Inovalon Reports Second Quarter 2019 Results
Second Quarter 2019 Highlights
- Q2 revenue of $157.0 million, up 3% year-over-year, and up 8% sequentially
- Q2 net income of $4.5 million, resulting in diluted net income of $0.03 per share
- Q2 Non-GAAP net income of $19.1 million, resulting in Non-GAAP net income of $0.13 per share
- Q2 Adjusted EBITDA of $52.2 million, resulting in Adjusted EBITDA margin of 33.3%
- Q2 net cash provided by operating activities of $25.2 million, up 90% year-over-year
- Q2 Annual Contract Value (ACV)1, excluding Services, for new sales totaled $38.7 million, up 39% sequentially
- Updating 2019 guidance to reflect narrowing of range for revenue and raising of ranges for net income, net income per share, Adjusted EBITDA, Non-GAAP net income, and Non-GAAP net income per share
Trailing Twelve Month (TTM)2 Second Quarter 2019 Highlights
- TTM Q2 revenue of $584.6 million, up 23% period-over-period
- TTM Q2 Non-GAAP net income of $57.7 million, up 66% period-over-period
- TTM Q2 Adjusted EBITDA of $188.0 million, up 61% period-over-period
- TTM Q2 net cash provided by operating activities of $110.2 million, up 44% period-over-period
- TTM Q2 ACV1, excluding Services, for new sales totaled $156.3 million, up 69% period-over-period
Please refer to our Second Quarter 2019 Earnings Presentation Supplement available at http://investors.inovalon.com for additional information, 2019 financial guidance, additional financial metrics, and other topics that will be referenced during the Company’s conference call.
BOWIE, Md., July 31, 2019 (GLOBE NEWSWIRE) -- Inovalon (Nasdaq: INOV), a leading provider of cloud-based platforms empowering data-driven healthcare, today announced financial results for the second quarter of 2019 and guidance for the third quarter and remainder of 2019.
“Sales during the quarter were notably broad-based with both significant multi-year sales to top-25 payer and pharmacy organizations, and hundreds of sales into provider and pharmaceutical organizations,” said Keith Dunleavy, M.D., Inovalon’s chief executive officer and chairman of the board. “The increasing demand for our platform drove strong 39% sequential new sales growth and 8% sequential organic revenue growth during the quarter. The continued momentum is being seen in our trailing twelve-month performance, revealing a 69% increase in new platform sales and a 23% increase in revenue. As sales continue to mount and convert into revenue, we are pleased by how the year is shaping up, and we are excited as we look past 2019.”
Second Quarter 2019 Financial Results
- Revenue for the second quarter of 2019 was $157.0 million, a year-over-year increase of 3% compared with $152.8 million for the second quarter of 2018. TTM revenue for the second quarter period of 2019 was $584.6 million, a period-over-period increase of 23% compared with $476.0 million for the second quarter 2018 TTM period.
- Cost of revenue for the second quarter of 2019 was $41.1 million, or 26.2% of revenue, compared with $39.0 million, or 25.5% of revenue for the second quarter of 2018. This equates to gross margin for the second quarter of 2019 of 73.8% compared with 74.5% for the second quarter of 2018. TTM gross margin for the second quarter of 2019 was 74.2%, a period-over-period increase of 530 basis points compared with 68.9% for the second quarter 2018 TTM period.
- Net income for the second quarter of 2019 was $4.5 million, resulting in diluted net income of $0.03 per share, compared with a net loss of $10.5 million and net loss of $0.07 per share, respectively, for the second quarter of 2018, an increase of $15.0 million, or $0.10 per share.
- Adjusted EBITDA for the second quarter of 2019 was $52.2 million, in line with $52.8 million for the second quarter of 2018. Adjusted EBITDA margin for the second quarter of 2019 was 33.3%, compared with 34.6% for the second quarter of 2018. TTM Adjusted EBITDA for the second quarter of 2019 was $188.0 million, a period-over-period increase of 61% compared with $117.0 million for the second quarter 2018 TTM period. TTM Adjusted EBITDA margin for the second quarter of 2019 was 32.2%, a period-over-period increase of 760 basis points compared with 24.6% for the second quarter 2018 TTM period.
- Non-GAAP net income for the second quarter of 2019 was $19.1 million, resulting in Non-GAAP net income of $0.13 per share, compared with $19.3 million and $0.13 per share, respectively, for the second quarter of 2018. TTM Non-GAAP net income for the second quarter of 2019 was $57.7 million, resulting in Non-GAAP net income of $0.39 per share, compared with $34.7 million and $0.24 per share, respectively, for the second quarter 2018 TTM period, an increase of 66% and 63%, respectively.
- Net cash provided by operating activities for the second quarter of 2019 was $25.2 million, a year-over-year increase of 90% compared with $13.3 million for the second quarter of 2018. Net cash provided by operating activities for the second quarter 2019 TTM period was $110.2 million, a period over-period increase of 44% compared with $76.7 million for the second quarter 2018 TTM period.
“We are seeing a continued strong progression of product mix shift with the Inovalon ONE® Platform toward higher value and higher efficiency data-driven cloud-based offerings,” said Jonathan R. Boldt, Inovalon’s chief financial officer. “This shift toward higher-value modules being adopted by our clients, in conjunction with our focus on process automation, connectivity, and operating efficiencies, supports continued operational leverage and expanding profitability and cash flow generation strength. This is driving an impressive 17% sequential Adjusted EBITDA growth, with trailing twelve-month performance revealing a 61% increase in Adjusted EBITDA, a 66% increase in Non-GAAP net income per share, and a dramatic $62.2 million increase in free cash flow3 versus the year-ago period.”
Adjusted EBITDA, Adjusted EBITDA margin, Non-GAAP net income, and free cash flow are Non-GAAP measures. Net income is the GAAP financial measure most directly comparable to Adjusted EBITDA and Non-GAAP net income. Net cash provided by operating activities is the GAAP financial measure most directly comparable to free cash flow. Reconciliations of net income to Adjusted EBITDA and Non-GAAP net income and reconciliations of net cash provided by operating activities to free cash flow identifying the differences between net income and net cash provided by operating activities and each of these Non-GAAP financial measures, are included in this press release after the consolidated financial statements.
Key Highlights
- Continued Strong Market Demand & Sales Success. Demand for the cloud-based Inovalon ONE® Platform continued to be strong in the second quarter, with new sales (excluding Services) signed from new logo contract wins and existing customer expansions totaling $38.7 million in ACV, up 39% sequentially from $27.8 million in the first quarter of 2019. Sales were notably broad-based with both significant multi-year sales to top-25 payer and pharmacy organizations and hundreds of sales into provider and pharmaceutical organizations.
- New Capabilities Supporting Continued Mix Shift to Higher Value and Differentiation. During the second quarter, Inovalon continued to introduce new platform configurations and capabilities including implementations of clinical, treatment, outcome, social determinant, and sociodemographics data elements to inform population health initiatives; applications of AI informing dynamics such as patient fall risk, post-acute care staffing, and disease identification; and analytics involving genetic testing results for the pharmaceutical marketplace. These releases garnered significant interest within the quarter, already resulting in new sales to clients implementing across populations of nearly three million patients which will begin implementing during the second half of the year.
- Scale, Product Mix & Platform Efficiency Driving Strong Margin Performance. Client demand for increasingly sophisticated cloud-based solutions, higher compute speeds and analytical response times, the integration and application of broader data types, and more advanced forms of analytics are driving greater value realization for clients and strong price points for the Company. Additionally, the efficiency of Inovalon’s platform in the setting of the growing scale of the business is translating into further demonstration of the Company’s operating leverage. Together, these factors supported strong margin performance during the quarter. Gross margins were strong at 73.8%, G&A as a percentage of revenue decreased to 29%, and Adjusted EBITDA came in at $52.2 million.
- Continued Strength in Inovalon’s TTM Performance. Strength across multiple measures continues to gain momentum for the Company, translating into strong trailing twelve-month metrics. New platform sales ACV (excluding Services) for the TTM period were $156.3 million, up 69% when compared to the second quarter 2018 TTM period. Revenue for the TTM period was $584.6 million, up 23% when compared to the second quarter 2018 TTM period. Adjusted EBITDA rose to $188.0 million, up 61% when compared to the second quarter 2018 TTM period. Non-GAAP net income per share was $0.39, up 63% when compared to the second quarter 2018 TTM period. Free cash flow was $58.9 million, up $62.2 million when compared to the second quarter 2018 TTM period.
Other Financial Data and Key Metrics
The following constitute other financial data and key metrics that are presented quarterly.
- Growth of Datasets: At June 30, 2019, the MORE2 Registry® dataset contained more than 278 million unique patient counts and 46 billion medical event counts, increases of 10% and 16%, respectively, compared with June 30, 2018. Data resulting from the integration with ABILITY is not yet fully reflected within the MORE2 Registry® dataset and is therefore not fully reflected within the aforementioned data metrics as of this date.
- Investment in Innovation: For the quarter ended June 30, 2019, Inovalon’s ongoing investment supporting innovations in advanced, cloud-based platforms empowering data-driven healthcare was $17.1 million, or 11% of revenue, a decrease of $2.5 million, or 13%, compared to the prior year period, bringing the amount back toward historical levels.
- Analytical Process Count Growth: Inovalon’s trailing twelve-month Patient Analytics Months (“PAM”) count, which the Company believes is indicative of the Company’s overall level of analytical activity, grew to 55.1 billion as of June 30, 2019, an increase of 19% as compared with June 30, 2018.
Please see the Company’s filings with the Securities and Exchange Commission (“SEC”) for further detail regarding the preceding other financial data and key metrics.
Shares Outstanding
As of July 19, 2019, the Company had 73.9 million shares of Class A common stock outstanding and 80.3 million shares of Class B common stock outstanding.
2019 Financial Guidance
The Company is updating its full-year 2019 guidance to narrow its expected revenue range, raise its expected net income range, raise its diluted net income per share range, raise its Adjusted EBITDA range, raise its non-GAAP net income range, and raise its non-GAAP diluted net income per share range. Additionally, the Company is reiterating its previously provided full-year 2019 guidance originally provided ranges on May 1, 2019 for net cash provided by operating activities and capital expenditures.
Financial Metric | Previous Full Year 2019 Guidance Range |
Updated Full Year 2019 Guidance Range Updated July 31, 2019 |
Change from Full Year 2018 |
|||
Revenue | $637 million to $657 million | $638 million to $648 million | 21% to 23% | |||
Net income | $2 million to $6 million | $4 million to $9 million | ||||
Non-GAAP net income | $63 million to $71 million | $67 million to $73 million | 70% to 86% | |||
Adjusted EBITDA | $200 million to $210 million | $205 million to $214 million | 35% to 41% | |||
Net cash provided by operating activities | $130 million to $145 million | $130 million to $145 million | 44% to 60% | |||
Capital expenditure | $52 million to $58 million | $52 million to $58 million | ||||
Diluted net income per share | $0.01 to $0.04 | $0.03 to $0.05 | ||||
Non-GAAP diluted net income per share | $0.42 to $0.48 | $0.45 to $0.49 | 67% to 81% |
The Company is providing the following guidance for the third quarter 2019 below, indicating 11% to 15% year-over-year organic revenue growth.
Financial Metric |
Third Quarter 2019 Guidance Range Provided July 31, 2019 |
|
Revenue | $162.5 million to $167.5 million | |
Net income | $3 million to $4 million | |
Non-GAAP net income | $17 million to $19 million | |
Adjusted EBITDA | $53 million to $57 million | |
Diluted net income per share | $0.02 to $0.03 | |
Non-GAAP diluted net income per share | $0.11 to $0.13 |
Additional assumptions made within the Company’s 2019 guidance are as follows:
- While changes in the stock price could change the fully diluted share count, under the treasury stock method, 2019 guidance assumes 149 million weighted average diluted shares.
- 2019 guidance assumes an effective tax rate of approximately 28% for the full year.
Reconciliations of net income, the GAAP financial measure most directly comparable to Adjusted EBITDA and Non-GAAP net income, identifying the differences between each of these Non-GAAP financial measures and the most directly comparable GAAP financial measure, are included in this press release after the consolidated financial statements.
Conference Call
Inovalon will host a conference call to discuss its second quarter 2019 results at 5:00 p.m. Eastern Time today. To participate in Inovalon’s conference call, please dial (855) 783-2604, conference ID 8645107; international callers should dial (631) 485-4882 using the same conference ID. A replay will be available on Inovalon’s investor relations website (http://investors.inovalon.com).
Please refer to our Second Quarter 2019 Earnings Presentation Supplement available at http://investors.inovalon.com for additional information, including 2019 financial guidance, additional financial metrics, and other topics that will be referenced during the Company’s conference call.
About the Inovalon ONE® Platform
The Inovalon ONE® Platform is an integrated cloud-based platform of nearly 100 individual proprietary technology toolsets and deep data assets able to be rapidly configured to empower the operationalization of large-scale, data-driven healthcare initiatives. Each proprietary technology toolset is referred to as a Component, which are grouped into Modules, and informed by the data of billions of medical events within Inovalon’s proprietary datasets. Combinations of Components and Modules are configured to empower highly differentiated solutions for client needs quickly and in a highly scalable fashion. The flexibility of the modular design of the Platform enables clients to integrate the capabilities of the Platform with their own internal capabilities or other third-party solutions. The Platform brings to the marketplace a highly extensible, national-scale capability to interconnect with the healthcare ecosystem on a massive scale, aggregate and analyze data in petabyte volumes, arrive at sophisticated insights in real-time, and drive meaningful impact wherever it is analytically identified best to intervene and intuitively visualize data and information to inform business strategy and execution.
About Inovalon
Inovalon is a leading provider of cloud-based platforms empowering data-driven healthcare. Through the Inovalon ONE® Platform, Inovalon brings to the marketplace a national-scale capability to interconnect with the healthcare ecosystem, aggregate and analyze data in real-time, and empower the application of resulting insights to drive meaningful impact at the point of care. Leveraging its platform, unparalleled proprietary data sets, and industry-leading subject matter expertise, Inovalon enables better care, efficiency, and financial performance across the healthcare ecosystem. From health plans and provider organizations, to pharmaceutical, medical device, and diagnostics companies, Inovalon's unique achievement of value is delivered through the effective progression of “Turning Data into Insight, and Insight into Action®.” Supporting thousands of clients, including 24 of the top 25 U.S. health plans and 22 of the top 25 global pharma companies, Inovalon's technology platforms and analytics are informed by data pertaining to more than 976,000 physicians, 535,000 clinical facilities, 278 million Americans, and nearly 46 billion medical events. For more information, visit www.inovalon.com.
Forward Looking Statements
Certain statements contained in this press release constitute forward-looking statements within the meaning of, and are intended to be covered by the safe harbor provisions of, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this press release other than statements of historical fact, including but not limited to statements regarding the roll-out of any product or capability, the timing, performance characteristics and utility of any such product or capability, and the impact of any such product or capability on the healthcare industry, future results of operations and financial position, business strategy and plans, market growth, and objectives for future operations, are forward-looking statements. The words “believe,” “may,” “see,” “will,” “estimate,” “continue,” “anticipate,” “assume,” “intend,” “expect,” “project,” “look forward,” and similar expressions are intended to identify forward-looking statements. Forward-looking statements in this press release include, but are not limited to, expectations about future business plans, prospective performance and opportunities, strategies and business plans, expectations regarding future results, expectations regarding the size of our datasets, expectations regarding implementation timeframes, our ability to meet financial guidance for the third quarter and full year 2019, expectations regarding tax rates, and statements with respect to visibility, revenue retention and recurring revenue, including ACV. Inovalon has based these forward-looking statements largely on current expectations and projections about future events and trends that may affect financial condition, results of operations, business strategy, short-term and long-term business operations and objectives, and financial needs as of the date of this press release. These forward-looking statements are subject to a number of risks, uncertainties, and assumptions, which could cause the future events and trends discussed in this press release not to occur and could cause actual results to differ materially and adversely from those anticipated or implied in the forward-looking statements.
These risks, uncertainties, and assumptions include, among others: the Company’s ability to continue and manage growth, including successfully integrating acquisitions, including ABILITY; ability to grow the client base, retain and renew the existing client base and maintain or increase the fees and activity with existing clients; the effect of the concentration of revenue among top clients; the ability to innovate new services and adapt platforms and toolsets; the ability to successfully implement growth strategies, including the ability to expand into adjacent verticals, such as direct to consumer, growing channel partnerships, expanding internationally and successfully pursuing acquisitions; the ability to successfully integrate our acquisitions and the ability of the acquired business to perform as expected; the successful implementation and adoption of new platforms and solutions, including the Inovalon ONE® Platform, ScriptMed® Cloud, Clinical Data Extraction as a Service (CDEaaS™), Natural Language Processing as a Service (NLPaaS™), and Elastic Container Technology (ECT™); the possibility of technical, logistical or planning issues in connection with the Company’s investment in and successful deployment of the Company’s products, services and technological advancements; the ability to enter into new agreements with existing or new platforms, products and solutions in the timeframes expected, or at all; the impact of pending M&A activity in the managed care industry, including potential positive or negative impact on existing contracts or the demand for new contracts; the effects of and costs associated with compliance with regulations applicable to the Company, including regulations relating to data protection and data privacy; the effects of changes in tax laws in the jurisdictions in which we operate; the ability to protect the privacy of clients’ data and prevent security breaches; the effect of competition on the business; the timing, size and effect of business realignment and restructuring charges; and the efficacy of the Company’s platforms and toolsets. Additional information is also set forth in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018, filed with the SEC on February 20, 2019, included under the heading Item 1A, “Risk Factors,” and in subsequent filings with the SEC. The Company is under no duty to, and disclaims any obligation to, update any of these forward-looking statements after the date of this press release or conform these statements to actual results or revised expectations, except as required by law.
Use of Non-GAAP Financial Measures
In the Company’s earnings releases, prepared remarks, conference calls, slide presentations and webcasts, there may be use or discussion of non-GAAP financial measures. The GAAP financial measure most directly comparable to each non-GAAP financial measure used or discussed, and a reconciliation of the differences between the comparable GAAP financial measure and each non-GAAP financial measure are included in this press release after the consolidated financial statements.
1 Annualized Contract Value (ACV) is defined as a metric reflecting the sum of the first 12 months of revenue expected from contracts signed during a specific period (such as a quarter or year).
2 Metrics calculated on a trailing twelve-month (TTM) basis reflect the prior twelve months of activity.
3 Free cash flow is defined as net cash provided by operating activities less purchases of property and equipment and less investment in capitalized software.
Inovalon Holdings, Inc.
Consolidated Statements of Operations (unaudited)
(In thousands, except per-share amounts) | Three Months Ended June 30, |
Six Months Ended June 30, |
|||||||||||||
2019 | 2018 | 2019 | 2018 | ||||||||||||
Revenue | $ | 156,977 | $ | 152,798 | $ | 302,468 | $ | 245,553 | |||||||
Expenses: | |||||||||||||||
Cost of revenue(1) | 41,118 | 39,015 | 78,321 | 72,506 | |||||||||||
Sales and marketing(1) | 14,306 | 12,045 | 27,832 | 19,947 | |||||||||||
Research and development(1) | 7,898 | 7,545 | 16,099 | 13,966 | |||||||||||
General and administrative(1) | 45,694 | 60,174 | 99,317 | 109,570 | |||||||||||
Depreciation and amortization | 27,420 | 26,906 | 54,467 | 43,286 | |||||||||||
Restructuring expense | — | 9,464 | — | 9,464 | |||||||||||
Total operating expenses | 136,436 | 155,149 | 276,036 | 268,739 | |||||||||||
Income (Loss) from operations | 20,541 | (2,351 | ) | 26,432 | (23,186 | ) | |||||||||
Other income and (expenses): | |||||||||||||||
Interest income | 664 | 154 | 1,274 | 1,549 | |||||||||||
Interest expense | (16,649 | ) | (15,568 | ) | (33,191 | ) | (17,450 | ) | |||||||
Other expense, net | — | (511 | ) | (11 | ) | (1,631 | ) | ||||||||
Income (Loss) before taxes | 4,556 | (18,276 | ) | (5,496 | ) | (40,718 | ) | ||||||||
Provision for (Benefit from) income taxes | 18 | (7,810 | ) | (1,711 | ) | (13,418 | ) | ||||||||
Net income (loss) | $ | 4,538 | $ | (10,466 | ) | $ | (3,785 | ) | $ | (27,300 | ) | ||||
Net income (loss) attributable to common stockholders, basic and diluted | $ | 4,403 | $ | (10,466 | ) | $ | (3,785 | ) | $ | (27,300 | ) | ||||
Net income (loss) per share attributable to common stockholders, basic and diluted: | |||||||||||||||
Basic net income (loss) per share | $ | 0.03 | $ | (0.07 | ) | $ | (0.03 | ) | $ | (0.19 | ) | ||||
Diluted net income (loss) per share | $ | 0.03 | $ | (0.07 | ) | $ | (0.03 | ) | $ | (0.19 | ) | ||||
Weighted average shares of common stock outstanding: | |||||||||||||||
Basic | 148,136 | 147,181 | 147,956 | 143,301 | |||||||||||
Diluted | 148,478 | 147,181 | 147,956 | 143,301 |
(1) | Includes stock-based compensation expense as follows: | ||||||||||||||||
Cost of revenue | $ | 78 | $ | (87 | ) | $ | 155 | $ | 53 | ||||||||
Sales and marketing | 339 | (401 | ) | 639 | 68 | ||||||||||||
Research and development | 379 | 330 | 749 | 958 | |||||||||||||
General and administrative | 1,986 | 2,802 | 6,478 | 5,313 | |||||||||||||
Total stock-based compensation expense | $ | 2,782 | $ | 2,644 | $ | 8,021 | $ | 6,392 | |||||||||
Inovalon Holdings, Inc.
Consolidated Balance Sheets (unaudited)
(In thousands, except share and par value amounts) | June 30, 2019 |
December 31, 2018 |
|||||
ASSETS | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 129,850 | $ | 115,591 | |||
Short-term investments | 503 | 7,000 | |||||
Accounts receivable (net of allowances of $4,667 and $3,350 at June 30, 2019 and December 31, 2018, respectively) | 115,440 | 104,405 | |||||
Prepaid expenses and other current assets | 21,283 | 34,801 | |||||
Income tax receivable | 5,228 | 10,330 | |||||
Total current assets | 272,304 | 272,127 | |||||
Non-current assets: | |||||||
Property, equipment and capitalized software, net | 136,592 | 141,758 | |||||
Operating lease right-of-use assets | 47,567 | — | |||||
Goodwill | 955,881 | 956,029 | |||||
Intangible assets, net | 509,110 | 535,343 | |||||
Other assets | 19,498 | 16,158 | |||||
Total assets | $ | 1,940,952 | $ | 1,921,415 | |||
LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||
Current liabilities: | |||||||
Accounts payable and accrued expenses | $ | 32,220 | $ | 31,295 | |||
Accrued compensation | 21,660 | 25,298 | |||||
Other current liabilities | 39,050 | 51,384 | |||||
Deferred revenue | 19,934 | 20,628 | |||||
Credit facilities | 9,800 | 9,800 | |||||
Operating lease liabilities | 9,095 | — | |||||
Finance lease liabilities | 2,386 | 2,905 | |||||
Total current liabilities | 134,145 | 141,310 | |||||
Non-current liabilities: | |||||||
Credit facilities, less current portion | 936,583 | 939,514 | |||||
Operating lease liabilities, less current portion | 42,900 | — | |||||
Finance lease liabilities, less current portion | 13,545 | 13,927 | |||||
Other liabilities | 48,540 | 33,406 | |||||
Deferred income taxes | 99,105 | 110,669 | |||||
Total liabilities | 1,274,818 | 1,238,826 | |||||
Commitments and contingencies | |||||||
Stockholders’ equity: | |||||||
Common stock, $0.000005 par value, 900,000,000 shares authorized, zero shares issued and outstanding at each of June 30, 2019 and December 31, 2018, respectively | — | — | |||||
Class A common stock, $0.000005 par value, 750,000,000 shares authorized; 88,549,955 shares issued and 73,929,780 shares outstanding at June 30, 2019; 86,679,575 shares issued and 72,059,400 shares outstanding at December 31, 2018 | — | — | |||||
Class B common stock, $0.000005 par value, 150,000,000 shares authorized; 80,287,495 shares issued and outstanding at June 30, 2019; 80,608,685 shares issued and outstanding at December 31, 2018 | 1 | 1 | |||||
Preferred stock, $0.0001 par value, 100,000,000 shares authorized, zero shares issued and outstanding at June 30, 2019 and December 31, 2018, respectively | — | — | |||||
Additional paid-in-capital | 625,908 | 618,674 | |||||
Retained earnings | 266,686 | 270,471 | |||||
Treasury stock, at cost, 14,620,175 shares at June 30, 2019 and December 31, 2018, respectively | (199,817 | ) | (199,817 | ) | |||
Other comprehensive loss | (26,644 | ) | (6,740 | ) | |||
Total stockholders’ equity | 666,134 | 682,589 | |||||
Total liabilities and stockholders’ equity | $ | 1,940,952 | $ | 1,921,415 | |||
Inovalon Holdings, Inc.
Consolidated Statements of Cash Flows (unaudited)
(In thousands) | Six Months Ended June 30, |
||||||
2019 | 2018 | ||||||
Cash flows from operating activities: | |||||||
Net loss | $ | (3,785 | ) | $ | (27,300 | ) | |
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
Stock-based compensation expense | 8,021 | 6,392 | |||||
Depreciation | 28,234 | 25,638 | |||||
Amortization of intangibles | 26,233 | 17,648 | |||||
Amortization of debt issuance costs and debt discount | 2,155 | 1,024 | |||||
Deferred income taxes | (1,836 | ) | (13,151 | ) | |||
Restructuring expense, non-cash | — | 8,583 | |||||
Change in fair value of contingent consideration | 517 | 8,700 | |||||
Other | 1,703 | 1,895 | |||||
Changes in assets and liabilities: | |||||||
Accounts receivable | (12,351 | ) | (7,312 | ) | |||
Prepaid expenses and other current assets | (1,634 | ) | (3,222 | ) | |||
Income taxes receivable | 5,239 | (330 | ) | ||||
Other assets | (3,552 | ) | (5,727 | ) | |||
Accounts payable and accrued expenses | 2,432 | (10,676 | ) | ||||
Accrued compensation | (4,105 | ) | 2,336 | ||||
Other current and non-current liabilities | (6,665 | ) | 11,385 | ||||
Deferred revenue | (694 | ) | 4,241 | ||||
Net cash provided by operating activities | 39,912 | 20,124 | |||||
Cash flows from investing activities: | |||||||
Maturities of short-term investments | 6,464 | 87,901 | |||||
Sales of short-term investments | — | 161,772 | |||||
Purchases of property and equipment | (8,510 | ) | (16,476 | ) | |||
Investment in capitalized software | (16,776 | ) | (22,532 | ) | |||
Acquisition, net of cash acquired of $0 and $23,850, respectively | — | (1,082,740 | ) | ||||
Net cash used in investing activities | (18,822 | ) | (872,075 | ) | |||
Cash flows from financing activities: | |||||||
Proceeds from credit facility borrowings, net of discount | — | 965,300 | |||||
Repayment of credit facility borrowings | (4,900 | ) | (236,250 | ) | |||
Payments for debt issuance costs | — | (18,269 | ) | ||||
Proceeds from exercise of stock options | 1,817 | 1,613 | |||||
Finance lease liabilities paid | (1,262 | ) | (311 | ) | |||
Tax payments for equity award issuances | (2,486 | ) | (1,069 | ) | |||
Net cash (used in) provided by financing activities | (6,831 | ) | 711,014 | ||||
Increase (Decrease) in cash and cash equivalents | 14,259 | (140,937 | ) | ||||
Cash and cash equivalents, beginning of period | 115,591 | 208,944 | |||||
Cash and cash equivalents, end of period | $ | 129,850 | $ | 68,007 | |||
Supplementary cash flow disclosure: | |||||||
Income taxes (received) paid, net | $ | (5,254 | ) | $ | 107 | ||
Interest paid | 31,465 | 11,131 | |||||
Non-cash transactions: | |||||||
Operating lease obligations incurred | 20,570 | — | |||||
Finance lease obligations incurred | 20 | 4,602 | |||||
Accruals for purchases of property, equipment | 893 | 7,292 | |||||
Accruals for investment in capitalized software | 1,427 | 1,841 | |||||
Acquisition consideration | — | 83,580 | |||||
Inovalon Holdings, Inc.
Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (unaudited)
Inovalon defines Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (Adjusted EBITDA) as net income or loss calculated in accordance with GAAP, adjusted for the impact of depreciation and amortization, interest income, interest expense, other expense, net, provision for income taxes, stock-based compensation, acquisition costs, restructuring expense, tax on equity exercises, and other non-comparable items. Adjusted EBITDA margin is defined as Adjusted EBITDA as a percentage of revenue. A reconciliation of net income to Adjusted EBITDA follows:
(In thousands, except percentages) | Three Months Ended June 30, |
Six Months Ended June 30, |
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2019 | 2018 | 2019 | 2018 | ||||||||||||
Reconciliation of net income (loss) to Adjusted EBITDA: | |||||||||||||||
Net income (loss) | $ | 4,538 | $ | (10,466 | ) | $ | (3,785 | ) | $ | (27,300 | ) | ||||
Depreciation and amortization | 27,420 | 26,906 | 54,467 | 43,286 | |||||||||||
Interest income | (664 | ) | (154 | ) | (1,274 | ) | (1,549 | ) | |||||||
Interest expense | 16,649 | 15,568 | 33,191 | 17,450 | |||||||||||
Other expense, net | — | 511 | 11 | 1,631 | |||||||||||
Provision for (Benefit from) income taxes | 18 | (7,810 | ) | (1,711 | ) | (13,418 | ) | ||||||||
EBITDA | 47,961 | 24,555 | 80,899 | 20,100 | |||||||||||
Stock-based compensation | 2,782 | 2,644 | 8,021 | 6,392 | |||||||||||
Acquisition costs: | |||||||||||||||
Transaction costs | 6 | 1,287 | 898 | 4,639 | |||||||||||
Integration costs | 1,002 | 2,445 | 3,471 | 3,202 | |||||||||||
Contingent consideration accretion | 142 | 8,500 | 247 | 8,700 | |||||||||||
Compensatory contingent consideration | (4 | ) | 1,229 | (34 | ) | 1,787 | |||||||||
Restructuring expense | — | 9,464 | — | 9,464 | |||||||||||
Other non-comparable items(1) | 329 | 2,680 | 3,250 | 6,392 | |||||||||||
Adjusted EBITDA | $ | 52,218 | $ | 52,804 | $ | 96,752 | $ | 60,676 | |||||||
Adjusted EBITDA margin | 33.3 | % | 34.6 | % | 32.0 | % | 24.7 | % |
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(1) Other “non-comparable items” include items that are not comparable across reporting periods or items that do not otherwise relate to the Company’s ongoing financial results, such as certain employee related expenses attributable to advancements in automation and operational efficiencies, and legal expenses beyond those in the normal course of business. Non-comparable items are excluded from Adjusted EBITDA in order to more effectively assess the Company’s period-over-period and ongoing operating performance.
Inovalon Holdings, Inc.
Non-GAAP net income (unaudited)
Inovalon defines Non-GAAP net income as net income or loss calculated in accordance with GAAP, adjusted to exclude tax-affected stock-based compensation expense, acquisition costs, restructuring expense, amortization of acquired intangible assets, amortization of debt issuance costs and debt discount, tax on equity exercises, and other non-comparable items. The Company defines Non-GAAP basic net income per share as Non-GAAP net income divided by basic weighted average shares outstanding. The Company defines Non-GAAP diluted net income per share as Non-GAAP net income divided by diluted weighted average shares outstanding. A reconciliation of net income to Non-GAAP net income follows:
(In thousands, except per-share amounts) | Three Months Ended June 30, |
Six Months Ended June 30, |
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2019 | 2018 | 2019 | 2018 | ||||||||||||
Reconciliation of net income (loss) to Non-GAAP net income: | |||||||||||||||
Net income (loss) | $ | 4,538 | $ | (10,466 | ) | $ | (3,785 | ) | $ | (27,300 | ) | ||||
Stock-based compensation | 2,782 | 2,644 | 8,021 | 6,392 | |||||||||||
Acquisition costs: | |||||||||||||||
Transaction costs | 6 | 1,287 | 898 | 4,639 | |||||||||||
Integration costs | 1,002 | 2,445 | 3,471 | 3,202 | |||||||||||
Contingent consideration accretion | 142 | 8,500 | 247 | 8,700 | |||||||||||
Compensatory contingent consideration | (4 | ) | 1,229 | (34 | ) | 1,787 | |||||||||
Amortization of acquired intangible assets | 13,117 | 13,797 | 26,233 | 17,648 | |||||||||||
Amortization of debt issuance costs and debt discount | 1,083 | — | 2,155 | — | |||||||||||
Restructuring expense | — | 9,464 | — | 9,464 | |||||||||||
Other non-comparable items(1) | 329 | 2,680 | 3,250 | 6,392 | |||||||||||
Tax impact of add-back items | (3,916 | ) | (12,290 | ) | (6,726 | ) | (16,593 | ) | |||||||
Non-GAAP net income | $ | 19,079 | $ | 19,290 | $ | 33,730 | $ | 14,331 | |||||||
GAAP basic net income (loss) per share | $ | 0.03 | $ | (0.07 | ) | $ | (0.03 | ) | $ | (0.19 | ) | ||||
GAAP diluted net income (loss) per share | $ | 0.03 | $ | (0.07 | ) | $ | (0.03 | ) | $ | (0.19 | ) | ||||
Non-GAAP basic net income per share | $ | 0.13 | $ | 0.13 | $ | 0.23 | $ | 0.10 | |||||||
Non-GAAP diluted net income per share | $ | 0.13 | $ | 0.13 | $ | 0.23 | $ | 0.10 | |||||||
Weighted average shares of common stock outstanding: | |||||||||||||||
Basic | 148,136 | 147,181 | 147,956 | 143,301 | |||||||||||
Diluted | 148,478 | 147,332 | 148,295 | 143,540 |
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(1) Other “non-comparable items” include items that are not comparable across reporting periods or items that do not otherwise relate to the Company’s ongoing financial results, such as certain employee related expenses attributable to advancements in automation and operational efficiencies, and legal expenses beyond those in the normal course of business. Non-comparable items are excluded from Non-GAAP net income in order to more effectively assess the Company’s period-over-period and ongoing operating performance.
Inovalon Holdings, Inc.
Free Cash Flow (unaudited)
Inovalon defines free cash flow as net cash provided by operating activities less purchases of property and equipment and less investment in capitalized software. A reconciliation of net cash provided by operating activities to free cash flow follows:
(In thousands) | Six Months Ended June 30, |
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2019 | 2018 | ||||||
Reconciliation of net cash provided by operating activities to free cash flow: | |||||||
Net cash provided by operating activities | $ | 39,912 | $ | 20,124 | |||
Less: Purchases of property and equipment | (8,510 | ) | (16,476 | ) | |||
Less: Investment in capitalized software | (16,776 | ) | (22,532 | ) | |||
Free cash flow | $ | 14,626 | $ | (18,884 | ) |
Inovalon Holdings, Inc.
Key Metrics (unaudited)
The Company believes the key metrics illustrated in the tables below are indicative of its overall level of analytical activity and its underlying growth in the business. Data resulting from the integration with ABILITY is not yet fully reflected within the MORE2 Registry® dataset and is therefore not fully reflected within the related data metrics below as of this date.
June 30, | |||||
(In thousands) | 2019 | 2018 | |||
MORE2 Registry® dataset metrics | |||||
Unique patient count(1) | 278,629 | 252,603 | |||
Medical event count(2) | 45,776,969 | 39,333,463 | |||
Trailing 12 month Patient Analytics Months (PAM)(3) | 55,068,958 | 46,152,155 |
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(1) Unique patient count is defined as each unique, longitudinally matched, de-identified natural person represented in the MORE2 Registry® as of the end of the period presented.
(2) Medical event count is defined as the total number of discrete medical events as of the end of the period presented (for example, a discrete medical event typically results from the presentation of a patient to a physician for the diagnosis of diabetes and congestive heart failure in a single visit, the presentation of a patient to an emergency department for chest pain, etc.).
(3) Patient Analytics Months, or PAM, is defined as the sum of the analytical processes performed on each respective patient within patient populations covered by clients under contract. As used in the metric, an “analytical process” is a distinct set of data calculations undertaken by the Company which is initiated and completed within the Company’s platform solutions to examine a specific question such as whether a patient is believed to have a condition such as diabetes, or worsening of the disease, during a specific time period.
Inovalon Holdings, Inc.
Investment in Innovation (unaudited)
The Company’s business model is based upon the ability to deliver value to clients through the combination of advanced, cloud-based data analytics and data-driven intervention platforms focused on the achievement of meaningful and measurable improvements in clinical quality outcomes and financial performance in healthcare. The Company’s ability to deliver this value is dependent in part on the ability to continue to innovate, design new capabilities, and bring these capabilities to market in an enterprise scale. The Company’s continued ability to innovate the platform and bring differentiated capabilities to market is an important aspect of the Company’s business success. The Company’s investment in innovation includes costs for research and development, capitalized software development, and expenditures related to hardware and software platforms on which data analytics and data-driven interventions capabilities are deployed as summarized below.
Three Months Ended June 30, |
Six Months Ended June 30, |
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(In thousands, except percentages) | 2019 | 2018 | 2019 | 2018 | |||||||||||
Investment in Innovation: | |||||||||||||||
Research and development(1) | $ | 7,898 | $ | 7,545 | $ | 16,099 | $ | 13,966 | |||||||
Capitalized software development(2) | 8,801 | 11,366 | 16,708 | 21,662 | |||||||||||
Research and development infrastructure investments(3) | 411 | 727 | 1,581 | 9,492 | |||||||||||
Total investment in innovation | $ | 17,110 | $ | 19,638 | $ | 34,388 | $ | 45,120 | |||||||
As a percentage of revenue | |||||||||||||||
Research and development(1) | 5 | % | 5 | % | 5 | % | 6 | % | |||||||
Capitalized software development(2) | 6 | % | 7 | % | 6 | % | 9 | % | |||||||
Research and development infrastructure investments(3) | — | % | — | % | 1 | % | 4 | % | |||||||
Total investment in innovation | 11 | % | 12 | % | 12 | % | 19 | % |
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(1) Research and development primarily includes employee costs related to the development and enhancement of our service offerings.
(2) Capitalized software development includes capitalized costs incurred to develop and enhance functionality for our platform solutions.
(3) Research and development infrastructure investments include strategic capital expenditures related to hardware and software platforms under development or enhancement.
Inovalon Holdings, Inc.
Forward-Looking Guidance Adjusted EBITDA (unaudited)
Guidance Range | |||||||
Year Ending December 31, 2019 |
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(In millions) | Low | High | |||||
Reconciliation of Forward-Looking Guidance Net income to Adjusted EBITDA: | |||||||
Net income | $ | 4 | $ | 9 | |||
Depreciation and amortization | 107 | 107 | |||||
Interest expense | 66 | 66 | |||||
Interest income | (2 | ) | (2 | ) | |||
Provision for income taxes(1) | 1 | 3 | |||||
EBITDA | 176 | 183 | |||||
Stock-based compensation | 20 | 20 | |||||
Acquisition costs: | |||||||
Transaction costs | 1 | 1 | |||||
Integration costs | 3 | 4 | |||||
Contingent consideration | 1 | 2 | |||||
Other non-comparable items(2) | 4 | 4 | |||||
Adjusted EBITDA | $ | 205 | $ | 214 | |||
Adjusted EBITDA margin | 32.1 | % | 33.0 | % |
Guidance Range | |||||||
Three Months Ending September 30, 2019 |
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(In millions) | Low | High | |||||
Reconciliation of Forward-Looking Guidance Net income to Adjusted EBITDA: | |||||||
Net income | $ | 3 | $ | 4 | |||
Depreciation and amortization | 27 | 27 | |||||
Interest expense | 17 | 17 | |||||
Interest income | (1 | ) | (1 | ) | |||
Provision for income taxes(1) | 1 | 1 | |||||
EBITDA | 47 | 48 | |||||
Stock-based compensation | 6 | 6 | |||||
Acquisition costs: | |||||||
Transaction costs | — | — | |||||
Integration costs | — | 1 | |||||
Contingent consideration | — | 1 | |||||
Other non-comparable items(2) | — | 1 | |||||
Adjusted EBITDA | $ | 53 | $ | 57 | |||
Adjusted EBITDA margin | 32.6 | % | 34.0 | % |
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(1) A 28% tax rate is assumed in order to approximate the Company’s effective statutory corporate tax rate.
(2) Other “non-comparable items” include items that are not comparable across reporting periods or items that do not otherwise relate to the Company’s ongoing financial results, such as certain employee related expenses attributable to advancements in automation and operational efficiencies, and legal expenses beyond those in the normal course of business. Non-comparable items are excluded from Adjusted EBITDA in order to more effectively assess the Company’s period-over-period and ongoing operating performance.
Inovalon Holdings, Inc.
Forward-Looking Guidance Non-GAAP net income (unaudited)
Guidance Range | |||||||
Year Ending December 31, 2019 |
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(In millions, except per-share amounts) | Low | High | |||||
Reconciliation of Forward-Looking Guidance Net income to Non-GAAP net income: | |||||||
Net income | $ | 4 | $ | 9 | |||
Stock-based compensation | 20 | 20 | |||||
Acquisition costs: | |||||||
Transaction costs | 1 | 1 | |||||
Integration costs | 3 | 4 | |||||
Contingent consideration | 1 | 2 | |||||
Amortization of acquired intangible assets | 53 | 53 | |||||
Amortization of debt issuance costs and debt discount | 4 | 4 | |||||
Other non-comparable items(1) | 4 | 4 | |||||
Tax impact of add-back items(2) | (23 | ) | (24 | ) | |||
Non-GAAP net income | $ | 67 | $ | 73 | |||
GAAP diluted net income per share | $ | 0.03 | $ | 0.06 | |||
Non-GAAP diluted net income per share | $ | 0.45 | $ | 0.49 | |||
Weighted average shares of common stock outstanding - diluted | 149 | 149 |
Guidance Range | |||||||
Three Months Ending September 30, 2019 |
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(In millions, except per-share amounts) | Low | High | |||||
Reconciliation of Forward-Looking Guidance Net income to Non-GAAP net income: | |||||||
Net income | $ | 3 | $ | 4 | |||
Stock-based compensation | 6 | 6 | |||||
Acquisition costs: | |||||||
Transaction costs | — | — | |||||
Integration costs | — | 1 | |||||
Contingent consideration | — | 1 | |||||
Amortization of acquired intangible assets | 13 | 13 | |||||
Amortization of debt issuance costs and debt discount | 1 | 1 | |||||
Other non-comparable items(1) | — | 1 | |||||
Tax impact of add-back items(2) | (6 | ) | (8 | ) | |||
Non-GAAP net income | $ | 17 | $ | 19 | |||
GAAP diluted net income per share | $ | 0.02 | $ | 0.03 | |||
Non-GAAP diluted net income per share | $ | 0.11 | $ | 0.13 | |||
Weighted average shares of common stock outstanding - diluted | 149 | 149 |
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(1) Other “non-comparable items” include items that are not comparable across reporting periods or items that do not otherwise relate to the Company’s ongoing financial results, such as certain employee related expenses attributable to advancements in automation and operational efficiencies, and legal expenses beyond those in the normal course of business. Non-comparable items are excluded from non-GAAP net income in order to more effectively assess the Company’s period-over-period and ongoing operating performance.
(2) A 28% tax rate is assumed in order to approximate the Company’s effective statutory corporate tax rate.
Non-GAAP Financial Measures
Inovalon provides the measures Adjusted EBITDA, Adjusted EBITDA margin, and Non-GAAP net income as additional information for evaluating the Company’s operating results and free cash flow as a liquidity measure to evaluate the Company’s ability to generate cash to support its ongoing business to service and repay debt, and to invest in its business. These measures are not prepared in accordance with, or as an alternative for, GAAP accounting and may be different from non-GAAP measures used by other companies.
Investors frequently have requested information from management regarding depreciation, amortization and other non-cash charges, such as stock-based compensation, as well as the impact of non-comparable items and management believes, based on discussions with investors, that these non-GAAP measures enhance investors’ ability to assess Inovalon’s historical and projected future financial performance. While management believes these non-GAAP financial measures provide useful supplemental information to investors, there are limitations associated with the use of non-GAAP financial measures. For example, one limitation of Adjusted EBITDA is that it excludes depreciation and amortization, which represents the periodic costs of certain capitalized tangible and intangible assets used in generating revenues in our business. Inovalon compensates for these limitations by using these non-GAAP financial measures as supplements to GAAP financial measures and by reconciling the non-GAAP financial measures to their most comparable GAAP financial measures. Investors are encouraged to review the reconciliations of these non-GAAP financial measures to the comparable GAAP measures that are provided above.
These non-GAAP measures include financial information that is prepared in accordance with GAAP and presented in our consolidated financial statements and are used to evaluate our business, measure our performance, develop financial forecasts and make strategic decisions and are an important factor in determining variable compensation.
Adjusted EBITDA and Adjusted EBITDA Margin
The Company defines Adjusted EBITDA as net income calculated in accordance with GAAP, adjusted for the impact of depreciation and amortization, other expense, net, interest income, interest expense, provision for income taxes, stock-based compensation, acquisition costs (including transaction costs, integration costs, costs related to contingent consideration accretion and compensatory contingent consideration), restructuring expense, tax on equity exercises, and other non-comparable items. A reconciliation of net income, which is the most directly comparable GAAP financial measure, to Adjusted EBITDA is provided above.
Adjusted EBITDA margin is the Company’s calculation of Adjusted EBITDA, divided by revenue calculated in accordance with GAAP.
The Company uses Adjusted EBITDA and Adjusted EBITDA margin as supplemental measures of performance to gain insight into operating effectiveness. The Company uses Adjusted EBITDA and Adjusted EBITDA margin as key metrics to assess its ability to increase revenues while controlling expense growth and the scalability of the Company’s business model. The Company believes that the exclusion of the expenses eliminated in calculating Adjusted EBITDA and Adjusted EBITDA margin provides management and investors a useful measure for period-to-period comparisons of the Company’s core business and operating results by excluding items that are not comparable across reporting periods or that do not otherwise relate to the Company’s ongoing operating results. Accordingly, the Company believes that Adjusted EBITDA and Adjusted EBITDA margin provide useful information to investors and others in understanding and evaluating the Company’s operating results. However, use of Adjusted EBITDA and Adjusted EBITDA margin as analytical tools has limitations, and investors and others should not consider them in isolation or as substitutes for analysis of our financial results as reported under GAAP. In addition, other companies, including companies in Inovalon’s industry, might calculate Adjusted EBITDA and Adjusted EBITDA margin or similarly titled measures differently, which may reduce their usefulness as comparative measures.
Non-GAAP net income and Non-GAAP net income per share
The Company defines Non-GAAP net income as net income calculated in accordance with GAAP, adjusted to exclude tax-affected stock-based compensation expense, acquisition costs (including transaction costs, integration costs, costs related to contingent consideration accretion and compensatory contingent consideration), restructuring expense, amortization of acquired intangible assets, amortization of debt issuance costs and debt discount, tax on equity exercises, and other non-comparable items.
The Company defines Non-GAAP basic net income per share as Non-GAAP net income divided by basic weighted average shares outstanding. The Company defines Non-GAAP diluted net income per share as Non-GAAP net income divided by diluted weighted average shares outstanding.
The Company uses Non-GAAP net income as a supplemental measure of performance to gain insight into financial effectiveness. The Company uses Non-GAAP net income as a key metric to assess its ability to increase revenues while controlling expense growth and the scalability of its business model. The Company believes that the exclusion of the expenses eliminated in calculating Non-GAAP net income provides management and investors a useful measure for period to period comparisons of the Company’s core business and financial results by excluding items that are not comparable across reporting periods or that do not otherwise relate to its ongoing financial results. Accordingly, the Company believes that Non-GAAP net income provides useful information to investors and others in understanding and evaluating the Company’s performance. However, use of Non-GAAP net income as an analytical tool has limitations, and investors and others should not consider this measure in isolation or as a substitute for analysis of the Company’s financial results as reported under GAAP. In addition, other companies, including companies in Inovalon’s industry, might calculate Non-GAAP net income or similarly titled measures differently, which may reduce their usefulness as comparative measures.
Free cash flow
The Company defines free cash flow as net cash provided by operating activities calculated in accordance with GAAP less purchases of property and equipment and less investments in capitalized software. The Company uses free cash flow as a liquidity measure to evaluate its ability to generate cash to support its ongoing business operations, to service and repay debt, and to invest in its businesses. However, use of free cash flow has limitations, and investors and others should not consider this measure in isolation or as a substitute for analysis of the Company’s liquidity as reported under GAAP. In addition, other companies, including companies in Inovalon’s industry, might calculate free cash flow or similarly titled measures differently, which may reduce their usefulness as comparative measures.
Contact:
Inovalon
Kim E. Collins
Phone: 301-809-4000 x1473
kcollins@inovalon.com
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