Modivcare reports third quarter 2021 financial results
Denver, colo.--(business wire)--modivcare inc. (the “company” or “modivcare”) (nasdaq: modv), a technology-enabled healthcare services company that provides a suite of integrated supportive care solutions focused on improving patient outcomes, today reported financial results for the three and nine months ended september 30, 2021. third quarter 2021 highlights: revenue of $493.1 million, a 53.8% increase as compared to $320.6 million in the third quarter of 2020 loss from continuing operations, net of tax, of $7.5 million or a loss of $0.53 per diluted common share adjusted ebitda of $44.3 million, adjusted net income of $23.0 million and adjusted eps of $1.63 net cash provided by operating activities during the quarter of $174.7 million cash and cash equivalents of $126.5 million at september 30, 2021, with $500.0 million debt outstanding related to the senior unsecured notes due november 15, 2025 and an additional $500.0 million debt outstanding related to the senior unsecured notes due october 1, 2029 matrix, on a standalone basis, had a net loss of $15.6 million and adjusted ebitda of $2.6 million “we continue to make progress executing on our strategy to transform modivcare into a one-of-a-kind, integrated supportive care company, with solutions focused on addressing the social determinants of health and enhancing the patient experience,” said daniel e. greenleaf, president and chief executive officer of modivcare. “in september, we closed on the acquisitions of vri and carefinders, adding two highly complementary businesses to our growing footprint. we are excited about our expanded ability to address patient needs holistically, fueled by our technology, while also driving meaningful shareholder value. we are encouraged by the favorable responses from our customers to our transformation. lastly, i am extremely grateful for our modivcare team members, transportation providers and caregivers, who continue to play an integral role in driving access to care and improved outcomes for the 30 million patients we serve.” heath sampson, chief financial officer added, “modivcare reported a strong third quarter, and we deployed meaningful capital for the strategic and value-enhancing acquisitions of vri and carefinders. we were pleased with the successful issuance of $500 million of 5.00% senior notes due 2029, of which we used the net proceeds to finance the acquisition of vri and for general corporate purposes. we ended the third quarter in a strong financial position with $126.5 million of cash and cash equivalents and an undrawn $225.0 million revolving credit facility.” third quarter 2021 results for the third quarter of 2021, the company reported revenue of $493.1 million, an increase of 53.8% from $320.6 million in the third quarter of 2020. operating income was $13.1 million, or 2.7% of revenue, in the third quarter of 2021, compared to operating income of $43.3 million, or 13.5% of revenue, in the third quarter of 2020. loss from continuing operations, net of tax, in the third quarter of 2021 was $7.5 million, or a loss of $0.53 per diluted common share, compared to income from continuing operations, net of tax, of $38.9 million, or $2.51 per diluted common share, in the third quarter of 2020. adjusted ebitda was $44.3 million, or 9.0% of revenue, in the third quarter of 2021, compared to $59.3 million, or 18.5% of revenue, in the third quarter of 2020. adjusted net income in the third quarter of 2021 was $23.0 million, or $1.63 per diluted common share, compared to $42.0 million, or $2.97 per diluted common share, in the third quarter of 2020. comparable adjusted ebitda and adjusted net income for q3 2020 were recast to show the impact of stock-based compensation and cash settled equity, which the company is now including for the purpose of these calculations. the quarter-over-quarter increase in revenue was primarily due to incremental revenue of $109.6 million associated with the acquisition of simplura. revenue further increased as a result of higher trip volume in our nemt business, as the third quarter of the prior year was more heavily impacted by the covid-19 pandemic. adjusted ebitda decreased in the third quarter of 2021 as compared to the third quarter of 2020 due to higher service expense costs associated with higher utilization and contact center activity. adjusted ebitda also decreased as a result of higher corporate general and administrative cost as the company continued to make investments in its employees and technology. matrix medical network for the third quarter of 2021, matrix’s revenue was $78.5 million, a decrease of 44.2% from $140.7 million in the third quarter of 2020. matrix had an operating loss of $16.8 million for the third quarter of 2021, compared to an operating income of $35.5 million for the third quarter of 2020. modivcare recorded a loss of $6.7 million related to its matrix equity investment compared to an income of $10.3 million for the third quarter of 2020. for the third quarter of 2021, matrix recorded adjusted ebitda of $2.6 million or 3.3% of revenue, compared to $54.3 million, or 38.6% of revenue, for the third quarter of 2020. matrix’s clinical solutions business line primarily contributed to the decrease in adjusted ebitda. the decrease was due to a significant reduction in covid-related vaccination and testing revenue. additionally, clinical solutions made significant investments in staffing in anticipation of new business wins within the decentralized clinical trials market. the clinical care business line was relatively flat to prior year adjusted ebitda, as higher operating costs offset continued double-digit growth in health assessment volumes. as of september 30, 2021, matrix had $244.3 million in net debt and modivcare's ownership interest was 43.6%. conference call modivcare will hold a conference call to discuss its financial results on friday, november 5, 2021 at 8:00 a.m. et. to access the call, please dial: us toll-free: 1 (877) 423 9820 international: 1 (201) 493 6749 you may also access the conference call via webcast at investors.modivcare.com, where the call also will be archived. about modivcare modivcare inc. ("modivcare") (nasdaq: modv) is a technology-enabled healthcare services company that provides a suite of integrated supportive care solutions for public and private payors and their patients. our value-based solutions address the social determinants of health (sdoh), enable greater access to care, reduce costs, and improve outcomes. we are a leading provider of non-emergency medical transportation (nemt), personal and home care, remote patient monitoring and nutritional meal delivery. modivcare also holds a minority equity interest in cchn group holdings, inc. and its subsidiaries ("matrix medical network"), which partners with leading health plans and providers nationally, delivering a broad array of assessment and care management services to individuals that improve health outcomes and health plan financial performance. for more information, please visit us at www.modivcare.com. non-gaap financial measures and adjustments in addition to the financial measures prepared in accordance with generally accepted accounting principles in the united states ("gaap"), this press release includes ebitda and adjusted ebitda for the company and its segments, as well as adjusted net income and adjusted eps for the company, which are performance measures that are not recognized under gaap. ebitda is defined as income (loss) from continuing operations, net of taxes, before: (1) interest expense, net, (2) provision (benefit) for income taxes and (3) depreciation and amortization. adjusted ebitda is calculated as ebitda before certain items, including (as applicable): (1) restructuring and related charges, including severance and office closure and professional services costs, (2) certain transaction and related costs, (3) cash settled equity, (4) stock-based compensation, (5) covid-19 related costs, net of grant income, and (6) equity in net (income) loss of investee. adjusted net income is defined as income from continuing operations, net of taxes, before certain items, including (1) restructuring and related charges including severance and office closure and professional services costs, (2) certain transaction and related costs, (3) cash settled equity, (4) stock-based compensation, (5) equity in net (income) loss of investee, (6) intangible amortization expense, (7) covid-19 related costs, net of grant income, (8) tax impacts from the coronavirus aid, relief, and economic security act (the "cares act"), and (9) the income tax impact of such adjustments. adjusted eps is calculated as adjusted net income less (as applicable): (1) dividends on convertible preferred stock and (2) income allocated to participating securities, divided by the diluted weighted-average number of common shares outstanding as calculated for adjusted net income. our non-gaap performance measures exclude certain expenses and amounts that are not driven by our core operating results and may be one time in nature. excluding these expenses makes comparisons with prior periods as well as to other companies in our industry more meaningful. we believe such measures allow investors to gain a better understanding of the factors and trends affecting the ongoing operations of our business. we consider our core operations to be the ongoing activities to provide services from which we earn revenue, including direct operating costs and indirect costs to support these activities. in addition, our net income or loss in equity investee is excluded from these measures, as we do not have the ability to manage the venture, allocate resources within the venture, or directly control its operations or performance. our non-gaap financial measures may not provide information that is directly comparable to that provided by other companies in our industry, as other companies in our industry may calculate non-gaap financial measures differently. in addition, there are limitations in using non-gaap financial measures because they are not prepared in accordance with gaap, may be different from non-gaap financial measures used by other companies, and exclude expenses that may have a material impact on our reported financial results. the presentation of non-gaap financial measures is not intended to be considered in isolation from or as a substitute for the most directly comparable financial measures prepared in accordance with gaap. we urge you to review the reconciliations of our non-gaap financial measures to the most directly comparable gaap financial measures included below, and not to rely on any single financial measure to evaluate our business. forward-looking statements certain statements contained in this press release constitute “forward-looking statements” within the meaning of the private securities litigation reform act of 1995. these statements are predictive in nature and are frequently identified by the use of terms such as “may,” “will,” “should,” “expect,” “believe,” “estimate,” “intend,” and similar words indicating possible future expectations, events or actions. such forward-looking statements are based on current expectations, assumptions, estimates and projections about our business and our industry, and are not guarantees of our future performance. these statements are subject to a number of known and unknown risks, uncertainties and other factors, many of which are beyond our ability to control or predict, which may cause actual events to be materially different from those expressed or implied herein, including but not limited to: government or private insurance program funding reductions or limitations; alternative payment models or the transition of medicaid and medicare beneficiaries to managed care organizations, or mcos; our inability to control reimbursement rates received for our services; cost containment initiatives undertaken by private third-party payors; the effects of a public health emergency; inadequacies in, or security breaches of, our information technology systems, including the systems intended to protect our clients’ privacy and confidential information; any changes in the funding, financial viability or our relationships with our payors; pandemic infectious diseases, including the covid-19 pandemic; disruptions to our contact center operations caused by health epidemics or pandemics like covid-19; delays in collection, or non-collection, of our accounts receivable, particularly during any business integration; an impairment of our long-lived assets; any failure to maintain or to develop further reliable, efficient and secure information technology systems; an inability to attract and retain qualified employees; any acquisition or acquisition integration efforts; our contracts not surviving until the end of their stated terms, or not being renewed or extended; our failure to compete effectively in the marketplace; our not being awarded contracts through the government’s requests for proposals process, or our awarded contracts not being profitable; any failure to satisfy our contractual obligations or to maintain existing pledged performance and payment bonds; a failure to estimate accurately the cost of performing our contracts; any misclassification of the drivers we engage as independent contractors rather than as employees; significant interruptions in our communication and data services; not successfully executing on our strategies in the face of our competition; any inability to maintain relationships with existing patient referral sources; any failure to obtain the consent of the new york department of health to manage the day to day operations of our licensed in-home personal care services agency business that we acquired with our personal care segment; acquired unknown liabilities in connection with the acquisition of our personal care segment; changes in the case-mix of our personal care patients, or changes in payor mix or payment methodologies; our loss of existing favorable managed care contracts; our experiencing shortages in qualified employees and management; labor disputes or disruptions, in particular in new york; becoming subject to malpractice or other similar claims; and our reliance on our matrix investment segment's financial condition. the company has provided additional information about the risks facing our business in our annual report on form 10-k and subsequent filings with the securities and exchange commission. you are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date the statement was made and are expressly qualified in their entirety by the cautionary statements set forth herein and in our filings with the securities and exchange commission, which you should read in their entirety before making an investment decision with respect to our securities. we undertake no obligation to update or revise any forward-looking statements contained in this release, whether as a result of new information, future events or otherwise, except as required by applicable law. --financial tables to follow-- modivcare inc. unaudited condensed consolidated statements of operations (in thousands, except share and per share data) three months ended september 30, nine months ended september 30, 2021 2020 2021 2020 service revenue, net $ 493,059 $ 320,619 $ 1,421,117 $ 970,166 grant income — — 3,500 — operating expenses: service expense 399,272 235,543 1,139,170 764,310 general and administrative expense 68,054 34,441 179,271 86,435 depreciation and amortization 12,608 7,301 36,667 17,199 total operating expenses 479,934 277,285 1,355,108 867,944 operating income 13,125 43,334 69,509 102,222 other expenses (income): interest expense, net 17,702 379 34,412 2,118 equity in net loss (income) of investee 6,748 (10,325 ) 1,978 (12,200 ) income (loss) from continuing operations before income taxes (11,325 ) 53,280 33,119 112,304 provision (benefit) for income taxes (3,863 ) 14,360 7,944 19,785 income (loss) from continuing operations, net of tax (7,462 ) 38,920 25,175 92,519 loss from discontinued operations, net of tax (108 ) (115 ) (232 ) (618 ) net income (loss) $ (7,570 ) $ 38,805 $ 24,943 $ 91,901 net income (loss) available to common stockholders $ (7,570 ) $ 35,346 $ 24,943 $ 34,563 basic earnings (loss) per common share: continuing operations $ (0.53 ) $ 2.53 $ 1.79 $ 2.63 discontinued operations (0.01 ) (0.01 ) (0.02 ) (0.05 ) basic earnings (loss) per common share $ (0.54 ) $ 2.52 $ 1.77 $ 2.58 diluted earnings (loss) per common share: continuing operations $ (0.53 ) $ 2.51 $ 1.76 $ 2.62 discontinued operations (0.01 ) (0.01 ) (0.02 ) (0.05 ) diluted earnings (loss) per common share $ (0.54 ) $ 2.50 $ 1.74 $ 2.57 weighted-average number of common shares outstanding: basic 13,993,438 14,026,039 14,102,371 13,367,605 diluted 13,993,438 14,133,904 14,278,331 13,415,344 modivcare inc. unaudited condensed consolidated balance sheets (in thousands) september 30, 2021 december 31, 2020 assets current assets: cash and cash equivalents $ 126,506 $ 183,281 accounts receivable, net 289,230 197,943 other current assets (1) 54,775 44,634 current assets of discontinued operations (2) 141 758 total current assets 470,652 426,616 operating lease right-of-use assets 44,077 30,928 property and equipment, net 52,538 27,544 goodwill and intangible assets, net 1,421,983 790,579 equity investment 134,353 137,466 other assets 11,550 12,780 total assets $ 2,135,153 $ 1,425,913 liabilities and stockholders' equity current liabilities: accounts payable $ 33,458 $ 8,464 accrued contract payables 320,045 101,705 accrued expenses and other current liabilities 109,571 117,010 accrued transportation costs 92,028 79,674 current portion of operating lease liabilities 9,287 8,277 other current liabilities (3) 10,051 7,650 current liabilities of discontinued operations (2) 1,527 1,971 total current liabilities 575,967 324,751 long-term debt, net of deferred financing costs 974,669 485,980 operating lease liabilities, less current portion 35,389 23,437 long-term contracts payables 5,793 72,183 other long-term liabilities (4) 139,348 107,951 total liabilities 1,731,166 1,014,302 stockholders' equity 403,987 411,611 total liabilities and stockholders' equity $ 2,135,153 $ 1,425,913 (1) includes other receivables, prepaid expenses and other current assets, and short-term restricted cash. (2) includes assets or liabilities related to wd services' former saudi arabian operation. (3) includes deferred revenue and self-funded insurance programs. (4) includes other long-term liabilities and deferred tax liabilities. modivcare inc. unaudited condensed consolidated statements of cash flows (in thousands) nine months ended september 30, 2021 2020 operating activities net income $ 24,943 $ 91,901 depreciation and amortization 36,666 17,199 stock-based compensation 4,225 2,949 equity in net loss (income) of investee 1,978 (12,200 ) deferred income taxes (3,295 ) 12,612 reduction of right-of-use assets 8,681 6,769 other non-cash items (1) 463 (2,847 ) changes in working capital (2) 101,033 170,843 net cash provided by operating activities 174,694 287,226 investing activities purchase of property and equipment (13,852 ) (4,786 ) acquisition, net of cash acquired (667,228 ) (77,665 ) net cash used in investing activities (681,080 ) (82,451 ) financing activities proceeds from debt 625,000 162,000 repayment of debt (125,000 ) (162,000 ) repurchase of common stock, for treasury (39,040 ) (10,186 ) payment of debt issuance costs (13,486 ) — proceeds from common stock issued pursuant to stock option exercise 3,099 21,581 restricted stock surrendered for employee tax payment (851 ) (92 ) preferred stock redemption payment — (88,743 ) preferred stock dividends — (1,988 ) other financing activities — (204 ) net cash provided by (used in) financing activities 449,722 (79,632 ) net change in cash, cash equivalents and restricted cash (56,664 ) 125,143 cash, cash equivalents and restricted cash at beginning of period 183,356 61,673 cash, cash equivalents and restricted cash at end of period $ 126,692 $ 186,816 (1) includes provision for doubtful accounts and amortization of deferred financing costs and debt discount. (2) includes accounts receivable and other receivables, prepaid expenses and other assets, self-funded insurance programs, income tax refunds on sale of business, accrued contract payables, accounts payable and accrued expenses, accrued transportation costs, deferred revenue and other long-term liabilities. modivcare inc. unaudited reconciliation of non-gaap financial measures segment information and adjusted ebitda (in thousands) three months ended september 30, 2021 nemt personal care rpm matrix investment total continuing operations service revenue, net $ 372,992 $ 118,503 $ 1,564 $ — $ 493,059 grant income — — — — — operating expenses: service expense 304,398 94,107 767 — 399,272 general and administrative expense 52,118 15,720 216 — 68,054 depreciation and amortization 7,496 4,912 200 — 12,608 total operating expenses 364,012 114,739 1,183 — 479,934 operating income 8,980 3,764 381 — 13,125 other expenses (income): interest expense, net 17,702 — — — 17,702 equity in net loss of investee — — — 6,748 6,748 income (loss) from continuing operations before income taxes (8,722 ) 3,764 381 (6,748 ) (11,325 ) provision (benefit) for income taxes (2,931 ) 864 107 (1,903 ) (3,863 ) income (loss) from continuing operations, net of taxes (5,791 ) 2,900 274 (4,845 ) (7,462 ) interest expense, net 17,702 — — — 17,702 provision (benefit) for income taxes (2,931 ) 864 107 (1,903 ) (3,863 ) depreciation and amortization 7,496 4,912 200 — 12,608 ebitda 16,476 8,676 581 (6,748 ) 18,985 restructuring and related charges (1) 3,087 — — — 3,087 transaction costs (2) 10,115 1,177 — — 11,292 cash settled equity 2,599 — — — 2,599 stock-based compensation 1,217 — — — 1,217 covid-19 related costs, net of grant income 165 228 — — 393 equity in net loss of investee — — — 6,748 6,748 adjusted ebitda $ 33,659 $ 10,081 $ 581 $ — $ 44,321 (1) restructuring and related charges include professional services costs. (2) transaction costs include circulation management incentive plan ("mip") costs and certain transaction-related expenses. modivcare inc. unaudited reconciliation of non-gaap financial measures segment information and adjusted ebitda (in thousands) three months ended september 30, 2020 nemt matrix investment total continuing operations service revenue, net $ 320,619 $ — $ 320,619 operating expenses: service expense 235,543 — 235,543 general and administrative expense 34,441 — 34,441 depreciation and amortization 7,301 — 7,301 total operating expenses 277,285 — 277,285 operating income 43,334 — 43,334 other expenses (income): interest expense, net 379 — 379 equity in net income of investee — (10,325 ) (10,325 ) income from continuing operations before income taxes 42,955 10,325 53,280 provision for income taxes 11,774 2,586 14,360 income from continuing operations, net of taxes 31,181 7,739 38,920 interest expense, net 379 — 379 provision for income taxes 11,774 2,586 14,360 depreciation and amortization 7,301 — 7,301 ebitda 50,635 10,325 60,960 restructuring and related charges (1) 969 — 969 transaction costs (2) 3,579 — 3,579 cash settled equity (3) 2,894 2,894 stock-based compensation (3) 1,139 — 1,139 covid-19 related costs 118 — 118 equity in net income of investee — (10,325 ) (10,325 ) adjusted ebitda $ 59,334 $ — $ 59,334 (1) restructuring and related charges include severance and office closure costs of $0.6 million and professional services costs of $0.4 million. (2) transaction costs include circulation management incentive plan ("mip") costs and certain transaction-related expenses. (3) adjusted ebitda for q3 of 2020 was recast to show the impact of stock-based compensation and cash settled equity, which the company is now including for purposes of this calculation. modivcare inc. unaudited reconciliation of non-gaap financial measures segment information and adjusted ebitda (in thousands) nine months ended september 30, 2021 nemt personal care rpm matrix investment total continuing operations service revenue, net $ 1,081,168 $ 338,385 $ 1,564 $ — $ 1,421,117 grant income — 3,500 — — 3,500 operating expenses: service expense 869,470 268,933 767 — 1,139,170 general and administrative expense 133,706 45,349 216 — 179,271 depreciation and amortization 21,744 14,723 200 — 36,667 total operating expenses 1,024,920 329,005 1,183 — 1,355,108 operating income 56,248 12,880 381 — 69,509 other expenses (income): interest expense, net 34,412 — — — 34,412 equity in net loss of investee — — — 1,978 1,978 income (loss) from continuing operations before income taxes 21,836 12,880 381 (1,978 ) 33,119 provision (benefit) for income taxes 5,027 3,364 107 (554 ) 7,944 income (loss) from continuing operations, net of taxes 16,809 9,516 274 (1,424 ) 25,175 interest expense, net 34,412 — — — 34,412 provision for income taxes 5,027 3,364 107 (554 ) 7,944 depreciation and amortization 21,744 14,723 200 — 36,667 ebitda 77,992 27,603 581 (1,978 ) 104,198 restructuring and related charges (1) 11,215 — — — 11,215 transaction costs (2) 14,969 3,467 — — 18,436 cash settled equity 9,145 — — — 9,145 stock-based compensation 3,707 76 — — 3,783 covid-19 related costs, net of grant income 618 (1,871 ) — — (1,253 ) equity in net income of investee — — — 1,978 1,978 adjusted ebitda $ 117,646 $ 29,275 $ 581 $ — $ 147,502 (1) restructuring and related charges include professional services costs of $10.1 million and severance and office closure costs of $1.1 million. (2) transaction costs include circulation management incentive plan ("mip") costs and certain transaction-related expenses. modivcare inc. unaudited reconciliation of non-gaap financial measures segment information and adjusted ebitda (in thousands) nine months ended september 30, 2020 nemt matrix investment total continuing operations service revenue, net $ 970,166 $ — $ 970,166 grant income — — — operating expenses: service expense 764,310 — 764,310 general and administrative expense 86,435 — 86,435 depreciation and amortization 17,199 — 17,199 total operating expenses 867,944 — 867,944 operating income 102,222 — 102,222 other expenses (income): interest expense, net 2,118 — 2,118 equity in net income of investee — (12,200 ) (12,200 ) income from continuing operations before income taxes 100,104 12,200 112,304 provision for income taxes 16,730 3,055 19,785 income from continuing operations, net of taxes 83,374 9,145 92,519 interest expense, net 2,118 — 2,118 provision for income taxes 16,730 3,055 19,785 depreciation and amortization 17,199 — 17,199 ebitda 119,421 12,200 131,621 restructuring and related charges (1) 3,277 — 3,277 transaction costs (2) 4,700 — 4,700 cash settled equity (3) 6,891 — 6,891 stock-based compensation (3) 2,834 — 2,834 covid-19 related costs, net of grant income 349 — 349 equity in net (income) loss of investee — (12,200 ) (12,200 ) adjusted ebitda $ 137,472 $ — $ 137,472 (1) restructuring and related charges include severance and office closure costs of $1.7 million and professional services of $1.6 million. (2) transaction costs include circulation mip and certain transaction-related expenses. (3) adjusted ebitda for the nine months ended september 30, 2020 was recast to show the impact of stock-based compensation and cash settled equity, which the company is now including for purposes of this calculation. modivcare inc. unaudited summary financial information of equity investment in matrix medical network (1) (in thousands) three months ended september 30, nine months ended september 30, 2021 2020 2021 2020 revenue $ 78,458 $ 140,728 $ 316,830 $ 292,699 operating expense 87,324 94,509 288,883 213,219 depreciation and amortization 7,921 10,730 24,497 30,406 operating income (loss) (16,787 ) 35,489 3,450 49,074 interest expense, net 4,337 4,545 12,502 15,264 provision (benefit) for income taxes (5,497 ) 9,562 (1,909 ) 9,893 net income (loss) (15,627 ) 21,382 (7,143 ) 23,917 equity interest 43.6 % 43.6 % 43.6 % 43.6 % net income (loss) - equity investment (6,813 ) 9,318 (3,114 ) 10,423 management fee and other 65 1,007 1,136 1,777 equity in net income (loss) of investee $ (6,748 ) $ 10,325 $ (1,978 ) $ 12,200 cash $ 74,958 $ 67,560 net debt (2) $ 244,317 $ 322,575 (1) the results of our equity method investment are excluded from the calculation of modivcare's adjusted ebitda and adjusted net income. (2) net debt represents long-term debt including the current portion, excluding deferred financing costs, less cash. modivcare inc. unaudited reconciliation of non-gaap financial measures adjusted ebitda: matrix medical network (1) (in thousands) three months ended september 30, nine months ended september 30, 2021 2020 2021 2020 revenue $ 78,458 $ 140,728 $ 316,830 $ 292,699 operating expense 87,324 94,509 288,883 213,219 depreciation and amortization 7,921 10,730 24,497 30,406 operating income (loss) (16,787 ) 35,489 3,450 49,074 interest expense, net 4,337 4,545 12,502 15,264 provision (benefit) for income taxes (5,497 ) 9,562 (1,909 ) 9,893 net income (loss) (15,627 ) 21,382 (7,143 ) 23,917 depreciation and amortization 7,921 10,730 24,497 30,406 interest expense 4,337 4,545 12,502 15,264 provision (benefit) for income taxes (5,497 ) 9,562 (1,909 ) 9,893 ebitda (8,866 ) 46,219 27,947 79,480 management fees 132 2,169 2,424 3,838 integration costs 14 — 169 — severance costs 1,136 286 1,368 1,223 restructuring expense 7,476 3,781 17,691 3,781 covid-19 related costs 216 1,507 1,163 6,599 transaction costs 2,522 297 6,945 2,051 adjusted ebitda $ 2,630 $ 54,259 $ 57,707 $ 96,972 (1) modivcare accounts for its proportionate share of matrix's results using the equity method. matrix's adjusted ebitda is not included within modivcare's adjusted ebitda in any period presented. modivcare inc. unaudited reconciliation of non-gaap financial measures adjusted net income and adjusted net income per common share: (in thousands, except share and per share data) three months ended september 30, nine months ended september 30, 2021 2020 2021 2020 income (loss) from continuing operations, net of tax $ (7,462 ) $ 38,920 $ 25,175 $ 92,519 restructuring and related charges(1) 3,087 969 11,215 3,277 transaction costs(2) 11,292 3,579 18,436 4,700 cash settled equity(3) 2,599 2,894 9,145 6,891 stock-based compensation(3) 1,217 1,139 3,783 2,834 equity in net loss (income) of investee 6,748 (10,325 ) 1,978 (12,200 ) intangible amortization expense 9,177 4,884 27,827 10,219 transaction-related financing expense 6,630 — 6,630 — covid-19 related costs, net of grant income 393 118 (1,253 ) 349 tax impact of the cares act — — — (10,984 ) tax effected impact of adjustments (10,647 ) 98 (20,577 ) (1,733 ) adjusted net income $ 23,034 $ 42,276 $ 82,359 $ 95,872 dividends on convertible preferred stock — (27 ) — (1,988 ) income allocated to participating securities — (264 ) — (7,052 ) adjusted net income available to common stockholders $ 23,034 $ 41,985 $ 82,359 $ 86,832 adjusted earnings per share $ 1.63 $ 2.97 $ 5.77 $ 6.47 diluted weighted-average number of common shares outstanding 14,161,806 14,133,904 14,278,331 13,415,344 (1) restructuring and related charges include severance and office closure costs and professional services. (2) transaction costs include the mip related to the circulation acquisition and certain other transaction-related expenses. (3) adjusted net income for the three and nine months ended september 30, 2020 was recast to show the impact of stock-based compensation and cash settled equity, which the company is now including for purposes of this calculation.
