Health Catalyst Reports Third Quarter 2022 Results

SALT LAKE CITY, Nov. 08, 2022 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq: HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today reported financial results for the quarter ended Septemberย 30, 2022.

โ€œIn the third quarter of 2022, I am pleased to share that we achieved strong performance across our business, including exceeding the mid-point of our quarterly guidance for both revenue and Adjusted EBITDA, and, based on an expanding pipeline and ahead-of-schedule cost reduction efforts, we are also pleased to raise our full year 2022 revenue and Adjusted EBITDA guidance. In addition, we now expect our 2022 dollar-based retention achievement level to be between 97% and 101%, an increase relative to the range we shared last quarter. This incremental confidence is driven by growth in our existing client expansion pipeline relative to prior expectations and a modest reduction in forecasted churn for 2022.โ€ said Dan Burton, CEO of Health Catalyst. โ€œIn addition to this financial and operational execution, we held our ninth annual Healthcare Analytics Summit conference in Salt Lake City in September. We viewed this yearโ€™s in-person event as highly successful, hosting over a thousand attendees, representing more than 175 existing client and prospective client organizations, and included over 70 representatives from existing client organizations presenting their improvement case studies realized in partnership with Health Catalyst. This yearโ€™s Summit was an important opportunity for Health Catalyst to continue to provide thought leadership within the healthcare data and analytics ecosystem, while further cultivating and deepening our relationships with clients and prospects.โ€

Financial Highlights for the Three Months Ended September 30, 2022

Key Financial Metrics

ย Three Months Ended September 30,ย Year over Year Change

ย ย 2022ย ย ย 2021ย ย 
GAAP Financial Data:(in thousands, except percentages, unaudited)
Technology revenue$43,997ย ย $38,262ย ย 15%
Professional services revenue$24,357ย ย $23,475ย ย 4%
Total revenue$68,354ย ย $61,737ย ย 11%
Loss from operations$(45,721)ย $(42,249)ย (8)%
Net loss$(45,735)ย $(40,014)ย (14)%
Other Non-GAAP Financial Data:(1)ย ย ย ย ย 
Adjusted Technology Gross Profit$29,993ย ย $26,731ย ย 12%
Adjusted Technology Gross Marginย 68%ย ย 70%ย ย 
Adjusted Professional Services Gross Profit$4,970ย ย $4,696ย ย 6%
Adjusted Professional Services Gross Marginย 20%ย ย 20%ย ย 
Total Adjusted Gross Profit$34,963ย ย $31,427ย ย 11%
Total Adjusted Gross Marginย 51%ย ย 51%ย ย 
Adjusted EBITDA$(4,554)ย $(5,794)ย 21%

________________________

(1) These measures are not calculated in accordance with generally accepted accounting principles in the United States (GAAP). See the accompanying "Non-GAAP Financial Measures" section below for more information about these financial measures, including the limitations of such measures, and for a reconciliation of each measure to the most directly comparable measure calculated in accordance with GAAP.

Financial Outlook

Health Catalyst provides forward-looking guidance on total revenue, a GAAP measure, and Adjusted EBITDA, a non-GAAP measure.

For the fourth quarter of 2022, we expect:

  • Total revenue between $66.9 million and $68.9 million, and
  • Adjusted EBITDA between $(2.1) million and $(0.1) million

For the full year of 2022, we expect:

  • Total revenue between $274.0 million and $276.0 million, and
  • Adjusted EBITDA between $(4.0) million and $(2.0) million

We have not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and have not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within our control or cannot be reasonably forecasted.

Quarterly Conference Call Details

The company will host a conference call to review the results today, Tuesday, Novemberย 8, 2022, at 5:00 p.m. E.T. The conference call can be accessed by dialing (800) 225-9448 for U.S. participants, or (203) 518-9708 for international participants, and referencing conference ID โ€œHCAT Q322.โ€ A live audio webcast will be available online at https://ir.healthcatalyst.com/. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Health Catalyst

Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platformโ€”powered by data from more than 100 million patient records and encompassing trillions of factsโ€”as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.

Available Information

Health Catalyst intends to use its Investor Relations website as a means of disclosing materialย non-publicย information and for complying with its disclosure obligations under Regulation FD.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth, and our financial outlook for Q4 and fiscal year 2022. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market or industry conditions, regulatory environment and receptivity to our technology and services; (iii) results of litigation or a security incident; (iv) the loss of one or more key customers or partners; (v) the impact of COVID-19 and inflation on our business and results of operations; and (vi) changes to our abilities to recruit and retain qualified team members. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to the Quarterly Report on Form 10-Q for the fiscal quarter ended Septemberย 30, 2022 expected to be filed with the SEC on or about Novemberย 8, 2022 and the Annual Report on Form 10-K for the year ended December 31, 2021 filed with the SEC on March 1, 2022. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

Condensed Consolidated Balance Sheets
(in thousands, except share and per share data, unaudited)

ย As of
September 30,
ย As of
December 31,
ย ย 2022ย ย ย 2021ย 
ย (unaudited)ย ย 
Assetsย ย ย 
Current assets:ย ย ย 
Cash and cash equivalents$124,224ย ย $193,227ย 
Short-term investmentsย 255,918ย ย ย 251,754ย 
Accounts receivable, netย 49,544ย ย ย 48,801ย 
Prepaid expenses and other assetsย 13,764ย ย ย 14,609ย 
Total current assetsย 443,450ย ย ย 508,391ย 
Property and equipment, netย 25,042ย ย ย 23,316ย 
Intangible assets, netย 100,653ย ย ย 104,788ย 
Operating lease right-of-use assetsย 17,254ย ย ย 21,133ย 
Goodwillย 185,982ย ย ย 169,972ย 
Other assetsย 3,819ย ย ย 4,496ย 
Total assets$776,200ย ย $832,096ย 
Liabilities and stockholdersโ€™ equityย ย ย 
Current liabilities:ย ย ย 
Accounts payable$6,816ย ย $4,693ย 
Accrued liabilitiesย 24,405ย ย ย 23,725ย 
Deferred revenueย 56,381ย ย ย 56,632ย 
Operating lease liabilitiesย 3,464ย ย ย 3,425ย 
Contingent consideration liabilitiesย โ€”ย ย ย 4,576ย 
Total current liabilitiesย 91,066ย ย ย 93,051ย 
Convertible senior notesย 226,147ย ย ย 180,942ย 
Deferred revenue, net of current portionย 315ย ย ย 929ย 
Operating lease liabilities, net of current portionย 18,586ย ย ย 20,244ย 
Contingent consideration liabilities, net of current portionย โ€”ย ย ย 14,719ย 
Other liabilitiesย 120ย ย ย 113ย 
Total liabilitiesย 336,234ย ย ย 309,998ย 
Commitments and contingenciesย ย ย 
ย ย ย ย 
Stockholdersโ€™ equity:ย ย ย 
Preferred stock, $0.001 par value per share; 25,000,000 shares authorized as of Septemberย 30, 2022 and Decemberย 31, 2021; no shares issued and outstanding as of Septemberย 30, 2022 and Decemberย 31, 2021ย โ€”ย ย ย โ€”ย 
Common stock, $0.001 par value per share; 500,000,000 shares authorized as of Septemberย 30, 2022 and Decemberย 31, 2021; 54,213,795 and 52,622,080 shares issued and outstanding as of Septemberย 30, 2022 and Decemberย 31, 2021, respectivelyย 54ย ย ย 53ย 
Additional paid-in capitalย 1,404,032ย ย ย 1,400,972ย 
Accumulated deficitย (963,241)ย ย (878,860)
Accumulated other comprehensive lossย (879)ย ย (67)
Total stockholdersโ€™ equityย 439,966ย ย ย 522,098ย 
Total liabilities and stockholdersโ€™ equity$776,200ย ย $832,096ย 


Condensed Consolidated Statements of Operations
(in thousands, except per share data, unaudited)

ย Three Months Ended
September 30,
ย Nine Months Ended
September 30,
ย ย 2022ย ย ย 2021ย ย ย 2022ย ย ย 2021ย 
Revenue:ย ย ย ย ย ย ย 
Technology$43,997ย ย $38,262ย ย $131,624ย ย $107,630ย 
Professional servicesย 24,357ย ย ย 23,475ย ย ย 75,450ย ย ย 69,580ย 
Total revenueย 68,354ย ย ย 61,737ย ย ย 207,074ย ย ย 177,210ย 
Cost of revenue, excluding depreciation and amortization shown below:ย ย ย ย ย ย ย 
Technology(1)(2)ย 14,572ย ย ย 12,094ย ย ย 41,895ย ย ย 34,766ย 
Professional services(1)(2)(3)ย 21,768ย ย ย 20,992ย ย ย 63,048ย ย ย 55,711ย 
Total cost of revenue, excluding depreciation and amortizationย 36,340ย ย ย 33,086ย ย ย 104,943ย ย ย 90,477ย 
Operating expenses:ย ย ย ย ย ย ย 
Sales and marketing(1)(2)(3)ย 25,401ย ย ย 20,808ย ย ย 67,141ย ย ย 53,164ย 
Research and development(1)(2)(3)ย 20,770ย ย ย 16,385ย ย ย 56,066ย ย ย 45,254ย 
General and administrative(1)(2)(3)(4)ย 19,192ย ย ย 23,056ย ย ย 45,551ย ย ย 60,596ย 
Depreciation and amortizationย 12,372ย ย ย 10,651ย ย ย 36,633ย ย ย 26,604ย 
Total operating expensesย 77,735ย ย ย 70,900ย ย ย 205,391ย ย ย 185,618ย 
Loss from operationsย (45,721)ย ย (42,249)ย ย (103,260)ย ย (98,885)
Interest and other income (expense), netย 142ย ย ย (4,423)ย ย (2,700)ย ย (12,082)
Loss before income taxesย (45,579)ย ย (46,672)ย ย (105,960)ย ย (110,967)
Income tax provision (benefit)(2)ย 156ย ย ย (6,658)ย ย (4,339)ย ย (6,749)
Net loss$(45,735)ย $(40,014)ย $(101,621)ย $(104,218)
Net loss per share, basic$(0.84)ย $(0.82)ย $(1.89)ย $(2.27)
Net loss per share, diluted$(0.84)ย $(0.82)ย $(1.97)ย $(2.27)
Weighted-average shares outstanding used in calculating net loss per share, basicย 54,304ย ย ย 48,999ย ย ย 53,667ย ย ย 45,937ย 
Weighted-average shares outstanding used in calculating net loss per share, dilutedย 54,304ย ย ย 48,999ย ย ย 54,025ย ย ย 45,937ย 

_______________

(1) Includes stock-based compensation expense as follows:

ย Three Months Ended September 30,ย Nine Months Ended September 30,
ย ย 2022ย ย 2021ย ย 2022ย ย 2021
Stock-Based Compensation Expense:(in thousands)ย (in thousands)
Cost of revenue, excluding depreciation and amortization:ย ย ย ย ย ย ย 
Technologyย ย ย ย ย ย ย ย $494ย $533ย $1,563ย $1,481
Professional servicesย ย ย ย ย ย ย ย ย 1,991ย ย 2,149ย ย 6,082ย ย 5,866
Sales and marketingย ย ย ย ย ย ย ย ย 7,037ย ย 6,098ย ย 20,925ย ย 16,848
Research and developmentย ย ย ย ย ย ย ย ย 3,390ย ย 2,510ย ย 9,643ย ย 7,443
General and administrativeย ย ย ย ย ย ย ย ย 4,392ย ย 6,197ย ย 15,143ย ย 17,086
Totalย ย ย ย ย ย ย ย $17,304ย $17,487ย $53,356ย $48,724

(2) Includes acquisition-related costs (benefit), net, as follows:

ย Three Months Ended September 30,ย Nine Months Ended September 30,
ย ย 2022ย ย 2021ย ย ย 2022ย ย ย 2021ย 
Acquisition-related costs (benefit), net:(in thousands)ย (in thousands)
Cost of revenue, excluding depreciation and amortization:ย ย ย ย ย ย ย 
Technologyย ย ย ย ย ย ย ย $74ย $30ย ย $267ย ย $30ย 
Professional servicesย ย ย ย ย ย ย ย ย 143ย ย 64ย ย ย 509ย ย ย 64ย 
Sales and marketingย ย ย ย ย ย ย ย ย 367ย ย 296ย ย ย 1,557ย ย ย 296ย 
Research and developmentย ย ย ย ย ย ย ย ย 693ย ย 455ย ย ย 2,358ย ย ย 455ย 
General and administrativeย ย ย ย ย ย ย ย ย 2,015ย ย 5,672ย ย ย (1,503)ย ย 15,942ย 
Income tax provision (benefit)ย ย ย ย ย ย ย ย $โ€”ย $(6,829)ย $(4,533)ย $(6,829)
Totalย ย ย ย ย ย ย ย $3,292ย $(312)ย $(1,345)ย $9,958ย 

(3) Includes restructuring costs, as follows:ย ย 

ย Three Months Ended September 30,ย Nine Months Ended September 30,
ย ย 2022ย ย 2021ย ย 2022ย ย 2021
Restructuring costs:(in thousands)ย (in thousands)
Cost of revenue, excluding depreciation and amortization:ย ย ย ย ย ย ย 
Professional servicesย ย ย ย ย ย ย ย $247ย $โ€”ย $247ย $โ€”
Sales and marketingย ย ย ย ย ย ย ย ย 1,559ย ย โ€”ย ย 1,559ย ย โ€”
Research and developmentย ย ย ย ย ย ย ย ย 2,257ย ย โ€”ย ย 2,257ย ย โ€”
General and administrativeย ย ย ย ย ย ย ย ย 436ย ย โ€”ย ย 436ย ย โ€”
Totalย ย ย ย ย ย ย ย $4,499ย $โ€”ย $4,499ย $โ€”

(4) Includes non-recurring lease-related charges, as follows:

ย Three Months Ended September 30,ย Nine Months Ended September 30,
ย 2022ย 2021ย 2022ย 2021
Non-recurring lease-related charges:(in thousands)ย (in thousands)
General and administrativeย ย ย ย ย ย ย ย 3,700ย 1,800ย 3,700ย 1,800

Condensed Consolidated Statements of Cash Flows
(in thousands, unaudited)

ย Nine Months Ended
September 30,
ย ย 2022ย ย ย 2021ย 
Cash flows from operating activitiesย ย ย 
Net lossย ย ย ย ย ย ย ย $ย ย ย ย ย ย ย ย (101,621)ย $ย ย ย ย ย ย ย ย (104,218)
Adjustments to reconcile net loss to net cash used in operating activities:ย ย ย 
Stock-based compensation expenseย ย ย ย ย ย ย ย ย 53,356ย ย ย 48,724ย 
Depreciation and amortizationย ย ย ย ย ย ย ย ย 36,633ย ย ย 26,604ย 
Impairment of long-lived assetsย ย ย ย ย ย ย ย ย 4,925ย ย ย 1,800ย 
Non-cash operating lease expenseย ย ย ย ย ย ย ย ย 2,458ย ย ย 3,165ย 
Amortization of debt discount and issuance costsย ย ย ย ย ย ย ย ย 1,124ย ย ย 8,843ย 
Amortization of investment discount and premiumย ย ย ย ย ย ย ย ย (608)ย ย 678ย 
Provision for expected credit lossesย ย ย ย ย ย ย ย ย 700ย ย ย 698ย 
Deferred tax benefitย ย ย ย ย ย ย ย ย (4,527)ย ย (6,823)
Change in fair value of contingent consideration liabilitiesย (4,668)ย ย 13,655ย 
Otherย (71)ย ย (17)
Change in operating assets and liabilities:ย ย ย 
Accounts receivable, netย ย ย ย ย ย ย ย ย (800)ย ย 1,021ย 
Prepaid expenses and other assetsย ย ย ย ย ย ย ย ย 2,020ย ย ย (2,131)
Accounts payable, accrued liabilities, and other liabilitiesย ย ย ย ย ย ย ย ย 873ย ย ย 3,281ย 
Deferred revenueย ย ย ย ย ย ย ย ย (4,365)ย ย 6,540ย 
Contingent consideration liabilitiesย ย ย ย ย ย ย ย ย (3,234)ย ย (11,766)
Operating lease liabilitiesย ย ย ย ย ย ย ย ย (2,644)ย ย (3,402)
Net cash used in operating activitiesย ย ย ย ย ย ย ย ย (20,449)ย ย (13,348)
ย ย ย ย 
Cash flows from investing activitiesย ย ย 
Proceeds from the sale and maturity of short-term investmentsย ย ย ย ย ย ย ย ย 270,171ย ย ย 186,893ย 
Purchase of short-term investmentsย ย ย ย ย ย ย ย ย (274,529)ย ย (188,407)
Acquisition of business, net of cash acquiredย ย ย ย ย ย ย ย ย (27,846)ย ย (46,763)
Capitalization of internal-use softwareย ย ย ย ย ย ย ย ย (10,024)ย ย (3,641)
Purchase of intangible assetsย ย ย ย ย ย ย ย ย (1,317)ย ย (1,269)
Purchases of property and equipmentย ย ย ย ย ย ย ย ย (1,752)ย ย (9,827)
Proceeds from the sale of property and equipmentย ย ย ย ย ย ย ย ย 20ย ย ย 19ย 
Net cash used in investing activitiesย ย ย ย ย ย ย ย ย (45,277)ย ย (62,995)
ย ย ย ย 
Cash flows from financing activitiesย ย ย 
Repurchase of common stockย ย ย ย ย ย ย ย ย (8,393)ย ย โ€”ย 
Proceeds from exercise of stock optionsย ย ย ย ย ย ย ย ย 3,927ย ย ย 17,303ย 
Proceeds from employee stock purchase planย ย ย ย ย ย ย ย ย 2,558ย ย ย 3,975ย 
Payments of acquisition-related considerationย ย ย ย ย ย ย ย ย (1,342)ย ย (6,290)
Proceeds from public offering, net of discounts, commissions, and offering costsย ย ย ย ย ย ย ย ย โ€”ย ย ย 245,180ย 
Net cash (used in) provided by financing activitiesย ย ย ย ย ย ย ย ย (3,250)ย ย 260,168ย 
Effect of exchange rate changes on cash and cash equivalentsย ย ย ย ย ย ย ย ย (27)ย ย (14)
Net (decrease) increase in cash and cash equivalentsย (69,003)ย ย 183,811ย 
ย ย ย ย 
Cash and cash equivalents at beginning of periodย 193,227ย ย ย 91,954ย 
Cash and cash equivalents at end of periodย 124,224ย ย ย 275,765ย 

Non-GAAP Financial Measures

To supplement our financial information presented in accordance with GAAP, we believe certain non-GAAP measures, including Adjusted Gross Profit, Adjusted Gross Margin, Adjusted EBITDA, Adjusted Net Loss, and Adjusted Net Loss per share, basic and diluted, are useful in evaluating our operating performance. For example, we exclude stock-based compensation expense because it is non-cash in nature and excluding this expense provides meaningful supplemental information regarding our operational performance and allows investors the ability to make more meaningful comparisons between our operating results and those of other companies. We use this non-GAAP financial information to evaluate our ongoing operations, as a component in determining employee bonus compensation, and for internal planning and forecasting purposes.

We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business.

Adjustedย Gross Profit andย Adjustedย Gross Margin

Adjustedย Gross Profit is aย non-GAAPย financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization, adding back stock-based compensation, acquisition-related costs, net, and restructuring costs as applicable. We defineย Adjustedย Gross Margin as ourย Adjustedย Gross Profit divided by our revenue. We believeย Adjustedย Gross Profit andย Adjustedย Gross Margin are useful to investors as they eliminate the impact of certainย non-cashย expenses and allow a direct comparison of these measures between periods without the impact ofย non-cashย expenses and certain other non-recurring operating expenses. The following is a reconciliation of revenue, the most directly comparable GAAP financial measure, to Adjusted Gross Profit, for the three months ended September 30, 2022 and 2021:

ย Three Months Ended September 30, 2022
ย (in thousands, except percentages)
ย Technologyย Professional Servicesย Total
Revenue$43,997ย ย $24,357ย ย $68,354ย 
Cost of revenue, excluding depreciation and amortizationย (14,572)ย ย (21,768)ย ย (36,340)
Gross profit, excluding depreciation and amortizationย 29,425ย ย ย 2,589ย ย ย 32,014ย 
Add:ย ย ย ย ย 
Stock-based compensationย 494ย ย ย 1,991ย ย ย 2,485ย 
Acquisition-related costs, net(1)ย 74ย ย ย 143ย ย ย 217ย 
Restructuring costs(2)ย โ€”ย ย ย 247ย ย ย 247ย 
Adjusted Gross Profit$29,993ย ย $4,970ย ย $34,963ย 
Gross margin, excluding depreciation and amortizationย 67%ย ย 11%ย ย 47%
Adjusted Gross Marginย 68%ย ย 20%ย ย 51%

___________________
(1) Acquisition-related costs, net include deferred retention expenses following the ARMUS, KPI Ninja, and Twistle acquisitions.
(2) Restructuring costs include severance and other team member costs from workforce reductions.

ย Three Months Ended September 30, 2021
ย (in thousands, except percentages)
ย Technologyย Professional Servicesย Total
Revenue$38,262ย ย $23,475ย ย $61,737ย 
Cost of revenue, excluding depreciation and amortizationย (12,094)ย ย (20,992)ย ย (33,086)
Gross profit, excluding depreciation and amortizationย 26,168ย ย ย 2,483ย ย ย 28,651ย 
Add:ย ย ย ย ย 
Stock-based compensationย 533ย ย ย 2,149ย ย ย 2,682ย 
Acquisition-related costs, net(1)ย 30ย ย ย 64ย ย ย 94ย 
Adjusted Gross Profit$26,731ย ย $4,696ย ย $31,427ย 
Gross margin, excluding depreciation and amortizationย 68%ย ย 11%ย ย 46%
Adjusted Gross Marginย 70%ย ย 20%ย ย 51%

___________________
(1) Acquisition-related costs, net includes deferred retention expenses and post-acquisition restructuring costs incurred as part of business combinations.

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that we define as net loss adjusted for (i) interest and other expense, net, (ii) income tax provision (benefit), (iii) depreciation and amortization, (iv) stock-based compensation, (v) acquisition-related costs, net, including the change in fair value of contingent consideration liabilities, (vi) restructuring costs, and (vii) non-recurring lease-related charges. We view acquisition-related expenses when applicable, such as transaction costs and changes in the fair value of contingent consideration liabilities that are directly related to business combinations as costs that are unpredictable, dependent upon factors outside of our control, and are not necessarily reflective of operational performance during a period. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and a comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance. The following is a reconciliation of our net loss, the most directly comparable GAAP financial measure, to Adjusted EBITDA, for the three months ended September 30, 2022 and 2021:

ย Three Months Ended September 30,
ย ย 2022ย ย ย 2021ย 
ย (in thousands)
Net lossย ย ย ย ย ย ย ย $(45,735)ย $(40,014)
Add:ย ย ย 
Interest and other (income) expense, netย ย ย ย ย ย ย ย ย (142)ย ย 4,423ย 
Income tax provision (benefit)ย ย ย ย ย ย ย ย ย 156ย ย ย (6,658)
Depreciation and amortizationย ย ย ย ย ย ย ย ย 12,372ย ย ย 10,651ย 
Stock-based compensationย ย ย ย ย ย ย ย ย 17,304ย ย ย 17,487ย 
Acquisition-related costs, net(1)ย ย ย ย ย ย ย ย ย 3,292ย ย ย 6,517ย 
Restructuring cost(2)ย ย ย ย ย ย ย ย ย 4,499ย ย ย โ€”ย 
Non-recurring lease-related charges(3)ย ย ย ย ย ย ย ย ย 3,700ย ย ย 1,800ย 
Adjusted EBITDAย ย ย ย ย ย ย ย $(4,554)ย $(5,794)

_______________
(1) Acquisition-related costs, net includes third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, and changes in fair value of contingent consideration liabilities for potential earn-out payments. For additional details refer to Note 2 in our condensed consolidated financial statements.
(2) Restructuring costs include severance and other team member costs from workforce reductions, impairment of discontinued capitalized software projects, and other minor miscellaneous charges. For additional details refer to Note 18 in our condensed consolidated financial statements.
(3) Includes the lease-related impairment charge for the subleased portion of our corporate headquarters.

Adjusted Net Loss and Adjusted Net Loss Per Share

Adjusted Net Loss is a non-GAAP financial measure that we define as net loss adjusted for (i) stock-based compensation, (ii) amortization of acquired intangibles, (iii) acquisition-related costs (benefit), net, including the change in fair value of contingent consideration liabilities and the deferred tax valuation allowance release from acquisitions, (iv) restructuring costs, and (v) non-cash interest expense related to our convertible senior notes. We believe Adjusted Net Loss provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance and is useful in evaluating our operating performance compared to that of other companies in our industry, as this metric generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance.

ย Three Months Ended
September 30,
ย Nine Months Ended
September 30,
ย ย 2022ย ย ย 2021ย ย ย 2022ย ย ย 2021ย 
Numerator:(in thousands, except share and per share amounts)
Net loss$(45,735)ย $(40,014)ย $(101,621)ย $(104,218)
Add:ย ย ย ย ย ย ย 
Stock-based compensationย 17,304ย ย ย 17,487ย ย ย 53,356ย ย ย 48,724ย 
Amortization of acquired intangiblesย 9,400ย ย ย 8,965ย ย ย 28,724ย ย ย 23,091ย 
Acquisition-related costs (benefit), net(1)ย 3,292ย ย ย (312)ย ย (1,345)ย ย 9,958ย 
Restructuring costsย 4,499ย ย ย โ€”ย ย ย 4,499ย ย ย โ€”ย 
Non-recurring lease-related chargesย 3,700ย ย ย 1,800ย ย ย 3,700ย ย ย 1,800ย 
Non-cash interest expense related to convertible senior notesย 375ย ย ย 3,026ย ย ย 1,124ย ย ย 8,843ย 
Adjusted Net Loss$(7,165)ย $(9,048)ย $(11,563)ย $(11,802)
Denominator:ย ย ย ย ย ย ย 
Weighted-average number of shares used in calculating net loss per share, basicย 54,303,667ย ย ย 48,998,548ย ย ย 53,666,667ย ย ย 45,937,227ย 
Weighted-average number of shares used in calculating net loss per share, dilutedย 54,303,667ย ย ย 48,998,548ย ย ย 54,024,697ย ย ย 45,937,227ย 
ย ย ย ย ย ย ย ย 
Adjusted Net Loss per share, basic and diluted$(0.13)ย $(0.18)ย $(0.22)ย $(0.26)

______________
(1) Acquisition-related costs (benefit), net includes third-party fees associated with due diligence, deferred retention expenses, post-acquisition restructuring costs incurred as part of business combinations, changes in fair value of contingent consideration liabilities for potential earn-out payments, and the deferred tax valuation allowance release from acquisitions. For additional details refer to Note 2 in our condensed consolidated financial statements.

Health Catalyst Investor Relations Contact:
Adam Brown
Senior Vice President, Investor Relations and FP&A
+1 (855)-309-6800
ir@healthcatalyst.comย 

Health Catalyst Media Contact:
Tarah Neujahr Bryan
Chief Marketing Officer
media@healthcatalyst.comย 

ย 


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