NantHealth Reports 2020 Fourth-Quarter, Full-Year Financial Results

Feb. 25, 2021 21:05 UTC
  • Q4 Financial Highlights 2020 vs 2019:
    • Total revenue was $18.6 million
      ▪ Total software-related revenue was $18.6 million, up from $18.4 million
    • Total gross margin increased to 61% from 58%
  • Full-Year Financial Highlights 2020 vs 2019:
    • Total revenue was $73.2 million vs $77.4 million
      ▪ Total software-related revenue was $73.0 million, up from $72.8 million
    • Total gross margin increased to 60% from 56%
  • Completed sale of Connected Care Business for $47.25 million in February 2020
  • Acquired The OpenNMS Group, an open source network monitoring company, in July 2020

CULVER CITY, Calif.--(BUSINESS WIRE)-- NantHealth, Inc. (NASDAQ-GS: NH), a provider of enterprise solutions that help transform complex data into actionable insights, today reported financial results for its fourth quarter and full year ended December 31, 2020.

"While managing our business through the challenges associated with COVID-19 for most of the past year, we advanced our goal of expanding and diversifying NantHealth's software portfolio and services offerings with the acquisition of OpenNMS, continued to invest in our data solutions and AI capabilities, and delivered expanded capabilities on our NaviNet and Eviti SaaS products," said Ron Louks, Chief Operating Officer, NantHealth. "In addition, as part of our NantHealth Cares initiative, we supported healthcare providers and medical staff by offering, at no cost for the entire month of May, our NaviNet AllPayer platform to providers. I am pleased to report that even with a month of free access, AllPayer revenues grew in 2020 and added more than 1,500 providers to its network."

Software and Services Q4 Highlights:

  • Clinical Decision Support (Eviti®):
    • Signed a renewal agreement with a Maryland-based health plan for an additional three years, and expanded products and services within the plan
    • Continued to expand Eviti Connect across the Medicaid population of a leading U.S. health insurance company. Of the 13 states originally announced, eight states have gone live through the fourth quarter of 2020
    • Launched Eviti Connect 8.2 which included:
      • Formulary Redirection ‒ a major expansion of our Treatment Warning and Deviation (TWAD) feature that allows redirection to preferred drugs. This new functionality scales the payer's ability to enable formulary redirection resulting in significant savings in delivery of care
      • Smart Justifications ‒ uses Eviti proprietary algorithms to identify characteristics of cancer type and treatment goals that streamline workflow and result in faster time to treatment plan
  • Payer Engagement (NaviNet®):
    • Signed a three-year renewal agreement for NaviNet Open with one of the nation's leading Medicaid managed care organizations, strengthening a nearly 20-year partnership
    • Launched a collaboration with Sesame, Inc. that enables providers to utilize Sesame's payment tools giving patients direct access to affordable, high-quality care while increasing practice revenue
    • Introduced new network analytics solutions focused on providing our health plan partners with actionable insights into their providers' NaviNet activity:
      • Document Exchange Insights Reports ‒ provide information on utilization trends, reach into the provider network, and identify opportunities for targeted action to drive greater adoption
      • Advanced user behavior analytics and user engagement tools ‒ influence the NaviNet product roadmap and augment existing analysis available to our health plans and partners
    • Enhanced Open Authorizations to more seamlessly inform providers on where and how to request service approval from their patient's health plan

Network Monitoring and Management (OpenNMS®)

  • Deployed the OpenNMS flows and streaming analytics solution (300,000 flows per second) in production at a Fortune 500 energy company; decommissioning and replacing their existing solution
  • Released OpenNMS Horizon 27.0, which introduced digital experience monitoring for in depth monitoring of applications from the vantage point of individual end users and support for OpenConfig, a new industry standard that enables direct streaming of device telemetry data

Precision Medicine and Artificial Intelligence - Highlights:

  • In December, NantHealth presented significant treatment insights at the 2020 San Antonio Breast Cancer Symposium around the adoption of trastuzumab biosimilars in the treatment of HER2-positive breast cancer and the potential clinical and cost benefits of biosimilars. By examining Eviti data, the study identified an opportunity for payers to successfully redirect providers to biosimilars that offer high-value care at lower costs
  • In November, NantHealth and ImmunityBio announced the publication in Nature's Scientific Reports of a study that revealed RNA sequencing is not only viable but may also provide significant clinical value in analyzing a cancer patient's specific disease biology to enable an optimized treatment decision with a higher likelihood of success
  • In October, NantHealth, ImmunityBio and NantOmics presented results at the 2020 American Association for Cancer Research Virtual Special Conference on the use of deep-learning models in providing significant risk-assessment of survival in pancreatic cancer patients, holding promise as a prognostic technology

Business and Financial Highlights

For the 2020 fourth quarter:

  • Total net revenue was $18.6 million, up slightly from $18.6 million in the 2019 fourth quarter.
  • Gross profit increased to $11.4 million, or 61% of total net revenue, compared with $10.8 million, or 58% of total net revenue, for the prior year period.
  • Selling, general and administrative (SG&A) expenses declined to $11.7 million from $12.8 million in the 2019 fourth quarter, mainly driven by ongoing cost management efforts and efficiencies in overall processes.
  • Research and development (R&D) expenses increased to $4.8 million from $3.4 million mainly from the Company's ongoing investments in expanding its data and AI capabilities.
  • Net loss from continuing operations attributable to NantHealth, net of tax, was $20.1 million, or $0.18 per share, which includes a noncash charge related to the Allscripts Bookings Commitment of $8.1 million. This compares with net loss from continuing operations attributable to NantHealth, net of tax, of $13.2 million, or $0.12 per share, for the 2019 fourth quarter.
  • On a non-GAAP basis, net loss from continuing operations attributable to NantHealth was $6.2 million, or $0.06 per share, compared with $5.7 million, or $0.05 per share, for the fourth quarter of last year.

For the 2020 full year:

  • Total net revenue was $73.2 million. This compares with total net revenue of $77.4 million for the 2019 full year, which included $2.9 million of home healthcare services revenue, a business the company divested in June 2019.
  • Gross profit increased to $43.9 million, or 60% of total net revenue, from $43.3 million, or 56% of total net revenue, for the prior year.
  • SG&A expense declined substantially to $48.5 million from $55.6 million in 2019, driven by the divestiture of the home healthcare services business, continued efforts to reduce costs and maximize existing resources. R&D expense increased to $17.3 million from $13.9 million in 2019 mainly from ongoing investments in data and AI capabilities.
  • Net loss from continuing operations attributable to NantHealth, net of tax, was $88.3 million, or $0.80 per share, which includes noncash charges related to the Allscripts Bookings Commitment of $11.2 million and the impairment of the Company's equity method investment in NantOmics of $28.2 million. This compares with net loss from continuing operations attributable to NantHealth, net of tax, of $65.4 million, or $0.59 per share, for the 2019 full year.
  • On a non-GAAP basis, net loss from continuing operations attributable to NantHealth was $27.0 million, or $0.24 per share, down from $30.1 million, or $0.27 per share, for 2019.

At December 31, 2020, cash and cash equivalents totaled $22.8 million.

Conference Call Information and Forward-Looking Statements

Later today, the company will host a conference call at 1:30 p.m. PT (4:30 p.m. ET) to review its results of operations for the fourth quarter and full year ended December 31, 2020. The conference call will be available to interested parties by dialing 844-309-3709 from the U.S. or Canada, or 281-962-4864 from international locations, passcode 9786375. The call will be broadcast via the Internet at www.nanthealth.com. Listeners are encouraged to visit the website at least 10 minutes prior to the start of the scheduled presentation to register, download and install any necessary audio software. A playback of the call will be archived and accessible on the same website for at least three months.

Discussion during the conference call may include forward-looking statements regarding topics such as the company's financial status and performance, regulatory and operational developments, and other comments the company may make about its future plans or prospects in response to questions from participants on the conference call.

Use of Non-GAAP Financial Measures

This news release contains references to Non-GAAP financial measures, including adjusted net loss and adjusted net loss per share, which are financial measures that are not prepared in conformity with United States generally accepted accounting principles (U.S. GAAP). The Company's management believes that the presentation of Non-GAAP financial measures provides useful supplementary information regarding operational performance, because it enhances an investor's overall understanding of the financial results for the Company's core business. Additionally, it provides a basis for the comparison of the financial results for the Company's core business between current, past and future periods. Other companies may define these measures in different ways. Non-GAAP financial measures should be considered only as a supplement to, and not as a substitute for or as a superior measure to, financial measures prepared in accordance with U.S. GAAP. Non-GAAP per share numbers are calculated based on one class of common stock and do not incorporate the effects, if any, of using the two-class method.

About NantHealth, Inc.

NantHealth, a member of the NantWorks ecosystem of companies, provides enterprise solutions that help businesses transform complex data into actionable insights. By offering efficient ways to move, interpret, and visualize complex and highly sensitive information, NantHealth enables customers in healthcare, life sciences, logistics, telecommunications and other industries to automate, understand and act on data while keeping it secure and scalable. NantHealth's product portfolio comprises the latest technology in payer/provider collaboration platforms for real-time coverage decision support (Eviti and NaviNet), molecular analysis (GPS Cancer), and data solutions that provide multi-data analysis, reporting and professional services offerings (Quadris). OpenNMS, a NantHealth subsidiary, helps businesses monitor and manage network health and performance. For more information, visit nanthealth.com, follow us on Twitter, Facebook and LinkedIn, and subscribe to our blog.

This news release contains certain statements of a forward-looking nature relating to future events or future business performance. Forward-looking statements can be identified by the words "expects," "anticipates," "believes," "intends," "estimates," "plans," "will," "outlook" and similar expressions. Forward-looking statements are based on management's current plans, estimates, assumptions and projections, and speak only as of the date they are made. Risks and uncertainties include, but are not limited to: our ability to successfully integrate our systems and solutions to address a wide range of healthcare issues; our ability to successfully amass the requisite data to achieve maximum network effects; appropriately allocating financial and human resources across a broad array of product and service offerings; raising additional capital as necessary to fund our operations; achieving significant commercial market acceptance for our solutions; establishing relationships with key thought leaders or key decision makers in order to attract, retain and renew partners and clients and obtain reimbursement for our sequencing and molecular analysis solutions; our ability to grow the market for our solutions; successfully enhancing our solutions to achieve market acceptance and keep pace with technological developments; customer concentration; competition; security breaches; data loss or corruption due to failures or errors in our systems and service disruptions at our data centers; bandwidth limitations; our ability to use, disclose, de-identify or license data and to integrate third-party technologies; our use of "open source" software; our ability to continue our relationship with NantOmics; our ability to obtain regulatory approvals; dependence upon senior management; the need to comply with and meet applicable laws and regulations; unexpected adverse events; clinical adoption and market acceptance of our molecular sequencing and analysis solutions; and anticipated cost savings. We undertake no obligation to update any forward-looking statement in light of new information or future events, except as otherwise required by law. Forward-looking statements involve inherent risks and uncertainties, most of which are difficult to predict and are generally beyond our control. Actual results or outcomes may differ materially from those implied by the forward-looking statements as a result of the impact of a number of factors, many of which are discussed in more detail in our reports filed with the Securities and Exchange Commission..

NantHealth, Inc.

Consolidated Balance Sheets

(Dollars in thousands, except per share amounts)

(Unaudited)

December 31,

2020

2019

Assets

Current assets

Cash and cash equivalents

$

22,787

$

5,243

Accounts receivable, net

3,273

6,179

Related party receivables, net

1,031

823

Prepaid expenses and other current assets

3,504

19,341

Current assets of discontinued operations

6,327

Total current assets

30,595

37,913

Property, plant, and equipment, net

13,102

14,985

Goodwill

98,333

97,307

Intangible assets, net

47,969

51,848

Investment in related party

31,702

Related party receivable, net of current

823

1,108

Operating lease right-of-use assets

7,539

8,470

Other assets

1,927

1,818

Noncurrent assets of discontinued operations

21,336

Total assets

$

200,288

$

266,487

Liabilities and Stockholders' Equity

Current liabilities

Accounts payable

$

5,122

$

3,377

Accrued and other current liabilities

13,975

31,988

Deferred revenue

1,166

7,098

Related party payables, net

4,238

4,120

Notes payable

268

238

Related party convertible note, net

9,411

Convertible notes, net

90,578

Current liabilities of discontinued operations

10,680

Total current liabilities

124,758

57,501

Deferred revenue, net of current

393

1,129

Related party liabilities

31,091

24,227

Related party promissory note

112,666

112,666

Related party convertible note, net

8,864

Convertible notes, net

84,648

Deferred income taxes, net

1,853

1,669

Operating lease liabilities

8,170

9,728

Other liabilities

32,757

21,542

Noncurrent liabilities of discontinued operations

1,649

Total liabilities

311,688

323,623

Stockholders' deficit

Common stock, $0.0001 par value per share, 750,000,000 shares authorized; 111,284,733 and 110,619,678 shares issued and outstanding at December 31, 2020 and 2019, respectively

11

11

Additional paid-in capital

891,583

889,955

Accumulated deficit

(1,003,210)

(946,884)

Accumulated other comprehensive loss

(168)

(218)

Total NantHealth stockholders' deficit

(111,784)

(57,136)

Noncontrolling interests

384

Total stockholders' deficit

(111,400)

(57,136)

Total liabilities and stockholders' deficit

$

200,288

$

266,487

NantHealth, Inc.

Consolidated Statements of Operations

(Dollars in thousands, except per share amounts)

(Unaudited)

Three Months Ended December 31,

Year Ended December 31,

2020

2019

2020

2019

Revenue

Software-as-a-service related

$

18,201

$

18,410

$

72,198

$

72,831

Maintenance

378

677

Professional services

24

86

Total software-related revenue

18,603

18,410

72,961

72,831

Sequencing and molecular analysis

39

152

211

1,733

Home health care services

2,863

Total net revenue

18,642

18,562

73,172

77,427

Cost of Revenue

Software-as-a-service related

5,504

6,096

23,056

23,100

Maintenance

230

69

361

357

Professional services

1

16

Amortization of developed technologies

1,247

1,143

4,755

4,662

Total software-related cost of revenue

6,982

7,308

28,188

28,119

Sequencing and molecular analysis

211

480

1,038

4,546

Home health care services

1,471

Total cost of revenue

7,193

7,788

29,226

34,136

Gross Profit

11,449

10,774

43,946

43,291

Operating Expenses

Selling, general and administrative

11,670

12,752

48,534

55,595

Research and development

4,828

3,431

17,274

13,934

Amortization of acquisition-related assets

985

1,054

3,676

4,216

Impairment of intangible assets, including internal-use software

729

729

3,977

Total operating expenses

18,212

17,237

70,213

77,722

Loss from operations

(6,763)

(6,463)

(26,267)

(34,431)

Interest expense, net

(4,908)

(4,601)

(19,199)

(18,044)

Other expense, net

(8,274)

(585)

(10,824)

(5,607)

Loss from related party equity method investment

(1,916)

(31,702)

(8,317)

Loss from continuing operations before income taxes

(19,945)

(13,565)

(87,992)

(66,399)

Provision for (benefit from) income taxes

273

(359)

447

(1,018)

Net loss from continuing operations

(20,218)

(13,206)

(88,439)

(65,381)

Income from discontinued operations, net of tax attributable to NantHealth

38

1,457

31,993

2,619

Net loss

(20,180)

(11,749)

(56,446)

(62,762)

Net loss attributable to noncontrolling interests

(78)

(120)

Net loss attributable to NantHealth

$

(20,102)

$

(11,749)

$

(56,326)

$

(62,762)

Basic and diluted net loss per share attributable to NantHealth:

Continuing operations - common stock

$

(0.18)

$

(0.12)

$

(0.80)

$

(0.59)

Discontinued operations - common stock

$

$

0.01

$

0.29

$

0.02

Total net loss per share - common stock

$

(0.18)

$

(0.11)

$

(0.51)

$

(0.57)

Weighted average shares outstanding

Basic and diluted - common stock

111,238,540

110,619,780

110,954,858

110,351,638

NantHealth, Inc.

Non-GAAP Net Loss from Continuing Operations Attributable to NantHealth and Non-GAAP Net Loss Per Share from Continuing Operations Attributable to NantHealth

(Dollars in thousands, except per share amounts)

(Unaudited)

Three Months Ended December 31,

Year Ended December 31,

2020

2019

2020

2019

Net loss from continuing operations attributable to NantHealth

$

(20,140)

$

(13,206)

$

(88,319)

$

(65,381)

Adjustments to GAAP net loss from continuing operations attributable to NantHealth:

Loss from related party equity method investment

1,916

31,702

8,317

Stock-based compensation expense from continuing operations

961

1,566

2,722

2,842

Change in fair value of derivatives liability

(3)

4

Change in fair value of Bookings Commitment

8,098

372

11,168

5,036

Noncash interest expense related to convertible notes

1,698

1,495

6,477

5,702

Intangible amortization from continuing operations

2,212

2,197

8,395

8,878

Impairment of intangible assets, including internal-use software

729

729

3,977

Loss on sale of business

582

Securities litigation costs

28

(103)

528

Tax provision (benefit) resulting from certain noncash tax items

244

(51)

228

(570)

Total adjustments to GAAP net loss from continuing operations attributable to NantHealth

13,939

7,523

61,322

35,292

Net loss from continuing operations attributable to NantHealth - Non-GAAP

$

(6,201)

$

(5,683)

$

(26,997)

$

(30,089)

Weighted average basic common shares outstanding

111,238,540

110,619,780

110,954,858

110,351,638

Net loss per common share from continuing operations attributable to NantHealth - Non-GAAP

$

(0.06)

$

(0.05)

$

(0.24)

$

(0.27)

Reconciliation of Net Loss per Common Share from Continuing Operations Attributable to NantHealth to Net Loss per Common Share from Continuing Operations Attributable to NantHealth - Non-GAAP (Unaudited):

Three Months Ended December 31,

Year Ended December 31,

2020

2019

2020

2019

Net loss per common share from continuing operations attributable to NantHealth

$

(0.18)

$

(0.12)

$

(0.80)

$

(0.59)

Adjustments to GAAP net loss per common share from continuing operations attributable to NantHealth:

Loss from related party equity method investment

0.03

0.29

0.07

Stock-based compensation expense from continuing operations

0.01

0.01

0.02

0.03

Change in fair value of derivatives liability

Change in fair value of Bookings Commitment

0.07

0.10

0.05

Noncash interest expense related to convertible notes

0.01

0.01

0.06

0.05

Intangible amortization from continuing operations

0.02

0.02

0.08

0.08

Impairment of intangible assets, including internal-use software

0.01

0.01

0.04

Loss on sale of business

0.01

Securities litigation costs

Tax provision (benefit) resulting from certain noncash tax items

(0.01)

Total adjustments to GAAP net loss per common share from continuing operations attributable to NantHealth

0.12

0.07

0.56

0.32

Net loss per common share from continuing operations attributable to NantHealth - Non-GAAP

$

(0.06)

$

(0.05)

$

(0.24)

$

(0.27)

 

Investor Contact:
Robert Jaffe
rjaffe@rjaffeco.com
424.288.4098

 

Source: NantHealth, Inc.

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