Tabula Rasa HealthCare Reports Fourth Quarter and Full Year 2020 Results

MOORESTOWN, N.J., Feb. 23, 2021 /PRNewswire/ -- Tabula Rasa HealthCare, Inc. ("TRHC") (Nasdaq: TRHC), a healthcare technology company advancing the safe use of medications, today reported financial results for the fourth quarter and full year ended December 31, 2020.

"We finished a challenging 2020 with fourth quarter revenue exceeding the high end of the guidance range we provided on November 3, 2020 and adjusted EBITDA at the high end of our guidance range. While the ongoing pandemic has created short-term headwinds, it has also elevated the critical role pharmacists play in the broader healthcare ecosystem. We are uniquely positioned to capitalize on the growing market opportunity for our medication risk mitigation science and solutions over the next decade," said Calvin H. Knowlton, PhD, TRHC's Chief Executive Officer, Chairman and Founder.

CareVention Highlights

    --  Through a combination of organic growth and strategic acquisitions, we
        ended 2020 serving 44,947 PACE participants, which represents less than
        3% of the estimated 2.2 million PACE-eligible individuals based on
        recent industry data. After taking into account the October 2020
        acquisition of Personica, our average PACE per-member per-month (PMPM)
        revenue during the fourth quarter was $394, which is one-third of the
        potential revenue we would expect to capture for clients utilizing all
        of our services. Driving our PMPM higher through cross-selling new
        services to existing clients is a strategic priority for TRHC in 2021.
        During 2020, we recognized more than $2 million of cross-sell revenue.
    --  Our fourth quarter PACE census additions for our pharmacy fulfillment
        services represented the best quarterly performance during 2020 and
        increased as compared with the fourth quarter of 2019 on both a gross
        and net enrollment basis.
    --  As of February 16, 2021 the current backlog of new expansion centers and
        new PACE organizations under contract to open over the remainder of 2021
        stands at 21 locations. The majority of these new implementations are
        scheduled for the second half of 2021.

MedWise Highlights

    --  Fourth quarter bookings across all divisions (i.e. MedWise and
        CareVention) increased 58% as compared to the same period in 2019. This
        growth was driven by exponential growth in our MedWise payer division
        and strong growth in our CareVention segment. For the full year 2020,
        bookings increased 52% as compared to 2019, once again driven by our
        MedWise payer division, which represented 44% of total bookings as
        compared to 7% in 2019.
    --  TRHC enters 2021 in a strong position with respect to our overall sales
        pipeline (i.e. MedWise and CareVention). As of January 1, 2021, our
        sales pipeline was 92% higher as compared to January 1, 2020. We plan to
        continue to aggressively grow our sales headcount, with an emphasis on
        our MedWise payer division, as well as invest in sales enablement tools
        to further increase productivity in a virtual sales environment.
    --  Notable fourth quarter 2020 deals included: 1) expansion agreements with
        several of our largest health plan clients, 2) a new Medicare Advantage
        plan in California, further validating our efforts to expand beyond PACE
        to the broader Medicare market, and 3) Kinney Drugs, a large pharmacy
        chain in New York State. During the full year 2020, we added a number of
        new MedWise payer clients, including several contracts well in excess of
        $1 million, and have continued to expand our retail pharmacy footprint
        with the addition of nearly 1,200 new rooftops including several large
        chains.

Fourth Quarter and Full Year 2020 Financial Results

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

    --  Total revenue - Total revenue of $77.1 million, which exceeded our
        guidance range of $74 million to $76 million, increased 5% as compared
        to $73.2 million. Total revenue included product revenue of $43.8
        million, an increase of 16%, and solutions (i.e. software and services)
        revenue of $33.3 million, a decrease of 6%. The October 2020 acquisition
        of Personica contributed 5% of inorganic growth during the fourth
        quarter of 2020. For the full year 2020, total revenue of $297.2 million
        increased 4% as compared to $284.7 million in 2019. Total revenue
        included product revenue of $159.6 million, an increase of 16%, and
        solutions (i.e. software and services) revenue of $137.6 million, a
        decrease of 7%, respectively, as compared to 2019.
    --  Total revenue by segment
        --  CareVention HealthCare revenue increased 14% to $56.9 million. Our
            October acquisition of Personica contributed 7% of inorganic growth
            to overall segment growth during the fourth quarter of 2020. For the
            full year 2020, CareVention HealthCare revenue increased 13% to
            $206.3 million as compared to 2019, comprised of $158.7 million (up
            16% as compared to a year ago) of PACE product revenue and $47.6
            million (up 4% as compared to a year ago) of PACE solutions revenue.
            2020 PACE solutions growth was negatively impacted by a renegotiated
            contract, which created a $4 million or 2% of growth revenue
            headwind as compared to a year ago.
        --  MedWise HealthCare revenue decreased 14% to $20.2 million and
            performed consistent with expectations, and showed modest sequential
            growth as compared to the three months ended September 30, 2020,
            which historically had been a weaker quarter for medication safety
            services. During the quarter we fully implemented the two contracts
            that had been delayed throughout 2020 and both contracts have been
            renewed for 2021. For the full year, MedWise HealthCare revenue
            decreased 11% as compared to a year ago to $91.0 million due in part
            to the changes in CMS guidance we discussed last quarter driving
            fewer comprehensive medication reviews across the industry, as well
            as consolidation in the health plan industry that resulted in
            lower-than-expected revenue at a small number of large accounts.
    --  Non-GAAP Adjusted EBITDA - Non-GAAP Adjusted EBITDA of $4.7 million
        (6.2% margin), at the high end of our guidance range, declined as
        compared to $8.0 million (10.9% margin) a year ago. For the full year
        2020, non-GAAP Adjusted EBITDA declined to $21.8 million (7.3% margin)
        as compared to $37.9 million (13.3% margin) for 2019. Both the quarter
        and full year declines were driven by lower revenue and profitability in
        our MedWise HealthCare segment and increased investments in corporate
        shared services to support our growth strategy.
    --  Non-GAAP Adjusted EBITDA by segment - Excluding $9.8 million and $37.9
        million of shared services for the fourth quarter and full year 2020,
        respectively:
        --  CareVention HealthCare non-GAAP Adjusted EBITDA of $13.8 million
            (24.3% margin) increased 8% as compared to $12.8 million (25.6%
            margin) a year ago. For the full year 2020, CareVention HealthCare
            non-GAAP Adjusted EBITDA of $50.4 million (24.4% margin) increased
            6% as compared to $47.5 million (25.9% margin) for 2019.
        --  MedWise HealthCare non-GAAP Adjusted EBITDA of $0.7 million (3.7%
            margin) decreased as compared to $2.2 million (9.3% margin) a year
            ago, primarily due to lower medication safety services revenue.
            MedWise HealthCare non-GAAP Adjusted EBITDA of $9.3 million (10.2%
            margin) decreased as compared to $18.3 million (18.0% margin) for
            2019.
    --  GAAP net loss - Net loss was $30.6 million for the three months ended
        December 31, 2020 as compared to a net loss of $6.8 million a year ago,
        driven by our core expenses (i.e. cost of revenue, research and
        development, sales and marketing, and general and administrative
        expenses), including stock-based compensation. Our core expenses
        increased $10.7 million, or 15%, which was offset by revenue growth of
        5%, or $3.8 million. Additional factors contributing to the net loss
        were depreciation and amortization of $12.7 million (compared to $9.8
        million a year ago), interest expense of $6.7 million (as compared to
        $4.5 million a year ago), and an intangible impairment charge of $5.0
        million related to our 2014 acquisition of Medliance (as compared to $0
        a year ago). For the full year 2020, net loss was $81.0 million compared
        to a net loss of $32.4 million a year ago, driven by our core expenses.
        Our core expenses increased $30.7 million, or 11%, which was offset by
        revenue growth of 4% or $12.5 million. Additional factors contributing
        to the net loss were depreciation and amortization of $45.0 million (as
        compared to $34.3 million a year ago), interest expense of $20.7 million
        (as compared to $16.0 million a year ago), and an intangible impairment
        charge of $5.0 million (as compared to $0 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."

2021 Financial Outlook

Our guidance, based on current market conditions and our expectations as of today, is summarized below.




                             Three Months Ended March 31, 2021                                  Year Ended December 31, 2021



                             LOW                                                       HIGH                                                LOW          HIGH



                                                 
            
        (in millions except percentages)



     Total revenue                      $
            75.0                                                                        $
         77.0        $
         336.0    $
          356.0



     Year over year growth                           3                                                                                  6                  13               20
                                                      %                                                                                 %                  %               %



     GAAP net loss                    $
            (19.5)                                                                     $
         (18.5)      $
         (65.5)   $
         (59.5)



     Adjusted EBITDA                     $
            3.0                                                                         $
         4.0         $
         26.0     $
          32.0



     Adjusted EBITDA margin                          4                                                                                  5                   8                9
                                                      %                                                                                 %                  %               %

The above revenue guidance for the full year 2021 is based on a number of assumptions including:

    --  We expect our PACE census growth to gradually improve throughout 2021
        with a weaker first half growth followed by a return to more normal
        growth rates in the second half as more of our PACE members are
        vaccinated and the backlog of new PACE and client center expansion come
        online.
    --  Personica, included in our CareVention HealthCare segment, is expected
        to add 5% of inorganic growth, which is ahead of our prior estimates
        based on the strength of entering into agreements with new clients.
    --  New client contracts, including Health Mart, signed in 2020 that are
        currently implemented or will be implemented in 2021 are expected to add
        3% of growth. Our current estimate for Health Mart includes the minimum
        contracted revenue and does not include upsell revenue that we expect to
        generate once implementation is completed.
    --  New business to be sold and implemented during the course of 2021 is
        expected to add 7% of growth. This estimate is based on our current
        pipeline, planned sales force headcount growth during 2021, and assumes
        no change to the conversion rates we experienced during 2020.
    --  Revenue attrition of 5% of growth is higher than normal and is being
        driven by the non-renewal of the CVS Health contract for medication
        therapy management services.

With regards to profitability, the mid-point of our non-GAAP Adjusted EBITDA estimate represents a margin of 8.4%, which is 110 basis points improvement as compared to 2020. Given the large market opportunity ahead of us, we plan to continue to invest across all areas, with an emphasis on sales and marketing and our MedWise payer division, along with investments in software product engineering (net of capitalized software) to support existing products and future initiatives. These higher operating expenses will offset significant gross margin expansion projected in 2021, largely driven by continued efficiencies and economies of scale with our CareVention HealthCare segment.

Looking beyond the first quarter of 2021, we expect steady sequential revenue growth as we progress throughout the 2021 fiscal year, reflecting typical seasonality, starting in the range of 7% for the second quarter, followed by 8% for the third quarter, and 9% for the fourth quarter. Second quarter 2021 revenue will benefit from normal seasonality within our MedWise HealthCare segment as we perform the largest number of clinical interventions on behalf of our health plan clients related to CMS Star Ratings, as well as the go-live of contracted backlog. Sequential revenue growth during the third and fourth quarter of 2021 will be primarily driven by 1) improved PACE census growth and 2) implementations from contracted revenue, as well as new business to be sold during the course of 2021.

COVID-19

We expect COVID-19 to remain a challenge primarily in the first half of 2021. Although PACE census experienced negative net enrollment sequentially during both January and February, net enrollment in February was up 1.7% over February 2020 according to CMS. In addition, the latest National PACE Association has published promising data showing a continued reduction in the number of deaths over the past four weeks, which we have also seen in our client data. We expect this positive trend to continue as we progress throughout 2021 with net enrollment growth materially improving in the second quarter and half of 2021 as vaccinations across PACE participants become more widespread.

Upcoming Events

Members of TRHC's executive team will be presenting at the following conferences: (1) SVB Leerink's 10(th) Annual Global Healthcare Conference on February 25 and 26 and (2) Truist's 2021 Technology, Internet & Services Conference on March 9 and 10.

Quarterly Conference Call

The fourth quarter and full year 2020 earnings conference call and webcast will be held tomorrow, Wednesday, February 24, 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 6455748 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 6455748.

About Tabula Rasa HealthCare

Tabula Rasa HealthCare (TRHC) provides patient medication safety solutions empowering pharmacists and prescribers to optimize medication regimens and reduce medication-related risk, specifically targeting adverse drug events. Utilizing its proprietary medication decision science technology, MedWise(TM), TRHC improves patient outcomes, reduces hospitalizations, and lowers healthcare costs. Additionally, TRHC provides an extensive clinical telepharmacy network across the U.S. Our solutions are trusted by health plans and pharmacies nationwide to help drive value-based payment results. 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 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 (income), intangible asset impairment charge, severance expense incurred in 2020 in connection with the Company's reorganization, 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, intangible asset impairment charge, amortization of acquired intangibles, amortization of debt discount and issuance costs, severance expense incurred in 2020 in connection with the Company's reorganization, acquisition-related expense, 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 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 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)






                                                                                                          December 31,



                                                                                                                  2020                  2019




     
                Assets



     Current assets:



     Cash                                                                                                              $
           23,362       $
           42,478



     Restricted cash                                                                                                             5,170                 4,103



     Accounts receivable, net                                                                                                   32,516                29,123



     Inventories                                                                                                                 4,261                 3,700



     Prepaid expenses                                                                                                            3,739                 4,299



     Client claims receivable                                                                                                   14,412



     Other current assets                                                                                                        9,752                10,835




     Total current assets                                                                                                       93,212                94,538



     Property and equipment, net                                                                                                15,070                15,798



     Operating lease right-of-use assets                                                                                        21,711                22,100



     Software development costs, net                                                                                            27,882                18,501



     Goodwill                                                                                                                  170,862               150,760



     Intangible assets, net                                                                                                    183,094               189,413



     Other assets                                                                                                                2,609                 1,281




     Total assets                                                                                                     $
           514,440      $
           492,391




     
                Liabilities and stockholders' equity



     Current liabilities:



     Current portion of finance leases                                                                                    $
             4          $
           125



     Current operating lease liabilities                                                                                         4,402                 4,350



     Acquisition-related contingent consideration                                                                                  166



     Acquisition-related notes payable                                                                                          16,662



     Accounts payable                                                                                                           11,245                 8,622



     Client claims payable                                                                                                       7,773



     Accrued expenses and other liabilities                                                                                     31,968                26,906




     Total current liabilities                                                                                                  72,220                40,003



     Line of credit                                                                                                             10,000



     Long-term debt and finance leases, net                                                                                    239,285               226,294



     Noncurrent operating lease liabilities                                                                                     20,381                21,017



     Long-term acquisition-related contingent consideration                                                                                          10,800



     Deferred income tax liability                                                                                               3,354                 8,656



     Other long-term liabilities                                                                                                   671                    73




     Total liabilities                                                                                                         345,911               306,843






     Stockholders' equity:



     Common stock                                                                                                                    2                     2



     Treasury stock                                                                                                            (4,018)              (3,865)



     Additional paid-in capital                                                                                                352,445               288,345



     Accumulated deficit                                                                                                     (179,900)             (98,934)




     Total stockholders' equity                                                                                                168,529               185,548




     Total liabilities and stockholders' equity                                                                       $
           514,440      $
           492,391


                                                                                      
        
                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,



                                                                                                                                          2020                       2019                 2020               2019




     Revenue:



     Product revenue                                                                                                                            $
         43,768                $
           37,810                       $
        159,593     $
         137,130



     Service revenue                                                                                                                                   33,284                         35,413                             137,626            147,577




     Total revenue                                                                                                                                     77,052                         73,223                             297,219            284,707




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



     Product cost                                                                                                                                      32,292                         28,084                             117,171            102,351



     Service cost                                                                                                                                      23,501                         20,006                              87,641             79,004




     Total cost of revenue, exclusive of depreciation and amortization                                                                                 55,793                         48,090                             204,812            181,355




     Operating expenses:



     Research and development                                                                                                                           4,430                          5,090                              18,180             21,739



     Sales and marketing                                                                                                                                5,950                          6,668                              21,547             25,273



     General and administrative                                                                                                                        16,464                         12,116                              65,378             50,897



     Change in fair value of acquisition-related contingent consideration expense                                                                           8                          (700)                              2,613              3,816



     Intangible asset impairment charge                                                                                                                 5,040                                                             5,040



     Depreciation and amortization                                                                                                                     12,717                          9,757                              45,040             34,276




     Total operating expenses                                                                                                                          44,609                         32,931                             157,798            136,001




     Loss from operations                                                                                                                            (23,350)                       (7,798)                           (65,391)          (32,649)



     Interest expense, net                                                                                                                              6,743                          4,544                              20,743             15,986




     Loss before income taxes                                                                                                                        (30,093)                      (12,342)                           (86,134)          (48,635)



     Income tax expense (benefit)                                                                                                                         537                        (5,518)                            (5,168)          (16,199)




     Net loss                                                                                                                                 $
         (30,630)              $
           (6,824)                     $
        (80,966)   $
         (32,436)




     Net loss per share, basic and diluted                                                                                                      $
         (1.36)               $
           (0.33)                       $
        (3.71)     $
         (1.57)




     Weighted average common shares outstanding, basic and diluted                                                                                 22,542,601                     20,924,638                          21,815,388         20,622,258


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




                                                                                                                                                            Year Ended


                                                                                                                                                           December 31,



                                                                                                                                                2020                    2019




     
                Cash flows from operating activities:



     Net loss                                                                                                                                       $
       (80,966)           $
         (32,436)



     Adjustments to reconcile net loss to net cash provided by (used in) operating activities:



     Depreciation and amortization                                                                                                                         45,040                     34,276



     Amortization of deferred financing costs and debt discount                                                                                            13,637                     10,877



     Deferred taxes                                                                                                                                       (5,302)                  (16,353)



     Stock-based compensation                                                                                                                              32,555                     27,278



     Change in fair value of acquisition-related contingent consideration                                                                                   2,613                      3,816



     Acquisition-related contingent consideration paid                                                                                                    (2,593)                  (24,480)



     Intangible asset impairment                                                                                                                            5,040



     Other noncash items                                                                                                                                     (66)                        20



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



     Accounts receivable, net                                                                                                                             (2,448)                     1,444



     Inventories                                                                                                                                            (239)                     (106)



     Prepaid expenses and other current assets                                                                                                              4,859                    (7,705)



     Client claims receivables                                                                                                                            (5,674)



     Other assets                                                                                                                                           (494)                     (269)



     Accounts payable                                                                                                                                       2,149                    (7,809)



     Accrued expenses and other liabilities                                                                                                               (3,642)                     5,712



     Client claims payables                                                                                                                                 (249)



     Other long-term liabilities                                                                                                                              598                       (80)




     Net cash provided by (used in) operating activities                                                                                                    4,818                    (5,815)






     
                Cash flows from investing activities:



     Purchases of property and equipment                                                                                                                  (3,091)                   (7,474)



     Software development costs                                                                                                                          (18,836)                  (14,487)



     Purchases of intangible assets                                                                                                                                                 (1,202)



     Proceeds from repayment of note receivable                                                                                                                                       1,000



     Acquisitions of businesses, net of cash acquired                                                                                                     (6,807)                 (158,762)




     Net cash used in investing activities                                                                                                               (28,734)                 (180,925)






     
                Cash flows from financing activities:



     Proceeds from exercise of stock options                                                                                                                3,943                      3,702



     Payments for employee taxes for shares withheld                                                                                                      (2,993)



     Payments for debt financing costs                                                                                                                    (1,226)                   (9,630)



     Borrowings on line of credit                                                                                                                          10,000



     Repayments of line of credit                                                                                                                                                  (45,000)



     Payments of acquisition-related contingent consideration                                                                                             (3,801)                  (29,062)



     Repayments of long-term debt and finance leases                                                                                                         (56)                     (968)



     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                                                                                                              5,867                    208,292




     Net (decrease) increase in cash and restricted cash                                                                                                 (18,049)                    21,552



     Cash and restricted cash, beginning of year                                                                                                           46,581                     25,029




     Cash and restricted cash, end of year                                                                                                            $
       28,532              $
         46,581


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




                                                                                 
     
               Three Months Ended                                                         Year Ended



                                         March 31, 2020                              June 30, 2020                      September 30, 2020                                  December 31, 2020               December 31, 2020




     
                Revenue



     CareVention HealthCare:



     PACE product revenue                               $
       37,087                                                     $
              38,930                                                   $
         39,086                   $
          43,589 $
           158,692



     PACE solutions                                          11,571                                                                 11,522                                                          11,214                           13,270           47,577




     Total CareVention HealthCare                            48,658                                                                 50,452                                                          50,300                           56,859          206,269





     MedWise HealthCare:



     Product revenue                                                                                                                  443                                                             279                              179              901



     Medication safety services                              14,320                                                                 15,707                                                           9,817                           10,019           49,863



     Software subscription and services                       9,849                                                                 10,232                                                          10,110                            9,995           40,186




     Total MedWise HealthCare                                24,169                                                                 26,382                                                          20,206                           20,193           90,950





     
                Total Revenue                         $
       72,827                                                     $
              76,834                                                   $
         70,506                   $
          77,052 $
           297,219






     
                Adjusted EBITDA



     CareVention HealthCare                             $
       11,748                                                     $
              12,077                                                   $
         12,735                   $
          13,840  $
           50,400



     MedWise HealthCare                                       2,831                                                                  4,697                                                           1,009                              743            9,280



     Shared Services                                        (9,772)                                                               (9,640)                                                        (8,650)                         (9,843)        (37,905)




     
                Total Adjusted EBITDA                  $
       4,807                                                      $
              7,134                                                    $
         5,094                    $
          4,740  $
           21,775









                                                      
     
         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 subscription and services                       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 December 31,                     Year Ended December 31,



                                                                                                                                                     2020                2019                          2020 2019




            
                Reconciliation of net loss to Adjusted EBITDA



            Net loss                                                                                                                                     $
        (30,630)              $
              (6,824)        $
        (80,966)   $
        (32,436)



            Add:



            Interest expense, net                                                                                                                                 6,743                             4,544                 20,743            15,986



            Income tax expense (benefit)                                                                                                                            537                           (5,518)               (5,168)         (16,199)



            Depreciation and amortization                                                                                                                        12,717                             9,757                 45,040            34,276



            Change in fair value of acquisition-related contingent consideration expense                                                                              8                             (700)                 2,613             3,816
    (income)



            Intangible asset impairment charge                                                                                                                    5,040                                                   5,040



            Severance expense                                                                                                                                      (44)                                                    873



            Acquisition-related expense                                                                                                                             222                               448                  1,045             5,200



            Stock-based compensation related expense                                                                                                             10,147                             6,295                 32,555            27,278




            Adjusted EBITDA                                                                                                                                 $
        4,740                 $
              8,002          $
         21,775    $
          37,921




                                                                                            
          
           Three Months Ended December 31,               
          
             Year Ended December 31,

                                                                                                                                        ---                             ---

                                                                                              2020                                     2019                2020                                      2019



                                                                                                         (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 loss per share, basic and diluted                    $
          (30,630)                          $
     (1.36)          $
              (6,824)                         $
        (0.33)  $
        (80,966)   $
        (3.71)   $
        (32,436)    $
        (1.57)




     Adjustments:


      Change in fair value of acquisition-related contingent consideration expense (income)                         8                                                            (700)                                                2,613                            3,816



     Intangible asset impairment                                                                               5,040                                                                                                                 5,040



     Amortization of acquired intangibles                                                                      8,634                                                            7,006                                                30,570                           25,684



     Amortization of debt discount and issuance costs                                                          3,654                                                            3,089                                                13,301                           10,595



     Severance expense                                                                                          (44)                                                                                                                  873



     Acquisition-related expense                                                                                 222                                                              448                                                 1,045                            5,200



     Stock-based compensation expense                                                                         10,147                                                            6,295                                                32,555                           27,278



     Impact to income taxes (1)                                                                                1,174                                                          (6,328)                                              (5,132)                        (22,044)




     Adjusted net (loss) income and Adjusted Diluted EPS                                             $
          (1,795)                          $
     (0.08)            $
              2,986                            $
        0.13    $
          (101)    $
         0.00    $
          18,093    $
           0.79



              (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
                                  provision or benefit,
                                  respectively, as determined for
                                  GAAP purposes.




                                                                                                                                                                                            Three Months Ended  Year Ended


                                                                                                                                                                                               December 31,    December 31,



                                                                                                                                                                                                          2020          2019       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                                                                                                               22,542,601    20,294,638 21,815,388  20,622,258



     Adjustments:



     Weighted average dilutive effect of stock options                                                                                                                                                           1,357,010             1,522,196



     Weighted average dilutive effect of restricted stock                                                                                                                                                          639,806               762,665



     Weighted average dilutive effect of contingent shares                                                                                                                                                          75,240                39,088




     Weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS (1)                                                                                                     22,542,601    22,366,694 21,815,388  22,946,207



              (1)              TRHC accounts for the convertible
                                  senior subordinated notes
                                  utilizing the Treasury Stock
                                  Method as the Company currently
                                  intends 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 and
                                  year ended December 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)




                                                                                     Three Months Ended March 31, 2021                                                     Year Ended December 31, 2021



                                                                                                    LOW                                                                    HIGH                                  LOW  HIGH



                   Reconciliation from Net Loss Guidance to Adjusted EBITDA Guidance



     Net loss:                                                                                                               $
              (19.5)                                                        $
        (18.5)       $
        (65.5)   $
        (59.5)



     Add:



     Interest expense                                                                                                                       2.4                                                                  2.4                 8.7             8.7



     Income tax expense                                                                                                                                                                                                            0.2             0.2



     Depreciation and amortization                                                                                                         11.9                                                                 11.9                48.8            48.8



     Stock-based compensation expense                                                                                                       8.2                                                                  8.2                33.8            33.8




     Adjusted EBITDA                                                                                                            $
              3.0                                                           $
         4.0         $
         26.0    $
          32.0

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SOURCE Tabula Rasa HealthCare, Inc.