Delaware | 001-33689 | 04-3387530 | ||
(State or other jurisdiction of incorporation) | (Commission File Number) | (IRS Employer Identification No.) |
311 Arsenal Street, Watertown, MA 02472 | ||
(Address of principal executive office, including zip code) |
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)) |
Item 2.02 | Results of Operations and Financial Condition. |
Item 5.02 | Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers. |
Item 9.01 | Financial Statements and Exhibits. |
Exhibit No. | Description | |
† Indicates a management contract or any compensatory plan, contract, or arrangement. |
Exhibit No. | Description | |
† Indicates a management contract or any compensatory plan, contract, or arrangement. |
athenahealth, Inc. | ||
(Registrant) | ||
October 19, 2017 | /s/ John A. Kane | |
John A. Kane | ||
Interim Chief Financial Officer |
1) | The first clause of the first sentence of Paragraph 2(a) of the Agreement is amended as follows: “During the period that Employee is employed by Athena (the “Employment Period”), Employee will: (1) serve as an Executive Director or in any other executive (“executive” meaning Executive Director cohort or above) position that Athena may from time to time assign to Employee;”. The remaining provisions of Paragraph 2(a) remain the same. |
2) | Schedule A of the Agreement is amended as follows: |
a. | As of October 29, 2017, Employee’s yearly base salary shall be $225,000. |
3) | Employee acknowledges and affirms that the execution of this Addendum does not constitute “Good Reason” for the resignation of his Employment pursuant to Schedule B of the Agreement. |
4) | Athena and Employee agree that for 2017, Employee’s eligibility to receive a bonus and equity awards shall be calculated as follows: 83% eligibility based on the Executive Vice President multiple (representing 10 months of the year) and 17% based on the Executive Director multiple (representing 2 months of the year). For 2018 and going forward, Employee’s eligibility to receive a bonus and equity awards will be based on the Executive Director level. |
/s/ Stephen N. Kahane, MD | /s/ Dan Haley | |
Stephen N. Kahane, MD | Dan Haley | |
for athenahealth, Inc. |
• | 10% Revenue Growth Over Third Quarter of 2016 |
• | GAAP Operating Income of $18.6 million |
• | Non-GAAP Adjusted Operating Income of $39.5 million |
• | GAAP Net Income of $13.0 million, or $0.32 Per Diluted Share |
• | Non-GAAP Adjusted Net Income of $22.9 million, or $0.56 Per Diluted Share |
• | Total revenue for the three months ended September 30, 2017, was $304.6 million, compared to $276.7 million in the same period last year, an increase of 10%. |
• | For the three months ended September 30, 2017, GAAP Gross Margin was 52.7%, compared to 51.3% in the same period last year. |
• | For the three months ended September 30, 2017, Service Automation Rate, formerly referred to as Non-GAAP Adjusted Gross Margin, was 64.0%, compared to 65.1% in the same period last year. |
• | For the three months ended September 30, 2017, GAAP Operating Income was $18.6 million, or 6.1% of total revenue, compared to $15.2 million, or 5.5% of total revenue, in the same period last year. |
• | For the three months ended September 30, 2017, Non-GAAP Adjusted Operating Income was $39.5 million, or 13.0% of total revenue, compared to $41.6 million, or 15.0% of total revenue, in the same period last year. |
• | For the three months ended September 30, 2017, GAAP Net Income was $13.0 million, or $0.32 per diluted share, compared to $13.9 million, or $0.35 per diluted share, in the same period last year. |
• | For the three months ended September 30, 2017, Non-GAAP Adjusted Net Income was $22.9 million, or $0.56 per diluted share, compared to $24.1 million, or $0.60 per diluted share, in the same period last year. |
athenaOne (Ambulatory) | athenaOne (Hospital) | Population Health | ||||||||||
Collector Providers | Clinicals Providers | Communicator Providers | Discharge Bed Days | Covered Lives | ||||||||
Ending Balance as of 6/30/17 | 100,306 | 54,909 | 62,928 | 14,107 | 2,781,635 | |||||||
Sequential Growth | 6,176 | 3,027 | 4,662 | 5,683 | 460,993 | |||||||
Ending Balance as of 9/30/17 | 106,482 | 57,936 | 67,590 | 19,790 | 3,242,628 | |||||||
Sequential Growth % | 6 | % | 6 | % | 7 | % | 40 | % | 17 | % |
For the Fiscal Year Ending December 31, 2017 | |
Forward-Looking Guidance | |
Financial Measures | |
GAAP Total Revenue | $1,200 million - $1,220 million |
GAAP Operating Income | $29 million - $53 million |
Non-GAAP Adjusted Operating Income | $135 million - $150 million |
Financial Metric | |
Annual Bookings | $300 million - $350 million |
September 30, 2017 | December 31, 2016 | |||||||
Assets | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 122.7 | $ | 147.4 | ||||
Accounts receivable, net | 163.9 | 161.6 | ||||||
Prepaid expenses and other current assets | 42.8 | 34.2 | ||||||
Total current assets | 329.4 | 343.2 | ||||||
Property and equipment, net | 361.5 | 347.7 | ||||||
Capitalized software costs, net | 136.0 | 125.8 | ||||||
Purchased intangible assets, net | 113.7 | 112.1 | ||||||
Goodwill | 274.4 | 240.7 | ||||||
Deferred tax asset, net | 44.9 | 2.2 | ||||||
Investments and other assets | 24.4 | 17.5 | ||||||
Total assets | $ | 1,284.3 | $ | 1,189.2 | ||||
Liabilities & Stockholders’ Equity | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 10.7 | $ | 9.5 | ||||
Accrued compensation | 83.7 | 89.7 | ||||||
Accrued expenses | 53.9 | 51.7 | ||||||
Current portion of long-term debt | 18.3 | 18.3 | ||||||
Deferred revenue | 30.9 | 28.7 | ||||||
Total current liabilities | 197.5 | 197.9 | ||||||
Deferred rent, net of current portion | 29.8 | 30.8 | ||||||
Long-term debt, net of current portion | 258.1 | 272.8 | ||||||
Deferred revenue, net of current portion | 48.6 | 48.4 | ||||||
Other long-term liabilities | 5.2 | 6.0 | ||||||
Total liabilities | 539.2 | 555.9 | ||||||
Stockholders’ equity: | ||||||||
Preferred stock, $0.01 par value: 5.0 shares authorized; no shares issued and outstanding at September 30, 2017 and December 31, 2016 | — | — | ||||||
Common stock, $0.01 par value: 125.0 shares authorized; 41.3 shares issued and 40.0 shares outstanding at September 30, 2017; 40.8 shares issued and 39.5 shares outstanding at December 31, 2016 | 0.4 | 0.4 | ||||||
Additional paid-in capital | 633.3 | 591.5 | ||||||
Treasury stock, at cost, 1.3 shares | (1.2 | ) | (1.2 | ) | ||||
Accumulated other comprehensive loss | (0.6 | ) | (0.9 | ) | ||||
Retained earnings | 113.2 | 43.5 | ||||||
Total stockholders’ equity | 745.1 | 633.3 | ||||||
Total liabilities and stockholders’ equity | $ | 1,284.3 | $ | 1,189.2 |
Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||||
2017 | 2016 | 2017 | 2016 | |||||||||||||
Revenue: | ||||||||||||||||
Business services | $ | 295.8 | $ | 267.1 | $ | 867.1 | $ | 768.7 | ||||||||
Implementation and other | 8.8 | 9.6 | 24.0 | 26.0 | ||||||||||||
Total revenue | 304.6 | 276.7 | 891.1 | 794.7 | ||||||||||||
Cost of revenue | 144.0 | 134.7 | 432.2 | 400.0 | ||||||||||||
Gross profit | 160.6 | 142.0 | 458.9 | 394.7 | ||||||||||||
Other operating expenses: | ||||||||||||||||
Selling and marketing | 61.8 | 61.5 | 192.5 | 189.5 | ||||||||||||
Research and development | 44.8 | 31.0 | 130.0 | 90.1 | ||||||||||||
General and administrative | 35.4 | 34.3 | 104.5 | 100.9 | ||||||||||||
Total other operating expenses | 142.0 | 126.8 | 427.0 | 380.5 | ||||||||||||
Operating income | 18.6 | 15.2 | 31.9 | 14.2 | ||||||||||||
Other expense | (1.4 | ) | (1.4 | ) | (4.3 | ) | (4.7 | ) | ||||||||
Income before income tax (provision) benefit | 17.2 | 13.8 | 27.6 | 9.5 | ||||||||||||
Income tax (provision) benefit | (4.2 | ) | 0.1 | (6.1 | ) | 1.7 | ||||||||||
Net income | $ | 13.0 | $ | 13.9 | $ | 21.5 | $ | 11.2 | ||||||||
Net income per share – Basic | $ | 0.33 | $ | 0.35 | $ | 0.54 | $ | 0.29 | ||||||||
Net income per share – Diluted | $ | 0.32 | $ | 0.35 | $ | 0.53 | $ | 0.28 | ||||||||
Weighted average shares used in computing net income per share: | ||||||||||||||||
Basic | 39.9 | 39.4 | 39.8 | 39.2 | ||||||||||||
Diluted | 40.7 | 40.0 | 40.6 | 40.0 |
Nine Months Ended September 30, | ||||||||
2017 | 2016 | |||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | ||||||||
Net income | $ | 21.5 | $ | 11.2 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Depreciation and amortization | 109.3 | 104.0 | ||||||
Excess tax benefit from stock-based awards | — | (1.4 | ) | |||||
Deferred income tax | 4.2 | (3.1 | ) | |||||
Stock-based compensation expense | 42.5 | 50.7 | ||||||
Other reconciling adjustments | (0.1 | ) | (0.3 | ) | ||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable, net | (2.2 | ) | (3.1 | ) | ||||
Prepaid expenses and other current assets | (8.6 | ) | (7.7 | ) | ||||
Other long-term assets | (6.8 | ) | (3.2 | ) | ||||
Accounts payable | 0.6 | 2.2 | ||||||
Accrued expenses and other long-term liabilities | 2.4 | 1.4 | ||||||
Accrued compensation | (8.2 | ) | (7.5 | ) | ||||
Deferred revenue | 2.4 | (7.8 | ) | |||||
Deferred rent | (0.4 | ) | 0.6 | |||||
Net cash provided by operating activities | 156.6 | 136.0 | ||||||
CASH FLOWS FROM INVESTING ACTIVITIES: | ||||||||
Capitalized software costs | (55.1 | ) | (68.1 | ) | ||||
Purchases of property and equipment | (66.8 | ) | (52.9 | ) | ||||
Payments on acquisitions, net of cash acquired | (41.1 | ) | (16.9 | ) | ||||
Other investing activities | — | 0.9 | ||||||
Net cash used in investing activities | (163.0 | ) | (137.0 | ) | ||||
CASH FLOWS FROM FINANCING ACTIVITIES: | ||||||||
Proceeds from issuance of common stock under stock plans and warrants | 13.4 | 14.1 | ||||||
Taxes paid related to net share settlement of stock awards | (17.1 | ) | (18.7 | ) | ||||
Excess tax benefit from stock-based awards | — | 1.4 | ||||||
Payments on long-term debt | (15.0 | ) | (7.5 | ) | ||||
Other financing activities | 0.1 | (0.1 | ) | |||||
Net cash used in financing activities | (18.6 | ) | (10.8 | ) | ||||
Effect of exchange rate changes on cash and cash equivalents | 0.3 | (0.1 | ) | |||||
Net decrease in cash and cash equivalents | (24.7 | ) | (11.9 | ) | ||||
Cash and cash equivalents at beginning of period | 147.4 | 141.9 | ||||||
Cash and cash equivalents at end of period | $ | 122.7 | $ | 130.0 |
(unaudited, in millions) | Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Stock-based compensation charged to Condensed Consolidated Statements of Income: | |||||||||||||||
Cost of revenue | $ | 2.7 | $ | 4.4 | $ | 10.5 | $ | 13.7 | |||||||
Selling and marketing | 4.3 | 5.1 | 13.2 | 14.3 | |||||||||||
Research and development | 3.2 | 3.1 | 10.3 | 9.3 | |||||||||||
General and administrative | 2.3 | 4.5 | 8.5 | 13.4 | |||||||||||
Total stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue (1) | 0.5 | 1.2 | 2.1 | 3.7 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to research and development (1) | — | 0.1 | 0.1 | 0.1 | |||||||||||
Total | $ | 13.0 | $ | 18.4 | $ | 44.7 | $ | 54.5 | |||||||
(1) | In addition, for the three months ended September 30, 2017, and 2016, $0.6 million and $0.9 million, respectively, of stock-based compensation was capitalized in the line item Capitalized software costs, net in the Condensed Consolidated Balance Sheets. For the nine months ended September 30, 2017, and 2016, $1.9 million and $2.1 million, respectively, of stock-based compensation was capitalized in the line item Capitalized software costs, net in the Condensed Consolidated Balance Sheets. |
(unaudited, in millions) | Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Amortization of purchased intangible assets allocated to: | |||||||||||||||
Cost of revenue | $ | 1.9 | $ | 2.0 | $ | 4.3 | $ | 7.1 | |||||||
Selling and marketing | 3.2 | 3.0 | 9.7 | 8.8 | |||||||||||
Total amortization of purchased intangible assets | $ | 5.1 | $ | 5.0 | $ | 14.0 | $ | 15.9 | |||||||
(unaudited, in millions) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 304.6 | $ | 276.7 | $ | 891.1 | $ | 794.7 | |||||||
Cost of revenue | 144.0 | 134.7 | 432.2 | 400.0 | |||||||||||
GAAP Gross Profit | 160.6 | 142.0 | 458.9 | 394.7 | |||||||||||
GAAP Gross Margin | 52.7 | % | 51.3 | % | 51.5 | % | 49.7 | % | |||||||
Add: Stock-based compensation allocated to cost of revenue | 2.7 | 4.4 | 10.5 | 13.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue | 0.5 | 1.2 | 2.1 | 3.7 | |||||||||||
Add: Amortization of purchased intangible assets allocated to cost of revenue | 1.9 | 2.0 | 4.3 | 7.1 | |||||||||||
Add: Integration and transaction costs allocated to cost of revenue | 0.1 | — | 0.2 | — | |||||||||||
Add: Exit costs, including restructuring costs allocated to cost of revenue | — | 0.1 | — | 0.4 | |||||||||||
Non-GAAP Adjusted Gross Profit (as redefined) | $ | 165.8 | $ | 149.7 | $ | 476.0 | $ | 419.6 | |||||||
Non-GAAP Adjusted Gross Margin (as redefined) | 54.4 | % | 54.1 | % | 53.4 | % | 52.8 | % | |||||||
Add: Amortization and depreciation expense allocated to cost of revenue | 24.5 | 25.8 | 74.2 | 70.7 | |||||||||||
Add: Overhead expense allocated to cost of revenue | 4.6 | 4.5 | 14.0 | 13.2 | |||||||||||
Service Automation Profit (1) | $ | 194.9 | $ | 180.0 | $ | 564.2 | $ | 503.5 | |||||||
Service Automation Rate (1) | 64.0 | % | 65.1 | % | 63.3 | % | 63.4 | % |
(1) | Service Automation Profit and Rate, formerly referred to as Non-GAAP Adjusted Gross Profit and Margin, excludes amortization, depreciation, and overhead costs. |
(unaudited, in millions) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 304.6 | $ | 276.7 | $ | 891.1 | $ | 794.7 | |||||||
GAAP net income | 13.0 | 13.9 | 21.5 | 11.2 | |||||||||||
Add: Provision for (benefit from) income taxes | 4.2 | (0.1 | ) | 6.1 | (1.7 | ) | |||||||||
Add: Total other expense | 1.4 | 1.4 | 4.3 | 4.7 | |||||||||||
GAAP operating income | $ | 18.6 | $ | 15.2 | $ | 31.9 | $ | 14.2 | |||||||
GAAP operating margin | 6.1 | % | 5.5 | % | 3.6 | % | 1.8 | % | |||||||
Add: Stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.5 | 1.3 | 2.2 | 3.8 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 14.0 | 15.9 | |||||||||||
Add: Integration and transaction costs | 2.8 | 0.8 | 6.8 | 1.1 | |||||||||||
Add: Exit costs, including restructuring costs | — | 2.4 | — | 4.4 | |||||||||||
Less: Gain on investments, net | — | (0.2 | ) | — | (0.2 | ) | |||||||||
Non-GAAP Adjusted Operating Income | $ | 39.5 | $ | 41.6 | $ | 97.4 | $ | 89.9 | |||||||
Non-GAAP Adjusted Operating Income Margin | 13.0 | % | 15.0 | % | 10.9 | % | 11.3 | % |
(unaudited, in millions, except per share amounts) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income | $ | 13.0 | $ | 13.9 | $ | 21.5 | $ | 11.2 | |||||||
Add: Stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.5 | 1.3 | 2.2 | 3.8 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 14.0 | 15.9 | |||||||||||
Add: Integration and transaction costs | 2.8 | 0.8 | 6.8 | 1.1 | |||||||||||
Add: Exit costs, including restructuring costs | — | 2.4 | — | 4.4 | |||||||||||
Less: Gain on investments, net | — | (0.2 | ) | — | (0.2 | ) | |||||||||
Sub-total of tax deductible items | 20.9 | 26.4 | 65.5 | 75.7 | |||||||||||
Add: Tax impact of tax deductible items (1) | (8.4 | ) | (10.6 | ) | (26.2 | ) | (30.3 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (2.6 | ) | (5.6 | ) | (4.9 | ) | (5.5 | ) | |||||||
Non-GAAP Adjusted Net Income | $ | 22.9 | $ | 24.1 | $ | 55.9 | $ | 51.1 | |||||||
Weighted average shares - diluted | 40.7 | 40.0 | 40.6 | 40.0 | |||||||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 0.56 | $ | 0.60 | $ | 1.38 | $ | 1.28 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income to a non-GAAP tax rate of 40%. We used a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
(unaudited, in millions, except per share amounts) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income per share - diluted | $ | 0.32 | $ | 0.35 | $ | 0.53 | $ | 0.28 | |||||||
Add: Stock-based compensation expense | 0.31 | 0.43 | 1.05 | 1.27 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.01 | 0.03 | 0.05 | 0.10 | |||||||||||
Add: Amortization of purchased intangible assets | 0.13 | 0.13 | 0.34 | 0.40 | |||||||||||
Add: Integration and transaction costs | 0.07 | 0.02 | 0.17 | 0.03 | |||||||||||
Add: Exit costs, including restructuring costs | — | 0.06 | — | 0.11 | |||||||||||
Less: Gain on investments, net | — | (0.01 | ) | — | (0.01 | ) | |||||||||
Sub-total of tax deductible items | 0.51 | 0.66 | 1.61 | 1.89 | |||||||||||
Add: Tax impact of tax deductible items (1) | (0.21 | ) | (0.27 | ) | (0.65 | ) | (0.76 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (0.06 | ) | (0.14 | ) | (0.12 | ) | (0.14 | ) | |||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 0.56 | $ | 0.60 | $ | 1.38 | $ | 1.28 | |||||||
Weighted average shares - diluted | 40.7 | 40.0 | 40.6 | 40.0 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income to a non-GAAP tax rate of 40%. We used a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
LOW | HIGH | ||||||
Fiscal Year Ending December 31, 2017 | |||||||
Total revenue | $ | 1,200 | $ | 1,220 | |||
GAAP operating income | $ | 29 | $ | 53 | |||
GAAP operating income margin | 2.4 | % | 4.3 | % | |||
Add: Stock-based compensation expense | 55 | 53 | |||||
Add: Amortization of capitalized stock-based compensation related to software development | 2 | 2 | |||||
Add: Amortization of purchased intangible assets | 19 | 19 | |||||
Add: Integration and transaction costs | 10 | 10 | |||||
Add: Exit costs, including restructuring (1) | 20 | 13 | |||||
Add: Gain or loss on investments (2) | — | — | |||||
Non-GAAP Adjusted Operating Income | $ | 135 | $ | 150 | |||
Non-GAAP Adjusted Operating Income Margin | 11.3 | % | 12.3 | % |
(1) | As a result of our expected exit costs associated with our strategic plan, we have updated our reconciliation table of Non-GAAP financial measures to comparable GAAP measures for fiscal year 2017 guidance. |
(2) | We currently do not anticipate gain or loss on investments during fiscal year 2017. However, if this item occurs in fiscal year 2017, we would exclude this item from our Non-GAAP Adjusted Operating Income and Non-GAAP Adjusted Operating Income Margin. |
• | Stock-based compensation expense and amortization of capitalized stock-based compensation related to software development — excluded because these are non-cash expenditures that management does not consider part of ongoing operating results when assessing the performance of our business, and also because the total amount of the expenditure is partially outside of our control because it is based on factors such as stock price, volatility, and interest rates, which may be unrelated to our performance during the period in which the expenses are incurred. |
• | Amortization of purchased intangible assets — purchased intangible assets are amortized over their estimated useful lives and generally cannot be changed or influenced by management after the acquisition. Accordingly, this item is not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred. |
• | Integration and transaction costs — Integration costs are the severance payments and retention bonuses for certain employees related to specific transactions. Transaction costs are costs related to strategic transactions. Accordingly, management believes that such expenses do not have a direct correlation to future business operations, and therefore, these costs are not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred. |
• | Exit costs, including restructuring costs — represents costs related to workforce reductions and to terminate certain lease or other agreements for strategic realignment purposes. Management does not believe such costs accurately reflect the performance of our ongoing operations for the period in which such costs are incurred. |
• | Gain or loss on investments — represents gains or losses on the sales, conversions, or impairments of our investments, such as marketable securities and More Disruption Please Accelerator investments. Management does not believe such gains or losses accurately reflect the performance of our ongoing operations for the period in which such gains or losses are reported. |
• | Non-GAAP tax rate — We use a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
◦ | $304.6 million in Q3 2017, representing 10% growth over $276.7 million in Q3 2016 |
◦ | $160.6 million, or 52.7% of total revenue, in Q3 2017, an increase of 13% over $142.0 million, or 51.3%, in Q3 2016 |
• | Service Automation Profit and Rate (formerly referred to as Non-GAAP Adjusted Gross Profit and Margin): |
◦ | $194.9 million, or 64.0% of total revenue, in Q3 2017, an increase of 8% over $180.0 million, or 65.1% of total revenue, in Q3 2016 |
• | GAAP Selling and Marketing expense: |
◦ | $61.8 million, or 20.3% of total revenue, in Q3 2017, an increase of 0.5% over $61.5 million, or 22.2% of total revenue, in Q3 2016 |
• | GAAP Research and Development expense: |
◦ | $44.8 million, or 14.7% of total revenue, in Q3 2017, an increase of 45% over $31.0 million, or 11.2% of total revenue, in Q3 2016 |
• | GAAP General and Administrative expense: |
◦ | $35.4 million, or 11.6% of total revenue, in Q3 2017, an increase of 3% over $34.3 million, or 12.4% of total revenue, in Q3 2016 |
• | GAAP Operating Income and Margin: |
◦ | $18.6 million, or 6.1% of total revenue, in Q3 2017, an increase of 22% over $15.2 million, or 5.5% of total revenue, in Q3 2016 |
• | Non-GAAP Adjusted Operating Income and Margin: |
◦ | $39.5 million, or 13.0% of total revenue, in Q3 2017, a decrease of 5% from $41.6 million, or 15.0% of total revenue, in Q3 2016 |
• | GAAP Net Income: |
◦ | $13.0 million, or $0.32 per diluted share, in Q3 2017, a decrease of 6% from $13.9 million, or $0.35 per diluted share, in Q3 2016 |
• | Non-GAAP Adjusted Net Income: |
◦ | $22.9 million, or $0.56 per diluted share, in Q3 2017, a decrease of 5% from $24.1 million, or $0.60 per diluted share, in Q3 2016 |
Q1 2017 Results | Q2 2017 Results | Q3 2017 Results | YTD 2017 Results | |||||
Stability (10% weight) | ||||||||
Voluntary Turnover | 3.2 | % | 4.3 | % | 4.1 | % | 11.5 | % |
New Hires Leaving in 12 Months | 5.7 | % | 4.6 | % | 4.4 | % | 14.7 | % |
Employee Engagement | (a) | 4.1 | (a) | 4.1 | ||||
Stability Results | 71 | % | 65 | % | 70 | % | 69 | % |
Performance (40% weight) | ||||||||
athenaCollector Composite | 99.6 | % | 94.7 | % | 90.1 | % | 93.8 | % |
athenaClinicals Composite | 101.9 | % | 99.6 | % | 96.8 | % | 99.4 | % |
athenaCommunicator Composite | 94.2 | % | 93.2 | % | 86.8 | % | 91.0 | % |
Hospital Composite | 92.8 | % | 80.8 | % | 64.7 | % | 78.1 | % |
Performance Results | 98 | % | 92 | % | 85 | % | 91 | % |
Satisfaction (15% weight) | ||||||||
Client Net Promoter Score | 25.4 | 35.2 | 28.7 | 29.8 | ||||
Inbound Contacts per Provider per Month | 0.56 | 0.52 | 0.49 | 0.53 | ||||
Satisfaction Results | 104 | % | 112 | % | 89 | % | 101 | % |
Financial (35% weight) | ||||||||
Bookings (b) | (b) | (b) | (b) | (b) | ||||
Non-GAAP Adjusted Operating Income Growth | (9 | )% | 50 | % | (5 | )% | 8 | % |
Financial Results (c) | 43 | % | 67 | % | 37 | % | 48 | % |
Total Results | 77 | % | 84 | % | 67 | % | 75 | % |
(a) | Employee Engagement surveys are completed twice per year with results reported in Q2 and Q4 only. |
(b) | Bookings results are disclosed on an annual basis only. |
(c) | Financial metrics are being measured against the original fiscal year 2017 budget. |
• | Stability metrics: |
◦ | Voluntary Turnover of 4.1% in Q3 2017 was unfavorable to our goal of 2.8%. We closely track employee retention metrics and employee engagement survey scores. We continue to drive programs that attract, develop, and retain top talent. During the third quarter, we increased focus on developing front line managers, connecting employees to company strategy, and creating a best-in-class employee experience across athenaNation. |
◦ | New Hires Leaving in 12 Months result of 4.4% in Q3 2017 was unfavorable to our goal of 4.0%. Our talent acquisition team continually works to improve the quality of hires, particularly critical product and research and development roles. During the third quarter, we introduced a new behavioral interview framework to ensure that we are identifying and hiring candidates with a strong cultural fit. |
• | Performance metrics: |
◦ | athenaCollector Composite result of 90.1% in Q3 2017 was driven by a slightly higher than expected Collector Claim Inflow Rate, primarily attributable to an increase in client |
◦ | athenaClinicals Composite result of 96.8% in Q3 2017 was driven by a slightly higher than expected Clinicals Client Inflow Rate and in-line performance for After-Hours Documentation Rate. |
◦ | athenaCommunicator Composite result of 86.8% in Q3 2017, driven by lower Online Self Pay Rate results than planned. We remain focused on improving this metric by increasing portal adoption and improving patient engagement, as we believe both are key to driving faster collections of patient payments. |
◦ | Hospital Composite result of 64.7% in Q3 2017, primarily driven by lower than expected percentage of Clients Meeting Cash Flow Goal for the quarter. New clients on our network typically experience a short term decrease in collections post go-live, and during Q3 2017 we brought more hospitals live than we did in the first and second quarters of 2017. On average, hospital clients live on athenaNet for a full year are achieving cash collections of 105% of baseline. As a larger number of new hospital clients transition off legacy accounts receivable systems and onto our hospital service, we expect cash collections to improve over time. As part of our service delivery, our billing performance team closely monitors and measures the performance of every hospital on our athenaOne for Hospitals and Health Systems service. The team is focused on maximizing the financial performance of our hospital clients, and provides dedicated performance monitoring and proactive claim resolution to drive improvements in client collections. |
• | Satisfaction metrics: |
◦ | Client Net Promoter Score of 28.7 in Q3 2017, versus goal of 35.0 and declined from 35.2 in Q2 2017. While our score declined sequentially, we have made significant progress improving this metric year-to-date. In addition, we have improved client response rates, have better insight into client concerns, and have action plans underway to continue to improve our customer support and service delivery. It is also important to note that our Q3 net promoter score of 28.7 has improved 13% since we last surveyed this cohort of clients in the first quarter and has improved 42% year over year. We have a number of initiatives underway that we believe will improve our Net Promoter Score over the long run. We have product leaders focused solely on improving service delivery and performance. We have reduced the number of releases that impact client workflows to three times a year as part of our agile transformation. We are also working on improving our overall service experience, particularly on the customer support side by taking care of client issues in a more timely fashion. These initiatives continue to be significant areas of focus for us in 2017. |
◦ | Inbound Contacts per Provider per Month of 0.49 in Q3 2017, favorable to our goal of 0.51. |
• | Financial metrics: |
◦ | Our financial scorecard results came in at 37% as bookings and non-GAAP Adjusted Operating Income Growth results are being measured against our original fiscal year 2017 budget. |
• | 71% of all new athenaCollector deals included athenaClinicals in Q3 2017, compared to 81% in Q3 2016 |
• | 67% of all new athenaCollector deals included athenaClinicals, athenaCommunicator, and athenaCoordinator in Q3 2017, compared to 79% in Q3 2016. |
• | 54.4% of total athenaCollector providers have adopted athenaClinicals as of Q3 2017, up from 54.7% as of Q2 2017 |
• | 63.5% of total athenaCollector providers have adopted athenaCommunicator as of Q3 2017, up from 62.7% as of Q2 2017 |
• | Network growth metrics for ambulatory (athenaOne), hospital (athenaOne for Hospitals & Health Systems), and population health (athenahealth Population Health) services from Q2 2017 to Q3 2017 were as follows: |
athenaOne (Ambulatory) | athenaOne (Hospital) | Population Health | ||||||||||
Collector Providers | Clinicals Providers | Communicator Providers | Discharge Bed Days | Covered Lives | ||||||||
Ending Balance as of 6/30/17 | 100,306 | 54,909 | 62,928 | 14,107 | 2,781,635 | |||||||
Sequential Growth | 6,176 | 3,027 | 4,662 | 5,683 | 460,993 | |||||||
Ending Balance as of 9/30/17 | 106,482 | 57,936 | 67,590 | 19,790 | 3,242,628 | |||||||
Sequential Growth % | 6 | % | 6 | % | 7 | % | 40 | % | 17 | % |
Q3 2017 | Q3 2016 | Y/Y Growth% | ||
Business services | $295.8 | $267.1 | 11 | % |
Implementation and other | $8.8 | $9.6 | (8 | )% |
Consolidated Revenue | $304.6 | $276.7 | 10 | % |
YTD Q3 2017 | YTD Q3 2016 | Y/Y Growth% | ||
Business services | $867.1 | $768.7 | 13 | % |
Implementation and other | $24.0 | $26.0 | (8 | )% |
Consolidated Revenue | $891.1 | $794.7 | 12 | % |
• | Work reduction efforts: We built our business model on reducing administrative work and have doubled down on this commitment with our work reduction efforts for all clients on our network and with our work reduction guarantee for the independent medical group segment. Based on our efforts to date, our clients are spending less time handling paper, chasing denials, obtaining prior authorizations, conducting patient outreach, and manually populating patient records. The reduction in administrative burden allows our clients to spend more time with their patients. We launched our work reduction guarantee in June 2017, further accentuating the uniqueness of our cloud-based services model. The combination of our work reduction efforts, service improvements, and work reduction guarantee is resonating in the market. While we continue to experience less buying activity among our prospects overall, during Q2 2017 and Q3 2017, our independent medical group segment enjoyed the highest meeting-to-win rate since 2014. |
• | Continued momentum in the small hospital market: We continued our in-market momentum and success in the small hospital space during Q3 2017. While we acknowledge that our model may not be the right fit for everyone, we continue to successfully support community hospitals with low up-front costs, aligned incentives, and no maintenance costs. Our footprint continues to expand with 56 hospital clients fully live as of Q3 2017 and the volume of activity on our network continues to accelerate with 40% sequential growth in discharge bed days from Q2 2017 to Q3 2017. As our client base grows, so does our ability to learn, deepen, and scale our services, and further improve the financial and operational performance of our hospital clients. We continued to improve our implementation process and, as a result, we brought more hospitals live |
• | Building out the most connected network in healthcare: We are connecting providers to each other, to their patients, to public and private health registries, to hospitals, and to other best-in-breed third-party health IT solutions via our athenahealth Marketplace. Today, we connect care across a national network of 106,000 providers and 102 million patients. Our national network is connected to over 100 health information exchanges, over 3,000 imaging centers, over 7,000 labs, and over 60,000 pharmacies. But we believe that just growing the network is not enough. As a result, we remain focused on deepening the value of our network connections each and every day. For example, we are making tremendous progress with our patient record sharing capabilities via CommonWell and Carequality. After successfully exchanging over 2.6 million patient records through CommonWell and Carequality as part of a beta program this year, we expect to launch our patient record sharing capabilities across our entire client base in Q4 2017. Our patient record sharing capability gives healthcare providers more visibility into patient health history across the continuum of care, reduces duplication of work, and enables more timely, seamless care coordination. Here is just one example of how our clients are utilizing and benefiting from our patient record sharing capabilities. A primary care physician on our network needed access to the care being received by a patient who was recently diagnosed with breast cancer. As a result of patient record sharing, we were able to obtain the necessary radiology, oncology, and consult notes from the specialists on a timely basis and present them in the patient chart. This critical information helped our client stay informed about the patient’s care, improve communications with the patient about her cancer treatment plan and medications, as well as coordinate her care with the other providers. While it is just one example, it clearly demonstrates that patient record sharing helps healthcare providers do their jobs better. Today, we are connected to 62% of the eligible Epic communities and 31% of the eligible Cerner sites and we are on track to be connected into 100% of the eligible Epic communities and 45% of the eligible Cerner sites by year end. |
athenaOne (Ambulatory) | athenaOne (Hospital) | Population Health | ||||||||||
Collector Providers | Clinicals Providers | Communicator Providers | Discharge Bed Days | Covered Lives | ||||||||
Ending Balance as of 6/30/17 | 100,306 | 54,909 | 62,928 | 14,107 | 2,781,635 | |||||||
Sequential Growth | 6,176 | 3,027 | 4,662 | 5,683 | 460,993 | |||||||
Ending Balance as of 9/30/17 | 106,482 | 57,936 | 67,590 | 19,790 | 3,242,628 | |||||||
Sequential Growth % | 6 | % | 6 | % | 7 | % | 40 | % | 17 | % |
• | Tenet Health continued the phased rollout of our full suite of ambulatory services, athenaOne, and brought four waves live in Q3 2017. |
• | Trinity Health continued the phased rollout of our full suite of ambulatory services, athenaOne, and brought another wave live in Q3 2017. |
• | Resurgens Orthopaedics went live on our full suite of ambulatory services, athenaOne, during Q3 2017. |
For the Fiscal Year Ending December 31, 2017 | |
Forward-Looking Guidance | |
Financial Measures | |
GAAP Total Revenue | $1,200 million - $1,220 million |
GAAP Operating Income | $29 million - $53 million |
Non-GAAP Adjusted Operating Income | $135 million - $150 million |
Financial Metric | |
Annual Bookings | $300 million - $350 million |
(unaudited, in millions) | Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Stock-based compensation charged to Condensed Consolidated Statements of Income: | |||||||||||||||
Cost of revenue | $ | 2.7 | $ | 4.4 | $ | 10.5 | $ | 13.7 | |||||||
Selling and marketing | 4.3 | 5.1 | 13.2 | 14.3 | |||||||||||
Research and development | 3.2 | 3.1 | 10.3 | 9.3 | |||||||||||
General and administrative | 2.3 | 4.5 | 8.5 | 13.4 | |||||||||||
Total stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue (1) | 0.5 | 1.2 | 2.1 | 3.7 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to research and development (1) | — | 0.1 | 0.1 | 0.1 | |||||||||||
Total | $ | 13.0 | $ | 18.4 | $ | 44.7 | $ | 54.5 | |||||||
(1) | In addition, for the three months ended September 30, 2017, and 2016, $0.6 million and $0.9 million, respectively, of stock-based compensation was capitalized in the line item Capitalized software costs, net in the Condensed Consolidated Balance Sheets. For the nine months ended September 30, 2017, and 2016, $1.9 million and $2.1 million, respectively, of stock-based compensation was capitalized in the line item Capitalized software costs, net in the Condensed Consolidated Balance Sheets. |
(unaudited, in millions) | Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Amortization of purchased intangible assets allocated to: | |||||||||||||||
Cost of revenue | $ | 1.9 | $ | 2.0 | $ | 4.3 | $ | 7.1 | |||||||
Selling and marketing | 3.2 | 3.0 | 9.7 | 8.8 | |||||||||||
Total amortization of purchased intangible assets | $ | 5.1 | $ | 5.0 | $ | 14.0 | $ | 15.9 | |||||||
(unaudited, in millions) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 304.6 | $ | 276.7 | $ | 891.1 | $ | 794.7 | |||||||
Cost of revenue | 144.0 | 134.7 | 432.2 | 400.0 | |||||||||||
GAAP Gross Profit | 160.6 | 142.0 | 458.9 | 394.7 | |||||||||||
GAAP Gross Margin | 52.7 | % | 51.3 | % | 51.5 | % | 49.7 | % | |||||||
Add: Stock-based compensation allocated to cost of revenue | 2.7 | 4.4 | 10.5 | 13.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue | 0.5 | 1.2 | 2.1 | 3.7 | |||||||||||
Add: Amortization of purchased intangible assets allocated to cost of revenue | 1.9 | 2.0 | 4.3 | 7.1 | |||||||||||
Add: Integration and transaction costs allocated to cost of revenue | 0.1 | — | 0.2 | — | |||||||||||
Add: Exit costs, including restructuring costs allocated to cost of revenue | — | 0.1 | — | 0.4 | |||||||||||
Non-GAAP Adjusted Gross Profit (as redefined) | $ | 165.8 | $ | 149.7 | $ | 476.0 | $ | 419.6 | |||||||
Non-GAAP Adjusted Gross Margin (as redefined) | 54.4 | % | 54.1 | % | 53.4 | % | 52.8 | % | |||||||
Add: Amortization and depreciation expense allocated to cost of revenue | 24.5 | 25.8 | 74.2 | 70.7 | |||||||||||
Add: Overhead expense allocated to cost of revenue | 4.6 | 4.5 | 14.0 | 13.2 | |||||||||||
Service Automation Profit (1) | $ | 194.9 | $ | 180.0 | $ | 564.2 | $ | 503.5 | |||||||
Service Automation Rate (1) | 64.0 | % | 65.1 | % | 63.3 | % | 63.4 | % |
(1) | Service Automation Profit and Rate, formerly referred to as Non-GAAP Adjusted Gross Profit and Margin, excludes amortization, depreciation, and overhead costs. |
(unaudited, in millions) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 304.6 | $ | 276.7 | $ | 891.1 | $ | 794.7 | |||||||
GAAP net income | 13.0 | 13.9 | 21.5 | 11.2 | |||||||||||
Add: Provision for (benefit from) income taxes | 4.2 | (0.1 | ) | 6.1 | (1.7 | ) | |||||||||
Add: Total other expense | 1.4 | 1.4 | 4.3 | 4.7 | |||||||||||
GAAP operating income | $ | 18.6 | $ | 15.2 | $ | 31.9 | $ | 14.2 | |||||||
GAAP operating margin | 6.1 | % | 5.5 | % | 3.6 | % | 1.8 | % | |||||||
Add: Stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.5 | 1.3 | 2.2 | 3.8 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 14.0 | 15.9 | |||||||||||
Add: Integration and transaction costs | 2.8 | 0.8 | 6.8 | 1.1 | |||||||||||
Add: Exit costs, including restructuring costs | — | 2.4 | — | 4.4 | |||||||||||
Less: Gain on investments, net | — | (0.2 | ) | — | (0.2 | ) | |||||||||
Non-GAAP Adjusted Operating Income | $ | 39.5 | $ | 41.6 | $ | 97.4 | $ | 89.9 | |||||||
Non-GAAP Adjusted Operating Income Margin | 13.0 | % | 15.0 | % | 10.9 | % | 11.3 | % |
(unaudited, in millions, except per share amounts) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income | $ | 13.0 | $ | 13.9 | $ | 21.5 | $ | 11.2 | |||||||
Add: Stock-based compensation expense | 12.5 | 17.1 | 42.5 | 50.7 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.5 | 1.3 | 2.2 | 3.8 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 14.0 | 15.9 | |||||||||||
Add: Integration and transaction costs | 2.8 | 0.8 | 6.8 | 1.1 | |||||||||||
Add: Exit costs, including restructuring costs | — | 2.4 | — | 4.4 | |||||||||||
Less: Gain on investments, net | — | (0.2 | ) | — | (0.2 | ) | |||||||||
Sub-total of tax deductible items | 20.9 | 26.4 | 65.5 | 75.7 | |||||||||||
Add: Tax impact of tax deductible items (1) | (8.4 | ) | (10.6 | ) | (26.2 | ) | (30.3 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (2.6 | ) | (5.6 | ) | (4.9 | ) | (5.5 | ) | |||||||
Non-GAAP Adjusted Net Income | $ | 22.9 | $ | 24.1 | $ | 55.9 | $ | 51.1 | |||||||
Weighted average shares - diluted | 40.7 | 40.0 | 40.6 | 40.0 | |||||||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 0.56 | $ | 0.60 | $ | 1.38 | $ | 1.28 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income (loss) to a non-GAAP tax rate of 40%. We used a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
(unaudited, in millions, except per share amounts) | Three Months Ended | Nine Months Ended | |||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income per share - diluted | $ | 0.32 | $ | 0.35 | $ | 0.53 | $ | 0.28 | |||||||
Add: Stock-based compensation expense | 0.31 | 0.43 | 1.05 | 1.27 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.01 | 0.03 | 0.05 | 0.10 | |||||||||||
Add: Amortization of purchased intangible assets | 0.13 | 0.13 | 0.34 | 0.40 | |||||||||||
Add: Integration and transaction costs | 0.07 | 0.02 | 0.17 | 0.03 | |||||||||||
Add: Exit costs, including restructuring costs | — | 0.06 | — | 0.11 | |||||||||||
Less: Gain on investments, net | — | (0.01 | ) | — | (0.01 | ) | |||||||||
Sub-total of tax deductible items | 0.51 | 0.66 | 1.61 | 1.89 | |||||||||||
Add: Tax impact of tax deductible items (1) | (0.21 | ) | (0.27 | ) | (0.65 | ) | (0.76 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (0.06 | ) | (0.14 | ) | (0.12 | ) | (0.14 | ) | |||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 0.56 | $ | 0.60 | $ | 1.38 | $ | 1.28 | |||||||
Weighted average shares - diluted | 40.7 | 40.0 | 40.6 | 40.0 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income (loss) to a non-GAAP tax rate of 40%. We used a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
(unaudited, in millions) | LOW | HIGH | |||||
Fiscal Year Ending December 31, 2017 | |||||||
Total revenue | $ | 1,200 | $ | 1,220 | |||
GAAP operating income | $ | 29 | $ | 53 | |||
GAAP operating income margin | 2.4 | % | 4.3 | % | |||
Add: Stock-based compensation expense | 55 | 53 | |||||
Add: Amortization of capitalized stock-based compensation related to software development | 2 | 2 | |||||
Add: Amortization of purchased intangible assets | 19 | 19 | |||||
Add: Integration and transaction costs | 10 | 10 | |||||
Add: Exit costs, including restructuring (1) | 20 | 13 | |||||
Add: Gain or loss on investments (2) | — | — | |||||
Non-GAAP Adjusted Operating Income | $ | 135 | $ | 150 | |||
Non-GAAP Adjusted Operating Income Margin | 11.3 | % | 12.3 | % |
(1) | As a result of our expected exit costs associated with our strategic plan, we have updated our reconciliation table of Non-GAAP financial measures to comparable GAAP measures for fiscal year 2017 guidance. |
(2) | We currently do not anticipate gain or loss on investments during fiscal year 2017. However, if this item occurs in fiscal year 2017, we would exclude this item from our Non-GAAP Adjusted Operating Income and Non-GAAP Adjusted Operating Income Margin. |
• | Stock-based compensation expense and amortization of capitalized stock-based compensation related to software development — excluded because these are non-cash expenditures that management does not consider part of ongoing operating results when assessing the performance of our business, and also because the total amount of the expenditure is partially outside of our control because it is based on factors such as stock price, volatility, and interest rates, which may be unrelated to our performance during the period in which the expenses are incurred. |
• | Amortization of purchased intangible assets — purchased intangible assets are amortized over their estimated useful lives and generally cannot be changed or influenced by management after the acquisition. Accordingly, this item is not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred. |
• | Integration and transaction costs — Integration costs are the severance payments and retention bonuses for certain employees related to specific transactions. Transaction costs are costs related to strategic transactions. Accordingly, management believes that such expenses do not have a direct correlation to future business operations, and therefore, these costs are not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred. |
• | Exit costs, including restructuring costs — represents costs related to workforce reductions and to terminate certain lease or other agreements for strategic realignment purposes. Management does not believe such costs accurately reflect the performance of our ongoing operations for the period in which such costs are incurred. |
• | Gain or loss on investments — represents gains or losses on the sales, conversions, or impairments of our investments, such as marketable securities and More Disruption Please (“MDP”) Accelerator investments. Management does not believe such gains or losses accurately reflect the performance of our ongoing operations for the period in which such gains or losses are reported. |
• | Non-GAAP tax rate — We use a non-GAAP tax rate of 40% to normalize the tax impact to our Non-GAAP Adjusted Net Income per Diluted Share based on the fact that a relatively small change in pre-tax GAAP income (loss) in any one period could result in a volatile GAAP effective tax rate. |
Fiscal Year 2016 | Fiscal Year 2017 | ||||||||||||||||
Q1 | Q2 | Q3 | Q4 | Q1 | Q2 | Q3 | |||||||||||
Network Growth | |||||||||||||||||
Total Providers on athenaCollector (1) | 84,348 | 87,400 | 93,250 | 96,542 | 98,948 | 100,306 | 106,482 | ||||||||||
Total Providers on athenaClinicals (1) | n/a | n/a | n/a | 49,482 | 52,273 | 54,909 | 57,936 | ||||||||||
Total Providers on athenaCommunicator (1) | n/a | n/a | n/a | 57,861 | 60,070 | 62,928 | 67,590 | ||||||||||
Total Discharge Bed Days | n/a | n/a | 3,802 | 6,107 | 11,350 | 14,107 | 19,790 | ||||||||||
Total Covered Lives | n/a | n/a | 2,064,126 | 2,215,451 | 2,777,960 | 2,781,635 | 3,242,628 | ||||||||||
Client Performance | |||||||||||||||||
Net Promoter Score | 34.0 | 29.3 | 20.2 | 23.9 | 25.4 | 35.2 | 28.7 | ||||||||||
Client Days in Accounts Receivable (“DAR”) | 41.3 | 40.6 | 41.5 | 40.2 | 41.4 | 40.9 | 42.0 | ||||||||||
First Pass Resolution (“FPR”) Rate | 94.2 | % | 94.7 | % | 94.5 | % | 94.7 | % | 93.3 | % | 93.3 | % | 93.4 | % | |||
Electronic Remittance Advice (“ERA”) Rate | 83.8 | % | 84.9 | % | 84.5 | % | 85.3 | % | 84.7 | % | 85.1 | % | 85.8 | % | |||
Total Claims Submitted | 41,246,696 | 42,261,855 | 42,611,244 | 45,841,213 | 47,253,923 | 48,401,956 | 47,882,116 | ||||||||||
Total Client Collections ($) | 5,203,424,281 | 5,563,351,503 | 5,714,549,558 | 6,133,676,322 | 6,025,219,489 | 6,418,845,829 | 6,487,587,258 | ||||||||||
Total Working Days | 62 | 64 | 64 | 61 | 62 | 64 | 63 | ||||||||||
Employees | |||||||||||||||||
Cost of Revenue | 2,310 | 2,481 | 2,653 | 2,799 | 2,859 | 2,899 | 2,925 | ||||||||||
Selling & Marketing | 652 | 727 | 762 | 769 | 745 | 777 | 749 | ||||||||||
Research & Development | 1,355 | 1,336 | 1,406 | 1,283 | 1,357 | 1,388 | 1,466 | ||||||||||
General & Administrative | 435 | 446 | 446 | 454 | 458 | 465 | 453 | ||||||||||
Total Employees | 4,752 | 4,990 | 5,267 | 5,305 | 5,419 | 5,528 | 5,593 |
Supplemental Metrics Definitions | |
Network Growth | |
Total Providers on athenaCollector | The number of providers, including physicians, that have rendered a service which generated a medical claim that was billed during the last 91 days on the athenaCollector platform. Examples of non-physician providers are Nurse Practitioners and Registered Nurses. |
Total Providers on athenaClinicals | The number of providers, including physicians, that have rendered a service through the athenaClinicals platform which generated a medical claim that was billed during the last 91 days on the athenaCollector platform. |
Total Providers on athenaCommunicator | The number of providers, including physicians, that have rendered a service which generated a medical claim that was billed during the last 91 days on the athenaCollector platform and whose practice is actively using athenaCommunicator. Effective January 1, 2017, total providers on athenaCommunicator is defined as total providers whose practices have enabled the patient portal. |
Discharge Bed Days | Discharge bed days is defined as the number of days a patient is hospitalized in an inpatient level of care during the quarter. The day of the admission, but not the day of discharge, is counted. If both admission and discharge occur on the same day, it is counted as one inpatient day. |
Covered Lives | Covered lives on the network is defined as the quarterly average of the number of patients for which we have eligibility, claims, pharmacy, or risk data in the Population Health platform, for a given client in a given month. |
Client Performance | |
Net Promoter Score | Survey respondents from athenaOne survey (sample includes all clients live, surveyed on a bi-annual basis) are categorized as detractors (0-6 score for "likelihood to recommend"), passives (7-8), and promoters (9-10). The Net Promoter Score is calculated by subtracting the % of detractors from the % of promoters. |
Client Days in Accounts Receivable (“DAR”) | The average number of days that it takes outstanding balances on claims to be resolved, e.g. paid, for clients on athenaCollector. Clients that have been live less than 90 days are excluded, as well as clients who are terminating services. |
First Pass Resolution (“FPR”) Rate | Approximates the percentage of primary claims that are favorably adjudicated and closed after a single submission during the period. Currently, the FPR rate is calculated on a monthly basis, and certain practices are excluded (e.g. those that have been live for less than 90 days). |
Electronic Remittance Advice (“ERA”) Rate | Remittance refers to the information about payments (a/k/a explanations of benefits) received from insurance companies during the period. The ERA rate reflects the percentage of total charges that were posted using electronic remittance. |
Total Claims Submitted | The number of claims billed through athenaNet during the period. |
Total Client Collections | The dollar value of collections posted on behalf of clients during the period. |
Total Working Days | The total number of days during the quarter minus weekends and U.S. Post Office holidays. |
Employees | |
Cost of Revenue | The total number of full time equivalent individuals (“FTEs”) employed by athenahealth to support its service operations as of quarter end. This team includes production systems, enrollment services, paper claim submission, claim resolution, clinical operations, professional services, account management, and client services. |
Selling & Marketing | The total number of FTEs employed by athenahealth to support its sales and marketing efforts as of quarter end. This team includes sales representatives, business development staff, and the marketing team. |
Research & Development | The total number of FTEs employed by athenahealth to support its research and development efforts as of quarter end. This team includes product development and product management. |
General & Administrative | The total number of FTEs employed by athenahealth to support its general and administrative functions as of quarter end. This team includes finance, human resources, compliance, learning and development, internal audit, corporate technology, recruiting, facilities, and legal. |
Total Employees | The total number of FTEs employed by athenahealth as of quarter end. This number excludes interns and seasonal employees. |
Corporate Scorecard Metrics Definitions | |
Stability | |
Voluntary Turnover | The number of voluntary terminations within a quarter divided by the average of the starting headcount and ending headcount for the quarter. Voluntary turnover excludes employees on action plans or employees on counseling out plans. |
New Hires Leaving in 12 Months | The percentage of employees with less than one year of service from most recent hire date who left voluntarily or involuntarily during the quarter. |
Employee Engagement | Quarterly engagement survey results for employees. Employee engagement results are reported in Q2 and Q4 only. |
Performance | |
athenaCollector Composite | athenaCollector Composite consists of Ambulatory Days in Accounts Receivable (the average number of days that it takes outstanding balances on claims to be resolved), and Collector Claim Hold Inflow Rate (the number of times a claim moved into client HOLD and MGRHOLD buckets divided by the claims created during the month). |
athenaClinicals Composite | athenaClinicals Composite consists of Clinicals Inbox Inflow Rate (the number of practice user actions moving the document into client work buckets divided by the number of clinical encounters during the month) and After-hours Documentation Rate (the percentage of encounter documentation that a provider does outside of business hours). |
athenaCommunicator Composite | athenaCommunicator Composite consists of Self-Check In Rate (the number of appointments for which the patient began the self-check in process divided by the total number of appointments which were eligible for self-check in), and Online Self Pay Rate (the total number of self-service payments, not dollars, received via Quick Pay, Check In, or Portal, divided by the total number of payments received by the practice). |
Hospital Composite | Hospital Composite consists of Hospital Collector - Hospital Clients Exceeding Cash Goal (the percentage of hospital clients with actual cash flows >=104% of their average cash flow prior to go-live) and Hospital Clinicals - True CPOE (Computerized Physician Order Entry) Adoption % (the number of inpatient orders input by physicians or mid-level providers divided by total inpatient orders. Only inpatient orders within inpatient departments are included). |
Satisfaction | |
Client Net Promoter Score | Survey respondents from athenaOne survey (sample includes all clients live, surveyed on a bi-annual basis) are categorized as detractors (0-6 score for "likelihood to recommend"), passives (7-8), and promoters (9-10). The Net Promoter Score is calculated by subtracting the % of detractors from the % of promoters. |
Inbound Contacts per Provider per Month | The number of voice and portal requests we receive on a monthly basis divided by the number of athenaCollector providers and athenaClinicals providers. |
Financial | |
Bookings | Annual bookings are defined as the sum of the expected annualized recurring revenue from our athenahealth-branded services and the contracted value from our Epocrates-branded services; net of actual charge backs. |
Non-GAAP Adjusted Operating Income Growth | Percentage growth of Non-GAAP Adjusted Operating Income in fiscal year 2017 over Non-GAAP Adjusted Operating Income in fiscal year 2016. |