TRHC defines adjusted operating expenses as operating expenses as presented on the consolidated statements of operations plus or minus (as applicable) the impact those expenses added or subtracted from operating income (loss) in calculating adjusted operating income (loss), in each case to the extent they are included in operating expense. TRHC believes adjusted operating expenses provides the analyst and investor more accurate information regarding its core operating expenses, which include research and development costs, sales and marketing costs, general and administrative costs, depreciation of property and equipment, and amortization of software development costs, excluding the impact of certain non-cash charges like amortization of intangible assets acquired in prior business acquisitions and stock-based compensation expense, and charges that are not recurring components of its core operating expenses, for better comparability between periods.

TRHC defines adjusted operating income (loss) as operating income (loss) plus or minus (as applicable) amortization of acquired intangibles, change in fair value of contingent consideration receivable, impairment charges, business optimization expenses, severance costs, executive transition costs, cooperation agreement costs, divestiture-related expense, acquisition-related expense, and stock-based compensation expense. The items included in the calculation of adjusted EBITDA are determined in calculating adjusted operating income (loss) in the same manner. TRHC believes adjusted operating income (loss) provides the analyst and investor more accurate information regarding its core operating loss, excluding the impact of certain non-cash charges like amortization of intangible assets acquired in prior business acquisitions and stock-based compensation expense, and charges that are not recurring components of its core operating expenses, for better comparability between periods.

TRHC defines adjusted net income (loss) as net income (loss) plus or minus (as applicable) the impact of those expenses added or subtracted from operating income (loss) in calculating adjusted operating income (loss) along with the impact of amortization of debt discount and issuance costs, and the tax impact of all those items using an effective statutory tax rate on pre-tax loss adjusted for those items. TRHC believes adjusted net income (loss) provides the analyst and investor more accurate information regarding its core income (loss), excluding the impact of certain non-cash charges like amortization of intangible assets acquired in prior business acquisitions and stock-based compensation expense, and charges that are not recurring components of its core product and service costs or core operating expenses, for better comparability between periods.

In addition to the reasons given above for providing each of the Non-GAAP financial measures, TRHC believes each of these provide the analyst and investor more accurate information for better comparability to other companies, although such other companies may calculate Non-GAAP financial measures differently than TRHC.

Non-GAAP financial measures have limitations as an analytical tool. Investors are encouraged to review the reconciliations of adjusted EBITDA, adjusted cost of revenue, adjusted gross margin, adjusted operating expenses, adjusted operating income (loss), and adjusted net income (loss) to its most directly comparable GAAP measures provided in this release, including in the accompanying tables.

Safe Harbor Statement

This press release contains certain 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. Forward-looking statements may be identified by words such as "believe," "will," "may," "estimate," "continue," "anticipate," "intend," "should," "plan," "expect," "predict," "could," "potentially" or the negative of these terms or similar expressions. You should read these statements carefully because they discuss future expectations, contain projections of future results of operations or financial condition, or state other "forward-looking" information. These statements relate to, without limitation, our future plans, objectives, expectations, intentions, and financial performance and the assumptions that underlie these statements. These forward-looking statements are subject to certain risks and uncertainties that could cause actual results to differ materially from those anticipated in the forward-looking statements. Factors that might cause such a difference include, but are not limited to: (i) our expectations regarding industry and market trends, including the expected growth and continued structural change and consolidation in the market for healthcare in the United States; (ii) our expectations about the growth of Programs of All-Inclusive Care for the Elderly ("PACE") organizations; (iii) our expectations about private payers establishing their own at-risk programs; (iv) the advantages of our solutions as compared to those of competitors; (v) our estimates about our financial performance; (vi) the visibility into future cash flows from our business model; (vii) our ability to reduce expenses as a result of our disposition of non-core businesses; (viii) our growth strategy, including our ability to grow our client base; (ix) our plans to further penetrate existing markets and enter new markets; (x) expectations of earnings, revenue, and other financial items; (xi) plans, strategies, and objectives of management for future operations; (xii) our ability to establish and maintain intellectual property rights; (xiii) our ability to retain and hire necessary associates and appropriately staff our operations; (xiv) future capital expenditures; (xv) future economic conditions or performance; (xvi) our plans to pursue strategic acquisitions and partnerships; (xvii) our plans to expand and enhance our solutions; and (xviii) our estimates regarding capital requirements and needs for additional financing; and (xix) the risks described in Part I, Item 1A of our 2021 Form 10-K, to be included in Part I, Item IA of our 2022 Form 10-K to be filed shortly, and our other filings and reports filed with or furnished to the Securities and Exchange Commission. Forward-looking statements are based on our management's beliefs and assumptions and on information currently available to our management. These statements, like all statements in this report, speak only as of their date, and we undertake no obligation to update or revise these statements in light of future developments, except as required by applicable law. We caution investors that our business and financial performance are subject to substantial risks and uncertainties.

 

UNAUDITED CONSOLIDATED BALANCE SHEETS

(In thousands)










December 31



2022


2021

Assets 






Current assets: 







Cash and cash equivalents


$

70,017


$

9,395

Restricted cash



12,372



6,038

Accounts receivable, net



19,252



21,405

Inventories



6,566



5,444

Prepaid expenses



4,664



3,812

Client claims receivable



16,377



11,257

Other current assets



18,187



18,033

Current assets of discontinued operations



22,825



14,511

Total current assets



170,260



89,895

Property and equipment, net



9,158



11,778

Operating lease right-of-use assets



10,483



16,323

Software development costs, net



32,592



29,254

Goodwill



115,323



115,323

Intangible assets, net



38,326



45,358

Contingent consideration receivable



3,350



Other assets



4,657



3,929

Noncurrent assets of discontinued operations





187,558

Total assets


$

384,149


$

499,418








Liabilities and stockholders' equity (deficit)







Current liabilities:







Current operating lease liabilities


$

2,708


$

3,275

Accounts payable



19,459



8,870

Client claims payable



10,781



8,398

Accrued expenses and other liabilities



55,745



40,997

Current liabilities of discontinued operations



13,389



12,380

Total current liabilities



102,082



73,920

Line of credit





29,500

Long-term debt, net of discount



232,112



319,299

Long-term debt – related party, net of discount



88,522



Noncurrent operating lease liabilities



12,786



15,792

Deferred income tax liability, net



1,380



1,402

Other long-term liabilities



4,298



176

Noncurrent liabilities of discontinued operations





3,573

Total liabilities



441,180



443,662








Stockholders' equity (deficit):







Common stock



3



3

Treasury stock



(3,391)



(4,292)

Additional paid-in capital



354,214



320,392

Accumulated deficit



(407,857)



(260,347)

Total stockholders' equity (deficit)



(57,031)



55,756

Total liabilities and stockholders' equity (deficit)


$

384,149


$

499,418

 

TABULA RASA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share amounts)
















Three Months Ended


Year Ended



December 31


December 31



2022


2021


2022


2021

Revenue:











Medication revenue


$

64,407


$

50,570


$

231,052


$

189,591

Technology-enabled solutions revenue



18,301



18,327



68,464



70,291

Total revenue



82,708



68,897



299,516



259,882

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













Cost of medication revenue



49,370



38,761



178,527



143,700

Cost of technology-enabled solutions revenue



13,646



11,803



54,076



49,678

Total cost of revenue, exclusive of depreciation and amortization



63,016



50,564



232,603



193,378

Operating expenses: 













Research and development 



3,257



3,560



14,483



14,629

Sales and marketing



2,813



2,814



10,491



11,039

General and administrative 



16,029



17,370



74,974



63,095

Change in fair value of contingent consideration receivable



3,650





3,650



Long-lived asset impairment charge



4,881





8,943



Depreciation and amortization



6,393



5,373



23,347



20,482

Total operating expenses 



37,023



29,117



135,888



109,245

Loss from operations



(17,331)



(10,784)



(68,975)



(42,741)

Other income (expense): 













Interest expense, net



(1,604)



(2,148)



(9,034)



(9,107)

Other income



585





1,064



Total other expense, net



(1,019)



(2,148)



(7,970)



(9,107)

Loss from continuing operations before income taxes



(18,350)



(12,932)



(76,945)



(51,848)

Income tax expense



21



106



389



390

Net loss from continuing operations



(18,371)



(13,038)



(77,334)



(52,238)

Net loss from discontinued operations, net of tax



(11,271)



(8,333)



(70,176)



(26,817)

Net loss


$

(29,642)


$

(21,371)


$

(147,510)


$

(79,055)














Net loss per share:













Net loss per share from continuing operations, basic and diluted


$

(0.74)


$

(0.55)


$

(3.18)


$

(2.24)

Net loss per share from discontinued operations, basic and diluted



(0.45)



(0.36)



(2.89)



(1.15)

Total net loss per share, basic and diluted


$

(1.19)


$

(0.91)


$

(6.07)


$

(3.39)














Weighted average common shares outstanding, basic and diluted



24,939,826



23,470,252



24,293,483



23,290,660

 

 

 

TABULA RASA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)










Year Ended



December 31



2022


2021

Cash flows from operating activities:






Net loss


$

(147,510)


$

(79,055)

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







Depreciation and amortization



30,678



47,706

Amortization of deferred financing costs and debt discount



2,309



2,185

Deferred taxes



(22)



513

Stock-based compensation



36,831



38,454

Change in fair value of contingent consideration receivable



3,650



Acquisition-related contingent consideration paid





(67)

Impairment charges



56,828



Loss on divestiture of business



2,879



Other noncash items



70



39

Changes in operating assets and liabilities, net of effect of divestiture:







Accounts receivable, net



5,542



(1,526)

Inventories



(1,122)



(1,183)

Prepaid expenses and other current assets



(3,410)



(8,834)

Client claims receivables



(5,120)



2,697

Other assets



(1,315)



(2,057)

Accounts payable   



8,697



1,982

Accrued expenses and other liabilities



12,211



14,294

Client claims payables



2,383



664

Other long-term liabilities



3,778



(360)

Net cash provided by operating activities



7,357



15,452








Cash flows from investing activities:







Purchases of property and equipment



(2,285)



(3,350)

Software development costs



(26,451)



(31,844)

Proceeds from divestiture of business



120,038



Net cash provided by (used in) investing activities



91,302



(35,194)








Cash flows from financing activities:







Proceeds from exercise of stock options



73



4,072

Payments for employee taxes for shares withheld



(2,181)



(3)

Payments for debt financing costs



(350)



(8)

Borrowings on line of credit



27,700



29,500

Repayments of line of credit



(57,200)



(10,000)

Payment of acquisition-related notes payable





(16,542)

Payments of acquisition-related contingent consideration





(99)

Repayments of long-term debt and finance leases





(4)

Net cash (used in) provided by financing activities



(31,958)



6,916








Net increase (decrease) in cash, cash equivalents and restricted cash



66,701



(12,826)

Cash, cash equivalents and restricted cash, beginning of year



15,706



28,532

Cash, cash equivalents and restricted cash, end of year


$

82,407


$

15,706

 

TABULA RASA HEALTHCARE, INC.

UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(In thousands)
















Three Months Ended
December 31


Year Ended
December 31



2022


2021


2022


2021

Reconciliation of Net Loss to Adjusted EBITDA from Continuing
Operations













Net loss


$

(29,642)


$

(21,371)


$

(147,510)


$

(79,055)

Add:













Interest expense, net



1,604



2,148



9,034



9,107

Income tax expense



21



106



389



390

Depreciation and amortization



6,393



5,373



23,347



20,482

Change in fair value of contingent consideration receivable



3,650





3,650



Impairment charges



4,881





8,943



Business optimization expenses



85



1,061



872



1,061

Severance costs



1,421



371



2,118



887

Executive transition







1,971



Cooperation agreement costs



(142)





980



Divestiture-related expense



390





2,981



Acquisition-related expense









217

Stock-based compensation expense



4,205



8,091



32,378



32,191

Loss from discontinued operations



11,271



8,333



70,176



26,817

Adjusted EBITDA from continuing operations


$

4,137


$

4,112


$

9,329


$

12,097

Adjusted EBITDA (loss) from discontinued operations



(5,207)



220



(6,243)



7,514

Total Adjusted EBITDA (loss)


$

(1,070)


$

4,332


$

3,086


$

19,611
















Three Months Ended
December 31


Year Ended
December 31



2022


2021


2022


2021

Reconciliation of Net Loss from Discontinued Operations, net of tax to
Adjusted EBITDA (Loss) from Discontinued Operations













Net loss from discontinued operations, net of tax


$

(11,271)


$

(8,333)


$

(70,176)


$

(26,817)

Add:













Income tax expense (benefit)



344



55



(318)



237

Depreciation and amortization





6,990



7,331



27,224

Impairment charges



5,592





47,885



Loss on disposal of business







2,879



Business optimization expenses





107





107

Severance costs



39





39



Settlement







1,448



500

Divestiture-related expense







216



Stock-based compensation expense



89



1,401



4,453



6,263

Adjusted EBITDA (loss) from discontinued operations


$

(5,207)


$

220


$

(6,243)


$

7,514

 

TABULA RASA HEALTHCARE, INC.

UNAUDITED RECONCILIATION OF STATEMENT OF OPERATIONS TO NON-GAAP MEASURES

(In thousands)



















Three Months Ended December 31, 2022



Cost of
Revenue


Gross
Margin


Operating
Expenses


Operating
Loss


Net Loss

Reconciliation of statement of operations to adjusted
amounts from continuing operations
















Statement of operations amounts


$

63,016


$

19,692


$

37,023


$

(17,331)


$

(18,371)

Adjustments:
















Amortization of acquired intangibles







(1,949)



1,949



1,949

Change in fair value of contingent consideration receivable







(3,650)



3,650



3,650

Impairment charges







(4,881)



4,881



4,881

Amortization of debt discount and issuance costs











337

Business optimization expenses







(85)



85



85

Severance costs







(1,421)



1,421



1,421

Cooperation agreement costs







142



(142)



(142)

Divestiture-related expense







(390)



390



390

Stock-based compensation expense



(681)



681



(3,524)



4,205



4,205

Impact to income taxes











431

Adjusted amounts


$

62,335


$

20,373


$

21,265


$

(892)


$

(1,164)



































Three Months Ended September 30, 2022



Cost of
Revenue


Gross
Margin


Operating
Expenses


Operating
Loss


Net Loss

Reconciliation of statement of operations to adjusted
amounts from continuing operations
















Statement of operations amounts


$

60,235


$

16,866


$

40,515


$

(23,649)


$

(25,880)

Adjustments:
















Amortization of acquired intangibles







(1,694)



1,694



1,694

Amortization of debt discount and issuance costs











1,033

Severance costs







(122)



122



122

Executive transition







(1,821)



1,821



1,821

Cooperation agreement costs







(1,122)



1,122



1,122

Divestiture-related expense







(1,057)



1,057



1,057

Stock-based compensation expense



(1,124)



1,124



(14,254)



15,378



15,378

Impact to income taxes











947

Adjusted amounts


$

59,111


$

17,990


$

20,445


$

(2,455)


$

(2,706)



















Three Months Ended December 31, 2021



Cost of Revenue


Gross Margin


Operating Expenses


Operating Loss


Net Loss

Reconciliation of statement of operations to adjusted
amounts from continuing operations
















Statement of operations amounts


$

50,564


$

18,333


$

29,117


$

(10,784)


$

(13,038)

Adjustments:
















Amortization of acquired intangibles







(1,822)



1,822



1,822

Amortization of debt discount and issuance costs











471

Business optimization expenses







(1,061)



1,061



1,061

Severance costs







(371)



371



371

Stock-based compensation expense



(1,431)



1,431



(6,660)



8,091



8,091

Impact to income taxes











397

Adjusted amounts


$

49,133


$

19,764


$

19,203


$

561


$

(825)

 

TABULA RASA HEALTHCARE, INC.

UNAUDITED RECONCILIATION OF STATEMENT OF OPERATIONS TO NON-GAAP MEASURES

(In thousands)



















Year Ended December 31, 2022



Cost of
Revenue


Gross
Margin


Operating
Expenses


Operating
Loss


Net Loss

Reconciliation of statement of operations to adjusted
amounts from continuing operations
















Statement of operations amounts


$

232,603


$

66,913


$

135,888


$

(68,975)


$

(77,334)

Adjustments:
















Amortization of acquired intangibles







(7,032)



7,032



7,032

Change in fair value of contingent consideration receivable







(3,650)



3,650



3,650

Impairment charges







(8,943)



8,943



8,943

Amortization of debt discount and issuance costs











2,309

Business optimization expenses



(433)



433



(439)



872



872

Severance costs







(2,118)



2,118



2,118

Executive transition







(1,971)



1,971



1,971

Cooperation agreement costs







(980)



980



980

Divestiture-related expense







(2,981)



2,981



2,981

Stock-based compensation expense



(3,723)



3,723



(28,655)



32,378



32,378

Impact to income taxes











3,963

Adjusted amounts


$

228,447


$

71,069


$

79,119


$

(8,050)


$

(10,137)



































Year Ended December 31, 2021



Cost of
Revenue


Gross
Margin


Operating
Expenses


Operating
Loss


Net Loss

Reconciliation of statement of operations to adjusted
amounts from continuing operations
















Statement of operations amounts


$

193,378


$

66,504


$

109,245


$

(42,741)


$

(52,238)

Adjustments:
















Amortization of acquired intangibles







(7,560)



7,560



7,560

Amortization of debt discount and issuance costs











2,185

Business optimization expenses







(1,061)



1,061



1,061

Severance costs



(197)



197



(690)



887



887

Acquisition-related expense







(217)



217



217

Stock-based compensation expense



(4,914)



4,914



(27,277)



32,191



32,191

Impact to income taxes











2,410

Adjusted amounts


$

188,267


$

71,615


$

72,440


$

(825)


$

(5,727)

 

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SOURCE Tabula Rasa HealthCare, Inc.

Tabula Rasa HealthCare, Inc.

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the tabula rasa healthcare family of companies provide new beginnings for our clients, through innovative service models and fresh approaches to healthcare technology. our leaders understand that to maximize patient experiences and outcomes, they must help providers to balance efficiency and scalability with safety and individualization of care.