8-K
InnovAge Holding Corp. (INNV)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): November 9, 2021
INNOVAGE HOLDING CORP.
(Exact name of registrant as specified in its charter)
| | | |
|---|---|---|
| Delaware | 001-40159 | 81-0710819 |
| (State or other jurisdiction of incorporation) | (Commission File Number) | (IRS Employer Identification No.) |
| | | |
| 8950 E. Lowry Boulevard Denver , CO | | 80230 |
| (Address of principal executive offices) | | (Zip Code) |
( 844 ) 803-8745
(Registrant’s telephone number, including area code)
Not Applicable
(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
| <br> | | |
|---|---|---|
| Title of each class | TradingSymbol(s) | Name of each exchange on whichregistered |
| Common Stock, $0.001 par value | INNV | The Nasdaq Stock Market LLC (Nasdaq Global Select Market) |
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company **** ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 2.02.Results of Operations and Financial Condition.
On November 9, 2021, InnovAge Holding Corp. issued a press release announcing financial results for the fiscal quarter ended September 30, 2021 and related matters. A copy of this press release is furnished as Exhibit 99.1 hereto and is incorporated in this Item 2.02 by reference.
The information in this Item 2.02, including the exhibit attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section. This information shall not be deemed to be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference to such disclosure in this Form 8-K in such a filing.
Item 9.01.Financial Statements and Exhibits.
(d) Exhibits
| Exhibit | **** | Description |
|---|---|---|
| | | |
| 99.1 | | Press Release of InnovAge Holding Corp., dated November 9, 2021 |
| 104 | | Cover Page Interactive Data File (formatted as Inline XBRL) |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| INNOVAGE HOLDING CORP. | ||
|---|---|---|
| Date: November 9, 2021 | By: | /s/ Barbara Gutierrez |
| Name: | Barbara Gutierrez | |
| Title: | Chief Financial Officer |
Exhibit 99.1
INNOVAGE ANNOUNCES FINANCIAL RESULTS FOR THE FISCAL FIRST QUARTER ENDED SEPTEMBER 30, 2021
DENVER, CO., November 9, 2021 - InnovAge Holding Corp. (the “Company” or “InnovAge”) (Nasdaq: INNV), a market leading healthcare delivery platform for high-cost, dual-eligible seniors, announced financial results for its fiscal first quarter ended September 30, 2021.
“We had a strong start to fiscal year 2022 providing high quality care and services to approximately 6,990 participants, representing an increase of approximately 7.2% year-over-year, including the Sacramento census which was not consolidated in the fiscal first quarter of 2021,” said Maureen Hewitt, President and Chief Executive Officer of InnovAge. “We generated strong first quarter revenue of $173.1 million, an increase of 13.4% compared to fiscal first quarter 2021, and $42.3 million of center-level contribution margin. Our recently launched digital strategy has continued to grow our referral base, increasing digital referrals by 65% and digital lead conversions by more than 20% compared to the fourth quarter of fiscal 2021.”
Ms. Hewitt continued, “Our team has remained focused on providing high quality, value-based care to our participants and ensuring our participants and employees remain as safe as possible. The health and safety of our participants remains our top priority as we continue to execute on our multi-faceted growth strategy. To date, 89% of participants and 98% of employees have been vaccinated for COVID-19. We remain on track to open three de novo centers in fiscal 2023 and are evaluating locations for two additional centers with the goal of having them operational in fiscal 2024. While currently on track, as with every development, there are factors beyond our control that may impact our expected timeline with respect to these projects. This is an exciting time to be a PACE provider as we believe the growth outlook for the industry remains robust.”
Financial Results
| | | | | | | | | |
|---|---|---|---|---|---|---|---|---|
| | | Three Months Ended September 30, | ||||||
| | | 2021 | | 2020 | ||||
| in thousands, except percentages and per share amounts | | | | | | | | |
| Total revenues | | $ | 173,070 | | | $ | 152,566 | |
| Center-level Contribution Margin | | | 42,330 | | | | 40,602 | |
| Net Income (Loss) | | | 7,624 | | | | (49,800) | |
| | | | | | | | | |
| Net Income (Loss) Attributable to InnovAge Holding Corp. | | | 7,686 | | | | (49,654) | |
| Net income (loss) per share - diluted | | $ | 0.06 | | | $ | (0.41) | |
| | | | | | | | | |
| Adjusted EBITDA^(1)^ | | $ | 18,212 | | | $ | 23,110 | |
| Adjusted EBITDA margin^(1)^ | | | 10.5 | % | | | 15.1 | % |
Fiscal First Quarter 2022 Financial Highlights
| ● | Total revenues of $173.1 million, up 13.4% compared to $152.6 million for the first quarter of fiscal 2021, primarily due to an increase in census and per member per month rates |
|---|---|
| ● | Center-level Contribution Margin of $42.3 million increased 4.3% year-over-year |
| --- | --- |
| ● | Center-level Contribution Margin as a percent of revenue decreased 2.2 percentage points to 24.5% year-over-year as a result of normalized medical costs as our participants seek healthcare services that were delayed during the peak of the COVID-19 pandemic |
| --- | --- |
| ● | Net income of $7.6 million compared to a net loss of $49.8 million for the first quarter of fiscal 2021, which was primarily due to fees incurred as a result of the Apax transaction in fiscal year 2021 |
| --- | --- |
| ● | Net income attributable to InnovAge Holding Corp. of $7.7 million, or $0.06 per share compared to a net loss attributable to InnovAge Holding Corp. of $49.7 million, or a loss of $0.41 per share, in the fiscal first quarter of 2021 |
| --- | --- |
| ● | Adjusted EBITDA^(1)^ of $18.2 million compared to $23.1 million in the first quarter of fiscal 2021, due to the impact of medical cost normalization on Center-Level Contribution Margin, higher sales and marketing expense as a result of our investment in digital marketing and other initiatives, and administrative expenses, partially as a result of the costs associated with being a publicly traded company |
| --- | --- |
Full Fiscal Year 2022 Financial Guidance
InnovAge is reiterating its fiscal year 2022 financial guidance previously disclosed in its fiscal 2021 earnings call on September 21, 2021.
| | | | | | | |
|---|---|---|---|---|---|---|
| | | Low | | High | ||
| dollars in millions | | | ||||
| Census | | | 7,500 | | | 7,750 |
| Member Months | | | 86,500 | | | 87,800 |
| | | | | | | |
| Total revenues | | $ | 712 | | $ | 725 |
| Adjusted EBITDA^(1)^ | | $ | 60 | | $ | 72 |
^(1)^Adjusted EBITDA is a non-GAAP measure. See “Note Regarding Use of Non-GAAP Financial Measures” and “Reconciliation of GAAP and Non-GAAP Measures” for a definition of Adjusted EBITDA and a reconciliation to net income (loss), the most closely comparable GAAP measure. The Company is unable to provide guidance for net income (loss) or a reconciliation of the Company’s Adjusted EBITDA guidance because it cannot provide a meaningful or accurate calculation or estimation of certain reconciling items without unreasonable effort. The Company’s inability to do so is due to the inherent difficulty in forecasting and quantifying certain amounts that are necessary for such reconciliation, including variations in effective tax rate, expenses to be incurred for acquisition activities and other one-time or exceptional items.
Conference Call
The Company will host a conference call this afternoon at 5:00 PM Eastern Time, which can be accessed by dialing +1 (833) 398-1024 for U.S. participants, or +1 (914) 987-7722 for international participants and referencing conference ID 8193149; or via a live audio webcast that will be available online at https://investor.innovage.com/investor-relations. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 12 months.
About InnovAge
InnovAge is a market leader in managing the care of high-cost, dual-eligible seniors. Our mission is to enable seniors to age independently in their own homes for as long as possible. Our patient-centered care model meaningfully improves the quality of care our participants receive, while reducing over-utilization of high-cost care settings. InnovAge is at the forefront of value based senior healthcare and directly contracts with government payors, such as Medicare and Medicaid, to manage the totality of a participant’s medical care. InnovAge believes its healthcare model is one in which all constituencies — participants, their families, providers and government payors— “win.” As of September 30, 2021, InnovAge served approximately 6,990 participants across 18 centers in five states. https://www.innovage.com/.
Investor Contact:
Ryan Kubota
rkubota@myinnovage.com
Forward-Looking Statements - Safe Harbor
This press release may contain “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Forward-looking statements may be identified by the fact that they do not relate strictly to historical or current facts. Examples of forward-looking statements include, among others, statements we may make regarding our expectations to increase the number of participants we serve, to grow enrollment and capacity within existing centers, to build de novo centers, to expand into new geographies, to execute on tuck-in acquisitions, to recruit new participants and directly contract with government payors, quarterly or annual guidance, financial outlook, including future revenues and future earnings, expectation regarding legal proceedings or ongoing audits, reimbursement and regulatory developments, market developments, new products and growth strategies, integration activities and the effects of any of the foregoing on our future results of operations or financial conditions.
Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on currently available information and our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. You should not place undue reliance on our forward-looking statements. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) the potential adverse impact of inspections, reviews, audits, investigations, legal proceedings, enforcement actions and litigation; (ii) the viability of our growth strategy and our ability to realize expected results; (iii) the risk that the cost of providing services will exceed our compensation under PACE; (iv) the dependence of our revenues upon a limited number of government payors, particularly Medicare and Medicaid; (v) the effects of rules governing the Medicare, Medicaid or PACE programs; (vi) reductions in PACE reimbursement rates or changes in the rules governing PACE programs; (vii) the risk that our submissions to government payors may contain inaccurate or unsupportable information regarding risk adjustment scores of participants, which could cause us to overstate or understate our revenue and subjecting us to payment obligations and penalties; (viii) the impact on our business of non-renewal or termination of capitation agreements with government payors; (ix) the impact of state and federal efforts to reduce healthcare spending; (x) the effects of a pandemic, epidemic or outbreak of an infectious disease, including the ongoing outbreak of the COVID-19 pandemic; (xi) the effect of our relatively limited operating history as a for-profit company on investors’ ability to evaluate our current business and future prospects; and (xii) our existing indebtedness and access to capital markets. For a detailed discussion of the risks and uncertainties that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to our most recent Annual Report on Form 10-K, as filed with the SEC.
Any forward-looking statement made by the Company in this press release is based only on information currently available to us and speaks only as of the date on which it is made. Except as required by law, we undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.
Note Regarding Use of Non-GAAP Financial Measures
In addition to reporting financial information in accordance with generally accepted accounting principles (“GAAP”), the Company is also reporting Adjusted EBITDA and Adjusted EBITDA margin, which are non-GAAP financial measures. Adjusted EBITDA and Adjusted EBITDA margin are supplemental measures of operating performance monitored by management that are not defined under GAAP and that do not represent, and should not be considered as, an alternative to net income (loss) and net income (loss) margin, respectively, as determined by GAAP. We believe that Adjusted EBITDA and Adjusted EBITDA margin are appropriate measures of operating performance because the metrics eliminate the impact of revenue and expenses that do not relate to our ongoing business performance, allowing us to more effectively evaluate our core operating performance and trends from period to period. We believe that Adjusted EBITDA and Adjusted EBITDA margin help investors and analysts in comparing our results across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. These non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation from, or as a substitute for, the analysis of other GAAP financial measures, including net income (loss) and net income (loss) margin. In evaluating Adjusted EBITDA, you should be aware that in the future we may incur expenses that are the same as or similar to some of the adjustments in this presentation. Our presentation of Adjusted EBITDA should not be construed to imply that our future results will be unaffected by the types of items excluded from the calculation of Adjusted EBITDA. Our use of the term Adjusted EBITDA varies from others in our industry. We define Adjusted EBITDA as net income (loss) adjusted for interest expense, depreciation and amortization, and provision for income tax as well as addbacks for non-recurring expenses or exceptional items, including charges relating to management equity compensation, M&A diligence, transaction and integration, business optimization, electronic medical record (EMR) transition, financing-related fees and contingent consideration. Adjusted EBITDA margin is Adjusted EBITDA expressed as a percentage of our total revenue less any exceptional, one-time revenue items. For a full reconciliation of Adjusted EBITDA to the most closely comparable GAAP financial measure, please see the attachment to this earnings release.
Schedule 1
InnovAge
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS) (UNAUDITED)
| | | | | | | |
|---|---|---|---|---|---|---|
| | **** | September 30, | **** | June 30, | ||
| | | 2021 | | 2021 | ||
| Assets | | | | | | |
| Current Assets | | | ||||
| Cash and cash equivalents | | $ | 215,530 | | $ | 201,466 |
| Restricted cash | | 2,235 | | 2,234 | ||
| Accounts receivable, net of allowance ($5,193 – September 30, 2021 and $4,350 – June 30, 2021) | | 28,386 | | 32,582 | ||
| Prepaid expenses and other | | 10,846 | | 9,249 | ||
| Income tax receivable | | 3,635 | | 5,401 | ||
| Total current assets | | 260,632 | | 250,932 | ||
| Noncurrent Assets | | | ||||
| Property and equipment, net | | 141,992 | | 142,715 | ||
| Investments | | 5,493 | | 3,493 | ||
| Deposits and other | | 4,186 | | 3,877 | ||
| Goodwill | | 124,217 | | 124,217 | ||
| Intangible assets, net | | 6,353 | | 6,518 | ||
| Total noncurrent assets | | 282,241 | | 280,820 | ||
| Total assets | | $ | 542,873 | | $ | 531,752 |
| Liabilities and Stockholders' Equity | | | ||||
| Current Liabilities | | | ||||
| Accounts payable and accrued expenses | | $ | 33,347 | | $ | 32,361 |
| Reported and estimated claims | | 33,339 | | 33,234 | ||
| Due to Medicaid and Medicare | | | 8,545 | | | 7,101 |
| Current portion of long-term debt | | 3,791 | | 3,790 | ||
| Current portion of capital lease obligations | | 2,129 | | 2,079 | ||
| Total current liabilities | | 81,151 | | 78,565 | ||
| Noncurrent Liabilities | | | ||||
| Deferred tax liability, net | | 16,930 | | 15,700 | ||
| Capital lease obligations | | 4,763 | | 5,190 | ||
| Other noncurrent liabilities | | 2,749 | | 2,758 | ||
| Long-term debt, net of debt issuance costs | | 70,733 | | 71,574 | ||
| Total liabilities | | 176,326 | | 173,787 | ||
| Commitments and Contingencies (See Note 9) | | | ||||
| Redeemable Noncontrolling Interests (See Note 4) | | | 16,431 | | | 16,986 |
| Stockholders’ Equity | | | ||||
| Common stock, $0.001 par value; 500,000,000 authorized as of September 30, 2021 and June 30, 2021; 135,516,513 shares issued and outstanding as of both September 30, 2021 and June 30, 2021 | | 136 | | 136 | ||
| Additional paid-in capital | | 324,718 | | 323,760 | ||
| Retained earnings | | 18,936 | | 10,663 | ||
| Total InnovAge Holding Corp. | | 343,790 | | 334,559 | ||
| Noncontrolling interests | | 6,326 | | 6,420 | ||
| Total stockholders’ equity | | 350,116 | | 340,979 | ||
| Total liabilities and stockholders’ equity | | $ | 542,873 | | $ | 531,752 |
Schedule 2
InnovAge
CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS
(In Thousands, Except Per Share Amounts) (UNAUDITED)
| | | | | | | |
|---|---|---|---|---|---|---|
| | | Three Months Ended September 30, | ||||
| | | 2021 | | 2020 | ||
| Revenues | | | | | | |
| Capitation revenue | | $ | 172,554 | | $ | 151,944 |
| Other service revenue | | 516 | | 622 | ||
| Total revenues | | 173,070 | | 152,566 | ||
| Expenses | | | ||||
| External provider costs | | 90,012 | | 73,681 | ||
| Cost of care, excluding depreciation and amortization | | 40,728 | | 38,283 | ||
| Center-level Contribution Margin | | | 42,330 | | | 40,602 |
| Sales and marketing | | 6,293 | | 4,112 | ||
| Corporate, general and administrative | | 21,084 | | 71,577 | ||
| Depreciation and amortization | | 3,293 | | 2,959 | ||
| Equity loss | | — | | 801 | ||
| Other operating expense | | — | | (668) | ||
| Total expenses | | 161,410 | | 190,745 | ||
| Operating Income (Loss) | | 11,660 | | (38,179) | ||
| | | | | | | |
| Other Income (Expense) | | | ||||
| Interest expense, net | | (547) | | (5,631) | ||
| Loss on extinguishment of debt | | — | | | (991) | |
| Gain on equity method investment | | | — | | | — |
| Other expense | | (493) | | (62) | ||
| Total other expense | | (1,040) | | (6,684) | ||
| Income (Loss) Before Income Taxes | | 10,620 | | (44,863) | ||
| Provision for Income Taxes | | 2,996 | | 4,937 | ||
| Net Income (Loss) | | 7,624 | | (49,800) | ||
| Less: net loss attributable to noncontrolling interests | | (62) | | (146) | ||
| Net Income (Loss) Attributable to InnovAge Holding Corp. | | $ | 7,686 | | $ | (49,654) |
| | | | | | | |
| Weighted-average number of common shares outstanding - basic | | 135,516,513 | | 121,119,417 | ||
| Weighted-average number of common shares outstanding - diluted | | 135,516,513 | | 121,119,417 | ||
| | | | | | | |
| Net income (loss) per share - basic | | $ | 0.06 | | $ | (0.41) |
| Net income (loss) per share - diluted | | $ | 0.06 | | $ | (0.41) |
Schedule 3
InnovAge
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS) (UNAUDITED)
| | | | | | | | |
|---|---|---|---|---|---|---|---|
| | | For the Three Months Ended September 30, | | ||||
| | | 2021 | | 2020 | | ||
| Operating Activities | | | | | | | |
| Net income (loss) | | $ | 7,624 | | $ | (49,800) | |
| Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities | | | | ||||
| Loss on disposal of assets | | 493 | | — | | ||
| Provision for uncollectible accounts | | 1,268 | | 838 | | ||
| Depreciation and amortization | | 3,293 | | 2,959 | | ||
| Loss on extinguishment of long-term debt | | — | | 991 | | ||
| Amortization of deferred financing costs | | 107 | | 261 | | ||
| Stock-based compensation | | 958 | | 46 | | ||
| Deferred income taxes | | 1,230 | | 3,283 | | ||
| Loss in equity of nonconsolidated entities | | — | | 801 | | ||
| Change in fair value of contingent consideration | | | — | | | (668) | |
| Changes in operating assets and liabilities, net of acquisitions | | | | ||||
| Accounts receivable, net | | 2,929 | | 8,272 | | ||
| Prepaid expenses and other | | (1,597) | | 141 | | ||
| Income tax receivable | | 1,766 | | 1,500 | | ||
| Deposits and other | | (309) | | (76) | | ||
| Accounts payable and accrued expenses | | 1,248 | | 5,798 | | ||
| Reported and estimated claims | | 106 | | 4,924 | | ||
| Due to Medicaid and Medicare | | 1,443 | | 2,672 | | ||
| Net cash provided by (used in) operating activities | | 20,559 | | (18,058) | | ||
| Investing Activities | | | | ||||
| Purchases of property and equipment | | (3,042) | | (4,629) | | ||
| Purchase of cost method investment | | (2,000) | | — | | ||
| Net cash used in investing activities | | $ | (5,042) | | $ | (4,629) | |
| Financing Activities | | | | | | | |
| Distributions to owners | | $ | — | | $ | (9,457) | |
| Payments on capital lease obligations | | (505) | | (480) | | ||
| Proceeds from long-term debt | | | — | | | 300,000 | |
| Principal payments on long-term debt | | (947) | | (212,625) | | ||
| Payment of financing costs and debt premiums | | — | | (7,478) | | ||
| Treasury stock purchases | | — | | (77,603) | | ||
| Payments related to option cancellation | | | — | | | (32,358) | |
| Net cash used in financing activities | | (1,452) | | (40,001) | | ||
| | | | | | | | |
| INCREASE (DECREASE) IN CASH, CASH EQUIVALENTS & RESTRICTED CASH | | 14,065 | | (62,688) | | ||
| CASH, CASH EQUIVALENTS & RESTRICTED CASH, BEGINNING OF PERIOD | | 203,700 | | 114,565 | | ||
| CASH, CASH EQUIVALENTS & RESTRICTED CASH, END OF PERIOD | | $ | 217,765 | | $ | 51,877 | |
| | | | | | | | |
| Supplemental Cash Flows Information | | | | ||||
| Interest paid | | $ | 573 | | $ | 2,954 | |
| Income taxes paid | | $ | — | | $ | 188 | |
| Property and equipment included in accounts payable | | $ | 272 | | $ | 298 | |
| Property and equipment purchased under capital leases | | $ | 127 | | $ | 2,737 | |
Schedule 4
InnovAge
RECONCILIATION OF GAAP AND NON-GAAP MEASURES
(IN THOUSANDS) (UNAUDITED)
| | | | | | | |
|---|---|---|---|---|---|---|
| | | Three Months Ended September 30, | ||||
| | | 2021 | | 2020 | ||
| | | | | | | |
| Net income (loss) | | $ | 7,624 | | $ | (49,800) |
| Interest expense, net | | 547 | | 5,631 | ||
| Depreciation and amortization | | 3,293 | | 2,959 | ||
| Provision for income tax | | 2,996 | | 4,937 | ||
| Stock-based compensation | | 958 | | 46 | ||
| M&A diligence, transaction and integration^(a)^ | | 327 | | 58,338 | ||
| Business optimization^(b)^ | | 2,117 | | 503 | ||
| EMR implementation^(c)^ | | 350 | | 172 | ||
| Financing-related fees^(d)^ | | — | | 992 | ||
| Contingent consideration^(e)^ | | — | | (668) | ||
| Adjusted EBITDA | | $ | 18,212 | | $ | 23,110 |
| (a) | For the three months ended September 30, 2020, this primarily represents (i) $45.4 million related to the cancellation of options and the redemption of shares and (ii) $13.1 million of transaction fees and expenses recognized in connection with the July 27, 2020 transaction between us, an affiliate of Apax Partners and our then existing equity holders entering into a Securities Purchase Agreement. |
|---|---|
| (b) | Reflects charges related to business optimization initiatives. Such charges relate to one-time investments in projects designed to enhance our technology systems and improve the efficiency and effectiveness of our operations. |
| --- | --- |
| (c) | Reflects non-recurring expenses relating to the implementation of a new electronic medical record vendor. |
| --- | --- |
| (d) | Reflects fees and expenses incurred in connection with amendments to our credit agreements. See Note 8 to the consolidated financial statements. |
| --- | --- |
| (e) | Reflects the contingent consideration fair value adjustment made during the reporting period associated with our acquisition of NewCourtland. |
| --- | --- |