PRA Health Sciences, Inc. Reports Third Quarter 2015 Results and Provides Updated 2015 Guidance


 

  • $345.1 million of service revenue in the third quarter; 12% constant currency growth compared to the third quarter of 2014
  • $66.6 million of Adjusted EBITDA in the third quarter; 42% growth compared to the third quarter of 2014 
  • Third quarter Adjusted Net Income per share increased 53% to $0.52 per share and Adjusted Net Income increased 134% to $33.2 million compared to the third quarter of 2014 
  • Third quarter GAAP Net Income was $23.7 million or $0.37 per diluted share 
  • Updated Guidance for 2015 diluted Adjusted Net Income per share raised to $1.89-$1.92 from $1.75-$1.85

RALEIGH, N.C., Nov. 02, 2015 (GLOBE NEWSWIRE) --  PRA Health Sciences, Inc. (“PRA” or the “Company”) (NASDAQ:PRAH) today reported financial results for the quarter ended September 30, 2015.

For the three months ended September 30, 2015, service revenue was $345.1 million, which represents growth of approximately 8%, or $25.0 million, compared to the third quarter of 2014 at actual foreign exchange rates. On a constant currency basis, service revenue grew $36.7 million, an increase of 12% compared to the third quarter of 2014.

Net new business for the quarter ended September 30, 2015 was $431.4 million, representing a book-to-bill ratio of 1.25 for the period. This net new business contributed to an ending backlog of $2.3 billion at September 30, 2015.

“We are delighted to have delivered another quarter with strong results on many fronts,” said Colin Shannon, PRA’s Chief Executive Officer. “Our key financial metrics have continued to improve, as evidenced by our new business wins, our revenue growth and our expanding margins.  Our strong financial performance is a reflection of the exceptional service we provide to our customers, and the continued efforts of our employees.  The strength in our results enables us to continue to focus on our key strategic objectives going into 2016, and we look forward to continuing to deliver strong results.”

Third Quarter 2015 Financial Highlights

Direct costs were $212.8 million during the three months ended September 30, 2015 compared to $215.7 million for the third quarter of 2014.  Direct costs were 61.7% of service revenue during the third quarter of 2015 compared to 67.4% of service revenue during the third quarter of 2014. The decrease in direct costs as a percentage of service revenue is primarily related to the favorable impact from foreign currency exchange rate fluctuations and the favorable impact of recording research and development credits, or R&D Credits, in the current period that related to prior years. The R&D Credits are the result of a comprehensive analysis we have been performing across the organization to determine whether expenditures incurred qualify as research and development as defined by the respective jurisdiction.  Adjusting for the impact of the R&D Credits, direct costs were 64.1% of service revenue during the third quarter of 2015 compared to 67.4% of service revenue during the third quarter of 2014.

Selling, general and administrative expenses were $63.1 million during the three months ended September 30, 2015 compared to $63.4 million for the third quarter of 2014. Selling, general and administrative costs were 18.3% of service revenue during the third quarter of 2015 compared to 19.8% of service revenue during the third quarter of 2014. The decrease in selling, general and administrative expenses is primarily related to our continued ability to effectively manage our sales and administrative functions.

Reported EBITDA on a GAAP basis was $69.4 million, representing an increase of 36% compared to the third quarter of 2014. Adjusted EBITDA was $66.6 million for the three months ended September 30, 2015, representing growth of 42% compared to the third quarter of 2014.

Reported GAAP net income was $23.7 million for the three months ended September 30, 2015, or $0.37 per share on a diluted basis.

Adjusted Net Income was $33.2 million for the three months ended September 30, 2015, representing growth of 134% compared to the third quarter of 2014. Adjusted Net Income per share was $0.52 for the three months ended September 30, 2015, an increase of 53% compared to the third quarter of 2014.

Reconciliations of our non-GAAP measures, including Adjusted EBITDA, Adjusted Net Income and Adjusted Net Income per share, to the corresponding GAAP measures are attached to this press release.

Nine Months Ended September 30, 2015 Financial Highlights

For the nine months ended September 30, 2015, service revenue was $1,013.6 million, which represents growth of 8%, or $70.7 million, as compared to the nine months ended September 30, 2014 at actual foreign exchange rates.  On a constant currency basis, service revenue grew $105.9 million, representing growth of 11% compared to the nine months ended September 30, 2014.

Reported GAAP income from operations was $120.4 million, reported GAAP net income was $53.3 million and reported GAAP diluted net income per share was $0.84 for the nine months ended September 30, 2015.

Adjusted Net Income was $88.7 million for the nine months ended September 30, 2015, an improvement of 141% compared to the same period in 2014. Adjusted Net Income per share was $1.41 for the nine months ended September 30, 2015, up 58% compared to the same period in 2014.

Revised 2015 Guidance

For 2015, the Company is updating its guidance given the continued strength in the underlying business. As a result, the Company is increasing its guidance for service revenue to between $1.365 billion and $1.370 billion from between $1.34 billion and $1.39 billion. The Company is also increasing its guidance for diluted GAAP net income per share to between $1.00 and $1.05 per share, compared to $0.80 to $0.90 per share previously.  In addition, management is increasing its guidance for Adjusted Net Income per share to $1.89 to $1.92 per share compared to previous guidance of $1.75 to $1.85 per share. We are maintaining our estimated effective income tax rate of approximately 30%.  This guidance assumes foreign exchange rates as of October 15, 2015.

Conference Call Details

PRA will host a conference call at 9:00 a.m. ET tomorrow, November 3, to discuss the contents of this release and other relevant topics. To participate, please dial (877) 930-8062 or (253) 336-7647 outside the United States approximately 10 minutes before the scheduled start of the call. The conference ID for the call is 63585117.  The conference call will also be accessible, live via audio broadcast, on the Investors section of the PRA website at www.prahs.com/investors. A replay of the conference call will be available online at www.prahs.com/investors.  In addition, an audio replay will be available for one week and can be accessed by dialing (855) 859-2056 within the United States or (404) 537-3406 outside the United States.  The replay ID is 63585117.

About PRA Health Sciences

PRA (NASDAQ:PRAH) is one of the world’s leading global contract research organizations, or CROs, by revenue, providing outsourced clinical development services to the biotechnology and pharmaceutical industries. PRA’s global clinical development platform includes more than 70 offices across North America, Europe, Asia, Latin America, South Africa, Australia and the Middle East and approximately 11,000 employees worldwide. Since 2000, PRA has performed approximately 2,300 clinical trials worldwide and has worked on more than 100 marketed drugs across several therapeutic areas. In addition, PRA has participated in the pivotal or supportive trials that led to U.S. Food and Drug Administration or international regulatory approval of more than 50 drugs.

PRA has therapeutic expertise in areas that are among the largest in pharmaceutical development, including oncology, central nervous system, inflammation and infectious diseases. PRA believes that it provides its clients with one of the most flexible clinical development service offerings, which includes both traditional, project-based Phase I through Phase IV services, as well as embedded and functional outsourcing services. The Company has invested in medical informatics and clinical technologies designed to enhance efficiencies, improve study predictability and provide better transparency to clients throughout their clinical development processes. To learn more about PRA, please visit www.prahs.com.

Internet Posting of Information: The Company routinely posts information that may be important to investors in the ‘Investors’ section of the Company’s website at www.prahs.com. The Company encourages investors and potential investors to consult the Company’s website regularly for important information about the Company.

Forward-Looking Statements

This press release contains forward-looking statements that reflect, among other things, the Company’s current expectations and anticipated results of operations, all of which are subject to known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements, market trends or industry results to differ materially from those expressed or implied by such forward-looking statements. For this purpose, any statements contained herein that are not statements of historical fact may constitute forward-looking statements. Without limiting the foregoing, words such as “anticipates,” “believes,” “estimates,” “expects,” “guidance,” “intends,” “may,” “plans,” “projects,” “should,” “targets,” “will” and the negative thereof and similar words and expressions are intended to identify forward-looking statements. Actual results may differ materially from the Company’s expectations due to a number of factors, including that most of the Company’s contracts may be terminated on short notice and that the Company may be unable to maintain large customer contracts or to enter into new contracts; the historical indications of the relationship of backlog to revenues may not be indicative of their future relationship; the market for the Company’s services may not grow as the Company expects; the Company may under price contracts or overrun its cost estimates, and if the Company is unable to achieve operating efficiencies or grow revenues faster than expenses, operating margins will be adversely affected; the Company may be unable to maintain information systems or effectively update them; customer or therapeutic concentration could harm the Company’s business; the Company’s business is subject to risks associated with international operations, including economic, political and other risks; government regulators or customers may limit the scope of prescription or withdraw products from the market, and government regulators may impose new regulations affecting the Company’s business; the Company may be unable to successfully develop and market new services or enter new markets; the Company’s failure to perform services in accordance with contractual requirements, regulatory standards and ethical considerations may subject it to significant costs or liability, damage its reputation and cause it to lose existing business or not receive new business; the Company’s services are related to treatment of human patients, and it could face liability if a patient is harmed; the Company has substantial indebtedness and may incur additional indebtedness in the future, which could adversely affect the Company’s financial condition; and other factors that are set forth in the Company’s filings with the Securities and Exchange Commission, including our most recent Annual Report on Form 10-K filed with the SEC on March 3, 2015. The Company undertakes no obligation to update any forward-looking statement after the date of this release, whether as a result of new information, future developments or otherwise, except as may be required by applicable law.

Use of Non-GAAP Financial Measures

This press release includes Adjusted EBITDA, Adjusted Gross Profit, Adjusted Income from Operations, Adjusted Net Income and Adjusted Net Income per share, each of which are financial measures not prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). Management believes that these measures are more indicative of our operating results as they exclude certain items whose fluctuation from period-to-period do not necessarily correspond to changes in the operating results of our business. As a result, management and our board of directors regularly use EBITDA and Adjusted EBITDA as a tool in evaluating our operating and financial performance and in establishing discretionary annual bonuses. Adjusted EBITDA is also the basis for covenant compliance EBITDA, which is used in certain covenants in the credit agreement governing our senior secured credit facilities and the indenture governing the senior notes. In addition, management believes that EBITDA, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Income from Operations and Adjusted Net Income (including diluted adjusted net income per share) facilitate comparisons of our operating results with those of other companies by backing out of GAAP net income items relating to variations in capital structures (affecting interest expense), taxation, and the age and book depreciation of facilities and equipment (affecting relative depreciation expense), which may vary for different companies for reasons unrelated to operating performance. We believe that EBITDA, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Income from Operations and Adjusted Net Income (including diluted adjusted net income per share) are frequently used by securities analysts, investors, and other interested parties in the evaluation of issuers, many of which also present EBITDA, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Income from Operations and Adjusted Net Income (including diluted adjusted net income per share) when reporting their results in an effort to facilitate an understanding of their operating results.

These non-GAAP financial measures have limitations as analytical tools, and you should not consider these measures in isolation, or as a substitute for analysis of our results as reported under GAAP.  Additionally, because not all companies use identical calculations, these presentations of EBITDA, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Income from Operations and Adjusted Net Income (including diluted adjusted net income per share) may not be comparable to similarly titled measures of other companies.

EBITDA represents net income (loss) before interest, taxes, depreciation and amortization. Adjusted EBITDA and Adjusted Net Income (including diluted adjusted net income per share) represent EBITDA and net income (including diluted net income per share), respectively, adjusted to exclude management fees, stock-based compensation expense, loss on disposal of fixed assets, loss on modification or extinguishment of debt, foreign currency losses and gains, other (expense) income, equity in losses of unconsolidated joint ventures, transaction and acquisition-related costs, relocation costs, severance costs and restructuring charges, foreign research and development credits, non-cash rent adjustments and other one-time charges. Adjusted Net Income is also adjusted to exclude amortization of intangible assets and amortization of deferred financing costs. Adjusted Gross Profit is adjusted to exclude stock-based compensation expense included in direct costs and foreign research and development credits.  Adjusted Income from Operations is adjusted to exclude management fees, stock-based compensation expense, loss on disposal of fixed assets, transaction and acquisition-related costs, relocation costs, severance costs and restructuring charges, foreign research and development credits, non-cash rent adjustments, other one-time charges and amortization of intangible assets. EBITDA and Adjusted EBITDA are not measurements of our financial performance under GAAP and should not be considered as alternatives to net income (loss) or other performance measures derived in accordance with GAAP or as alternatives to cash flow from operating activities as measures of our liquidity. EBITDA and Adjusted EBITDA have limitations as analytical tools, and you should not consider such measures either in isolation or as substitutes for analyzing our results as reported under GAAP. Some of these limitations are:

  • EBITDA and Adjusted EBITDA do not reflect changes in, or cash requirements for, our working capital needs;
  • EBITDA and Adjusted EBITDA do not reflect our interest expense, or the cash requirements necessary to service interest or principal payments, on our debt;
  • EBITDA and Adjusted EBITDA do not reflect our tax expense or the cash requirements to pay our taxes;
  • EBITDA and Adjusted EBITDA do not reflect historical capital expenditures or future requirements for capital expenditures or contractual commitments;
  • although depreciation and amortization are non-cash charges, the assets being depreciated and amortized will often have to be replaced in the future, and EBITDA and Adjusted EBITDA do not reflect any cash requirements for such replacements; and
  • other companies in our industry may calculate EBITDA and Adjusted EBITDA differently, limiting their usefulness as comparative measures.

Because of these limitations, EBITDA and Adjusted EBITDA should not be considered as discretionary cash available to us to reinvest in the growth of our business or as a measure of cash that will be available to us to meet our obligations.


PRA HEALTH SCIENCES, INC. AND SUBSIDIARIES 
CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS 
(in thousands, except per share amounts) 
(unaudited) 
      
  Three Months Ended September 30, Nine Months Ended September 30, 
  2015 2014 2015 2014 
Revenue:         
Service revenue $345,096 $320,063 $1,013,582 $942,837 
Reimbursement revenue 58,414 57,274 171,354 146,786 
Total revenue 403,510 377,337 1,184,936 1,089,623 
Operating expenses:         
Direct costs 212,808 215,746 651,646 644,275 
Reimbursable out-of-pocket costs 58,414 57,274 171,354 146,786 
Selling, general and administrative 63,091 63,432 182,831 180,281 
Depreciation and amortization 19,762 23,903 58,217 73,140 
Loss on disposal of fixed assets 256 8 451 9 
Income from operations 49,179 16,974 120,437 45,132 
Interest expense, net (15,255)(21,026)(46,064)(63,610)
Loss on modification of debt    (1,384)
Foreign currency gains, net 3,697 10,658 8,797 1,559 
Other expense, net (947)(58)(1,507)(230)
Income (loss) before income taxes and equity in losses of unconsolidated joint ventures 36,674 6,548 81,663 (18,533)
Provision for (benefit from) income taxes 10,696 4,899 24,341 (6,619)
Income (loss) before equity in losses of unconsolidated joint ventures 25,978 1,649 57,322 (11,914)
Equity in losses of unconsolidated joint ventures, net of tax (2,319)(474)(4,061)(1,008)
Net income (loss) $23,659 $1,175 $53,261 $(12,922)
Net income (loss) per share attributable to common stockholders:         
Basic $0.39 $0.03 $0.89 $(0.32)
Diluted $0.37 $0.03 $0.84 $(0.32)
Weighted average common shares outstanding:         
Basic 60,050 40,284 59,917 40,273 
Diluted 63,504 42,072 63,082 40,273 



PRA HEALTH SCIENCES, INC. AND SUBSIDIARIES
 
CONSOLIDATED CONDENSED BALANCE SHEETS
 
(in thousands, except share amounts)
 
(unaudited) 
      
  September 30, December 31, 
  2015 2014 
ASSETS     
Current assets:     
Cash and cash equivalents $48,438 $85,192 
Restricted cash 5,482 6,337 
Accounts receivable and unbilled services, net 400,453 338,781 
Other current assets 84,948 58,413 
Total current assets 539,321 488,723 
Fixed assets, net 79,609 72,933 
Goodwill 1,023,361 1,033,999 
Intangible assets, net 553,029 600,910 
Other assets 46,232 42,012 
Total assets $2,241,552 $2,238,577 
LIABILITIES AND STOCKHOLDERS’ EQUITY     
Current liabilities:     
Current portion of borrowings under credit facilities $20,000 $ 
Accounts payable 55,263 39,100 
Accrued expenses and other current liabilities 145,977 131,135 
Advance billings 291,588 296,121 
Total current liabilities 512,828 466,356 
Long-term debt, net 909,427 948,537 
Other long-term liabilities 126,246 146,869 
Total liabilities 1,548,501 1,561,762 
Stockholders’ equity:     
Common stock, $0.01 par value, 1,000,000,000 authorized shares at September 30, 2015 and December 31, 2014; 60,203,935 and 59,814,444 issued and outstanding at September 30, 2015 and December 31, 2014, respectively 602 598 
Additional paid-in-capital 826,650 821,411 
Accumulated other comprehensive loss (111,777)(69,509)
Accumulated deficit (22,424)(75,685)
Total stockholders’ equity 693,051 676,815 
Total liabilities and stockholders’ equity $2,241,552 $2,238,577 



PRA HEALTH SCIENCES, INC. AND SUBSIDIARIES 
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS 
(in thousands) 
(unaudited) 
    
  Nine Months Ended September 30, 
  2015 2014 
Cash flows from operating activities:     
Net income (loss) $53,261 $(12,922)
Adjustment to reconcile net income (loss) to net cash provided by operating activities:     
Depreciation and amortization 58,217 73,140 
Amortization of debt issuance costs 4,822 4,378 
Stock-based compensation 3,634 2,729 
Unrealized foreign currency gains (11,749)(1,716)
Loss on modification of debt  1,384 
Equity in losses of unconsolidated joint ventures, net of tax 4,061 1,008 
Unrealized loss on derivatives 1,785  
Deferred income taxes (2,213)(19,122)
Other reconciling items 981 677 
Changes in operating assets and liabilities:     
Accounts receivable, unbilled services and advanced billings (66,640)(76,629)
Other operating assets and liabilities 26,043 28,532 
Net cash provided by operating activities 72,202 1,459 
Cash flows from investing activities:     
Purchase of fixed assets (26,035)(18,992)
Proceeds from RPS working capital settlement  15,000 
Proceeds from CRI working capital settlement  851 
Cash paid to terminate interest rate swaps (32,907) 
Investment in unconsolidated joint ventures (23,000) 
Acquisition of Value Health Solutions Inc. (543) 
Proceeds from the sale of fixed assets 44  
Payment of ClinStar, LLC working capital settlement (1,693) 
Payment of amounts held in escrow  (787)
Net cash used in investing activities (84,134)(3,928)
Cash flows from financing activities:     
Repayment of long-term debt (40,000)(6,675)
Borrowings on line of credit 65,000 65,000 
Repayments on line of credit (45,000)(75,000)
Proceeds from stock option exercises 27 33 
Proceeds from common stock issued  102 
Payment of acquisition-related contingent consideration (2,000)(1,589)
Payments for common stock issuance costs (525) 
Net cash used in financing activities (22,498)(18,129)
Effects of foreign exchange changes on cash and cash equivalents (2,324)(2,303)
Change in cash and cash equivalents (36,754)(22,901)
Cash and cash equivalents, beginning of period 85,192 72,155 
Cash and cash equivalents, end of period $48,438 $49,254 



PRA HEALTH SCIENCES, INC. AND SUBSIDIARIES 
RECONCILIATION OF NON-GAAP MEASURES 
(in thousands, except per share data) 
(unaudited) 
      
  Three Months Ended September 30, Nine Months Ended September 30, 
  2015 2014 2015 2014 
          
Net income (loss) $23,659 $1,175 $53,261 $(12,922)
Depreciation and amortization 19,762 23,903 58,217 73,140 
Interest expense, net 15,255 21,026 46,064 63,610 
Provision for (benefit from) income taxes 10,696 4,899 24,341 (6,619)
EBITDA 69,372 51,003 181,883 117,209 
Management fees (a)  526  1,576 
Stock-based compensation expense (b) 1,614 969 3,634 2,729 
Loss on disposal of fixed assets, net (c) 256 8 451 9 
Loss on modification of debt (d)    1,384 
Foreign currency gains, net (e) (3,697)(10,658)(8,797)(1,559)
Other expense, net (f) 947 58 1,507 230 
Equity in losses of unconsolidated joint ventures, net of tax 2,319 474 4,061 1,008 
Foreign research and development credits (g) (8,496) (8,496) 
Transaction and acquisition related costs (h) (33)4,096 184 6,267 
Lease termination expense (i) 318  2,916  
Severance and restructuring charges (j) 1,635 17 1,789 2,004 
Non-cash rent adjustment (k) 1,286 478 2,854 1,279 
Other one-time charges (l) 1,077 46 1,673 77 
Adjusted EBITDA $66,598 $47,017 $183,659 $132,213 
          
Net income (loss) $23,659 $1,175 $53,261 $(12,922)
Amortization of intangible assets 14,330 17,915 42,572 56,345 
Amortization of deferred financing costs 1,536 1,485 4,822 4,378 
Management fees (a)  526  1,576 
Stock-based compensation expense (b) 1,614 969 3,634 2,729 
Loss on disposal of fixed assets, net (c) 256 8 451 9 
Loss on modification of debt (d)    1,384 
Foreign currency gains, net (e) (3,697)(10,658)(8,797)(1,559)
Other expense, net (f) 947 58 1,507 230 
Equity in losses of unconsolidated joint ventures, net of tax 2,319 474 4,061 1,008 
Foreign research and development credits (g) (8,496) (8,496) 
Transaction and acquisition-related costs (h) (33)4,096 184 6,267 
Lease termination expense (i) 318  2,916  
Severance and restructuring charges (j) 1,635 17 1,789 2,004 
Non-cash rent adjustment (k) 1,286 478 2,854 1,279 
Other one-time charges (l) 1,077 46 1,673 77 
Total adjustments 13,092 15,414 49,170 75,727 
Tax effect of total adjustments (m) (3,538)(2,408)(13,691)(26,020)
Adjusted net income $33,213 $14,181 $88,740 $36,785 
          
Diluted weighted average common shares outstanding 63,504 42,072 63,082 41,129 
Adjusted net income per diluted share $0.52 $0.34 $1.41 $0.89 



PRA HEALTH SCIENCES, INC. AND SUBSIDIARIES
 
RECONCILIATION OF NON-GAAP MEASURES, CONTINUED
 
(in thousands, except per share data)
 
(unaudited) 
              
  Three   Three Nine   Nine 
  Months   Months Months   Months 
  Ended   Ended Ended   Ended 
  September 30,   September 30, September 30,   September 30, 
  2015   2015 2015   2015 
  As Reported Adjustments As Adjusted As Reported Adjustments As Adjusted 
              
Revenue:             
Service revenue $345,096 $ $345,096 $1,013,582 $ $1,013,582 
Reimbursement revenue 58,414  58,414 171,354  171,354 
Total revenue 403,510  403,510 1,184,936  1,184,936 
Operating expenses:             
Direct costs 212,808 8,111 220,919 651,646 7,684 659,330 
Reimbursable out-of-pocket costs 58,414  58,414 171,354  171,354 
Selling, general and administrative 63,091 (5,512)57,579 182,831 (12,238)170,593 
Depreciation and amortization 19,762 (14,330)5,432 58,217 (42,572)15,645 
Loss on disposal of fixed assets 256 (256) 451 (451) 
Income from operations 49,179 11,987 61,166 120,437 47,577 168,014 
Interest expense, net (15,255)1,536 (13,719)(46,064)4,822 (41,242)
Foreign currency gains, net 3,697 (3,697) 8,797 (8,797) 
Other expense, net (947)947  (1,507)1,507  
Income before income taxes and equity in losses of unconsolidated joint ventures 36,674 10,773 47,447 81,663 45,109 126,772 
Provision for income taxes 10,696 3,538 14,234 24,341 13,691 38,032 
Income before equity in losses of unconsolidated joint ventures 25,978 7,235 33,213 57,322 31,418 88,740 
Equity in losses of unconsolidated joint ventures, net of tax (2,319)2,319  (4,061)4,061  
Net income $23,659 $9,554 $33,213 $53,261 $35,479 $88,740 
Net income per share attributable to common stockholders:             
Diluted $0.37   $0.52 $0.84   $1.41 
Weighted average common shares outstanding:             
Diluted 63,504   63,504 63,082   63,082 


(a) We have historically paid management fees to affiliates of our investors. These fees terminated upon completion of the IPO.
(b) Stock-based compensation expense represents the amount of non-cash expense related to the Company’s equity compensation programs.
(c) Loss on disposal of fixed assets represents the costs incurred in connection with the sale or disposition of fixed assets, primarily IT equipment and furniture and fixtures. We exclude these losses from Adjusted EBITDA and Adjusted Net Income because they result from investing decisions rather than from decisions made related to our ongoing operations.
(d) Loss on modification of debt relates to costs incurred in connection with changes to our long-term debt.  We exclude these losses from Adjusted EBITDA and Adjusted Net Income because they result from financing decisions rather than from decisions made related to our ongoing operations.
(e) Foreign currency (losses) gains, net primarily relates to gains or losses that arise in connection with the revaluation of short-term inter-company balances between our domestic and international subsidiaries. In addition, this amount includes gains or losses from foreign currency transactions, such as those resulting from the settlement of third-party accounts receivable and payables denominated in a currency other than the local currency of the entity making the payment. We exclude these gains and losses from Adjusted EBITDA and Adjusted Net Income because they result from financing decisions rather than from decisions made related to our ongoing operations and because fluctuations from period-to-period do not necessarily correspond to changes in our operating results.
(f) Other (expense) income, net represents income and expense that are non-operating and whose fluctuations from period-to-period do not necessarily correspond to changes in our operating results.
(g) The foreign research and development credits are the result of a comprehensive analysis we have been performing across the organization to determine whether expenditures incurred qualify as research and development as defined by the respective jurisdiction.  The amounts recorded in this line item represent amounts recorded in the current period that related to a prior period.
(h) Transaction and acquisition-related costs primarily relate to costs incurred in connection with due diligence performed in connection with contemplated acquisitions; the closing of the acquisition of PRA by KKR (“KKR Transaction”), the PRA acquisition of RPS Parent Holding Corp. (“RPS”), the PRA acquisition of CRI Holding Company, LLC (“CRI LifeTree”) and the PRA acquisition of ClinStar, LLC (“ClinStar”); and the integration of ClinStar, RPS and CRI LifeTree acquisitions. The integration costs primarily consist of professional fees, rebranding costs, the elimination of redundant facilities and any other costs incurred directly related to the integration of these acquisitions.
(i) Lease termination expenses represent charges incurred in connection with the termination of leases at locations that are no longer being used by the Company.
(j) Severance and restructuring charges represent amounts incurred in connection with the elimination of redundant positions within the organization, including positions eliminated in connection with the KKR Transaction and the acquisitions of ClinStar, RPS and CRI Lifetree.
(k) We have escalating leases that require the amortization of rent expense on a straight-line basis over the life of the lease. The non-cash rent adjustment represents the difference between rent expense recorded in the consolidated statement of operations and the amount of cash actually paid.
(l) Represents charges incurred that are not considered part of our core operating results.
(m) Represents the tax effect of the total adjustments at our estimated effective tax rate.

 

 


            

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