MOORESTOWN, N.J., Nov. 4, 2021 /PRNewswire/ — Tabula Rasa HealthCare, Inc. (“TRHC”) (Nasdaq: TRHC), a leading healthcare technology company advancing the safe use of medications, today reported financial results for the third quarter ended September 30, 2021.
“Our improved third quarter revenue growth was driven by continued strength in PACE and our CareVention HealthCare segment. While I am pleased with our markedly improved organic growth, we are not satisfied with these results and are taking a number of important steps to better position the company to deliver higher growth in 2022 and ultimately increase shareholder value,” said Calvin H. Knowlton, PhD, TRHC’s Chief Executive Officer, Chairman and Founder.
Third Quarter 2021 Financial Results
All comparisons, unless otherwise noted, are to the three months ended September 30, 2020.
A reconciliation of generally accepted accounting principles (“GAAP”) in the United States to non-GAAP results has been provided in this press release in the accompanying tables. An explanation of these measures is also included below under the heading “Non-GAAP Financial Measures.”
Future Outlook
Based on current market conditions and our expectations as of today, we are introducing fourth quarter 2021 guidance and revised full year 2021 guidance, as summarized below.
For the fourth quarter 2021, we expect:
For the full year 2021, we expect:
|
Three Months Ended December 31, 2021 |
Year Ended December 31, 2021 |
|||||||||||||||
|
LOW |
HIGH |
LOW |
HIGH |
|||||||||||||
|
(in millions except percentages) |
||||||||||||||||
|
Total revenue |
$ |
84.0 |
$ |
86.0 |
$ |
329.6 |
$ |
331.6 |
||||||||
|
Year over year growth |
9 |
% |
12 |
% |
11 |
% |
12 |
% |
||||||||
|
GAAP net loss |
$ |
(19.8) |
$ |
(18.8) |
$ |
(77.5) |
$ |
(76.5) |
||||||||
|
Adjusted EBITDA |
$ |
4.0 |
$ |
5.0 |
$ |
19.3 |
$ |
20.3 |
||||||||
|
Adjusted EBITDA margin |
5 |
% |
6 |
% |
6 |
% |
6 |
% |
||||||||
Quarterly Conference Call
The third quarter 2021 earnings conference call and webcast will be held tomorrow, Friday, November 5, 2021, at 8:30 a.m. ET. The conference call can be accessed by dialing 844-413-0947 for U.S. participants or 216-562-0423 for international participants, and referencing passcode 5917496 or via a live audio webcast available online at TRHC’s investor website (ir.trhc.com). An audio webcast replay will be available approximately two hours after completion of the call for a period of 90 days thereafter at ir.trhc.com and a replay will be available for seven days by dialing 855-859-2056 for U.S. participants or 404-537-3406 for international participants and referencing passcode 5917496.
About Tabula Rasa HealthCare
Tabula Rasa HealthCare (TRHC) provides medication safety solutions that empower healthcare professionals and consumers to optimize medication regimens, combatting medication overload and reducing adverse drug events – the fourth leading cause of death in the U.S. TRHC’s proprietary technology solutions, including DoseMeRx™ and MedWise®, improve patient outcomes, reduce hospitalizations, and lower healthcare costs. TRHC’s extensive clinical tele-pharmacy network improves care for patients nationwide. Its solutions are trusted by health plans and pharmacies to help drive value-based care. For more information, visit TRHC.com.
Non-GAAP Financial Measures
In addition to reporting all financial information required in accordance with GAAP, TRHC is also reporting Adjusted EBITDA, Adjusted EBITDA margin, and Adjusted Diluted EPS, each of which is considered a non-GAAP financial measure. Generally, a non-GAAP financial measure is a numerical measure of a company’s performance or financial position that either excludes or includes amounts that are not normally excluded or included in the most directly comparable measure calculated and presented in accordance with GAAP.
Adjusted EBITDA consists of net income or loss excluding certain other expenses, which includes interest expense, provision (benefit) for income tax, depreciation and amortization, change in fair value of acquisition-related contingent consideration expense, settlement costs, severance expense incurred in 2021 related to a realignment of resources, acquisition-related expense, and stock-based compensation expense. TRHC defines Adjusted EBITDA margin as Adjusted EBITDA as a percentage of revenue. TRHC defines Adjusted Diluted EPS as net income or loss before fair value adjustments for acquisition-related contingent consideration, amortization of acquired intangibles, amortization of debt discount and issuance costs, settlement costs, severance expense incurred in 2021 related to a realignment of resources, stock-based compensation expense, and the tax impact of those items using a normalized tax rate on pre-tax income (loss) adjusted for those items expressed on a per share basis using weighted average diluted shares outstanding. TRHC considers acquisition-related expense to include non-recurring direct transaction and integration costs, severance, and the impact of purchase accounting adjustments related to the fair value of acquired deferred revenue. TRHC believes the exclusion of these items assists in providing a more complete understanding of the company’s underlying operations results and trends and allows for comparability with TRHC’s peer company index and industry and to be more consistent with TRHC’s expected capital structure on a going forward basis. Please note that other companies may define their non-GAAP financial measures differently than TRHC.
TRHC presents these non-GAAP financial measures in this release because it considers them to be important supplemental measures of performance. TRHC uses these non-GAAP financial measures for planning purposes, including analysis of the company’s performance against prior periods, the preparation of operating budgets and determination of appropriate levels of operating and capital investments. TRHC believes that these non-GAAP financial measures provide additional insight for analysts and investors in evaluating the company’s financial and operational performance. TRHC also intends to provide these non-GAAP financial measures as part of the company’s future earnings discussions and, therefore, their inclusion should provide consistency in the company’s financial reporting.
Non-GAAP financial measures have limitations as an analytical tool. Investors are encouraged to review the reconciliation of Adjusted EBITDA and Adjusted Diluted EPS to their most directly comparable GAAP measures provided in this release, including in the accompanying tables.
Safe Harbor Statement
This press release includes 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, that we believe to be reasonable as of today’s date. Forward-looking statements give current expectations or forecasts of future events or our future financial or operating performance, and include TRHC’s expectations regarding healthcare regulations, industry trends, available opportunities to TRHC, the financial and operating performance of TRHC, the impacts of the COVID-19 pandemic and TRHC’s expectations for the remainder of 2021. Such statements are identified by use of the words “anticipates,” “believes,” “estimates,” “expects,” “intends,” “plans,” “predicts,” “projects,” “should,” and similar expressions. These forward-looking statements are based on management’s good-faith expectations, judgements and assumptions as of the date of this press release. Actual results might differ materially from those explicit or implicit in the forward-looking statements. Important factors that could cause actual results to differ materially include: the impacts of the ongoing COVID-19 pandemic and other health epidemics; our continuing losses and need to achieve profitability; fluctuations in our financial results; the acceptance and use of our products and services by PACE organizations; the need to innovate and provide useful products and services; risks related to changing healthcare and other applicable governmental regulations; our ability to maintain relationships with a specified drug wholesaler; increasing consolidation in the healthcare industry; managing our growth effectively; our ability to adequately protect our intellectual property; the requirements of being a public company; our ability to recognize the expected benefits from acquisitions on a timely basis or at all; and the other risk factors set forth from time to time in our filings with the Securities and Exchange Commission (“SEC”), including those factors discussed under the caption “Risk Factors” in our most recent annual report on Form 10-K, filed with the SEC on February 26, 2021, and in subsequent reports filed with or furnished to the SEC, copies of which are available free of charge within the Investor Relations section of the Tabula Rasa HealthCare website http://ir.trhc.com or upon request from our Investor Relations Department. Tabula Rasa HealthCare assumes no obligation and does not intend to update these forward-looking statements, except as required by law, to reflect events or circumstances occurring after today’s date.
|
TABULA RASA HEALTHCARE, INC. |
||||||
|
UNAUDITED CONSOLIDATED BALANCE SHEETS |
||||||
|
(In thousands) |
||||||
|
September 30, |
December 31, |
|||||
|
2021 |
2020 |
|||||
|
Assets |
||||||
|
Current assets: |
||||||
|
Cash |
$ |
11,347 |
$ |
23,362 |
||
|
Restricted cash |
4,014 |
5,170 |
||||
|
Accounts receivable, net |
31,736 |
32,516 |
||||
|
Inventories |
5,127 |
4,261 |
||||
|
Prepaid expenses |
5,344 |
3,739 |
||||
|
Client claims receivable |
15,284 |
14,412 |
||||
|
Other current assets |
15,398 |
9,752 |
||||
|
Total current assets |
88,250 |
93,212 |
||||
|
Property and equipment, net |
13,234 |
15,070 |
||||
|
Operating lease right-of-use assets |
21,935 |
21,711 |
||||
|
Software development costs, net |
40,297 |
27,882 |
||||
|
Goodwill |
170,835 |
170,862 |
||||
|
Intangible assets, net |
161,626 |
183,094 |
||||
|
Other assets |
4,801 |
2,609 |
||||
|
Total assets |
$ |
500,978 |
$ |
514,440 |
||
|
Liabilities and stockholders’ equity |
||||||
|
Current liabilities: |
||||||
|
Current portion of finance leases |
$ |
— |
$ |
4 |
||
|
Current operating lease liabilities |
4,706 |
4,402 |
||||
|
Acquisition-related contingent consideration |
— |
166 |
||||
|
Acquisition-related notes payable |
3,995 |
16,662 |
||||
|
Accounts payable |
13,019 |
11,245 |
||||
|
Client claims payable |
8,157 |
7,773 |
||||
|
Accrued expenses and other liabilities |
35,443 |
31,968 |
||||
|
Total current liabilities |
65,320 |
72,220 |
||||
|
Line of credit |
27,500 |
10,000 |
||||
|
Long-term debt, net |
318,969 |
239,285 |
||||
|
Noncurrent operating lease liabilities |
20,152 |
20,381 |
||||
|
Deferred income tax liability, net |
1,226 |
3,354 |
||||
|
Other long-term liabilities |
563 |
671 |
||||
|
Total liabilities |
433,730 |
345,911 |
||||
|
Stockholders’ equity: |
||||||
|
Common stock |
2 |
2 |
||||
|
Treasury stock |
(4,292) |
(4,018) |
||||
|
Additional paid-in capital |
310,514 |
352,445 |
||||
|
Accumulated deficit |
(238,976) |
(179,900) |
||||
|
Total stockholders’ equity |
67,248 |
168,529 |
||||
|
Total liabilities and stockholders’ equity |
$ |
500,978 |
$ |
514,440 |
||
|
TABULA RASA HEALTHCARE, INC. |
||||||||||||
|
UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS |
||||||||||||
|
(In thousands, except share and per share amounts) |
||||||||||||
|
Three Months Ended |
Nine Months Ended |
|||||||||||
|
September 30, |
September 30, |
|||||||||||
|
2021 |
2020 |
2021 |
2020 |
|||||||||
|
Revenue: |
||||||||||||
|
Product revenue |
$ |
50,636 |
$ |
39,365 |
$ |
139,496 |
$ |
115,825 |
||||
|
Service revenue |
35,950 |
31,141 |
106,079 |
104,342 |
||||||||
|
Total revenue |
86,586 |
70,506 |
245,575 |
220,167 |
||||||||
|
Cost of revenue, exclusive of depreciation and amortization shown below: |
||||||||||||
|
Product cost |
38,770 |
28,638 |
105,326 |
84,879 |
||||||||
|
Service cost |
22,392 |
20,610 |
67,126 |
64,140 |
||||||||
|
Total cost of revenue, exclusive of depreciation and amortization |
61,162 |
49,248 |
172,452 |
149,019 |
||||||||
|
Operating expenses: |
||||||||||||
|
Research and development |
4,984 |
5,101 |
14,893 |
13,750 |
||||||||
|
Sales and marketing |
6,218 |
5,030 |
18,786 |
15,597 |
||||||||
|
General and administrative |
16,870 |
15,620 |
54,360 |
48,914 |
||||||||
|
Change in fair value of acquisition-related contingent consideration expense |
— |
2,005 |
— |
2,605 |
||||||||
|
Depreciation and amortization |
12,099 |
12,199 |
35,343 |
32,323 |
||||||||
|
Total operating expenses |
40,171 |
39,955 |
123,382 |
113,189 |
||||||||
|
Loss from operations |
(14,747) |
(18,697) |
(50,259) |
(42,041) |
||||||||
|
Interest expense, net |
2,230 |
4,722 |
6,959 |
14,000 |
||||||||
|
Loss before income taxes |
(16,977) |
(23,419) |
(57,218) |
(56,041) |
||||||||
|
Income tax expense (benefit) |
134 |
(1,830) |
466 |
(5,705) |
||||||||
|
Net loss |
$ |
(17,111) |
$ |
(21,589) |
$ |
(57,684) |
$ |
(50,336) |
||||
|
Net loss per share, basic and diluted |
$ |
(0.73) |
$ |
(0.99) |
$ |
(2.48) |
$ |
(2.33) |
||||
|
Weighted average common shares outstanding, basic and diluted |
23,407,391 |
21,779,808 |
23,230,138 |
21,571,214 |
||||||||
|
TABULA RASA HEALTHCARE, INC. |
||||||
|
UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS |
||||||
|
(In thousands) |
||||||
|
Nine Months Ended |
||||||
|
September 30, |
||||||
|
2021 |
2020 |
|||||
|
Cash flows from operating activities: |
||||||
|
Net loss |
$ |
(57,684) |
$ |
(50,336) |
||
|
Adjustments to reconcile net loss to net cash provided by operating activities: |
||||||
|
Depreciation and amortization |
35,343 |
32,323 |
||||
|
Amortization of deferred financing costs and debt discount |
1,714 |
9,925 |
||||
|
Deferred taxes |
337 |
(5,705) |
||||
|
Stock-based compensation |
28,962 |
22,408 |
||||
|
Change in fair value of acquisition-related contingent consideration |
— |
2,605 |
||||
|
Acquisition-related contingent consideration paid |
(67) |
(2,390) |
||||
|
Other noncash items |
9 |
(70) |
||||
|
Changes in operating assets and liabilities, net of effect from acquisitions: |
||||||
|
Accounts receivable, net |
789 |
(3,220) |
||||
|
Inventories |
(866) |
(494) |
||||
|
Prepaid expenses and other current assets |
(6,084) |
7,209 |
||||
|
Client claims receivables |
(872) |
— |
||||
|
Other assets |
(2,604) |
(382) |
||||
|
Accounts payable |
1,587 |
(1,432) |
||||
|
Accrued expenses and other liabilities |
2,138 |
(5,408) |
||||
|
Client claims payables |
423 |
— |
||||
|
Other long-term liabilities |
(108) |
315 |
||||
|
Net cash provided by operating activities |
3,017 |
5,348 |
||||
|
Cash flows from investing activities: |
||||||
|
Purchases of property and equipment |
(1,611) |
(2,537) |
||||
|
Software development costs |
(22,649) |
(13,734) |
||||
|
Net cash used in investing activities |
(24,260) |
(16,271) |
||||
|
Cash flows from financing activities: |
||||||
|
Proceeds from exercise of stock options |
3,683 |
3,225 |
||||
|
Payments for employee taxes for shares withheld |
— |
(2,993) |
||||
|
Payments for debt financing costs |
(8) |
(38) |
||||
|
Borrowings on line of credit |
17,500 |
— |
||||
|
Payment of acquisition-related notes payable |
(13,000) |
— |
||||
|
Payments of acquisition-related contingent consideration |
(99) |
(3,504) |
||||
|
Repayments of long-term debt and finance leases |
(4) |
(54) |
||||
|
Net cash provided by (used in) financing activities |
8,072 |
(3,364) |
||||
|
Net decrease in cash and restricted cash |
(13,171) |
(14,287) |
||||
|
Cash and restricted cash, beginning of period |
28,532 |
46,581 |
||||
|
Cash and restricted cash, end of period |
$ |
15,361 |
$ |
32,294 |
||
|
TABULA RASA HEALTHCARE, INC. |
||||||||||||
|
UNAUDITED SEGMENT RESULTS |
||||||||||||
|
(In thousands) |
||||||||||||
|
Three Months Ended |
Nine Months Ended |
|||||||||||
|
September 30, 2021 |
September 30, 2020 |
September 30, 2021 |
September 30, 2020 |
|||||||||
|
Revenue |
||||||||||||
|
CareVention HealthCare: |
||||||||||||
|
PACE product revenue |
$ |
50,321 |
$ |
39,086 |
$ |
139,021 |
$ |
115,103 |
||||
|
PACE solutions |
14,707 |
11,214 |
42,973 |
34,307 |
||||||||
|
Total CareVention HealthCare |
65,028 |
50,300 |
181,994 |
149,410 |
||||||||
|
MedWise HealthCare: |
||||||||||||
|
Product revenue |
315 |
279 |
475 |
722 |
||||||||
|
Medication safety services |
9,467 |
9,817 |
31,247 |
39,844 |
||||||||
|
Software subscription and services |
11,776 |
10,110 |
31,859 |
30,191 |
||||||||
|
Total MedWise HealthCare |
21,558 |
20,206 |
63,581 |
70,757 |
||||||||
|
Total Revenue |
$ |
86,586 |
$ |
70,506 |
$ |
245,575 |
$ |
220,167 |
||||
|
Adjusted EBITDA |
||||||||||||
|
CareVention HealthCare |
$ |
14,014 |
$ |
12,735 |
$ |
40,983 |
$ |
36,560 |
||||
|
MedWise HealthCare |
2,618 |
1,009 |
7,532 |
8,537 |
||||||||
|
Shared Services |
(10,915) |
(8,650) |
(33,236) |
(28,062) |
||||||||
|
Total Adjusted EBITDA |
$ |
5,717 |
$ |
5,094 |
$ |
15,279 |
$ |
17,035 |
||||
|
Adjusted EBITDA margin |
||||||||||||
|
CareVention HealthCare |
21.6% |
25.3% |
22.5% |
24.5% |
||||||||
|
MedWise HealthCare |
12.1% |
5.0% |
11.8% |
12.1% |
||||||||
|
Total Adjusted EBITDA margin |
6.6% |
7.2% |
6.2% |
7.7% |
||||||||
|
TABULA RASA HEALTHCARE, INC. |
||||||||||||
|
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP MEASURES |
||||||||||||
|
(In thousands except share and per share amounts) |
||||||||||||
|
Three Months Ended September 30, |
Nine Months Ended September 30, |
|||||||||||
|
2021 |
2020 |
2021 |
2020 |
|||||||||
|
Reconciliation of Net Loss to Adjusted EBITDA |
||||||||||||
|
Net loss |
$ |
(17,111) |
$ |
(21,589) |
$ |
(57,684) |
$ |
(50,336) |
||||
|
Add: |
||||||||||||
|
Interest expense, net |
2,230 |
4,722 |
6,959 |
14,000 |
||||||||
|
Income tax expense (benefit) |
134 |
(1,830) |
466 |
(5,705) |
||||||||
|
Depreciation and amortization |
12,099 |
12,199 |
35,343 |
32,323 |
||||||||
|
Change in fair value of acquisition-related contingent |
— |
2,005 |
— |
2,605 |
||||||||
|
Settlement |
— |
— |
500 |
— |
||||||||
|
Severance expense |
354 |
917 |
516 |
917 |
||||||||
|
Acquisition-related expense |
— |
572 |
217 |
823 |
||||||||
|
Stock-based compensation expense |
8,011 |
8,098 |
28,962 |
22,408 |
||||||||
|
Adjusted EBITDA |
$ |
5,717 |
$ |
5,094 |
$ |
15,279 |
$ |
17,035 |
||||
|
Total revenue |
$ |
86,586 |
$ |
70,506 |
$ |
245,575 |
$ |
220,167 |
||||
|
Adjusted EBITDA margin |
6.6% |
7.2% |
6.2% |
7.7% |
||||||||
|
Three Months Ended September 30, |
Nine Months Ended September 30, |
|||||||||||||||||||||||
|
2021 |
2020 |
2021 |
2020 |
|||||||||||||||||||||
|
(In thousands except per share amounts) |
(In thousands except per share amounts) |
|||||||||||||||||||||||
|
Reconciliation of diluted net loss per share |
||||||||||||||||||||||||
|
GAAP net loss, basic and diluted, and net l |
$ |
(17,111) |
$ |
(0.73) |
$ |
(21,589) |
$ |
(0.99) |
$ |
(57,684) |
$ |
(2.48) |
$ |
(50,336) |
$ |
(2.33) |
||||||||
|
Adjustments: |
||||||||||||||||||||||||
|
Change in fair value of acquisition-related contingent consideration expense |
— |
2,005 |
— |
2,605 |
||||||||||||||||||||
|
Amortization of acquired intangibles |
7,060 |
8,291 |
21,468 |
21,936 |
||||||||||||||||||||
|
Amortization of debt discount and issuance costs |
406 |
3,280 |
1,310 |
9,647 |
||||||||||||||||||||
|
Settlement |
— |
— |
500 |
— |
||||||||||||||||||||
|
Severance expense |
354 |
917 |
516 |
917 |
||||||||||||||||||||
|
Acquisition-related expense |
— |
572 |
217 |
823 |
||||||||||||||||||||
|
Stock-based compensation expense |
8,011 |
8,098 |
28,962 |
22,408 |
||||||||||||||||||||
|
Impact to income taxes (1) |
439 |
(1,762) |
1,588 |
(6,306) |
||||||||||||||||||||
|
Adjusted net (loss) income and Adjusted Diluted EPS |
$ |
(841) |
$ |
(0.04) |
$ |
(188) |
$ |
(0.01) |
$ |
(3,123) |
$ |
(0.13) |
$ |
1,694 |
$ |
0.07 |
||||||||
|
(1) |
The impact to taxes was calculated using a normalized statutory tax rate applied to pre-tax income or loss adjusted for the respective items above and then subtracting or adding the tax benefit or provision, respectively, |
|
Three Months Ended |
Nine Months Ended |
|||||||
|
September 30, |
September 30, |
|||||||
|
2021 |
2020 |
2021 |
2020 |
|||||
|
Reconciliation of weighted average shares of common stock outstanding, diluted, to weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS |
||||||||
|
Weighted average shares of common stock outstanding, basic and diluted for GAAP |
23,407,391 |
21,779,808 |
23,230,138 |
21,571,214 |
||||
|
Adjustments: |
||||||||
|
Weighted average dilutive effect of stock options |
— |
— |
— |
1,281,367 |
||||
|
Weighted average dilutive effect of restricted stock |
— |
— |
— |
491,245 |
||||
|
Weighted average dilutive effect of contingent shares |
— |
— |
— |
74,102 |
||||
|
Weighted average shares of common stock outstanding, diluted for Adjusted Diluted EPS (1) |
23,407,391 |
21,779,808 |
23,230,138 |
23,417,928 |
||||
|
(1) |
For the three and nine months ended September 30, 2021, we accounted for the convertible senior subordinated notes utilizing the if-converted method. |
|
For the three and nine months ended September 30, 2020, we accounted for the convertible senior subordinated notes utilizing the treasury stock method. |
|
TABULA RASA HEALTHCARE, INC. |
||||||||||||
|
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP GUIDANCE RANGES |
||||||||||||
|
(In millions) |
||||||||||||
|
Three Months Ended December 31, 2021 |
Year Ended December 31, 2021 |
|||||||||||
|
LOW |
HIGH |
LOW |
HIGH |
|||||||||
|
Reconciliation from Net Loss Guidance to Adjusted |
||||||||||||
|
Net loss: |
$ |
(19.8) |
$ |
(18.8) |
$ |
(77.5) |
$ |
(76.5) |
||||
|
Add: |
||||||||||||
|
Interest expense |
2.2 |
2.2 |
9.2 |
9.2 |
||||||||
|
Income tax expense |
0.1 |
0.1 |
0.6 |
0.6 |
||||||||
|
Depreciation and amortization |
12.1 |
12.1 |
47.4 |
47.4 |
||||||||
|
Settlement |
— |
— |
0.5 |
0.5 |
||||||||
|
Severance expense |
0.4 |
0.4 |
0.9 |
0.9 |
||||||||
|
Stock-based compensation expense |
9.0 |
9.0 |
38.0 |
38.0 |
||||||||
|
Acquisition-related expense |
— |
— |
0.2 |
0.2 |
||||||||
|
Adjusted EBITDA |
$ |
4.0 |
$ |
5.0 |
$ |
19.3 |
$ |
20.3 |
||||
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SOURCE Tabula Rasa HealthCare, Inc.
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