Attached files

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EX-31.2 - EX-31.2 - Tabula Rasa HealthCare, Inc.a17-12459_1ex31d2.htm
EX-31.1 - EX-31.1 - Tabula Rasa HealthCare, Inc.a17-12459_1ex31d1.htm
EX-21.1 - EX-21.1 - Tabula Rasa HealthCare, Inc.a17-12459_1ex21d1.htm
EX-10.14 - EX-10.14 - Tabula Rasa HealthCare, Inc.a17-12459_1ex10d14.htm

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Form 10-K/A

(Amendment No. 1)

 

x  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the year ended December 31, 2016

 

OR

 

¨  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from               to     

 

Commission file number 001-37888

 

Tabula Rasa HealthCare, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware

 

45-5726437

(State of incorporation)

 

(I.R.S. Employer Identification No.)

 

228 Strawbridge Drive, Suite 100

 

 

Moorestown, NJ 08057

 

(866) 648 - 2767

(Address of Principal Executive Offices, including Zip Code)

 

(Registrant’s Telephone Number, including Area Code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

 

 

 

 

Title of Each Class

 

Name of Each Exchange on Which Registered

Common Stock, par value $0.0001 per share

 

The NASDAQ Stock Market

 

Securities registered pursuant to Section 12(g) of the Act: None

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes  o  No  x

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes   o   No   x

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x   No  o

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes   x   No   o

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S -K (§299.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10 -K. o

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

 

Large accelerated filer   ¨

Accelerated filer   ¨

Non-accelerated filer   x

Smaller reporting company   ¨

Emerging growth company   x

 

 

(Do not check if a
smaller reporting company)

 

 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to section 13(a) of the Exchange Act. x

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b2 of the Exchange Act). Yes o  No x

 

As of June 30, 2016, the last business day of the registrant’s most recently completed second fiscal quarter, there was no established public market for the registrant’s common stock and, therefore, the registrant cannot calculate the aggregate market value of its common stock held by non-affiliates as of such date. The registrant’s common stock began trading on September 29, 2016.

 

As of February 28, 2017, the Registrant had 17,073,067, shares of Common Stock outstanding.

 

DOCUMENTS INCORPORATED BY REFERENCE

 

Portions of the Registrant’s definitive proxy statement in connection with the 2017 annual meeting of stockholders to be held on June 16, 2017 are incorporated herein by reference in response to Part III of this Annual Report on Form 10-K.

 

 

 



 

Explanatory Note

 

Tabula Rasa HealthCare, Inc. (the “Company”) is filing this Amendment No. 1 on Form 10-K/A (this “Amendment”) to its Annual Report on Form 10-K (“Form 10-K”) for the fiscal year ended December 31, 2016, filed with the Securities and Exchange Commission on March 14, 2017, to file Exhibit 10.13 and Exhibit 10.14, which were inadvertently omitted from the original filing of the Form 10-K, and to amend and restate Exhibit 21.1 to correct certain clerical errors in that exhibit.  Exhibits 10.13 and 10.14 and the amended and restated Exhibit 21.1 are being filed herewith or incorporated herein by reference. This Amendment also amends and restates Part IV, Item 15 of the Form 10-K to include in the exhibits filed with the Form 10-K Exhibits 10.13 and 10.14 and the amended and restated Exhibit 21.1.

 

Except as described above, no other revisions or amendments have been made to any other portion of the Form 10-K. This Amendment does not reflect events that may have occurred after March 14, 2017, the date of the original filing of the Form 10-K, or modify or update any disclosures that may have been affected by subsequent events.

 

Pursuant to Rule 12b-15 under the Securities Exchange Act of 1934, as amended, this Amendment also contains new certifications pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, which are included as exhibits to this Amendment. Because no financial statements have been included in this Amendment and this Amendment does not contain or amend any disclosure with respect to Items 307 and 308 of Regulation S-K, paragraphs 3, 4 and 5 of the certifications have been omitted.

 

Part IV

 

Item 15 Exhibits and Financial Statement Schedules

 

A list of exhibits is set forth on the Exhibit Index immediately following the signature page of this Amendment, and is incorporated herein by reference.

 

(a) (1) The Registrant’s financial statements together with a separate table of contents are annexed to the original filing of the Form 10-K.

 

(2) Financial Statement Schedules are listed in the separate table of contents annexed to the original filing of the Form 10-K.

 

Schedule II—Valuation and Qualifying Accounts

 

(3) A list of exhibits is set forth on the Exhibit Index immediately following the signature page of this Amendment, and is incorporated herein by reference.

 

2



 

Signatures

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

TABULA RASA HEALTHCARE, INC.

 

 

 

Date: May 4, 2017

By:

/s/ DR. CALVIN H. KNOWLTON

 

Name:

Dr. Calvin H. Knowlton

 

Title:

Chief Executive Officer and Chairman of the Board of Directors

 

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EXHIBIT INDEX

 

 

 

 

 

Incorporated by Reference

 

 

 

Exhibit
No.

 

Exhibit Description

 

Form

 

Filing
Date

 

Exhibit
Number

 

Filed
Herewith

 

 

 

 

 

 

 

 

 

 

 

 

 

2.1#

 

Membership Interest Purchase Agreement, dated as of December 31, 2014, by and between Tabula Rasa HealthCare, Inc., Fred Smith III, Olds Family 2002 Trust, Stephen F. Olds and Thomas Olds, Jr.

 

S-1

 

1/4/2016

 

2.1

 

 

 

2.2#

 

Asset Purchase Agreement, dated as of April 22, 2014, by and among Capstone Performance Systems, LLC (Delaware), CareKinesis, Inc., Capstone Performance Systems, LLC (Colorado), PPS Holdings,  Inc. and David M. Reyes and Ronda L. Hackbart-Reyes

 

S-1

 

1/4/2016

 

2.2

 

 

 

2.3#

 

Stock Purchase Agreement, dated as of November 27, 2013, by and between CareKinesis, Inc. and Gary Tom, as amended

 

S-1

 

1/4/2016

 

2.3

 

 

 

3.1

 

Amended and Restated Certificate of Incorporation of Tabula Rasa HealthCare, Inc.

 

8-K

 

8/4/2016

 

3.1

 

 

 

3.2

 

Amended and Restated Bylaws of Tabula Rasa HealthCare, Inc.

 

8-K

 

8/4/2016

 

3.2

 

 

 

4.1

 

Investor Rights Agreement, dated as of June 30, 2014

 

S-1

 

1/4/2016

 

4.1

 

 

 

4.2

 

Investor Rights Agreement, dated as of June 30, 2014

 

S-1/A

 

7/21/2016

 

4.2

 

 

 

4.3

 

Amended and Restated Preferred Series A-1 Convertible Stock Warrant, dated as of April 21, 2016, issued to the New Jersey Economic Development Authority

 

S-1/A

 

7/21/2016

 

4.8

 

 

 

10.1

 

Tabula Rasa HealthCare, Inc. Amended and Restated 2014 Equity Compensation Plan, including forms of Incentive Stock Option Agreement, Nonqualified Stock Option Agreements and Restricted Stock Agreement thereunder

 

S-1/A

 

9/19/2016

 

10.1

 

 

 

10.2

 

Tabula Rasa HealthCare, Inc. Leadership Exit Bonus Plan

 

S-1

 

1/4/2016

 

10.2

 

 

 

10.3

 

Tabula Rasa HealthCare, Inc. Company Management Plan, as amended

 

S-1/A

 

9/19/2016

 

10.3

 

 

 

10.4

 

Form of Indemnification Agreement

 

S-1/A

 

9/19/2016

 

10.5

 

 

 

10.5

 

Loan and Security Modification Agreement, dated as of July 1, 2016, by and between Western Alliance Bank, as successor in interest to Bridge Bank, National Association, and CareKinesis, Inc., Tabula Rasa HealthCare, Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc. and Medliance LLC

 

S-1/A

 

7/21/2016

 

10.7

 

 

 

10.6

 

Loan and Security Modification Agreement, dated as of September 15, 2016, by and between Western Alliance Bank, are CareKinesis, Inc., Tabula Rasa HealthCare, Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc., Medliance LLC and CK Solutions, LLC

 

S-1/A

 

9/19/2016

 

10.8

 

 

 

10.7

 

Tabula Rasa HealthCare, Inc. 2016 Omnibus Incentive Compensation Plan, including forms of Incentive Stock Option Agreement, Nonqualified Stock Option Agreement and Restricted Stock Agreement thereunder

 

S-1/A

 

9/19/2016

 

10.15

 

 

 

10.8

 

Lease Agreement, dated August 21, 2015, by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc. (Suite 100), as amended by that First Amendment to Lease Agreements, dated March 22, 2016 by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc., included as Exhibit 10.11

 

S-1

 

1/4/2016

 

10.9

 

 

 

10.9

 

Lease Agreement, dated August 21, 2015, by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc. (Suite 200), as amended by that First Amendment to Lease Agreements, dated March 22, 2016 by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc., included as Exhibit 10.11

 

S-1

 

1/4/2016

 

10.10

 

 

 

 

4



 

10.10

 

Lease Agreement, dated August 21, 2015, by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc. (Suite 300), as amended by that First Amendment to Lease Agreements, dated March 22, 2016 by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc., included as Exhibit 10.11

 

S-1

 

1/4/2016

 

10.11

 

 

 

10.11

 

First Amendment to Lease Agreements, dated March 22, 2016 by and between 228 Strawbridge Associates, LLC and Tabula Rasa HealthCare, Inc.

 

S-1/A

 

7/21/2016

 

10.11

 

 

 

10.12

 

Amended and Restated Prime Vendor Agreement, effective May 1, 2016, by and among AmerisourceBergen Drug Corporation, CareKinesis, Inc. and J.A. Robertson, Inc. d/b/a St. Mary

 

S-1/A

 

7/21/2016

 

10.13

 

 

 

10.13

 

Loan and Security Agreement, dated as of April 29, 2015, by and among Western Alliance Bank, successor in interest to Bridge Bank, National Association, and Tabula Rasa HealthCare, Inc., CareKinesis,  Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc. and Medliance LLC, as amended by that Loan and Security Modification Agreement, dated as of July 1, 2016, by and between Western Alliance Bank, as successor in interest to Bridge Bank, National Association, and CareKinesis, Inc., Tabula Rasa HealthCare, Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc. and Medliance LLC, included as Exhibit 10.5, as amended by that Loan and Security Modification Agreement, dated as of September 15, 2016, by and between Western Alliance Bank, are CareKinesis, Inc., Tabula Rasa HealthCare, Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc., Medliance LLC and CK Solutions, LLC, included as Exhibit 10.6

 

S-1

 

1/4/2016

 

10.6

 

 

 

10.14

 

Loan and Security Modification Agreement, dated as of September 12, 2016, by and between Western Alliance Bank, as successor in interest to Bridge Bank, National Association, and CareKinesis, Inc., Tabula Rasa HealthCare, Inc., CareVentions, Inc., Capstone Performance Systems, LLC, J.A. Robertson, Inc., Medliance LLC and CK Solutions, LLC

 

 

 

 

 

 

 

X

 

21.1

 

Subsidiaries of Registrant

 

 

 

 

 

 

 

X

 

23.1

 

Consent of KPMG LLP

 

10-K

 

3/14/2017

 

23.1

 

 

 

31.1

 

Certification of Chief Executive Officer (Principal Executive Officer) required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

 

 

 

 

 

 

 

X

 

31.2

 

Certification of Chief Financial Officer (Principal Financial Officer) required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

 

 

 

 

 

 

 

X

 

32.1*

 

Certification of Chief Executive Officer (Principal Executive Officer) and Chief Financial Officer (Principal Financial Officer), as required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

10-K

 

3/14/2017

 

32.1

 

 

 

101.INS

 

XBRL Instance Document

 

10-K

 

3/14/2017

 

101.INS

 

 

 

101.SCH

 

XBRL Taxonomy Extension Schema Document

 

10-K

 

3/14/2017

 

101.SCH

 

 

 

101.CAL

 

XBRL Taxonomy Extension Calculation Linkbase

 

10-K

 

3/14/2017

 

101.CAL

 

 

 

101.DEF

 

XBRL Taxonomy Extension Definition Linkbase

 

10-K

 

3/14/2017

 

101.DEF

 

 

 

101.LAB

 

XBRL Taxonomy Extension Label Linkbase

 

10-K

 

3/14/2017

 

101.LAB

 

 

 

101.PRE

 

XBRL Taxonomy Extension Presentation Linkbase

 

10-K

 

3/14/2017

 

101.PRE

 

 

 

 


*                 This certification previously furnished with our Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 14, 2017, which is being amended hereby, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of Tabula Rasa HealthCare, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of this Amendment), irrespective of any general incorporation language contained in such filing.

 

#                 Schedules to the agreement have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The company undertakes to furnish supplemental copies of any of the omitted schedules upon request by the SEC.

 

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