XML 87 R23.htm IDEA: XBRL DOCUMENT v3.20.1
Segment Reporting
3 Months Ended
Mar. 31, 2020
Segment Reporting  
Segment Reporting

16.    Segment Reporting

​

The Company operates its business through two segments. The Company's chief operating decision maker (“CODM”), the Chief Executive Officer, allocates resources and assesses performance based upon financial information at the reportable segment level. Substantially all revenues are generated and substantially all tangible assets are held in the U.S. The Company classifies its operations into two reportable segments as follows:

​

CareVention HealthCare provides services to PACE organizations, including medication fulfillment pharmacy services, and PACE solutions, such as medication safety services and health plan management services.

​

MedWise HealthCare provides services to health plans, pharmacies, and healthcare providers, including medication safety services and software subscription solutions, which allow for the identification of individuals with high medication-related risk, patient communication and engagement, documentation of clinical interventions regarding optimizing medication therapy, targeting adherence improvement and precision dosing.

​

Shared services primarily consist of unallocated corporate sales and marketing expenses and general and administrative expenses associated with the management and administration of the Company’s business objectives.

​

The CODM uses revenue in accordance with U.S. GAAP and Adjusted EBITDA as the relevant segment performance measures to evaluate the performance of the segments and allocate resources.

​

Adjusted EBITDA is a segment performance financial measure that offers a useful view of the overall operation of the Company’s businesses and may be different than similarly-titled segment performance financial measures used by other companies.

​

Adjusted EBITDA is defined as net income (loss) plus certain other expenses, which includes interest expense, provision (benefit) for income tax, depreciation and amortization, change in fair value of acquisition-related contingent consideration expense (income), acquisition-related expense and stock-based compensation related expense. The Company considers acquisition-related expense to include nonrecurring direct transaction and integration costs, severance, and the impact of purchase accounting adjustments related to the fair value of acquired deferred revenue.

​

Management considers revenue and Adjusted EBITDA to be the appropriate metric to evaluate and compare the ongoing operating performance of the Company’s segments on a consistent basis across reporting periods as they eliminate the effect of items which are not indicative of each segment's core operating performance.

​

The following tables present the Company’s segment information:

​

​

​

​

​

​

​

​

​

​

​

​

​

CareVention HealthCare

​

MedWise HealthCare

​

Consolidated

Revenue:

​

​

​

​

​

​

​

​

​

Three Months Ended March 31, 2020

​

​

​

​

​

​

​

​

​

Product revenue

​

​

37,087

​

​

—

​

​

37,087

Service revenue

​

​

​

​

​

​

​

​

​

PACE solutions

​

​

11,571

​

​

—

​

​

11,571

Medication safety services

​

​

—

​

​

14,320

​

​

14,320

Software subscription

​

​

—

​

​

9,849

​

​

9,849

Total service revenue

​

​

11,571

​

​

24,169

​

​

35,740

Total revenue

​

$

48,658

​

$

24,169

​

$

72,827

​

​

​

​

​

​

​

​

​

​

Three Months Ended March 31, 2019

​

​

​

​

​

​

​

​

​

Product revenue

​

​

30,982

​

​

—

​

​

30,982

Service revenue

​

​

​

​

​

​

​

​

​

PACE solutions

​

​

11,174

​

​

—

​

​

11,174

Medication safety services

​

​

—

​

​

15,351

​

​

15,351

Software subscription

​

​

—

​

​

3,452

​

​

3,452

Total service revenue

​

​

11,174

​

​

18,803

​

​

29,977

Total revenue

​

$

42,156

​

$

18,803

​

$

60,959

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

CareVention HealthCare

​

MedWise HealthCare

​

Shared Services

​

Consolidated

Adjusted EBITDA (loss):

​

​

​

​

​

​

​

​

​

​

​

​

Three Months Ended March 31, 2020

​

​

​

​

​

​

​

​

​

​

​

​

Adjusted EBITDA (loss)

​

$

11,748

​

$

2,831

​

$

(9,772)

​

$

4,807

​

​

​

​

​

​

​

​

​

​

​

​

​

Three Months Ended March 31, 2019

​

​

​

​

​

​

​

​

​

​

​

​

Adjusted EBITDA (loss)

​

$

10,620

​

$

1,648

​

$

(6,577)

​

$

5,691

​

The following table presents the Company’s reconciliation of the segments’ total Adjusted EBITDA to net loss as presented in the consolidated statements of operations:

​

​

​

​

​

​

​

​

Three Months Ended March 31, 

​

2020

    

2019

Reconciliation of net loss to Adjusted EBITDA

​

​

​

​

​

Net loss

$

(14,437)

​

$

(10,979)

Add:

​

​

​

​

​

Interest expense, net

​

4,610

​

​

2,693

Income tax benefit

​

(3,367)

​

​

(4,041)

Depreciation and amortization

​

9,913

​

​

6,299

Change in fair value of acquisition-related contingent consideration expense

​

700

​

​

1,176

Acquisition-related expense

​

251

​

​

3,691

Stock-based compensation expense

​

7,137

​

​

6,852

Adjusted EBITDA

$

4,807

​

$

5,691

​

Asset information by segment is not a key measure of performance used by the CODM. Accordingly, the Company has not disclosed asset information by segment.