EX-99.1 2 ex-99d1.htm EX-99.1 tdoc_EX_99_1

Exhibit 99.1

 

Picture 2

 

Teladoc Health Reports Third Quarter 2019 Results

 

Year-over-year  Q3 revenue grows 24% to $138.0 million and total visits increase 45% to 928,000

 

Year-over-year nine months revenue grows 34% to $396.8 million and total visits increase 63% to 2,899,000

 

Issues 2019 fourth-quarter guidance and updates full-year expectations

 

 

PURCHASE, NY, October  30, 2019 — Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today reported financial results for the third quarter ending September  30, 2019.

 

“The third quarter marked a continuation of Teladoc Health’s very strong momentum from the first half of the year, as we delivered at the high end of our growth expectations and made progress on our path to profitability.” said Jason Gorevic, chief executive officer, Teladoc Health. As we close out the year, we are confident in our positive momentum and are raising revenue and visit guidance for the full year. Our results serve as yet another affirmation of the expanding role of virtual care globally, and our proven ability to execute at scale.” 

 

Financial Highlights for the Third Quarter and Nine Months Ended September  30, 2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

($ thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Ended

 

Year over Year

 

Nine Months Ended 

 

Year over Year

 

 

 

September 30,

 

Growth

 

September 30,

 

Growth

 

 

    

2019

    

2018

    

 

    

2019

    

2018

    

 

 

Subscription Access Fees Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

$

92,095

 

$

72,521

 

27

%

 

$

258,604

 

$

198,607

 

30

%

 

International

 

 

27,030

 

 

24,040

 

12

%

 

 

77,716

 

 

49,480

 

57

%

 

Total

 

 

119,125

 

 

96,561

 

23

%

 

 

336,320

 

 

248,087

 

36

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Visit Fee Revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Paid Visits

 

 

14,142

 

 

11,330

 

25

%

 

 

47,473

 

 

37,334

 

27

%

 

U.S. Visit Fee Only

 

 

4,307

 

 

2,509

 

72

%

 

 

11,974

 

 

8,758

 

37

%

 

International Paid Visits

 

 

395

 

 

562

 

(30)

%

 

 

1,051

 

 

987

 

 7

%

 

Total

 

 

18,844

 

 

14,401

 

31

%

 

 

60,498

 

 

47,079

 

29

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Revenue*

 

$

137,969

 

$

110,962

 

24

%

 

$

396,818

 

$

295,166

 

34

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Organic third-quarter 2019 revenue, excluding MedecinDirect, increased by 24 percent year over year.

 Organic nine months ended 2019 revenue, excluding Advance Medical and MedecinDirect, increased by 23 percent year over year.

 

 

 

 

 

 

 

 

 

 

 

 

 

Membership & Visit Fee Only Access

 

 

 

 

 

 

 

 

(millions)

 

 

 

 

 

 

 

 

 

 

Quarter Ended

 

Year over Year

 

 

 

September 30,

 

Growth

 

 

    

2019

    

2018

    

 

 

Total U.S. Paid Membership

 

35.0

 

22.6

 

54.6

%

 

 

 

 

 

 

 

 

 

 

Total U.S. Visit Fee Only Access

 

19.0

 

9.4

 

101.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Visits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(thousands)

 

 

 

 

 

 

 

 

 

 

Quarter

 

Nine Months

 

 

 

 

 

 

 

 

 

 

 

 

Year over Year

 

Year over Year

 

 

2019

 

2018

 

Growth

 

Growth

 

 

Q1

Q2

Q3

YTD

 

Q1

Q2

Q3

YTD

 

 

 

 

 

Paid Visits from U.S. Paid Membership

365

291

278

934

 

298

218

202

718

 

38

%

 

30

%

 

Percent of Paid Visits from U.S. Paid Membership

51%
48%
45%
48%

 

54%
50%
46%
50%

 

(3)

%

 

(5)

%

 

Visits Included from U.S. Paid Membership

353

319

344

1,016

 

256

218

237

711

 

45

%

 

43

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Visits from U.S. Paid Membership

718

610

622

1,950

 

554

436

439

1,429

 

42

%

 

36

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Visit Fee Only

63

54

62

179

 

51

37

36

124

 

75

%

 

45

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

International Visits

282

244

244

770

 

 1

60

166

227

 

46

%

 

239

%

 

Total Visits

1,063

908

928

2,899

 

606

533

641

1,780

 

45

%

 

63

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Utilization

11.00%
9.10%
7.98%
9.27%

 

10.90%
8.04%
7.81%
8.86%

 

17

pt

 

41

pt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

·

Net loss was $(20.3) million for the third quarter 2019 compared to $(23.3) million for the third quarter 2018.

·

Net loss per basic and diluted share was $(0.28) for the third quarter 2019 compared to $(0.34) for the third quarter 2018. The third quarter 2019 includes a $0.11 per share non-cash income tax benefit.

·

Gross margin was 69.0 percent for the third quarter 2019 compared to 69.2 percent for the third quarter 2018.

·

EBITDA was $(10.3) million for the third quarter 2019 compared to $(6.0) million for the third quarter 2018.

·

Adjusted EBITDA was a positive $9.0 million for the third quarter 2019 compared to $6.3 million for the third quarter 2018.

 

A reconciliation of generally accepted accounting principles (“GAAP”) in the United States to non-GAAP results has been provided in this press release in the accompanying tables. An explanation of these measures is also included below under the heading “Non-GAAP Financial Measures”.

 

Financial Outlook

Teladoc Health provides guidance based on current market conditions and expectations.

 

For the fourth-quarter 2019, we expect: 

·

Total revenue to be in the range of $149 million to $153 million.

·

EBITDA loss to be in the range of $(9) million to $(5) million.

·

Adjusted EBITDA to be in the range of $11.5 million to $15.5 million.

·

Total U.S. paid membership to be approximately 35  million members and visit-fee-only access to be available to approximately 19 million individuals.

·

Total visits to be between 1.0 million and 1.2 million.  

·

Net loss per share, based on 72.5 million weighted average shares outstanding, to be between $(0.37) and $(0.31).

 

For the full-year 2019, we have updated our expectations as follows: 

·

Total revenue to be in the range of $546 million to $550 million.

·

EBITDA loss to be in the range of $(45) million to $(41) million.

·

Adjusted EBITDA to be in the range of positive $28 million to $32 million.

·

Total U.S. paid membership to be approximately 35 million members and visit-fee-only access to be available to approximately 19 million individuals.

·

Total visits to be between 3.9 million to 4.1 million.  

·

Net loss per share, based on 71.9 million weighted average shares outstanding, to be between $(1.49) and $(1.43).

 

Quarterly Conference Call

 

The third quarter 2019 earnings conference call and webcast will be held Wednesday, October 30, 2019 at 4:30 p.m. EDT. The conference call can be accessed by dialing 1-833-241-4255 for U.S. participants, or 1-647-689-4206 for international participants, and including the following Conference ID Number: 5049316 to expedite caller registration; or via a live audio webcast available online at http://ir.teladoc.com/news-and-events/events-and-presentations/. A webcast replay will be available for on-demand listening shortly after the completion of the call at the same web link.

 

About Teladoc Health

 

A mission-driven organization, Teladoc Health, Inc. is successfully transforming how people access and experience healthcare, with a focus on high quality, lower costs, and improved outcomes around the world. The company’s award-winning, integrated clinical solutions are inclusive of telehealth, expert medical services, AI and analytics, and licensable platform services. With more than 2,000 employees, the organization delivers care in 130 countries and in more than 30 languages, partnering with employers, hospitals and health systems, and insurers to transform care delivery. For more information, please visit www.teladochealth.com or follow @TeladocHealth on Twitter.

 

Cautionary Note Regarding Forward-Looking Statements

 

This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements

can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Examples of forward-looking statements include, among others, statements we make regarding future revenues, future earnings, future numbers of members or clients, litigation outcomes, regulatory developments, market developments, new products and growth strategies, and the effects of any of the foregoing on our future results of operations or financial conditions.

Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: (i) changes in laws and regulations applicable to our business model; (ii) changes in market conditions and receptivity to our services and offerings; (iii) results of litigation; (iv) the loss of one or more key clients; and (v) changes to our abilities to recruit and retain qualified providers into our network. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports, including, but not limited to our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, as filed with the SEC.

 

Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data, unaudited)

 

 

 

 

 

 

 

 

 

 

September 30,

 

December 31,

 

    

2019

    

2018

 

 

 

 

 

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

475,242

 

$

423,989

Short-term investments

 

 

15,633

 

 

54,545

Accounts receivable, net of allowance of $3,287 and $3,382, respectively

 

 

53,669

 

 

43,571

Prepaid expenses and other current assets

 

 

13,416

 

 

10,631

Total current assets

 

 

557,960

 

 

532,736

Property and equipment, net

 

 

10,021

 

 

10,148

Goodwill

 

 

737,647

 

 

737,197

Intangible assets, net

 

 

228,838

 

 

247,394

Operating lease - right-of-use assets

 

 

27,596

 

 

 —

Other assets

 

 

6,367

 

 

1,401

Total assets

 

$

1,568,429

 

$

1,528,876

Liabilities and stockholders’ equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

6,068

 

$

7,769

Accrued expenses and other current liabilities

 

 

53,822

 

 

26,801

Accrued compensation

 

 

25,312

 

 

27,869

Total current liabilities

 

 

85,202

 

 

62,439

Other liabilities

 

 

7,156

 

 

6,191

Operating lease liabilities, net of current portion

 

 

25,853

 

 

 —

Deferred taxes

 

 

22,720

 

 

32,444

Convertible senior notes, net

 

 

433,760

 

 

414,683

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Common stock, $0.001 par value; 150,000,000 shares authorized as of September 30, 2019 and December 31, 2018; 72,356,849 shares and 70,516,249 shares issued and outstanding as of September 30, 2019 and December 31, 2018, respectively

 

 

72

 

 

70

Additional paid-in capital

 

 

1,510,205

 

 

1,434,780

Accumulated deficit

 

 

(488,481)

 

 

(408,661)

Accumulated other comprehensive loss

 

 

(28,058)

 

 

(13,070)

Total stockholders’ equity

 

 

993,738

 

 

1,013,119

Total liabilities and stockholders’ equity

 

$

1,568,429

 

$

1,528,876

 

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share data, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Ended September 30,

 

Nine Months Ended September 30,

 

 

 

    

2019

 

2018

 

2019

 

2018

 

 

Revenue

 

$

137,969

    

$

110,962

    

$

396,818

    

$

295,166

    

 

Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenue

 

 

42,799

 

 

34,167

 

 

129,110

 

 

88,707

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advertising and marketing

 

 

31,321

 

 

21,668

 

 

84,341

 

 

61,554

 

 

Sales

 

 

16,120

 

 

16,303

 

 

48,164

 

 

44,645

 

 

Technology and development

 

 

15,746

 

 

13,577

 

 

48,398

 

 

40,829

 

 

Legal and regulatory

 

 

1,634

 

 

807

 

 

5,239

 

 

2,491

 

 

Acquisition and integration related costs

 

 

1,995

 

 

1,588

 

 

4,143

 

 

8,957

 

 

Gain on sale

 

 

 —

 

 

(1,430)

 

 

 —

 

 

(5,500)

 

 

General and administrative

 

 

38,681

 

 

30,314

 

 

113,212

 

 

80,455

 

 

Depreciation and amortization

 

 

9,617

 

 

9,746

 

 

29,065

 

 

26,045

 

 

Total expenses

 

 

157,913

 

 

126,740

 

 

461,672

 

 

348,183

 

 

Loss from operations

 

 

(19,944)

 

 

(15,778)

 

 

(64,854)

 

 

(53,017)

 

 

Interest expense, net

 

 

7,700

 

 

7,666

 

 

21,432

 

 

19,449

 

 

Net loss before taxes

 

 

(27,644)

 

 

(23,444)

 

 

(86,286)

 

 

(72,466)

 

 

Income tax benefit

 

 

(7,298)

 

 

(180)

 

 

(6,466)

 

 

(261)

 

 

Net loss

 

$

(20,346)

 

$

(23,264)

 

$

(79,820)

 

$

(72,205)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share, basic and diluted

 

$

(0.28)

 

$

(0.34)

 

$

(1.11)

 

$

(1.12)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares used to compute basic and diluted net loss per share

 

 

72,151,094

 

 

68,247,655

 

 

71,601,790

 

 

64,363,943

 

 

 

 

Note: The third quarter 2019 includes a $0.11 per share non-cash income tax benefit.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

    

2019

 

2018

 

Cash flows provided by (used in) operating activities:

 

 

    

    

 

    

 

Net loss

 

$

(79,820)

 

$

(72,205)

 

Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

 

 

 

 

 

 

 

Depreciation and amortization

 

 

33,860

 

 

26,045

 

Allowance for doubtful accounts

 

 

1,717

 

 

1,535

 

Stock-based compensation

 

 

48,245

 

 

31,086

 

Deferred income taxes

 

 

(10,288)

 

 

(1,907)

 

Accretion of interest

 

 

19,422

 

 

13,593

 

Gain on sale

 

 

 —

 

 

(5,500)

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

Accounts receivable

 

 

(12,386)

 

 

(7,535)

 

Prepaid expenses and other current assets

 

 

(2,219)

 

 

(1,656)

 

Other assets

 

 

73

 

 

(327)

 

Accounts payable

 

 

(1,976)

 

 

(357)

 

Accrued expenses and other current liabilities

 

 

21,012

 

 

7,561

 

Accrued compensation

 

 

(1,813)

 

 

1,991

 

Operating lease liabilities

 

 

(1,481)

 

 

 —

 

Other liabilities

 

 

(2,599)

 

 

340

 

Net cash provided by (used in) operating activities

 

 

11,747

 

 

(7,336)

 

Cash flows provided by (used in) investing activities:

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(2,847)

 

 

(2,732)

 

Purchase of internal-use software

 

 

(4,658)

 

 

(2,758)

 

Purchase of marketable securities

 

 

 —

 

 

(12,141)

 

Proceeds from marketable securities

 

 

39,165

 

 

79,470

 

Sale of assets

 

 

10

 

 

5,500

 

Investment in securities

 

 

(5,000)

 

 

 —

 

Acquisition of business, net of cash acquired

 

 

(11,204)

 

 

(282,487)

 

Net cash provided by (used in) investing activities

 

 

15,466

 

 

(215,148)

 

Cash flows provided by financing activities:

 

 

 

 

 

 

 

Net proceeds from the exercise of stock options

 

 

24,820

 

 

26,198

 

Proceeds from issuance of convertible notes

 

 

 —

 

 

279,147

 

Proceeds from issuance of common stock

 

 

 —

 

 

330,856

 

Proceeds from employee stock purchase plan

 

 

1,875

 

 

1,423

 

Cash (paid) received for withholding taxes on stock-based compensation, net

 

 

(1,642)

 

 

539

 

Net cash provided by financing activities

 

 

25,053

 

 

638,163

 

Net increase in cash and cash equivalents

 

 

52,266

 

 

415,679

 

Foreign exchange difference

 

 

(1,013)

 

 

(942)

 

Cash and cash equivalents at beginning of the period

 

 

423,989

 

 

42,817

 

Cash and cash equivalents at end of the period

 

$

475,242

 

$

457,554

 

 

 

 

 

 

 

 

 

Income taxes paid

 

$

846

 

$

238

 

 

 

 

 

 

 

 

 

Interest paid

 

$

6,112

 

$

4,125

 

 

Non-GAAP Financial Measures:

To supplement our financial information presented in accordance with generally accepted accounting principles in the United States, or U.S. GAAP, we use EBITDA and Adjusted EBITDA, which are non-U.S. GAAP financial measures to clarify and enhance an understanding of past performance. We believe that the presentation of these financial measures enhances an investor’s understanding of our financial performance. We further believe that these financial measures are useful financial metrics to assess our operating performance from period-to-period by excluding certain items that we believe are not representative of our core business. We use certain financial measures for business planning purposes and in measuring our performance relative to that of our competitors. We utilize Adjusted EBITDA as the primary measure of our performance.

EBITDA consists of net loss before interest, taxes, depreciation and amortization. We believe that making such adjustment provides investors meaningful information to understand our results of operations and the ability to analyze financial and business trends on a period-to-period basis.

Adjusted EBITDA consists of net loss before interest, taxes, depreciation, amortization, stock-based compensation, gain on sale and acquisition and integration related costs. We believe that making such adjustment provides investors meaningful information to understand our results of operations and the ability to analyze financial and business trends on a period-to-period basis.

We believe both financial measures are commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term EBITDA and Adjusted EBITDA may vary from that of others in our industry. Neither EBITDA nor Adjusted EBITDA should be considered as an alternative to net loss before taxes, net loss, loss per share or any other performance measures derived in accordance with U.S. GAAP as measures of performance.

EBITDA and Adjusted EBITDA have important limitation as analytical tools and you should not consider them in isolation or as a substitute for analysis of our results as reported under U.S. GAAP. Some of these limitations are:

·

EBITDA and Adjusted EBITDA do not reflect the significant interest expense on our debt;

·

EBITDA and Adjusted EBITDA eliminate the impact of income taxes on our results of operations;

·

Adjusted EBITDA does not reflect the significant gain on sale of certain non-core business contracts;  

·

Adjusted EBITDA does not reflect the significant acquisition and integration related costs related to mergers and acquisitions;

·

Adjusted EBITDA does not reflect the significant non-cash stock compensation expense which should be viewed as a component of recurring operating costs; and

·

other companies in our industry may calculate EBITDA and Adjusted EBITDA differently than we do, limiting the usefulness of EBITDA and Adjusted EBITDA as comparative measures.

In addition, 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 expenditures for such replacements.

We compensate for these limitations by using EBITDA and Adjusted EBITDA along with other comparative tools, together with U.S. GAAP measurements, to assist in the evaluation of operating

performance. Such U.S. GAAP measurements include net loss, net loss per share and other performance measures.

In evaluating these financial measures, you should be aware that in the future we may incur expenses similar to those eliminated in this presentation. Our presentation of EBITDA and Adjusted EBITDA should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

 

Reconciliation of EBITDA and Adjusted EBITDA to Net Loss

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Ended

 

Nine Months Ended 

 

 

 

 

September 30,

 

September 30,

 

 

 

    

2019

    

2018

    

2019

    

2018

    

 

Net loss

 

$

(20,346)

 

$

(23,264)

 

$

(79,820)

 

$

(72,205)

 

 

Add:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

7,700

 

 

7,666

 

 

21,432

 

 

19,449

 

 

Income tax benefit

 

 

(7,298)

 

 

(180)

 

 

(6,466)

 

 

(261)

 

 

Depreciation expense

 

 

982

 

 

854

 

 

2,701

 

 

3,118

 

 

Amortization expense

 

 

8,635

 

 

8,892

 

 

26,364

 

 

22,927

 

 

EBITDA

 

 

(10,327)

 

 

(6,032)

 

 

(35,789)

 

 

(26,972)

 

 

Stock-based compensation

 

 

17,354

 

 

12,195

 

 

48,245

 

 

31,086

 

 

Gain on sale

 

 

 —

 

 

(1,430)

 

 

 —

 

 

(5,500)

 

 

Acquisition and integration related costs

 

 

1,995

 

 

1,588

 

 

4,143

 

 

8,957

 

 

Adjusted EBITDA

 

$

9,022

 

$

6,321

 

$

16,599

 

$

7,571

 

 

 

Media:

Courtney McLeod

914-265-6789

cmcleod@teladochealth.com 

 

Investors:
Westwicke Partners

Jordan E. Kohnstam

Office: 443-450-4189

Jordan.kohnstam@westwicke.com