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Operating Segments and Related Information (Tables)
3 Months Ended
Mar. 31, 2020
Segment Reporting [Abstract]  
Schedule of discontinued operations information
The following table presents the discontinued operations of the Healthcare Claims Recovery Audit ("HCRA") services business in the Consolidated Statement of Operations, for the three months ended March 31, 2019 (in thousands):
 
 
Three Months Ended March 31,
 
 
2019
Revenue, net
 
$

Cost of sales
 
149

Selling, general and administrative expense
 
6

Depreciation and amortization
 

Loss from discontinued operations before income taxes
 
$
(155
)
Income tax expense
 

Loss from discontinued operations
 
$
(155
)

The following table presents the discontinued operations of the HCRA services business in the Consolidated Statements of Cash Flows, for the three months ended March 31, 2019 (in thousands):
 
 
Three Months Ended March 31,
 
 
2019
Net cash used in operating activities
 
$
(155
)
Net cash (used in) provided by investing activities
 

Net cash (used in) provided by financing activities
 

Decrease in cash and cash equivalents
 
$
(155
)
Segment information
Segment information for the three months ended March 31, 2020 and 2019 (in thousands) is as follows:
 
 
 
Recovery
Audit
Services –
Americas
 
Recovery Audit
Services –
Europe/Asia-
Pacific
 
Adjacent
Services
 
Corporate
Support
 
Total
Three Months Ended March 31, 2020
 
 
 
 
 
 
 
 
 
 
Revenue, net
 
$
26,223

 
$
9,785

 
$
831

 
$

 
$
36,839

Net loss from continuing operations
 
 
 
 
 
 
 
 
 
(3,883
)
Income tax benefit
 
 
 
 
 
 
 
 
 
(44
)
Interest expense, net
 
 
 
 
 
 
 
 
 
342

EBIT
 
$
4,478

 
$
1,439

 
$
138

 
$
(9,640
)
 
$
(3,585
)
Depreciation of property, equipment and software
 
1,938

 
169

 
34

 

 
2,141

Amortization of intangible assets
 
408

 
42

 
379

 

 
829

EBITDA
 
$
6,824

 
$
1,650

 
$
551

 
$
(9,640
)
 
$
(615
)
Foreign currency transaction losses (gains) on short-term intercompany balances
 
896

 
874

 
4

 
(318
)
 
1,456

Transformation, severance, and other expenses
 
688

 
208

 
80

 
331

 
1,307

Stock-based compensation
 

 

 

 
1,320

 
1,320

Adjusted EBITDA from continuing operations
 
$
8,408

 
$
2,732

 
$
635

 
$
(8,307
)
 
$
3,468


 
 
Recovery
Audit
Services –
Americas
 
Recovery Audit
Services –
Europe/Asia-
Pacific
 
Adjacent
Services
 
Corporate
Support
 
Total
Three Months Ended March 31, 2019
 
 
 
 
 
 
 
 
 
 
Revenue, net
 
$
27,373

 
$
9,759

 
$
1,672

 
$

 
$
38,804

Net loss from continuing operations
 
 
 
 
 
 
 
 
 
(4,241
)
Income tax expense
 
 
 
 
 
 
 
 
 
168

Interest expense, net
 
 
 
 
 
 
 
 
 
473

EBIT
 
$
6,004

 
$
313

 
$
(2,145
)
 
$
(7,772
)
 
$
(3,600
)
Depreciation of property, equipment and software
 
1,762

 
162

 
279

 

 
2,203

Amortization of intangible assets
 
438

 
37

 
387

 

 
862

EBITDA
 
$
8,204

 
$
512

 
$
(1,479
)
 
$
(7,772
)
 
$
(535
)
Other loss (income)
 

 
9

 

 
(28
)
 
(19
)
Foreign currency transaction (gains) losses on short-term intercompany balances
 
(73
)
 
399

 
(6
)
 
(114
)
 
206

Transformation, severance, and other expenses
 
128

 
123

 
18

 
428

 
697

Stock-based compensation
 

 

 

 
1,384

 
1,384

Adjusted EBITDA from continuing operations
 
$
8,259

 
$
1,043

 
$
(1,467
)
 
$
(6,102
)
 
$
1,733