UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
| QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended December 31, 2020September 30, 2021
ORor
¨ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number 001-38961
Change Healthcare Inc.
(Exact Name of Registrant as Specified in its Charter)
Delaware | 82-2152098 | |
(State or Other Jurisdiction of Incorporation or Organization) | (I.R.S. Employer Identification No.) | |
424 Church Street, Suite 1400 | ||
Nashville, TN | 37219 | |
(Address of Principal Executive Offices) | (Zip Code) |
(615) 932-3000
(Registrant’s Telephone Number, Including Area Code)
3055 Lebanon Pike, Suite 1000, Nashville, TN 37214
(Former name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class | Trading Symbol(s) |
| Name of each exchange on which registered | ||
Common Stock, par value | CHNG | The Nasdaq Stock Market LLC | |||
6.00% Tangible Equity Units | CHNGU | The Nasdaq Stock Market LLC |
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer,Large Accelerated Filer, an accelerated filer,Accelerated Filer, a non-accelerated filer,Non-Accelerated Filer, a smaller reporting company,Smaller Reporting Company, or an emerging growth company.Emerging Growth Company. See the definitions of “large accelerated filer,“Large Accelerated Filer,” “accelerated filer”“Accelerated Filer”, “smaller reporting company”“Smaller Reporting Company” and “emerging growth company”“Emerging Growth Company” in Rule 12b-2 of the Exchange Act.
Large | | Accelerated Filer | | Non-Accelerated Filer | | |
Smaller Reporting company | | Emerging Growth Company | ||||
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
Number of shares of common stock outstanding on January 26,October 22, 2021: 304,771,882311,495,269
TABLE OF CONTENTS
Item 1. | 3 | |||||
Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 21 | ||||
Item 3. | 33 | |||||
Item 4. | ||||||
33 | ||||||
Item 1. | 34 | |||||
Item 1A. | 34 | |||||
Item 2. | 34 | |||||
Item 3. | 34 | |||||
Item 4. | 35 | |||||
Item 5. | 35 | |||||
Item 6. | ||||||
35 | ||||||
Part I. Financial Information
Item 1. Financial Statements
Change Healthcare Inc.
Consolidated Statements of Operations
(unaudited and amounts in thousands, except share and per share amounts)
Three Months Ended | Nine Months Ended | |||||||||||||||
December 31, | December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Revenue | ||||||||||||||||
Solutions revenue | $ | 735,264 | $ | — | $ | 2,089,589 | $ | — | ||||||||
Postage revenue | 49,877 | — | 145,672 | — | ||||||||||||
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Total revenue | 785,141 | — | 2,235,261 | — | ||||||||||||
Operating expenses | ||||||||||||||||
Cost of operations (exclusive of depreciation and amortization below) | 332,373 | — | 977,568 | — | ||||||||||||
Research and development | 58,323 | — | 168,110 | — | ||||||||||||
Sales, marketing, general and administrative | 161,959 | 1,115 | 499,039 | 2,504 | ||||||||||||
Customer postage | 49,877 | — | 145,672 | — | ||||||||||||
Depreciation and amortization | 151,143 | — | 436,552 | — | ||||||||||||
Accretion and changes in estimate with related parties, net | 956 | (1,191 | ) | 10,414 | 47,172 | |||||||||||
Gain on sale of businesses | (32,217 | ) | — | (60,487 | ) | — | ||||||||||
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Total operating expenses | 722,414 | (76 | ) | 2,176,868 | 49,676 | |||||||||||
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Operating income (loss) | 62,727 | 76 | 58,393 | (49,676 | ) | |||||||||||
Non-operating (income) expense | ||||||||||||||||
Interest expense, net | 61,439 | 1 | 185,733 | 1 | ||||||||||||
Contingent consideration | — | — | (3,000 | ) | — | |||||||||||
Loss on extinguishment of debt | 6,145 | — | 7,634 | — | ||||||||||||
Loss from Equity Method Investment in the Joint Venture | — | 8,764 | — | 104,497 | ||||||||||||
(Gain) loss on forward purchase contract | — | (74,084 | ) | — | (71,649 | ) | ||||||||||
Other, net | (2,491 | ) | (580 | ) | (1,443 | ) | (1,245 | ) | ||||||||
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Total non-operating (income) expense | 65,093 | (65,899 | ) | 188,924 | 31,604 | |||||||||||
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Income (loss) before income tax provision (benefit) | (2,366 | ) | 65,975 | (130,531 | ) | (81,280 | ) | |||||||||
Income tax provision (benefit) | (4,562 | ) | 15,240 | (31,411 | ) | (564 | ) | |||||||||
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Net income (loss) | $ | 2,196 | $ | 50,735 | $ | (99,120 | ) | $ | (80,716 | ) | ||||||
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Net income (loss) per share: | ||||||||||||||||
Basic | $ | 0.01 | $ | 0.35 | $ | (0.31 | ) | $ | (0.67 | ) | ||||||
Diluted | $ | 0.01 | $ | 0.35 | $ | (0.31 | ) | $ | (0.67 | ) | ||||||
Weighted average common shares outstanding: | ||||||||||||||||
Basic | 321,013,595 | 143,392,295 | 320,570,092 | 120,657,859 | ||||||||||||
Diluted | 324,815,524 | 146,201,860 | 320,570,092 | 120,657,859 |
Three Months Ended | Six Months Ended | ||||||||||||
September 30, | September 30, | ||||||||||||
2021 | 2020 | 2021 | 2020 | ||||||||||
Revenue | |||||||||||||
Solutions revenue | $ | 774,214 | $ | 705,913 | $ | 1,590,862 | $ | 1,354,325 | |||||
Postage revenue | 52,550 | 50,023 | 103,758 | 95,795 | |||||||||
Total revenue | 826,764 | 755,936 | 1,694,620 | 1,450,120 | |||||||||
Operating expenses | |||||||||||||
Cost of operations (exclusive of depreciation and amortization below) | 346,632 | 326,653 | 698,695 | 645,195 | |||||||||
Research and development | 67,070 | 54,052 | 138,310 | 109,787 | |||||||||
Sales, marketing, general and administrative | 183,041 | 171,606 | 360,997 | 337,080 | |||||||||
Customer postage | 52,550 | 50,023 | 103,758 | 95,795 | |||||||||
Depreciation and amortization | 163,469 | 146,869 | 331,681 | 285,409 | |||||||||
Accretion and changes in estimate with related parties, net | 2,870 | 3,564 | 5,907 | 9,459 | |||||||||
Gain on sale of businesses | — | (176) | — | (28,270) | |||||||||
Total operating expenses | 815,632 | 752,591 | 1,639,348 | 1,454,455 | |||||||||
Operating income (loss) | 11,132 | 3,345 | 55,272 | (4,335) | |||||||||
Non-operating (income) expense | |||||||||||||
Interest expense, net | 59,466 | 61,627 | 118,852 | 124,294 | |||||||||
Loss on extinguishment of debt | 2,232 | 1,489 | 2,232 | 1,489 | |||||||||
Other, net | 2,587 | (3,761) | (605) | (1,953) | |||||||||
Total non-operating (income) expense | 64,285 | 59,355 | 120,479 | 123,830 | |||||||||
Income (loss) before income tax provision (benefit) | (53,153) | (56,010) | (65,207) | (128,165) | |||||||||
Income tax provision (benefit) | (16,749) | (13,388) | (25,198) | (26,849) | |||||||||
Net income (loss) | $ | (36,404) | $ | (42,622) | $ | (40,009) | $ | (101,316) | |||||
Net income (loss) per share: | |||||||||||||
Basic and diluted | $ | (0.11) | $ | (0.13) | $ | (0.12) | $ | (0.32) | |||||
Weighted average common shares outstanding: | |||||||||||||
Basic and diluted | 324,060,460 | 320,638,116 | 323,309,280 | 320,347,128 |
See accompanying notes to consolidated financial statements.
Change Healthcare Inc.
Consolidated Statements of Comprehensive Income (Loss)
(unaudited and amounts in thousands)
Three Months Ended | Nine Months Ended | |||||||||||||||
December 31, | December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Net income (loss) | $ | 2,196 | $ | 50,735 | $ | (99,120 | ) | $ | (80,716 | ) | ||||||
Other comprehensive income (loss): | ||||||||||||||||
Foreign currency translation adjustment | 11,526 | 1,728 | 23,100 | 3,537 | ||||||||||||
Changes in fair value of interest rate caps, net of taxes | (81 | ) | 1,313 | (6,261 | ) | (5,428 | ) | |||||||||
Unrealized gain (loss) on available for sale debt securities of the Joint Venture, net of taxes | — | 134 | — | 1,307 | ||||||||||||
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Other comprehensive income (loss) | 11,445 | 3,175 | 16,839 | (584 | ) | |||||||||||
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Total comprehensive income (loss) | $ | 13,641 | $ | 53,910 | $ | (82,281 | ) | $ | (81,300 | ) | ||||||
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Three Months Ended September 30, | Six Months Ended September 30, | |||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||
Net income (loss) | $ | (36,404) | $ | (42,622) | $ | (40,009) | $ | (101,316) | ||||
Other comprehensive income (loss): | ||||||||||||
Foreign currency translation adjustment | (2,156) | 5,221 | 1,415 | 11,574 | ||||||||
Changes in fair value of interest rate caps, net of taxes | 41 | (1,996) | 160 | (6,180) | ||||||||
Other comprehensive income (loss) | (2,115) | 3,225 | 1,575 | 5,394 | ||||||||
Total comprehensive income (loss) | $ | (38,519) | $ | (39,397) | $ | (38,434) | $ | (95,922) |
See accompanying notes to consolidated financial statements.
Change Healthcare Inc.
Consolidated Balance Sheets
(unaudited and amounts in thousands, except share and per share amounts)
December 31, | March 31, | |||||||
2020 | 2020 | |||||||
Assets | ||||||||
Current assets: | ||||||||
Cash & cash equivalents | $ | 137,357 | $ | 410,405 | ||||
Accounts receivable, net | 697,948 | 740,105 | ||||||
Contract assets, net | 125,509 | 132,704 | ||||||
Prepaid expenses and other current assets | 127,442 | 117,967 | ||||||
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Total current assets | 1,088,256 | 1,401,181 | ||||||
Property and equipment, net | 183,843 | 206,196 | ||||||
Operating lease right-of-use assets, net | 99,258 | — | ||||||
Goodwill | 4,105,413 | 3,795,325 | ||||||
Intangible assets, net | 4,302,594 | 4,365,806 | ||||||
Investment in business purchase option | — | 146,500 | ||||||
Other noncurrent assets, net | 368,448 | 192,372 | ||||||
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Total assets | $ | 10,147,812 | $ | 10,107,380 | ||||
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Liabilities | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 59,664 | $ | 68,169 | ||||
Accrued expenses | 502,992 | 390,294 | ||||||
Deferred revenue | 393,823 | 302,313 | ||||||
Due to related parties, net | 11,606 | 20,234 | ||||||
Current portion of long-term debt | 37,019 | 278,779 | ||||||
Current portion of operating lease liabilities | 30,813 | — | ||||||
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Total current liabilities | 1,035,917 | 1,059,789 | ||||||
Long-term debt, excluding current portion | 4,780,828 | 4,710,294 | ||||||
Long-term operating lease liabilities | 80,789 | — | ||||||
Deferred income tax liabilities | 618,397 | 615,904 | ||||||
Tax receivable agreement obligations due to related parties | 99,614 | 177,826 | ||||||
Tax receivable agreement obligations | 228,294 | 164,633 | ||||||
Other long-term liabilities | 70,235 | 93,487 | ||||||
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Total liabilities | 6,914,074 | 6,821,933 | ||||||
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Commitments and contingencies | ||||||||
Stockholders’ Equity | ||||||||
Common Stock (par value, $.001), 9,000,000,000 and 9,000,000,000 shares authorized and 304,656,863 and 303,428,142 shares issued and outstanding at December 31, 2020 and March 31, 2020, respectively | 305 | 303 | ||||||
Preferred stock (par value, $.001), 900,000,000 shares authorized and no shares issued and outstanding at both December 31, 2020 and March 31, 2020 | — | — | ||||||
Additional paid-in capital | 4,253,567 | 4,222,580 | ||||||
Accumulated other comprehensive income (loss) | 9,467 | (7,372 | ) | |||||
Accumulated deficit | (1,029,601 | ) | (930,064 | ) | ||||
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Total stockholders’ equity | 3,233,738 | 3,285,447 | ||||||
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Total liabilities and stockholders’ equity | $ | 10,147,812 | $ | 10,107,380 | ||||
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September 30, | March 31, | |||||
2021 | 2021 | |||||
Assets | ||||||
Current assets: | ||||||
Cash & cash equivalents | $ | 80,414 | $ | 113,101 | ||
Accounts receivable, net | 704,595 | 732,614 | ||||
Contract assets, net | 128,010 | 132,856 | ||||
Prepaid expenses and other current assets | 149,176 | 140,258 | ||||
Total current assets | 1,062,195 | 1,118,829 | ||||
Property and equipment, net | 150,579 | 174,370 | ||||
Operating lease right-of-use assets, net | 80,562 | 93,412 | ||||
Goodwill | 4,110,823 | 4,108,792 | ||||
Intangible assets, net | 3,942,164 | 4,187,072 | ||||
Other noncurrent assets, net | 503,405 | 430,141 | ||||
Total assets | $ | 9,849,728 | $ | 10,112,616 | ||
Liabilities | ||||||
Current liabilities: | ||||||
Accounts payable | $ | 64,756 | $ | 57,449 | ||
Accrued expenses | 463,510 | 484,293 | ||||
Deferred revenue | 377,270 | 436,666 | ||||
Due to related parties, net | 11,392 | 10,766 | ||||
Current portion of long-term debt | 19,152 | 27,339 | ||||
Current portion of operating lease liabilities | 28,948 | 30,608 | ||||
Total current liabilities | 965,028 | 1,047,121 | ||||
Long-term debt, excluding current portion | 4,643,245 | 4,734,775 | ||||
Long-term operating lease liabilities | 62,001 | 75,396 | ||||
Deferred income tax liabilities | 578,584 | 605,291 | ||||
Tax receivable agreement obligations due to related parties | 97,606 | 103,151 | ||||
Tax receivable agreement obligations | 196,687 | 229,082 | ||||
Other long-term liabilities | 62,411 | 65,572 | ||||
Total liabilities | 6,605,562 | 6,860,388 | ||||
Commitments and contingencies |
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Stockholders' Equity | ||||||
Common Stock (par value, $0.001), 9,000,000,000 and 9,000,000,000 shares authorized and 311,311,208 and 306,796,076 shares issued and outstanding at September 30, 2021 and March 31, 2021, respectively | 311 | 307 | ||||
Preferred stock (par value, $0.001), 900,000,000 shares authorized and 0 shares issued and outstanding at both September 30, 2021 and March 31, 2021 | — | — | ||||
Additional paid-in capital | 4,313,759 | 4,283,391 | ||||
Accumulated other comprehensive income (loss) | 12,796 | 11,221 | ||||
Accumulated deficit | (1,082,700) | (1,042,691) | ||||
Total stockholders' equity | 3,244,166 | 3,252,228 | ||||
Total liabilities and stockholders' equity | $ | 9,849,728 | $ | 10,112,616 |
See accompanying notes to consolidated financial statements.
Change Healthcare Inc.
Consolidated Statements of Stockholders’ Equity
(unaudited and amounts in thousands, except share and per share amounts)
Accumulated | ||||||||||||||||||||||||
Additional | Other | Total | ||||||||||||||||||||||
Common Stock | Paid-in | Accumulated | Comprehensive | Stockholders’ | ||||||||||||||||||||
Shares | Amount | Capital | Deficit | Income (Loss) | Equity | |||||||||||||||||||
Balance at March 31, 2019 | 75,474,654 | $ | 75 | $ | 1,153,509 | $ | (17,841 | ) | $ | (3,256 | ) | $ | 1,132,487 | |||||||||||
Cumulative effect of accounting change of the Joint Venture-ASC 606 | — | — | — | 35,797 | — | 35,797 | ||||||||||||||||||
Cumulative effect of accounting change of the Joint Venture-ASU 2018-02 | — | — | — | (422 | ) | 422 | — | |||||||||||||||||
Equity compensation expense | — | — | 5,862 | — | — | 5,862 | ||||||||||||||||||
Net income (loss) | — | — | — | (37,517 | ) | — | (37,517 | ) | ||||||||||||||||
Foreign currency translation adjustment of the Joint Venture | — | — | — | — | 226 | 226 | ||||||||||||||||||
Change in fair value of interest rate caps of the Joint Venture, net of taxes | — | — | — | — | (5,431 | ) | (5,431 | ) | ||||||||||||||||
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Balance at June 30, 2019 | 75,474,654 | $ | 75 | $ | 1,159,371 | $ | (19,983 | ) | $ | (8,039 | ) | $ | 1,131,424 | |||||||||||
Issuance of Change Healthcare Inc. common stock upon initial public offering | 49,285,713 | 49 | 608,630 | — | — | 608,679 | ||||||||||||||||||
Effect of initial public offering issuance costs on Joint Venture equity | — | — | (4,160 | ) | — | — | (4,160 | ) | ||||||||||||||||
Issuance of tangible equity units | — | — | 232,929 | — | — | 232,929 | ||||||||||||||||||
Equity compensation expense | — | — | 8,585 | — | — | 8,585 | ||||||||||||||||||
Issuance of Change Healthcare Inc. common stock upon exercise of equity awards | 175,439 | — | 1,139 | — | — | 1,139 | ||||||||||||||||||
Net income (loss) | — | — | — | (93,935 | ) | — | (93,935 | ) | ||||||||||||||||
Unrealized gain (loss) on available for sale debt securities of the Joint Venture | — | — | — | — | 1,173 | 1,173 | ||||||||||||||||||
Foreign currency translation adjustment of the Joint Venture | — | — | — | — | 1,583 | 1,583 | ||||||||||||||||||
Change in fair value of interest rate cap, net of taxes of the Joint Venture | — | — | — | — | (1,310 | ) | (1,310 | ) | ||||||||||||||||
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Balance at September 30, 2019 | 124,935,806 | $ | 124 | $ | 2,006,494 | $ | (113,918 | ) | $ | (6,593 | ) | $ | 1,886,107 | |||||||||||
Equity compensation expense | — | — | 9,148 | — | — | 9,148 | ||||||||||||||||||
Issuance of Change Healthcare Inc. common stock upon exercise of equity awards | 91,842 | — | 966 | — | — | 966 | ||||||||||||||||||
Net income (loss) | — | — | — | 50,735 | — | 50,735 | ||||||||||||||||||
Unrealized gain (loss) on available for sale debt securities of the Joint Venture | — | — | — | — | 134 | 134 | ||||||||||||||||||
Foreign currency translation adjustment of the Joint Venture | — | — | — | — | 1,728 | 1,728 | ||||||||||||||||||
Change in fair value of interest rate cap, net of taxes of the Joint Venture | — | — | — | — | 1,313 | 1,313 | ||||||||||||||||||
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Balance at December 31, 2019 | 125,027,648 | $ | 124 | $ | 2,016,608 | $ | (63,183 | ) | $ | (3,418 | ) | $ | 1,950,131 | |||||||||||
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Balance at March 31, 2020 | 303,428,142 | $ | 303 | $ | 4,222,580 | $ | (930,064 | ) | $ | (7,372 | ) | $ | 3,285,447 | |||||||||||
Cumulative effect of accounting change-ASU 2016-13 | — | — | — | (417 | ) | — | (417 | ) | ||||||||||||||||
Equity compensation expense | — | — | 8,780 | — | — | 8,780 | ||||||||||||||||||
Issuance of common stock under equity compensation plans | 341,230 | 1 | 2,143 | — | — | 2,144 | ||||||||||||||||||
Net income (loss) | — | — | — | (58,694 | ) | — | (58,694 | ) | ||||||||||||||||
Foreign currency translation adjustment | — | — | — | — | 6,353 | 6,353 | ||||||||||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | (4,184 | ) | (4,184 | ) | ||||||||||||||||
Other | — | — | (75 | ) | — | — | (75 | ) | ||||||||||||||||
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Balance at June 30, 2020 | 303,769,372 | $ | 304 | $ | 4,233,428 | $ | (989,175 | ) | $ | (5,203 | ) | $ | 3,239,354 | |||||||||||
Equity compensation expense | — | — | 12,372 | — | — | 12,372 | ||||||||||||||||||
Issuance of common stock under equity compensation plans | 911,961 | — | 408 | — | — | 408 | ||||||||||||||||||
Employee tax withholding on vesting of equity compensation awards | (254,764 | ) | — | (3,131 | ) | — | — | (3,131 | ) | |||||||||||||||
Net income (loss) | — | — | — | (42,622 | ) | — | (42,622 | ) | ||||||||||||||||
Foreign currency translation adjustment | — | — | — | — | 5,221 | 5,221 | ||||||||||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | (1,996 | ) | (1,996 | ) | ||||||||||||||||
Other | — | — | (356 | ) | — | — | (356 | ) | ||||||||||||||||
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Balance at September 30, 2020 | 304,426,569 | $ | 304 | $ | 4,242,721 | $ | (1,031,797 | ) | $ | (1,978 | ) | $ | 3,209,250 | |||||||||||
Equity compensation expense | — | — | 9,673 | — | — | 9,673 | ||||||||||||||||||
Issuance of common stock under equity compensation plans | 249,288 | 1 | 1,606 | — | — | 1,607 | ||||||||||||||||||
Employee tax withholding on vesting of equity compensation awards | (18,994 | ) | — | (294 | ) | — | — | (294 | ) | |||||||||||||||
Net income (loss) | — | — | — | 2,196 | — | 2,196 | ||||||||||||||||||
Foreign currency translation adjustment | — | — | — | — | 11,526 | 11,526 | ||||||||||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | (81 | ) | (81 | ) | ||||||||||||||||
Other | — | — | (139 | ) | — | — | (139 | ) | ||||||||||||||||
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Balance at December 31, 2020 | 304,656,863 | $ | 305 | $ | 4,253,567 | $ | (1,029,601 | ) | $ | 9,467 | $ | 3,233,738 | ||||||||||||
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Accumulated | |||||||||||||||||
Additional | Other | Total | |||||||||||||||
Common Stock | Paid-in | Accumulated | Comprehensive | Stockholders' | |||||||||||||
Shares | Amount | Capital | Deficit | Income (Loss) | Equity | ||||||||||||
Balance at March 31, 2020 | 303,428,142 | $ | 303 | $ | 4,222,580 | $ | (930,064) | $ | (7,372) | $ | 3,285,447 | ||||||
Cumulative effect of accounting change-ASU 2016-13 | — | — | — | (417) | — | (417) | |||||||||||
Equity compensation expense | — | — | 8,780 | — | — | 8,780 | |||||||||||
Issuance of common stock under equity compensation plans | 341,230 | 1 | 2,143 | — | — | 2,144 | |||||||||||
Net income (loss) | — | — | — | (58,694) | — | (58,694) | |||||||||||
Foreign currency translation adjustment | — | — | — | — | 6,353 | 6,353 | |||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | (4,184) | (4,184) | |||||||||||
Other | — | — | (75) | — | — | (75) | |||||||||||
Balance at June 30, 2020 | 303,769,372 | $ | 304 | $ | 4,233,428 | $ | (989,175) | $ | (5,203) | $ | 3,239,354 | ||||||
Equity compensation expense | — | — | 12,372 | — | — | 12,372 | |||||||||||
Issuance of common stock under equity compensation plans | 911,961 | — | 408 | — | — | 408 | |||||||||||
Employee tax withholding on vesting of equity compensation awards | (254,764) | — | (3,131) | — | — | (3,131) | |||||||||||
Net income (loss) | — | — | — | (42,622) | — | (42,622) | |||||||||||
Foreign currency translation adjustment | — | — | — | — | 5,221 | 5,221 | |||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | (1,996) | (1,996) | |||||||||||
Other | — | — | (356) | — | — | (356) | |||||||||||
Balance at September 30, 2020 | 304,426,569 | $ | 304 | $ | 4,242,721 | $ | (1,031,797) | $ | (1,978) | $ | 3,209,250 | ||||||
Balance at March 31, 2021 | 306,796,076 | $ | 307 | $ | 4,283,391 | $ | (1,042,691) | $ | 11,221 | $ | 3,252,228 | ||||||
Equity compensation expense | — | — | 23,191 | — | — | 23,191 | |||||||||||
Issuance of common stock under equity compensation plans | 1,948,163 | 2 | 1,443 | — | — | 1,445 | |||||||||||
Employee tax withholding on vesting of equity compensation awards | (564,116) | (1) | (13,015) | — | — | (13,016) | |||||||||||
Net income (loss) | — | — | — | (3,605) | — | (3,605) | |||||||||||
Foreign currency translation adjustment | — | — | — | — | 3,571 | 3,571 | |||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | 119 | 119 | |||||||||||
Conversion of tangible equity units | 2,497,813 | 3 | (3) | — | — | — | |||||||||||
Other | — | — | (80) | — | — | (80) | |||||||||||
Balance at June 30, 2021 | 310,677,936 | $ | 311 | $ | 4,294,927 | $ | (1,046,296) | $ | 14,911 | $ | 3,263,853 | ||||||
Equity compensation expense | — | — | 23,776 | — | — | 23,776 | |||||||||||
Issuance of common stock under equity compensation plans | 896,107 | — | 1,031 | — | — | 1,031 | |||||||||||
Employee tax withholding on vesting of equity compensation awards | (262,835) | — | (5,985) | — | — | (5,985) | |||||||||||
Net income (loss) | — | — | — | (36,404) | — | (36,404) | |||||||||||
Foreign currency translation adjustment | — | — | — | — | (2,156) | (2,156) | |||||||||||
Change in fair value of interest rate caps, net of taxes | — | — | — | — | 41 | 41 | |||||||||||
Conversion of tangible equity units | — | — | — | — | — | — | |||||||||||
Other | — | — | 10 | — | — | 10 | |||||||||||
Balance at September 30, 2021 | 311,311,208 | $ | 311 | $ | 4,313,759 | $ | (1,082,700) | $ | 12,796 | $ | 3,244,166 |
See accompanying notes to consolidated financial statements.
Change Healthcare Inc.
Consolidated Statements of Cash Flows
(unaudited and amounts in thousands)
Nine Months Ended | ||||||||
December 31, | ||||||||
2020 | 2019 | |||||||
Cash flows from operating activities: | ||||||||
Net income (loss) | $ | (99,120 | ) | $ | (80,716 | ) | ||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | ||||||||
Loss from Equity Method Investment in the Joint Venture | — | 104,497 | ||||||
Depreciation and amortization | 436,552 | — | ||||||
Amortization of capitalized software developed for sale | 550 | — | ||||||
Accretion and changes in estimate, net | 8,429 | — | ||||||
Equity compensation | 34,858 | — | ||||||
Deferred income tax expense (benefit) | (33,905 | ) | (564 | ) | ||||
Amortization of debt discount and issuance costs | 24,587 | 403 | ||||||
Contingent consideration | (3,000 | ) | — | |||||
Gain on sale of businesses | (60,487 | ) | — | |||||
Loss on extinguishment of debt | 7,634 | — | ||||||
(Gain) loss on forward purchase contract | — | (71,649 | ) | |||||
Non-cash lease expense | 21,930 | — | ||||||
Other, net | 7,681 | 1,526 | ||||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable, net | 28,331 | — | ||||||
Contract assets, net | 5,201 | — | ||||||
Prepaid expenses and other | (69,609 | ) | (1,335 | ) | ||||
Accounts payable | (15,785 | ) | — | |||||
Accrued expenses and other liabilities | 68,708 | 47,255 | ||||||
Deferred revenue | 124,679 | — | ||||||
Due to the Joint Venture, net | — | 583 | ||||||
|
|
|
| |||||
Net cash provided by (used in) operating activities | 487,234 | — | ||||||
|
|
|
| |||||
Cash flows from investing activities: | ||||||||
Capitalized expenditures | (182,929 | ) | — | |||||
Acquisitions, net of cash acquired | (439,483 | ) | — | |||||
Proceeds from sale of businesses | 117,124 | — | ||||||
Investment in the Joint Venture | — | (610,784 | ) | |||||
Investment in debt and equity securities of the Joint Venture | — | (278,875 | ) | |||||
Other, net | 1,100 | 7,332 | ||||||
|
|
|
| |||||
Net cash provided by (used in) investing activities | (504,188 | ) | (882,327 | ) | ||||
|
|
|
| |||||
Cash flows from financing activities: | ||||||||
Payments on Revolving Facility | (250,000 | ) | — | |||||
Payments on Term Loan Facility | (265,000 | ) | — | |||||
Proceeds from issuance of Senior Notes | 325,000 | — | ||||||
Payments under tax receivable agreements | (20,691 | ) | — | |||||
Receipts (payments) on derivative instruments | (22,255 | ) | — | |||||
Employee tax withholding on vesting of equity compensation awards | (3,425 | ) | — | |||||
Payments on deferred financing obligations | (9,081 | ) | — | |||||
Payment of senior amortizing notes | (11,599 | ) | (7,332 | ) | ||||
Proceeds from exercise of equity awards | 4,158 | 2,105 | ||||||
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 | ||||||
Other, net | (6,650 | ) | (1,421 | ) | ||||
|
|
|
| |||||
Net cash provided by (used in) financing activities | (259,543 | ) | 882,327 | |||||
|
|
|
| |||||
Effect of exchange rate changes on cash and cash equivalents | 3,449 | — | ||||||
|
|
|
| |||||
Net increase (decrease) in cash and cash equivalents | (273,048 | ) | — | |||||
|
|
|
| |||||
Cash and cash equivalents at beginning of period | 410,405 | 3,409 | ||||||
|
|
|
| |||||
Cash and cash equivalents at end of period | $ | 137,357 | $ | 3,409 | ||||
|
|
|
|
Six Months Ended | |||||||
September 30, | |||||||
2021 | 2020 | ||||||
Cash flows from operating activities: | |||||||
Net income (loss) | $ | (40,009) | $ | (101,316) | |||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | |||||||
Depreciation and amortization | 331,681 | 285,409 | |||||
Amortization of capitalized software developed for sale | 1,576 | 89 | |||||
Accretion and changes in estimate, net | 9,087 | 11,188 | |||||
Equity compensation | 49,911 | 23,914 | |||||
Deferred income tax expense (benefit) | (26,560) | (28,590) | |||||
Amortization of debt discount and issuance costs | 15,820 | 16,551 | |||||
Loss on extinguishment of debt | 2,232 | 1,489 | |||||
Non-cash lease expense | 13,958 | 14,629 | |||||
Gain on sale of businesses | — | (28,270) | |||||
Other, net | 7,405 | 4,530 | |||||
Changes in operating assets and liabilities: | |||||||
Accounts receivable, net | 27,860 | 114,052 | |||||
Contract assets, net | 4,154 | (3,786) | |||||
Prepaid expenses and other assets | (37,833) | (48,382) | |||||
Accounts payable | 7,644 | (28,666) | |||||
Accrued expenses and other liabilities | (43,743) | 27,687 | |||||
Deferred revenue | (61,832) | 36,029 | |||||
Net cash provided by (used in) operating activities | 261,351 | 296,557 | |||||
Cash flows from investing activities: | |||||||
Capitalized expenditures | (126,828) | (126,432) | |||||
Acquisitions, net of cash acquired | — | (439,483) | |||||
Proceeds from sale of businesses | — | 54,369 | |||||
Other, net | (1,000) | 1,100 | |||||
Net cash provided by (used in) investing activities | (127,828) | (510,446) | |||||
Cash flows from financing activities: | |||||||
Payments on Term Loan Facility | (100,000) | (50,000) | |||||
Payments under tax receivable agreements | (21,537) | (20,691) | |||||
Receipts (payments) on derivative instruments | (14,810) | (14,810) | |||||
Employee tax withholding on vesting of equity compensation awards | (18,681) | (3,131) | |||||
Payments on deferred financing obligations | (8,981) | (6,547) | |||||
Payment of senior amortizing notes | (8,048) | (7,680) | |||||
Proceeds from exercise of equity awards | 5,985 | 2,584 | |||||
Payments on Revolving Facility | — | (250,000) | |||||
Proceeds from issuance of Senior Notes | — | 325,000 | |||||
Other, net | (253) | (6,454) | |||||
Net cash provided by (used in) financing activities | (166,325) | (31,729) | |||||
Effect of exchange rate changes on cash and cash equivalents | 115 | 2,690 | |||||
Net increase (decrease) in cash and cash equivalents | (32,687) | (242,928) | |||||
Cash and cash equivalents at beginning of period | 113,101 | 410,405 | |||||
Cash and cash equivalents at end of period | $ | 80,414 | $ | 167,477 |
See accompanying notes to consolidated financial statements.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
1. Nature of Business and Organization
Change Healthcare Inc. (the “Company”, “our” or “we”) is an independent healthcare technology company, focused on accelerating the transformation of the healthcare system through the power of our healthcare platform. We provide data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our platform and comprehensive suite of software, analytics, technology-enabled services and network solutions drive improved results in the complex workflows of healthcare system payers and providers by enhancing clinical decision making, simplifying billing, collection and payment processes, and enabling a better patient experience.
We are a Delaware corporation originally formed on June 22, 2016, to initially hold an equity investment in Change Healthcare LLC (the “Joint Venture”), a joint venture between the Company and McKesson Corporation (“McKesson”).
Amendment of Certificate of Incorporation
Effective June 26, 2019 and in contemplation of our initial public offering of common stock, we amended the certificate of incorporation to effect a 126.4 for 1 stock split for all previously issued shares of common stock, to increase the authorized number of common stock, and to authorize shares of preferred stock. Following this amendment, the authorized shares include 9,000,000,000 shares of common stock (par value $.001 per share), one share of Class X stock (par value $.001 per share), and 900,000,000 shares of preferred stock (par value $.001 per share). As a result of the Merger (defined below), the Class X Stock is no longer available for issuance.
Initial Public Offering
Effective July 1, 2019, we completed our initial public offering of 49,285,713 shares ofoffering. The proceeds from the common stock and a concurrent offering were subsequently contributed to the Joint Venture in exchange for additional units of 5,750,000 tangible equity units (“TEUs”) for net proceeds of $608,679 and $278,875, respectively.the Joint Venture, which together with the Company’s existing holdings represented an approximate 41% interest in the Joint Venture.
McKesson Exit
On March 10, 2020, McKesson completed a split-off of its interest in the Joint Venture through an exchange offer of its common stock for shares of PF2 SpinCo, Inc, a Delaware corporation and wholly owned subsidiary of McKesson (“SpinCo”). Immediately following consummation of the exchange offer, SpinCo was merged with and into Change Healthcare Inc. (the “Merger”). As a result, McKesson no longer owns any voting or economic interest in the Joint Venture. Prior to the Merger, we accounted for our investment in the Joint Venture under the equity method of accounting. Subsequent to the Merger, we own 100% of Change Healthcare LLC, and as a result, consolidate the financial statements of Change Healthcare LLC.
COVID-19 ConsiderationsUnitedHealth Group Incorporated
On January 5, 2021, we entered into an Agreement and Plan of Merger (the “UHG Agreement”) with UnitedHealth Group Incorporated (“UnitedHealth Group”), and UnitedHealth Group’s wholly owned subsidiary Cambridge Merger Sub Inc. Pursuant to the UHG Agreement, UnitedHealth Group has agreed to acquire all of the outstanding shares of the Company’s common stock for $25.75 per share in cash (the “UHG Transaction”). On April 13, 2021, our stockholders approved a proposal to adopt the UHG Agreement, thereby satisfying one of the closing conditions contained in the UHG Agreement. The consummation of the transaction remains subject to the satisfaction or, to the extent permitted by law, waiver of other customary closing conditions.
The UHG Agreement contains representations, warranties, covenants, closing conditions and termination rights customary for transactions of this type. Until the earlier of the termination of the UHG Agreement and the consummation of the UHG Transaction, we have agreed to operate our business in the ordinary course and have agreed to certain other operating covenants, as set forth in the UHG Agreement.
On March 24, 2021, the Company and UnitedHealth Group each received a request for additional information and documentary materials (collectively, the “Second Request”) from the U.S. Department of Justice (the “DOJ”) in connection with the DOJ’s review of the UHG Transaction. The effect of the Second Request is to extend the waiting period imposed under the HSR Act until the 30th day after substantial compliance by the Company and UnitedHealth Group with the Second Request (or such other date upon which substantial compliance is considered effective), unless the waiting period is terminated earlier by the DOJ or extended by the parties to the UHG Transaction. On August 7, 2021, the parties entered into a timing agreement (the “Timing Agreement”) with the DOJ pursuant to which they agreed not to consummate the UHG Transaction before 120 days following the date on which both parties certified substantial compliance with the Second Request.
Both the Company and UnitedHealth Group have now certified substantial compliance with the Second Request. On November 1, 2021, the Company and UnitedHealth Group entered into an amendment to the Timing Agreement with the DOJ pursuant to which they agreed not to consummate the Merger before 12:01 a.m. Eastern Time on February 22, 2022 (subject to extension in certain limited circumstances relating to the potential unavailability of certain requested data), unless they have received written notice from the DOJ prior to such date that the DOJ has closed its investigation. The parties have been working cooperatively with the DOJ and will continue to do so.
COVID-19 Considerations
On March 11, 2020, the World Health Organization declared the current coronavirus (“COVID-19”) outbreak to be a global pandemic. In response to this declaration and the rapid spread of COVID-19 within the U.S., federal, state and local governments throughout the country imposed varying degrees of restrictions on social and commercial activity to promote social distancing in an effort to slow the spread of the illness. These measures led to weakened conditions in many sectors of the economy, including a decline in healthcare transaction volumes that are integral to our business.
We experienced,In calendar year 2021, the global economy has, with certain setbacks, begun reopening, and expectwider distribution of vaccines will likely encourage greater economic activity. Nevertheless, we are unable to continuepredict how widely the vaccines will be utilized, whether they will be effective in preventing the spread of COVID-19 (including its variant strains), and the extent to experience, an adverse impact onwhich our
business, results of operations, financial results as a result of COVID-19.condition or liquidity will ultimately be impacted by COVID-19. However, we are not presently aware of events or circumstances arising from COVID-19 that would require us to revise the carrying value of our assets or liabilities, nor do we expect the impact of COVID-19 to cause us to be unable to comply with our debt covenants or meet our contractual obligations.
2. Significant Accounting Policies
Basis of Presentation
The unaudited consolidated financial statements have been prepared in accordance with United States generally accepted accounting principles (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X of the Securities and Exchange Commission (“SEC”) Guidelines, Rules and Regulations and, in the opinion of management, reflect all normal recurring adjustments necessary for a fair presentation of results for the unaudited interim periods presented. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted. The results of operations for the interim period are not necessarily indicative of the results to be obtained for the full fiscal year. All intercompany accounts and transactions have been eliminated upon consolidation in the unaudited consolidated financial statements.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Business Combinations
We recognize revenue at an amount that reflects the consideration transferred (i.e., purchase price)we expect to be entitled to in exchange for transferring goods or services to a business combination, as well ascustomer, in accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”). See Note 3, Revenue Recognition, for additional information.
Equity Compensation
We measure stock-based compensation cost based on the acquired business’ identifiable assets, liabilities and noncontrolling interests at their acquisition date fair value. The excess of the consideration transferred over theestimated fair value of the identifiable assets, liabilitiesaward on the grant date and noncontrolling interest,recognize the expense over the requisite service period, typically on a straight-line basis. We recognize stock-based compensation expense for awards with performance conditions if any,and when we conclude that it is recorded as goodwill. Any excess ofprobable that the performance conditions will be achieved. The fair value of equity awards is recognized as expense in the identifiable assets acquiredsame period and liabilities assumed overin the consideration transferred,same manner as if we had paid cash for the goods or services. Forfeitures are recognized as they occur. We issue new shares of common stock upon vesting of equity awards and upon exercise of vested options. We do not intend to repurchase any is generallyissued shares of common stock. During the three months ended September 30, 2021 and 2020 we recognized within earnings as$23,745 and $14,331 of equity compensation expense, respectively. During the six months ended September 30, 2021 and 2020 we recognized $49,911 and $23,914 of equity compensation expense, respectively. At September 30, 2021, aggregate unrecognized compensation expense related to outstanding awards was $233,469.
Upon closing of the acquisition date.
The fair valuesUHG Transaction, existing awards will generally convert to equivalent UHG awards with consistent vesting provisions. Certain awards will vest upon closing of the consideration transferred, assets, liabilities and noncontrolling interests are estimated based on one or a combination of income, cost or market approaches as determined based onUHG Transaction per the natureterms of the asset or liability and the level of inputs available (i.e., quoted prices in an active market, other observable inputs or unobservable inputs). To the extent our initial accounting for a business combination is incomplete at the end of a reporting period, provisional amounts are reported for those items which are incomplete.UHG Agreement.
In conjunction with business combinations, we generally recognize goodwill attributable to the assembled workforce and expected synergies among the operations of the acquired entities and our existing operations. Goodwill is generally deductible for federal income tax purposes when a business combination is treated as an asset purchase and is generally not deductible for federal income tax purposes when a business combination is treated as a stock purchase. See Note 4, Business Combinations.
Allowance for Credit Losses
The allowance for credit losses of $24,003$22,833 and $22,360$24,126 at December 31, 2020September 30, 2021 and March 31, 2020,2021, respectively, werewas primarily based on historical credit loss experience, current conditions, future expected credit losses, and adjustments for certain asset-specific risk characteristics. The following table summarizes activity related to the allowance for credit losses:
Six Months Ended September 30, | ||||||
2021 | 2020 | |||||
Balance at beginning of period | $ | 24,126 | $ | 22,360 | ||
Cumulative effect of accounting change-ASU 2016-13 | — | 417 | ||||
Acquisitions and Dispositions (1) | — | (1,493) | ||||
Provisions | 4,312 | 11,824 | ||||
Write-offs | (5,605) | (5,080) | ||||
Balance at end of period | $ | 22,833 | $ | 28,028 | ||
(1)For the six months ended September 30, 2020, this amount relates primarily to the sale of Connected Analytics.
Nine Months Ended December 31, | ||||||||
2020 | 2019 | |||||||
Balance at beginning of period | $ | 22,360 | $ | — | ||||
Cumulative effect of accounting change-ASU 2016-13 | 417 | — | ||||||
Acquisitions and Dispositions (1) | (3,534 | ) | — | |||||
Provisions | 11,623 | — | ||||||
Write-offs | (6,863 | ) | — | |||||
|
|
|
| |||||
Balance at end of period | $ | 24,003 | $ | — | ||||
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|
As most of our leases do not provide an implicit borrowing rate, to determine the present value of lease payments, we use the portfolio approach and determine our hypothetical secured borrowing rate based on information available at lease commencement. Further, we make certain estimates and judgements regarding the lease term and lease payments, noted below.
Leases with an initial term of 12 months or less are not recorded on the balance sheet and we recognize lease expense for these leases on a straight-line basis over the lease term. Most leases include one or more options to renew, with renewal terms that can extend the lease term from one month to one year or more. Additionally, some of our leases include an option for early termination. We include renewal periods and exclude termination periods from our lease term if, at commencement, we are reasonably certain to exercise the option.
Certain of our lease agreements include rental payments that are adjusted periodically for inflation or passage of time. These step payments are included within our present value calculation as they are known adjustments at commencement. Some of our lease agreements include variable payments that are excluded from our present value calculation. For example, some of our equipment leases include a component which varies based on the asset’s use.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Additionally, we have lease agreements that include lease and non-lease components, such as equipment leases, which are generally accounted for as a single lease component. For these leases, lease payments include all fixed payments stated within the contract. For other leases, such as office space, lease and non-lease components are accounted for separately. Our lease agreements do not contain any material residual value guarantees that would impact our lease payments.
Recently Adopted Accounting Pronouncements
Financial Instruments: Credit Losses
In April 2020, we adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update (“ASU”) No. 2016-13, as amended by ASU No. 2018-19, which requires that a financial asset (or group of financial assets) measured at amortized cost be presented at the net amount expected to be collected based on relevant information about past events, including historical experience, current conditions and reasonable and supportable forecasts that affect the collectability of the reported amount. The guidance also requires us to pool assets with similar risk characteristics and consider current economic conditions when estimating losses. We adopted this standard using the modified retrospective approach and recorded a cumulative effect to retained earnings of $417 as of April 1, 2020.
Fair Value Measurements
In April 2020, we adopted FASB ASU No. 2018-13, which modifies the disclosure requirements for fair value measurements. Entities are no longer required to disclose the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, but public companies are required to disclose the range and weighted-average of significant unobservable inputs used to develop Level 3 fair value measurements. See Note 10, Fair Value Measurements.
Hosting Arrangement Implementation Costs
In April 2020, we adopted FASB ASU No. 2018-15, which aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. This update also requires that the effects of such capitalized costs be classified in the same respective caption in the statement of operations, balance sheet and cash flows as the underlying hosting arrangement. We adopted this standard prospectively beginning April 1, 2020. This adoption did not have a material impact on our financial statements for the three and nine months ended December 31, 2020.
Leases
In April 2020, we adopted FASB ASU No. 2016-02, which created Topic 842 – Leases (“ASC 842”). The standard generally requires that all lease obligations be recognized on the balance sheet at the present value of the remaining lease payments with a corresponding right-of-use asset. In July 2018, the FASB issued ASU No. 2018-11 which provides companies with the option to apply this cumulative effect adjustment to the opening balance of retained earnings in the period of adoption.
Upon adoption, we elected the transition “practical expedients” permitting us not to reassess our prior conclusions about lease identification, lease classification and initial direct costs. Additionally, we elected the practical expedient to not separate lease and non-lease components for equipment lease agreements.
We adopted ASC 842 using the modified retrospective approach and recorded right-of-use assets of $111,815 and lease liabilities of $125,331, primarily related to operating leases. The recognition of the right-of-use assets in combination with our previously recorded prepaid rent balances resulted in no requirement to adjust the opening balance of retained earnings. Our accounting for finance leases remains substantially unchanged. Adoption of ASC 842 did not materially impact our consolidated statement of operations and had no impact on our consolidated statement of cash flows. See Note 8, Leases, for additional information.
London Interbank Offered Rate (LIBOR) Reform
In March 2020, the FASB issued ASU No. 2020-04, as amended by ASU No. 2021-01, which created Topic 848 – Reference Rate Reform. ASU No. 2020-04 contains optional practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts which may be elected over time as activities occur. Among other things, the ASU intends to ease the transition from LIBOR to an alternative reference rate. During the first quarter of fiscal year 2021, we elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. We continue to evaluate the impacts of ASU No. 2020-04 and may apply other elections as reference rate reform activities progress.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Accounting Pronouncements Not Yet Adopted
NoneDerivatives and Convertible Instruments
In August 2020, the FASB issued ASU No. 2020-06 which simplifies the accounting for convertible instruments and amends the guidance addressing the derivatives scope exception for contracts in an entity’s own equity. The standard is scheduled to be effective for us beginning April 1, 2022. Given the forward purchase contracts of our Tangible Equity Units (“TEUs”) qualify for the derivatives scope exception and are currently accounted for under that are expected to haveguidance, we do not expect a material impact on our financial statements.upon adoption. We will continue to evaluate the impact of this pronouncement prior to adoption.
3. Revenue Recognition
We generate most of our solutions revenue by using technology solutions (generally Software as a Service (“SaaS”)) to provide services to our customers that automate and simplify business and administrative functions for payers, providers, pharmacies, and channel partners and through the licensing of software, software systems (consisting of software, hardware and maintenance support) and content.
We recognize revenue when the customer obtains control of the good or service through satisfying a performance obligation by transferring the promised good or service to the customer.
Principal Revenue Generating Products and Services
Hosted solutions and SaaS—We enter into arrangements whereby we provide the customer access to a Company-owned software solution, which are generally marketed under annual and multi-year arrangements. The customer is only provided “access” (not a license) to the software application. In these arrangements, the customer does not purchase equipment nor does the customer take physical possession of the software. The related revenue is recognized ratably over the contracted term. For fixed fee arrangements, revenue recognition begins after set-up and implementation are complete. For per-transaction fee arrangements, revenue is recognized as transactions are processed beginning on the service start date. Revenue for hosted solutions and SaaS, which is included in solutions revenue, is generated by the Software and Analytics, Network Solutions, and Technology-Enabled Services segments.
Transaction processing services—We provide transaction processing (such as claims processing) services to hospitals, pharmacies and health systems via a cloud-based (SaaS) platform. The promised service is to stand ready to process transactions for our customers over the contractual period on an as needed basis. Revenue related to these services is recognized over time as transactions are processed and the revenue is recognized over the individual days in which the services are performed. Revenue is recognized as solutions revenue in the Software and Analytics, Network Solutions, and Technology-Enabled Services segments, with the exception of revenue related to postage that is generated through the delivery of certain of these services. Postage revenue is discussed below and is separately presented on the consolidated statement of operations. Any fixed annual fees and implementation fees are recognized ratably over the contract period.
Contingent fee services—We provide services to customers in which the transaction price is contingent on future occurrences, such as savings generated or amounts collected on behalf of our customers through the delivery of services. In some cases, we perform services in advance of invoicing the customer, thereby creating a contract asset. Revenue in these arrangements is estimated and constrained until we determine that it is probable a significant revenue reversal will not occur, and variable consideration is allocated to the performance obligation for which we earn a contingent fee. We use the expected value method when estimating variable consideration, as we have a large number of contracts with similar characteristics and consider a portfolio of data from other similar contracts to form our estimate of expected value. Revenue for contingent fee services, which is included in solutions revenue, is generated by the Software and Analytics and Technology-Enabled Services segments.
Content license subscriptions and time-based software—Our content license subscriptions and time-based software arrangements provide a license to use a software for a specified period of time. At the end of the contractual period, the customer either renews the license for an additional term or ceases to use the software. Software licenses are typically delivered to the customer with functionality that allows the customer to benefit from the software on its own or together with readily available resources. As contracts for these solutions generally do not price individual components separately, we allocate the transaction price to the license and ongoing support performance obligations based on standalone selling price, primarily determined by historical value relationships between licenses and ongoing support and updates. Revenue allocated to content license subscriptions and time-based software license agreements is generally recognized at the point-in-time of delivery of the license or the content update upon transfer of control of the underlying license to the customer. Generally, software implementation fees are recognized over the implementation period through an input measure of progress method. Revenue allocated to maintenance and support is recognized ratably over the period covered by the agreements, as passage of time represents a faithful depiction of the transfer of these services. In some cases, software arrangements provide licenses to several software applications that are highly integrated with the implementation services and software updates and cannot function separately. The bundle is a single performance obligation since the individually promised goods and services are not distinct in the context of the contract because the related implementation services significantly modify and customize the software and the updates provided to the integrated software solution are critical to the software’s utility. The related revenue is recognized on a straight-line basis, ratably over the contractual term due to the frequency and criticality of the updates throughout the license period. Revenue for content license subscriptions and time-based software, which is included in solutions revenue, is generated by the Software and Analytics segment.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Perpetual software licenses—Our perpetual software arrangements provide a license for a customer to use software in perpetuity. Software licenses are typically delivered to the customer with functionality from which the customer can benefit from the license on its own or together with readily available resources. Perpetual software arrangements are recognized at the time of delivery or through an input measure of progress method over the installation period if the arrangements require significant production or modification or customization of the software. Contracts accounted for through an input measure of progress method are generally measured based on the ratio of labor hours incurred to date to total estimated labor hours to be incurred. Software implementation fees are recognized as the work is performed or under the input method for perpetual software. Hardware revenue is generally recognized upon delivery. Maintenance is recognized ratably over the term of the agreement as passage of time represents a faithful depiction of the transfer of these services. License, implementation, hardware and maintenance revenue for these arrangements, which is included in solutions revenue, is generated by the Software and Analytics and Network Solutions segments.
Professional services—We provide training and consulting services to our customers, and the services may be fixed fee or time and materials based. Consulting services that fall outside of the standard implementation services vary depending on the scope and complexity of the service requested by the customer. Consulting services are deemed to be capable of being distinct from other products and services, and the services are satisfied either at a point of time or over time based on delivery and are recognized as solutions revenue in the Software and Analytics and Technology-Enabled Services segments. Training services are usually provided as an optional service to enhance the customer’s experience with a software product or provides additional education surrounding the general topic of the solution. Training services are capable of being distinct from other products and services. We treat training services as a distinct performance obligation, and those services are satisfied at a point of time and recognized as solutions revenue in the Software and Analytics and Technology-Enabled Services segments.
Postage Revenue
Postage revenue is the result of providing delivery services to customers in our payment and communication solutions. Postage revenue is generally billed as a pass-through cost to our customers. The service is part of a combined performance obligation with the printing and handling services provided to the customer because the postage services are not distinct within the context of the contract. We present Postage Revenue separately from Solutions Revenue on the consolidated statements of operations as doing so makes the financial statements more informative for the users. The revenue related to the combined performance obligation of the postage, printing, and handling service is recognized as the transactions are processed, and the revenue is recognized over the individual days in which the services are performed.
Contract Balances
We generally recognize a contract asset when revenue is recognized in advance of invoicing on a customer contract, unless the right to payment for that revenue is unconditional (i.e. requiring no further performance and only the passage of time). If a right to payment is determined to meet the criteria to be considered ‘unconditional’, then we will recognize a receivable.
We did not recognize any impairment loss on accounts receivable or contract assets during the three and nine months ended December 31, 2020. Change Healthcare Inc. did not have accounts receivable prior to the Merger.
We record deferred revenue when billings or payments are received from customers in advance of our performance. Deferred revenue is generally recognized when transfer of control to customers occurs. The deferred revenue balance is driven by multiple factors, including the frequency of renewals, invoice timing, invoice duration and fair value adjustments as a result of the Merger. As of December 31, 2020,September 30, 2021, we expect 94% of the deferred revenue balance to be recognized in one year or less, and approximately $245,760less. Approximately $273,517 of the balance at the beginning period balanceof fiscal year 2022 was recognized during the ninesix months ended December 31, 2020.
Costs to Obtain or Fulfill a Contract
At December 31, 2020, we had capitalized costs to obtain a contractSeptember 30, 2021. Approximately $202,837 of $4,339 in prepaid and other current assets and $27,502 in other noncurrent assets. At December 31, 2020, we had capitalized costs to fulfill a contractthe balance at the beginning of $3,287 in prepaid and other current assets and $18,072 in other noncurrent assets. Amortization of such capitalized costs to obtain or fulfill a contract were immaterial forfiscal year 2021 was recognized during the three and ninesix months ended December 31,September 30, 2020. Change Healthcare Inc. did not have costs to obtain or fulfill a contract prior to the Merger, and therefore did not record amortization of such capitalized costs during the three and nine months ended December 31, 2019.
Remaining Performance Obligations
The aggregate amount of transaction price allocated to performance obligations that are unsatisfied (or partially unsatisfied) for executed contracts includes deferred revenue and other revenue yet to be recognized from non-cancellable contracts. As of December 31, 2020, the totalSeptember 30, 2021, remaining performance obligations approximated $1,507,154,totaled $1,380,210, of which approximately 49%51% is expected to be recognized over the next twelve12 months, and the remaining 51% thereafter.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
In this balance, we do not include the value of unsatisfied performance obligations related to those contracts for which we recognize revenue at the amount for which we have the right to invoice for services performed. Additionally, this balance does not include revenue related to performance obligations that are part of a contract with an original expected duration of one year or less. Lastly, this balance does not include variable consideration allocated to the individual goods or services in a series of distinct goods or services that are substantially the same and that have the same pattern of transfer to the customer. Examples includes variable fees associated with transaction processing and contingent fee services.
Disaggregated Revenue
We disaggregate the revenue from contracts with customers by operating segment as we believe doing so best depicts how the nature, amount, timing and uncertainty of revenues are affected by economic factors. See Note 19,16, Segment Reporting, for the total revenue disaggregated by operating segment for the three and ninesix months ended December 31,September 30, 2021 and 2020.
In addition to disaggregating revenue by operating segment, we disaggregate revenue between revenue that is recognized over time and revenue that is recognized at a point in time. ApproximatelyFor the three and six months ended September 30, 2021, 98% and 96% of revenue was recognized over time, respectively, and approximately 2% and 4% of revenue was recognized at a point in time, forrespectively. For the three and ninesix months ended December 31,September 30, 2020, 97% and 94% of revenue was recognized over time, respectively, and 3% and 6% of revenue was recognized at a point in time, respectively.
4. Business Combinations
Fiscal Year 2021 Transactions
eRx Network Holdings, Inc.
On May 1, 2020, we exercised our option to purchase and completed the acquisition of 100% of the ownership interest in eRx Network Holdings, Inc. (“eRx”), a leading provider in comprehensive, innovative and secure data-driven solutions for pharmacies. At the time of the acquisition, all outstanding eRx equity awards were canceled and holders of eRx stock options and vested eRx stock appreciation rights were able to elect to receive consideration in the form of a cash payment or vested stock appreciation rights of the Company. See Note 17, Incentive Compensation Plans, for additional information.
Prior to the acquisition, we held an option to purchase eRx which we accounted for as an equity investment. Therefore, our acquisition of eRx was accounted for as a business combination achieved in stages under the acquisition method in accordance with Accounting Standards Codification 805, Business Combinations (“ASC 805”). Accordingly, at the acquisition, we remeasured our business purchase option to fair value and recognized a loss of $6,000 which is recorded in Other, net on our consolidated statement of operations.operations for the six months ended September 30, 2020.
The following table summarizes information related to this acquisition as of the acquisition date. The fair values of the assets acquired and the liabilities assumed were determined based on information available to the Company using primarily an income-based approach. During the second and third quarters of fiscal year 2021, we continued to make purchase price allocation adjustments to refine the fair value of assets acquired and liabilities assumed, including goodwill. These refinements primarily included an increase to the determined fair value of customer relationships and deferred tax liabilities and a decrease to the determined fair value of technology-based intangible assets. There were no material impacts to the consolidated statement of operations as a result of the adjustments. We consider our accounting for the assets acquired and liabilities assumed in the eRx acquisition to be complete.
eRx | ||||
Cash paid at closing | $ | 249,359 | ||
Fair value of eRx purchase option | 140,500 | |||
Fair value of vested stock appreciation rights | 5,097 | |||
Cash paid for canceled eRx equity awards | 5,891 | |||
|
| |||
Total Consideration Fair Value at Acquisition Date | $ | 400,847 | ||
|
| |||
Allocation of the Consideration Transferred: | ||||
Cash | $ | 54,108 | ||
Accounts receivable, net of allowance of $326 | 12,747 | |||
Prepaid expenses and other current assets | 609 | |||
Goodwill | 225,156 |
eRx | ||
Cash paid at closing | $ | 249,359 |
Fair value of eRx purchase option | 140,500 | |
Fair value of vested stock appreciation rights | 5,097 | |
Cash paid for canceled eRx equity awards | 5,891 | |
Total Consideration Fair Value at Acquisition Date | $ | 400,847 |
Allocation of the Consideration Transferred: | ||
Cash | $ | 54,108 |
Accounts receivable | 12,747 | |
Prepaid expenses and other current assets | 609 | |
Goodwill | 225,156 | |
Identifiable intangible assets: | ||
Customer relationships (life 17 years) | 131,200 | |
Technology-based intangible assets (life 9-12 years) | 29,700 | |
Other noncurrent assets | 20 | |
Accounts payable | (2,543) | |
Accrued expenses and other current liabilities | (10,933) | |
Deferred income tax liabilities | (39,217) | |
Total consideration transferred | $ | 400,847 |
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Identifiable intangible assets: | ||||
Customer relationships (life 17 years) | 131,200 | |||
Internally developed technology (life 9-12 years) | 29,700 | |||
Other noncurrent assets | 20 | |||
Accounts payable | (2,543 | ) | ||
Accrued expenses and other current liabilities | (10,933 | ) | ||
Deferred income tax liabilities | (39,217 | ) | ||
|
| |||
Total consideration transferred | $ | 400,847 | ||
|
|
The goodwill recognized, all of which is assigned to the Network Solutions segment, is primarily attributable to expected synergies of the combined businesses and the acquisition of an assembled workforce knowledgeable of the healthcare and information technology industries. The goodwill is not expected to be deductible for tax purposes. See Note 6, Goodwill.
Acquisition costs related to the purchase of eRx were not material.
PDX, Inc.
On June 1, 2020, we completed the cash purchase of 100% of the ownership interest in PDX, Inc. (“PDX”), a company focused on delivering patient centricpatient-centric and innovative technologies for pharmacies and health systems. We accounted for this transaction as a business combination using the acquisition method.
The fair values of the assets acquired and the liabilities assumed were determined based on information available to the Company using primarily an income-based approach. During the second quarter of fiscal year 2021, we continued to make purchase price allocation adjustments to refine the fair value of assets acquired, including goodwill. These refinements primarily included an increase to the determined fair value of customer relationships and decreases to the determined fair values of technology-based intangible assets and deferred revenue. There were no material impacts to the consolidated statement of operations as a result of the adjustments. Additional information is being gathered to finalize the amounts with respect to deferred taxes. Accordingly, the measurement of the deferred tax assets acquired and deferred tax liabilities assumed may change upon finalization of the Company’s valuations and completion of the purchase price allocation, both of which are expected to occur no later than one year from the acquisition date. We consider our accounting for the other assets acquired and liabilities assumed in the PDX acquisition to be complete.
After customary working capital adjustments, transaction fees and other adjustments, the total consideration fair value at the acquisition date was $198,291. The following table summarizes the allocation of consideration transferred:
PDX | ||||
Cash | $ | 755 | ||
Accounts receivable, net of allowance of $1,092 | 5,739 | |||
Prepaid expenses and other current assets | 2,251 | |||
Property and equipment | 840 | |||
Goodwill | 98,830 | |||
Identifiable intangible assets: | ||||
Customer relationships (life 18 years) | 74,300 | |||
Technology-based intangible assets (life 10-11 years) | 25,300 | |||
Other noncurrent assets | 690 | |||
Accounts payable | (3,882 | ) | ||
Deferred revenue, current | (2,946 | ) | ||
Accrued expenses and other current liabilities | (3,364 | ) | ||
Other noncurrent liabilities | (222 | ) | ||
|
| |||
Total consideration transferred | $ | 198,291 | ||
|
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PDX | ||
Cash | $ | 755 |
Accounts receivable | 5,739 | |
Prepaid expenses and other current assets | 2,251 | |
Property and equipment | 840 | |
Goodwill | 98,830 | |
Identifiable intangible assets: | ||
Customer relationships (life 18 years) | 74,300 | |
Technology-based intangible assets (life 10-11 years) | 25,300 | |
Other noncurrent assets | 690 | |
Accounts payable | (3,882) | |
Deferred revenue, current | (2,946) | |
Accrued expenses and other current liabilities | (3,364) | |
Other long-term liabilities | (222) | |
Total consideration transferred | $ | 198,291 |
The goodwill recognized, all of which is assigned to the Network Solutions segment, is primarily attributable to expected synergies of the combined businesses and the acquisition of an assembled workforce knowledgeable of the healthcare and information technology industries. The goodwill is expected to be deductible for tax purposes. See Note 6, Goodwill.
Acquisition costs related to the purchase of PDX were not material.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Nucleus.io
In August 2020, we completed the acquisition of Nucleus.io, a leader in the development of advanced, fully enabled, cloud-native imaging and workflow technology. We acquired Nucleus.io for total consideration of $35,120 and accounted for the acquisition as a business combination. The consideration transferred was primarily allocated to technology-based intangible assets of $11,700 and goodwill of $22,341. The goodwill recognized is assigned to the Software and Analytics segment. The preliminary values of the consideration transferred, assets acquired and liabilities assumed in the acquisition, including the related tax effects, are subject to change upon receipt of a final valuation and working capital settlement.
Fiscal Year 2020 Transactions
The Merger
On March 10, 2020, the Company combined with SpinCo in a two-step all-stock “Reverse Morris Trust” transaction that involved a separation of SpinCo from McKesson followed by the merger of SpinCo with and into the Company, with the Company as the surviving company. As a result of the Merger, the Joint Venture became a wholly owned subsidiary of the Company.
McKesson accepted 15,426,537 shares of its own common stock, par value $0.01 in exchange for all 175,995,192 issued and outstanding shares of SpinCo common stock, par value $0.001 per share (the “SpinCo Common Stock”). All shares of SpinCo Common Stock were then converted into an equal number of shares of common stock of the Company, par value $0.001, which the Company issued to the former holders of SpinCo Common Stock, together with cash in lieu of any fractional shares.
Prior to the Merger, we accounted for our investment in the Joint Venture under the equity method of accounting. Therefore, the acquisition of control of the Joint Venture was accounted for as a business combination achieved in stages under the acquisition method in accordance with ASC 805. Accordingly, we remeasured our previously held equity interest in the Joint Venture to fair value by reference to the publicly traded price of the common shares issued to SpinCo shareholders in exchange for the remaining 58% equity interest in the Joint Venture. Upon remeasurement, we recognized a loss on investment of $230,229. The loss represents the amount by which the carrying value of our investment in the Joint Venture exceeded the fair value of our 42% interest immediately prior to the Merger.
The fair values of the assets acquired and the liabilities assumed were determined based on information available to the Company. Additional information is being gathered to finalize the provisional measurements with respect to deferred taxes. Accordingly, the measurement of the deferred tax assets acquired and deferred tax liabilities assumed may change upon finalization of the Company’s valuations and completion of the purchase price allocation, both of which are expected to occur no later than one year from the acquisition date. During the first quarter of fiscal year 2021, we increased the estimated fair value of our deferred tax liability by $1,604 which also impacted goodwill. During the third quarter of fiscal year 2021, we made additional adjustments decreasing our deferred tax liability and goodwill by $4,692. There were no impacts to the consolidated statement of operations as a result of the adjustments. We consider our accounting for the other assets acquired and liabilities assumed in the Merger to be complete.
The following table summarizes information related to this acquisition as of the acquisition date:
Net Assets acquired | ||||
Cash | $ | 330,665 | ||
Accounts receivable, net of allowance of $22,059 | 718,895 | |||
Contract assets | 132,704 | |||
Prepaid and other current assets | 115,265 | |||
Investment in business purchase option | 146,500 | |||
Property and equipment, net | 206,751 | |||
Goodwill | 4,357,560 | |||
Other noncurrent assets | 169,539 | |||
Identified intangible assets: | ||||
Customer relationships (life 12-16 years) | 3,056,000 | |||
Tradenames (life 18 years) | 146,000 | |||
Technology-based intangible assets (life 6-12 years) | 1,188,000 | |||
Drafts and accounts payable | (60,637 | ) | ||
Accrued expenses | (559,456 | ) | ||
Deferred revenue, current | (292,528 | ) | ||
Current portion of long-term debt | (28,969 | ) |
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Other current liabilities | (22,732 | ) | ||
Long-term debt, excluding current portion | (4,713,565 | ) | ||
Deferred income tax liabilities | (574,988 | ) | ||
Tax receivable agreement obligations with related parties | (176,586 | ) | ||
Other long-term liabilities | (102,675 | ) | ||
|
| |||
Net Assets acquired | $ | 4,035,743 | ||
|
| |||
Summary of purchase consideration: | ||||
Fair value of shares issued to SpinCo shareholders | ||||
(175,995,192 shares at $12.47 per share): | ||||
Common Stock, $0.001 par value | $ | 176 | ||
Additional paid-in capital | 2,194,484 | |||
Fair value of Joint Venture equity interest previously held | 1,589,040 | |||
Fair value of Joint Venture equity interest previously held through TEUs | 216,764 | |||
Settlement of dividend receivable | 42,778 | |||
Repayment of advances to member | (7,499 | ) | ||
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| |||
Purchase consideration | $ | 4,035,743 | ||
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The goodwill recognized in the Merger is primarily attributable to expected synergies of the combined businesses and the acquisition of an assembled workforce knowledgeable of the healthcare and information technology industries in which we operate. The majority of the goodwill is not expected to be deductible for tax purposes.
Acquisition costs related to the Merger were not material.
5. Dispositions
Connected Analytics
On May 1, 2020, we completed the sale of our Connected Analytics business, which was included in our Software and Analytics segment, for total consideration of $55,000, subject to a customary working capital adjustment, including a $25,000 note receivable from the buyer which was recorded within Other noncurrent assets, net on the consolidated balance sheet.sheet at June 30, 2020. The net book value of the Connected Analytics business prior to the sale was $22,619$23,428, which includes primarily net accounts receivable of $16,325,$16,636, goodwill of $21,705 and deferred revenue of $17,133.$17,083. In connection with this transaction, we recognized a pre-tax gain on disposal of $24,170$24,337 during the year ended March 31, 2021, which iswas included within Gain on sale of businesses on the consolidated statement of operations. In July 2020, we received $25,000 plus interest from the buyer in satisfaction of the outstanding note receivable.
Capacity Management
On December 2, 2020, we completed the sale of our Capacity Management business, which was included in our Software and Analytics segment, for total consideration of $67,500, subject to a customary working capital adjustment. The net book value of the Capacity Management business prior to the sale was $31,599$31,690, which includes primarily net accounts receivable of $14,999,$14,991, goodwill of $26,944 and deferred revenue of $15,230. In connection with this transaction, we recognized a pre-tax gain on disposal of $32,655 which is included within Gain on sale of businesses on$31,690 during the consolidated statement of operations.year ended March 31, 2021.
6. Goodwill
The following table presents the changes in the carrying amount of goodwill:
Software and Analytics | Network Solutions | Technology-Enabled Services | Total | |||||||||
Balance at March 31, 2021 | $ | 1,758,302 | $ | 1,970,739 | $ | 379,752 | $ | 4,108,792 | ||||
Acquisitions | — | — | — | — | ||||||||
Dispositions | — | — | — | — | ||||||||
Effects of foreign currency | 2,173 | — | — | 2,173 | ||||||||
Adjustments | (142) | — | — | (142) | ||||||||
Balance at September 30, 2021 | $ | 1,760,333 | $ | 1,970,739 | $ | 379,752 | $ | 4,110,823 |
Software and Analytics | Network Solutions | Technology- Enabled Services | Total | |||||||||||||
Balance at March 31, 2020 | $ | 1,770,118 | $ | 1,645,831 | $ | 379,376 | $ | 3,795,325 | ||||||||
Acquisitions (1) | 22,341 | 323,986 | — | 346,327 | ||||||||||||
Dispositions | (51,136 | ) | — | — | (51,136 | ) | ||||||||||
Effects of foreign currency | 17,926 | — | — | 17,926 | ||||||||||||
Adjustments (2) | (1,637 | ) | (1,081 | ) | (311 | ) | (3,029 | ) | ||||||||
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Balance at December 31, 2020 | $ | 1,757,612 | $ | 1,968,736 | $ | 379,065 | $ | 4,105,413 | ||||||||
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Change Healthcare Inc.
Notes
7. Long-Term Debt
Long-term debt consists of the following:
September 30, 2021 | March 31, 2021 | |||||
Senior Credit Facilities | ||||||
$5,100,000 Term Loan Facility, due March 1, 2024, net of unamortized discount of $71,287 and $87,698 at September 30, 2021 and March 31, 2021, respectively (effective interest rate of 4.42% and 4.42%, respectively) | $ | 3,321,963 | $ | 3,405,552 | ||
$785,000 Revolving Facility, expiring July 3, 2024, and bearing interest at a variable interest rate | — | — | ||||
Senior Notes | ||||||
$1,325,000 5.75% Senior Notes due March 1, 2025, net of unamortized discount of $6,124 and $6,921 at September 30, 2021 and March 31, 2021, respectively (effective interest rate of 5.90% and 5.90%, respectively) | 1,318,876 | 1,318,079 | ||||
Tangible Equity Unit Senior Amortizing Note | ||||||
$47,367 Senior Amortizing Notes due June 30, 2022, net of unamortized discount of $120 and $293 at September 30, 2021 and March 31, 2021, respectively (effective interest rate of 7.44% and 7.44%, respectively) | 12,470 | 20,345 | ||||
Other | 9,088 | 18,138 | ||||
Less current portion | (19,152) | (27,339) | ||||
Long-term debt, excluding current portion | $ | 4,643,245 | $ | 4,734,775 |
Our long-term indebtedness includes a senior secured term loan facility (the “Term Loan Facility”) and a revolving credit facility (the “Revolving Facility”; together with the Term Loan Facility, the “Senior Credit Facilities”). The Senior Credit Facilities provide us with the right at any time to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
7. Equity Method Investment in Change Healthcare LLC
Prior to the Merger, the Company accounted for its investmentrequest additional term loan tranches and/or term loan increases, increases in the Joint Venture using the equity methodrevolving commitments and/or additional revolving credit facilities. Our long-term indebtedness also includes 5.75% senior notes due March 1, 2025 (the “Senior Notes”) with interest payable semi-annually on March 1 and September 1 of accounting. During the three and nine months ended December 31, 2019, the Company recorded a proportionate shareeach year.
As of September 30, 2021, we were in compliance with all of the applicable covenants under the Senior Credit Facilities and the Senior Notes.
In the second quarter of fiscal year 2022, we repaid $100,000 on our Term Loan Facility and recognized a loss from this investmenton extinguishment of $8,764 and $104,497, respectively, which included transaction and integration expenses incurred by the Joint Venture and basis adjustments, including amortization expenses, associated with equity method intangible assets. These amounts are$2,232 in Loss from Equity Method Investment in the Joint Venture in theour consolidated statementsstatement of operations.
Following completion of the Merger, we consolidate the Joint Venture and no longer account for our ownership interest as an equity method investment. Summarized statement of operations information of the Joint Venture prior to the Merger is as follows:
Three Months Ended December 31, 2019 | Nine Months Ended December 31, 2019 | |||||||
Total revenue | $ | 808,226 | $ | 2,459,593 | ||||
Cost of operations (exclusive of depreciation and amortization) | $ | 339,413 | $ | 998,943 | ||||
Customer postage | $ | 55,693 | $ | 171,288 | ||||
Net income (loss) | $ | 31,191 | $ | 102,973 |
8. Leases
We lease office space, other facilities, office equipment for internal use, vehicles and bulk invoice pricing and mailing related equipment for customer solutions. Our lease portfolio includes both operating and finance leases with original terms ranging from one to 15 years.
Statement of Operations Information
The components of lease cost are as follows:
Statement of Operations Location | Three Months Ended December 31, 2020 | Nine Months Ended December 31, 2020 | ||||||||
Operating lease cost | (1) | $ | 9,951 | $ | 32,109 | |||||
Finance lease cost | ||||||||||
Amortization expense | Depreciation and amortization | 110 | 312 | |||||||
Interest expense | Interest expense, net | 35 | 102 | |||||||
Short-term lease cost | (1) | 261 | 747 | |||||||
Variable lease cost | (1) | 1,524 | 5,275 | |||||||
Sublease income | Other, net | (172 | ) | (834 | ) | |||||
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Total lease cost | $ | 11,709 | $ | 37,711 | ||||||
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Balance Sheet Information
Right-of-use assets and lease liabilities are as follows:
Balance Sheet Location | December 31, 2020 | |||||||
Right-of-use assets | ||||||||
Operating leases | Operating lease right-of-use assets, net | $ | 99,258 | |||||
Finance leases | Property and equipment, net | 1,975 | ||||||
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Total right-of-use assets | $ | 101,233 | ||||||
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Lease liabilities | ||||||||
Current liabilities | ||||||||
Operating leases | Current portion of operating lease liabilities | $ | 30,813 | |||||
Finance leases | Current portion of long-term debt | 577 | ||||||
Noncurrent liabilities | ||||||||
Operating leases | Long-term operating lease liabilities | 80,789 | ||||||
Finance leases | Long-term debt, excluding current portion | 1,373 | ||||||
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| |||||||
Total lease liabilities | $ | 113,552 | ||||||
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|
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Cash Flow Information
Supplemental cash flow information is as follows:
Nine Months Ended December 31, 2020 | ||||||||
Operating Leases | Finance Leases | |||||||
Cash paid for amounts included in the measurement of lease liabilities | ||||||||
Operating cash flows | $ | 31,331 | $ | 102 | ||||
Financing cash flows | $ | — | $ | 490 | ||||
Non-cash activities | ||||||||
Right-of-use assets obtained in exchange for lease liabilities (1) | $ | 11,846 | $ | 363 |
|
Maturity of Lease Liabilities
Maturities of lease liabilities by fiscal year as of December 31, 2020 are as follows:
Operating Leases | Finance Leases | Total | ||||||||||
Remainder of 2021 | $ | 10,022 | $ | 183 | $ | 10,205 | ||||||
2022 | 36,697 | 664 | 37,361 | |||||||||
2023 | 27,580 | 485 | 28,065 | |||||||||
2024 | 19,037 | 468 | 19,505 | |||||||||
2025 | 14,011 | 390 | 14,401 | |||||||||
2026 and thereafter | 25,501 | — | 25,501 | |||||||||
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| |||||||
Total lease liabilities, undiscounted | 132,848 | 2,190 | 135,038 | |||||||||
Less: Imputed interest | 21,246 | 240 | 21,486 | |||||||||
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|
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| |||||||
Total lease liabilities | $ | 111,602 | $ | 1,950 | $ | 113,552 | ||||||
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Maturities of lease liabilities by fiscal year as of March 31, 2020 were as follows:
Operating Leases | Finance Leases | Total | ||||||||||
2021 | $ | 40,476 | $ | 468 | $ | 40,944 | ||||||
2022 | 34,750 | 468 | 35,218 | |||||||||
2023 | 23,761 | 468 | 24,229 | |||||||||
2024 | 15,393 | 468 | 15,861 | |||||||||
2025 | 10,780 | 390 | 11,170 | |||||||||
2026 and thereafter | 15,850 | — | 15,850 | |||||||||
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| |||||||
Total lease liabilities, undiscounted | $ | 141,010 | $ | 2,262 | $ | 143,272 | ||||||
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Other Information
Other information related to our leases as of December 31, 2020 is as follows:
Operating Leases | Finance Leases | |||||||
Weighted-average remaining lease term | 4.79 years | 3.70 years | ||||||
Weighted-average discount rate | 7.39% | 6.53% |
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
9.8. Interest Rate Cap Agreements
Risk Management Objective of Using Derivatives
We are exposed to certain risks arising from both our business operations and economic conditions. We principally manage exposures to a wide variety of business and operational risks through management of core business activities. We manage economic
risks, including interest rate, liquidity and credit risk, primarily by managing the amount, sources and duration of debt funding and the use of derivative financial instruments. Specifically, we enter into derivative financial instrumentsinstrument contracts to manage differences in the amount, timing and duration of known or expected cash receipts and known or expected cash payments principally related to existing borrowings.
Cash Flow Hedges of Interest Rate Risk
Our objectives in using interest rate derivatives are to add stability to interest expense and to manage exposure to interest rate movements. To accomplish these objectives, we primarily use interest rate cap agreements as part of our interest rate risk management strategy. Payments and receipts related to interest rate cap agreements are included in cash flows from financing activities in the consolidated statements of cash flows.
In August 2018, the Joint Venture executed annuitized interest rate cap agreements with notional amounts of $500,000, accreting to $1,500,000 to limit the exposure of the variable component of interest rates under the Term Loan Facility or future variable rate indebtedness to a maximum of 1.0%. The interest rate cap agreements became effective August 31, 2018, accreted to $1,500,000 in March 2020 and expire December 31, 2021. Upon completion of the Merger, these agreements were redesignated as cash flow hedges of the Company.
In March 2020, we executed additional annuitized interest rate cap agreements with notional amounts totaling $1,000,000 to limit the exposure of the variable component of the interest rates under the Term Loan Facility or future variable rate indebtedness to a maximum of 1.0%. Each interest rate cap agreement became effective March 31, 2020 and expires March 31, 2024.
At December 31, 2020,September 30, 2021, each of our outstanding interest rate cap agreements were designated as cash flow hedges of interest rate risk and were determined to be highly effective.
Amounts reported in accumulated other comprehensive income related to derivatives will be reclassified to interest expense as interest payments are made on our variable-rate debt. We estimate that $2,005 $2,007will be reclassified as an increase to interest expense within one year.
Fair Value
The fair value of derivative instruments at December 31, 2020 and March 31, 2020 is as follows:
Fair Values of Derivative Financial Instruments | ||||||||||||||||||||
Asset (Liability) | Fair Values of Derivative Financial Instruments | |||||||||||||||||||
Balance Sheet Location | December 31, 2020 | March 31, 2020 | Asset (Liability) | |||||||||||||||||
Derivative financial instruments designated as hedging instruments: | Balance Sheet Location | September 30, 2021 | March 31, 2021 | |||||||||||||||||
Interest rate cap agreements | Accrued expenses | (28,985 | ) | (28,131 | ) | Other noncurrent assets, net | $ | 8 | $ | — | ||||||||||
Interest rate cap agreements | Other long-term liabilities | (3,288 | ) | (19,277 | ) | Accrued expenses | (8,666) | (22,360) | ||||||||||||
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Interest rate cap agreements | Other long-term liabilities | (53) | (365) | |||||||||||||||||
Total | $ | (32,273 | ) | $ | (47,408 | ) | $ | (8,711) | $ | (22,725) | ||||||||||
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See Note 10, Fair Value Measurements, for additional information.
Effect of Derivative Instruments on the Statement of Operations
The effect of the derivative instruments on the consolidated statements of operations and other comprehensive income (loss) is as follows:
Three Months Ended December 31, | Nine Months Ended December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Derivative financial instruments in cash flow hedging relationships: | ||||||||||||||||
Gain/(loss) related to derivative financial instruments recognized in other comprehensive income (loss) | $ | (383 | ) | $ | — | $ | (7,119 | ) | $ | — | ||||||
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Gain/(loss) related to portion of derivative financial instruments reclassified from accumulated other comprehensive income (loss) to interest expense | $ | 302 | $ | — | $ | 858 | $ | — | ||||||||
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Three Months Ended | Six Months Ended | |||||||||||
September 30, | September 30, | |||||||||||
Derivative financial instruments in cash flow hedging relationships: | 2021 | 2020 | 2021 | 2020 | ||||||||
Gain (loss) related to derivative financial instruments recognized in other comprehensive income (loss) | $ | (502) | $ | (2,277) | $ | (796) | $ | (6,737) | ||||
(Gain) loss related to portion of derivative financial instruments reclassified from accumulated other comprehensive (income) loss to interest expense | $ | 543 | $ | 281 | $ | 956 | $ | 557 |
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Credit Risk-Related Contingent Features
We have agreements with each of our derivative counterparties providing that if we default on any of our indebtedness, including a default where repayment of the indebtedness has not been accelerated by the lender, then we also could be declared in default on our derivative obligations.
As of December 31, 2020,September 30, 2021, the termination value of derivative financial instruments in a net liability position, which includes accrued interest but excludes any adjustment for nonperformance risk, was $32,953.$8,857. If we had breacheddefaulted on any of these provisionsour indebtedness at December 31, 2020,September 30, 2021, we could have been required to settle our obligations under the agreements at this termination value. We do not offset any derivative financial instruments and the derivative financial instruments are not subject to collateral posting requirements.
10.
9. Fair Value Measurements
Assets and Liabilities Measured at Fair Value on a Recurring Basis
AssetsThe following table summarizes our assets and liabilities that are measured at fair value on a recurring basis, consist of derivative financial instruments and contingent consideration obligations. The following tables summarize these items, aggregated by the level in the fair value hierarchy within which those measurements fall:
Balance at | Quoted i n Identical Markets | Significant Other Observable Inputs | Significant Unobservable Inputs | |||||||||||||
Description | December 31, 2020 | (Level 1) | (Level 2) | (Level 3) | ||||||||||||
Interest rate cap agreements | $ | (32,273 | ) | $ | — | $ | (32,273 | ) | $ | — | ||||||
Contingent consideration obligation | — | — | — | — | ||||||||||||
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Total | $ | (32,273 | ) | $ | — | $ | (32,273 | ) | $ | — | ||||||
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Quoted in | Significant Other | Significant | Quoted in | Significant Other | Significant | |||||||||||||||||||||||
Description | Balance at March 31, 2020 | Identical Markets (Level 1) | Observable Inputs (Level 2) | Unobservable Inputs (Level 3) | ||||||||||||||||||||||||
Identical Markets | Observable Inputs | Unobservable Inputs | ||||||||||||||||||||||||||
Total | (Level 1) | (Level 2) | (Level 3) | |||||||||||||||||||||||||
Balance at September 30, 2021: | ||||||||||||||||||||||||||||
Interest rate cap agreements | $ | (47,408 | ) | $ | — | $ | (47,408 | ) | $ | — | $ | (8,711) | $ | — | $ | (8,711) | $ | — | ||||||||||
Contingent consideration obligation | (3,000 | ) | — | — | (3,000 | ) | ||||||||||||||||||||||
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Total | $ | (50,408 | ) | $ | — | $ | (47,408 | ) | $ | (3,000 | ) | $ | (8,711) | $ | — | $ | (8,711) | $ | — | |||||||||
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Balance at March 31, 2021: | ||||||||||||||||||||||||||||
Interest rate cap agreements | $ | (22,725) | $ | — | $ | (22,725) | $ | — | ||||||||||||||||||||
Total | $ | (22,725) | $ | — | $ | (22,725) | $ | — |
Derivative Financial Instruments
The valuation of our derivative financial instruments is determined using widely accepted valuation techniques, including a discounted cash flow analysis on the expected cash flows of each derivative. This analysis reflects the contractual terms of the derivative, including the period to maturity, and uses observable market-based inputs, including interest rate curves.curves and implied volatilities. The fair value of the interest rate cap agreements is determined using the market standard methodology of nettingdiscounting the discounted future fixed cash payments (or receipts) and the discounted expected variable cash receipts (or payments) usingthat would occur if variable interest rates rise above the overnight index swapstrike rate asof the discount rate.caps. The variable interest rates used in the calculation of projected receipts on the cap are based on an expectation of future interest rates derived from observable market interest rate curves and volatilities.
We incorporate credit valuation adjustments to appropriately reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk in the fair value measurements. In adjusting the fair value of our derivative contracts for the effect of nonperformance risk, we consideredconsider the impact of netting and any applicable credit enhancements and measuredenhancements. We measure the credit risk of our derivative financial instruments that are subject to master netting agreements on a net basis by counterparty portfolio.
Although we have determined that the majority of the inputs used to value our derivatives fall within Level 2 of the fair value hierarchy, the credit valuation adjustments utilize Level 3 inputs to evaluate the likelihood of both our own default and counterparty default. As of December 31, 2020,September 30, 2021, we determined that the credit valuation adjustments are not significant to the overall valuation of our derivatives and therefore, the derivatives. As a result, the derivative valuations are classified in Level 2 of the fair value hierarchy.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Contingent Consideration
Prior to December 31, 2020, the valuation of our contingent consideration obligationsobligation was determined using a discounted cash flow method that involved a Monte Carlo simulation. This analysis reflects the contractual terms of the purchase agreements (i.e., minimum and maximum payments, length of earn-out periods, manner of calculating amounts due, etc.) and utilizes assumptions with regard to future cash flows that were determined using a Monte Carlo simulation which were then discounted to present value using an appropriate discount rate. Significant increases with respect to assumptions as toin future revenue assumptions would have resulted in a higher fair value measurement while an increase in the discount rate would have resulted in a lower fair value measurement. The measurement period ended December 31, 2020 and the Company determinedat which point no obligations remained. As such,remained and the contingent consideration liability was reduced to zero as of December 31, 2020.0.
The table below presents a reconciliation of the fair value of the liabilities that use significant unobservable inputs (Level 3):
Three Months Ended December 31, | Nine Months Ended December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Balance at beginning of period | $ | — | $ | — | $ | (3,000 | ) | $ | — | |||||||
Gain/(loss) included in contingent consideration | — | — | 3,000 | — | ||||||||||||
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Balance at end of period | $ | — | $ | — | $ | — | $ | — | ||||||||
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Three Months Ended | Six Months Ended | |||||||||||
September 30, | September 30, | |||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||
Balance at beginning of period | $ | — | $ | (550) | $ | — | $ | (3,000) | ||||
Gain (loss) included in Other, net | — | 550 | — | 3,000 | ||||||||
Balance at end of period | $ | — | $ | — | $ | — | $ | — |
Assets and Liabilities Measured at Fair Value upon Initial Recognition
The carrying amountsamount and the fair valuesvalue of financial instruments held as of December 31, 2020September 30, 2021 and March 31, 20202021 were as follows:
September 30, 2021 | March 31, 2021 | |||||||||||
Carrying Amount | Fair Value | Carrying Amount | Fair Value | |||||||||
Cash and cash equivalents | $ | 80,414 | $ | 80,414 | $ | 113,101 | $ | 113,101 | ||||
Senior Credit Facilities (Level 2) | $ | 3,321,963 | $ | 3,389,178 | $ | 3,405,552 | $ | 3,488,883 | ||||
Senior Notes (Level 2) | $ | 1,318,876 | $ | 1,338,250 | $ | 1,318,079 | $ | 1,351,500 | ||||
Debt component of tangible equity units (Level 2) | $ | 12,470 | $ | 12,896 | $ | 20,345 | $ | 21,435 |
December 31, 2020 | March 31, 2020 | |||||||||||||||
Carrying Amount | Fair Value | Carrying Amount | Fair Value | |||||||||||||
Cash and cash equivalents | $ | 137,357 | $ | 137,357 | $ | 410,405 | $ | 410,405 | ||||||||
Accounts receivable | $ | 697,948 | $ | 697,948 | $ | 740,105 | $ | 740,105 | ||||||||
Investment in business purchase option | $ | — | $ | — | $ | 146,500 | $ | 146,500 | ||||||||
Senior Credit Facilities (Level 2) | $ | 3,447,156 | $ | 3,529,963 | $ | 3,682,457 | $ | 3,452,687 | ||||||||
Senior Notes (Level 2) | $ | 1,317,689 | $ | 1,348,188 | $ | 997,772 | $ | 950,000 | ||||||||
Debt component of tangible equity units (Level 2) | $ | 24,268 | $ | 24,801 | $ | 35,431 | $ | 34,806 |
Additionally,As described in Note 4, Business Combinations, the assets acquired and liabilities assumed as part of business acquisitions were recorded at fair value upon initial recognition. See Note 4, Business Combinations, for additional information.
11. Long-Term Debt
Our long-term indebtedness10. Tangible Equity Units
In July 2019, we completed our offering of 5,750,000 TEUs. Total proceeds, net of underwriting discounts, were $278,875. Each TEU, which has a stated amount of $50, is comprised of a stock purchase contract and a senior secured term loan facility (the “Term Loan Facility”), a revolving credit facility (the “Revolving Facility”; together with the Term Loan Facility, the “Senior Credit Facilities”), and 5.75% senior notesamortizing note due 2025 (the “Senior Notes”).
Long-term debt as of December 31, 2020 and March 31, 2020, consistedJune 30, 2022. Unless settled earlier, each purchase contract will automatically settle on June 30, 2022. Holders of the following:purchase contracts may elect to early settle prior to June 30, 2022, at the minimum settlement rate of 3.2051 shares of common stock per purchase contract, resulting in the holder receiving the minimum number of shares for that purchase contract.
In the event of certain types of changes in control (including the consummation of the UHG Transaction) or other specified Reorganization Events (as defined in the TEU agreements), each outstanding purchase contract will convert to a contract entitling the holder to receive cash or other assets that holders of the Company’s common stock are entitled to receive in the Reorganization Event. The amount of cash or other assets each holder is entitled to following a Reorganization Event is based on the Applicable Market Value and the corresponding settlement rate in effect at the time.
December 31, 2020 | March 31, 2020 | |||||||
Senior Credit Facilities | ||||||||
$5,100,000 Term Loan Facility, due March 1, 2024, net of unamortized discount of $96,094 and $125,793 at December 31, 2020 and March 31, 2020, respectively (effective interest rate of 4.42% and 4.42%, respectively) | $ | 3,447,156 | $ | 3,682,457 | ||||
$785,000 Revolving Facility, expiring July 3, 2024, and bearing interest at a variable interest rate (1) | — | 250,000 | ||||||
Senior Notes | ||||||||
$1,325,000 5.75% Senior Notes due March 1, 2025, net of unamortized discount of $7,311 and $2,228 at December 31, 2020 and March 31, 2020, respectively (effective interest rate of 5.90% and 5.80%, respectively) | 1,317,689 | 997,772 | ||||||
Tangible Equity Unit Senior Amortizing Note | ||||||||
$47,367 Senior Amortizing Notes due June 30, 2022, net of unamortized discount of $405 and $842 at December 31, 2020 and March 31, 2020, respectively (effective interest rate of 7.44% and 7.44%, respectively) | 24,268 | 35,431 | ||||||
Other | 28,734 | 23,413 | ||||||
Less current portion | (37,019 | ) | (278,779 | ) | ||||
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Long-term debt | $ | 4,780,828 | $ | 4,710,294 | ||||
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The following table summarizes TEU activity:
| ||
Tangible Equity Units | ||
Outstanding at March 31, 2020 | 5,137,345 | |
Issued | — | |
Conversions | — | |
Outstanding at September 30, 2020 | 5,137,345 | |
Outstanding at March 31, 2021 | 4,833,645 | |
Issued | — | |
Conversions | (779,325) | |
Outstanding at September 30, 2021 | 4,054,320 |
(unaudited and amounts in thousands, except share and per share amounts)
Senior Credit Facilities
In June 2020, we repaid our outstanding Revolving Facility balance of $250,000. The Revolving Facility has a total borrowing capacity of $785,000 less outstanding letters of credit which totaled $6,194 and $5,118 at December 31, 2020 and March 31, 2020, respectively, leaving $778,806 and $529,882 available for borrowing, respectively.
Senior Notes Issuance
In April 2020, we issued an additional $325,000 aggregate principal amount of 5.75% Senior Notes due 2025 (the “Notes”) and incurred issuance costs of $5,364. The Notes were issued as part of the same series as the $1,000,000 Senior Notes issued in February 2017.
Term Loan Repayments
In the second quarter of fiscal year 2021, we repaid $50,000 on our Term Loan Facility and recognized a loss on extinguishment of $1,489 in our consolidated statement of operations. In the third quarter of fiscal year 2021, we repaid an additional $215,000 and recognized a loss on extinguishment of $6,145 in our consolidated statement of operations.
12. Net Income (Loss) Per Share
The following table sets forth the computation of basic and diluted net income (loss) per share of common stock:
Three Months Ended December 31, | Nine Months Ended December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Numerator: | ||||||||||||||||
Net income (loss) | $ | 2,196 | $ | 50,735 | $ | (99,120 | ) | $ | (80,716 | ) | ||||||
Denominator: | ||||||||||||||||
Weighted average common shares outstanding | 304,547,891 | 124,962,970 | 304,104,388 | 108,371,642 | ||||||||||||
Minimum shares issuable under purchase contracts | 16,465,704 | 18,429,325 | 16,465,704 | 12,286,217 | ||||||||||||
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Total weighted average shares outstanding | 321,013,595 | 143,392,295 | 320,570,092 | 120,657,859 | ||||||||||||
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Basic net income (loss) per share | $ | 0.01 | $ | 0.35 | $ | (0.31 | ) | $ | (0.67 | ) | ||||||
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Diluted net income per share: | ||||||||||||||||
Numerator: | ||||||||||||||||
Net income (loss) | $ | 2,196 | $ | 50,735 | $ | (99,120 | ) | $ | (80,716 | ) | ||||||
Denominator: | ||||||||||||||||
Number of shares used in basic computation | 321,013,595 | 143,392,295 | 320,570,092 | 120,657,859 | ||||||||||||
Weighted average effect of dilutive securities | ||||||||||||||||
Dilutive shares issuable under purchase contracts | — | 1,450,910 | — | — | ||||||||||||
Time-Vesting Options | 932,344 | 1,059,868 | — | — | ||||||||||||
Restricted Share Units | 2,753,810 | 289,537 | — | — | ||||||||||||
Deferred Stock Units | 95,624 | 9,250 | — | — | ||||||||||||
Employee Stock Purchase Program Shares | 20,151 | — | — | — | ||||||||||||
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324,815,524 | 146,201,860 | 320,570,092 | 120,657,859 | |||||||||||||
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Diluted net income (loss) per share | $ | 0.01 | $ | 0.35 | $ | (0.31 | ) | $ | (0.67 | ) | ||||||
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Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Due to their antidilutive effect, the following securities have been excluded from diluted net income (loss) per share:
Three Months Ended December 31, | Nine Months Ended December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Dilutive shares issuable under purchase contracts | — | — | 1,579,991 | 1,712,220 | ||||||||||||
Time-Vesting Options | — | — | 766,432 | 1,290,327 | ||||||||||||
Restricted Share Units | — | — | 2,360,586 | 605,830 | ||||||||||||
Deferred Stock Units | — | — | 81,983 | 6,167 |
13.11. Tax Receivable Agreements
Upon the consummationAs of the Merger, we assumed obligations related to certain tax receivable agreements (collectively, the “tax receivable agreements”) entered into by the Joint Venture with its current and former owners. Depending on whether the respective tax receivable agreements were assumed as part of the Merger or became effective after the Merger, the liabilities related to the tax receivable agreements are subject to differing accounting models as explained below.
Under the tax receivable agreements assumed in connection with the Merger, we are obligated to make payments to certain former stockholders as well as to affiliates of The Blackstone Group, Inc., some of whom are considered related parties. The cash payments made are equal to 85% of the applicable cash savings realized or expected to be realized for the applicable tax receivable agreements. The tax receivable agreements were measured at their fair value as part of the Merger and are recognized at their initial fair value plus recognized accretion to date on the consolidated balance sheet. Accretion recorded during the period pertaining to related party payments is recorded separately to Accretion and changes in estimate with related parties, net, whereas non-related party accretion is recorded within Sales, marketing, general and administrative in the consolidated statement of operations. As the payments are due to both current and former owners, we have separately presented the estimated aggregated payments due to related parties in future fiscal years in the table below.
McKesson Tax Receivable Agreement
In connection with the closing of the Merger, we along with the Joint Venture, the subsidiaries of McKesson that served as members of the Joint Venture (“McK Members”), and McKesson entered into a tax receivable agreement (the “McKesson Tax Receivable Agreement”). The McKesson Tax Receivable Agreement generally requires payment to affiliates of McKesson of 85% of certain cash tax savings realized (or, in certain circumstances, deemed to be realized) in periods ending on or after the date on which McKesson ceases to own at least 20% of the Joint Venture as a result of (i) certain amortizable tax basis in assets transferred to the Joint Venture at the Contribution Agreement Closing and (ii) imputed interest deductions and certain other tax attributes arising from payments under the McKesson Tax Receivable Agreement. Following the McKesson exit and based on anticipated amortization allocations, we recorded an obligation for the McKesson Tax Receivable estimated payments, which represents a loss contingency under ASC 450 and is included in the other long-term liabilities on the consolidated balance sheet. Future changes in this value will be reflected within pretax income or loss.
Based on facts and circumstances at December 31, 2020,September 30, 2021, we estimate the aggregate payments due under our tax receivable agreements in future fiscal years to be as follows:
Related Party Tax Receivable Agreements | McKesson Tax Receivable Agreement | Other Tax Receivable Agreements | Total | Related Party | McKesson | Other | Total | |||||||||||||||||||||
Remainder of 2021 | $ | — | $ | — | $ | — | $ | — | ||||||||||||||||||||
2022 | 11,606 | 128 | 10,788 | 22,522 | ||||||||||||||||||||||||
Remainder of 2022 | $ | — | $ | — | $ | — | $ | — | ||||||||||||||||||||
2023 | 11,349 | 35,992 | 10,722 | 58,063 | 11,392 | 24,748 | 10,761 | 46,901 | ||||||||||||||||||||
2024 | 23,421 | 7,368 | 13,549 | 44,338 | 10,626 | 16,478 | 10,295 | 37,399 | ||||||||||||||||||||
2025 | 50,772 | 23,836 | 20,004 | 94,612 | 37,213 | 20,052 | 16,557 | 73,822 | ||||||||||||||||||||
2026 | 46,623 | 57,196 | 19,350 | 123,169 | ||||||||||||||||||||||||
Thereafter | 83,221 | 92,192 | 61,192 | 236,605 | 63,323 | 39,785 | 49,777 | 152,885 | ||||||||||||||||||||
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Gross expected payments | 180,369 | 159,516 | 116,255 | 456,140 | 169,177 | 158,259 | 106,740 | 434,176 | ||||||||||||||||||||
Less: Amounts representing discount | (69,149 | ) | — | (36,561 | ) | (105,710 | ) | (60,179) | — | (32,803) | (92,982) | |||||||||||||||||
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Total tax receivable agreement obligation | 111,220 | 159,516 | 79,694 | 350,430 | ||||||||||||||||||||||||
Less: Current portion due (included in accrued expenses) | (11,606 | ) | (128 | ) | (10,788 | ) | (22,522 | ) | ||||||||||||||||||||
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Tax receivable agreement long-term obligation | $ | 99,614 | $ | 159,388 | $ | 68,906 | $ | 327,908 | ||||||||||||||||||||
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| |||||||||||||||||||||||||
Total tax receivable agreement obligations | 108,998 | 158,259 | 73,937 | 341,194 | ||||||||||||||||||||||||
Less: Current portion due | (11,392) | (24,748) | (10,761) | (46,901) | ||||||||||||||||||||||||
Tax receivable agreement long-term obligations | $ | 97,606 | $ | 133,511 | $ | 63,176 | $ | 294,293 |
The timing and/or amount of aggregate payments due may vary based on a number of factors, including the amount of net operating losses and income tax rates.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
14.12. Income Taxes
The following table summarizes income tax information:
Three Months Ended | Six Months Ended | |||||||||||||||||||||||||||
Three Months Ended December 31, | Nine Months Ended December 31, | September 30, | September 30, | |||||||||||||||||||||||||
2020 | 2019 | 2020 | 2019 | 2021 | 2020 | 2021 | 2020 | |||||||||||||||||||||
Income tax provision (benefit) | $ | (4,562 | ) | $ | 15,240 | $ | (31,411 | ) | $ | (564 | ) | $ | (16,749) | $ | (13,388) | $ | (25,198) | $ | (26,849) | |||||||||
Effective tax rate | 192.8 | % | 23.1 | % | 24.1 | % | 0.7 | % | 31.5% | 23.9% | 38.6% | 20.9% |
Three and Nine Months Ended December 31, 2020 and 2019
Fluctuations in our reported income tax rates from the statutory rate are primarily due to the impacts of our acquisitionequity compensation, transaction costs, and divestiture activity, benefits recognized as a result offor certain incentive tax credits resulting from research and experimental expenditures and discrete items recognized in the three and ninesix months ended December 31, 2020. ForSeptember 30, 2021 and our acquisition and divestiture activity in the three and ninesix months ended December 31, 2019, fluctuations in our reportedSeptember 30, 2020.
13. Net Income (Loss) Per Share
The following table sets forth the computation of net income tax rates(loss) per share of common stock:
Three Months Ended | Six Months Ended | |||||||||||||
Basic net income (loss) per share: | 2021 | 2020 | 2021 | 2020 | ||||||||||
Numerator: | ||||||||||||||
Net income (loss) | $ | (36,404) | $ | (42,622) | $ | (40,009) | $ | (101,316) | ||||||
Denominator: | ||||||||||||||
Weighted average common shares outstanding | 311,065,959 | 304,172,412 | 309,980,392 |
| 303,881,424 | |||||||||
Minimum shares issuable under purchase contracts | 12,994,501 | 16,465,704 | 13,328,888 |
| 16,465,704 | |||||||||
Total weighted average shares outstanding | 324,060,460 | 320,638,116 | 323,309,280 |
| 320,347,128 | |||||||||
Basic and diluted net income (loss) per share | $ | (0.11) | $ | (0.13) | $ | (0.12) | $ | (0.32) |
Due to their antidilutive effect, the following securities have been excluded from the statutory rate are primarily due to benefits recognized as a result of certain incentive tax credits resulting from research and experimental expenditures and the impacts of discrete items.diluted net income (loss) per share:
15.
Three Months Ended | Six Months Ended | |||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||
Restricted Share Units | 3,797,124 | 778,123 | 4,769,824 | 875,084 | ||||||||
Time-Vesting Options | 1,655,445 | 681,938 | 1,787,769 | 636,267 | ||||||||
Deferred Stock Units | 137,410 | 61,858 | 136,509 | 55,567 | ||||||||
Dilutive shares issuable under purchase contracts | — | 1,446,935 | — | 2,369,987 |
14. Legal Proceedings
We are subject to various claims with customers and vendors, pending and potential legal actions for damages, investigations relating to governmental laws and regulators and other matters arising out of the normal conduct of its business.
UHG Transaction Proceedings
Following the announcement of the UHG Transaction, nine lawsuits challenging the UHG Transaction were filed in various jurisdictions. The first lawsuit, a putative class action alleging breaches of fiduciary duty, was filed in Tennessee Chancery Court, and was voluntarily dismissed without prejudice on March 17, 2021. The remaining eight lawsuits were filed in federal court between March 18, 2021 and April 7, 2021. The operative complaints in those actions named us and our business.Board of Directors as defendants and alleged, among other things, that the proxy statement filed in conjunction with the UHG Transaction was materially incomplete and misleading in violation of Sections 14(a) and 20(a) of the Securities Exchange Act of 1934 and Rule 14a-9 promulgated thereunder (“Section 14(a) Actions”). All of the Section 14(a) Actions were dismissed without prejudice by April 23, 2021.
We also received written demands from purported stockholders relating to the UHG Transaction. One of the stockholders who made a written demand subsequently filed a complaint against us in the Delaware Court of Chancery on April 13, 2021 pursuant to 8. Del. C. § 220, seeking certain books and records relating to the UHG Transaction. That action, which is captioned Waterford Township Policy & Fire Retirement System v. Change Healthcare, Inc., 2021-0317, remains pending and the parties have agreed to stay our deadline to respond to the operative pleading.
Government Subpoenas and Investigations
From time to time, we may receive subpoenas or requests for information from various government agencies. We generally respond to such subpoenas and requests in a cooperative, thorough and timely manner. These responses sometimes require time and effort and can result in incurring considerable costs. Such subpoenas and requests also can lead to the assertion of claims or the commencement of civil or criminal proceedings against us and other members of the health care industry, as well as to settlements.
Other Matters
In the ordinary course of business, we are involved in various other claims and legal proceedings. While the ultimate resolution of these matters has yet to be determined, we do not believe that it is reasonably possible that their outcomes will have a material adverse effect on our consolidated financial position, results of operations, or liquidity.
16. Accumulated Other Comprehensive Income (Loss)
15. Related Party Transactions
Term Loans Held by Related Party
Affiliates of The Blackstone Group, L.P. (“Blackstone”) were significant stockholders at our inception and continue to hold a material interest in the Company. Certain investment funds managed by GSO Capital Partners LP (the “GSO-managed funds”) held a portion of the term loans under our Senior Credit Facilities. GSO Advisor Holdings LLC (“GSO Advisor”) is the general partner of GSO Capital Partners LP and Blackstone, indirectly through its subsidiaries, holds all of the issued and outstanding equity interests of GSO Advisor. As of September 30, 2021 and March 31, 2021, the GSO-managed funds held $286,096 and $162,189, respectively, in principal amount of the Senior Credit Facilities (none of which is classified within current portion of long-term debt).
Transactions with Blackstone Portfolio Companies
We provide various services to, and purchase services from, certain Blackstone portfolio companies under contracts that were executed in the normal course of business. The following is a summary of the accumulated other comprehensive income (loss) activity for the nine months ended December 31, 2020 and 2019. Prior to the Merger, the activity in accumulated other comprehensive income (loss) reflects the proportionate share of the Joint Venture’s accumulated other comprehensive income (loss), net of taxes.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unauditedrevenue recognized and amounts in thousands, except sharepaid related to service provided to and per share amounts)from Blackstone portfolio companies:
Three Months Ended | Six Months Ended | |||||||||||
September 30, | September 30, | |||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||
Revenue recognized related to services provided | $ | 1,678 | $ | 838 | $ | 3,448 | $ | 1,881 | ||||
Amount paid related to services received | $ | 4,688 | $ | 4,166 | $ | 8,941 | $ | 9,458 |
Employer Healthcare Program Agreement with Equity Healthcare
Effective AprilJanuary 1, 2019, the Joint Venture adopted FASB ASU No. 2018-02, which allows a reclassification from accumulated2014, we entered into an employer health program agreement with Equity Healthcare LLC (“Equity Healthcare”), an affiliate of Blackstone, whereby Equity Healthcare provides certain negotiating, monitoring and other comprehensive income to retained earnings for stranded tax effects resulting from the Tax Cuts and Jobs Act of 2017. The adoption of this update resultedservices in a reclassification between accumulated other comprehensive income (loss) and accumulated earnings (deficit).
17. Incentive Compensation Plans
Long Term Incentive Plan Awards
In connection with the Omnibus Incentive Plan, during the nine months ended December 31, 2020,our health benefit plans. In consideration for Equity Healthcare’s services, we granted to our employees and directors one orpay a combinationfee of time-vesting restricted stock units, cash settled restricted stock units, and performance stock units under vesting terms that generally vary from one to four years from the date of grant.$1.00 per participating employee per month.
Restricted Stock Units (“RSUs”) – We granted 107,520 and 5,832,321 RSUs during the three and nine months ended December 31, 2020, respectively. The RSUs are subject to either a graded vesting schedule over four years or a one-year cliff vesting schedule, depending on the terms of the specific award. Upon vesting, the RSUs are exchanged for shares of common stock.
Cash Settled Restricted Stock Units (“CSRSUs”) – We granted zero and 172,524 CSRSUs during the three and nine months ended December 31, 2020, respectively. The CSRSUs vest 100% upon the one-year anniversary of the date of grant. Upon vesting, we are required to pay cash in settlement of such CSRSUs based on their fair value at the date such CSRSUs vest.
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
Performance Stock Units (“PSUs”) – We granted 1,177,152 PSUs during the three and nine months ended December 31, 2020. The PSUs consist of two tranches, one for which vesting varies based on the Company’s compounded annual revenue growth rate over a three year period in comparison to a target percentage and one for which vesting varies based on the Company’s compounded annual Adjusted EBITDA growth rate over a three year period in comparison to a target percentage. The awards earned upon satisfaction of the performance conditions become vested on the third anniversary of the vesting commencement date of the award. The Company recognizes compensation expense for the PSUs based on the number of awards that are considered probable to vest. Recognition of expense is based on the probability of achievement of performance targets and is periodically reevaluated.
We recognized compensation expense related to these awards granted during the three and nine months ended December 31, 2020 of $5,518 and $10,971, respectively. At December 31, 2020, aggregate unrecognized compensation expense related to these awards was $73,859.
eRx Awards
Upon completion of the eRx acquisition all outstanding eRx equity awards were canceled. Holders of eRx stock options and vested eRx stock appreciation rights were able to elect to receive consideration in the form of a cash payment or vested stock appreciation rights of the Company. For those individuals with unvested eRx equity awards, we elected to issue replacement awards with vesting and exercisability terms generally identical to the existing eRx awards which were replaced. These replacement awards granted under the Omnibus Incentive Plan consisted of unvested restricted share units (“eRx RSUs”) and unvested stock appreciation rights (“eRx SARs”) with terms identical to the original eRx awards. The awards vest subject to the employee’s continued employment through the date when Blackstone has sold at least 25% of the maximum number of shares held by it (i.e., a liquidity event) and achieved specified rates of return that vary by award. Upon vesting, we are required to pay cash in settlement of such eRx awards based on their fair value at the date of such vesting. During the three and nine months ended December 31, 2020, we recognized compensation expense related to eRx awards granted under the Omnibus Incentive Plan of $208 and $1,675, respectively. At December 31, 2020, aggregate unrecognized compensation expense related to these awards was $1,185.
18. Related Party Transactions
eRxNetwork Option Agreement
Prior to the creation of the Joint Venture, we entered into an option agreement to acquire eRx (the “Option Agreement”). Under the terms of the Option Agreement, the option to acquire eRx would only become exercisable at any such time that McKesson owns (directly or indirectly), in the aggregate, less than 5% of the outstanding units of the Joint Venture. Subsequent to the Merger, the Option became exercisable and was exercised on May 1, 2020. See Note 4, Business Combinations, for additional information.
Transition Services Agreements
In connection with the creation of the Joint Venture, we entered into transition services agreements with eRx. Under the agreements, we provided certain transition services to eRx in exchange for specified fees. Prior to the acquisition of eRx, we recognized $283 and $0 in transition fee income during the ninesix months ended December 31, 2020 and 2019, respectively. We recognized $0 in transition fee income during the three months ended December 31, 2020 and 2019.September 30, 2020. The amounts received are included in Other, net in the consolidated statement of operations.
Employer Healthcare Program Agreement with Equity Healthcare
Effective January 1, 2014, we entered into an employer health program agreement with Equity Healthcare LLC (“Equity Healthcare”), an affiliate of Blackstone, whereby Equity Healthcare provides certain negotiating, monitoring and other services in connection with our health benefit plans. In consideration for Equity Healthcare’s services, we pay a fee of $1.00 per participating employee per month.
Term Loans Held by Related Party
Certain investment funds managed by GSO Capital Partners LP (the “GSO-managed funds”) held a portion of the term loans under our Senior Credit Facilities. GSO Advisor Holdings LLC (“GSO Advisor”) is the general partner of GSO Capital Partners LP and Blackstone, indirectly through its subsidiaries, holds all of the issued and outstanding equity interests of GSO Advisor. As of December 31, 2020 and March 31, 2020, the GSO-managed funds held $168,200 and $151,301, respectively, in principal amount of the Senior Credit Facilities (none of which is classified within current portion of long-term debt).
Transactions with Blackstone Portfolio Companies
We provide various services to, and purchase services from, certain Blackstone portfolio companies under contracts that were executed in the normal course of business. The following is a summary of revenue recognized/amounts paid related to service provided to/from Blackstone portfolio companies:
Three Months Ended December 31, | Nine Months Ended December 31, | |||||||||||||||
2020 | 2019 | 2020 | 2019 | |||||||||||||
Revenue recognized related to services provided | $ | 934 | $ | — | $ | 2,815 | $ | — | ||||||||
Amount paid related to services received | $ | 3,883 | $ | — | $ | 13,341 | $ | — |
Change Healthcare Inc.
Notes to Consolidated Financial Statements
(unaudited and amounts in thousands, except share and per share amounts)
19.16. Segment Reporting
Management views the Company’s operating results based on three3 reportable segments: (a) Software and Analytics, (b) Network Solutions and (c) Technology-Enabled Services.
Software and Analytics
The Software and Analytics segment provides solutions for revenue cycle management, provider network management, payment accuracy, value-based payments, clinical decision support, consumer engagement, risk adjustment and quality performance, and imaging and clinical workflow.
Network Solutions
The Network Solutions segment provides solutions for financial, administrative, clinical and pharmacy transactions, electronic payments and aggregation and analytics of clinical and financial data.
Technology-Enabled Services
The Technology-Enabled Services segment provides solutions for financial and administrative management, value-based care, communication and payment, pharmacy benefits administration and healthcare consulting.
Postage and Eliminations
Postage and eliminations includes pass-through postage costs, as well as eliminations to remove inter-segment revenue and expenses and consolidating adjustments to classify certain rebates paid to channel partners as a reduction of revenue. These administrative costs are excluded from the adjusted EBITDA measure for each respective reportable segment.
Segment Results
Revenue and adjusted EBITDA for each of the reportable segments for the three and ninesix months ended December 31,September 30, 2021 and 2020 are shown below. Information is reflected in the manner utilized by management to make operating decisions, assess performance and allocate resources. Such amounts include allocations of corporate shared services functions that are essential to the core operations of the reportable segments. Segment assets and related depreciation expenses are not presented to management for purposes of operational decision making, and therefore are not included in the accompanying tables.
Change Healthcare Inc.
Notes
Three Months Ended | Six Months Ended | |||||||||||
September 30, | September 30, | |||||||||||
2021 | 2020 | 2021 | 2020 | |||||||||
Segment Revenue | ||||||||||||
Software and Analytics | $ | 363,423 | $ | 354,860 | $ | 783,740 | $ | 746,449 | ||||
Network Solutions | 215,600 | 184,095 | 425,061 | 326,921 | ||||||||
Technology-Enabled Services | 231,928 | 231,817 | 457,450 | 419,523 | ||||||||
Postage and Eliminations (1) | 19,091 | 24,073 | 36,109 | 51,136 | ||||||||
Purchase Accounting Adjustment (2) | (3,278) | (38,909) | (7,740) | (93,909) | ||||||||
Net Revenue | $ | 826,764 | $ | 755,936 | $ | 1,694,620 | $ | 1,450,120 | ||||
Segment Adjusted EBITDA | ||||||||||||
Software and Analytics | $ | 112,318 | $ | 117,393 | $ | 272,683 | $ | 261,325 | ||||
Network Solutions | 112,986 | 94,508 | 222,474 | 165,011 | ||||||||
Technology-Enabled Services | 21,158 | 19,940 | 34,033 | 2,360 | ||||||||
Adjusted EBITDA | $ | 246,462 | $ | 231,841 | $ | 529,190 | $ | 428,696 | ||||
Reconciliation of income (loss) before tax provision (benefit) to Adjusted EBITDA | ||||||||||||
Income (loss) before income tax provision (benefit) | $ | (53,153) | $ | (56,010) | $ | (65,207) | $ | (128,165) | ||||
Amortization of capitalized software developed for sale | 859 | 12 | 1,576 | 89 | ||||||||
Depreciation and amortization | 163,469 | 146,869 | 331,681 | 285,409 | ||||||||
Interest expense | 59,466 | 61,627 | 118,852 | 124,294 | ||||||||
Equity compensation | 23,745 | 14,331 | 49,911 | 23,914 | ||||||||
Acquisition accounting adjustments | (1,653) | 34,686 | (2,212) | 83,225 | ||||||||
Acquisition and divestiture-related costs | 13,765 | 2,337 | 20,159 | 7,458 | ||||||||
Integration and related costs | 5,933 | 7,536 | 17,301 | 17,894 | ||||||||
Strategic initiatives, duplicative and transition costs | 14,644 | 3,765 | 24,572 | 8,845 | ||||||||
Severance costs | 7,303 | 3,172 | 12,023 | 7,876 | ||||||||
Accretion and changes in estimate, net | 4,355 | 5,293 | 9,087 | 11,188 | ||||||||
Impairment of long-lived assets and other | 81 | 7,447 | 1,692 | 13,760 | ||||||||
Loss on extinguishment of debt | 2,232 | 1,489 | 2,232 | 1,489 | ||||||||
Gain on sale of businesses | — | (176) | — | (28,270) | ||||||||
Contingent consideration | — | (550) | — | (3,000) | ||||||||
Other non-routine, net | 5,416 | 13 | 7,523 | 2,690 | ||||||||
Adjusted EBITDA | $ | 246,462 | $ | 231,841 | $ | 529,190 | $ | 428,696 |
(1)Revenue for the Postage and Eliminations segment includes postage revenue of $52,550 and $50,023 for the three months ended September 30, 2021 and 2020, respectively, and $103,758 and $95,795 for the six months ended September 30, 2021 and 2020, respectively.
(2)Amount reflects the impact to Consolidated Financial Statementsdeferred revenue resulting from the Merger which reduced revenue recognized during the period.
(unaudited and amounts in thousands, except share and per share amounts)
Interest expense | 61,439 | 185,733 | ||||||
Equity compensation | 10,944 | 34,858 | ||||||
Acquisition accounting adjustments | 20,601 | 103,826 | ||||||
Acquisition and divestiture-related costs | 2,661 | 10,119 | ||||||
Integration and related costs | 9,688 | 27,581 | ||||||
Strategic initiatives, duplicative and transition costs | 4,324 | 13,169 | ||||||
Severance costs | 2,591 | 10,467 | ||||||
Accretion and changes in estimate, net | (2,759 | ) | 8,429 | |||||
Impairment of long-lived assets and other | 658 | 14,418 | ||||||
Gain on sale of businesses | (32,217 | ) | (60,487 | ) | ||||
Contingent consideration | — | (3,000 | ) | |||||
Loss on extinguishment of debt | 6,145 | 7,634 | ||||||
Other non-routine, net | 112 | 2,801 | ||||||
|
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| |||||
Adjusted EBITDA | $ | 233,424 | $ | 662,119 | ||||
|
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17. Accumulated Other Comprehensive Income (Loss)
The following is a summary of the accumulated other comprehensive income (loss) activity. Prior to the Merger, the Company had minimal operations outsideactivity in accumulated other comprehensive income (loss) reflects the Company’s proportionate share of the investment inJoint Venture’s accumulated other comprehensive income (loss), net of taxes.
Foreign Currency | Accumulated Other | ||||||||
Translation | Cash Flow | Comprehensive | |||||||
Adjustment | Hedge | Income (Loss) | |||||||
Balance at March 31, 2020 | $ | (7,084) | $ | (288) | $ | (7,372) | |||
Change associated with foreign currency translation | 6,353 | — | 6,353 | ||||||
Change associated with current period hedging | — | (4,459) | (4,459) | ||||||
Reclassification into earnings | — | 275 | 275 | ||||||
Balance at June 30, 2020 | $ | (731) | $ | (4,472) | $ | (5,203) | |||
Change associated with foreign currency translation | 5,221 | — | 5,221 | ||||||
Change associated with current period hedging | — | (2,277) | (2,277) | ||||||
Reclassification into earnings | — | 281 | 281 | ||||||
Balance at September 30, 2020 | $ | 4,490 | $ | (6,468) | $ | (1,978) | |||
Balance at March 31, 2021 | $ | 14,130 | $ | (2,909) | $ | 11,221 | |||
Change associated with foreign currency translation | 3,571 | — | 3,571 | ||||||
Change associated with current period hedging | — | (294) | (294) | ||||||
Reclassification into earnings | — | 413 | 413 | ||||||
Balance at June 30, 2021 | $ | 17,701 | $ | (2,790) | $ | 14,911 | |||
Change associated with foreign currency translation | (2,156) | — | (2,156) | ||||||
Change associated with current period hedging | — | (502) | (502) | ||||||
Reclassification into earnings | — | 543 | 543 | ||||||
Balance at September 30, 2021 | $ | 15,545 | $ | (2,749) | $ | 12,796 |
18. Subsequent Events
In October 2021, we made a voluntary repayment on the Joint VentureTerm Loan Facility of $60,000 and the Company’s standalone operating results were not utilized by management to make operating decisions, assess performance, or allocate resources. As such, the Company reported its results asrecorded a single reportable segment for the three and nine months ended December 31, 2019.
20. Subsequent Events
On January 5, 2021, the Company entered into a definitive agreement and planloss on extinguishment of merger with UnitedHealth Group Incorporated (“UnitedHealth Group”) under which UnitedHealth Group will acquire all outstanding sharesdebt of the Company (“the transaction”). The agreement calls for the acquisition of the Company’s common stock for $25.75 per share in cash and is expected to close in the second half of 2021, subject to Company shareholders’ approval, regulatory approvals and other customary closing conditions. No accounting adjustments related to this transaction were recorded in the three months ended December 31, 2020. Agreements related to the transaction are included as exhibits to this Quarterly Report on Form 10-Q.approximately $1,261.
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to help the reader understand our results of operations and financial condition. The MD&A is provided as a supplement to, and should be read in conjunction with, ourthe Company’s Annual Report on Form 10-K for the fiscal year ended March 31, 2020,2021, as well as the Company’s unaudited consolidated financial statements and the relatedaccompanying notes presented in Item 1 of this Quarterly Report for the quarter ended December 31, 2020 (“Quarterly Report”).on Form 10-Q.
In addition to historical data, the discussion contains forward-looking statements about the business, operations and financial performance based on current expectations that involve risks, uncertainties and assumptions. Actual results may differ materially from those discussed in the forward-looking statements as a result of various factors, including but not limited to those discussed below in Cautionary Notice Regarding Forward-Looking Statements and Part II, Item 1A, Item1A, Risk Factors.
Overview
We are a leading independent healthcare technology company, focused on accelerating the transformation of the healthcare system through the power of our healthcare platform. We provide data and analytics-driven solutions to improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system.
Our platform and comprehensive suite of software, analytics, technology enabled services and network solutions drive improved results in the complex workflows of healthcare system payers and providers by enhancing clinical decision making, simplifying billing, collection and payment processes, and enabling a better patient experience.
Our healthcare platform supports one of the largest clinical and financial healthcare networks in the U.S. With insights gained from our pervasive network, extensiveexperience, applications and analytics portfolio and our services operations, we have designed analytics solutions that include industry-leading and trusted franchises supported by extensive intellectual property and regularly updated content.
We were originally formed to hold an equity investment in Change Healthcare LLC (the “Joint Venture”), a joint venture between the Company and McKesson Corporation (“McKesson”). On March 10, 2020, McKesson completed a split-off of its interest in the Joint Venture (“the Merger”). As a result, we own 100% and consolidate the financial statements of Change Healthcare LLC.
Recent Developments
SaleThe UHG Transaction – UnitedHealth Group Incorporated
On January 5, 2021, we entered into an Agreement and Plan of Merger (the “UHG Agreement”) with UnitedHealth Group Incorporated a Delaware corporation (“UnitedHealth Group”), and UnitedHealth Group’s wholly owned subsidiary Cambridge Merger Sub Inc., a Delaware corporation. Pursuant to the UHG Agreement, UnitedHealth Group has agreed to acquire all of the outstanding shares of the Company’s common stock for $25.75 per share in cash as set forth(the “UHG Transaction”). On April 13, 2021, our stockholders approved a proposal to adopt the UHG Agreement, thereby satisfying one of the closing conditions contained in the UHG Agreement. The consummation of the transaction remains subject to the satisfaction or, to the extent permitted by law, waiver of other customary closing conditions.
The UHG Agreement contains representations, warranties, covenants, closing conditions and covenants of the partiestermination rights customary for transactions of this type. Until the earlier of the termination of the UHG Agreement and the consummation of the transaction, the Company haswe have agreed to operate itsour business and the business of its subsidiaries in the ordinary course and hashave agreed to certain other operating covenants, as set forth more fully in the UHG Agreement.
On March 24, 2021, the Company and UnitedHealth Group each received a request for additional information and documentary materials (collectively, the “Second Request”) from the U.S. Department of Justice (the “DOJ”) in connection with the DOJ’s review of the UHG Transaction. The effect of the Second Request is to extend the waiting period imposed under the HSR Act until the 30th day after substantial compliance by the Company also hasand UnitedHealth Group with the Second Request (or such other date upon which substantial compliance is considered effective), unless the waiting period is terminated earlier by the DOJ or extended by the parties to the UHG Transaction. On August 7, 2021, the parties entered into a timing agreement (the “Timing Agreement”) with the DOJ pursuant to which they agreed not to solicit alternative acquisition proposals but may, under certain circumstances, engage in negotiations with persons making alternative acquisition proposals and terminateconsummate the UHG Agreement to enter into an alternative acquisition agreement that constitutes a “superior proposal.”Transaction before 120 days following the date on which both parties certified substantial compliance with the Second Request.
The UHG Agreement contains certain termination rights for both UnitedHealth Group andBoth the Company and further provides that, upon termination ofUnitedHealth Group have now certified substantial compliance with the UHG Agreement under certain circumstances, including ifSecond Request. On November 1, 2021, the Company terminates the UHG Agreement to accept a superior proposal, or where our Board of Directors changes its recommendation in favor of the transaction and UnitedHealth Group subsequently terminatesentered into an amendment to the UHGTiming Agreement duewith the DOJ pursuant to which they agreed not to consummate the Merger before 12:01 a.m. Eastern Time on February 22, 2022 (subject to extension in certain limited circumstances relating to the potential unavailability of certain requested data), unless they have received written notice from the DOJ prior to such change of recommendation,date that the Company may be requiredDOJ has closed its investigation. The parties have been working cooperatively with the DOJ and will continue to pay UnitedHealth Group a termination fee of $300.0 million.do so.
Term Loan RepaymentsRepayment
In the third quarter of fiscal year 2021, we repaid an additional $215.0 million and recognized a loss on extinguishment of $6.1 million in our consolidated statement of operations. In the second quarter of fiscal year 2021,2022, we repaid $50.0$100 million on our Term Loan Facility and recognized a loss on extinguishment of $1.5$2.2 million in our consolidated statement of operations. See Note 11, Long-TermDebt, for additional information.
Capacity Management
In December 2020, we completed the sale of our Capacity Management business, which was included in our Software and Analytics segment, for total consideration of $67.5 million, subject to a customary working capital adjustment. In connection with this transaction, we recognized a pre-tax gain on disposal of $32.7 million. See Note 5, Dispositions for additional information.
Nucleus.io
In August 2020, we completed the acquisition of Nucleus.io, a leader in the development of advanced, fully enabled, cloud-native imaging and workflow technology. We acquired Nucleus.io for total consideration of $35.1 million and accounted for the acquisition as a business combination. See Note 4, Business Combinations for additional information.
Senior Credit Facilities
In June 2020, we repaid our outstanding Revolving Facility balance of $250.0 million. See Note 11, Long-TermDebt, for additional information.
PDX, Inc.
In June 2020, we completed the purchase of PDX, Inc. (“PDX”), a company focused on delivering patient centric and innovative technologies for pharmacies and health systems. We acquired 100% of the ownership interest for a purchase price of $208.0 million and accounted for this transaction as a business combination. See Note 4, Business Combinations for additional information.
eRx Network Holdings, Inc.
In May 2020, we exercised our option to purchase and completed the acquisition of eRx Network Holdings, Inc. (“eRx”), a leading provider in comprehensive, innovative and secure data-driven solutions for pharmacies. We acquired 100% of the ownership interest for $212.9 million plus cash on the balance sheet and accounted for this transaction as a business combination. See Note 4, Business Combinations for additional information.
Connected Analytics
In May 2020, we completed the sale of our Connected Analytics business, which was included in our Software and Analytics segment, for total consideration of $55.0 million, subject to a customary working capital adjustment, including a $25.0 million note receivable from the buyer. In connection with this transaction, we recognized a pre-tax gain on disposal of $24.2 million. In July 2020, we received $25.0 million plus interest from the buyer in satisfaction of the outstanding note receivable. See Note 5, Dispositions for additional information.
Senior Notes Issuance
In April 2020, we issued $325.0 million aggregate principal amount of 5.75% Senior Notes due 2025 (the “Notes”). The Notes were issued as part of the same series as the $1,000.0 million Senior Notes issued in February 2017. See Note 11, Long-TermDebt, for additional information.
Key Components of Our Results of Operations
Prior to the Merger described below, the Company had minimal operations outside of the investment in the Joint Venture, and the Company’s standalone operating results were not utilized by management to make operating decisions, assess performance, or allocate resources. As such, the prior period did not include meaningful operating results and only a single reportable segment for the three and nine months ended December 31, 2019.
Qualified McKesson Exit
Prior to the Merger, we accounted for our investment in the Joint Venture using the equity method of accounting. Subsequent to the Merger, we own 100% of the Joint Venture and consolidate its results of operations. As a result, our consolidated results in periods prior to the Merger are not comparable to our results following the Merger.
Change Healthcare Inc.We accounted for the Merger as a business combination achieved in stages in accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 805, Business Combinations(“ASC 805”).
As a result of the accounting for these transactionsthis transaction and the change in basis of accounting, our consolidated results in periods following the Merger are not comparablereflect fair value adjustments to the consolidated results of the Joint Venture in periods prior to the Merger. The following are certain of the more significant changes resulting from the Merger that affect the comparability of financial resultsvarious assets and operations:
Increased tangibleliabilities, including deferred revenue, goodwill, and intangible assets resulting from adjusting the basis of the assets to their fair value, which also results in increased depreciation and amortization expense.
Decrease in long-term debt as a result of adjustments to state the long-term debt at its fair value.
Decreased deferred revenue as a result of recognizing deferred revenue only to the extent that contractual obligations remain to be fulfilled. These decreases result in decreased solutions revenue.
Income previously attributable to the Joint Venture and not subject to U.S. federal income taxes and most state and local income taxes is now subject to such taxes, resulting in an increase in Change Healthcare Inc.’s effective tax rate compared with the historical effective tax rate of the Joint Venture.
Segments
We report our financial results in the following three reportable segments: Software and Analytics, Network Solutions and Technology-Enabled Services.
•The Software and Analytics segment provides solutions for revenue cycle management, provider network management,
payment accuracy, value-based payments, clinical decision support, consumer engagement, risk adjustment and quality performance, and imaging and clinical workflow.
•The Network Solutions segment provides solutions for financial, administrative, clinical and pharmacy transactions, electronic payments and aggregation and analytics of clinical and financial data.
•The Technology-Enabled Services segment provides solutions for financial and administrative management, value-based care, communication and payment, pharmacy benefits administration and healthcare consulting.
During the first quarter of fiscal year 2021, management decided to allocate all administrative and certain other corporate expenses to the respective reportable segments. Prior to the Merger, the Company had minimal operations outside of the investment in the Joint Venture, and the Company’s standalone operating results were not utilized by management to make operating decisions, assess performance, or allocate resources. As such, the Company reported its results as a single reportable segment for the three and nine months ended December 31, 2019. For reference, the financial results of the Joint Venture’s reportable segments for fiscal years 2019 and 2020 have been recast to reflect the allocation of administrative and corporate expenses described above and are included in Exhibit 99.1.
Factors Affecting Results of Operations
The following are certain key factors that affect, will affect, or have recently affected, our results of operations:
Macroeconomic and Industry Trends
TheWhile conditions have improved since the onset of the COVID-19 pandemic, the spread of COVID-19 both globally and in the U.S., has driven lower healthcare utilization as a result of the significant reduction in, or in some cases temporary elimination of, elective medical procedures and healthcare visits, without a corresponding increase in COVID-19 related transactions. A portion of our business is tied to overall volume of activity in the healthcare system, and therefore, we have been adversely impacted by this industry trend. Further, weakened economic conditions or a recession could reduce the amounts patients are willing or able to spend on healthcare services. As a result, patients may elect to delay or forgo seeking healthcare services. Additionally, higher unemployment rates comparedcontinue to be higher than prior to the prior fiscal year are likely to causeonset of the COVID-19 pandemic, which has caused commercial payer membership to decline and continuecontinues to impact healthcare utilization and transaction volumes.
In response to COVID-19, we initiated a number of actions with our employees’ health being our first priority. We also focused on serving our customers and introducing new products and services to address their previously unexpected but now urgent needs related to COVID-19. To ensure our business continuity While the availability of approved COVID-19 vaccines and their impact on the safety and welfare of our team members, we moved the majority of our employees to work from home, shifted to a virtual meeting environment, suspended all non-critical business travel, and expanded telehealth and COVID-19 related paid time off coverage to all employees. We also completed a comprehensive review of our cost structure to balance costs with interim variability in our revenue and have actively aligned our staffing level, primarily in our Technology-Enabled Services segment to address lower interim volume. Starting in March 2020, we initiated hiring freezes, began contractor reductions and made other staffing reductions, primarily in the form of furloughs to provide us with greater flexibility to scale back up as volumes recover. We have also evaluated our real estate portfolio, closing or right-sizing certain office locations as we plan for an increased number of our employees to continue to work from home. These actions somewhat offset the negative impacts of COVID-19 described above in the first nine months of fiscal year 2021, and we expect to continue to see the impact of these actions throughout the remainder of the fiscal year.
While lower healthcare utilization will impact our results negatively this year,economy has been encouraging, we cannot predict the length of time it may take for normal healthcare volumes to return and the extent to which our business, results of operations, financial condition or liquidity will ultimately be impacted by COVID-19. However, we continue to assess its impact on our business and are actively managing our response as the pandemic evolves. We believe the solutions we provide our customers will be as important, if not more, post-COVID-19.
Acquisitions and Divestitures
Prior to entering into the UHG Agreement, we actively evaluated opportunities to improve and expand our business through targeted acquisitions that are consistent with our strategy. WhileAs the UHG Agreement does not prohibit us from engaging in allplaces certain restrictions on the types of acquisitions we can engage in without UnitedHealth Group’s consent, we anticipate such activity to be more limited prior to the expected closing of the transaction.UHG Transaction. On occasion, and consistent withsubject to the restrictions set forth in the UHG Agreement, we may also dispose of certain components of our business that no longer fit within our overall strategy. Because of the acquisition and divestiture activity as well as the shifting revenue mix of our business due to this activity, our results of operations may not be directly comparable among periods. See Note 4, Business Combinations, and Note 5, Dispositions, for details of recent activity.
Results of Operations
Three and Nine Months Ended December 31,September 30, 2021 Compared to Three Months Ended September 30, 2020
(amounts in millions) (1) | Three Months Ended December 31, 2020 | Nine Months Ended December 31, 2020 | ||||||
Revenue | ||||||||
Solutions revenue | $ | 735.3 | $ | 2,089.6 | ||||
Postage revenue | 49.9 | 145.7 | ||||||
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Total revenue | 785.1 | 2,235.3 | ||||||
Operating expenses | ||||||||
Cost of operations (exclusive of depreciation and amortization below) | $ | 332.4 | $ | 977.6 | ||||
Research and development | 58.3 | 168.1 | ||||||
Sales, marketing, general and administrative | 162.0 | 499.0 | ||||||
Customer postage | 49.9 | 145.7 | ||||||
Depreciation and amortization | 151.1 | 436.6 | ||||||
Accretion and changes in estimate with related parties, net | 1.0 | 10.4 | ||||||
Gain on sale of businesses | (32.2 | ) | (60.5 | ) | ||||
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Total operating expenses | $ | 722.4 | $ | 2,176.9 | ||||
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Operating income (loss) | $ | 62.7 | $ | 58.4 | ||||
Non-operating (income) expense | ||||||||
Interest expense, net | 61.4 | 185.7 | ||||||
Contingent consideration | — | (3.0 | ) | |||||
Loss on extinguishment of debt | 6.1 | 7.6 | ||||||
Other, net | (2.5 | ) | (1.4 | ) | ||||
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Total non-operating (income) expense | $ | 65.1 | $ | 188.9 | ||||
Income (loss) before income tax provision (benefit) | (2.4 | ) | (130.5 | ) | ||||
Income tax provision (benefit) | (4.6 | ) | (31.4 | ) | ||||
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Net income (loss) | $ | 2.2 | $ | (99.1 | ) | |||
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Revenue
Three Months Ended September 30, | $ | % | ||||||||||
(amounts in millions) (1) | 2021 | 2020 | Change | Change | ||||||||
Revenue | ||||||||||||
Solutions revenue | $ | 774.2 | $ | 705.9 | $ | 68.3 | 9.7 | % | ||||
Postage revenue | 52.6 | 50.0 | 2.6 | 5.1 | % | |||||||
Total revenue | 826.8 | 755.9 | 70.9 | 9.4 | % | |||||||
Operating expenses | ||||||||||||
Cost of operations (exclusive of depreciation and amortization below) | $ | 346.6 | $ | 326.7 | $ | 19.9 | 6.1 | % | ||||
Research and development | 67.1 | 54.1 | 13.0 | 24.0 | % | |||||||
Sales, marketing, general and administrative | 183.0 | 171.6 | 11.4 | 6.7 | % | |||||||
Customer postage | 52.6 | 50.0 | 2.6 | 5.1 | % | |||||||
Depreciation and amortization | 163.5 | 146.9 | 16.6 | 11.3 | % | |||||||
Accretion and changes in estimate with related parties, net | 2.9 | 3.6 | (0.7) | (20.3) | % | |||||||
Gain on sale of businesses | — | (0.2) | 0.2 | NMF | ||||||||
Total operating expenses | $ | 815.6 | $ | 752.6 | $ | 63.0 | 8.4 | % | ||||
Operating income (loss) | $ | 11.1 | $ | 3.3 | $ | 7.8 | 237.3 | % | ||||
Non-operating (income) expense | ||||||||||||
Interest expense, net | 59.5 | 61.6 | (2.1) | (3.5) | % | |||||||
Loss on extinguishment of debt | 2.2 | 1.5 | 0.7 | 48.8 | % | |||||||
Other, net | 2.6 | (3.8) | 6.4 | NMF | ||||||||
Total non-operating (income) expense | $ | 64.3 | $ | 59.4 | $ | 4.9 | 8.2 | % | ||||
Income (loss) before income tax provision (benefit) | (53.2) | (56.0) | 2.8 | (5.1) | % | |||||||
Income tax provision (benefit) | (16.7) | (13.4) | (3.3) | NMF | ||||||||
Net income (loss) | $ | (36.4) | $ | (42.6) | $ | 6.2 | (14.5) | % |
(1)As a result of displaying amounts in millions, rounding differences may exist in the table above.
Revenue
Solutions revenue
Solutions revenue was $735.3 million and $2,089.6increased $68.3 million for the three and nine months ended December 31, 2020, respectively.September 30, 2021, compared with the same period in the prior year. Factors affecting solutions revenue are described in the various segment discussions below.
Postage revenue
Postage revenue was $49.9increased $2.6 million and $145.7 million for the three and nine months ended December 31, 2020, respectively. September 30, 2021, compared with the same period in the prior year. See “Customer Postage”postage” below for additional information.
Operating Expenses
Cost of operations (exclusive of depreciation and amortization)
Cost of operations was $332.4 million and $977.6increased $19.9 million for the three and nine months ended December 31, 2020, respectively. Cost of operations reflects lower staffing and materials costs associatedSeptember 30, 2021, compared with decreased utilization as a result of COVID-19, partially offset by incremental costs associated with recent acquisitions.the same period in the prior year. The increase is primarily attributable to revenue-related expenses.
Research and development
Research and development expense was $58.3 million and $168.1increased $13.0 million for the three and nine months ended December 31, 2020, respectively. Research and development expense includes incremental costs associatedSeptember 30, 2021, compared with recent acquisitions partially offset by deferred hiring and other related costs impacted by COVID-19.the same period in the prior year. The increase is primarily attributable to investments in product development.
Sales, marketing, general and administrative
Sales, marketing, general and administrative expense was $162.0increased $11.4 million and $499.0 million for the three and nine months ended December 31, 2020, respectively. Sales, marketing, general and administrative expense for the three months ended December 31, 2020 reflects lower costsSeptember 30, 2021, compared with the same period in the prior year, which is primarily attributable to legal fees related to operational efficiencies and productivity. Sales, marketing, general and administrative expense for the nine months ended December 31, 2020 primarily reflects lower costs related to reduced healthcare benefits and deferred hiring as a result of COVID-19 as well as operational efficiencies and productivity.
Customer postage
Customer postage was $49.9 million and $145.7increased $2.6 million for the three and nine months ended December 31, 2020, respectively.September 30, 2021, compared with the same period in the prior year. Customer postage is affected by changesincreases in print volumespostage rates within communication and payment solutions. Because customer postage is a pass-through cost to our customers, changes in volume of customer postage generally have no effect on operating income.
Depreciation and amortization
Depreciation and amortization expense was $151.1 million and $436.6increased $16.6 million for the three and nine months ended December 31, 2020, respectively. September 30, 2021, compared with the same period in the prior year. Depreciation and amortization were generally affected by routine amortization of tangible and intangible assets existing at March 31, 2020 which was impacted by fair value adjustments resulting from the Merger,2021, as well as the routine amortization and depreciation of additions to property, equipment, software and intangible assets since that date.
AccretionNon-Operating Income and changes in estimate with related parties,Expense
Interest expense, net
Accretion and changes in estimate with related parties,Interest expense, net was $1.0 million and $10.4decreased $2.1 million for the three and nine months ended December 31, 2020, respectively. Accretion is routinely affected by changesSeptember 30, 2021, compared with the same period in the expected timing or amount of cash flows which may result from various factors, including changesprior year. This decrease is primarily attributable to reductions in taxour average long-term debt outstanding and lower interest rates.
Gain on sale of businesses
Gain on sale of businesses was $32.2 million and $60.5 million for the three and nine months ended December 31, 2020, respectively, which primarily represents the gain recorded as a result of the sales of Connected Analytics in May 2020 and Capacity Management in December 2020.
Non-Operating Income and Expense
Interest expense, net
Interest expense, net was $61.4 million and $185.7 million for the three and nine months ended December 31, 2020, respectively. We While we have interest rate cap agreements in place to limit our exposure to rising interest rates, and such agreements, together with our fixed rate notes, effectively fixed interest rates for approximately 79%81% of our total indebtedness at December 31, 2020.September 30, 2021.
Contingent consideration
Contingent consideration reflects changes in the fair value of our earnout obligation to the former owners of an acquired business. The earnout obligation ended as of December 31, 2020, and the contingent consideration liability has been reduced to zero.
Loss on extinguishment of debt
Loss on extinguishment of debt was $6.1 million and $7.6 million for the three and nine months ended December 31, 2020, respectively, which is related to the write-off of unamortized discounts associated with repayments of our Term Loan Facility.
Other, net
Other, net primarily reflects mark to market adjustments on our investments.
Income Taxes
Our effective tax rate for the three and nine months ended December 31, 2020September 30, 2021 was 192.8% and 24.1%, respectively.31.5% compared to 23.9% for the three months ended September 30, 2020. Fluctuations in our reported income tax rates from the statutory rate are primarily due to the impacts of our acquisitionequity compensation, transaction costs, and divestiture activity, benefits recognized as a result offor certain incentive tax credits resulting from research and experimental expenditures and discrete items.in the three months ended September 30, 2021.
Solutions Revenue and Adjusted EBITDA
Three Months Ended | Nine Months Ended | Three Months Ended September 30, | $ | % | ||||||||||||||||
(amounts in millions) (1) | December 31, 2020 | December 31, 2020 | 2021 | 2020 | Change | Change | ||||||||||||||
Solutions revenue (2) | ||||||||||||||||||||
Software and Analytics | $ | 372.2 | $ | 1,118.7 | $ | 363.4 | $ | 354.9 | $ | 8.5 | 2.4 | % | ||||||||
Network Solutions | $ | 192.6 | $ | 519.5 | $ | 215.6 | $ | 184.1 | $ | 31.5 | 17.1 | % | ||||||||
Technology-Enabled Services | $ | 222.5 | $ | 642.0 | $ | 231.9 | $ | 231.8 | $ | 0.1 | 0.1 | % | ||||||||
Adjusted EBITDA | ||||||||||||||||||||
Software and Analytics | $ | 120.8 | $ | 382.1 | $ | 112.3 | $ | 117.4 | $ | (5.1) | (4.3) | % | ||||||||
Network Solutions | $ | 103.8 | $ | 268.9 | $ | 113.0 | $ | 94.5 | $ | 18.5 | 19.6 | % | ||||||||
Technology-Enabled Services | $ | 8.8 | $ | 11.2 | $ | 21.2 | $ | 19.9 | $ | 1.3 | 6.3 | % |
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(2)Includes inter-segment revenue and excludes deferred revenue purchase accounting adjustments resulting from the Merger.
Software and Analytics
Software and Analytics revenue increased $8.5 million for the three and nine months ended December 31, 2020 reflectsSeptember 30, 2021, compared with the negative impact of COVID-19same period in the prior year. Software and Analytics revenue was positively impacted by volume recovery from COVID-19 related volume declines in the impact of the Connected Analytics and Capacity Management divestitures. The Connected Analytics and Capacity Management divestures had a combinedprior period as well as organic revenue impact for the three and nine months ended December 31, 2020 of $17.3 million and $46.0 million, respectively. This negative impactgrowth, which was partially offset by new sales and organicthe Capacity Management divestiture which had a revenue growth. impact of $6.0 million.
Software and Analytics adjusted EBITDA decreased $5.1 million for the three and nine months ended December 31, 2020September 30, 2021, compared with the same period in the prior year. This decrease in adjusted EBITDA primarily reflects the impact of the Capacity Management divestiture and increased product investment, partially offset by the aforementioned revenue growth.
Network Solutions
Network Solutions revenue increased $31.5 million for the three months ended September 30, 2021, compared with the same period in the prior year. Network Solutions revenue was positively impacted by volume recovery and incremental revenue from COVID-19 vaccines and new sales.
Network Solutions adjusted EBITDA increased $18.5 million for the three months ended September 30, 2021, compared with the same period in the prior year. Network Solutions adjusted EBITDA was impacted by the same factors that impacted revenue, and continued productivity and synergy realization.
Network Solutions
Network Solutions revenue for the three months ended December 31, 2020 reflects the impacts of the eRx and PDX acquisitions, which had a combined impact of $35.3 million, as well as new sales. For the nine months ended December 31, 2020, Network Solutions revenue was impacted by the same factors that impacted the three months ended December 31, 2020, including a combined revenue impact of $85.2 million from the eRx and PDX acquisitions, partially offset by lower utilization due to COVID-19. Network Solutions adjusted EBITDA for the three and nine months ended December 31, 2020 was impacted by the same factors that impacted revenue as well as investments to support new product launches and market expansion opportunities in the core network data solutions, and business to business payments.payments offerings.
Technology-Enabled Services
Technology-Enabled Services revenue increased $0.1 million for the three and nine months ended December 31, 2020, reflects lower volume, driven bySeptember 30, 2021 as compared with the impact of COVID-19 and customer attrition, partially offsetsame period in the prior year. Technology-Enabled Services revenue was impacted by new sales and organic revenue growth. volume recovery from COVID-19 related volume declines in the prior period, partially offset by customer attrition.
Technology-Enabled Services adjusted EBITDA increased $1.3 million for the three and nine months ended December 31, 2020September 30, 2021 as compared with the same period in the prior year. Technology-Enabled Services adjusted EBITDA was impacted by the same factors that impacted revenue andas well as the continued productivity.optimization of our cost structure.
Six Months Ended December 31, 2019September 30, 2021 Compared to Six Months Ended September 30, 2020
(amounts in millions) (1) | Three Months Ended December 31, 2019 | Nine Months Ended December 31, 2019 | ||||||
Total revenue | $ | — | $ | — | ||||
Operating expenses | ||||||||
Sales, marketing, general and administrative | $ | 1.1 | $ | 2.5 | ||||
Accretion and changes in estimate with related parties, net | (1.2 | ) | 47.2 | |||||
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Total operating expenses | $ | (0.1 | ) | $ | 49.7 | |||
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Operating income (loss) | $ | 0.1 | $ | (49.7 | ) | |||
Non-operating (income) expense | ||||||||
Loss from Equity Method Investment in the Joint Venture | 8.8 | 104.5 | ||||||
(Gain) loss on other investments | (74.1 | ) | (71.6 | ) | ||||
Other, net | (0.6 | ) | (1.2 | ) | ||||
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Total non-operating (income) and expense | $ | (65.9 | ) | $ | 31.6 | |||
Income (loss) before income tax provision (benefit) | 66.0 | (81.3 | ) | |||||
Income tax provision (benefit) | 15.2 | (0.6 | ) | |||||
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Net income (loss) | $ | 50.7 | $ | (80.7 | ) | |||
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Operating Expenses
Accretion and changes in estimate with related parties, net
For the threemonths ended December 31, 2019, the Company recorded a reduction in accretion expense of $1.2 million. Accretion and changes in estimate with related parties, net for the nine months ended December 31, 2019 was $47.2 million. These amounts reflect estimated tax payments to be paid to related parties for anticipated future tax savings allocated to the Company.
Non-Operating Income and Expense
Loss from Equity Method Investment in the Joint Venturetable above.
Prior to the Merger, loss from equity method investment in the Joint Venture generally represented our proportionate share of the income or loss from our investment in the Joint Venture, including basis adjustments related to amortization expense associated with equity method intangible assets, property and equipment, deferredRevenue
Solutions revenue and other items.
Loss from equity method investment in the Joint Venture was $8.8 million and $104.5Solutions revenue increased $236.6 million for the three and ninesix months ended December 31, 2019, respectively. The loss was discretely affected bySeptember 30, 2021, compared with the Joint Venture’s adoption of ASC 606 which drove $4.4 million of income and Change Healthcare Inc.’s adoption of ASU 2018-07, which resulted in $11.3 million of loss upon changessame period in the fair valueprior year. Factors affecting solutions revenue are described in the various segment discussions below.
Postage revenue
Postage revenue increased $8.0 million for the six months ended September 30, 2021, compared with the same period in the prior year. See “Customer postage” below for additional information.
Operating Expenses
Cost of its dividend receivable.operations (exclusive of depreciation and amortization)
(Gain) loss on other investments
(Gain) loss on other investments was $74.1 million and $71.6Cost of operations increased $53.5 million for the three and ninesix months ended DecemberSeptember 30, 2021, compared with the same period in the prior year. The increase is primarily attributable to $32.0 million of revenue-related expenses.
Research and development
Research and development expense increased $28.5 million for the six months ended September 30, 2021, compared with the same period in the prior year. The increase is primarily attributable to recent acquisitions and investments in product development.
Sales, marketing, general and administrative
Sales, marketing, general and administrative expense increased $23.9 million for the six months ended September 30, 2021, compared with the same period in the prior year, which is primarily attributable to equity compensation and legal fees related to the pending UHG Transaction.
Customer postage
Customer postage increased $8.0 million for the six months ended September 30, 2021, compared with the same period in the prior year. Customer postage is affected by changes in print volumes and increases in postage rates within communication and payment solutions. Because customer postage is a pass-through cost to our customers, changes in volume of customer postage generally have no effect on operating income.
Depreciation and amortization
Depreciation and amortization expense increased $46.3 million for the six months ended September 30, 2021, compared with the same period in the prior year. Depreciation and amortization were generally affected by routine amortization of tangible and intangible assets existing at March 31, 2019, respectively.2021, as well as the routine amortization and depreciation of additions to property, equipment, software and intangible assets since that date.
Gain on sale of businesses
Gain on sale of businesses decreased $28.3 million for the six months ended September 30, 2021, compared with the same period in the prior year. This amount reflects gains recognizeddecrease is driven by a gain recorded as a result of the sale of Connected Analytics in May 2020, whereas there was no disposition activity during the six months ended September 30, 2021.
Non-Operating Income and Expense
Interest expense, net
Interest expense, net decreased $5.4 million for the six months ended September 30, 2021, compared with the same period in the prior year. This decrease is primarily attributable to reductions in our average long-term debt outstanding and lower interest rates. While we have interest rate cap agreements in place to limit our exposure to rising interest rates, such agreements, together with our fixed rate notes, effectively fixed interest rates for approximately 81% of our total indebtedness at September 30, 2021.
Other, net
Other, net primarily reflects mark to market adjustments on equity securities.our investments.
Income Taxes
Our effective tax rate for the three and ninesix months ended December 31, 2019September 30, 2021 was 23.1% and 0.7%, respectively.38.6% compared to 23.9% for the six months ended September 30, 2020. Fluctuations in our reported income tax rates from the statutory rate are primarily due to the impacts of equity compensation, transaction costs, and benefits recognized as a result offor certain incentive tax credits resulting from research and experimental expenditures and discrete items recognized in the quarters.six months ended September 30, 2021, and our acquisition and divestiture activity in the six months ended September 30, 2020.
Six Months Ended September 30, | $ | % | ||||||||||
(amounts in millions) (1) | 2021 | 2020 | Change | Change | ||||||||
Solutions revenue (2) | ||||||||||||
Software and Analytics | $ | 783.7 | $ | 746.4 | $ | 37.3 | 5.0 | % | ||||
Network Solutions | $ | 425.1 | $ | 326.9 | $ | 98.2 | 30.0 | % | ||||
Technology-Enabled Services | $ | 457.5 | $ | 419.5 | $ | 38.0 | 9.0 | % | ||||
Adjusted EBITDA | ||||||||||||
Software and Analytics | $ | 272.7 | $ | 261.3 | $ | 11.4 | 4.4 | % | ||||
Network Solutions | $ | 222.5 | $ | 165.0 | $ | 57.5 | 34.8 | % | ||||
Technology-Enabled Services | $ | 34.0 | $ | 2.4 | $ | 31.6 | NMF |
(1)As a result of displaying amounts in millions, rounding differences may exist in the table above.
(2)Includes inter-segment revenue and excludes deferred revenue purchase accounting adjustments resulting from the Merger.
Software and Analytics
Software and Analytics revenue increased $37.3 million for the six months ended September 30, 2021, compared with the same period in the prior year. Software and Analytics revenue was positively impacted by volume recovery from COVID-19 related volume declines in the prior period as well as organic revenue growth, which was partially offset by the Connected Analytics and Capacity Management divestitures which had a combined revenue impact of $21.3 million.
Software and Analytics adjusted EBITDA increased $11.4 million for the six months ended September 30, 2021, compared with the same period in the prior year. This increase in adjusted EBITDA reflects the aforementioned revenue growth partially offset by the impact of the divestitures.
Network Solutions
Network Solutions revenue increased $98.2 million for the six months ended September 30, 2021, compared with the same period in the prior year. Network Solutions revenue was positively impacted by volume recovery from COVID-19 related volume declines in the prior period, COVID-19 vaccine volume as well as new sales and the impacts of the eRx and PDX acquisitions which had a combined impact of $21.6 million, reflecting a full quarter in the first quarter versus a partial first quarter in the prior year.
Network Solutions adjusted EBITDA increased $57.5 million for the six months ended September 30, 2021, compared with the same period in the prior year. Network Solutions adjusted EBITDA was impacted by the same factors that impacted revenue, partially offset by investments to support new product launches and market expansion opportunities primarily in the core network and business to business payments offerings.
Technology-Enabled Services
Technology-Enabled Services revenue increased $38.0 million for the six months ended September 30, 2021 as compared with the same period in the prior year. Technology-Enabled Services revenue was positively impacted by volume recovery from COVID-19 related volume declines in the prior period and new sales, partially offset by customer attrition.
Technology-Enabled Services adjusted EBITDA increased $31.6 million for the six months ended September 30, 2021 as compared with the same period in the prior year. Technology-Enabled Services adjusted EBITDA was impacted by the same factors that impacted revenue as well as the optimization of our cost structure.
Significant Changes in Assets and Liabilities
DuringIn addition to the $100 million repayment on our Term Loan Facility made during the first ninesix months of fiscal year 2021,2022, we completed a debt offering of $325.0 million, repaid $250.0 million that was outstanding on our Revolving Facility, and repaid $265.0 million on our Term Loan Facility. Further, we adopted ASC 842, establishing operating lease right-of-use assets and operating liabilities. As a result of the eRx acquisition, our investment in business purchase option was eliminated and we recognized the assets and liabilities of the acquired eRx and PDX businesses at fair value. Finally, goodwill increased primarily as a result of the acquisitions of eRx and PDX, partially offset by the dispositions of Connected Analytics and Capacity Management.
Withinregularly receive funds within our Network Solutions segment we regularly receive funds from certain pharmaceutical industry participants in advance of itsour obligation to remit these funds to participating retail pharmacies. Such funds are not restricted; however, these funds are generally paid out in satisfaction of the processing obligations within three business days of their receipt. At the time of receipt, we record a corresponding liability within accrued expenses on our consolidated balance sheets. At December 31, 2020,September 30, 2021, we reported $19.0$20.7 million of such pass-through payment obligations which were subsequently paid in the first week of JanuaryOctober 2021. At March 31, 2020,2021, we reported $29.1$16.2 million of such pass-through payment obligations.
Liquidity and Capital Resources
Overview
Our principal sources of liquidity are cash flows provided by operating activities, cash and cash equivalents on hand, and our Revolving Facility. Our principal uses of liquidity are working capital, capital expenditures, debt service, business acquisitions and other general corporate purposes. Pursuant to the UHG Agreement, with UnitedHealth Group, however, there are limitations on how we conduct our business during the period from the signing of the UHG Agreement through the close of the transaction, including limitations on our ability to, among other things, engage in certain acquisitions or incur indebtedness or issue or sell new debt securities.indebtedness. We anticipate our cash on hand, cash generated from operations, and funds available under the Revolving Facility will be sufficient to fund our planned capital expenditures, debt service obligations, permitted business acquisitions and operating needs. Further, we may be required to make additional principal payments on the Term Loan Facility based on excess cash flows of the prior year, as defined in the credit agreement governing the Term Loan Facility.
Cash and cash equivalents totaled $137.4$80.4 million and $410.4$113.1 million at December 31, 2020September 30, 2021 and March 31, 2020,2021, respectively, of which $15.1$17.1 million and $22.2$27.7 million was held outside the U.S., respectively. As of December 31, 2020,September 30, 2021, no amounts had been drawn under the Revolving Facility and $6.2$6.1 million had been issued in letters of credit against the Revolving Facility, leaving $778.8$778.9 million available for borrowing. We also have the ability to borrow up to an additional $1,105.1$1,736.7 million, or such amount that the senior secured net leverage ratio does not exceed 4.9 to 1.0, whichever is greater, under the Term Loan Facility, subject to certain additional conditions including the UHG Agreement and commitments by existing or new lenders to fund any additional borrowings.
Cash Flows
Nine Months Ended December 31, 2020
The following table summarizes the net cash flow from operating, investing and financing activities:
Nine Months Ended | ||||
(amounts in millions) (1) | December 31, 2020 | |||
Cash provided by (used in) operating activities | $ | 487.2 | ||
Cash provided by (used in) investing activities | (504.2 | ) | ||
Cash provided by (used in) financing activities | (259.5 | ) | ||
Effects of exchange rate changes on cash and cash equivalents | 3.4 | |||
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Net change in cash and cash equivalents | $ | (273.0 | ) | |
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Six Months Ended | Six Months Ended | $ | % | ||||||||||
(amounts in millions) (1) | September 30, 2021 | September 30, 2020 | Change | Change | |||||||||
Cash provided by (used in) operating activities | $ | 261.4 | $ | 296.6 | $ | (35.2) | (11.9) | % | |||||
Cash provided by (used in) investing activities | (127.8) | (510.4) | 382.6 | (75.0) | % | ||||||||
Cash provided by (used in) financing activities | (166.3) | (31.7) | (134.6) | 424.6 | % | ||||||||
Effects of exchange rate changes on cash and cash equivalents | 0.1 | 2.7 | (2.6) | (96.3) | % | ||||||||
Net change in cash and cash equivalents | $ | (32.6) | $ | (242.9) | $ | 210.3 | (86.6) | % |
(1)As a result of displaying amounts in millions, rounding differences may exist in the table above.
Operating Activities
Cash provided by operating activities is primarily affected by operating income, including the impact of debt service payments, integration relatedintegration-related costs and the timing of collections and related disbursements. Cash provided by operating activities includes $10.1$4.4 million asrelated to pass-through funds for the six months ended September 30, 2021, and includes a $1.4 million use of cash related to pass-through funds for the ninesix months ended December 31,September 30, 2020.
Investing Activities
Cash used in investing activities reflects primarily the eRx, PDX and Nucleus.io acquisitions partially offset by the sales of the Connected Analytics and Capacity Management businesses that occurred during the nine months ended December 31, 2020. Cash used in investing activities also reflects routine capital expenditures related to purchasepurchases of property and equipment and the development of software as well as expenditures related to significant software development efforts necessary to integratesoftware. For the contributed businesses.six months ended September 30, 2020, cash used in investing activities also reflects the eRx and PDX acquisitions partially offset by the sale of the Connected Analytics business.
Financing Activities
Cash used in financing activities reflects the repayment of the Revolving Facility and payment made onpayments under the Term Loan Facility, tax receivable agreements, interest rate cap agreements, deferred financing obligations, employee tax withholdings on vesting of equity awards, and tangible equity unit agreements partially offset by proceeds from the exercise of equity awards. Cash provided by financing activities in the prior year reflects the issuance of additional Senior Notes during the ninesix months ended December 31, 2020. Additional cash used in financing activities reflects payments under tax receivable agreements, interest rate cap agreements, employee tax withholdings on vestingSeptember 30, 2020 partially offset by the repayment of equity awards, deferred financing obligations and TEU agreements.
Nine Months Ended December 31, 2019
The following table summarizes the net cash flow from operating, investing and financing activities:
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Investing Activities
Cash used in investing activitiesRevolving Facility during the ninesix months ended December 31, 2019, reflects the incremental investment in the Joint Venture upon the Company’s initial public offering.September 30, 2020.
Financing Activities
Cash provided by financing activities during the nine months ended December 31, 2019, was primarily impacted by the proceeds from the initial public offering.
Capital Expenditures
We incur capital expenditures to grow our business by developing new and enhanced capabilities, to increase the effectiveness and efficiency of the organization and to reduce risks. Additionally, we incur capital expenditures for product development, disaster recovery, security enhancements, regulatory compliance and the replacement and upgrade of existing equipment at the end of its useful life.
Debt
Senior Credit Facilities and Senior Notes
In March 2017, the Joint Venture entered into a $5,100.0 million term loan facility (the “TermTerm Loan Facility”),Facility and a $500.0 million revolving credit facility (the “Revolving Facility”, together with the Term Loan Facility, the “Senior Credit Facilities”).Revolving Facility. Additionally, the Joint Venture issued Senior Notes totaling $1,000.0 million of 5.75% senior notes due 2025 (the “Senior Notes”).
million. In July 2019, the Joint Venture amended the Revolving Facility, the primary effects of which were to increase the maximum amount that can be borrowed from $500.0 million to $785.0 million and to extend the maturity date until July 2024. In the event the outstanding balance under the Term Loan Facility exceeds $1,100.0 million on December 1, 2023, amounts due, if any, under the Revolving Facility become due and payable on December 1, 2023.
On April 21, 2020, we issued $325.0 million aggregate principal amount of 5.75% Senior Notes due 2025 (the “Notes”). The Senior Notes were issued as part of the same series as the $1,000.0 million Senior Notes issued in February 2017.
In September 2020,second quarter of fiscal year 2022, we repaid $50.0 million on our Term Loan Facility and recognized a loss on extinguishment of $1.5 million. In October 2020, we repaid an additional $75.0$100 million on our Term Loan Facility and recognized a loss on extinguishment of $2.2 million. In November 2020, we repaid an additional $100.0 million on our Term Loan Facility and recognized a loss on extinguishment of $2.8 million. In December 2020, we repaid an additional $40.0 million on our Term Loan Facility and recognized a loss on extinguishment of $1.1 million.
Tangible Equity Units
In connection with our initial public offering in July 2019, we completed an offering of 5,750,000 TEUs. Each TEU, which has a stated amount of $50.00, is comprised of a stock purchase contract and a senior amortizing note due June 30, 2022. Each senior amortizing note has an initial principal amount of $8.2378 and bears interest at 5.5% per year. On eachEach year on March 30, June 30, September 30 and December 30, we pay equal quarterly cash installments of $0.7500 per amortizing note with an aggregate principal
amount of $47.4 million. Each installment constitutes a payment of interest and partial payment of principal. Unless settled earlier, each purchase contract will automatically settle on June 30, 2022. Holders of TEUs may elect to early settle prior to June 30, 2022, in which case each purchase contract converts to 3.2051 shares of common stock. 779,325 TEUs were converted during the six months ended September 30, 2021.
Hedges
From time to time, we execute interest rate cap agreements with various counterparties that effectively cap our LIBOR exposure on a portion of our existing Term Loan Facility or similar replacement debt. The following table summarizes the terms of our interest rate cap agreements at December 31, 2020.September 30, 2021.
Receive LIBOR | Pay | ||||||||||
Effective Date | Expiration Date | Notional Amount | Exceeding(1) | Fixed Rate | |||||||
August 31, 2018 | December 31, 2021 | $ | 600,000,000 | 1.00 | % | 1.82 | % | ||||
August 31, 2018 | December 31, 2021 | $ | 900,000,000 | 1.00 | % | 1.82 | % | ||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | ||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | ||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | ||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.19 | % | ||||
(1)All based on 1-month LIBOR.
Receive LIBOR | Pay | |||||||||||||
Effective Date | Expiration Date | Notional Amount | Exceeding(1) | Fixed Rate | ||||||||||
August 31, 2018 | December 31, 2021 | $ | 600,000,000 | 1.00 | % | 1.82 | % | |||||||
August 31, 2018 | December 31, 2021 | $ | 900,000,000 | 1.00 | % | 1.82 | % | |||||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | |||||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | |||||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.18 | % | |||||||
March 31, 2020 | March 31, 2024 | $ | 250,000,000 | 1.00 | % | 0.19 | % |
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The interest rate cap agreements are recorded on the balance sheet at fair value and changes in the fair value are recorded in other comprehensive income. The fair value of the interest rate caps isincome (loss). Amounts are reclassified from other comprehensive income (loss) to interest expense in the same period the interest expense on the underlying hedged debt impacts earnings. Any payments we receive to the extent LIBOR exceeds the specified cap rate isare also reclassified from other comprehensive income (loss) to interest expense in the period received.
LIBOR Transition
LIBOR is a commonly used indicative measure of the average interest rate at which major global banks could borrow from one another. In July 2017,On March 5, 2021, the Financial Conduct Authority (the “FCA”(“FCA”) (the authority that governs LIBOR) announced it intendsthat all LIBOR settings will either cease to stop compelling banks to submit rates forbe provided by any administrator or no longer be representative: (a) immediately after December 31, 2021, in the calculationcase of LIBORthe one week and two-month U.S. dollar settings and (b) immediately after 2021. On NovemberJune 30, 2020, ICE Benchmark Administration (“IBA”),2023, in the administratorcase of LIBOR, with the support of theremaining U.S. dollar settings. The United States Federal Reserve andhas also advised banks to cease entering into new contracts that use USD LIBOR as a reference rate. The Federal Reserve, in conjunction with the FCA, announced plansAlternative Reference Rate Committee, a committee convened by the Federal Reserve that includes major market participants, has identified the Secured Overnight Financing Rate, or SOFR, a new index calculated by short-term repurchase agreements, backed by Treasury securities, as its preferred alternative rate for LIBOR. At this time, it is not possible to consult on ceasing publication of LIBOR on December 31, 2021 for only the one week and two month LIBOR tenors, and on June 30, 2023 for allpredict how markets will respond to SOFR or other LIBOR tenors. While this announcement extendsalternative reference rates as the transition period to June 2023,away from the United States Federal Reserve concurrently issued a statement advising banks to stop new LIBOR issuances bybenchmarks is anticipated in coming years. Accordingly, the end of 2021. In lightoutcome of these recent announcements, the future of LIBOR at this timereforms is uncertain and any changes in the methods by which LIBOR is determined or regulatory activity related to LIBOR’s phaseout could cause LIBOR to perform differently than in the past or cease to exist. We have material contracts that are indexed to USD-LIBOR and are monitoring this activity and evaluating the related risks.
Effect of Certain Debt Covenants
A breach of any of the covenants under the agreements governing existing debt could limit our ability to borrow funds under the Term Loan Facility and could result in a default under the Term Loan Facility. Upon the occurrence of an event of default under the Term Loan Facility, the lenders could elect to declare all amounts then outstanding to be immediately due and payable, and the lenders could terminate all commitments to extend further credit. If we were unable to repay the amounts declared due, the lenders could proceed against any collateral granted to them to secure that indebtedness.
With certain exceptions, the Term Loan Facility obligations are secured by a first-priority security interest in substantially all of our assets. The Term Loan Facility contains various restrictions and nonfinancial covenants, along with a senior secured net leverage ratio test. The nonfinancial covenants include restrictions on dividends, investments, dispositions, future borrowings and other specified payments, as well as additional reporting and disclosure requirements. The senior secured net leverage test must be met as a condition to incur additional indebtedness, but otherwise is applicable only to the extent that amounts drawn exceed 35% of the Revolving Facility at the end of any fiscal quarter. As of December 31, 2020,September 30, 2021, we were in compliance with all debt covenants.
Our ability to meet liquidity needs depends on our subsidiaries’ earnings and cash flows, the terms of our indebtedness along with our subsidiaries’ indebtedness, and other contractual restrictions.
Cautionary Notice Regarding Forward-Looking Statements
This Quarterly Report contains “forward-looking statements” within the meaning of federal securities laws. Any statements
made in this Quarterly Report 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.
Although we believe that these forward-looking statements are based on reasonable assumptions, you should be aware that factors affecting our actual financial results could cause actual results to differ materially from those expressed in the forward-looking statements, including those described below.
Summary of Material Risks
Our actual results may differ significantly from any results expressed or implied by any forward-looking statements. A summary of the principal risk factors that make investing in us risky and might cause our actual results to differ is set forth below. The following is only a summary of the principal risks that may materially adversely affect our business, financial condition and results of operations. Factors that could materially affect our financial results or such forward-looking statements include, among others, the following factors:
various•the inability to complete the transactions contemplated by the UHG Transaction due to the failure to satisfy the conditions to the closingcompletion of the proposed transactionUHG Transaction, including that a governmental entity may prohibit, delay or refuse to grant approval for the consummation of the UHG Transaction;
•risks related to disruption of management’s attention from business operations due to the UHG Transaction;
•the effect of the announcement of the UHG Transaction on our relations with UnitedHealth Group mayour customers, operations results and business generally;
•the risk that the UHG Transaction will not be satisfiedconsummated in a timely manner, exceeding the expected costs of the UHG Transaction;
•the occurrence of any event, change or waived;
business disruptions fromother circumstances that could give rise to the proposed transaction may harm our business, including current plans and operations;
if we do not consummatetermination of the transaction, the price of our common stock may decline significantly from the current market price;UHG Agreement;
if the proposed merger is not completed, in certain circumstances, we could be required to pay a termination fee of $300.0 million to UnitedHealth Group;
our ability to retain or renew existing customers and attract new customers;
•macroeconomic and industry trends and adverse developments in the debt, consumer credit and financial services markets;
•uncertainty and risks related to the impact of the COVID-19 pandemic (including the rise of COVID-19 variant strains such as the Delta variant) on the national and global economy, our business, suppliers, customers, and employees;
•our ability to retain and recruit key management personnel and other talent (including while the UHG Transaction is pending and in light of our recently imposed COVID-19 vaccine mandate);
•our ability to retain or renew existing customers and attract new customers;
•our ability to connect a large number of payers and providers;
•our ability to provide competitive services and prices while maintaining our margins;
•further consolidation in our end-customer markets;
•our ability to effectively manage our costs;
•our ability to effectively develop and maintain relationships with our channel partners;
•our ability to timely develop new services and improve existing solutions;
•our ability to deliver services timely without interruption;
•a decline in transaction volume in the U.S. healthcare industry;
our ability to timely develop new services and the market’s willingness to adopt our new services;
•our ability to maintain our access to data sources;
•our ability to maintain the security and integrity of our data;
•our reliance on key management personnel;
•our ability to deliver services timely without interruption;
manage and expand our ability to make acquisitionsoperations and integrate the operations of acquired businesses;keep up with rapidly changing technologies;
government regulation and changes in the regulatory environment;
economic and political instability in the U.S. and international markets where we operate;
risks related to our international operations;
•the ability of our outside service providers and key vendors to fulfill their obligations to us;
•risks related to our international operations;
litigation or regulatory proceedings;
•our ability to protect and enforce our intellectual property, trade secrets and other forms of unpatented intellectual property;
•our ability to defend our intellectual property from infringement claims by third parties;
•government regulation and changes in the regulatory environment;
•changes in local, state, federal and international laws and regulations, including related to taxation;
our reliance on key management personnel;
our ability to manage•economic and expand our operationspolitical instability in the U.S. and keep up with rapidly changing technologies;international markets where we operate;
our adoption of new,•litigation or amendments to existing, accounting standards;regulatory proceedings;
•losses against which we do not insure;
•our ability to make acquisitions and integrate the operations of acquired businesses;
•our ability to make timely payments of principal and interest on our indebtedness;
•our ability to satisfy covenants in the agreements governing our indebtedness;
•our ability to maintain our liquidity;
•our adoption of new, or amendments to existing, accounting standards;
•the potential dilutive effect of future issuancesissuance of shares of our common stock;stock, par value $0.001 per share (our “common stock”); and
•the impact of anti-takeover provisions in our organizational documents and under Delaware law, which may discourage or delay acquisition attempts.
There may be other factors, many of which are beyond our control, that may cause our actual results to differ materially from the forward-looking statements, including factors disclosed in our Annual Report on Form 10-K for the fiscal year ended March 31, 20202021 in the section entitled “Risk Factors” and in the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in this report. You should evaluate all forward-looking statements made in this report and the other public statements we may make from time to time in the context of these risks and uncertainties.
Our forward-looking statements made herein speak only as of the date on which made. We expressly disclaim any intent, obligation or undertaking to update or revise any forward-looking statements made herein to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based. All subsequent written and oral forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by the cautionary statements contained in this report.report.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to market risk in the normal course of business.
Interest Rate Risk
We have interest rate risk primarily related to borrowings under our Senior Credit Facilities. Borrowings under the Senior Credit Facilities bear interest at a rate equal to either (i) LIBOR for the relevant interest period, adjusted for statutory reserve requirements (the Term Loan Facility is subject to a floor of 1.00% per annumyear and the Revolving Facility is subject to a floor of 0.00% per annum)year), plus an applicable margin or (ii) a base rate equal to the highest of (a) the rate of interest in effect as publicly announced by the administrative agent as its prime rate, (b) the federal funds effective rate plus 0.50% and (c) adjusted LIBOR for an interest period of one month plus 1.00% (the Term Loan Facility may be subject to a floor of 2.00% per annum)year), in each case, plus an applicable margin.
As of December 31, 2020,September 30, 2021, we had Term Loan Facility borrowings of $3,543.3$3,493.3 million (before unamortized debt discount) and no Revolving Facility borrowings under the Senior Credit Facilities.borrowings. As of December 31, 2020,September 30, 2021, the LIBOR-based interest rate on the Term Loan Facility was LIBOR plus 2.5%.
We manage economic risks, including interest rate, liquidity and credit risk, primarily by managing the amount, sources and duration of our debt funding and the use of derivative financial instruments. Specifically, we enter into interest rate cap agreements to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates. Our interest rate cap agreements are used to manage differences in the amount, timing and duration of our known or expected cash receipts and our known or expected cash payments principally related to our borrowings. As of December 31, 2020,September 30, 2021, our outstanding interest rate cap agreements were designated as cash flow hedges of interest rate risk and were determined to be highly effective.
A change in interest rates on variable rate debt may impact our pretax earnings and cash flows. Based on the outstanding debt as of December 31, 2020,September 30, 2021, and assuming that our mix of debt instruments, derivative financial instruments and other variables remain the same, the annualized effect of a one percentage point change in variable interest rates would have an annualized pretax impact on the earnings and cash flows of approximately $10.4$1.2 million.
In the future, in order to manage our interest rate risk, we may refinance existing debt, enter into additional interest rate cap agreements, modify our existing interest rate cap agreements or make changes that may impact our ability to treat our interest rate cap agreements as a cash flow hedge. However, we do not intend or expect to enter into derivative or interest rate cap agreement transactions for speculative purposes.
ITEM 4. CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’sour disclosure controls and procedures as of the end of the period covered by this report.September 30, 2021. The term “disclosure controls and procedures” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (“the Exchange Act”) means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to management including the Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely discussions regarding required disclosures.
Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable, not absolute, assurance of achieving their desired control objectives. Based on the evaluation of management’s disclosure controls and procedures as of the end of the period covered by this report,September 30, 2021, our Chief Executive Officer and Chief Financial Officer concluded that, as of such date, theour disclosure controls and procedures were effective at a reasonable assurance level.
Changes in Internal Control Overover Financial Reporting
During the quarter covered by this report,ended September 30, 2021, there have been no changes in ourthe Company’s internal controls over financial reporting that have materially affected or are reasonably likely to materially affect, ourthe Company’s internal controls over financial reporting.
PART II. OTHER INFORMATION
We are involved in legal proceedings related to the potential UHG Transaction and various other legal proceedings in the ordinary course of business. We believe that the ultimate disposition of such proceedings will not have a material adverse effect on our consolidated financial position, results of operations or liquidity. See Note 15, 14, Legal Proceedings, in Part I, Item 1 of this Quarterly Report.to our consolidated financial statements.
ITEM 1A. RISK FACTORS
In addition to the risk factors below and the other information included in this report, you should carefully consider the factors discussed in the section entitled “Risk Factors” included in the most recentour Annual Report on Form 10-K for the fiscal year ended March 31, 2021 (“the Annual Report”), as well as the factors identified under “Cautionary StatementNotice Regarding Forward-Looking Statements” at the end of Part I, Item 2 of this Quarterly Report, which could materially affect thehave a material adverse impact on our business, financial condition or futureoperating results. There have been no material changes to the risk factors described in the Annual Report. The risks described in the Annual Report and this Quarterly Report are not the only risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial may also materially adversely affect our business, financial condition or operating results.
Risks Related to the Proposed Transaction with UnitedHealth Group
The conditions under the UHG Agreement to UnitedHealth Group’s consummation of the transaction with a subsidiary of UnitedHealth Group may not be satisfied at all or in the anticipated timeframe.
Under the terms of the UHG Agreement, the consummation of our transaction with a subsidiary of UnitedHealth Group is subject to customary conditions. Satisfaction of certain of the conditions is not within our control, and difficulties in otherwise satisfying the conditions may prevent, delay or otherwise materially adversely affect the consummation of the transaction. It also is possible that an event, occurrence, revelation or development of a state of circumstances or facts since the date of the UHG Agreement may have or reasonably be expected to have a material adverse effect (as defined in the UHG Agreement) on the Company, the non-occurrence of which is a condition to the consummation of the transaction. We cannot predict with certainty whether and when any of the required conditions will be satisfied. If the transaction does not receive, or timely receive, the required regulatory approvals and clearances, or if another event occurs delaying or preventing the transaction, such delay or failure to complete the transaction may create uncertainty or otherwise have negative consequences that may materially and adversely affect our sales, financial condition and results of operations, as well as the price per share for our common stock.
While the proposed transaction is pending, we are subject to business uncertainties and contractual restrictions that could disrupt our business.
Whether or not the proposed transaction is consummated, the proposed transaction may disrupt our current plans and operations, which could have an adverse effect on our business and financial results. The pendency of the transaction may also divert management’s attention and our resources from ongoing business and operations and our employees and other key personnel may have uncertainties about the effect of the pending transaction, and the uncertainties may impact our ability to retain, recruit and hire key personnel while the transaction is pending or if it fails to close. We may incur unexpected costs, charges or expenses resulting from the transaction. Furthermore, we cannot predict how our physician, health plan and other partners will view or react to the transaction upon consummation. If we are unable to reassure our partners to continue their partnerships and affiliates with us, our revenues, financial condition and results of operations may be adversely affected.
The preparations for integration between UnitedHealth Group and the Company have placed, and we expect will continue to place a significant burden on many of our teammates and on our internal resources. If, despite our efforts, key teammates depart because of these uncertainties and burdens, or because they do not wish to remain with the combined company, our business and results of operations may be adversely affected. In addition, whether or not the transaction is consummated, while it is pending we will continue to incur costs, fees, expenses and charges related to the proposed transaction, which may materially and adversely affect our financial condition and results of operations.
In addition, the UHG Agreement generally requires the Company to operate its business in the ordinary course of business consistent with past practice pending consummation of the merger and also restricts us from taking certain actions with respect to our business and financial affairs without UnitedHealth Group’s consent. Such restrictions will be in place until either the merger is consummated or the UHG Agreement is terminated. For these and other reasons, the pendency of the merger could adversely affect our business and results of operations.
In the event that our proposed transaction with a wholly-owned subsidiary of UnitedHealth Group is not consummated, the trading price of our common stock and our future business and results of operations may be negatively affected.
The conditions to the consummation of the proposed transaction may not be satisfied as noted above. If the transaction is not consummated, we would remain liable for significant transaction costs, and the focus of our management would have been diverted from seeking other potential strategic opportunities, in each case without realizing any benefits of the proposed transaction. For these and other reasons, not consummating the transaction could adversely affect our business and results of operations. Furthermore, if we do not consummate the transaction, the price of our common stock may decline significantly from the current market price, which we believe reflects a market assumption that the transaction will be consummated. Certain costs associated with the transaction have already been incurred or may be payable even if the transaction is not consummated. Further, a failed transaction may result in negative publicity and a negative impression of us in the investment community. Finally, any disruptions to our business resulting from the announcement and pendency of the transaction, including any adverse changes in our relationships with our customers, vendors and employees or recruiting and retention efforts, could continue or accelerate in the event of a failed acquisition.
If the UHG Agreement is terminated, we may, under certain circumstances, be obligated to pay a termination fee to UnitedHealth Group. These costs could require us to use available cash that would have otherwise been available for other uses.
If the proposed transaction is not completed, in certain circumstances, we could be required to pay a termination fee of $300.0 million to UnitedHealth Group. If the UHG Agreement is terminated, the termination fee we may be required to pay, if any, under the UHG Agreement may require us to use available cash that would have otherwise been available for general corporate purposes or other uses. For these and other reasons, termination of the UHG Agreement could materially and adversely affect our business, results of operations or financial condition, which in turn would materially and adversely affect the price per share of our common stock.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. MINE SAFETY DISCLOSURES
Not applicable.None.
ITEM 5. OTHER INFORMATION
None.
ITEM 6. EXHIBITS
The exhibits listed on the accompanying Exhibit Index are filed, furnished or incorporated by referencereferences (as stated therein) as part of this Quarterly Report.
Exhibit Index
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104 |
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* Filed herewith.
Certain agreements and other documents filed as exhibits to this Form 10-Q contain representations and warranties that the parties thereto made to each other. These representations and warranties have been made solely for the benefit of the other parties to such agreements and may have been qualified by certain information that has been disclosed to the other parties to such agreements and other documents and that may not be reflected in such agreements and other documents. In addition, these representations and warranties may be intended as a way of allocating risks among parties if the statements contained therein prove to be incorrect, rather than as actual statements of fact. Accordingly, there can be no reliance on any such representations and warranties as characterizations of the actual state of facts. Moreover, information concerning the subject matter of any such representations and warranties may have changed since the date of such agreements and other documents.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
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CHANGE HEALTHCARE INC. | ||||||
Date: November 4, 2021 | By: | /s/ Neil E. de Crescenzo | ||||
Neil E. de Crescenzo Chief Executive Officer and Director | ||||||
(Principal Executive Officer) | ||||||
Date: November 4, 2021 | By: | /s/ Fredrik Eliasson | ||||
Fredrik Eliasson | ||||||
Executive Vice President, Chief Financial Officer | ||||||
(Principal Financial Officer) | ||||||