Attached files

file filename
8-K - FORM 8-K - ATHENAHEALTH INCathnq320138k.htm
EX-99.2 - PREPARED REMARKS - ATHENAHEALTH INCathnq32013preparedremarks.htm
EXHIBIT 99.1

athenahealth, Inc. Reports Third Quarter Fiscal Year 2013 Results

Q3 2013 Financial Results
43% Revenue Growth Over Third Quarter of 2012
Non-GAAP Adjusted Operating Income of $19.3 million
GAAP Net Income of $1.2 million or $0.03 Per Diluted Share
Non-GAAP Adjusted Net Income of $11.2 million, or $0.29 Per Diluted Share
WATERTOWN, MA – October 17, 2013 - athenahealth, Inc. (NASDAQ: ATHN) (“athenahealth” or “we”), a leading provider of cloud-based electronic health record (EHR), practice management, and care coordination services to medical groups and health systems, today announced financial and operational results for the third quarter of fiscal year 2013. We will conduct a conference call tomorrow October 18, 2013, at 8:00 a.m. Eastern Time to discuss these results and management’s outlook for future financial and operational performance.
Total revenue for the three months ended September 30, 2013, was $151.5 million, compared to $105.9 million in the same period last year, an increase of 43%.
Excluding the Epocrates revenue of $13.4 million and other revenue consisting of third-party tenant revenue of $3.8 million, core athenahealth revenue was $134.3 million, an increase of 27% over Q3 2012.
“This past quarter we added a record number of physicians onto our cloud-based services; we doubled the number of clients who partnered with us for population health management since acquiring Healthcare Data Services; and with the momentum of athenaCoordinator, we’re actually getting information to flow in health care,” said Jonathan Bush, athenahealth’s Chairman and Chief Executive Officer. “Over the years, we proved ourselves with athenaCollector, and as recognized by clients and by industry research firm, KLAS, we’re proving ourselves time and again with our other services. We have the most usable EHR in the industry, the highest rated patient portal, the most loved mobile app among caregivers, and most importantly a vision to build a national health information backbone to make health care work as it should. Our progress is unrelenting and we see the future of health care, enabled by a cloud-based platform, as one of openness, change, and innovation.”
For the three months ended September 30, 2013, Non-GAAP Adjusted Gross Margin was 61.9%, down from 62.7% in the same period last year, as we continue to invest in our service offerings.
For the three months ended September 30, 2013, Non-GAAP Adjusted Operating Income of $19.3 million, or 12.7% of total revenue, compared to Non-GAAP Adjusted Operating Income of $19.4 million, or 18.3% of total revenue, in the same period last year.
Non-GAAP Adjusted Operating Income excludes $0.5 million of integration costs relating to the acquisition of Epocrates which closed on March 12, 2013.
For the three months ended September 30, 2013, GAAP Net Income was $1.2 million, or $0.03 per diluted share, compared to $6.2 million, or $0.17 per diluted share, in the same period last year.
For the three months ended September 30, 2013, Non-GAAP Adjusted Net Income was $11.2 million, or $0.29 per diluted share, compared to $11.2 million, or $0.30 per diluted share, in the same period last year.

1


As of September 30, 2013, we had cash and cash equivalents of $62.3 million and outstanding indebtedness of $242.5 million.
“We are headed into the home stretch of 2013 and remain on track to post another strong year of financial and operational performance,” said Tim Adams, athenahealth’s Chief Financial Officer. “We are thrilled with another record quarter of physicians added to our cloud-based services.”

Our fiscal year 2013 guidance communicated on May 2, 2013, is summarized in the following table:
For the Fiscal Year Ending December 31, 2013
Forward Looking Guidance
GAAP Total Revenue
$580 - $615 million
Non-GAAP Adjusted Gross Margin
63.0% - 64.0%
Non-GAAP Adjusted Operating Income
$68 - $80 million
Non-GAAP Adjusted Net Income per Diluted Share
$1.05 - $1.15

We are not making any changes to the fiscal year 2013 guidance we communicated on May 2, 2013. As communicated during our Q2 2013 earnings call, additional insights into our fiscal year 2013 guidance remain as follows:
We expect GAAP Total Revenue to be close to the mid-point of the $580 million to $615 million guidance range.
We expect Non-GAAP Adjusted Gross Margin to be closer to the low end of the 63% to 64% guidance range.
We expect Non-GAAP Adjusted Operating Income to be closer to the low end of the $68 million to $80 million guidance range.
We expect Non-GAAP Adjusted Net Income per Diluted Share to be at or near the low end of the $1.05 to $1.15 guidance range.
Finally, we expect some modest improvement in our full year 2013 Non-GAAP tax provision and are estimating it to be approximately 41% to 42%.
Active physicians and providers on the network as of the third quarter of fiscal year 2013:
47,195 active medical providers using athenaCollector® at September 30, 2013, 33,764 of whom were physicians, compared to 38,145 providers and 27,013 physicians at September 30, 2012
15,483 active medical providers using athenaClinicals® at September 30, 2013, 11,401 of whom were physicians, compared to 10,062 providers and 7,340 physicians at September 30, 2012
23,024 active medical providers using athenaCommunicator® at September 30, 2013, 17,330 of whom were physicians, compared to 12,149 providers and 8,739 physicians at September 30, 2012
Use of Non-GAAP Financial Measures
In our earnings releases, prepared remarks, conference calls, slide presentations, and webcasts, we may use or discuss non-GAAP financial measures, as defined by SEC Regulation G. The GAAP financial measure most directly comparable to each non-GAAP financial measure used or discussed, and a reconciliation of the differences between each non-GAAP financial measure and the comparable GAAP

2


financial measure, are included in this press release after the condensed consolidated financial statements. Our earnings press releases containing such non-GAAP reconciliations can be found in the Investors section of our web site at http://www.athenahealth.com.
Conference Call Information
To participate in athenahealth’s live conference call and webcast, please dial 877-853-5645 (or 408-940-3868 for international calls) using conference code No. 59924458, or visit the Investors section of our web site at www.athenahealth.com. A replay will be available for one week following the conference call at 855-859-2056 (and 404-537-3406 for international calls) using conference code No. 59924458. A webcast replay will also be archived on our website.
About athenahealth, Inc.
athenahealth is a leading provider of cloud-based services for electronic health record (EHR), practice management, and care coordination. athenahealth’s mission is to be caregivers’ most trusted service, helping them do well doing the right thing. For more information, please visit www.athenahealth.com or call 888-652-8200.
Forward-Looking Statements
This press release contains forward-looking statements, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements reflecting management’s expectations for future financial and operational performance and operating expenditures, expected growth, and business outlook; statements regarding the benefits of our service offerings; statements regarding the potential expansion of our network; statements regarding changes in the health care industry, including an increased emphasis on cloud-based services for medical providers, and our positioning in regard to those changes; statements regarding the progress of integration of the Arsenal and Epocrates transactions; statements regarding the momentum of athenaCoordinator; and statements found under our “Reconciliation of Non-GAAP Financial Measures to Comparable GAAP Measures” section of this release. The forward-looking statements in this release do not constitute guarantees of future performance. These statements are neither promises nor guarantees, and are subject to a variety of risks and uncertainties, many of which are beyond our control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. In particular, the risks and uncertainties include, among other things: our fluctuating operating results; our variable sales and implementation cycles, which may result in fluctuations in its quarterly results; risks associated with the acquisition and integration of companies and new technologies to achieve expected synergies, including those related to our ability to successfully integrate the services and offerings of Epocrates and realize the expected benefits; risks associated with our ability to realize the expected benefits from the purchase of the Arsenal on the Charles campus in Watertown, Massachusetts; risks associated with our expectations regarding our ability to maintain profitability; the impact of increased sales and marketing expenditures, including whether increased expansion in revenues is attained and whether impact on margins and profitability is longer term than expected; changes in tax rates or exposure to additional tax liabilities; the highly competitive industry in which we operate and the relative immaturity of the market for our service offerings; and the evolving and complex governmental and regulatory compliance environment in which we and our clients operate. Forward-looking statements may often be identified with words such as “we expect”, “we anticipate”, “upcoming” or similar indications of future expectations. These statements are neither promises nor guarantees, and are subject to a variety of risks and uncertainties, many of which are beyond our control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. Existing and prospective investors are cautioned not to place undue reliance

3


on these forward-looking statements, which speak only as of the date hereof. We undertake no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances, or otherwise. For additional disclosure regarding these and other risks faced by us, please see the disclosures contained in our public filings with the Securities and Exchange Commission, available on the Investors section of our website at http://www.athenahealth.com and on the SEC’s website at http://www.sec.gov.

Contacts:
Dana Quattrochi
athenahealth (Investors)
(617) 402-1329
investorrelations@athenahealth.com

Holly Spring
athenahealth (Media)
(617) 402-1631
hspring@athenahealth.com


4


athenahealth, Inc.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, in thousands, except per share amounts)
 
 
September 30,
2013
 
December 31,
2012
Assets
 

 

Current assets:
 

 

Cash and cash equivalents
 
$
62,274

 
$
154,988

Short-term investments
 

 
38,092

Current portion of restricted cash
 

 
1,357

Accounts receivable - net
 
97,417

 
61,916

Deferred tax assets - net
 
2,134

 
6,907

Prepaid expenses and other current assets
 
18,824

 
10,924

Total current assets
 
180,649

 
274,184

 
 
 
 
 
Property and equipment - net
 
203,638

 
54,035

Capitalized software costs - net
 
26,912

 
16,050

Purchased intangible assets - net
 
174,165

 
21,561

Goodwill
 
196,183

 
48,090

Deferred tax assets - net
 

 
11,759

Investments and other assets
 
6,670

 
2,773

Total assets
 
$
788,217

 
$
428,452

 
 
 
 
 
Liabilities and Stockholders’ Equity
 

 

Current liabilities:
 

 

Line of credit
 
$
50,000

 
$

Current portion of long-term debt

15,000



Accounts payable
 
11,302

 
1,733

Accrued compensation
 
40,364

 
36,393

Accrued expenses
 
25,134

 
19,683

Current portion of deferred revenue
 
33,623

 
8,209

Current portion of deferred rent
 
100

 
799

Total current liabilities
 
175,523

 
66,817

Deferred rent, net of current portion
 
1,294

 
2,854

Long-term debt, net of current portion

177,500



Deferred revenue, net of current portion
 
52,631

 
45,515

Long-term deferred tax liability - net
 
17,729

 

Other long-term liabilities
 
5,181

 
1,618

Total liabilities
 
429,858

 
116,804

 
 

 

Stockholders’ equity:
 

 

Preferred stock, $0.01 par value: 5,000 shares authorized; no shares issued and outstanding at September 30, 2013 and December 31, 2012, respectively
 

 

Common stock, $0.01 par value: 125,000 shares authorized; 38,422 shares issued and 37,144 shares outstanding at September 30, 2013; 37,572 shares issued and 36,294 shares outstanding at December 31, 2012
 
385

 
376

Additional paid-in capital
 
360,869

 
303,547

Treasury stock, at cost, 1,278 shares
 
(1,200
)
 
(1,200
)
Accumulated other comprehensive loss
 
(150
)
 
(81
)
Retained (accumulated deficit) earnings
 
(1,545
)
 
9,006

Total stockholders’ equity
 
358,359

 
311,648

Total liabilities and stockholders’ equity
 
$
788,217

 
$
428,452


5


athenahealth, Inc.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited, in thousands, except per share amounts)
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2013
 
2012
 
2013
 
2012
Revenue:
 
 
 
 
 
 
 
 
Business services
 
$
141,326

 
$
102,256

 
$
400,708

 
$
295,915

Implementation and other
 
10,201

 
3,630

 
22,716

 
10,052

Total revenue
 
151,527

 
105,886

 
423,424

 
305,967

Expense:
 
 
 
 
 
 
 
 
Direct operating
 
63,245

 
41,866

 
175,820

 
121,678

Selling and marketing
 
37,584

 
25,603

 
111,541

 
76,720

Research and development
 
15,104

 
8,746

 
41,317

 
24,529

General and administrative
 
21,690

 
11,913

 
77,437

 
42,073

Depreciation and amortization
 
11,263

 
6,683

 
30,711

 
17,964

Total expense
 
148,886

 
94,811

 
436,826

 
282,964

Operating income (loss)
 
2,641

 
11,075

 
(13,402
)
 
23,003

Other (expense) income:
 
 
 
 
 
 
 
 
        Interest expense
 
(1,421
)
 
(88
)
 
(2,586
)
 
(264
)
        Other income
 
30

 
176

 
147

 
498

Total other (expense) income
 
(1,391
)
 
88

 
(2,439
)
 
234

Income (loss) before income tax (provision) benefit
 
1,250

 
11,163

 
(15,841
)
 
23,237

Income tax (provision) benefit
 
(80
)
 
(4,953
)
 
5,290

 
(10,445
)
Net income (loss)
 
$
1,170

 
$
6,210

 
$
(10,551
)
 
$
12,792

Net income (loss) per share – Basic
 
$
0.03

 
$
0.17

 
$
(0.29
)
 
$
0.36

Net income (loss) per share – Diluted
 
$
0.03

 
$
0.17

 
$
(0.29
)
 
$
0.35

Weighted average shares used in computing net income (loss) per share:
 
 
 
 
 
 
 
 
Basic
 
36,970

 
35,832

 
36,722

 
35,847

Diluted
 
38,343

 
37,212

 
36,722

 
37,038



6


athenahealth, Inc.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
 
 
Nine Months Ended September 30,
 
 
2013
 
2012
CASH FLOWS FROM OPERATING ACTIVITIES:
 
 
 
 
Net (loss) income
 
$
(10,551
)
 
$
12,792

Adjustments to reconcile net (loss) income to net cash provided by operating activities:
 
 
 
 
Depreciation and amortization
 
43,674

 
20,341

Amortization of premium on investments
 
84

 
1,011

Provision for uncollectible accounts
 
771

 
188

Excess tax benefit from stock-based awards
 

 
(11,310
)
Deferred income tax
 
(5,395
)
 
(1,263
)
Change in fair value of contingent considerations
 
76

 
(4,785
)
Stock-based compensation expense
 
33,725

 
20,518

Other reconciling adjustments
 
232

 
(142
)
Changes in operating assets and liabilities:
 
 
 
 
Accounts receivable
 
(13,128
)
 
(4,462
)
Prepaid expenses and other current assets
 
(4,322
)
 
4,774

Other long-term assets
 
600

 
206

Accounts payable
 
7,401

 
1,625

Accrued expenses
 
1,004

 
1,639

Accrued compensation
 
1,949

 
3,373

Deferred revenue
 
2,342

 
2,364

Deferred rent
 
(2,259
)
 
(689
)
Net cash provided by operating activities
 
56,203

 
46,180

CASH FLOWS FROM INVESTING ACTIVITIES:
 
 
 
 
Capitalized software development costs
 
(21,320
)
 
(10,658
)
Purchases of property and equipment
 
(21,405
)
 
(19,126
)
Proceeds from sales and maturities of investments
 
56,245

 
72,434

Purchases of investments
 
(2,000
)
 
(62,689
)
Payments on acquisitions, net of cash acquired
 
(410,161
)
 

Decrease in restricted cash
 
1,357

 
4,151

Other investing activities
 

 
172

Net cash used in investing activities
 
(397,284
)
 
(15,716
)
CASH FLOWS FROM FINANCING ACTIVITIES:
 
 
 
 
Proceeds from issuance of common stock under stock plans and warrants
 
25,139

 
17,969

Taxes paid related to net share settlement of restricted stock awards
 
(11,093
)
 
(3,686
)
Excess tax benefit from stock-based awards
 

 
11,310

Payment of contingent consideration accrued at acquisition date
 
(525
)
 
(1,550
)
Debt issuance costs
 
(1,699
)
 

Net settlement of acquired company’s board of directors equity shares
 
(5,806
)
 

Proceeds from long-term debt
 
200,000

 

Proceeds from line of credit
 
155,000

 

Payments on line of credit

(105,000
)


Payments on long-term debt
 
(7,500
)
 

Net cash provided by financing activities
 
248,516

 
24,043

Effects of exchange rate changes on cash and cash equivalents
 
(149
)
 
26

Net (decrease) increase in cash and cash equivalents
 
(92,714
)
 
54,533

Cash and cash equivalents at beginning of period
 
154,988

 
57,781

Cash and cash equivalents at end of period
 
$
62,274

 
$
112,314


7


athenahealth, Inc.
STOCK-BASED COMPENSATION
(Unaudited, in thousands)

Set forth below is a breakout of stock-based compensation impacting the Condensed Consolidated Statements of Income for the three and nine months ended September 30, 2013 and 2012:
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2013
 
2012
 
2013
 
2012
Stock-based compensation charged to Condensed Consolidated Statements of Income:
 
 
 
 
 
 
 
Direct operating
$
1,854

 
$
1,619

 
$
5,618

 
$
4,072

Selling and marketing
3,058

 
1,718

 
9,209

 
5,405

Research and development
959

 
1,059

 
3,247

 
2,907

General and administrative
3,891

 
3,138

 
15,650

 
8,134

    Total stock-based compensation expense
9,762

 
7,534

 
33,724

 
20,518

Amortization of capitalized stock-based compensation related to software development (1)
302

 

 
680

 

    Total
$
10,064

 
$
7,534

 
$
34,404

 
$
20,518

 
 
 
 
 
 
 
 

(1)
In addition, for the three and nine months ended September 30, 2013, $0.8 million and $1.7 million, respectively, of stock-based compensation was capitalized in the line item Capitalized Software Costs in the Condensed Consolidated Balance Sheet for which $0.3 million and $0.7 million, respectively, of amortization was included in the line item Depreciation and Amortization Expense in the Consolidated Statements of Income. The amount of stock-based compensation related to capitalized software development costs in prior periods was not significant.

8


athenahealth, Inc.
AMORTIZATION OF PURCHASED INTANGIBLE ASSETS
(Unaudited, in thousands)

Set forth below is a breakout of amortization of purchased intangible assets impacting the Condensed Consolidated Statements of Income for the three and nine months ended September 30, 2013 and 2012:
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
Amortization of purchased intangible assets allocated to:
2013
 
2012
 
2013
 
2012
Direct operating
$
3,695

 
$
753

 
$
7,840

 
$
2,259

Selling and marketing
2,421

 

 
4,842

 

Total amortization of purchased intangible assets
$
6,116

 
$
753

 
$
12,682

 
$
2,259

 
 
 
 
 
 
 
 


athenahealth, Inc.
CASH, CASH EQUIVALENTS, AND AVAILABLE-FOR-SALE INVESTMENTS
(Unaudited, in thousands)

Set forth below is a breakout of total cash, cash equivalents, and available-for-sale investments as of September 30, 2013, and December 31, 2012:
 
September 30, 2013
 
December 31, 2012
 
 
 
 
Cash, cash equivalents
$
62,274

 
$
154,988

Short-term investments

 
38,092

     Total
$
62,274

 
$
193,080



9


athenahealth, Inc.
REVENUE AND NON-GAAP ADJUSTED OPERATING INCOME (LOSS) BY BUSINESS
(Unaudited, in thousands)

Set forth below is a breakout of revenue and “Non-GAAP Adjusted Operating Income (Loss)” by business for the three and nine months ended September 30, 2013 and 2012:
 
 
Three months ended
 
Nine months ended
 
 
September 30,
 
September 30,
 
 
2013
 
2012
 
2013
 
2012
Revenue:
 
 
 
 
 
 
 
 
Business services:
 
 
 
 
 
 
 
 
    athenahealth
$
127,934

 
$
102,256

 
$
367,234

 
$
295,915

 
    Epocrates
13,392

 

 
33,474

 

 
Implementation and other:
 
 
 
 
 
 
 
 
    athenahealth
6,336

 
3,630

 
16,622

 
10,052

 
    Other
3,865

 

 
6,094

 

Total revenue
$
151,527

 
$
105,886

 
$
423,424

 
$
305,967


 
 
Three months ended
 
Nine months ended
 
 
September 30,
 
September 30,
 
 
2013
 
2012
 
2013
 
2012
Non-GAAP Adjusted Operating Income (Loss):
 
 
 
 
 
 
 
 
    athenahealth
$
19,609

 
$
19,362

 
$
39,805

 
$
45,780

 
    Epocrates
(1,708
)
 

 
(2,690
)
 

 
    Other
1,374

 

 
2,729

 

Total Non-GAAP Adjusted Operating Income
19,275

 
19,362

 
39,844

 
45,780

 
Stock-based compensation expense
10,064

 
7,534

 
34,404

 
20,518

 
Integration and transaction costs
454

 

 
8,627

 

 
Gain on early termination of lease

 

 
(2,468
)
 

 
Amortization of purchased intangible assets
6,116

 
753

 
12,682

 
2,259

Total operating income (loss)
2,641

 
11,075

 
(13,401
)
 
23,003

Interest expense
(1,421
)
 
(88
)
 
(2,586
)
 
(264
)
Other income
30

 
176

 
147

 
498

Income (loss) before income tax (provision) benefit
1,250

 
11,163

 
(15,840
)
 
23,237

Income tax (provision) benefit
(80
)
 
(4,953
)
 
5,290

 
(10,445
)
Net income (loss)
$
1,170

 
$
6,210

 
$
(10,550
)
 
$
12,792



10


athenahealth, Inc.
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
TO COMPARABLE GAAP MEASURES
(Unaudited, in thousands, except per share amounts)
The following is a reconciliation of the non-GAAP financial measures used by us to describe our financial results determined in accordance with accounting principles generally accepted in the United States of America (“GAAP”). An explanation of these measures is also included below under the heading “Explanation of Non-GAAP Financial Measures.”
While management believes that these non-GAAP financial measures provide useful supplemental information to investors regarding the underlying performance of our business operations, investors are reminded to consider these non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. In addition, it should be noted that these non-GAAP financial measures may be different from non-GAAP measures used by other companies, and management may utilize other measures to illustrate performance in the future. Non-GAAP measures have limitations in that they do not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP.
Please note that these figures may not sum exactly due to rounding.
Non-GAAP Adjusted Gross Margin
Set forth below is a presentation of our “Non-GAAP Adjusted Gross Profit” and “Non-GAAP Adjusted Gross Margin,” which represents Non-GAAP Adjusted Gross Profit as a percentage of total revenue.
(unaudited, in thousands)
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
 
 
 
 
 
 
 
 
Total revenue
$
151,527

 
$
105,886

 
$
423,424

 
$
305,967

Direct operating expense
63,245

 
41,866

 
175,820

 
121,678

Total revenue less direct
 
 
 
 
 
 
 
  operating expense
88,282

 
64,020

 
247,604

 
184,289

  Add: Stock-based compensation
 
 
 
 
 
 
 
           allocated to direct operating expense
1,854

 
1,619

 
5,618

 
4,072

  Add: Amortization of purchased intangible assets
 
 
 
 
 
 
 
           allocated to direct operating expense
3,695

 
753

 
7,840

 
2,259

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Gross Profit
$
93,831

 
$
66,392

 
$
261,062

 
$
190,620

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Gross Margin
61.9
%
 
62.7
%
 
61.7
%
 
62.3
%


11


Non-GAAP Adjusted EBITDA
Set forth below is a reconciliation of our “Non-GAAP Adjusted EBITDA” and “Non-GAAP Adjusted EBITDA Margin,” which represents Non-GAAP Adjusted EBITDA as a percentage of total revenue.
(unaudited, in thousands)
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
 
 
 
 
 
 
 
 
Total Revenue
$
151,527

 
$
105,886

 
$
423,424

 
$
305,967

 
 
 
 
 
 
 
 
GAAP net income (loss)
1,170

 
6,210

 
(10,551
)
 
12,792

  Add: Provision for (benefit) from income taxes
80

 
4,953

 
(5,290
)
 
10,445

  Less: Total other expense (income)
1,391

 
(88
)
 
2,439

 
(234
)
  Add: Stock-based compensation expense
9,762

 
7,534

 
33,724

 
20,518

  Add: Depreciation and amortization
11,263

 
6,683

 
30,711

 
17,964

  Add: Amortization of purchased intangible assets
6,116

 
753

 
12,682

 
2,259

  Add: Integration and transaction costs
454

 

 
6,468

 

  Add: Non-tax deductible transaction costs

 

 
2,159

 

  Less: Gain on early termination of lease




(2,468
)


 
 
 
 
 
 
 
 
Non-GAAP Adjusted EBITDA
$
30,236

 
$
26,045

 
$
69,874

 
$
63,744

 
 
 
 
 
 
 
 
Non-GAAP Adjusted EBITDA Margin
20.0
%
 
24.6
%
 
16.5
%
 
20.8
%

12


Non-GAAP Adjusted Operating Income
Set forth below is a reconciliation of our “Non-GAAP Adjusted Operating Income” and “Non-GAAP Adjusted Operating Income Margin,” which represents Non-GAAP Adjusted Operating Income as a percentage of total revenue.
(unaudited, in thousands)
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
 
 
 
 
 
 
 
 
Total revenue
$
151,527

 
$
105,886

 
$
423,424

 
$
305,967

 
 
 
 
 
 
 
 
GAAP net income (loss)
1,170

 
6,210

 
(10,551
)
 
12,792

  Add: Provision for (benefit) from income taxes
80

 
4,953

 
(5,290
)
 
10,445

  Less: Total other expense (income)
1,391

 
(88
)
 
2,439

 
(234
)
  Add: Stock-based compensation expense
9,762

 
7,534

 
33,724

 
20,518

  Add: Amortization of capitalized stock-based compensation related to software development
302

 

 
680

 

  Add: Amortization of purchased intangible assets
6,116

 
753

 
12,682

 
2,259

  Add: Integration and transaction costs
454

 

 
6,468

 

  Add: Non-tax deductible transaction costs

 

 
2,159

 

  Less: Gain on early termination of lease




(2,468
)


 
 
 
 
 
 
 
 
Non-GAAP Adjusted Operating Income
$
19,275

 
$
19,362

 
$
39,843

 
$
45,780

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Operating Income Margin
12.7
%
 
18.3
%
 
9.4
%
 
15.0
%

13


Non-GAAP Adjusted Net Income
Set forth below is a reconciliation of our “Non-GAAP Adjusted Net Income” and “Non-GAAP Adjusted Net Income per Diluted Share.”
(unaudited, in thousands)
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2013
 
2012
 
2013
 
2012
 
 
 
 
 
 
 
 
GAAP net income (loss)
$
1,170

 
$
6,210

 
$
(10,551
)
 
$
12,792

  Add: Stock-based compensation expense
9,762

 
7,534

 
33,724

 
20,518

  Add: Amortization of capitalized stock-based compensation related to software development
302

 

 
680

 

  Add: Amortization of purchased intangible assets
6,116

 
753

 
12,682

 
2,259

  Add: Integration and transaction costs
454

 

 
6,468

 

  Less: Gain on early termination of lease




(2,468
)


 
 
 
 
 
 
 
 
  Sub-total of tax deductible items
16,634

 
8,287

 
51,086

 
22,777

 
 
 
 
 
 
 
 
  Less: Tax impact of tax deductible items (1)
(6,654
)
 
(3,315
)
 
(20,434
)
 
(9,111
)
  Add: Non-tax deductible transaction costs

 

 
2,159

 

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Net Income
$
11,150

 
$
11,182

 
$
22,260

 
$
26,458

 
 
 
 
 
 
 
 
Weighted average shares - diluted
38,343

 
37,212

 
36,722

 
37,038

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Net Income per Diluted Share
$
0.29

 
$
0.30

 
$
0.61

 
$
0.71

(1)
Tax impact calculated using a statutory tax rate of 40%.
(unaudited, in thousands)
Three Months Ended
 
Nine Months Ended

September 30,
 
September 30,

2013
 
2012
 
2013
 
2012

 
 
 
 
 
 
 
GAAP net income (loss) per share - diluted
$
0.03

 
$
0.17

 
$
(0.29
)
 
$
0.35

  Add: Stock-based compensation expense
0.25

 
0.20

 
0.92

 
0.55

  Add: Amortization of capitalized stock-based compensation related to software development
0.01

 

 
0.02

 

  Add: Amortization of purchased intangible assets
0.16

 
0.02

 
0.35

 
0.06

  Add: Integration and transaction costs
0.01

 

 
0.18

 

  Less: Gain on early termination of lease

 

 
(0.07
)
 


 
 
 
 
 
 
 
  Sub-total of tax deductible items
0.43

 
0.22

 
1.39

 
0.61


 
 
 
 
 
 
 
  Less: Tax impact of tax deductible items (1)
(0.17
)
 
(0.09
)
 
(0.56
)
 
(0.25
)
  Add: Non-tax deductible transaction costs

 

 
0.06

 

 
 
 
 
 
 
 
 
Non-GAAP Adjusted Net Income per Diluted Share
$
0.29

 
$
0.30

 
$
0.61

 
$
0.71


 
 
 
 
 
 
 
Weighted average shares - diluted
38,343

 
37,212

 
36,722

 
37,038

(1)
Tax impact calculated using a statutory tax rate of 40%.

14


Explanation of Non-GAAP Financial Measures
We report our financial results in accordance with accounting principles generally accepted in the United States of America, or GAAP. However, management believes that, in order to properly understand our short-term and long-term financial and operational trends, investors may wish to consider the impact of certain non-cash or non-recurring items, when used as a supplement to financial performance measures in accordance with GAAP. These items result from facts and circumstances that vary in frequency and impact on continuing operations. Management also uses results of operations before such items to evaluate the operating performance of athenahealth and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. These non-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in our ongoing business by eliminating certain non-cash expenses and other items that management believes might otherwise make comparisons of our ongoing business with prior periods more difficult, obscure trends in ongoing operations, or reduce management’s ability to make useful forecasts. Management believes that these non-GAAP financial measures provide additional means of evaluating period-over-period operating performance. In addition, management understands that some investors and financial analysts find this information helpful in analyzing our financial and operational performance and comparing this performance to our peers and competitors.
Management defines “Non-GAAP Adjusted Gross Profit” as total revenue, less direct operating expense, plus (1) stock-based compensation expense allocated to direct operating expense and (2) amortization of purchased intangible assets allocated to direct operating expense, and “Non-GAAP Adjusted Gross Margin” as Non-GAAP Adjusted Gross Profit as a percentage of total revenue. Management considers these non-GAAP financial measures to be important indicators of our operational strength and performance of our business and a good measure of our historical operating trends. Moreover, management believes that these measures enable investors and financial analysts to closely monitor and understand changes in our ability to generate income from ongoing business operations.
Management defines “Non-GAAP Adjusted EBITDA” as the sum of GAAP net income before provision for (benefit) from income taxes, total other (income) expense, stock-based compensation expense, depreciation and amortization, amortization of purchased intangible assets, integration costs, transaction costs, and gain on early termination of lease and “Non-GAAP Adjusted EBITDA Margin” as Non-GAAP Adjusted EBITDA as a percentage of total revenue. Management defines “Non-GAAP Adjusted Operating Income” as the sum of GAAP net income before provision for (benefit) from income taxes, total other (income) expense, stock-based compensation expense, amortization of capitalized stock-based compensation related to software development, amortization of purchased intangible assets, integration costs, transaction costs, and gain on early termination of lease and “Non-GAAP Adjusted Operating Income Margin” as Non-GAAP Adjusted Operating Income as a percentage of total revenue. Management defines “Non-GAAP Adjusted Net Income” as the sum of GAAP net income before stock-based compensation expense, amortization of capitalized stock-based compensation related to software development, amortization of purchased intangible assets, integration costs, transaction costs, gain on early termination of lease and any tax impact related to these items, and “Non-GAAP Adjusted Net Income per Diluted Share” as Non-GAAP Adjusted Net Income divided by weighted average diluted shares outstanding. Management considers all of these non-GAAP financial measures to be important indicators of our operational strength and performance of our business and a good measure of our historical operating trends, in particular the extent to which ongoing operations impact our overall financial performance.
Management excludes each of the items identified below from the applicable non-GAAP financial measure referenced above for the reasons set forth with respect to that excluded item:

15


Stock-based compensation expense and amortization of capitalized stock-based compensation related to software development — excluded because these are non-cash expenditures that management does not consider part of ongoing operating results when assessing the performance of our business, and also because the total amount of the expenditure is partially outside of our control because it is based on factors such as stock price, volatility, and interest rates, which may be unrelated to our performance during the period in which the expense is incurred.
Amortization of purchased intangible assets — purchased intangible assets are amortized over their estimated useful life and generally cannot be changed or influenced by management after the acquisition. Accordingly, this item is not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charge is incurred.
Integration costs integration costs are the severance and retention bonuses for certain employees relating to the Epocrates acquisition. Accordingly, these costs are not considered by management in making operating decisions, and management believes that such expenses do not have a direct correlation to future business operations. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charge is incurred.
Transaction costs — transaction costs are non-recurring costs related to specific transactions. Accordingly, these costs are not considered by management in making operating decisions, and management believes that such expenses do not have a direct correlation to future business operations. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charge is incurred.
Gain on early termination of lease — gain on early termination of lease is a non-recurring gain related to the early termination of the Arsenal lease. Accordingly, this gain is not considered by management in making operating decisions, and management believes that this gain does not have a direct correlation to future business operations. Management does not believe such gain accurately reflects the performance of s ongoing operations for the period in which such gain is recorded.

16