EX-99.1 2 d819068dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

Change Healthcare Inc. Reports Second Quarter Fiscal 2020 Financial Results

Nashville, Tenn., Nov. 13, 2019 – Change Healthcare Inc. (Nasdaq: CHNG), a leading independent healthcare technology company, today reported financial results for Change Healthcare LLC (“Change Healthcare”) for the second quarter of fiscal year 2020 ended September 30, 2019.

“I am pleased to report another quarter of strong financial and operational performance, supported by continued strength in our underlying business and the execution on our strategic initiatives in our Enterprise Imaging and RCM Services businesses,” said Neil de Crescenzo, president and chief executive officer. “We continue to invest in innovation internally and with leading technology partners to bring to market new solutions that deliver increased value to our more than 30,000 customers by helping them reduce cost, increase quality, and enhance their ability to drive consumer engagement. Our focus on operational excellence and innovation across our platform places Change Healthcare in a strong position to deliver accelerated growth and shareholder value over the coming years.”

Adoption of the New Revenue Recognition Standard - ASC 606

Change Healthcare adopted the new revenue recognition accounting standard Accounting Standards Codification (“ASC”) 606 effective April 1, 2019 on a modified retrospective basis. Financial results for reporting periods during fiscal year 2020 are presented in compliance with the new revenue recognition standard. Historical financial results for reporting periods prior to fiscal year 2020 are presented in conformity with the prior revenue recognition standard, ASC 605. This press release includes additional information to reconcile the impacts of the adoption of the new revenue recognition standard on Change Healthcare’s financial results for the quarter and six months ended September 30, 2019. This includes the presentation of financial results during fiscal year 2020 under ASC 605 for comparison to the prior year period.

Fiscal 2020 Second Quarter Highlights for Change Healthcare LLC:

Financial Summary - ASC 606 (standard adopted effective April 1, 2019)

 

   

Total revenue of $795.8 million, including Solutions revenue of $738.7 million

 

   

Net income of $(0.1) million, resulting in net income of $(0.00) per diluted unit(1)

 

   

Adjusted net income of $86.6 million, resulting in adjusted net income of $0.27 per diluted unit(1)

 

   

Adjusted EBITDA of $217.7 million

Financial Summary - ASC 605 (standard before April 1, 2019)

 

   

Total revenue of $805.8 million, including Solutions revenue of $748.6 million

 

   

Net income of $4.3 million, resulting in net income of $0.01 per diluted unit(1)

 

   

Adjusted net income of $91.0 million, resulting in adjusted net income of $0.28 per diluted unit(1)

 

   

Adjusted EBITDA of $222.0 million

 

(1) 

Common units of Change Healthcare LLC are equivalent to the number of outstanding common shares of Change Healthcare Inc. and membership interests of Change Healthcare LLC held by subsidiaries of McKesson.

 

1


Financial Results - ASC 606 (standard adopted effective April 1, 2019)

 

   

Solutions revenue was $738.7 million. Second quarter results were impacted by the adoption of the new accounting standard, ASC 606, which resulted in the recognition of certain revenue in the first quarter of the fiscal year that would have been recognized in the second quarter or subsequent periods under the prior accounting rules. As a result, the second quarter results reflect an unfavorable revenue impact of $9.9 million as compared with ASC 605.

 

   

Net income was $(0.1) million, resulting in net income of $(0.00) per diluted unit. Net income under the new accounting standard was impacted favorably by an extended recognition period for commissions and certain implementation costs, decreasing expenses by $5.6 million, partially offsetting the revenue impact of ASC 606 noted above.

 

   

Adjusted net income was $86.6 million, resulting in adjusted net income of $0.27 per diluted unit.

 

   

Adjusted EBITDA was $217.7 million. Adjusted EBITDA as a percent of Solutions revenue for the second quarter of fiscal 2020 was 29.5%

Financial Results - ASC 605 (standard before April 1, 2019)

 

   

Solutions revenue was $748.6 million, compared to $737.8 million for the second quarter of fiscal 2019. Total revenue for the current period, which includes Postage revenue, was $805.8 million compared to $800.2 million in the same period of the prior year. Growth in both the Software & Analytics and Network Solutions businesses was partially offset by the impact of planned contract eliminations in our Technology-enabled Services business, and the impact of our optimization initiatives in our Connected Analytics business. As part of our stated strategy, we are repositioning certain of our Revenue Cycle Management (“RCM”) service solutions to better address end-market dynamics, enhance efficiency and to improve the long-term growth potential of these solutions.

 

   

Net income was $4.3 million, resulting in net income of $0.01 per diluted unit, compared with net income of $113.4 million or $0.45 per diluted unit, respectively, for the second quarter of fiscal 2019. Net income in the prior year period included the gain on sale of the Extended Care business of $111.4 million before the provision of income tax. The sale resulted in an after-tax gain of approximately $111.1 million and an impact of approximately $0.44 per diluted unit. During the second quarter of fiscal 2020, the favorable impact of productivity improvements and growth across our Software & Analytics and Network Solutions businesses was partially offset by planned contract eliminations in our Technology-enabled Service business.

 

   

Adjusted net income was $91.0 million, resulting in adjusted net income of $0.28 per diluted unit, compared with adjusted net income of $89.9 million or $0.35 per diluted unit, respectively, for the second quarter of fiscal 2019. Adjusted net income reflects the items noted above.

 

   

Adjusted EBITDA was $222.0 million, compared with $216.0 million for the second quarter of fiscal 2019. Adjusted EBITDA as a percent of Solutions revenue for the second quarter of fiscal 2020 was 29.7%, compared with 29.3% for the second quarter of fiscal 2019. The improved performance was the result of a favorable impact of mix, productivity improvements and growth across our segments.

 

2


Cash Flow and Balance Sheet Highlights for Change Healthcare LLC:

Net cash provided by operating activities was $223.9 million for the six months ended September 30, 2019, a decrease of 1.8% from $227.9 million for the six months ended September 30, 2018. Free cash flow was $94.0 million for the six months ended September 30, 2019, a decrease of 8.9% from $103.2 million for the six months ended September 30, 2018. Adjusted free cash flow was $173.9 million, a decrease of $59.2 million year over year.

Net cash provided by operating activities, free cash flow, and adjusted free cash flow each are affected by pass-thru funds we receive from certain pharmaceutical industry participants in advance of our obligation to remit these funds to participating retail pharmacies. The decrease in cash flow from operations, free cash flow and adjusted free cash flow primarily resulted from the inclusion of $12.9 million of such pass-thru funds in the six months ended September 30, 2019 as compared to $156.1 million for the six months ended September 30, 2018.

Change Healthcare LLC ended the quarter with approximately $73.0 million of cash, cash equivalents and restricted cash and approximately $4,971.0 million of total debt. In addition to the previously disclosed repayment of $805.0 million in term loan facility obligations in July 2019, the company repaid an additional $85.0 million in term loan facility obligations in the second quarter of fiscal 2020.

As of September 30, 2019, no amounts had been drawn under the revolving credit facility. On July 3, 2019, the company amended its revolving credit facility to increase the current commitment amount from $500.0 million to $785.0 million and to extend the maturity to July 3, 2024.

Recent Business Highlights

 

   

Introduced new artificial intelligence (AI) technology capabilities to our CareSelect™ Imaging decision support solution. These AI capabilities help healthcare providers enhance workflow efficiency, improve patient safety, provide higher-value care, and meet pending regulatory requirements, leveraging our integration into electronic health record (EHR) systems.

 

   

Awarded a contract through 2026 by Ireland’s Health Service Executive to extend their partnership with Change Healthcare to upgrade Ireland’s National Integrated Medical Imaging system (“NIMIS”). Leveraging the innovation in our Imaging unit, NIMIS is transforming how diagnostic imaging is delivered to the citizens of Ireland to ensure that images and reports are available to clinicians at the right time and location regardless of where the image was acquired.

 

   

Introduced Charge Capture Advisor, a new cloud-based addition to the company’s portfolio of Revenue Integrity Solutions. The solution uses AI to identify potentially missing charges for services that providers actually performed before claims are submitted targeting a more complete capture of services rendered without additional time and effort by hospital revenue integrity teams.

Full Year Fiscal 2020 Outlook and 2021 Guidance - ASC 606

Change Healthcare continues to expect full-year fiscal 2020 Solutions revenue growth of 1% to 2% including the impact of the sale of our extended care business during fiscal year 2019 and planned contract exits in our Technology-enabled Services business; Adjusted EBITDA growth of 6% to 8% and Adjusted net income growth of 9% to 11%.

 

3


For fiscal year 2021, the company continues to expect Solutions revenue growth of 4% to 6% and Adjusted EBITDA growth of 6% to 8%.

Third Quarter Fiscal 2020 Guidance - ASC 606

Change Healthcare expects third quarter fiscal 2020 Solutions revenue in the range of $745 million to $760 million, Adjusted EBITDA in the range of $225 million to $235 million, and Adjusted net income in the range of $98 million to $103 million.

While second quarter revenue decreased as a result of ASC 606 implementation, full year revenue is not expected to differ materially between the two accounting standards. Hence, the acceleration of revenue to the first quarter of the fiscal year will reduce the quarterly reported revenue in subsequent fiscal 2020 reported results versus the prior revenue recognition standard. The impact from extended recognition periods for commission expense as a result of the adoption of ASC 606 is expected to be favorable by about $3 million pre-tax per quarter for the remainder of fiscal 2020.

A reconciliation of the forward-looking third-quarter and full-year fiscal 2020 Adjusted EBITDA outlook to net income cannot be provided without unreasonable effort because of the inherent difficulty of accurately forecasting the occurrence and financial impact of the various adjusting items necessary for such reconciliation that have not yet occurred, are out of our control, or cannot be reasonably predicted. For the same reasons, Change Healthcare LLC is unable to assess the probable significance of the unavailable information, which could have a material impact on its future financial results in accordance with generally accepted accounting principles in the United States of America (“GAAP”).

Conference Call and Webcast Information

Change Healthcare will host a conference call on November 14, 2019 at 8:00 a.m. ET. Investors and other interested parties are invited to listen to the conference call by dialing 1-(877) 279-0788 in the U.S.; 1-(270) 215-9894 from abroad, including the conference ID number: 1669249; or via a live, audio webcast on the Company’s website at https://ir.changehealthcare.com/.

A webcast replay will be available for on-demand listening shortly after the completion of the call until the second-quarter fiscal 2021 earnings call, at the aforementioned URL. In addition, a digital audio playback will be available until 11:00 a.m. Eastern Time on Thursday, November 21, 2019, by dialing 1-(855) 859-2056 or 1-(404) 537-3406 and referencing confirmation 1669249.

About Change Healthcare

Change Healthcare is a leading independent healthcare technology company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. We are a key catalyst of a value-based healthcare system, accelerating the journey toward improved lives and healthier communities. Learn more at changehealthcare.com.

 

4


CHNG-IR

Contacts

Evan Smith, CFA

Investor Relations

404-338-2225

Evan.Smith@changehealthcare.com

Kerry Kelly

External Communications

339-236-2756

Kerry.Kelly@changehealthcare.com

Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of federal securities laws. Any statements made in this release that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements. Forward-looking statements include information concerning possible or assumed future results of operations, including descriptions of our business plans and strategies. These statements often include words such as “anticipate,” “expect,” “suggest,” “plan,” “believe,” “intend,” “estimate,” “target,” “project,” “should,” “could,” “would,” “may,” “will,” “forecast,” “outlook,” “potential,” “continues,” “seeks,” “predicts,” and the negatives of these words and other similar expressions. Forward-looking statements involve known and unknown risks, uncertainties, including factors disclosed in the Registration Statement on Form S-1 (No. 333-230345) in the section entitled “Risk Factors,” and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. Given these uncertainties, you should not place undue reliance on any forward-looking statements in this release. All forward-looking statements are based on information currently available to Change Healthcare and are qualified in their entirety by this cautionary statement. The statements herein speak only as of the date such statements were first made. Except to the extent required by law, Change Healthcare assumes no obligation to update any such forward-looking statements or other statements included in this release.

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. We believe such measures provide supplemental information to investors with regard to our operating performance and assist investors’ ability to compare our financial results to those of other companies in the same industry. 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. These non-GAAP financial measures are calculated and presented on the basis of methodologies other than in accordance with GAAP. These non-GAAP financial measures should be considered only as supplemental to, and not as superior to, financial measures prepared in accordance with GAAP and may be defined and calculated differently by others in the same industry.

 

5


Change Healthcare Inc.

Statements of Operations (unaudited and amounts in thousands, except share and per share amounts)

 

     Three Months Ended     Six Months Ended  
     September 30,     September 30,  
     2019     2018     2019     2018  

Revenue

   $ —       $ —       $ —       $ —    

Operating expenses

      

General and administrative

     1,138       31       1,389       62  

Accretion Expense

     48,363       —         48,363       —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     49,501       31       49,752       62  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (loss)

     (49,501     (31     (49,752     (62

Non-operating (income) expense

      

Loss from Equity Method Investment in the Joint Venture

     56,179       25,571       95,732       48,337  

(Gain) Loss on Sale of Interests in the Joint Venture

     —         (197     —         (661

Management fee income

     (772     (31     (876     (62

Interest expense

     644       —         644       —    

Interest income

     (644     —         (644     —    

Amortization of debt discount and issuance costs

     212       —         212       —    

Unrealized gain (loss) on forward purchase contract

     2,435       —         2,435       —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Total non-operating (income) expense

     58,054       25,343       97,503       47,614  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income tax provision (benefit)

     (107,555     (25,374     (147,255     (47,676

Income tax provision (benefit)

     (13,620     (6,783     (15,804     (11,584
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (93,935   $ (18,591   $ (131,451   $ (36,092
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) per share:

      

Basic

   $ (0.66   $ (0.25   $ (1.20   $ (0.48
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

   $ (0.66   $ (0.25   $ (1.20   $ (0.48
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares:

      

Basic

     142,223,836       75,506,552       109,111,853       75,555,700  
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

     142,223,836       75,506,552       109,111,853       75,555,700  
  

 

 

   

 

 

   

 

 

   

 

 

 

 

6


Change Healthcare Inc.

Balance Sheets (unaudited and amounts in thousands, except share and per share amounts)

 

     September 30,     March 31,  
     2019     2019  

Assets

 

Current Assets:

    

Cash

   $ 3,409     $ 3,409  

Prepaid expenses

     2,315       —    

Due from the Joint Venture

     1,345       373  

Investment in Joint Venture tangible equity units, current

     15,154       —    

Income taxes receivable

     1,602       1,781  
  

 

 

   

 

 

 

Total current assets

     23,825       5,563  

Dividend receivable

     34,547       81,264  

Investment in the Joint Venture

     1,826,887       1,211,996  

Investment in Joint Venture tangible equity units

     259,237       —    
  

 

 

   

 

 

 

Total assets

   $ 2,144,496     $ 1,298,823  
  

 

 

   

 

 

 

Liabilities and stockholders’ equity

    

Current liabilities:

    

Accounts payable and accrued expenses

   $ 453     $ 176  

Due to the Joint Venture

     9,513       6,167  

Current portion of long-term debt

     15,154       —    
  

 

 

   

 

 

 

Total current liabilities

     25,120       6,343  

Long-term debt

     27,384       —    

Due to McKesson

     48,363       —    

Deferred income tax liabilities

     156,770       159,993  

Other liabilities

     752       —    

Commitments and contingencies (see Note 4)

    

Stockholders’ Equity:

    

Common Stock (par value, $.001), 9,000,000,000 and 252,800,000 shares authorized and 124,935,806 and 75,474,654 shares issued and outstanding at September 30, 2019 and March 31, 2019, respectively

     124       75  

Class X common stock (par value, $.001), 1 and 1 share authorized and no shares issued and outstanding at September 30, 2019 and March 31, 2019, respectively

     —         —    

Preferred stock (par value, $.001), 900,000,000 and 0 shares authorized and no shares issued and outstanding at September 30, 2019 and March 31, 2019, respectively

     —         —    

Additional paid-in capital

     2,006,494       1,153,509  

Accumulated other comprehensive income (loss)

     (6,593     (3,256

Retained earnings (deficit)

     (113,918     (17,841
  

 

 

   

 

 

 

Total stockholders’ equity

     1,886,107       1,132,487  
  

 

 

   

 

 

 

Total liabilities and stockholders’ equity

   $ 2,144,496     $ 1,298,823  
  

 

 

   

 

 

 

 

7


Change Healthcare Inc.

Statements of Cash Flows (unaudited and amounts in thousands)

 

     Six Months Ended  
     September 30,  
     2019     2018  

Cash flows from operating activities:

    

Net income (loss)

   $ (131,451   $ (36,092

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

    

Loss from Equity Method Investment in the Joint Venture

     95,732       48,337  

Deferred income tax expense (benefit)

     (15,806     (11,584

(Gain) Loss on Sale of Interests in the Joint Venture

     —         (661

(Gain) loss on available for sale debt securities

     2,435       —    

Amortization of debt discount and issuance costs

     212       —    

Changes in operating assets and liabilities:

    

Prepaid expenses

     (2,315     —    

Due from the Joint Venture

     (972     (62

Income taxes receivable

     179       13,292  

Accounts payable and accrued expenses

     277       64  

Due to McKesson

     48,363       —    

Due to the Joint Venture

     3,346       (9,663
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     —         3,631  
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Proceeds from sale of interests in Joint Venture

     —         4,782  

Investment in debt and equity securities of the Joint Venture

     (278,875     —    

Proceeds from investment in debt and equity securities of the Joint Venture

     3,621       —    

Investment in the Joint Venture

     (609,818     —    
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     (885,072     4,782  
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Proceeds from initial public offering, net of issuance costs

     608,679       —    

Proceeds from issuance of equity component of tangible equity units, net of issuance costs

     232,929       —    

Proceeds from issuance of debt component of tangible equity units

     47,367       —    

Payment of loan costs

     (1,421     —    

Repayment of senior amortizing notes

     (3,621     —    

Proceeds from exercise of equity awards

     1,139       —    

Payments to acquire common stock

     —         (4,782
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     885,072       (4,782
  

 

 

   

 

 

 

Net increase (decrease) in cash, cash equivalents and restricted cash

     —         3,631  

Cash, cash equivalents and restricted cash at beginning of period

     3,409       —    
  

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 3,409     $ 3,631  
  

 

 

   

 

 

 

 

8


Change Healthcare LLC

Consolidated Statements of Operations (unaudited and amounts in thousands, except unit and per unit amounts)

 

     Three Months Ended     Six Months Ended  
     September 30,     September 30,  
     2019     2018     2019     2018  

Revenue:

        

Solutions revenue

   $ 738,701     $ 737,786     $ 1,535,773     $ 1,495,491  

Postage revenue

     57,110       62,404       115,594       127,962  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total revenue

     795,811       800,190       1,651,367       1,623,453  

Operating expenses:

        

Cost of operations (exclusive of depreciation and amortization below)

     331,234       327,563       658,181       664,993  

Research and development

     51,783       51,243       101,122       106,567  

Sales, marketing, general and administrative

     190,039       207,105       383,312       414,019  

Customer postage

     57,110       62,404       115,594       127,962  

Depreciation and amortization

     77,448       69,258       148,764       137,785  

Accretion and changes in estimate with related parties, net

     3,214       5,932       7,094       9,756  

Gain on Sale of the Extended Care Business

     —         (111,392     —         (111,392
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     710,828       612,113       1,414,067       1,349,690  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (loss)

     84,983       188,077       237,300       273,763  

Non-operating (income) and expense

        

Interest expense, net

     69,901       80,677       153,307       159,226  

Loss on extinguishment of debt

     16,900       —         16,900       —    

Contingent consideration

     1,700       (72     909       200  

Other, net

     (4,386     (3,849     (8,164     (9,381
  

 

 

   

 

 

   

 

 

   

 

 

 

Total non-operating (income) and expense

     84,115       76,756       162,952       150,045  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income tax provision (benefit)

     868       111,321       74,348       123,718  

Income tax provision (benefit)

     998       (2,119     2,563       (2,228
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (130   $ 113,440     $ 71,785     $ 125,946  
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) per common unit:

        

Basic

   $ —       $ 0.45     $ 0.25     $ 0.50  
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

   $ —       $ 0.45     $ 0.25     $ 0.50  
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average common units outstanding:

        

Basic

     318,219,028       251,501,744       285,107,046       251,550,892  
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

     323,970,033       253,333,940       288,809,850       253,390,770  
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) 

Common units of Change Healthcare LLC are equivalent to the number of outstanding common shares of Change Healthcare Inc. and membership interests of Change Healthcare LLC held by subsidiaries of McKesson.

 

9


Change Healthcare LLC

Consolidated Balance Sheets (unaudited and amounts in thousands)

 

     September 30,      March 31,  
     2019      2019  

Assets

     

Current assets:

     

Cash and cash equivalents

   $ 72,992      $ 47,718  

Restricted cash

     —          1,176  

Accounts receivable, net of allowance for doubtful accounts

     675,306        759,502  

Contract assets

     139,111        —    

Prepaid expenses and other current assets

     155,019        172,067  

Assets held for sale (see Note 14)

     29,562        —    
  

 

 

    

 

 

 

Total current assets

     1,071,990        980,463  

Property and equipment, net

     160,305        197,263  

Goodwill

     3,295,381        3,284,266  

Intangible assets, net

     1,261,290        1,320,161  

Other noncurrent assets, net

     500,627        421,985  
  

 

 

    

 

 

 

Total assets

   $ 6,289,593      $ 6,204,138  
  

 

 

    

 

 

 

Liabilities and members’ equity

     

Current liabilities:

     

Drafts and accounts payable

   $ 64,010      $ 98,550  

Accrued expenses

     315,419        316,179  

Deferred revenues

     337,371        437,636  

Due to related parties, net

     23,230        34,629  

Current portion of long-term debt

     26,644        2,789  
  

 

 

    

 

 

 

Total current liabilities

     766,674        889,783  

Long-term debt, excluding current portion

     4,944,395        5,787,150  

Deferred income tax liabilities

     110,016        106,099  

Tax receivable agreement obligations to related parties

     199,876        212,698  

Other long-term liabilities

     112,812        113,194  

Commitments and contingencies (see Note 6)

     

Members’ equity (deficit)

     155,820        (904,786
  

 

 

    

 

 

 

Total liabilities and members’ equity

   $ 6,289,593      $ 6,204,138  
  

 

 

    

 

 

 

 

10


Change Healthcare LLC

Consolidated Statements of Cash Flows (unaudited and amounts in thousands)

 

     Six Months Ended  
     September 30,  
     2019     2018  

Cash flows from operating activities:

    

Net income (loss)

   $ 71,785   $ 125,946

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

    

Depreciation and amortization

     148,764     137,785

Amortization of capitalized software developed for sale

     6,698     7,378

Accretion and changes in estimate, net

     7,094     9,756

Equity compensation

     15,207     8,269

Deferred income tax expense (benefit)

     1,473     (3,013

Amortization of debt discount and issuance costs

     9,941     10,964

Contingent consideration

     909     200

Gain on Sale of the Extended Care Business

     —         (111,392

Loss on extinguishment of debt

     16,900     —    

Other

     (111     538

Changes in operating assets and liabilities:

    

Accounts receivable

     54,240     6,730

Contract assets

     12,688     —    

Prepaid expenses and other

     (8,583     (16,373

Accounts payable

     (15,209     (32,035

Accrued expenses and other liabilities

     (16,311     142,707

Deferred revenue

     (69,471     (75,074

Due to related party, net

     (12,150     15,482
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     223,864     227,868
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Capitalized expenditures

     (129,847     (124,631

Proceeds from Sale of the Extended Care Business

     —         160,244

Investments in businesses

     (18,946     —    
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     (148,793     35,613
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Payments of third party IPO and loan costs

     (8,554     —    

Payments under tax receivable agreements with related parties

     (27,227     (25,096

Payments on Term Loan Facility

     (902,750     (76,500

Receipts (payments) on derivative instruments

     3,109     2,090

Payments of deferred financing obligations

     —         (3,432

Capital contribution from Members from exercise of equity awards

     1,139     205

Repurchase of equity awards

     —         (5,305

Proceeds from Change Healthcare Inc. initial public offering

     608,679     —    

Proceeds from debt issued to Change Healthcare Inc.

     47,367     —    

Proceeds from forward purchase contract with Change Healthcare Inc.

     232,929     —    

Advances to and refunds from Change Healthcare Inc.

     (2,590     2,636

Payment of debt issued to Change Healthcare Inc.

     (3,621     —    

Other

     247     598
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (51,272     (104,804
  

 

 

   

 

 

 

Effect of exchange rate changes on cash and cash equivalents

     299     (672
  

 

 

   

 

 

 

Net increase (decrease) in cash, cash equivalents and restricted cash

     24,098     158,005

Cash, cash equivalents and restricted cash at beginning of period

     48,894     50,011
  

 

 

   

 

 

 

Cash, cash equivalents and restricted cash at end of period

   $ 72,992   $ 208,016
  

 

 

   

 

 

 

 

11


Change Healthcare LLC

Reconciliation of Net Income (Loss) to Adjusted EBITDA

 

     Three Months Ended September 30,     Six Months Ended September 30,  

Unaudited and amounts in thousands

   2019      2018     2019     2018  
   As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
     As
Reported
(ASC 605)
    As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
 

Net income (loss)

   $ (130   $ 4,386   $ 4,256    $ 113,440   $ 71,785   $ (40,871   $ 30,914   $ 125,946

Net interest expense

     69,901     —         69,901      80,677     153,307     —         153,307     159,226

Income tax provision (benefit)

     998     (32     966      (2,119     2,563     (2,283     280     (2,228

Depreciation and amortization

     77,448     —         77,448      69,258     148,764     —         148,764     137,785

Amortization of capitalized software developed for sale

     3,249     —         3,249      3,618     6,698     —         6,698     7,378
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

     151,466     4,354     155,820      264,874     383,117     (43,154     339,963     428,107

Adjustments to EBITDA:

                 

Equity compensation

     9,345     —         9,345      2,959     15,207     —         15,207     8,259

Acquisition accounting adjustments

     553     —         553      555     927     —         927     2,540

Acquisition and divestiture-related costs

     414     —         414      3,319     1,073     —         1,073     7,507

Integration and related costs

     19,781     —         19,781      26,291     45,507     —         45,507     47,242

Strategic initiatives, duplicative and transition costs

     6,120     —         6,120      8,348     9,688     —         9,688     19,122

Severance costs

     2,929     —         2,929      2,339     10,099     —         10,099     10,015

Costs related to recently issued accounting standards

     —         —         —          1,772     —         —         —         5,513

Accretion and changes in estimate with related parties, net

     3,214     —         3,214      5,932     7,094     —         7,094     9,756

Management fees and related costs

     2,413     —         2,413      2,607     5,060     —         5,060     5,284

Impairment of long-lived assets and other

     —         —         —          2,343     (840     —         (840     3,360

Gain on sale of extended care business

     —         —         —          (111,392     —         —         —         (111,392

Contingent consideration

     1,700     —         1,700      —         909     —         909     272

Loss on extinguishment of debt

     16,900     —         16,900      —         16,900     —         16,900     —    

Other non-routine, net

     2,858     —         2,858      6,004     4,008     —         4,008     8,156
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA Adjustments

     66,227     —         66,227      (48,923     115,632     —         115,632     15,634
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted EBITDA

   $ 217,693   $ 4,354   $ 222,047    $ 215,951   $ 498,749   $ (43,154   $ 455,595   $ 443,741
  

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

12


Change Healthcare LLC

Reconciliation of Net Income (Loss) to Adjusted Net Income (Loss)

 

     Three Months Ended September 30,     Six Months Ended September 30,  

Unaudited and amounts in thousands

   2019     2018     2019     2018  
   As
Reported
    Impacts
from
Adoption
     Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
    As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
 

Net income (loss)

   $ (130   $ 4,386    $ 4,256   $ 113,440     71,785   $ (40,871   $ 30,914   $ 125,946

Amortization expense resulting from acquisition method adjustments

     35,054     —          35,054     36,765     69,702     —         69,702     74,708

EBITDA Adjustments

     66,227     —          66,227     (48,923     115,632     —         115,566     —    

Tax effect of EBITDA Adjustments and amortization expense

     (14,527     —          (14,527     (11,359     (28,991     —         (28,991     (28,760
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted Net Income

   $ 86,624   $ 4,386    $ 91,010   $ 89,923     228,128   $ (40,871   $ 187,191   $ 171,894
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income (loss) per diluted unit (1)

   $ 0.27     $ 0.01      $ 0.28     $ 0.35       0.79     $ (0.14   $ 0.65     $ 0.68  
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) 

Common units of Change Healthcare LLC are equivalent to the number of outstanding common shares of Change Healthcare Inc. and membership interests of Change Healthcare LLC held by subsidiaries of McKesson.

 

13


Change Healthcare LLC

Segment Results

 

     Three Months Ended September 30,     Six Months Ended September 30,  

Unaudited and amounts in thousands

   2019     2018     2019     2018  
   As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
    As Reported     Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As Reported
(ASC 605)
 

Segment revenue

                

Software and Analytics

   $ 376,128     $ 13,151     $ 389,279     $ 383,510     $ 813,472     $ (28,476   $ 784,996     $ 779,912  

Network Solutions

     144,276       —         144,276       136,322       285,888       —         285,888       272,925  

Technology-enabled Services

     244,124       (3,206     240,918       243,343       488,114       (3,110     485,004       493,338  

Corporate and Eliminations (1)

     31,283       —         31,283       37,015       63,893       —         63,893       77,278  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net revenue

   $ 795,811     $ 9,945     $ 805,756     $ 800,190     $ 1,651,367     $ (31,586   $ 1,619,781     $ 1,623,453  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Segment Adjusted EBITDA

                

Software and Analytics

   $ 140,078     $ 8,847     $ 148,925     $ 139,419     $ 342,393     $ (37,137   $ 305,256     $ 282,056  

Network Solutions

     86,500       (414     86,086       83,612       171,472       (932     170,540       165,849  

Technology-enabled Services

     44,841       (3,757     41,084       39,181       89,992       (4,515     85,477       89,154  

Corporate and Eliminations

     (53,726     (322     (54,048     (46,261     (105,108     (570     (105,744     (93,318
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total Adjusted EBITDA

   $ 217,693     $ 4,354     $ 222,047     $ 215,951     $ 498,749     $ (43,154   $ 455,529     $ 443,741  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) –

Revenue for the Corporate and Eliminations segment includes postage revenue of $57,110 and $62,404 for the three months ended September 30, 2019 and 2018, respectively, and $115,594 and $127,962 for the six months ended September 30, 2019 and 2018, respectively.

 

14


Change Healthcare LLC

Reconciliation of Cash Provided by (Used in) Operating Activities to Free Cash Flow and Adjusted Free Cash Flow

 

     Six Months Ended  

Unaudited and amounts in thousands

   September 30,  
   2019     2018  

Cash provided by (used in) operating activities (1)

   $ 223,864   $ 227,868

Capital expenditures

     (129,847     (124,631
  

 

 

   

 

 

 

Free Cash Flow

     94,017     103,237

Adjustments to Free Cash Flow (2):

    

Integration and related costs

     45,507     47,242

Strategic initiatives, duplicative and transition costs

     9,688     19,122

Severance costs

     10,099     10,015

Costs related to recently issued accounting standards

     —         5,513

Integration capital expenditures

     14,546     47,983
  

 

 

   

 

 

 

Adjusted Free Cash Flow

   $ 173,858   $ 233,112
  

 

 

   

 

 

 

 

(1) 

Includes cash provided by pass-thru funds of $12.9 million and $156.1 million for the six months ended September 30, 2019 and 2018, respectively.

(2) 

All operating costs and integration capital expenditures in the table are presented on an as-incurred basis.

 

15


Change Healthcare LLC

Consolidated Statements of Operations (unaudited and amounts in thousands, except unit and per unit amounts)

Reconciliation of the Impacts from the Adoption of the New Revenue Recognition Standard

 

     Three Months Ended September 30,          Six Months Ended September 30,  
     2019     2018           2019     2018  
     As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
          As
Reported
    Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As
Reported
(ASC 605)
 

Revenue:

                     

Solutions revenue

   $ 738,701   $ 9,945   $ 748,646   $ 737,786        $ 1,535,773   $ (31,586   $ 1,504,187   $ 1,495,491

Postage revenue

     57,110     —         57,110     62,404          115,594     —         115,594     127,962
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Total revenue

     795,811     9,945     805,756     800,190          1,651,367     (31,586     1,619,781     1,623,453

Operating expenses:

                     

Cost of operations (exclusive of depreciation and amortization below)

     331,234     996     332,230     327,563          658,181     1,804     659,985     664,993

Research and development

     51,783     —         51,783     51,243          101,122     —         101,122     106,567

Sales, marketing, general and administrative

     190,039     4,595     194,634     207,105          383,312     9,764     393,076     414,019

Customer postage

     57,110     —         57,110     62,404          115,594     —         115,594     127,962

Depreciation and amortization

     77,448     —         77,448     69,258          148,764     —         148,764     137,785

Accretion and changes in estimate with related parties, net

     3,214     —         3,214     5,932          7,094     —         7,094     9,756

Gain on Sale of the Extended Care Business

     —         —         —         (111,392          —         —         —         (111,392

Impairment of long-lived assets and related costs

     —         —         —         —              —         —         —         —    
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     710,828     5,591     716,419     612,113          1,414,067     11,568     1,425,635     1,349,690
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (loss)

     84,983     4,354     89,337     188,077          237,300     (43,154     194,146     273,763

Non-operating (income) and expense

                     

Interest expense, net

     69,901     —         69,901     80,677          153,307     —         153,307     159,226

Loss on extinguishment of debt

     16,900     —         16,900     —              16,900     —         16,900     —    

Contingent consideration

     1,700     —         1,700     (72          909     —         909     200

Other, net

     (4,386     —         (4,386     (3,849          (8,164     —         (8,164     (9,381
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Total non-operating (income) and expense

     84,115     —         84,115     76,756          162,952     —         162,952     150,045
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) before income tax provision (benefit)

     868     4,354     5,222     111,321          74,348     (43,154     31,194     123,718

Income tax provision (benefit)

     998     (32     966     (2,119          2,563     (2,283     280     (2,228
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (130   $ 4,386   $ 4,256   $ 113,440        $ 71,785   $ (40,871   $ 30,914   $ 125,946
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss) per common unit(1):

                     

Basic

   $ —       $ 0.01   $ 0.01   $ 0.45        $ 0.25   $ (0.14   $ 0.11   $ 0.50
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

Diluted

   $ —       $ 0.01   $ 0.01   $ 0.45        $ 0.25   $ (0.14   $ 0.11   $ 0.50
  

 

 

   

 

 

   

 

 

   

 

 

        

 

 

   

 

 

   

 

 

   

 

 

 

 

(1) 

Common units of Change Healthcare LLC are equivalent to the number of outstanding common shares of Change Healthcare Inc. and membership interests of Change Healthcare LLC held by subsidiaries of McKesson.

 

16


Change Healthcare LLC

Consolidated Balance Sheets (unaudited and amounts in thousands)

Reconciliation of the Impacts from the Adoption of the New Revenue Recognition Standard

 

     September 30, 2019     March 31,
2019
 
     As Reported      Impacts
from
Adoption
    Without
Adoption
(ASC 605)
    As Reported
(ASC 605)
 

Assets

         

Current assets:

         

Cash and cash equivalents

   $ 72,992      $ —       $ 72,992     $ 47,718  

Restricted cash

     —          —         —         1,176  

Accounts receivable, net of allowance for doubtful accounts

     675,306        15,814       691,120       759,502  

Contract assets

     139,111        (139,111     —         —    

Prepaid expenses and other current assets

     155,019        20,914       175,933       172,067  

Assets held for sale

     29,562        —         29,562       —    
  

 

 

    

 

 

   

 

 

   

 

 

 

Total current assets

     1,071,990        (102,383     969,607       980,463  

Property and equipment, net

     160,305        —         160,305       197,263  

Goodwill

     3,295,381        —         3,295,381       3,284,266  

Intangible assets, net

     1,261,290        —         1,261,290       1,320,161  

Other noncurrent assets, net

     500,627        (40,520     460,107       421,985  
  

 

 

    

 

 

   

 

 

   

 

 

 

Total assets

   $ 6,289,593      $ (142,903   $ 6,146,690     $ 6,204,138  
  

 

 

    

 

 

   

 

 

   

 

 

 

Liabilities and members’ equity

         

Current liabilities:

         

Drafts and accounts payable

   $ 64,010      $ —       $ 64,010     $ 98,550  

Accrued expenses

     315,419        —         315,419       316,179  

Deferred revenues

     337,371        57,881       395,252       437,636  

Due to related parties, net

     23,230        —         23,230       34,629  

Current portion of long-term debt

     26,644        —         26,644       2,789  
  

 

 

    

 

 

   

 

 

   

 

 

 

Total current liabilities

     766,674        57,881       824,555       889,783  

Long-term debt, excluding current portion

     4,944,395        —         4,944,395       5,787,150  

Deferred income tax liabilities

     110,016        —         110,016       106,099  

Tax receivable agreement obligations to related parties

     199,876        —         199,876       212,698  

Other long-term liabilities

     112,812        —         112,812       113,194  

Commitments and contingencies

         

Members’ equity (deficit)

     155,820        (200,784     (44,964     (904,786
  

 

 

    

 

 

   

 

 

   

 

 

 

Total liabilities and members’ equity

   $ 6,289,593      $ (142,903   $ 6,146,690     $ 6,204,138  
  

 

 

    

 

 

   

 

 

   

 

 

 

 

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