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. |
athenahealth, Inc. | ||
(Registrant) | ||
February 1, 2018 | /s/ Marc A. Levine | |
Marc A. Levine | ||
Executive Vice President and Chief Financial Officer |
• | 14% Revenue Growth Over Fourth Quarter of 2016 |
• | GAAP Operating Income of $38.7 million |
• | Non-GAAP Adjusted Operating Income of $77.6 million |
• | GAAP Net Income of $31.6 million, or $0.78 Per Diluted Share |
• | Non-GAAP Adjusted Net Income of $45.1 million, or $1.11 Per Diluted Share |
• | 13% Revenue Growth Over Full Year 2016 |
• | GAAP Operating Income of $70.6 million |
• | Non-GAAP Adjusted Operating Income of $175.0 million |
• | GAAP Net Income of $53.1 million, or $1.31 Per Diluted Share |
• | Non-GAAP Adjusted Net Income of $101.0 million, or $2.48 Per Diluted Share |
• | For the three months ended December 31, 2017, total revenue was $329.2 million, compared to $288.2 million in the same period last year, an increase of 14%. |
• | For the three months ended December 31, 2017, GAAP Gross Margin was 55.6%, compared to 53.7% in the same period last year. |
• | For the three months ended December 31, 2017, Service Automation Rate, formerly referred to as Non-GAAP Adjusted Gross Margin, was 68.0%, compared to 66.2% in the same period last year. |
• | For the three months ended December 31, 2017, GAAP Operating Income was $38.7 million, or 11.8% of total revenue, compared to $12.4 million, or 4.3% of total revenue, in the same period last year. |
• | For the three months ended December 31, 2017, Non-GAAP Adjusted Operating Income was $77.6 million, or 23.6% of total revenue, compared to $42.5 million, or 14.7% of total revenue, in the same period last year. |
• | For the three months ended December 31, 2017, GAAP Net Income was $31.6 million, or $0.78 per diluted share, compared to $9.8 million, or $0.24 per diluted share, in the same period last year. |
• | For the three months ended December 31, 2017, Non-GAAP Adjusted Net Income was $45.1 million, or $1.11 per diluted share, compared to $25.0 million, or $0.62 per diluted share, in the same period last year. |
• | For the full year 2017, total revenue was $1,220.3 million, compared to full year 2016 revenue of $1,082.9 million, an increase of 13%. |
• | For the year ended December 31, 2017, GAAP Gross Margin was 52.6%, compared to 50.7% for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, Service Automation Rate, formerly referred to as Non-GAAP Adjusted Gross Margin, was 64.6%, compared to 64.1% for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, GAAP Operating Income was $70.6 million, or 5.8% of total revenue, compared to $26.6 million, or 2.5% of total revenue, for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, Non-GAAP Adjusted Operating Income was $175.0 million, or 14.3% of total revenue, compared to $132.3 million, or 12.2% of total revenue, for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, GAAP Net Income was $53.1 million, or $1.31 per diluted share, compared to $21.0 million, or $0.52 per diluted share, for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, Non-GAAP Adjusted Net Income was $101.0 million, or $2.48 per diluted share, compared to $76.0 million, or $1.90 per diluted share, for the year ended December 31, 2016. |
• | For the year ended December 31, 2017, consolidated bookings were $293 million, compared to $348 million for the year ended December 31, 2016. |
athenaOne (Ambulatory) | athenaOne (Hospital) | Population Health | ||||||||||
Collector Providers | Clinicals Providers | Communicator Providers | Discharge Bed Days | Covered Lives | ||||||||
Ending Balance as of 9/30/17 | 106,482 | 57,936 | 67,590 | 19,790 | 3,242,628 | |||||||
Sequential Growth | 4,166 | 2,406 | 2,325 | 7,609 | 46,611 | |||||||
Ending Balance as of 12/31/17 | 110,648 | 60,342 | 69,915 | 27,399 | 3,289,239 | |||||||
Sequential Growth % | 4 | % | 4 | % | 3 | % | 38 | % | 1 | % |
athenaOne (Ambulatory) | athenaOne (Hospital) | Population Health | ||||||||||
Collector Providers | Clinicals Providers | Communicator Providers | Discharge Bed Days | Covered Lives | ||||||||
Ending Balance as of 12/31/16 | 96,542 | 49,482 | 57,861 | 6,107 | 2,215,451 | |||||||
Growth vs. Prior Year | 14,106 | 10,860 | 12,054 | 21,292 | 1,073,788 | |||||||
Ending Balance as of 12/31/17 | 110,648 | 60,342 | 69,915 | 27,399 | 3,289,239 | |||||||
Growth vs. Prior Year % | 15 | % | 22 | % | 21 | % | 349 | % | 48 | % |
December 31, 2017 | December 31, 2016 | |||||||
Assets | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 165.1 | $ | 147.4 | ||||
Accounts receivable, net | 169.5 | 161.6 | ||||||
Prepaid expenses and other current assets | 46.8 | 34.2 | ||||||
Total current assets | 381.4 | 343.2 | ||||||
Property and equipment, net | 355.1 | 347.7 | ||||||
Capitalized software costs, net | 139.7 | 125.8 | ||||||
Purchased intangible assets, net | 108.6 | 112.1 | ||||||
Goodwill | 274.4 | 240.7 | ||||||
Deferred tax asset, net | 41.8 | 2.2 | ||||||
Investments and other assets | 31.3 | 17.5 | ||||||
Total assets | $ | 1,332.3 | $ | 1,189.2 | ||||
Liabilities & Stockholders’ Equity | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 10.6 | $ | 9.5 | ||||
Accrued compensation | 94.7 | 89.7 | ||||||
Accrued expenses | 51.5 | 51.7 | ||||||
Long-term debt | 20.2 | 18.3 | ||||||
Deferred revenue | 30.7 | 28.7 | ||||||
Total current liabilities | 207.7 | 197.9 | ||||||
Deferred rent, net of current portion | 29.3 | 30.8 | ||||||
Long-term debt, net of current portion | 252.6 | 272.8 | ||||||
Deferred revenue, net of current portion | 46.5 | 48.4 | ||||||
Other long-term liabilities | 4.7 | 6.0 | ||||||
Total liabilities | 540.8 | 555.9 | ||||||
Stockholders’ equity: | ||||||||
Preferred stock, $0.01 par value: 5.0 shares authorized; no shares issued and outstanding at December 31, 2017 and December 31, 2016, respectively | — | — | ||||||
Common stock, $0.01 par value: 125.0 shares authorized; 40.1 shares issued and 40.1 shares outstanding at December 31, 2017; 40.8 shares issued and 39.5 shares outstanding at December 31, 2016 | 0.4 | 0.4 | ||||||
Additional paid-in capital | 646.7 | 591.5 | ||||||
Treasury stock, at cost | — | (1.2 | ) | |||||
Accumulated other comprehensive loss | (0.4 | ) | (0.9 | ) | ||||
Retained earnings | 144.8 | 43.5 | ||||||
Total stockholders’ equity | 791.5 | 633.3 | ||||||
Total liabilities and stockholders’ equity | $ | 1,332.3 | $ | 1,189.2 |
Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||||
2017 | 2016 | 2017 | 2016 | |||||||||||||
Revenue: | ||||||||||||||||
Business services | $ | 321.3 | $ | 278.9 | $ | 1,188.4 | $ | 1,047.6 | ||||||||
Implementation and other | 7.9 | 9.3 | 31.9 | 35.3 | ||||||||||||
Total revenue | 329.2 | 288.2 | 1,220.3 | 1,082.9 | ||||||||||||
Cost of revenue | 146.3 | 133.5 | 578.5 | 533.5 | ||||||||||||
Gross profit | 182.9 | 154.7 | 641.8 | 549.4 | ||||||||||||
Other operating expenses: | ||||||||||||||||
Selling and marketing | 59.7 | 67.1 | 252.2 | 256.6 | ||||||||||||
Research and development | 43.6 | 44.4 | 173.6 | 134.5 | ||||||||||||
General and administrative | 40.9 | 30.8 | 145.4 | 131.7 | ||||||||||||
Total other operating expenses | 144.2 | 142.3 | 571.2 | 522.8 | ||||||||||||
Operating income (loss) | 38.7 | 12.4 | 70.6 | 26.6 | ||||||||||||
Other (expense) income: | ||||||||||||||||
Interest expense | (1.6 | ) | (1.1 | ) | (6.0 | ) | (5.9 | ) | ||||||||
Other (expense) income | (0.8 | ) | 0.2 | (0.7 | ) | 0.3 | ||||||||||
Total other (expense) income | (2.4 | ) | (0.9 | ) | (6.7 | ) | (5.6 | ) | ||||||||
Income before income tax provision | 36.3 | 11.5 | 63.9 | 21.0 | ||||||||||||
Income tax provision | (4.7 | ) | (1.7 | ) | (10.8 | ) | — | |||||||||
Net income | $ | 31.6 | $ | 9.8 | $ | 53.1 | $ | 21.0 | ||||||||
Net income per share – Basic | $ | 0.79 | $ | 0.25 | $ | 1.33 | $ | 0.53 | ||||||||
Net income per share – Diluted | $ | 0.78 | $ | 0.24 | $ | 1.31 | $ | 0.52 | ||||||||
Weighted average shares used in computing net income per share: | ||||||||||||||||
Basic | 40.0 | 39.5 | 39.9 | 39.3 | ||||||||||||
Diluted | 40.7 | 40.1 | 40.7 | 40.1 |
Year Ended December 31, | ||||||||||||
2017 | 2016 | 2015 | ||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | ||||||||||||
Net income | $ | 53.1 | $ | 21.0 | $ | 14.0 | ||||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||
Depreciation and amortization | 147.3 | 142.7 | 118.0 | |||||||||
Excess tax benefit from stock-based awards | — | (9.0 | ) | (12.9 | ) | |||||||
Deferred income tax | 7.3 | (9.9 | ) | (8.5 | ) | |||||||
Stock-based compensation expense | 54.3 | 66.5 | 64.1 | |||||||||
Gain on sale of marketable securities | — | — | (28.7 | ) | ||||||||
Other reconciling adjustments | 4.7 | (0.3 | ) | 0.1 | ||||||||
Changes in operating assets and liabilities: | ||||||||||||
Accounts receivable, net | (7.9 | ) | (13.5 | ) | (25.3 | ) | ||||||
Prepaid expenses and other current assets | (12.5 | ) | 5.1 | 4.2 | ||||||||
Other long-term assets | (9.8 | ) | (4.3 | ) | (2.7 | ) | ||||||
Accounts payable | 4.5 | (4.8 | ) | 2.8 | ||||||||
Accrued expenses and other long-term liabilities | (3.7 | ) | (0.9 | ) | 8.2 | |||||||
Accrued compensation | 4.5 | 1.0 | 17.2 | |||||||||
Deferred revenue | 0.1 | (11.4 | ) | 3.2 | ||||||||
Deferred rent | (0.8 | ) | 0.4 | 10.1 | ||||||||
Net cash provided by operating activities | 241.1 | 182.6 | 163.8 | |||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: | ||||||||||||
Capitalized software costs | (82.8 | ) | (89.5 | ) | (97.8 | ) | ||||||
Purchases of property and equipment | (80.1 | ) | (69.0 | ) | (87.2 | ) | ||||||
Proceeds from sales and maturities of investments | — | — | 29.8 | |||||||||
Payments on acquisitions, net of cash acquired | (41.1 | ) | (16.9 | ) | (39.9 | ) | ||||||
Other investing activities | — | 0.5 | (4.0 | ) | ||||||||
Net cash used in investing activities | (204.0 | ) | (174.9 | ) | (199.1 | ) | ||||||
CASH FLOWS FROM FINANCING ACTIVITIES: | ||||||||||||
Proceeds from issuance of common stock under stock plans and warrants | 16.5 | 16.2 | 22.1 | |||||||||
Taxes paid related to net share settlement of stock awards | (17.9 | ) | (19.6 | ) | (21.4 | ) | ||||||
Excess tax benefit from stock-based awards | — | 9.0 | 12.9 | |||||||||
Proceeds from long-term debt | — | — | 300.0 | |||||||||
Proceeds from line of credit | — | — | 60.0 | |||||||||
Payments on line of credit | — | — | (95.0 | ) | ||||||||
Payments on long-term debt | (18.8 | ) | (7.5 | ) | (173.8 | ) | ||||||
Other financing activities | 0.1 | (0.1 | ) | (1.0 | ) | |||||||
Net cash (used in) provided by financing activities | (20.1 | ) | (2.0 | ) | 103.8 | |||||||
Effects of exchange rate changes on cash and cash equivalents | 0.7 | (0.2 | ) | (0.4 | ) | |||||||
Net increase in cash and cash equivalents | 17.7 | 5.5 | 68.1 | |||||||||
Cash and cash equivalents at beginning of period | 147.4 | 141.9 | 73.8 | |||||||||
Cash and cash equivalents at end of period | $ | 165.1 | $ | 147.4 | $ | 141.9 |
(unaudited, in millions) | Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Stock-based compensation charged to Consolidated Statements of Income: | |||||||||||||||
Cost of revenue | $ | 3.3 | $ | 4.2 | $ | 13.8 | $ | 17.9 | |||||||
Selling and marketing | 2.8 | 4.7 | 16.0 | 19.0 | |||||||||||
Research and development | 2.9 | 2.9 | 13.2 | 12.3 | |||||||||||
General and administrative | 2.8 | 3.9 | 11.3 | 17.3 | |||||||||||
Total stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue (1) | 0.4 | 1.1 | 2.5 | 4.9 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to research and development (1) | 0.2 | — | 0.3 | 0.1 | |||||||||||
$ | 12.4 | $ | 16.8 | $ | 57.1 | $ | 71.5 | ||||||||
(1) | For the three months ended December 31, 2017 and 2016, $0.6 million and $0.1 million, respectively, of stock-based compensation was capitalized in the line item Capitalized Software Costs, net in the Consolidated Balance Sheets. For the twelve months ended December 31, 2017 and 2016, $2.5 million and $2.2 million, respectively, of stock-based compensation was capitalized in the line item Capitalized Software Costs, net in the Consolidated Balance Sheets. |
(unaudited, in millions) | Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Amortization of purchased intangible assets allocated to: | |||||||||||||||
Cost of revenue | $ | 1.9 | $ | 2.0 | $ | 6.2 | $ | 9.1 | |||||||
Selling and marketing | 3.2 | 3.0 | 12.9 | 11.7 | |||||||||||
Total amortization of purchased intangible assets | $ | 5.1 | $ | 5.0 | $ | 19.1 | $ | 20.8 | |||||||
(unaudited, in millions) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 329.2 | $ | 288.2 | $ | 1,220.3 | $ | 1,082.9 | |||||||
Cost of revenue | 146.3 | 133.5 | 578.5 | 533.5 | |||||||||||
GAAP Gross Profit | 182.9 | 154.7 | 641.8 | 549.4 | |||||||||||
GAAP Gross Margin | 55.6 | % | 53.7 | % | 52.6 | % | 50.7 | % | |||||||
Add: Stock-based compensation allocated to cost of revenue | 3.3 | 4.2 | 13.8 | 17.9 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue | 0.4 | 1.1 | 2.5 | 4.9 | |||||||||||
Add: Amortization of purchased intangible assets allocated to cost of revenue | 1.9 | 2.0 | 6.2 | 9.1 | |||||||||||
Add: Integration and transaction costs allocated to cost of revenue | — | 0.1 | 0.2 | 0.1 | |||||||||||
Add: Exit costs, including restructuring costs allocated to cost of revenue | 6.6 | 0.1 | 6.6 | 0.4 | |||||||||||
Non-GAAP Adjusted Gross Profit (as redefined) | $ | 195.1 | $ | 162.2 | $ | 671.1 | $ | 581.8 | |||||||
Non-GAAP Adjusted Gross Margin (as redefined) | 59.3 | % | 56.3 | % | 55.0 | % | 53.7 | % | |||||||
Add: Amortization and depreciation expense allocated to cost of revenue | 24.2 | 23.9 | 98.4 | 94.4 | |||||||||||
Add: Overhead expense allocated to cost of revenue | 4.5 | 4.6 | 18.5 | 17.8 | |||||||||||
Service Automation Profit (1) | $ | 223.8 | $ | 190.7 | $ | 788.0 | $ | 694.0 | |||||||
Service Automation Rate (1) | 68.0 | % | 66.2 | % | 64.6 | % | 64.1 | % |
(1) | Service Automation Profit and Service Automation Rate, formerly referred to as Non-GAAP Adjusted Gross Profit and Margin, excludes amortization, depreciation, and overhead costs. |
(unaudited, in millions) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 329.2 | $ | 288.2 | $ | 1,220.3 | $ | 1,082.9 | |||||||
GAAP net income | 31.6 | 9.8 | 53.1 | 21.0 | |||||||||||
Add: Provision for income taxes | 4.7 | 1.7 | 10.8 | — | |||||||||||
Add: Total other expense | 2.4 | 0.9 | 6.7 | 5.6 | |||||||||||
GAAP operating income | $ | 38.7 | $ | 12.4 | $ | 70.6 | $ | 26.6 | |||||||
GAAP operating margin | 11.8 | % | 4.3 | % | 5.8 | % | 2.5 | % | |||||||
Add: Stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.6 | 1.1 | 2.8 | 5.0 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 19.1 | 20.8 | |||||||||||
Add: Integration and transaction costs | 2.7 | 1.3 | 9.5 | 2.4 | |||||||||||
Add: Exit costs, including restructuring costs | 18.7 | 7.0 | 18.7 | 11.3 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.3 | ) | ||||||||||
Non-GAAP Adjusted Operating Income | $ | 77.6 | $ | 42.5 | $ | 175.0 | $ | 132.3 | |||||||
Non-GAAP Adjusted Operating Income Margin | 23.6 | % | 14.7 | % | 14.3 | % | 12.2 | % |
(unaudited, in millions) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income | $ | 31.6 | $ | 9.8 | $ | 53.1 | $ | 21.0 | |||||||
Add: Stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.6 | 1.1 | 2.8 | 5.0 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 19.1 | 20.8 | |||||||||||
Add: Integration and transaction costs | 2.7 | 1.3 | 9.5 | 2.4 | |||||||||||
Add: Exit costs, including restructuring costs | 18.7 | 7.0 | 18.7 | 11.3 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.3 | ) | ||||||||||
Sub-total of tax deductible items | 38.9 | 30.1 | 104.4 | 105.7 | |||||||||||
Add: Tax impact of tax deductible items (1) | (15.6 | ) | (12.0 | ) | (41.8 | ) | (42.3 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (9.8 | ) | (2.9 | ) | (14.7 | ) | (8.4 | ) | |||||||
Non-GAAP Adjusted Net Income | $ | 45.1 | $ | 25.0 | $ | 101.0 | $ | 76.0 | |||||||
Weighted average shares - diluted | 40.7 | 40.1 | 40.7 | 40.1 | |||||||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 1.11 | $ | 0.62 | $ | 2.48 | $ | 1.90 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income at 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) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income per share - diluted | $ | 0.78 | $ | 0.24 | $ | 1.31 | $ | 0.52 | |||||||
Add: Stock-based compensation expense | 0.29 | 0.39 | 1.33 | 1.66 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.01 | 0.03 | 0.07 | 0.12 | |||||||||||
Add: Amortization of purchased intangible assets | 0.13 | 0.12 | 0.47 | 0.52 | |||||||||||
Add: Integration and transaction costs | 0.07 | 0.03 | 0.23 | 0.06 | |||||||||||
Add: Exit costs, including restructuring costs | 0.46 | 0.17 | 0.46 | 0.28 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.01 | ) | ||||||||||
Sub-total of tax deductible items | 0.96 | 0.75 | 2.57 | 2.64 | |||||||||||
Add: Tax impact of tax deductible items (1) | (0.38 | ) | (0.30 | ) | (1.03 | ) | (1.05 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (0.24 | ) | (0.07 | ) | (0.36 | ) | (0.21 | ) | |||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 1.11 | $ | 0.62 | $ | 2.48 | $ | 1.90 | |||||||
Weighted average shares - diluted | 40.7 | 40.1 | 40.7 | 40.1 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income at 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. |
• | 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 — represent costs incurred as a result of strategic realignments including those related to workforce reductions, termination of certain lease or other agreements, and non-cash charges related to the write down of certain assets. 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%, which approximates our marginal statutory rate, 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. |
• | Total revenue: |
◦ | $329.2 million in Q4 2017, representing 14% growth over $288.2 million in Q4 2016 |
◦ | $1,220.3 million in FY 2017, representing 13% growth over $1,082.9 million in FY 2016 |
• | GAAP Gross Profit and Margin: |
• | $182.9 million, or 55.6% of total revenue, in Q4 2017, an increase of 18.2% over $154.7 million, or 53.7% of total revenue, in Q4 2016 |
• | $641.8 million, or 52.6% of total revenue, in FY 2017, an increase of 16.8% over $549.4 million, or 50.7% of total revenue, in FY 2016 |
• | Service Automation Profit and Rate (formerly referred to as Non-GAAP Adjusted Gross Profit and Margin): |
◦ | $223.8 million, or 68.0% of total revenue, in Q4 2017, an increase of 17% over $190.7 million, or 66.2% of total revenue, in Q4 2016 |
◦ | $788.0 million, or 64.6% of total revenue, in FY 2017, an increase of 14% over $694.0 million, or 64.1% of total revenue, in FY 2016 |
• | GAAP selling and marketing expense: |
◦ | $59.7 million, or 18.1% of total revenue, in Q4 2017, a decrease of 11% over $67.1 million, or 23.3% of total revenue, in Q4 2016 |
◦ | $252.2 million, or 20.7% of total revenue, in FY 2017, a decrease of 2% over $256.6 million, or 23.7% of total revenue, in FY 2016 |
• | GAAP research and development expense: |
◦ | $43.6 million, or 13.2% of total revenue, in Q4 2017, a decrease of 2% over $44.4 million, or 15.4% of total revenue, in Q4 2016 |
◦ | $173.6 million, or 14.2% of total revenue, in FY 2017, an increase of 29% over $134.5 million, or 12.4% of total revenue, in FY 2016 |
• | GAAP general and administrative expense: |
◦ | $40.9 million, or 12.4% of total revenue, in Q4 2017, an increase of 33% from $30.8 million, or 10.7% of total revenue, in Q4 2016 |
◦ | $145.4 million, or 11.9% of total revenue, in FY 2017, an increase of 10% over $131.7 million, or 12.2% of total revenue, in FY 2016 |
• | GAAP Operating Income and Margin: |
◦ | $38.7 million, or 11.8% of total revenue, in Q4 2017, an increase of 212% over $12.4 million, or 4.3% of total revenue, in Q4 2016 |
◦ | $70.6 million, or 5.8% of total revenue in FY 2017, an increase of 165% over $26.6 million, or 2.5% of total revenue, in FY 2016 |
◦ | Non-GAAP Adjusted Operating Income and Margin: |
◦ | $77.6 million, or 23.6% of total revenue, in Q4 2017, an increase of 83% from $42.5 million, or 14.7% of total revenue, in Q4 2016 |
◦ | $175.0 million, or 14.3% of total revenue in FY 2017, an increase of 32% over $132.3 million, or 12.2% of total revenue, in FY 2016 |
• | GAAP Net Income and GAAP Net Income per Diluted Share: |
◦ | $31.6 million, or $0.78 per diluted share, in Q4 2017, an increase of 222% over $9.8 million, or $0.24 per diluted share, in Q4 2016 |
◦ | $53.1 million, or $1.31 per diluted share, in FY 2017, an increase of 153% over $21.0 million, or $0.52 per diluted share, in FY 2016 |
• | Non-GAAP Adjusted Net Income and Non-GAAP Adjusted Net Income per Diluted Share: |
◦ | $45.1 million, or $1.11 per diluted share, in Q4 2017, an increase of 80% from $25.0 million, or $0.62 per diluted share, in Q4 2016 |
◦ | $101.0 million, or $2.48 per diluted share, in FY 2017, an increase of 33% from $76.0 million, or $1.90 per diluted share, in FY 2016 |
Q1 2017 Results | Q2 2017 Results | Q3 2017 Results | Q4 2017 Results | FY 2017 Results | |||||||
Stability (10% weight) | |||||||||||
Voluntary Turnover | 3.2 | % | 4.3 | % | 4.1 | % | 4.2 | % | 15.8 | % | |
New Hires Leaving in 12 Months (a) | 3.2 | % | 3.4 | % | 2.8 | % | 2.9 | % | 12.3 | % | |
Employee Engagement | (b) | 4.1 | (b) | 3.9 | 4.0 | ||||||
Stability Results | 102 | % | 81 | % | 90 | % | 86 | % | 90 | % | |
Performance (40% weight) | |||||||||||
athenaCollector Composite | 99.6 | % | 94.7 | % | 90.1 | % | 90.6 | % | 93.9 | % | |
athenaClinicals Composite | 101.9 | % | 99.6 | % | 96.8 | % | 95.2 | % | 98.4 | % | |
athenaCommunicator Composite | 94.2 | % | 93.2 | % | 86.8 | % | 87.0 | % | 89.9 | % | |
Hospital Composite | 92.8 | % | 80.8 | % | 64.7 | % | 59.4 | % | 72.3 | % | |
Performance Results | 98 | % | 92 | % | 85 | % | 84 | % | 89 | % | |
Satisfaction (15% weight) | |||||||||||
Client Net Promoter Score | 25.4 | 35.2 | 28.7 | 33.3 | 30.7 | ||||||
Inbound Contacts per Provider per Month | 0.56 | 0.52 | 0.49 | 0.47 | 0.51 | ||||||
Satisfaction Results | 104 | % | 112 | % | 89 | % | 93 | % | 87 | % | |
Financial (35% weight) | |||||||||||
Bookings (c) | (c) | (c) | (c) | (c) | $ | 293 | |||||
Non-GAAP Adjusted Operating Income Growth | (9 | )% | 50 | % | (5 | )% | 83 | % | 32 | % | |
Financial Results (d) | 43 | % | 67 | % | 37 | % | 102 | % | 68 | % | |
Total Results | 80 | % | 85 | % | 69 | % | 92 | % | 81 | % |
(a) | New Hires Leaving in 12 Months metric results were updated to reflect only voluntary turnover per the original intent of the metric for fiscal year 2017. |
(b) | Employee Engagement surveys are completed twice per year with results reported in Q2 and Q4 only. |
(c) | Bookings results are disclosed on an annual basis only. |
(d) | Financial metrics are being measured against the original fiscal year 2017 budget. |
• | Stability metrics: |
◦ | Voluntary Turnover of 4.2% in Q4 2017 was unfavorable to our goal of 2.8%. FY 2017 Voluntary Turnover was 15.8% versus our goal of 11.0%. 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 second half of 2017, 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 2.9% in Q4 2017 was favorable to our goal of 4.0%. FY 2017 New Hires Leaving in 12 Months was 12.3% versus our goal of 16.0%. Our talent acquisition team continually works to improve the quality of hires, particularly critical product and research and development roles. During Q3 2017, we introduced a new behavioral interview framework to ensure that we are identifying and hiring candidates with a strong cultural fit. |
◦ | Employee Engagement of 3.9 in Q4 2017 was below our goal of 4.3. We have a number of initiatives underway focused on our culture and employee engagement. |
• | Performance metrics: |
◦ | athenaCollector Composite result of 90.6% in Q4 2017 was driven by a slightly higher than expected Collector Claim Inflow Rate, primarily attributable to an increase in client custom rules implemented. The athenaCollector team remains focused on identifying and reducing client custom rules and replacing them with global rules as part of the team’s effort to broadly reduce client work. FY 2017 athenaCollector Composite result was 93.9%. |
◦ | athenaClinicals Composite result of 95.2% in Q4 2017 was driven by a slightly higher than expected Clinicals Client Inflow Rate and in-line performance for After-Hours Documentation Rate. FY 2017 athenaClinicals Composite result was 98.4%. |
◦ | athenaCommunicator Composite result of 87.0% in Q4 2017 was 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. FY 2017 athenaCommunicator Composite result was 89.9%. |
◦ | Hospital Composite result of 59.4% in Q4 2017 was 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. On average, hospital clients live on athenaNet for a full year are achieving cash collections of 106.9% 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. FY 2017 hospital Composite result was 72.3%. |
• | Satisfaction metrics: |
◦ | Client Net Promoter Score of 33.3 in Q4 2017, versus goal of 40.0. FY 2017 Net Promoter Score was 30.7, versus a goal of 40.0. We have made significant progress improving this metric during 2017. 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 Q4 net promoter score of 33.3 remained stable since we last surveyed this cohort of clients in the second quarter. 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 2018. |
◦ | Inbound Contacts per Provider per Month of 0.47 in Q4 2017, favorable to our goal of 0.53. FY Inbound Contacts per Provider per Month was 0.51, favorable to our goal of 0.55. |
• | Financial metrics: |
◦ | Our financial scorecard results came in at 102% for Q4 2017 and at 68% for FY 2017 as bookings and non-GAAP Adjusted Operating Income Growth results are being measured against our original fiscal year 2017 budget. |
• | 78% of all new athenaCollector deals included athenaClinicals in Q4 2017, compared to 84% in Q4 2016. |
◦ | 80% of all new athenaCollector deals included athenaClinicals in FY 2017, compared to 82% in FY 2016. |
• | 77% of all new athenaCollector deals included athenaClinicals and athenaCommunicator in Q4 2017, compared to 81% in Q4 2016. Additionally, 77% of all new athenaOne deals sold during Q4 2017 also included athenaCoordinator, compared to 81% in Q4 2016. |
◦ | 78% of all new athenaCollector deals included athenaClinicals, athenaCommunicator, and athenaCoordinator in FY 2017, compared to 79% in FY 2016. |
• | 54.5% of total athenaCollector providers have adopted athenaClinicals as of Q4 2017, up slightly from 54.4% as of Q3 2017. |
• | 63.2% of total athenaCollector providers have adopted athenaCommunicator as of Q4 2017, down slightly from 63.5% as of Q3 2017. |
• | Network growth metrics for ambulatory (athenaOne), hospital (athenaOne for Hospitals & Health Systems), and population health (athenahealth Population Health) services from Q3 2017 to Q4 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 9/30/17 | 106,482 | 57,936 | 67,590 | 19,790 | 3,242,628 | |||||||
Sequential Growth | 4,166 | 2,406 | 2,325 | 7,609 | 46,611 | |||||||
Ending Balance as of 12/31/17 | 110,648 | 60,342 | 69,915 | 27,399 | 3,289,239 | |||||||
Sequential Growth % | 4 | % | 4 | % | 3 | % | 38 | % | 1 | % |
• | Network growth metrics for ambulatory (athenaOne), hospital (athenaOne for Hospitals & Health Systems), and population health (athenahealth Population Health) services from Q4 2016 to Q4 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 12/31/16 | 96,542 | 49,482 | 57,861 | 6,107 | 2,215,451 | |||||||
Growth vs. Prior Year | 14,106 | 10,860 | 12,054 | 21,292 | 1,073,788 | |||||||
Ending Balance as of 12/31/17 | 110,648 | 60,342 | 69,915 | 27,399 | 3,289,239 | |||||||
Growth vs. Prior Year % | 15 | % | 22 | % | 21 | % | 349 | % | 48 | % |
Q4 2017 | Q4 2016 | Y/Y Growth% | ||
Business services | $321.3 | $278.9 | 15 | % |
Implementation and other | $7.9 | $9.3 | (15 | )% |
Consolidated Revenue | $329.2 | $288.2 | 14 | % |
FY 2017 | FY 2016 | Y/Y Growth% | ||
Business services | $1,188.4 | $1,047.6 | 13 | % |
Implementation and other | $31.9 | $35.3 | (10 | )% |
Consolidated Revenue | $1,220.3 | $1,082.9 | 13 | % |
• | Work reduction efforts: We strive to remove friction and frustration from the healthcare experience by freeing up providers, staff, healthcare leaders and patients to focus their time and energies on the work that matters. We have had a long-standing commitment to removing any provider work that we can do more efficiently at scale. We have doubled down on this commitment with our work reduction efforts for all clients on our network. Our work reduction efforts in 2017 were focused on expanding the depth and breadth of our services in areas such as overpayments, coding related denials, patient insurance related denials, authorization |
• | Continued momentum in the small hospital market: We continued to make progress in the small hospital market during Q4 2017. We continue to successfully support community hospitals with low up-front costs, aligned incentives, and no maintenance costs. Our footprint continues to expand with 62 hospital clients fully live as of Q4 2017, nearly doubling the number of hospitals live on our network during 2017. We are balancing our opportunity to rapidly grow in this market with our objective to build a modern, scalable hospital service. As a result, we enjoy great fellowship, alignment, and support from our hospital clients. The volume of activity on our network accelerated in Q4 2017 with discharge bed days up 38% sequentially. Our ability to leverage the power of our network is further demonstrated by improving our client performance. Notably, hospital clients live on athenaNet for a full year are achieving, on average, cash collections of 106.9% of baseline. Hospital client satisfaction remains high with a net promoter score of 47.8, well above our corporate average in Q4 2017. As a result, we have a growing number of hospital clients agreeing to share their stories and experiences partnering with athenahealth. We recently published a case study profiling Ellenville Regional Hospital’s improved efficiency and patient satisfaction since switching from a competitor’s software to our athenaOne for Hospitals and Health Systems service. This case study also highlights how the partnership with athenahealth has helped Ellenville Regional Hospital face industry change and remain competitive. During 2017, the athenahealth team successfully learned and highlighted the needs of the small hospital market and started building a scalable hospital service. Heading into 2018, we look to further disrupt the traditional software vendors and successfully serve the small hospital clients. |
• | Investing in our platform: athenahealth is uniquely positioned as the most universally connected network in the country, and we are investing in our platform to ensure we provide the utmost value to all our stakeholders. 2017 was a year of platform investment and evolution. We moved to a new release cadence, where we deliver functionality three times a year. During 2017, we leveraged this new release cadence to enhance our alpha and beta processes, resulting in a smoother release for our clients. In Q4 2017, we also introduced the next phase of our release evolution, where we stagger the release rollout across three days. Stagger releases allow us to better monitor any unexpected issues as we increase the volume of users interacting with the release, and mitigate any issues before our clients feel any impact. During 2017, we also invested time to optimize our database architecture and code so that we deliver enhanced performance at a better operation cost to our business, yielding 33% better utilization and improved performance. We have also scaled our infrastructure to support future growth plans. And as part of our evolution to a microservices-based architecture, we developed our first microservices in 2017, including our calendar service and provider directory. This is a multi-year journey, and we remain passionate about our vision for a digital health information platform that delivers a better human-centric experience for patients and providers, provides better business results for our clients, and facilitates better clinical outcomes for the patients they serve. |
• | 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. During 2017, we advanced our position as the most universally connected network in the country with the launch of our patient record sharing capabilities with CommonWell and Carequality. As a reminder, patient record sharing (“PRS”) helps providers exchange patient records with outside care sites and use those records to positively impact patient care. Built into athenaClinicals, PRS |
• | Tenet Health continued the phased rollout of our full suite of ambulatory services, athenaOne, and brought three waves live in Q4 2017. |
• | Trinity Health continued the phased rollout of our full suite of ambulatory services, athenaOne, and brought two waves live in Q4 2017. |
(unaudited, in millions) | Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Stock-based compensation charged to Consolidated Statements of Income: | |||||||||||||||
Cost of revenue | $ | 3.3 | $ | 4.2 | $ | 13.8 | $ | 17.9 | |||||||
Selling and marketing | 2.8 | 4.7 | 16.0 | 19.0 | |||||||||||
Research and development | 2.9 | 2.9 | 13.2 | 12.3 | |||||||||||
General and administrative | 2.8 | 3.9 | 11.3 | 17.3 | |||||||||||
Total stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue (1) | 0.4 | 1.1 | 2.5 | 4.9 | |||||||||||
Amortization of capitalized stock-based compensation related to software development allocated to research and development (1) | 0.2 | — | 0.3 | 0.1 | |||||||||||
$ | 12.4 | $ | 16.8 | $ | 57.1 | $ | 71.5 | ||||||||
(1) | For the three months ended December 31, 2017 and 2016, $0.6 million and $0.1 million, respectively, of stock-based compensation was capitalized in the line item Capitalized Software Costs, net in the Consolidated Balance Sheets. For the twelve months ended December 31, 2017 and 2016, $2.5 million and $2.2 million, respectively, of stock-based compensation was capitalized in the line item Capitalized Software Costs, net in the Consolidated Balance Sheets. |
(unaudited, in millions) | Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Amortization of purchased intangible assets allocated to: | |||||||||||||||
Cost of revenue | $ | 1.9 | $ | 2.0 | $ | 6.2 | $ | 9.1 | |||||||
Selling and marketing | 3.2 | 3.0 | 12.9 | 11.7 | |||||||||||
Total amortization of purchased intangible assets | $ | 5.1 | $ | 5.0 | $ | 19.1 | $ | 20.8 | |||||||
(unaudited, in millions) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 329.2 | $ | 288.2 | $ | 1,220.3 | $ | 1,082.9 | |||||||
Cost of revenue | 146.3 | 133.5 | 578.5 | 533.5 | |||||||||||
GAAP Gross Profit | 182.9 | 154.7 | 641.8 | 549.4 | |||||||||||
GAAP Gross Margin | 55.6 | % | 53.7 | % | 52.6 | % | 50.7 | % | |||||||
Add: Stock-based compensation allocated to cost of revenue | 3.3 | 4.2 | 13.8 | 17.9 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development allocated to cost of revenue | 0.4 | 1.1 | 2.5 | 4.9 | |||||||||||
Add: Amortization of purchased intangible assets allocated to cost of revenue | 1.9 | 2.0 | 6.2 | 9.1 | |||||||||||
Add: Integration and transaction costs allocated to cost of revenue | — | 0.1 | 0.2 | 0.1 | |||||||||||
Add: Exit costs, including restructuring costs allocated to cost of revenue | 6.6 | 0.1 | 6.6 | 0.4 | |||||||||||
Non-GAAP Adjusted Gross Profit (as redefined) | $ | 195.1 | $ | 162.2 | $ | 671.1 | $ | 581.8 | |||||||
Non-GAAP Adjusted Gross Margin (as redefined) | 59.3 | % | 56.3 | % | 55.0 | % | 53.7 | % | |||||||
Add: Amortization and depreciation expense allocated to cost of revenue | 24.2 | 23.9 | 98.4 | 94.4 | |||||||||||
Add: Overhead expense allocated to cost of revenue | 4.5 | 4.6 | 18.5 | 17.8 | |||||||||||
Service Automation Profit (1) | $ | 223.8 | $ | 190.7 | $ | 788.0 | $ | 694.0 | |||||||
Service Automation Rate (1) | 68.0 | % | 66.2 | % | 64.6 | % | 64.1 | % |
(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 | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Total revenue | $ | 329.2 | $ | 288.2 | $ | 1,220.3 | $ | 1,082.9 | |||||||
GAAP net income | 31.6 | 9.8 | 53.1 | 21.0 | |||||||||||
Add: Provision for income taxes | 4.7 | 1.7 | 10.8 | — | |||||||||||
Add: Total other expense | 2.4 | 0.9 | 6.7 | 5.6 | |||||||||||
GAAP operating income | $ | 38.7 | $ | 12.4 | $ | 70.6 | $ | 26.6 | |||||||
GAAP operating margin | 11.8 | % | 4.3 | % | 5.8 | % | 2.5 | % | |||||||
Add: Stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.6 | 1.1 | 2.8 | 5.0 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 19.1 | 20.8 | |||||||||||
Add: Integration and transaction costs | 2.7 | 1.3 | 9.5 | 2.4 | |||||||||||
Add: Exit costs, including restructuring costs | 18.7 | 7.0 | 18.7 | 11.3 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.3 | ) | ||||||||||
Non-GAAP Adjusted Operating Income | $ | 77.6 | $ | 42.5 | $ | 175.0 | $ | 132.3 | |||||||
Non-GAAP Adjusted Operating Income Margin | 23.6 | % | 14.7 | % | 14.3 | % | 12.2 | % |
(unaudited, in millions) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income | $ | 31.6 | $ | 9.8 | $ | 53.1 | $ | 21.0 | |||||||
Add: Stock-based compensation expense | 11.8 | 15.7 | 54.3 | 66.5 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.6 | 1.1 | 2.8 | 5.0 | |||||||||||
Add: Amortization of purchased intangible assets | 5.1 | 5.0 | 19.1 | 20.8 | |||||||||||
Add: Integration and transaction costs | 2.7 | 1.3 | 9.5 | 2.4 | |||||||||||
Add: Exit costs, including restructuring costs | 18.7 | 7.0 | 18.7 | 11.3 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.3 | ) | ||||||||||
Sub-total of tax deductible items | 38.9 | 30.1 | 104.4 | 105.7 | |||||||||||
Add: Tax impact of tax deductible items (1) | (15.6 | ) | (12.0 | ) | (41.8 | ) | (42.3 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (9.8 | ) | (2.9 | ) | (14.7 | ) | (8.4 | ) | |||||||
Non-GAAP Adjusted Net Income | $ | 45.1 | $ | 25.0 | $ | 101.0 | $ | 76.0 | |||||||
Weighted average shares - diluted | 40.7 | 40.1 | 40.7 | 40.1 | |||||||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 1.11 | $ | 0.62 | $ | 2.48 | $ | 1.90 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income at 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) | Three Months Ended | Twelve Months Ended | |||||||||||||
December 31, | December 31, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
GAAP net income per share - diluted | $ | 0.78 | $ | 0.24 | $ | 1.31 | $ | 0.52 | |||||||
Add: Stock-based compensation expense | 0.29 | 0.39 | 1.33 | 1.66 | |||||||||||
Add: Amortization of capitalized stock-based compensation related to software development | 0.01 | 0.03 | 0.07 | 0.12 | |||||||||||
Add: Amortization of purchased intangible assets | 0.13 | 0.12 | 0.47 | 0.52 | |||||||||||
Add: Integration and transaction costs | 0.07 | 0.03 | 0.23 | 0.06 | |||||||||||
Add: Exit costs, including restructuring costs | 0.46 | 0.17 | 0.46 | 0.28 | |||||||||||
Less: Gain on investments, net | — | — | — | (0.01 | ) | ||||||||||
Sub-total of tax deductible items | 0.96 | 0.75 | 2.57 | 2.64 | |||||||||||
Add: Tax impact of tax deductible items (1) | (0.38 | ) | (0.30 | ) | (1.03 | ) | (1.05 | ) | |||||||
Add: Tax impact resulting from applying non-GAAP tax rate (2) | (0.24 | ) | (0.07 | ) | (0.36 | ) | (0.21 | ) | |||||||
Non-GAAP Adjusted Net Income per Diluted Share | $ | 1.11 | $ | 0.62 | $ | 2.48 | $ | 1.90 | |||||||
Weighted average shares - diluted | 40.7 | 40.1 | 40.7 | 40.1 |
(1) | Tax impact calculated using a statutory tax rate of 40%. |
(2) | Represents adjusting the GAAP net income at 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. |
• | 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 — represent costs incurred as a result of strategic realignments including those related to workforce reductions, termination of certain lease or other agreements, and non-cash charges related to the write down of certain assets. 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%, which approximates our marginal statutory rate, 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 | Q4 | ||||||||||||
Network Growth | |||||||||||||||||||
Total Providers on athenaCollector (1) | 84,348 | 87,400 | 93,250 | 96,542 | 98,948 | 100,306 | 106,482 | 110,648 | |||||||||||
Total Providers on athenaClinicals (1) | n/a | n/a | n/a | 49,482 | 52,273 | 54,909 | 57,936 | 60,342 | |||||||||||
Total Providers on athenaCommunicator (1) | n/a | n/a | n/a | 57,861 | 60,070 | 62,928 | 67,590 | 69,915 | |||||||||||
Total Discharge Bed Days | n/a | n/a | 3,802 | 6,107 | 11,350 | 14,107 | 19,790 | 27,399 | |||||||||||
Total Covered Lives | n/a | n/a | 2,064,126 | 2,215,451 | 2,777,960 | 2,781,635 | 3,242,628 | 3,289,239 | |||||||||||
Client Performance | |||||||||||||||||||
Net Promoter Score | 34 | 29.3 | 20.2 | 23.9 | 25.4 | 35.2 | 28.7 | 33.3 | |||||||||||
Client Days in Accounts Receivable (“DAR”) | 41.3 | 40.6 | 41.5 | 40.2 | 41.4 | 40.9 | 42.0 | 41.4 | |||||||||||
First Pass Resolution (“FPR”) Rate | 94.2 | % | 94.7 | % | 94.5 | % | 94.7 | % | 93.3 | % | 93.3 | % | 93.4 | % | 94.0 | % | |||
Electronic Remittance Advice (“ERA”) Rate | 83.8 | % | 84.9 | % | 84.5 | % | 85.3 | % | 84.7 | % | 85.1 | % | 85.8 | % | 86.7 | % | |||
Total Claims Submitted | 41,246,696 | 42,261,855 | 42,611,244 | 45,841,213 | 47,253,923 | 48,401,956 | 47,882,116 | 50,992,161 | |||||||||||
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 | 7,078,108,081 | |||||||||||
Total Working Days | 62 | 64 | 64 | 61 | 62 | 64 | 63 | 61 | |||||||||||
Employees | |||||||||||||||||||
Cost of Revenue | 2,310 | 2,481 | 2,653 | 2,799 | 2,859 | 2,899 | 2,925 | 2,711 | |||||||||||
Selling & Marketing | 652 | 727 | 762 | 769 | 745 | 777 | 749 | 615 | |||||||||||
Research & Development | 1,355 | 1,336 | 1,406 | 1,283 | 1,357 | 1,388 | 1,466 | 1,402 | |||||||||||
General & Administrative | 435 | 446 | 446 | 454 | 458 | 465 | 453 | 428 | |||||||||||
Total Employees | 4,752 | 4,990 | 5,267 | 5,305 | 5,419 | 5,528 | 5,593 | 5,156 |
Supplemental Metrics Definitions | |
Client Base/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 for patients discharged 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 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. |