10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

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

For the quarterly period ended June 30, 2020

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: 001-37477

TELADOC HEALTH, INC.

(Exact name of registrant as specified in its charter)

Delaware	04-3705970
(State of incorporation)	(I.R.S. Employer Identification No.)
2 Manhattanville Road, Suite 203
Purchase, New York	10577
(Address of principal executive office)	(Zip code)

(203) 635-2002

(Registrant’s telephone number including area code)

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

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, par value $0.001 per share	TDOC	The New York Stock Exchange

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 ⌧  No ◻

Indicate by check mark whether the registrant has submitted electronically 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  ⌧  No  ◻

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth 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. (Check one):

Large accelerated filer	⌧	Accelerated filer	◻	Non-accelerated filer	◻	Smaller reporting company	☐
Emerging growth 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. ◻

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.) Yes  ☐  No  ⌧

As of July 24, 2020, the Registrant had 81,228,458 shares of Common Stock outstanding.

TELADOC HEALTH, INC.

QUARTERLY REPORT ON FORM 10-Q

For the period ended June 30, 2020

TABLE OF CONTENTS

		Page Number
PART I	Financial Information	2
Item 1.	Financial Statements	2
	Consolidated Balance Sheets as of June 30, 2020 (unaudited) and December 31, 2019	2
	Consolidated Statements of Operations (unaudited) for the quarters and six months ended June 30, 2020 and 2019	3
	Consolidated Statements of Comprehensive Loss (unaudited) for the quarters and six months ended June 30, 2020 and 2019	4
	Consolidated Statements of Stockholders’ Equity (unaudited) for the quarters and six months ended June 30, 2020 and 2019	5
	Consolidated Statements of Cash Flows (unaudited) for the six months ended June 30, 2020 and 2019	6
	Notes to Unaudited Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	23
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	33
Item 4.	Controls and Procedures	33
PART II	Other Information	35
Item 1.	Legal Proceedings	35
Item 1A.	Risk Factors	35
Item 6.	Exhibits	37
Exhibit Index		37
Signatures		39

1

PART I

FINANCIAL INFORMATION

ITEM 1. Financial Statements

TELADOC HEALTH, INC.

CONSOLIDATED BALANCE SHEETS

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

	June 30,		December 31,
	2020		2019
Assets
Current assets:
Cash and cash equivalents	$	1,308,843	$	514,353
Short-term investments		2,932		2,711
Accounts receivable, net of allowance of $5,113 and $3,787, respectively		76,902		56,948
Prepaid expenses and other current assets		14,433		13,990
Total current assets		1,403,110		588,002
Property and equipment, net		9,606		10,296
Goodwill		742,314		746,079
Intangible assets, net		213,474		225,453
Operating lease - right-of-use assets		30,440		26,452
Other assets		19,884		6,545
Total assets	$	2,418,828	$	1,602,827
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable	$	10,816	$	9,075
Accrued expenses and other current liabilities		75,153		46,905
Accrued compensation		37,579		34,201
Total current liabilities		123,548		90,181
Other liabilities		5,257		11,539
Operating lease liabilities, net of current portion		27,940		24,994
Deferred taxes		18,976		21,678
Convertible senior notes, net		948,178		440,410
Commitments and contingencies
Stockholders’ equity:
Common stock, $0.001 par value; 150,000,000 shares authorized as of June 30, 2020 and December 31, 2019; 79,099,433 shares and 72,761,941 shares issued and outstanding as of June 30, 2020 and December 31, 2019, respectively		79		73
Additional paid-in capital		1,879,573		1,538,716
Accumulated deficit		(562,810)		(507,525)
Accumulated other comprehensive loss		(21,913)		(17,239)
Total stockholders’ equity		1,294,929		1,014,025
Total liabilities and stockholders’ equity	$	2,418,828	$	1,602,827

See accompanying notes to unaudited consolidated financial statements.

2

TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

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

	Quarter Ended June 30,				Six Months Ended June 30,
	2020		2019		2020		2019
Revenue	$	241,030	$	130,276	$	421,829	$	258,849
Expenses:
Cost of revenue (exclusive of depreciation and amortization shown separately below)		90,780		41,634		163,162		86,311
Operating expenses:
Advertising and marketing		47,578		26,616		80,093		53,020
Sales		18,687		15,832		36,627		32,044
Technology and development		23,029		16,665		42,286		32,652
Legal and regulatory		2,232		2,019		3,454		3,605
Acquisition and integration related costs		1,627		1,136		5,291		2,148
General and administrative		54,383		38,549		99,503		74,531
Depreciation and amortization		9,893		9,848		19,603		19,448
Total expenses		248,209		152,299		450,019		303,759
Loss from operations		(7,179)		(22,023)		(28,190)		(44,910)
Loss on extinguishment of debt		7,751		0		7,751		0
Interest expense, net		13,151		7,211		22,454		13,732
Net loss before taxes		(28,081)		(29,234)		(58,395)		(58,642)
Income tax (benefit) expense		(2,399)		90		(3,110)		832
Net loss	$	(25,682)	$	(29,324)	$	(55,285)	$	(59,474)
Net loss per share, basic and diluted	$	(0.34)	$	(0.41)	$	(0.74)	$	(0.83)
Weighted-average shares used to compute basic and diluted net loss per share		76,512,870		71,721,246		74,919,194		71,322,586

See accompanying notes to unaudited consolidated financial statements.

3

TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(In thousands, unaudited)

	Quarter Ended June 30,				Six Months Ended June 30,
	2020		2019		2020		2019
Net loss	$	(25,682)	$	(29,324)	$	(55,285)	$	(59,474)
Other comprehensive loss, net of tax:
Net change in unrealized gains on available-for-sale securities		0		5		0		60
Cumulative translation adjustment		12,880		4,311		(4,674)		468
Other comprehensive loss, net of tax		12,880		4,316		(4,674)		528
Comprehensive loss	$	(12,802)	$	(25,008)	$	(59,959)	$	(58,946)

See accompanying notes to unaudited consolidated financial statements

4

TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(In thousands, except share data, unaudited)

								Accumulated
				Additional				Other		Total
	Common Stock			Paid-In		Accumulated		Comprehensive		Stockholders’
	Shares	Amount		Capital		Deficit		Loss		Equity
Balance of December 31, 2019	72,761,941	$	73	$	1,538,716	$	(507,525)	$	(17,239)	$	1,014,025
Exercise of stock options	671,279		0		14,830		0		0		14,830
Issuance of common stock upon vesting of restricted stock units	642,411		1		(1)		0		0		0
Issuance of common stock for 2022 Notes	655		0		58		0		0		58
Stock-based compensation	0		0		18,421		0		0		18,421
Other comprehensive loss, net of tax	0		0		0		0		(17,554)		(17,554)
Net loss	0		0		0		(29,603)		0		(29,603)
Balance as of March 31, 2020	74,076,286		74		1,572,024		(537,128)		(34,793)		1,000,177
Exercise of stock options	927,684		1		18,682		0		0		18,683
Issuance of common stock upon vesting of restricted stock units	109,768		0		(0)		0		0		0
Issuance of stock under employee stock purchase plan	35,901		0		2,473		0		0		2,473
Issuance of common stock for 2022 Notes	3,949,794		4		693,802		0		0		693,806
Equity portion of extinguishment of 2022 Convertible Notes	0		0		(715,151)		0		0		(715,151)
Equity component of 2027 Notes, net of issuance costs	0		0		285,601		0		0		285,601
Stock-based compensation	0		0		22,142		0		0		22,142
Other comprehensive loss, net of tax	0		0		0		0		12,880		12,880
Net loss	0		0		0		(25,682)		0		(25,682)
Balance as of June 30, 2020	79,099,433	$	79	$	1,879,573	$	(562,810)	$	(21,913)	$	1,294,929
Balance as of December 31, 2018	70,516,249	$	70	$	1,434,780	$	(408,661)	$	(13,070)	$	1,013,119
Exercise of stock options	564,102		1		8,853		0		0		8,854
Issuance of common stock upon vesting of restricted stock units	383,060		0		0		0		0		0
Stock-based compensation	0		0		13,523		0		0		13,523
Other comprehensive loss, net of tax	0		0		0		0		(3,788)		(3,788)
Net loss	0		0		0		(30,150)		0		(30,150)
Balance as of March 31, 2019	71,463,411		71		1,457,156		(438,811)		(16,858)		1,001,558
Exercise of stock options	350,219		1		6,846		0		0		6,847
Issuance of restricted stock units	85,035		0		0		0		0		0
Issuance of stock under employee stock purchase plan	35,716		0		1,875		0		0		1,875
Stock-based compensation	0		0		17,368		0		0		17,368
Other comprehensive loss, net of tax	0		0		0		0		4,316		4,316
Net loss	0		0		0		(29,324)		0		(29,324)
Balance as of June 30, 2019	71,934,381	$	72	$	1,483,245	$	(468,135)	$	(12,542)	$	1,002,640

See accompanying notes to unaudited consolidated financial statements.

5

TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, unaudited)

	Six Months Ended June 30,
	2020		2019
Cash flows used in operating activities:
Net loss	$	(55,285)	$	(59,474)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization		22,655		22,443
Allowance for doubtful accounts		2,290		1,014
Stock-based compensation		40,243		30,891
Deferred income taxes		(3,457)		(1,472)
Accretion of interest		16,576		12,347
Loss on extinguishment of debt		7,751		0
Changes in operating assets and liabilities:
Accounts receivable		(24,773)		(7,237)
Prepaid expenses and other current assets		1,595		1,251
Other assets		36		74
Accounts payable		1,844		374
Accrued expenses and other current liabilities		25,208		10,358
Accrued compensation		(1,818)		(9,133)
Operating lease liabilities		(2,788)		(794)
Other liabilities		(847)		(2,385)
Net cash provided by (used) in operating activities		29,230		(1,743)
Cash flows (used in) provided by investing activities:
Purchase of property and equipment		(1,641)		(1,248)
Purchase of internal-use software		(6,449)		(2,975)
Proceeds from marketable securities		0		22,695
Sale of assets		0		7
Investment in securities		0		(5,000)
Pre-funding associated with the pending acquisition		(13,500)		(11,207)
Net cash (used in) provided by investing activities		(21,590)		2,272
Cash flows provided by financing activities:
Net proceeds from the exercise of stock options		33,513		15,701
Proceeds from issuance of 2027 Notes		1,000,000		0
Issuance costs of 2027 Notes		(24,070)		0
Contingent consideration fair value adjustment		0		210
Repurchase of 2022 Notes		(228,130)		0
Proceeds from employee stock purchase plan		2,473		1,875
Cash received (paid) for withholding taxes on stock-based compensation, net		4,492		(1,886)
Net cash provided by financing activities		788,278		15,900
Net increase in cash and cash equivalents		795,918		16,429
Foreign exchange difference		(1,428)		25
Cash and cash equivalents at beginning of the period		514,353		423,989
Cash and cash equivalents at end of the period	$	1,308,843	$	440,443
Income taxes paid	$	59	$	309
Interest paid	$	5,609	$	6,102

See accompanying notes to unaudited consolidated financial statements.

6

Note 1. Organization and Description of Business

Teladoc, Inc. was incorporated in the State of Texas in June 2002 and changed its state of incorporation to the State of Delaware in October 2008. Effective August 10, 2018, Teladoc, Inc. changed its corporate name to Teladoc Health, Inc. Unless the context otherwise requires, Teladoc Health, Inc., together with its subsidiaries, is referred to herein as “Teladoc Health” or the “Company”. The Company’s principal executive office is located in Purchase, New York. Teladoc Health is the global leader in providing virtual healthcare services with a focus on high quality, lower costs, and improved outcomes around the world.

On July 1, 2020, the Company completed the acquisition of InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and health systems. See Note 15 “Subsequent Events”.

Note 2. Basis of Presentation and Principles of Consolidation

Basis of Presentation and Principles of Consolidation

The accompanying unaudited consolidated financial statements of the Company have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (the “SEC”) regarding interim financial reporting. In the opinion of the Company’s management, the accompanying unaudited consolidated financial statements contain all adjustments (consisting of normal recurring accruals and adjustments) necessary to present fairly the financial position, results of operations and cash flows of the Company at the dates and for the periods indicated. The interim results for the quarter and six months ended June 30, 2020 are not necessarily indicative of results for the full 2020 calendar year or any other future interim periods. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the consolidated financial statements and accompanying notes included in the Company’s Form 10-K for the year ended December 31, 2019

The unaudited consolidated financial statements include the results of Teladoc Health, its wholly owned subsidiaries, as well as two professional associations, eleven professional corporations and a service corporation (the “Association”).

Teladoc Physicians, P.A. became Teladoc Health Medical Group, P.A. on January 1, 2020. Teladoc Health Medical Group, P.A. is party to several services agreements by and among it and the professional corporations pursuant to which each professional corporation provides services to Teladoc Health Medical Group, P.A. Each professional corporation is established pursuant to the requirements of its respective domestic jurisdiction governing the corporate practice of medicine.

The Company holds a variable interest in the Association which contracts with physicians and other health professionals in order to provide services to Teladoc Health. The Association is considered a variable interest entity (“VIE”) since it does not have sufficient equity to finance its activities without additional subordinated financial support. An enterprise having a controlling financial interest in a VIE, must consolidate the VIE if it has both power and benefits—that is, it has (1) the power to direct the activities of a VIE that most significantly impact the VIE’s economic performance (power) and (2) the obligation to absorb losses of the VIE that potentially could be significant to the VIE or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). The Company has the power and rights to control all activities of the Association and funds and absorbs all losses of the VIE.

Total revenue and net (loss) income for the VIE were $57.7 million and $0.9 million, respectively, for the quarter ended June 30, 2020 and $17.4 million and $(0.2) million, respectively, for the quarter ended June 30, 2019. Total revenue and net (loss) income for the VIE were $100.2 million and $0.8 million, respectively, for the six months ended June 30, 2020 and $38.5 million and $(0.3) million, respectively, for the six months ended June 30, 2019. The VIE’s total assets were $22.9 million and $13.6 million at June 30, 2020 and December 31, 2019, respectively. Total liabilities for the VIE were $59.8 million and $51.3 million at June 30, 2020 and December 31, 2019, respectively. The VIE’s total stockholders’ deficit was $36.9 million and $37.7 million at June 30, 2020 and December 31, 2019, respectively.

The functional currency for each of the Company’s foreign subsidiaries is the local currency. All assets and liabilities denominated in a foreign currency are translated into U.S. dollars at the exchange rate on the balance sheet date. Revenues and expenses are translated at the weighted average exchange rate during the period. Cumulative

7

translation gains or losses are included in stockholders’ equity as a component of accumulated other comprehensive income (loss).

The Company operates in a single reportable segment – health services. Revenue earned by foreign operations outside of the United States were $30.5 million and $26.1 million for the quarters ended June 30, 2020 and 2019, respectively. Revenue earned by foreign operations outside of the United States were $59.9 million and $51.3 million for the six months ended June 30, 2020 and 2019, respectively. Long-lived assets from foreign operations totaled $1.6 million and $2.2 million as of June 30, 2020 and December 31, 2019, respectively.

All intercompany transactions and balances have been eliminated.

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation.

Recently Issued Accounting Pronouncements

In December 2019, FASB issued ASU 2019-12 Simplification of Income Taxes (Topic 740). ASU 2019-12 simplifies the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The amendments also improve consistent application of and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. ASU 2019-12 is effective for public companies for annual periods beginning after December 15, 2020, including interim periods within those fiscal years. We have early adopted ASU 2019-12 on our consolidated financial statements and disclosures effective January 1, 2020, with no material impact to the financial statements.

In January 2017, the FASB issued ASU 2017-04, Goodwill Simplifications (Topic 350). ASU 2017-04 simplifies the test for goodwill impairment. The new guidance eliminates Step 2 from the goodwill impairment test as currently prescribed in the U.S. generally accepted accounting principle. This ASU is the result of the FASB project focused on simplifications to accounting for goodwill. The new guidance was effective for the first quarter of 2020 and was adopted in the quarter-ended December 31, 2019.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments. ASU 2016-13 requires an entity to utilize a new impairment model known as the current expected credit loss ("CECL") model to estimate its lifetime "expected credit loss" and record an allowance that, when deducted from the amortized cost basis of the financial asset, presents the net amount expected to be collected on the financial asset. The CECL model is expected to result in more timely recognition of credit losses. ASU 2016-13 requires new disclosures for financial assets measured at amortized cost, loans and available-for-sale debt securities. ASU 2016- 13 is effective for public companies for annual periods beginning after December 13, 2019, including interim periods within those fiscal years. The standard applies as a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is adopted. The guidance was effective and adopted in the quarter ended March 31, 2020, with no material impact to the financial statements.

Summary of Significant Accounting Policies

There have been no changes to the significant accounting policies described in the 2019 Form 10-K that have had a material impact on the consolidated financial statements and related notes. The Company has not experienced any significant impact to it’s estimates and assumptions as a result of the COVID-19 pandemic. On an ongoing basis, the Company will continue to closely monitor for any changes to the related impacts, especially on the allowance for doubtful accounts.

8

Note 3. Revenue

The Company generates virtual healthcare service revenue from contracts with clients who purchase access to the Company’s professional provider network or medical experts for their employees, dependents and other beneficiaries. The Company’s client contracts include a per-member-per-month subscription access fee as well as certain contracts that generate additional revenue on a per-telehealth visit basis for general medical, other specialty visits and expert medical service on a per case basis. The Company also has certain contracts that generate revenue based solely on a per telehealth visit basis for general medical and other specialty visits. For the Company’s direct-to-consumer behavioral health product, members purchase access to the Company’s professional provider network for a subscription access fee. Accordingly, the Company generates subscription access revenue from subscription access fees and visit fee revenue for general medical, expert medical service and other specialty visits.

The Company’s agreements generally have a term of one year. The majority of clients renew their contracts following their first year of services. Revenues are recognized when the Company satisfies its performance obligation to stand ready to provide telehealth services which occurs when the Company’s clients and members have access to and obtain control of the telehealth service. The Company generally bills for the telehealth services on a monthly basis with payment terms generally being 30 days. There are not significant differences between the timing of revenue recognition and billing. Consequently, the Company has determined that client contracts do not include a financing component. Revenue is recognized in an amount that reflects the consideration that is expected in exchange for the service and includes a variable transaction price as the number of members may vary from period to period. Based on historical experience, the Company estimates this amount.

Subscription access revenue accounted for approximately 76% and 85% of our total revenue for the quarters ended June 30, 2020 and 2019, respectively. Subscription access revenue accounted for approximately 76% and 84% of our total revenue for the six months ended June 30, 2020 and 2019, respectively.

.

The following table presents the Company’s revenues disaggregated by revenue source (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Subscription Access Fees:
U.S.	$	152,021	$	85,530	$	259,960	$	166,509
International		30,150		25,711		59,264		50,686
Visit Fee Revenue:
U.S. Paid Visits		39,041		15,083		69,939		33,331
U.S. Visit Fee Only		19,471		3,546		32,057		7,667
International Paid Visits		347		406		609		656
Total Revenues	$	241,030	$	130,276	$	421,829	$	258,849

As of June 30, 2020, accounts receivable, net of allowance for doubtful accounts, were $76.9 million. The allowance for doubtful accounts reflects our best estimate of expected losses inherent in the accounts receivable balance. The Company determines the allowance based on historical experience, specific account information and other currently available evidence.

For certain services, payment is required for future months before the service is delivered to the client or member. The Company records deferred revenue when cash payments are received in advance of the Company’s performance obligation to provide services. The net increase of $12.3 million and $4.6 million in the deferred revenue balance for the six months ended June 30, 2020 and 2019, respectively, are primarily driven by the direct-to-consumer behavioral health product and cash payments received or due in advance of satisfying the Company’s performance obligations, offset by revenue recognized that were included in the deferred revenue balance at the beginning of the period. The Company anticipates that it will satisfy most of its performance obligations associated with the deferred revenue within the prospective fiscal year.

9

The Company’s contracts do not generally contain refund provisions for fees earned related to services performed. However, the Company’s direct-to-consumer behavioral health service provides for member refunds. Based on historical experience, the Company estimates the expected amount of refunds to be issued which are recorded as a reduction of revenue. The Company issued refunds of approximately $2.4 million and $0.6 million for the quarter ended June 30, 2020 and 2019, respectively. The Company issued refunds of approximately $3.7 million and $1.2 million for the six months ended June 30, 2020 and 2019, respectively.

Additionally, certain of the Company’s contracts include client performance guarantees that are based upon minimum Member utilization and guarantees by the Company for specific service level performance of the Company’s services. If client performance guarantees are not being realized, the Company records, as a reduction to revenue, an estimate of the amount that will be due at the end of the respective client’s contractual period. For the quarter and six months ended June 30, 2020 and 2019, revenue recognized from performance obligations related to prior periods for the aforementioned changes in transaction price or client performance guarantees, were not material.

The Company has elected the optional exemption to not disclose the remaining performance obligations of its contracts since substantially all of its contracts have a duration of one year or less and the variable consideration expected to be received over the duration of the contract is allocated entirely to the wholly unsatisfied performance obligations.

Note 4. Business Acquisitions

On April 30, 2019, the Company completed the acquisition of the Paris-based telemedicine provider MedecinDirect in which MedecinDirect became a wholly-owned subsidiary of the Company. The aggregate merger consideration paid was $11.2 million with additional potential earnout consideration. The acquisition was considered a stock acquisition for tax purposes and accordingly, the goodwill resulting from the acquisition is not tax deductible.

Note 5. Intangible Assets, Net

Intangible assets, net consist of the following (in thousands):

								Weighted
								Average
	Useful			Accumulated		Net Carrying		Remaining
	Life	Gross Value		Amortization		Value		Useful Life
June 30, 2020
Client relationships	2 to 20 years	$	235,906	$	(72,523)	$	163,383	12.8
Non-compete agreements	1.5 to 5 years		4,960		(4,508)		452	0.9
Trademarks	3 to 15 years		42,319		(8,524)		33,795	12.2
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		42,546		(26,702)		15,844	2.6
Intangible assets, net		$	325,931	$	(112,457)	$	213,474	11.4
December 31, 2019
Client relationships	2 to 20 years	$	237,182	$	(60,647)	$	176,535	13.1
Non-compete agreements	1.5 to 5 years		4,958		(4,260)		698	1.4
Trademarks	3 to 15 years		42,606		(7,143)		35,463	12.9
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		34,850		(22,093)		12,757	2.3
Intangible assets, net		$	319,796	$	(94,343)	$	225,453	12.4

Amortization expense for intangible assets was $9.0 million and $9.0 million for the quarters ended June 30, 2020 and 2019, respectively. Amortization expense for intangible assets was $17.9 million and $17.7 million for the six months ended June 30, 2020 and 2019, respectively.

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Note 6. Goodwill

Goodwill consists of the following (in thousands):

	As of June 30,			As of December 31,
	2020		2019
Beginning balance	$	746,079	$	737,197
Additions associated with acquisitions		0		10,604
Cumulative translation adjustment		(3,765)		(1,722)
Goodwill	$	742,314	$	746,079

Note 7. Leases

The Company commenced a new 5 year lease on March 1, 2020 for office space in Santa Clara, CA. As a result the Company recorded a right-of-use asset and lease liability of $6.8 million as of March 1, 2020.

Note 8. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following (in thousands):

	As of June 30,		As of December 31,
	2020		2019
Professional fees	$	1,838	$	1,535
Consulting fees/provider fees		18,430		10,618
Client performance guarantees		3,121		3,298
Legal fees		1,820		1,077
Interest payable		2,046		838
Income tax payable		1,790		2,859
Insurance		2,480		1,263
Marketing		3,090		2,810
Operating lease liabilities - current		5,763		5,088
Earnout		5,216		0
Deferred revenue		24,813		12,466
Other		4,746		5,053
Total	$	75,153	$	46,905

Note 9. Fair Value Measurements

The Company measures its financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires it to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. A financial instrument’s classification within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. Three levels of inputs may be used to measure fair value:

Level 1—Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active

markets.

Level 2—Include other inputs that are directly or indirectly observable in the marketplace.

Level 3—Unobservable inputs that are supported by little or no market activity.

The Company measures its cash equivalents at fair value on a recurring basis. The Company classifies its cash equivalents within Level 1 because they are valued using observable inputs that reflect quoted prices for identical assets in active markets and quoted prices directly in active markets.

The Company measures its short-term investments at fair value on a recurring basis and classifies such as Level 2. They are valued using observable inputs that reflect quoted prices directly or indirectly in active markets. The short-term investments amortized cost approximates fair value.

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The Company measured its contingent consideration at fair value on a recurring basis and classified such as Level 3. The Company estimates the fair value of contingent consideration as the present value of the expected contingent payments, determined using the weighted probability of the possible payments.

The following tables present information about the Company’s assets and liabilities that are measured at fair value on a recurring basis using the above input categories (in thousands):

	June 30, 2020
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	1,308,843	$	0	$	0	$	1,308,843
Short-term investments	$	0	$	2,932	$	0	$	2,932
Contingent liability	$	0	$	0	$	4,990	$	4,990

	December 31, 2019
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	514,353	$	0	$	0	$	514,353
Short-term investments	$	0	$	2,711	$	0	$	2,711
Contingent liability	$	0	$	0	$	4,769	$	4,769

There were no transfers between fair value measurement levels during the quarter and six months ended June 30, 2020 and 2019.

The change in fair value of the Company’s contingent liability is recorded in general and administrative expenses in the consolidated statements of operations. The following table reconciles the beginning and ending balance of the Company’s Level 3 contingent liability:

Fair value at December 31, 2019	$	4,769
Payments		0
Change in fair value		215
Currency translation adjustment		6
Fair value at June 30, 2020	$	4,990

Note 10. Revolving Credit Facility

The Company entered into a $10.0 million Senior Secured Revolving Credit Facility (the “Revolving Credit Facility”) in 2017. The Revolving Credit Facility is available for working capital and other general corporate purposes. The Company has maintained the Revolving Credit Facility and, there was no amount outstanding as of June 30, 2020 and December 31, 2019. The Company utilized $2.2 million of letters of credit for facility security deposits at June 30, 2020. The Revolving Credit Facility was terminated pursuant to its terms effective July 14, 2020.

The Company was in compliance with all debt covenants at June 30, 2020 and December 31, 2019.

Note 11. Convertible Senior Notes

Convertible Senior Notes Due 2027

On May 19, 2020, the Company issued, at par value, $1 billion aggregate principal amount of 1.25% convertible senior notes due 2027 (the “2027 Notes”). The 2027 Notes bear cash interest at a rate of 1.25% per year, payable semi-annually in arrears on June 1 and December 1 of each year, beginning on December 15, 2020. The 2027 Notes will mature on June 1, 2027. The net proceeds to the Company from the offering were $975.9 million after deducting offering costs of approximately $24.1 million.

The 2027 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2027 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

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Holders may convert all or any portion of their 2027 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding December 1, 2026 only under the following circumstances:

● during any calendar quarter commencing after the calendar quarter ending on September 30, 2020 (and only during such calendar quarter), if the last reported sale price of the shares of Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2027 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of Company’s common stock and the conversion rate for the 2027 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the 2027 Notes Indenture; or

● if the Company calls the 2027 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after December 1, 2026, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2027 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2027 Notes was initially, and remains, 4.1258 shares of the Company’s common stock per $1,000 principal amount of the 2027 Notes, which is equal to an initial conversion price of approximately $242.38 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 consecutive trading days observation period.

The Company may redeem for cash all or part of the 2027 Notes, at its option, on or after June 5, 2024 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2027 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2027 Note for redemption on or after June 5, 2024 will constitute a make-whole fundamental change with respect to that 2027 Note, in which case the conversion rate applicable to the conversion of that 2027 Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2027 Notes.

In accounting for the issuance of the 2027 Notes, the Company separated the 2027 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2027 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to June 1, 2027. The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2027 Notes was $286 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet. The Company has reserved 5.4 million shares of common stock for the 2027 Notes.

In accounting for the transaction costs related to the issuance of the 2027 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2027 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the seven year term of the 2027 Notes, and transaction costs attributable to the equity component are netted with the equity components in stockholders’ equity.

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The 2027 Notes consist of the following (in thousands):

	As of June 30,
Liability component	2020
Principal	$	1,000,000
Less: Debt discount, net (1)		(305,639)
Net carrying amount	$	694,361

(1) Included in the accompanying consolidated balance sheet within convertiable senior notes and amortized to interest expense over the expected life of the 2027 Notes using the effective interest rate method.

The fair value of the 2027 Notes was approximately $1,103.3 million as of June 30, 2020. The Company estimates the fair value of its 2027 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2027 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2027 Notes is approximately 6.9 years.

The following table sets forth total interest expense recognized related to the 2027 Notes (in thousands):

	Six Months Ended
	June 30,
	2020
Contractual interest expense	$	1,493
Amortization of debt discount		4,033
Total	$	5,526
Effective interest rate of the liability component		7.0	%

Convertible Senior Notes Due 2025

On May 8, 2018, the Company issued, at par value, $287.5 million aggregate principal amount of 1.375% convertible senior notes due 2025 (the “2025 Notes”). The 2025 Notes bear cash interest at a rate of 1.375% per year, payable semi-annually in arrears on May 15 and November 15 of each year. The 2025 Notes will mature on May 15, 2025. The net proceeds to the Company from the offering were $279.1 million after deducting offering costs of approximately $8.4 million.

The 2025 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2025 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2025 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding November 15, 2024 only under the following circumstances:

● during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2025 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate for the 2025 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the indenture governing the 2025 Notes; or

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● if the Company calls the 2025 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after November 15, 2024, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2025 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2025 Notes was initially, and remains, 18.6621 shares of the Company’s common stock per $1,000 principal amount of the 2025 Notes, which is equivalent to an initial conversion price of approximately $53.58 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period.

The Company may redeem for cash all or any portion of the 2025 Notes, at its option, on or after May 22, 2022 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2025 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2025 Note for redemption on or after May 22, 2022 will constitute a make-whole fundamental change with respect to that 2025 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2025 Notes.

In accounting for the issuance of the 2025 Notes, the Company separated the 2025 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2025 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to May 15, 2025. The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2025 Notes was $91.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2025 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2025 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the seven-year term of the 2025 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The 2025 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	287,500	$	287,500
Less: Debt discount, net (2)		(74,989)		(81,207)
Net carrying amount	$	212,511	$	206,293

(2) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2025 Notes using the effective interest rate method.

The fair value of the 2025 Notes was approximately $1,023.9 million as of June 30, 2020. The Company estimates the fair value of its 2025 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2025 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for

15

definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2025 Notes is approximately 4.9 years.

The following table sets forth total interest expense recognized related to the 2025 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	989		$	1,002		$	1,977		$	1,977
Amortization of debt discount		3,142			2,892			6,218			5,728
Total	$	4,131		$	3,894		$	8,195		$	7,705
Effective interest rate of the liability component		7.9	%		7.9	%		7.9	%		7.9	%

Convertible Senior Notes Due 2022

The Company had issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022 (the “2022 Notes”) on June 27, 2017. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrears on June 15 and December 15 of each year. The remaining 2022 Notes will mature on December 15, 2022. The net proceeds to the Company from the offering were $263.7 million after deducting offering costs of approximately $11.3 million.

The 2022 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2022 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2022 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding June 15, 2022 only under the following circumstances:

● during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2022 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate for the 2022 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the indenture governing the 2022 Notes; or

● if the Company calls the 2022 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after June 15, 2022, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2022 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2022 Notes was initially, and remains, 22.7247 shares of the Company’s common stock per $1,000 principal amount of the 2022 Notes, which is equivalent to an initial conversion price of approximately $44.00 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period.

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The Company may redeem for cash all or any portion of the 2022 Notes, at its option, on or after December 22, 2020 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2022 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2022 Note for redemption on or after December 22, 2020 will constitute a make-whole fundamental change with respect to that 2022 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2022 Notes.

In accounting for the issuance of the 2022 Notes, the Company separated the 2022 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2022 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to June 15, 2022 (the first date on which the Company may be required to repurchase the 2022 Notes at the option of the holder). The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2022 Notes was $62.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2022 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2022 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the five and a half year term of the 2022 Notes, and transaction costs attributable to the equity component are netted with the equity components in stockholders’ equity.

The 2022 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	46,771	$	274,995
Less: Debt discount, net (3)		(5,465)		(40,878)
Net carrying amount	$	41,306	$	234,117

(3) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2022 Notes using the effective interest rate method.

The fair value of the 2022 Notes was approximately $203.3 million as of June 30, 2020. The Company estimates the fair value of its 2022 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2022 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2022 Notes is approximately 2.5 years.

The following table sets forth total interest expense recognized related to the 2022 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	1,286		$	2,091		$	3,349		$	4,125
Amortization of debt discount		2,521			3,412			6,281			6,786
Total	$	3,807		$	5,503		$	9,630		$	10,911
Effective interest rate of the liability component		10.0	%		10.0	%		10.0	%		10.0	%

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On May 14, 2020, the Company entered into privately negotiated agreements with certain holders of 2022 Notes to exchange 2022 Notes for shares of the Company’s common stock, together with cash, in private placement transactions pursuant to Section 4(a)(2) of the Securities Act (the “Exchange Transactions”). The closing occurred on May 19, 2020. In exchange for approximately $228.2 million aggregate principal amount of 2022 Notes, the Company paid approximately $231.1 million in cash (including accrued and unpaid interest and cash paid in lieu of fractional shares), together with an aggregate of approximately 3.9 million shares of its common stock. As a result of the Exchange Transactions, the company recorded a charge associated with the loss on extinguishment of debt of $7.7 million during the quarter ended June 30, 2020.

Approximately $46.8 million aggregate principal amount of the 2022 Notes remains outstanding as of June 30, 2020.

Note 12. Legal Matters

From time to time, Teladoc Health is involved in various litigation matters arising out of the normal course of business, including the matters described below. The Company consults with legal counsel on those issues related to litigation and seek input from other experts and advisors with respect to such matters. Estimating the probable losses or a range of probable losses resulting from litigation, government actions and other legal proceedings is inherently difficult and requires an extensive degree of judgment, particularly where the matters involve indeterminate claims for monetary damages, may involve discretionary amounts, present novel legal theories, are in the early stages of the proceedings, or are subject to appeal. Whether any losses, damages or remedies ultimately resulting from such matters could reasonably have a material effect on our business, financial condition, results of operations, or cash flows will depend on a number of variables, including, for example, the timing and amount of such losses or damages (if any) and the structure and type of any such remedies. Teladoc Health’s management does not presently expect any litigation matter to have a material adverse impact on our business, financial condition, results of operations or cash flows.

On December 12, 2018, a purported securities class action complaint (Reiner v. Teladoc Health, Inc., et.al.) was filed in the United States District Court for the Southern District of New York (the “SDNY”) against the Company and certain of the Company’s officers and a former officer. The complaint is brought on behalf of a purported class consisting of all persons or entities who purchased or otherwise acquired shares of the Company’s common stock during the period March 3, 2016 through December 5, 2019. The complaint asserts violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 based on allegedly false or misleading statements and omissions with respect to, among other things, the alleged misconduct of one of the Company’s previous Executive Officers. The complaint seeks certification as a class action and unspecified compensatory damages plus interest and attorneys’ fees. The Company believes that the claims against the Company and its officers are without merit, and the Company and its named officers intend to defend the Company vigorously, including filing a motion to dismiss the complaint.

In addition, on June 21, 2019, a stockholder derivative lawsuit (Kreutter v. Gorevic, et al.) was filed in the SDNY against certain current and former directors and officers of the Company. The derivative lawsuit alleges that the named directors and officers breached their fiduciary duties to the Company in connection with factual assertions substantially similar to those in the purported securities class action complaint described above. The Company believes that the claims set forth in this stockholder derivative lawsuit are without merit.

On May 14, 2018, a purported class action complaint (Thomas v. Best Doctors, Inc.) was filed in the United States District Court for the District of Massachusetts against the Company’s wholly owned subsidiary, Best Doctors, Inc. The complaint alleges that on or about May 16, 2017, Best Doctors violated the U.S. Telephone Consumer Protection Act (TCPA) by sending unsolicited facsimiles to plaintiff and certain other recipients without the recipients’ prior express invitation or permission. The lawsuit seeks statutory damages for each violation, subject to trebling under the TCPA, and injunctive relief. The Company will vigorously defend the lawsuit and any potential loss is currently deemed to be immaterial.

Note 13. Common Stock and Stockholders’ Equity

Capitalization

Effective May 31, 2018, the authorized number of shares of the Company’s common stock was increased from 100,000,000 to 150,000,000 shares.

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Stock Plans and Stock Options

The Company’s 2015 Incentive Award Plan and 2017 Employment Inducement Incentive Award Plan (together, the “Plans”) provide for the issuance of incentive and non-statutory options and other equity-based awards to its employees and non-employees. Options issued under the Plans are exercisable for periods not to exceed ten years, and vest and contain such other terms and conditions as specified in the applicable award document. Options to buy common stock are issued under the Plans, with exercise prices equal to the closing price of shares of the Company’s common stock on the New York Stock Exchange on the date of award. The Company had 8,179,285 shares available for grant at June 30, 2020.

Activity under the Plans is as follows (in thousands, except share and per share amounts and years):

				Weighted-
		Weighted-		Average
	Number of	Average		Remaining	Aggregate
	Shares	Exercise		Contractual	Intrinsic
	Outstanding	Price		Life in Years	Value
Balance at December 31, 2019	5,206,981	$	24.47	7.03	$	308,538
Stock option grants	10,832	$	125.65	0	$	0
Stock options exercised	(1,598,963)	$	21.00	0	$	0
Stock options forfeited	(148,655)	$	32.82	0	$	0
Balance at June 30, 2020	3,470,195	$	25.97	6.62	$	575,590
Vested or expected to vest at June 30, 2020	3,470,194	$	25.97	6.62	$	575,590
Exercisable at June 30, 2020	2,439,319	$	20.94	6.28	$	414,445

The total grant-date fair value of stock options granted during the quarters ended June 30, 2020 and 2019 was $0.2 million and $1.2 million, respectively. The total grant-date fair value of stock options granted during the six months ended June 30, 2020 and 2019 was $0.5 million and $2.4 million, respectively.

.

Stock-Based Compensation

All stock-based awards to employees are measured based on the grant-date fair value of the awards and are generally recognized on a straight line basis in the Company’s consolidated statement of operations over the period during which the employee is required to perform services in exchange for the award (generally requiring a four-year vesting period for each stock option and a three-year vesting period for each restricted stock unit (“RSU”)). The Company estimates the fair value of stock options granted using the Black-Scholes option-pricing model.

The assumptions used in the Black-Scholes option-pricing model are determined as follows:

Volatility. Since the Company does not have a trading history prior to July 2015 for its common stock, the expected volatility was derived from the historical stock volatilities of several unrelated public companies within its industry that it considers to be comparable to its business combined with the Company’s stock volatility over a period equivalent to the expected term of the stock option grants.

Risk-Free Interest Rate. The risk-free interest rate is based on U.S. Treasury zero-coupon issues with terms similar to the expected term on the options.

Expected Term. The expected term represents the period that the stock-based awards are expected to be outstanding. When establishing the expected term assumption, the Company utilizes historical data.

Dividend Yield. The Company has never declared or paid any cash dividends and does not plan to pay cash dividends in the foreseeable future, and therefore, it used an expected dividend yield of zero.

Forfeiture rate. The Company recognizes forfeitures as they occur.

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The fair value of each option grant was estimated on the date of grant using the Black-Scholes option-pricing model with the following assumptions and fair value per share:

	Six Months Ended June 30,
	2020		2019
Volatility		46.1% – 51.0%		46.9% – 47.6%
Expected life (in years)		4.3		5.2
Risk-free interest rate		0.27% - 1.64%		1.75% - 2.55%
Dividend yield		0		0
Weighted-average fair value of underlying stock options	$	49.44	$	27.34

For the quarter ended June 30, 2020 and 2019, the Company recorded compensation expense related to stock options granted of $4.2 million and $5.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded compensation expense related to stock options granted of $8.1 million and $10.7 million, respectively.

As of June 30, 2020, the Company had $16.4 million in unrecognized compensation cost related to non-vested stock options, which is expected to be recognized over a weighted-average period of approximately 1.8 years.

Restricted Stock Units

In May 2017, the Company commenced issuing RSUs to certain employees and Board members under the 2017 Employment Inducement Incentive Award Plan.

The fair value of the RSUs is determined on the date of grant. The Company will record compensation expense in the consolidated statement of operations on a straight-line basis over the vesting period for RSUs. The vesting period for employees and members of the Board of Directors ranges from one to four years.

Activity under the RSUs is as follows:

		Weighted-Average
		Grant Date
	RSUs	Fair Value Per RSU
Balance at December 31, 2019	1,483,558	$	54.13
Granted	342,383	$	125.69
Vested and issued	(565,724)	$	52.11
Forfeited	(73,072)	$	52.17
Balance at June 30, 2020	1,187,145	$	58.82
Vested and unissued at June 30, 2020	13,755	$	50.90
Non-vested at June 30, 2020	1,173,390	$	58.91

The total grant-date fair value of RSU’s granted during the quarter ended June 30, 2020 and 2019 were $3.5 million and $6.8 million, respectively. The total grant-date fair value of RSUs granted during the six months ended June 30, 2020 and 2019 were $43.0 million and $56.5 million, respectively.

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the RSU’s of $11.3 million and $7.8 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the RSUs of $20.7 million and $12.8 million, respectively.

As of June 30, 2020, the Company had $74.8 million in unrecognized compensation cost related to non-vested RSUs, which is expected to be recognized over a weighted-average period of approximately 1.8 years.

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Performance Stock Units

The Company began issuing grants Performance Stock Units (“PSUs”) to employees under the Plan in 2018. Stock-based compensation costs associated with our PSUs are initially determined using the fair market value of the Company's common stock on the date the awards are approved by the Compensation Committee of the Board of Directors (service inception date). The vesting of these PSU is subject to certain performance conditions and a service requirement ranging from 1-3 years. Until the performance conditions are met, stock compensation costs associated with these PSU reflect the estimated performance attainment on the reporting date. The ultimate number of PSUs that are issued to an employee is the result of the actual performance of the Company at the end of the performance period compared to the performance conditions and can range from 50% to 200% of the initial grant. Stock compensation expense for PSUs is recognized on an accelerated tranche by tranche basis for performance-based awards. Forfeitures are accounted for at the time the occur consistent with Company policy.

Activity under the PSU is as follows:

		Weighted-Average
		Grant Date
	Shares	Fair Value Per Share
Balance at December 31, 2019	512,482	$	62.51
Granted	111,199	$	117.81
Vested and issued	(186,455)	$	62.02
Balance at June 30, 2020	437,226	$	76.78
Vested and unissued at June 30, 2020	0	$	0
Non-vested at June 30, 2020	437,226	$	76.78

No PSUs were granted during the quarter ended June 30, 2020 and 2019. The total grant-date fair value of PSU’s granted during the six months ended June 30, 2020 and 2019 were $13.1 million and $28.5 million, respectively

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the PSU of $6.2 million and $4.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the PSUs of $10.9 million and $6.9 million, respectively.

As of June 30, 2020, the Company had $28.4 million in unrecognized compensation cost related to non-vested PSU, which is expected to be recognized over a weighted-average period of approximately 1.6 years.

Employee Stock Purchase Plan

In July 2015, the Company adopted the 2015 Employee Stock Purchase Plan, or ESPP, in connection with its initial public offering. A total of 832,492 shares of common stock were reserved for issuance under this plan as of June 30, 2020. The Company’s ESPP permits eligible employees to purchase common stock at a discount through payroll deductions during defined offering periods. Under the ESPP, the Company may specify offerings with durations of not more than 27 months and may specify shorter purchase periods within each offering. Each offering will have one or more purchase dates on which shares of its common stock will be purchased for employees participating in the offering. An offering may be terminated under certain circumstances. The price at which the stock is purchased is equal to the lower of 85% of the fair market value of the common stock at the beginning of an offering period or on the date of purchase.

During the quarter ended June 30, 2020 and 2019, the Company issued 35,901 shares and 35,716 shares, respectively, under the ESPP. As of June 30, 2020, 519,366 shares remained available for issuance.

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the ESPP of $0.5 million and $0.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the ESPP of $0.9 million and $0.5 million, respectively

As of June 30, 2020, the Company had $0.8 million in unrecognized compensation cost related to the ESPP, which is expected to be recognized over a weighted-average period of approximately 0.4 years.

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Total compensation costs charged as an expense for stock-based awards, including stock options, RSUs, PSUs and ESPP, recognized in the components of operating expenses are as follows (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Administrative and marketing	$	1,544	$	1,317	$	2,803	$	2,138
Sales		3,271		2,528		6,190		4,658
Technology and development		2,559		2,141		4,663		4,039
General and administrative		14,554		11,382		26,587		20,056
Total stock-based compensation expense	$	21,928	$	17,368	$	40,243	$	30,891

Note 14. Income Taxes

As a result of the Company’s history of net operating losses (“NOL”), the Company has provided for a full valuation allowance against its deferred tax assets for assets that are not more-likely-than-not to be realized. For the quarter and six months ended June 30, 2020, the Company recognized an income tax benefit of $(2.4) million and $(3.1) million, respectively, primarily due to the amortization of acquired intangibles and stock compensation deductions. For the quarter and six months ended June 30, 2019, the Company recognized an income tax expense of $0.1 million and $0.8 million, respectively, related to certain United States and foreign income, as well as amortization of tax-deductible goodwill, which partially benefits the realization of its indefinite lived NOL in the United States.

Beginning with the quarter ended March 31, 2018, the Company is calculating tax expense based on the U.S. statutory rate of 21%. The US Federal tax law includes a Base Erosion Anti-Abuse Tax, commonly referred to as BEAT, which imposes a minimum tax on certain deductible payments or accruals made to foreign affiliates in tax years beginning after December 31, 2017. The Company has determined that it is currently not subject to BEAT. US Federal tax law imposes a minimum tax on global intangible low-taxed income, commonly referred to as GILTI. The Company does not expect to recognize any tax expense related to GILTI as it has net operating losses available and a full valuation allowance. In addition, US Tax law imposes an interest expense limitation which disallows a portion of the interest deduction based on EBITDA. While the disallowed interest deduction is deferred, there is no impact to tax expense due to the current year taxable loss and related valuation allowance.

Note 15. Subsequent Events

On July 1, 2020, the Company completed the acquisition of InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and health systems. The purchase price was $1,076.4 million consisting of $157.5 million of cash and 4.6 million shares of Teladoc Health’s common stock valued at approximately $918.9 million on July 1, 2020.

.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Special Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. All statements other than statements of historical fact are, or may be, forward-looking statements. These forward-looking statements are not historical facts, but rather are based on current expectations, estimate, assumptions and projections about our industry, business and future financial results. We use words such as “anticipates”, “believes”, “suggests”, “targets”, “projects”, “plans”, “expects”, “future”, “intends”, “estimates”, “predicts”, “potential”, “may”, “will”, “should”, “could”, “would”, “likely”, “foresee”, “forecast”, “continue” and other similar words or phrases, as well as statements in the future tense to identify these forward-looking statements.

Forward-looking statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be different from any future results, performance and achievements expressed or implied by these statements. Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of important factors, including those set forth below.

● ongoing legal challenges to or new state actions against our business model;

● our dependence on our relationships with affiliated professional entities;

● evolving government regulations and our ability to stay abreast of new or modified laws and regulations that currently apply or become applicable to our business;

● our ability to operate in the heavily regulated healthcare industry;

● our history of net losses and accumulated deficit;

● failures of our cyber-security measures that expose the confidential information of our Clients and Members;

● risk of the loss of any of our significant Clients;

● risks associated with a decrease in the number of individuals offered benefits by our Clients or the number of products and services to which they subscribe;

● our ability to establish and maintain strategic relationships with third parties;

● risks specifically related to our ability to operate in competitive international markets and comply with complex non-U.S. legal requirements;

● our ability to recruit and retain a network of qualified Providers;

● risk that the insurance we maintain may not fully cover all potential exposures;

● rapid technological change in the telehealth market;

● our ability to integrate acquired businesses and achieve fully the strategic and financial objectives related thereto and its impact on our financial condition and results of operations;

● our level of indebtedness and our ability to fund debt obligations and comply with covenants in our debt instruments;

● risks associated with potential disruptions to our business caused by the COVID-19 pandemic;

● any statements of belief and any statements of assumptions underlying any of the foregoing;

● other factors disclosed in this Form 10-Q; and

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● other factors beyond our control.

The foregoing list of factors is not exhaustive and does not necessarily include all of the important factors that could cause actual results to differ materially from those expressed in any of our forward-looking statements. The information in this Quarterly Report should be read carefully in conjunction with other uncertainties and potential events described in our Form 10-K in the Annual Report for the year ended December 31, 2019 filed with the Securities and Exchange Commission (the “SEC”) and our other filings with the SEC. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date of this Quarterly Report. Except as required by law or regulation, we do not undertake any obligation to update any forward-looking statements to reflect subsequent events or circumstances.

Overview

Teladoc, Inc. was incorporated in the State of Texas in June 2002 and changed its state of incorporation to the State of Delaware in October 2008. Effective August 10, 2019, Teladoc, Inc. changed its corporate name to Teladoc Health, Inc. from Teladoc, Inc. Unless the context otherwise requires, Teladoc Health, Inc., together with its subsidiaries, is referred to herein as “Teladoc Health” or the “Company”. The Company’s principal executive office is located in Purchase, New York. Teladoc Health is the global leader in providing virtual healthcare services with a focus on high quality, lower costs, and improved outcomes around the world.

Teladoc Health solutions are transforming the access, cost and quality dynamics of healthcare delivery for all of our market participants. Members rely on Teladoc Health to remotely access affordable, on-demand healthcare whenever and wherever they choose. Employers, health plans and health systems, or our Clients, as well as our direct-to-consumer members purchase our solutions to reduce their healthcare spending and offer convenient, affordable, high-quality healthcare to their employees or beneficiaries. Our network of physicians and other healthcare professionals, or our Providers have the ability to generate meaningful income and deliver their services more efficiently with no administrative burden.

Revenue

We have a demonstrated track record of driving growth both organically and through acquisitions. We increased revenue 85% to $241.0 million for the quarter ended June 30, 2020, which was largely organic growth and including $0.3 million from our 2019 MedecinDirect acquisition. The increase in revenue includes significant surge in demand for our services associated with the global outbreak of COVID-19. We increased revenue 63% to $421.8 million for the six months ended June 30, 2020, which was largely organic growth and including $1.2 million from our 2019 MedicinDirect acquisition

For the quarter and six months ended June 30, 2020, 76% and 24% of our revenue was derived from subscription access fees and visit fees, respectively. For the quarter ended June 30, 2019, 85% and 15% of our revenue was derived from subscription access fees and visit fees, respectively and for the six months ended June 30, 2019, 84% and 16% of our revenue were derived from subscription access fees and visit fees, respectively. The increased percentage of visit related revenue in 2020 is a result of the COVID-19 pandemic. Additionally, we believe our continued strong subscription fee revenue is mainly representative of the value proposition we provide the broader U.S. healthcare system.

Membership and Visits

We completed approximately 4.8 million telehealth visits in the first six months of 2020 and approximately 4.1 million telehealth visits for the full year of 2019. Paid Membership increased by approximately 14.8 million Members to 51.5 million from December 31, 2019 through June 30, 2020.

Acquisition History

We have scaled and intend to continue to scale our platform through the pursuit of selective acquisitions. We have completed multiple acquisitions since our inception, which we believe have expanded the channels that we serve and our distribution capabilities as well as broadening our service offerings.

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On July 1, 2020, the Company completed the acquisition of InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and health systems. The purchase price was $1,076.4 million consisting of $157.5 million of cash and 4.6 million shares of Teladoc Health’s common stock valued at approximately $918.9 million on July 1, 2020.

On April 30, 2019, the Company completed the acquisition of the Paris-based telemedicine provider MedecinDirect in which MedecinDirect became a wholly-owned subsidiary of the Company. The aggregate merger consideration paid was $11.2 million with additional potential earnout consideration. On June 19, 2019, the Company made a $5.0 million minority investment in Vida Health which is accounted for under the cost method for investments.

Key Factors Affecting Our Performance

Number of Members. Our revenue growth rate and long-term profitability are affected by our ability to increase our number of Members because we derive a substantial portion of our revenue from subscription access fees via Client contracts that provide Members access to our professional provider network in exchange for a contractual based monthly fee. Membership increased by approximately 14.8 million Members to 51.5 million from December 31, 2019 through June 30, 2020.

Number of Visits. We also recognize revenue in connection with the completion of a general medical visit, expert medical service and other specialty visits for certain of our contracts. Accordingly, our visit revenue, or visit fees, generally increase as the number of visits increase. Visit fee revenue is driven primarily by the number of Clients, the number of Members in a Client’s population, Member utilization of our provider network services and the contractually negotiated prices of our services. We believe that increasing our current Member utilization rate and increasing penetration further into existing and new health plan Clients is a key objective in order for our Clients to realize tangible healthcare savings with our service. Visits increased by 204% or 1.8 million to approximately 2.7 million for the quarter ended June 30, 2020 compared to the same period in 2019. The increase in visits is reflective of our ability to secure new clients as well as the surge in demand for our services associated with COVID-19. Visits increased by 144% or 2.8 million to approximately 4.8 million for the six months ended June 30, 2020 compared to the same period in 2019.

Seasonality. We typically experience the strongest increases in consecutive quarterly revenue during the fourth and first quarters of each year, which coincides with traditional annual benefit enrollment seasons. In particular, as a result of many Clients’ introduction of new services at the very end of the current year, or the start of each year, the majority of our new Client contracts have an effective date of January 1. Therefore, while Membership increases, utilization is dampened until service delivery ramps up over the course of the year. Our business also has become more diversified across services, channels and geographies. As a result, we have seen a diversification of client start dates, resulting from our health plan expansions, cross sales of new services, international growth, and mid-market employer growth, all of which are not constrained by a calendar year start.

As a result of national seasonal cold and flu trends, we typically experience our highest level of visit fees during the first and fourth quarters of each year when compared to other quarters of the year. Conversely, the second quarter of the year has historically been the period of lowest utilization of our provider network services relative to the other quarters of the year. We experienced a surge in demand for our services in March of 2020 associated with the COVID-19 global pandemic that continued during the quarter-end June 30, 2020 and as a result we anticipate that this will alter our historical seasonal utilization trends during 2020. See “Risk Factors—Risks Related to Our Business—Our quarterly results may fluctuate significantly, which could adversely impact the value of our common stock.” included in our Form 10-K for the year ended December 31, 2019 filed with the SEC.

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Critical Accounting Policies and Estimates

Our discussion and analysis of our results of operations, liquidity and capital resources are based on our condensed consolidated financial statements which have been prepared in conformity with accounting principles generally accepted in the United States of America (“U.S. GAAP”). The preparation of these condensed consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and disclosure of contingent assets and liabilities. On an ongoing basis, we evaluate our estimates and judgments, including those related to revenue recognition, accounts receivable, accounting for business combinations, goodwill, intangible assets, long-lived assets, capitalized development costs, earnout, income taxes, lease liabilities, loss contingencies and the value of securities underlying stock-based compensation. We base our estimates on historical and anticipated results and trends and on various other assumptions that we believe are reasonable under the circumstances, including assumptions as to future events. These estimates form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. By their nature, estimates are subject to an inherent degree of uncertainty. Actual results may differ from our estimates and could have a significant adverse effect on our results of operations and financial position. For a discussion of our critical accounting policies and estimates see Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report and there have been no material changes to our critical accounting policies during 2020.  

Consolidated Results of Operations

The following table sets forth our consolidated statement of operations data for the quarters ended June 30, 2020 and 2019 and the dollar and percentage change between the respective periods:

	Quarter Ended June 30,								Six Months Ended June 30,
	2020		2019						2020		2019
	$		$		Variance		%		$		$		Variance		%(a)
Revenue	$	241,030	$	130,276	$	110,754	85	%	$	421,829	$	258,849	$	162,980	63	%
Expenses:
Cost of revenue (exclusive of depreciation and amortization shown separately below)		90,780		41,634		49,146	118	%		163,162		86,311		76,851	89	%
Operating expenses:
Advertising and marketing		47,578		26,616		20,962	79	%		80,093		53,020		27,073	51	%
Sales		18,687		15,832		2,855	18	%		36,627		32,044		4,583	14	%
Technology and development		23,029		16,665		6,364	38	%		42,286		32,652		9,634	30	%
Legal and regulatory		2,232		2,019		213	11	%		3,454		3,605		(151)	(4)	%
Acquisition and integration related costs		1,627		1,136		491	43	%		5,291		2,148		3,143	146	%
General and administrative		54,383		38,549		15,834	41	%		99,503		74,531		24,972	34	%
Depreciation and amortization		9,893		9,848		45	0	%		19,603		19,448		155	1	%
Total expenses		248,209		152,299		95,910	63	%		450,019		303,759		146,260	48	%
Loss from operations		(7,179)		(22,023)		14,844	(67)	%		(28,190)		(44,910)		16,720	(37)	%
Loss on extinguishment of debt		7,751		0		7,751	N/M	%		7,751		0		7,751	N/M	%
Interest expense, net		13,151		7,211		5,940	82	%		22,454		13,732		8,722	64	%
Net loss before taxes		(28,081)		(29,234)		1,153	(4)	%		(58,395)		(58,642)		247	0	%
Income tax (benefit) expense		(2,399)		90		(2,489)	N/M	%		(3,110)		832		(3,942)	N/M	%
Net loss	$	(25,682)	$	(29,324)	$	3,642	(12)	%	$	(55,285)	$	(59,474)	$	4,189	(7)	%

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EBITDA and Adjusted EBITDA

The following table reconciles net loss to EBITDA and Adjusted EBITDA for the quarters and six months ended June 30, 2020 and 2019:

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Net loss	$	(25,682)	$	(29,324)	$	(55,285)	$	(59,474)
Add:
Loss on extinguishment of debt		7,751		0		7,751		0
Interest expense, net		13,151		7,211		22,454		13,732
Income tax (expense)/benefit		(2,399)		90		(3,110)		832
Depreciation expense		860		856		1,711		1,719
Amortization expense		9,033		8,992		17,892		17,729
EBITDA(1)		2,714		(12,175)		(8,587)		(25,462)
Stock-based compensation		21,928		17,368		40,243		30,891
Acquisition and integration related costs		1,627		1,136		5,291		2,148
Adjusted EBITDA(1)	$	26,269	$	6,329	$	36,947	$	7,577

(1) 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, foreign exchange gain or loss, taxes, loss on extinguishment of debt, 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, foreign exchange gain or loss, taxes, loss on extinguishment of debt, depreciation, amortization, stock-based compensation, 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 limitations 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;

● EBITDA and Adjusted EBITDA do not reflect the loss on extinguishment of debt;

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

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● 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 both 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.

Consolidated Results of Operations Discussion

We completed our acquisition of MedecinDirect on April 30, 2019. The results of operations of the aforementioned acquisition has been included in our unaudited consolidated financial statements included in this Quarterly Report from the date of acquisition.

Revenue. Total revenue was $241.0 million for the quarter ended June 30, 2020, compared to $130.3 million during the quarter ended June 30, 2019, an increase of $110.8 million, or 85% largely reflecting organic growth. Total revenue was $421.8 million for the six months ended June 30, 2020, compared to $258.9 million during the quarter ended June 30, 2019, an increase of $162.9 million, or 63%, which also largely reflects organic growth. The primary increase for both the quarter and six months ended 2020 was substantially driven by an increase in new Clients and the number of new Members generating additional subscription access fees and an increase in volume associated with the COVID-19 pandemic. Subscription access fee revenue increased to $182.2 million, or 64% for the quarter ended June 30, 2020. Subscription access fee revenue increased to $319.2 million, or 47% for the six months ended June 30, 2020. The increase in subscription access fees was due to the addition of new Clients and direct-to-consumer members, as the number of paid Members increased by 92% from June 30, 2019 to June 30, 2020. Revenue from U.S. subscription access fees was $152.0 million for the quarter ended June 30, 2020 compared to $85.6 million for the quarter ended June 30, 2019 and was $260.1 million for the six months ended June 30, 2020 compared to $166.6 million for the six months ended June 30, 2019. We generated $30.2 million of international subscription access fees for the quarter ended June 30, 2020 and $25.7 million for the quarter ended June 30, 2019 and $59.3 million of international subscription access fees for the six months ended June 30, 2020 and $50.7 million for the six months ended June 30, 2019, which includes contributions from the MedecinDirect acquisition.

We completed approximately 2.8 million visits, representing $58.9 million of visit fees for the quarter ended June 30, 2020, compared to approximately 908,000 visits, representing $19.0 million of visit fees, for the quarter ended June 30, 2019, an increase of $39.8 million, or 209%. The increase in visit fees is associated with the aforementioned increase in paid Members as well as the impact of COVID-19. We completed approximately 4.8 million visits, representing $102.6 million of visit fees for the six months ended June 30, 2020, compared to approximately 1,971,000 visits, representing $41.7 million of visit fees during the six months ended June 30, 2019, an increase of $60.9 million, or 146%.

Cost of Revenue. Cost of revenue was $90.8 million for the quarter ended June 30, 2020 compared to $41.6 million for the quarter ended June 30, 2019, an increase of $49.1 million, or 118%. Cost of revenue was $163.2 million for the six months ended June 30, 2020 compared to $86.3 million for the six months ended June 30, 2019, an increase of $76.9 million, or 89%. These increases were primarily due to increased general medical visits and behavioral health visits resulting in increased provider fees, additional incentive fees paid to physicians and physician network operation center costs to service the aforementioned increases in revenue. The cost of revenue includes additional investments in capacity expansion associated with the global outbreak of COVID-19 of $2.2 million and $6.2 million for the quarter and six months ended June 30, 2020, respectively.

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Advertising and Marketing Expenses. Advertising and marketing expenses were $47.6 million for the quarter ended June 30, 2020 compared to $26.6 million for the quarter ended June 30, 2019, an increase of $21.0 million, or 79%. This increase primarily consisted of increased digital advertising, member engagement and acquisition initiatives, and sponsorship of professional organizations of $19.9 million and increases in employee-related expenses and others of $1.1 million. Advertising and marketing expenses were $80.1 million for the six months ended June 30, 2020 compared to $53.0 million for the six months ended June 30, 2019, an increase of $27.0 million, or 51%. This increase primarily consisted of increased digital advertising, member engagement initiatives, sponsorship of professional organizations of $24.3 million, as well as increased employee-related expenses of $2.7 million.

Sales Expenses. Sales expenses were $18.7 million for the quarter ended June 30, 2020 compared to $15.8 million for the quarter ended June 30, 2019, an increase of $2.9 million, or 18%. This increase primarily consisted of increased staffing and sales commissions of $4.3 million offset by a decrease to other sales expenses, such as conferences and travel of $1.4 million. Sales expenses were $36.6 million for the six months ended June 30, 2020 compared to $32.0 million for the six months ended June 30, 2019, an increase of $4.6 million, or 14%. This increase primarily consisted of increased staffing and sales commissions of $6.6 million offset by a decrease to other sales expenses of $2.0 million

Technology and Development Expenses. Technology and development expenses were $23.0 million for the quarter ended June 30, 2020 compared to $16.7 million for the quarter ended June 30, 2019, an increase of $6.3 million, or 38%. This increase resulted primarily from hiring additional personnel totaling $4.1 million and other professional expenses of $2.2 million. Technology and development expenses were $42.3 million for the six months ended June 30, 2020 compared to $32.7 million for the six months ended June 30, 2019, an increase of $9.6 million, or 29%. This increase resulted primarily from hiring additional personnel totaling $5.9 million and increases in other expenses of $3.7 million.

Legal and Regulatory Expenses. Legal and regulatory expenses were $2.2 million for the quarter ended June 30, 2020 and consistent when compared to $2.0 million for the quarter ended June 30, 2019, an increase of $0.2 million. This increase resulted primarily from increased expenses to support litigation activities. Legal and regulatory expenses were $3.5 million for the six months ended June 30, 2020 and consistent when compared to $3.6 million for the six months ended June 30, 2019, a decrease of $0.1 million. This decrease was primarily driven by the timing of costs associated with litigation activities.

Acquisition and Integration Related Costs. Acquisition and integration related costs, incurred primarily in connection with integration activities of prior acquisitions as well as costs associated with the In Touch Technologies, Inc. acquisition, were $1.6 million for the quarter ended June 30, 2020 compared to $1.1 million for the quarter ended June 30, 2019, an increase of $0.5 million. Acquisition and integration related costs, incurred in connection with these acquisitions, were $5.3 million for the six months ended June 30, 2020 compared to $2.1 million for the six months ended June 30, 2019. The 2020 and 2019 acquisition and integration related costs represent investment banking, financing, legal, accounting, consultancy, integration, fair value changes related to contingent consideration and certain other non-recurring transaction costs related to mergers and acquisitions.

General and Administrative Expenses. General and administrative expenses were $54.4 million for the quarter ended June 30, 2020 compared to $38.5 million for the quarter ended June 30, 2019, an increase of $15.8 million, or 41%. This increase was driven primarily by an increase in employee-related expenses of approximately $7.2 million resulting from growth in total employee headcount to 2,727 at June 30, 2020 as compared to 2,256 employees at June 30, 2019 reflecting increased employee costs including to support the increase volume of activities due to COVID-19. Other expenses, such as office-related charges, professional fees and bank charges, increased by $8.6 million for the quarter ended June 30, 2020 as compared to June 30, 2019. . General and administrative expenses were $99.5 million for the six months ended June 30, 2020 compared to $74.5 million for the six months ended June 30, 2019, an increase of $25.0 million, or 34%. This increase was driven primarily by an increase in employee-related expenses of approximately $11.8 million resulting from growth in total employee headcount including to support the increase volume of activities due to COVID-19. Other expenses, which include office-related charges, professional fees and bank charges, increased by $13.1 million for the six months ended June 30, 2020 as compared to the six months ended June 30, 2019, to support the growth of our business.

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Depreciation and Amortization. Depreciation and amortization were $9.9 million for the quarter ended June 30, 2020 and consistent when compared to $9.8 million for the quarter ended June 30, 2019, an increase of $0.1 million. Depreciation and amortization was $19.6 million for the six months ended June 30, 2020 and consistent when compared to $19.4 million for the six months ended June 30, 2019, an increase of $0.2 million, or 1%. Additional amortization expenses primarily related to an increase in acquisition-related intangible assets that increased from $315.4 million at June 30, 2019 to $325.9 million at June 30, 2020 and an increase of depreciation expense on an increased base of depreciable fixed assets that increased from $23.7 million at June 30, 2019 to $26.7 million at June 30, 2020.

Interest Expense, Net. Interest expense, net consists of interest costs and amortization of debt discount associated with our Convertible Senior Notes, interest income from short-term investments in marketable securities and foreign exchange gain or loss. Interest expense, net was $13.2 million for the quarter ended June 30, 2020 compared to $7.2 million for the quarter ended June 30, 2019. Interest expense, net was $22.5 million for the six months ended June 30, 2020 compared to $13.7 million for the six months ended June 30, 2019. The Company increased its Convertible Senior Notes outstanding to approximately $1,334.0 million at June 30, 2020 from approximately $562.0 million at June 30, 2019. These increases in net interest expense in 2020 reflects the higher outstanding debt, interest expense accretion associated with our Convertible Senior Notes and, lower interest income from short-term investments, as well as a higher foreign exchange loss. In conjunction with the issuance of Convertible Senior Notes in May 2020, the Company also exchanged approximately $228.0 million of existing outstanding Convertible Senior Notes that were to mature in 2022 and recorded a charge associated with the loss on extinguishment of $7.7 million during the quarter-ended June 30, 2020.

Income tax (benefit) expense.   Income tax benefit was $(2.4) million for the quarter ended June 30, 2020 compared to an income tax expense $0.1 million for the quarter ended June 30, 2019 and is primarily reflective of excess stock compensation benefits in the second quarter of 2020 and the jurisdiction mix of income. Income tax benefit was $(3.1) million for the six months ended June 30, 2020 compared to an income tax expense $0.8 million for the six months ended June 30, 2019 and is primarily reflective of excess stock compensation benefits in the first six months of 2020 and the jurisdiction mix of income. 

Liquidity and Capital Resources

The following table presents a summary of our cash flow activity for the periods set forth below:

	Six Months Ended
	June 30,
	2020		2019
Consolidated Statements of Cash Flows Data
Net cash provided by (used) in operating activities	$	29,230	$	(1,743)
Net cash (used in) provided by investing activities		(21,590)		2,272
Net cash provided by financing activities		788,278		15,900
Total	$	795,918	$	16,429

Historically, we have financed our operations primarily through public and private sales of equity securities, debt issuance and bank borrowings.

Our principal sources of liquidity are cash and cash equivalents totaling $1,308.8 million as of June 30, 2020, which were held for working capital purposes. Our cash and cash equivalents are comprised of money market funds and marketable securities. Additionally, we have short term marketable securities of $2.9 million as of June 30, 2020.

On April 30, 2019, we completed the acquisition of MedecinDirect. The purchase price was $11.2 million cash with additional potential earnout consideration. We also made a $5.0 million minority investment in Vida Health on June 19, 2019.

Cash Provided by (Used in) Operating Activities

For the six months ended June 30, 2020, cash provided by operating activities was $29.2 million compared to a use of cash of $1.7 million for the prior year period. The improvement in cash flows resulted primarily from higher earnings excluding non-cash items, as noted by the increase in EBITDA and Adjusted EBITDA, as the Company gained operating leverage on its cash expenses while its revenues increased. Additionally, net working capital decreased compared to the prior year period.

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Cash (Used in) Provided by Investing Activities

Cash used in investing activities was $21.6 million for the six months ended June 30, 2020. Cash used in investing activities consisted of the purchases of property and equipment totaling $1.6 million, investments in internally developed capitalized software of $6.5 million, and $13.5 million of pre-funding associated with the InTouch Technologies, Inc. acquisition.

Cash provided by investing activities was $2.2 million for the six months ended June 30, 2019. Cash provided by investing activities consisted of maturities of short-term marketable securities of $22.7 million, net of sales, offset by the purchases of property and equipment totaling $1.3 million, investments in internally developed capitalized software of $3.0 million, investment in securities of $5.0 million and acquisition of businesses of $11.2 million.

Cash Provided by Financing Activities

Cash provided by financing activities for the six months ended June 30, 2020 was $788.3 million. Cash provided by financing activities consisted of $975.9 million of net cash proceeds from the issuance of the 2027 Notes, $33.5 million of proceeds from the exercise of employee stock options, $2.5 million of proceeds from employee stock purchase plan, and $4.5 million of timing associated with net cash proceeds for tax withholding for stock-based compensation, offset by $228.1 million of cash used in the repurchased of 2022 Notes.

Cash provided by financing activities for the six months ended June 30, 2019 was $15.9 million. Cash provided by financing activities consisted of $15.7 million of proceeds from the exercise of employee stock options, $1.9 million of proceeds from employee stock purchase plan, $0.2 million of contingent consideration fair value adjustment, offset by payment of $1.9 million for tax withholding for stock-based compensation.

Looking Forward

At June 30, 2020, the Company’s cash and short-term investments were $1,311.8 million. For the six months ended June 30, 2020, we have experienced positive Adjusted EBITDA and for the full year 2020 we anticipate positive Adjusted EBITDA as well as positive free cash flow.

We believe that our existing cash and cash equivalents and short-term marketable securities will be sufficient to meet our working capital and capital expenditure needs for at least the next 12 months. Our future capital requirements will depend on many factors including our growth rate, contract renewal activity, number of visits, the timing and extent of spending to support product development efforts, our expansion of sales and marketing activities, the introduction of new and enhanced service offerings and the continuing market acceptance of telehealth. We may in the future enter into arrangements to acquire or invest in complementary businesses, services and technologies and intellectual property rights. We may be required to seek additional equity or debt financing. In the event that additional financing is required from outside sources, we may not be able to raise it on terms acceptable to us or at all. If we are unable to raise additional capital when desired, our business, financial condition and results of operations would be adversely affected.

Shelf Registration Statements

We filed an automatically effective shelf registration statement on Form S-3 under the Securities Act on November 28, 2017 (the “2017 Shelf”). Under the 2017 Shelf at the time of effectiveness, we had the ability to raise up to $175 million by selling common stock in addition to 1,200,000 shares of common stock eligible for resale by certain shareholders. Following an offering in December 2017 there remained under the 2017 Shelf the ability to raise up to approximately $32 million by selling common stock in addition to 370,000 shares of common stock eligible for resale by certain existing shareholders.

On July 23, 2018, we filed an automatically effective universal shelf registration statement on Form S-3 under the Securities Act (the “2018 Shelf”). The 2018 Shelf registers the offering of securities, including common stock, preferred stock and debt securities, that we may issue from time to time in amounts to be determined, as well as the issuance of common stock by selling stockholders. Issuances of securities under the 2018 Shelf require the filing of a prospectus supplement identifying the amount and terms of the securities to be issued. Our ability to issue securities is subject to market conditions and other factors impacting our borrowing capacity.

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Indebtedness

We entered into a $10.0 million Revolving Credit Facility in 2017. The Revolving Credit Facility is available for working capital and other general corporate purposes. There was no amount outstanding as of June 30, 2020 and December 31, 2019 and the Company utilized $2.2 million of letters of credit for facility security deposits and credit card at both June 30, 2020 and December 31, 2019. The Revolving Credit Facility was terminated pursuant to its terms effective July 14, 2020.

On May 19, 2020, we issued, at par value, $1,000.0 million aggregate principal amount of 1.25% convertible senior notes due 2027. The 2027 Notes bear cash interest at a rate of 1.25% per year, payable semi-annually in arrears on June 1 and December 1 of each year. The 2027 Notes will mature on June 1, 2027. The net proceeds to us from the offering were $975.9 million after deducting offering costs of approximately $24.1 million.

On May 8, 2018, we issued, at par value, $287.5 million aggregate principal amount of 1.375% convertible senior notes due 2025. The 2025 Notes bear cash interest at a rate of 1.375% per year, payable semi-annually in arrears on May 15 and November 15 of each year. The 2025 Notes will mature on May 15, 2025. The net proceeds to us from the offering were $279.1 million after deducting offering costs of approximately $8.4 million.

In June 2017, we issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrears on June 15 and December 15 of each year. The 2022 Notes will mature on December 15, 2022. The net proceeds to us from the offering were $263.7 million after deducting offering costs of approximately $11.3 million.

On May 14, 2020, the Company entered into privately negotiated agreements with certain holders of 2022 Notes to exchange 2022 Notes for shares of the Company’s common stock, together with cash, in private placement transactions pursuant to Section 4(a)(2) of the Securities Act. The closing of the Exchange Transactions occurred on May 19, 2020. In exchange for approximately $228.2 million aggregate principal amount of 2022 Notes, the Company paid approximately $231.1 million in cash (including accrued and unpaid interest and cash paid in lieu of fractional shares), together with an aggregate of approximately 3.9 million shares of its common stock. As a result of the Exchange Transactions, the Company recorded a charge associated with the loss on extinguishment of debt of $7.7 million during the quarter ended June 30, 2020.

Approximately $46.8 million aggregate principal amount of the 2022 Notes remains outstanding as of June 30, 2020.

The 2027, 2025 and 2022 Notes are senior unsecured obligations of ours and rank senior in right of payment to our indebtedness that is expressly subordinated in right of payment to the 2022 Notes; equal in right of payment to our liabilities that is not so subordinated; effectively junior in right of payment to any of our secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by our subsidiaries.

See Note 11, “Convertible Senior Notes” of the Notes to the Consolidated Financial Statements of the Quarterly Report on Form 10-Q for additional information on the 2027, 2025 and 2022 Notes.

We were in compliance with all debt covenants at June 30, 2020 and December 31, 2019.

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Contractual Obligations and Commitments

The following summarizes our contractual obligations as of June 30, 2020:

	Payment Due by Period
			Less than		1 to 3		4 to 5		More than
	Total		1 Year		Years		Years		5 Years
Operating leases	$	40,457	$	7,750	$	14,696	$	11,822	$	6,189
Debt obligations under the Convertible Notes		1,334,271		0	$	46,771	$	287,500	$	1,000,000
Interest associated with the Convertible Notes		112,474		17,857	$	34,294	$	32,906	$	27,417
Total	$	1,487,202	$	25,607	$	95,761	$	332,228	$	1,033,606

Our existing office and hosting co-location facilities lease agreements provide us with the option to renew and generally provide for rental payments on a graduated basis. Our future operating lease obligations would change if we entered into additional operating lease agreements as we expand our operations and if we exercised the office and hosting co-location facilities lease options. The contractual commitment amounts in the table above are associated with agreements that are enforceable and legally binding and that specify all significant terms, including fixed or minimum services to be used, fixed, minimum or variable price provisions and the approximate timing of the transaction. Obligations under contracts that we can cancel without a significant penalty are not included in the table above.

Off-Balance Sheet Arrangements

During the periods presented, we did not have, nor do we currently have, any relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes. We are therefore not exposed to the financing, liquidity, market or credit risk that could arise if we had engaged in those types of relationships.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

Interest Rate Risk and Foreign Exchange Risk

We do not have any floating rate debt including with our Revolving Credit Facility as of June 30, 2020. Cash equivalents that are subject to interest rate volatility represent our principal market risk. We do not expect cash flows to be affected to any significant degree by a sudden change in market interest rates.

We operate our business primarily within the United States and currently execute more than 86% of our transactions in U.S. dollars. We have not utilized hedging strategies with respect to such foreign exchange exposure. This limited foreign currency translation risk is not expected to have a material impact on our consolidated financial statements.

Concentrations of Risk and Significant Clients

Our financial instruments that are exposed to concentrations of credit risk consist primarily of cash and cash equivalents, short-term marketable securities and accounts receivable. Although we deposit our cash with multiple financial institutions in U.S. and in foreign countries, our deposits, at times, may exceed federally insured limits. Our short-term marketable securities are comprised of a portfolio of diverse high credit rating instruments with maturity durations of one year or less.

No Client represented over 10% of revenues for the quarters ended June 30, 2020 and 2019.

No Client represented over 10% of accounts receivable at June 30, 2020 and December 31, 2019.

Item 4. Controls and Procedures

Management’s Report on Internal Control over Financial Reporting

In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the

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desired control objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated, as of the end of the period covered by this Quarterly Report on Form 10-Q, the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)). Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of June 30, 2020.

No changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the fiscal quarter ended June 30, 2020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II - OTHER INFORMATION

Item 1. Legal Proceedings

The Company is subject to legal proceedings, claims and litigation arising in the ordinary course of its business. At June 30, 2020, the Company is not aware of any pending or threatened litigation that would have a material adverse effect on its business, results of operations, cash flows or financial condition should such litigation be resolved unfavorably.

On December 12, 2018, a purported securities class action complaint (Reiner v. Teladoc Health, Inc., et.al.) was filed in the United States District Court for the Southern District of New York (the “SDNY”) against the Company and certain of the Company’s officers and a former officer. The complaint is brought on behalf of a purported class consisting of all persons or entities who purchased or otherwise acquired shares of the Company’s common stock during the period March 3, 2016 through December 5, 2018. The complaint asserts violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 based on allegedly false or misleading statements and omissions with respect to, among other things, the alleged misconduct of one of the Company’s previous Executive Officers. The complaint seeks certification as a class action and unspecified compensatory damages plus interest and attorneys’ fees. The Company believes that the claims against the Company and its officers are without merit, and the Company and its named officers intend to defend the Company vigorously, including filing a motion to dismiss the complaint.

In addition, on June 21, 2019, a stockholder derivative lawsuit (Kreutter v. Gorevic, et al.) was filed in the SDNY against certain current and former directors and officers of the Company. The derivative lawsuit alleges that the named directors and officers breached their fiduciary duties to the Company in connection with factual assertions substantially similar to those in the purported securities class action complaint described above. The Company believes that the claims set forth in this stockholder derivative lawsuit are without merit.

On May 14, 2018, a purported class action complaint (Thomas v. Best Doctors, Inc.) was filed in the United States District Court for the District of Massachusetts against the Company’s wholly owned subsidiary, Best Doctors, Inc. The complaint alleges that on or about May 16, 2017, Best Doctors violated the U.S. Telephone Consumer Protection Act (the “TCPA”) by sending unsolicited facsimiles to plaintiff and certain other recipients without the recipients’ prior express invitation or permission. The lawsuit seeks statutory damages for each violation, subject to trebling under the TCPA, and injunctive relief. The Company will vigorously defend the lawsuit and any potential loss is currently deemed to be immaterial.

Item 1A. Risk Factors

Other than the risk factor set forth below, there have been no material changes to the risk factors previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2019. For a discussion of potential risks and uncertainties related to our Company see the information in Part I, Item 1A ("Risk Factors") of our Annual Report on Form 10-K for the year ended December 31, 2019 and our Quarterly Report on Form 10-Q for the period ended March 31, 2020.

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the factors discussed in the “Special Note Regarding Forward-Looking Statements” section in Part I, Item 2, of this Quarterly Report on Form 10-Q.

In March 2020, the World Health Organization declared COVID-19 a global pandemic. This contagious outbreak, which has continued to spread, and the related adverse public health developments, including orders to shelter-in-place, travel restrictions and mandated business closures, have adversely affected workforces, organizations, customers, economies and financial markets globally, leading to an economic downturn and increased market volatility. It has also disrupted the normal operations of many businesses, including ours.

This outbreak, as well as intensified measures undertaken to contain the spread of COVID-19, could cause disruptions and severely impact our business, including, but not limited to:

● causing one or more of our Clients to file for bankruptcy protection or shut down;

● reducing Client and Member subscription fees generated, as well as visit fees by other individuals, as a result of funding constraints related to loss of revenue or employment;

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● negatively impacting collections of accounts receivable;

● negatively impacting our ability to facilitate the provision of our services to Clients and other consumers; and

● harming our business, results of operations and financial condition.

We cannot predict with any certainty whether and to what degree the disruption caused by the COVID-19 pandemic and reactions thereto will continue, and expect to face difficulty accurately predicting our internal financial forecasts.

Our continued access to sources of liquidity also depend on multiple factors, including global economic conditions, the condition of global financial markets, the availability of sufficient amounts of financing and our operating performance. As of June 30, 2020, we had unused commitments under our revolving credit facility available to us of $10.0 million (without giving effect to approximately $2.2 million of letters of credit). However, the Revolving Credit Facility was terminated pursuant to its terms effective July 14, 2020. There is no guarantee that additional debt financing will be available in the future to fund our obligations, or that it will be available on commercially reasonable terms, in which case we may need to seek other sources of funding. In addition, the terms of the agreements governing our current indebtedness include, and any future debt agreements could include, restrictive covenants, which could restrict our business operations.

The outbreak also presents challenges as our entire workforce is currently working remotely and shifting to assisting new and existing Clients, Members and other consumers, who are also generally working remotely.

It is not possible for us to accurately predict the duration or magnitude of the adverse results of the outbreak and its effects on our business, results of operations or financial condition at this time, but such effects may be material. The COVID-19 pandemic may also have the effect of heightening many of the other risks identified in the “Risk Factors” section of our Annual Report on Form 10-K for the year ended December 31, 2019, such as those relating to our indebtedness, our need to generate sufficient cash flows to service our indebtedness and our ability to comply with the covenants contained in the agreements that govern our indebtedness.

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Item 6. Exhibits

Exhibit

Index

		Incorporated by Reference
Exhibit Number	Exhibit Description	Form	File No.	Exhibit	Filing Date	Filed Herewith
2.1	Agreement and Plan of Merger, dated January 11, 2020, by and among Teladoc Health, Inc., Jonata Sub One, Inc., Jonata Sub Two, Inc., InTouch Technologies, Inc. and Fortis Advisors LLC, as equity holder representative	8-K	001-37477	2.1	1/13/20
3.1	Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.	8-K	001-37477	3.1	5/31/17
3.2	Certificate of Amendment to the Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.	8-K	001-37477	3.1	6/1/18
3.3	Second Certificate of Amendment to the Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.	8-K	001-37477	3.1	8/10/18
3.4	Fourth Amended and Restated Bylaws of Teladoc Health, Inc.	8-K	001-37477	3.1	2/25/19
4.1	Indenture, dated as of May 19, 2020, by and between Teladoc Health, Inc. and Wilmington Trust, National Association.	8-K	001-37477	4.1	5/19/20
4.2	Form of Global 1.25% Convertible Senior Note due 2027 (included as Exhibit A to Exhibit 4.1).	8-K	001-37477	4.2	5/19/20
10.1	Separation and Release of Claims Agreement, dated January 3, 2020, by and between Teladoc Health, Inc. and Peter McClennen.	10-Q	001-3747	10.1	4/29/20
10.2	Form of Performance Restricted Stock Unit Agreement under the Teladoc Health, Inc. 2015 Incentive Award Plan.	10-Q	001-3747	10.2	4/29/20
10.3	Teladoc Health, Inc. Senior Leader Severance Plan, dated May 1, 2020.	8-K	001-37477	10.1	5/7/20
10.4	Amendment No. 3 to Credit Agreement by and among Teladoc Health, Inc., Jefferies Finance LLC, as administrative agent and issuing bank, and the lenders party thereto, dated as of May 13, 2020.	8-K	001-37477	10.1	5/15/20
21.1	Subsidiaries of the Registrant.					*
31.1	Chief Executive Officer—Certification pursuant to 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.					*

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31.2	Chief Financial Officer—Certification pursuant to 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.	*
32.1	Chief Executive Officer—Certification pursuant to Rule13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.	**
32.2	Chief Financial Officer—Certification pursuant to Rule 13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.	**
101.INS	XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.	*
101.SCH	XBRL Taxonomy Extension Schema Document.	*
101.CAL	XBRL Taxonomy Calculation Linkbase Document.	*
101.DEF	XBRL Definition Linkbase Document.	*
101.LAB	XBRL Taxonomy Label Linkbase Document.	*
101.PRE	XBRL Taxonomy Presentation Linkbase Document.	*
104	Cover Page Interactive Data File – The cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document

*     Filed herewith.

**   Furnished herewith.

38

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.

	TELADOC HEALTH, INC.
Date: July 29, 2020	By:	/s/ JASON GOREVIC
	Name:	Jason Gorevic
	Title:	Chief Executive Officer
Date: July 29, 2020	By:	/s/ MALA MURTHY
	Name:	Mala Murthy
	Title:	Chief Financial Officer

39

EX-21.1

Exhibit 21.1

EX-31.1

Exhibit 31.1

Certification

I, Jason Gorevic, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Teladoc Health, Inc. for the period ended June 30, 2020;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)   Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)   Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: July 29, 2020

/s/ JASON GOREVIC

Jason Gorevic

Chief Executive Officer

EX-31.2

Exhibit 31.2

Certification

I, Mala Murthy, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Teladoc Health, Inc. for the period ended June 30, 2020;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)   Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)   Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: July 29, 2020

/s/ MALA MURTHY

Mala Murthy

Chief Financial Officer

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Teladoc Health, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2020 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Jason Gorevic, Chief Executive Officer of the Company, certify, to my knowledge, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: July 29, 2020

/s/ JASON GOREVIC

Jason Gorevic

Chief Executive Officer

EX-32.2

Exhibit 32.2

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Teladoc Health, Inc. (the “Company”) on Form 10-Q for the period ended June 30, 2020 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Mala Murthy, Chief Financial Officer of the Company, certify, to my knowledge, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: July 29, 2020

/s/ MALA MURTHY

Mala Murthy

Chief Financial Officer

XML

Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2020	Jul. 24, 2020
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Jun. 30, 2020
Entity File Number	001-37477
Entity Registrant Name	TELADOC HEALTH, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	04-3705970
Entity Address, Address Line One	2 Manhattanville Road
Entity Address, Address Line Two	Suite 203
Entity Address, City or Town	Purchase
Entity Address, State or Province	NY
Entity Address, Postal Zip Code	10577
City Area Code	203
Local Phone Number	635-2002
Title of 12(b) Security	Common Stock, par value $0.001 per share
Trading Symbol	TDOC
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Central Index Key	0001477449
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q2
Amendment Flag	false
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		81,228,458

XML

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Current assets:
Cash and cash equivalents	$ 1,308,843	$ 514,353
Short-term investments	2,932	2,711
Accounts receivable, net of allowance of $5,113 and $3,787, respectively	76,902	56,948
Prepaid expenses and other current assets	14,433	13,990
Total current assets	1,403,110	588,002
Property and equipment, net	9,606	10,296
Goodwill	742,314	746,079
Intangible assets, net	213,474	225,453
Operating lease - right-of-use assets	30,440	26,452
Other assets	19,884	6,545
Total assets	2,418,828	1,602,827
Current liabilities:
Accounts payable	10,816	9,075
Accrued expenses and other current liabilities	75,153	46,905
Accrued compensation	37,579	34,201
Total current liabilities	123,548	90,181
Other liabilities	5,257	11,539
Operating lease liabilities, net of current portion	27,940	24,994
Deferred taxes	18,976	21,678
Convertible senior notes, net	948,178	440,410
Commitments and contingencies
Stockholders' equity:
Common stock, $0.001 par value; 150,000,000 shares authorized as of June 30, 2020 and December 31, 2019; 79,099,433 shares and 72,761,941 shares issued and outstanding as of June 30, 2020 and December 31, 2019, respectively	79	73
Additional paid-in capital	1,879,573	1,538,716
Accumulated deficit	(562,810)	(507,525)
Accumulated other comprehensive loss	(21,913)	(17,239)
Total stockholders' equity	1,294,929	1,014,025
Total liabilities and stockholders' equity	$ 2,418,828	$ 1,602,827

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Consolidated Balance Sheets
Allowance of Accounts receivable	$ 5,113	$ 3,787
Common stock par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	150,000,000	150,000,000
Common stock, shares issued	79,099,433	72,761,941
Common stock, shares outstanding	79,099,433	72,761,941

XML

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Consolidated Statements of Operations
Revenue	$ 241,030	$ 130,276	$ 421,829	$ 258,849
Expenses:
Cost of revenue (exclusive of depreciation and amortization shown separately below)	90,780	41,634	163,162	86,311
Operating expenses:
Advertising and marketing	47,578	26,616	80,093	53,020
Sales	18,687	15,832	36,627	32,044
Technology and development	23,029	16,665	42,286	32,652
Legal and regulatory	2,232	2,019	3,454	3,605
Acquisition and integration related costs	1,627	1,136	5,291	2,148
General and administrative	54,383	38,549	99,503	74,531
Depreciation and amortization	9,893	9,848	19,603	19,448
Total expenses	248,209	152,299	450,019	303,759
Loss from operations	(7,179)	(22,023)	(28,190)	(44,910)
Loss on extinguishment of debt	7,751	0	7,751	0
Interest expense, net	13,151	7,211	22,454	13,732
Net loss before taxes	(28,081)	(29,234)	(58,395)	(58,642)
Income tax (benefit) expense	(2,399)	90	(3,110)	832
Net loss	$ (25,682)	$ (29,324)	$ (55,285)	$ (59,474)
Net loss per share, basic and diluted	$ (0.34)	$ (0.41)	$ (0.74)	$ (0.83)
Weighted-average shares used to compute basic and diluted net loss per share	76,512,870	71,721,246	74,919,194	71,322,586

XML

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Consolidated Statements of Comprehensive Loss
Net loss	$ (25,682)	$ (29,324)	$ (55,285)	$ (59,474)
Other comprehensive loss, net of tax:
Net change in unrealized gains on available-for-sale securities	0	5	0	60
Cumulative translation adjustment	12,880	4,311	(4,674)	468
Other comprehensive loss, net of tax	12,880	4,316	(4,674)	528
Comprehensive loss	$ (12,802)	$ (25,008)	$ (59,959)	$ (58,946)

XML

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT) - USD ($)	Common Stock	Additional Paid-In Capital	Accumulated Deficit	Accumulated Other Comprehensive Income	Total
Balance as of beginning of the period at Dec. 31, 2018	$ 70,000	$ 1,434,780,000	$ (408,661,000)	$ (13,070,000)	$ 1,013,119,000
Balance as of beginning of the period (in shares) at Dec. 31, 2018	70,516,249
Stockholders' Equity (Deficit)
Exercise of stock options	$ 1,000	8,853,000	0	0	8,854,000
Exercise of stock options (in shares)	564,102
Issuance of common stock upon vesting of restricted stock units	$ 0	0	0	0	0
Issuance of common stock upon vesting of restricted stock units (in shares)	383,060
Stock-based compensation	$ 0	13,523,000	0	0	13,523,000
Other comprehensive income (loss), net of tax	0	0	0	(3,788,000)	(3,788,000)
Net loss	0	0	(30,150,000)	0	(30,150,000)
Balance as of end of the period at Mar. 31, 2019	$ 71,000	1,457,156,000	(438,811,000)	(16,858,000)	1,001,558,000
Balance as of end of the period (in shares) at Mar. 31, 2019	71,463,411
Balance as of beginning of the period at Dec. 31, 2018	$ 70,000	1,434,780,000	(408,661,000)	(13,070,000)	1,013,119,000
Balance as of beginning of the period (in shares) at Dec. 31, 2018	70,516,249
Stockholders' Equity (Deficit)
Net loss					(59,474,000)
Balance as of end of the period at Jun. 30, 2019	$ 72,000	1,483,245,000	(468,135,000)	(12,542,000)	1,002,640,000
Balance as of end of the period (in shares) at Jun. 30, 2019	71,934,381
Balance as of beginning of the period at Mar. 31, 2019	$ 71,000	1,457,156,000	(438,811,000)	(16,858,000)	1,001,558,000
Balance as of beginning of the period (in shares) at Mar. 31, 2019	71,463,411
Stockholders' Equity (Deficit)
Exercise of stock options	$ 1,000	6,846,000	0	0	6,847,000
Exercise of stock options (in shares)	350,219
Issuance of common stock upon vesting of restricted stock units	$ 0	0	0	0	0
Issuance of common stock upon vesting of restricted stock units (in shares)	85,035
Issuance of stock under employee stock purchase plan	$ 0	1,875,000	0	0	1,875,000
Issuance of stock under employee stock purchase plan (in shares)	35,716
Stock-based compensation	$ 0	17,368,000	0	0	17,368,000
Other comprehensive income (loss), net of tax	0	0	0	4,316,000	4,316,000
Net loss	0	0	(29,324,000)	0	(29,324,000)
Balance as of end of the period at Jun. 30, 2019	$ 72,000	1,483,245,000	(468,135,000)	(12,542,000)	1,002,640,000
Balance as of end of the period (in shares) at Jun. 30, 2019	71,934,381
Balance as of beginning of the period at Dec. 31, 2019	$ 73,000	1,538,716,000	(507,525,000)	(17,239,000)	1,014,025,000
Balance as of beginning of the period (in shares) at Dec. 31, 2019	72,761,941
Stockholders' Equity (Deficit)
Exercise of stock options	$ 0	14,830,000	0	0	14,830,000
Exercise of stock options (in shares)	671,279
Issuance of common stock upon vesting of restricted stock units	$ 1,000	(1,000)	0	0	0
Issuance of common stock upon vesting of restricted stock units (in shares)	642,411
Issuance of common stock for 2022 Notes	$ 0	58,000	0	0	58,000
Issuance of common stock for 2022 Notes (in shares)	655
Stock-based compensation	$ 0	18,421,000	0	0	18,421,000
Other comprehensive income (loss), net of tax	0	0	0	(17,554,000)	(17,554,000)
Net loss	0	0	(29,603,000)	0	(29,603,000)
Balance as of end of the period at Mar. 31, 2020	$ 74,000	1,572,024,000	(537,128,000)	(34,793,000)	1,000,177,000
Balance as of end of the period (in shares) at Mar. 31, 2020	74,076,286
Balance as of beginning of the period at Dec. 31, 2019	$ 73,000	1,538,716,000	(507,525,000)	(17,239,000)	1,014,025,000
Balance as of beginning of the period (in shares) at Dec. 31, 2019	72,761,941
Stockholders' Equity (Deficit)
Net loss					(55,285,000)
Balance as of end of the period at Jun. 30, 2020	$ 79,000	1,879,573,000	(562,810,000)	(21,913,000)	1,294,929,000
Balance as of end of the period (in shares) at Jun. 30, 2020	79,099,433
Balance as of beginning of the period at Mar. 31, 2020	$ 74,000	1,572,024,000	(537,128,000)	(34,793,000)	1,000,177,000
Balance as of beginning of the period (in shares) at Mar. 31, 2020	74,076,286
Stockholders' Equity (Deficit)
Exercise of stock options	$ 1,000	18,682,000	0	0	18,683,000
Exercise of stock options (in shares)	927,684
Issuance of common stock upon vesting of restricted stock units	$ 0	0	0	0	0
Issuance of common stock upon vesting of restricted stock units (in shares)	109,768
Issuance of stock under employee stock purchase plan	$ 0	2,473,000	0	0	2,473,000
Issuance of stock under employee stock purchase plan (in shares)	35,901
Issuance of common stock for 2022 Notes	$ 4,000	693,802,000	0	0	693,806,000
Issuance of common stock for 2022 Notes (in shares)	3,949,794
Equity portion of extinguishment of 2022 Convertible Notes	$ 0	(715,151,000)	0	0	(715,151,000)
Equity component of 2027 Notes, net of issuance costs	0	285,601,000	0	0	285,601,000
Stock-based compensation	0	22,142,000	0	0	22,142,000
Other comprehensive income (loss), net of tax	0	0	0	12,880,000	12,880,000
Net loss	0	0	(25,682,000)	0	(25,682,000)
Balance as of end of the period at Jun. 30, 2020	$ 79,000	$ 1,879,573,000	$ (562,810,000)	$ (21,913,000)	$ 1,294,929,000
Balance as of end of the period (in shares) at Jun. 30, 2020	79,099,433

XML

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Cash flows used in operating activities:
Net loss	$ (55,285)	$ (59,474)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation and amortization	22,655	22,443
Allowance for doubtful accounts	2,290	1,014
Stock-based compensation	40,243	30,891
Deferred income taxes	(3,457)	(1,472)
Accretion of interest	16,576	12,347
Loss on extinguishment of debt	7,751	0
Changes in operating assets and liabilities:
Accounts receivable	(24,773)	(7,237)
Prepaid expenses and other current assets	1,595	1,251
Other assets	36	74
Accounts payable	1,844	374
Accrued expenses and other current liabilities	25,208	10,358
Accrued compensation	(1,818)	(9,133)
Operating lease liabilities	(2,788)	(794)
Other liabilities	(847)	(2,385)
Net cash provided by (used) in operating activities	29,230	(1,743)
Cash flows (used in) provided by investing activities:
Purchase of property and equipment	(1,641)	(1,248)
Purchase of internal-use software	(6,449)	(2,975)
Proceeds from marketable securities	0	22,695
Sale of assets	0	7
Investment in securities	0	(5,000)
Pre-funding associated with the pending acquisition	(13,500)	(11,207)
Net cash (used in) provided by investing activities	(21,590)	2,272
Cash flows provided by financing activities:
Net proceeds from the exercise of stock options	33,513	15,701
Proceeds from issuance of 2027 Notes	1,000,000	0
Issuance costs of 2027 Notes	(24,070)	0
Contingent consideration fair value adjustment	0	210
Repurchase of 2022 Notes	(228,130)	0
Proceeds from employee stock purchase plan	2,473	1,875
Cash received (paid) for withholding taxes on stock-based compensation, net	4,492	(1,886)
Net cash provided by financing activities	788,278	15,900
Net increase in cash and cash equivalents	795,918	16,429
Foreign exchange difference	(1,428)	25
Cash and cash equivalents at beginning of the period	514,353	423,989
Cash and cash equivalents at end of the period	1,308,843	440,443
Income taxes paid	59	309
Interest paid	$ 5,609	$ 6,102

XML

Organization and Description of Business

6 Months Ended

Jun. 30, 2020

Organization and Description of Business

Organization and Description of Business

Note 1. Organization and Description of Business

Teladoc, Inc. was incorporated in the State of Texas in June 2002 and changed its state of incorporation to the State of Delaware in October 2008. Effective August 10, 2018, Teladoc, Inc. changed its corporate name to Teladoc Health, Inc. Unless the context otherwise requires, Teladoc Health, Inc., together with its subsidiaries, is referred to herein as “Teladoc Health” or the “Company”. The Company’s principal executive office is located in Purchase, New York. Teladoc Health is the global leader in providing virtual healthcare services with a focus on high quality, lower costs, and improved outcomes around the world.

On July 1, 2020, the Company completed the acquisition of InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and health systems. See Note 15 “Subsequent Events”.

XML

Basis of Presentation and Principles of Consolidation

6 Months Ended

Jun. 30, 2020

Basis Of Presentation And Principles Of Consolidation

Basis of Presentation and Principles of Consolidation

Note 2. Basis of Presentation and Principles of Consolidation

Basis of Presentation and Principles of Consolidation

The accompanying unaudited consolidated financial statements of the Company have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (the “SEC”) regarding interim financial reporting. In the opinion of the Company’s management, the accompanying unaudited consolidated financial statements contain all adjustments (consisting of normal recurring accruals and adjustments) necessary to present fairly the financial position, results of operations and cash flows of the Company at the dates and for the periods indicated. The interim results for the quarter and six months ended June 30, 2020 are not necessarily indicative of results for the full 2020 calendar year or any other future interim periods. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the consolidated financial statements and accompanying notes included in the Company’s Form 10-K for the year ended December 31, 2019

The unaudited consolidated financial statements include the results of Teladoc Health, its wholly owned subsidiaries, as well as two professional associations, eleven professional corporations and a service corporation (the “Association”).

Teladoc Physicians, P.A. became Teladoc Health Medical Group, P.A. on January 1, 2020. Teladoc Health Medical Group, P.A. is party to several services agreements by and among it and the professional corporations pursuant to which each professional corporation provides services to Teladoc Health Medical Group, P.A. Each professional corporation is established pursuant to the requirements of its respective domestic jurisdiction governing the corporate practice of medicine.

The Company holds a variable interest in the Association which contracts with physicians and other health professionals in order to provide services to Teladoc Health. The Association is considered a variable interest entity (“VIE”) since it does not have sufficient equity to finance its activities without additional subordinated financial support. An enterprise having a controlling financial interest in a VIE, must consolidate the VIE if it has both power and benefits—that is, it has (1) the power to direct the activities of a VIE that most significantly impact the VIE’s economic performance (power) and (2) the obligation to absorb losses of the VIE that potentially could be significant to the VIE or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). The Company has the power and rights to control all activities of the Association and funds and absorbs all losses of the VIE.

Total revenue and net (loss) income for the VIE were $57.7 million and $0.9 million, respectively, for the quarter ended June 30, 2020 and $17.4 million and $(0.2) million, respectively, for the quarter ended June 30, 2019. Total revenue and net (loss) income for the VIE were $100.2 million and $0.8 million, respectively, for the six months ended June 30, 2020 and $38.5 million and $(0.3) million, respectively, for the six months ended June 30, 2019. The VIE’s total assets were $22.9 million and $13.6 million at June 30, 2020 and December 31, 2019, respectively. Total liabilities for the VIE were $59.8 million and $51.3 million at June 30, 2020 and December 31, 2019, respectively. The VIE’s total stockholders’ deficit was $36.9 million and $37.7 million at June 30, 2020 and December 31, 2019, respectively.

The functional currency for each of the Company’s foreign subsidiaries is the local currency. All assets and liabilities denominated in a foreign currency are translated into U.S. dollars at the exchange rate on the balance sheet date. Revenues and expenses are translated at the weighted average exchange rate during the period. Cumulative

translation gains or losses are included in stockholders’ equity as a component of accumulated other comprehensive income (loss).

The Company operates in a single reportable segment – health services. Revenue earned by foreign operations outside of the United States were $30.5 million and $26.1 million for the quarters ended June 30, 2020 and 2019, respectively. Revenue earned by foreign operations outside of the United States were $59.9 million and $51.3 million for the six months ended June 30, 2020 and 2019, respectively. Long-lived assets from foreign operations totaled $1.6 million and $2.2 million as of June 30, 2020 and December 31, 2019, respectively.

All intercompany transactions and balances have been eliminated.

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation.

Recently Issued Accounting Pronouncements

In December 2019, FASB issued ASU 2019-12 Simplification of Income Taxes (Topic 740). ASU 2019-12 simplifies the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The amendments also improve consistent application of and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. ASU 2019-12 is effective for public companies for annual periods beginning after December 15, 2020, including interim periods within those fiscal years. We have early adopted ASU 2019-12 on our consolidated financial statements and disclosures effective January 1, 2020, with no material impact to the financial statements.

In January 2017, the FASB issued ASU 2017-04, Goodwill Simplifications (Topic 350). ASU 2017-04 simplifies the test for goodwill impairment. The new guidance eliminates Step 2 from the goodwill impairment test as currently prescribed in the U.S. generally accepted accounting principle. This ASU is the result of the FASB project focused on simplifications to accounting for goodwill. The new guidance was effective for the first quarter of 2020 and was adopted in the quarter-ended December 31, 2019.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments. ASU 2016-13 requires an entity to utilize a new impairment model known as the current expected credit loss ("CECL") model to estimate its lifetime "expected credit loss" and record an allowance that, when deducted from the amortized cost basis of the financial asset, presents the net amount expected to be collected on the financial asset. The CECL model is expected to result in more timely recognition of credit losses. ASU 2016-13 requires new disclosures for financial assets measured at amortized cost, loans and available-for-sale debt securities. ASU 2016- 13 is effective for public companies for annual periods beginning after December 13, 2019, including interim periods within those fiscal years. The standard applies as a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is adopted. The guidance was effective and adopted in the quarter ended March 31, 2020, with no material impact to the financial statements.

Summary of Significant Accounting Policies

There have been no changes to the significant accounting policies described in the 2019 Form 10-K that have had a material impact on the consolidated financial statements and related notes. The Company has not experienced any significant impact to it’s estimates and assumptions as a result of the COVID-19 pandemic. On an ongoing basis, the Company will continue to closely monitor for any changes to the related impacts, especially on the allowance for doubtful accounts.

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Revenue

6 Months Ended

Jun. 30, 2020

Revenue

Revenue

Note 3. Revenue

The Company generates virtual healthcare service revenue from contracts with clients who purchase access to the Company’s professional provider network or medical experts for their employees, dependents and other beneficiaries. The Company’s client contracts include a per-member-per-month subscription access fee as well as certain contracts that generate additional revenue on a per-telehealth visit basis for general medical, other specialty visits and expert medical service on a per case basis. The Company also has certain contracts that generate revenue based solely on a per telehealth visit basis for general medical and other specialty visits. For the Company’s direct-to-consumer behavioral health product, members purchase access to the Company’s professional provider network for a subscription access fee. Accordingly, the Company generates subscription access revenue from subscription access fees and visit fee revenue for general medical, expert medical service and other specialty visits.

The Company’s agreements generally have a term of one year. The majority of clients renew their contracts following their first year of services. Revenues are recognized when the Company satisfies its performance obligation to stand ready to provide telehealth services which occurs when the Company’s clients and members have access to and obtain control of the telehealth service. The Company generally bills for the telehealth services on a monthly basis with payment terms generally being 30 days. There are not significant differences between the timing of revenue recognition and billing. Consequently, the Company has determined that client contracts do not include a financing component. Revenue is recognized in an amount that reflects the consideration that is expected in exchange for the service and includes a variable transaction price as the number of members may vary from period to period. Based on historical experience, the Company estimates this amount.

Subscription access revenue accounted for approximately 76% and 85% of our total revenue for the quarters ended June 30, 2020 and 2019, respectively. Subscription access revenue accounted for approximately 76% and 84% of our total revenue for the six months ended June 30, 2020 and 2019, respectively.

.

The following table presents the Company’s revenues disaggregated by revenue source (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Subscription Access Fees:
U.S.	$	152,021	$	85,530	$	259,960	$	166,509
International		30,150		25,711		59,264		50,686
Visit Fee Revenue:
U.S. Paid Visits		39,041		15,083		69,939		33,331
U.S. Visit Fee Only		19,471		3,546		32,057		7,667
International Paid Visits		347		406		609		656
Total Revenues	$	241,030	$	130,276	$	421,829	$	258,849

As of June 30, 2020, accounts receivable, net of allowance for doubtful accounts, were $76.9 million. The allowance for doubtful accounts reflects our best estimate of expected losses inherent in the accounts receivable balance. The Company determines the allowance based on historical experience, specific account information and other currently available evidence.

For certain services, payment is required for future months before the service is delivered to the client or member. The Company records deferred revenue when cash payments are received in advance of the Company’s performance obligation to provide services. The net increase of $12.3 million and $4.6 million in the deferred revenue balance for the six months ended June 30, 2020 and 2019, respectively, are primarily driven by the direct-to-consumer behavioral health product and cash payments received or due in advance of satisfying the Company’s performance obligations, offset by revenue recognized that were included in the deferred revenue balance at the beginning of the period. The Company anticipates that it will satisfy most of its performance obligations associated with the deferred revenue within the prospective fiscal year.

The Company’s contracts do not generally contain refund provisions for fees earned related to services performed. However, the Company’s direct-to-consumer behavioral health service provides for member refunds. Based on historical experience, the Company estimates the expected amount of refunds to be issued which are recorded as a reduction of revenue. The Company issued refunds of approximately $2.4 million and $0.6 million for the quarter ended June 30, 2020 and 2019, respectively. The Company issued refunds of approximately $3.7 million and $1.2 million for the six months ended June 30, 2020 and 2019, respectively.

Additionally, certain of the Company’s contracts include client performance guarantees that are based upon minimum Member utilization and guarantees by the Company for specific service level performance of the Company’s services. If client performance guarantees are not being realized, the Company records, as a reduction to revenue, an estimate of the amount that will be due at the end of the respective client’s contractual period. For the quarter and six months ended June 30, 2020 and 2019, revenue recognized from performance obligations related to prior periods for the aforementioned changes in transaction price or client performance guarantees, were not material.

The Company has elected the optional exemption to not disclose the remaining performance obligations of its contracts since substantially all of its contracts have a duration of one year or less and the variable consideration expected to be received over the duration of the contract is allocated entirely to the wholly unsatisfied performance obligations.

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Business Acquisitions

6 Months Ended

Jun. 30, 2020

Business Acquisitions

Business Acquisitions

Note 4. Business Acquisitions

On April 30, 2019, the Company completed the acquisition of the Paris-based telemedicine provider MedecinDirect in which MedecinDirect became a wholly-owned subsidiary of the Company. The aggregate merger consideration paid was $11.2 million with additional potential earnout consideration. The acquisition was considered a stock acquisition for tax purposes and accordingly, the goodwill resulting from the acquisition is not tax deductible.

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Intangible Assets, Net

6 Months Ended

Jun. 30, 2020

Intangible Assets, Net

Intangible Assets, Net

Note 5. Intangible Assets, Net

Intangible assets, net consist of the following (in thousands):

								Weighted
								Average
	Useful			Accumulated		Net Carrying		Remaining
	Life	Gross Value		Amortization		Value		Useful Life
June 30, 2020
Client relationships	2 to 20 years	$	235,906	$	(72,523)	$	163,383	12.8
Non-compete agreements	1.5 to 5 years		4,960		(4,508)		452	0.9
Trademarks	3 to 15 years		42,319		(8,524)		33,795	12.2
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		42,546		(26,702)		15,844	2.6
Intangible assets, net		$	325,931	$	(112,457)	$	213,474	11.4
December 31, 2019
Client relationships	2 to 20 years	$	237,182	$	(60,647)	$	176,535	13.1
Non-compete agreements	1.5 to 5 years		4,958		(4,260)		698	1.4
Trademarks	3 to 15 years		42,606		(7,143)		35,463	12.9
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		34,850		(22,093)		12,757	2.3
Intangible assets, net		$	319,796	$	(94,343)	$	225,453	12.4

Amortization expense for intangible assets was $9.0 million and $9.0 million for the quarters ended June 30, 2020 and 2019, respectively. Amortization expense for intangible assets was $17.9 million and $17.7 million for the six months ended June 30, 2020 and 2019, respectively.

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Goodwill

6 Months Ended

Jun. 30, 2020

Goodwill

Goodwill

Note 6. Goodwill

Goodwill consists of the following (in thousands):

	As of June 30,			As of December 31,
	2020		2019
Beginning balance	$	746,079	$	737,197
Additions associated with acquisitions		0		10,604
Cumulative translation adjustment		(3,765)		(1,722)
Goodwill	$	742,314	$	746,079

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Leases

6 Months Ended

Jun. 30, 2020

Leases

Leases

Note 7. Leases

The Company commenced a new 5 year lease on March 1, 2020 for office space in Santa Clara, CA. As a result the Company recorded a right-of-use asset and lease liability of $6.8 million as of March 1, 2020.

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Accrued Expenses and Other Current Liabilities

6 Months Ended

Jun. 30, 2020

Accrued Expenses and Other Current Liabilities

Accrued Expenses and Other Current Liabilities

Note 8. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following (in thousands):

	As of June 30,		As of December 31,
	2020		2019
Professional fees	$	1,838	$	1,535
Consulting fees/provider fees		18,430		10,618
Client performance guarantees		3,121		3,298
Legal fees		1,820		1,077
Interest payable		2,046		838
Income tax payable		1,790		2,859
Insurance		2,480		1,263
Marketing		3,090		2,810
Operating lease liabilities - current		5,763		5,088
Earnout		5,216		0
Deferred revenue		24,813		12,466
Other		4,746		5,053
Total	$	75,153	$	46,905

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Fair Value Measurements

6 Months Ended

Jun. 30, 2020

Fair Value Measurements

Fair Value Measurements

Note 9. Fair Value Measurements

The Company measures its financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires it to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. A financial instrument’s classification within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. Three levels of inputs may be used to measure fair value:

Level 1—Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active

markets.

Level 2—Include other inputs that are directly or indirectly observable in the marketplace.

Level 3—Unobservable inputs that are supported by little or no market activity.

The Company measures its cash equivalents at fair value on a recurring basis. The Company classifies its cash equivalents within Level 1 because they are valued using observable inputs that reflect quoted prices for identical assets in active markets and quoted prices directly in active markets.

The Company measures its short-term investments at fair value on a recurring basis and classifies such as Level 2. They are valued using observable inputs that reflect quoted prices directly or indirectly in active markets. The short-term investments amortized cost approximates fair value.

The Company measured its contingent consideration at fair value on a recurring basis and classified such as Level 3. The Company estimates the fair value of contingent consideration as the present value of the expected contingent payments, determined using the weighted probability of the possible payments.

The following tables present information about the Company’s assets and liabilities that are measured at fair value on a recurring basis using the above input categories (in thousands):

	June 30, 2020
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	1,308,843	$	0	$	0	$	1,308,843
Short-term investments	$	0	$	2,932	$	0	$	2,932
Contingent liability	$	0	$	0	$	4,990	$	4,990

	December 31, 2019
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	514,353	$	0	$	0	$	514,353
Short-term investments	$	0	$	2,711	$	0	$	2,711
Contingent liability	$	0	$	0	$	4,769	$	4,769

There were no transfers between fair value measurement levels during the quarter and six months ended June 30, 2020 and 2019.

The change in fair value of the Company’s contingent liability is recorded in general and administrative expenses in the consolidated statements of operations. The following table reconciles the beginning and ending balance of the Company’s Level 3 contingent liability:

Fair value at December 31, 2019	$	4,769
Payments		0
Change in fair value		215
Currency translation adjustment		6
Fair value at June 30, 2020	$	4,990

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Revolving Credit Facility

6 Months Ended

Jun. 30, 2020

Revolving Credit Facility

Revolving Credit Facility

Note 10. Revolving Credit Facility

The Company entered into a $10.0 million Senior Secured Revolving Credit Facility (the “Revolving Credit Facility”) in 2017. The Revolving Credit Facility is available for working capital and other general corporate purposes. The Company has maintained the Revolving Credit Facility and, there was no amount outstanding as of June 30, 2020 and December 31, 2019. The Company utilized $2.2 million of letters of credit for facility security deposits at June 30, 2020. The Revolving Credit Facility was terminated pursuant to its terms effective July 14, 2020.

The Company was in compliance with all debt covenants at June 30, 2020 and December 31, 2019.

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Convertible Senior Notes

6 Months Ended

Jun. 30, 2020

Convertible Senior Notes

Convertible Senior Notes

Note 11. Convertible Senior Notes

Convertible Senior Notes Due 2027

On May 19, 2020, the Company issued, at par value, $1 billion aggregate principal amount of 1.25% convertible senior notes due 2027 (the “2027 Notes”). The 2027 Notes bear cash interest at a rate of 1.25% per year, payable semi-annually in arrears on June 1 and December 1 of each year, beginning on December 15, 2020. The 2027 Notes will mature on June 1, 2027. The net proceeds to the Company from the offering were $975.9 million after deducting offering costs of approximately $24.1 million.

The 2027 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2027 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2027 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding December 1, 2026 only under the following circumstances:

● during any calendar quarter commencing after the calendar quarter ending on September 30, 2020 (and only during such calendar quarter), if the last reported sale price of the shares of Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2027 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of Company’s common stock and the conversion rate for the 2027 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the 2027 Notes Indenture; or

● if the Company calls the 2027 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after December 1, 2026, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2027 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2027 Notes was initially, and remains, 4.1258 shares of the Company’s common stock per $1,000 principal amount of the 2027 Notes, which is equal to an initial conversion price of approximately $242.38 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 consecutive trading days observation period.

The Company may redeem for cash all or part of the 2027 Notes, at its option, on or after June 5, 2024 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2027 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2027 Note for redemption on or after June 5, 2024 will constitute a make-whole fundamental change with respect to that 2027 Note, in which case the conversion rate applicable to the conversion of that 2027 Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2027 Notes.

In accounting for the issuance of the 2027 Notes, the Company separated the 2027 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2027 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to June 1, 2027. The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2027 Notes was $286 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet. The Company has reserved 5.4 million shares of common stock for the 2027 Notes.

In accounting for the transaction costs related to the issuance of the 2027 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2027 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the seven year term of the 2027 Notes, and transaction costs attributable to the equity component are netted with the equity components in stockholders’ equity.

The 2027 Notes consist of the following (in thousands):

	As of June 30,
Liability component	2020
Principal	$	1,000,000
Less: Debt discount, net (1)		(305,639)
Net carrying amount	$	694,361

(1) Included in the accompanying consolidated balance sheet within convertiable senior notes and amortized to interest expense over the expected life of the 2027 Notes using the effective interest rate method.

The fair value of the 2027 Notes was approximately $1,103.3 million as of June 30, 2020. The Company estimates the fair value of its 2027 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2027 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2027 Notes is approximately 6.9 years.

The following table sets forth total interest expense recognized related to the 2027 Notes (in thousands):

	Six Months Ended
	June 30,
	2020
Contractual interest expense	$	1,493
Amortization of debt discount		4,033
Total	$	5,526
Effective interest rate of the liability component		7.0	%

Convertible Senior Notes Due 2025

On May 8, 2018, the Company issued, at par value, $287.5 million aggregate principal amount of 1.375% convertible senior notes due 2025 (the “2025 Notes”). The 2025 Notes bear cash interest at a rate of 1.375% per year, payable semi-annually in arrears on May 15 and November 15 of each year. The 2025 Notes will mature on May 15, 2025. The net proceeds to the Company from the offering were $279.1 million after deducting offering costs of approximately $8.4 million.

The 2025 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2025 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2025 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding November 15, 2024 only under the following circumstances:

● during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2025 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate for the 2025 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the indenture governing the 2025 Notes; or

● if the Company calls the 2025 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after November 15, 2024, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2025 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2025 Notes was initially, and remains, 18.6621 shares of the Company’s common stock per $1,000 principal amount of the 2025 Notes, which is equivalent to an initial conversion price of approximately $53.58 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period.

The Company may redeem for cash all or any portion of the 2025 Notes, at its option, on or after May 22, 2022 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2025 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2025 Note for redemption on or after May 22, 2022 will constitute a make-whole fundamental change with respect to that 2025 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2025 Notes.

In accounting for the issuance of the 2025 Notes, the Company separated the 2025 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2025 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to May 15, 2025. The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2025 Notes was $91.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2025 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2025 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the seven-year term of the 2025 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The 2025 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	287,500	$	287,500
Less: Debt discount, net (2)		(74,989)		(81,207)
Net carrying amount	$	212,511	$	206,293

(2) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2025 Notes using the effective interest rate method.

The fair value of the 2025 Notes was approximately $1,023.9 million as of June 30, 2020. The Company estimates the fair value of its 2025 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2025 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for

definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2025 Notes is approximately 4.9 years.

The following table sets forth total interest expense recognized related to the 2025 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	989		$	1,002		$	1,977		$	1,977
Amortization of debt discount		3,142			2,892			6,218			5,728
Total	$	4,131		$	3,894		$	8,195		$	7,705
Effective interest rate of the liability component		7.9	%		7.9	%		7.9	%		7.9	%

Convertible Senior Notes Due 2022

The Company had issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022 (the “2022 Notes”) on June 27, 2017. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrears on June 15 and December 15 of each year. The remaining 2022 Notes will mature on December 15, 2022. The net proceeds to the Company from the offering were $263.7 million after deducting offering costs of approximately $11.3 million.

The 2022 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2022 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2022 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding June 15, 2022 only under the following circumstances:

● during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2022 Notes on each applicable trading day;

● during the five business day period after any ten consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate for the 2022 Notes on each such trading day;

● upon the occurrence of specified corporate events described under the indenture governing the 2022 Notes; or

● if the Company calls the 2022 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after June 15, 2022, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2022 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2022 Notes was initially, and remains, 22.7247 shares of the Company’s common stock per $1,000 principal amount of the 2022 Notes, which is equivalent to an initial conversion price of approximately $44.00 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period.

The Company may redeem for cash all or any portion of the 2022 Notes, at its option, on or after December 22, 2020 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2022 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2022 Note for redemption on or after December 22, 2020 will constitute a make-whole fundamental change with respect to that 2022 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the indenture governing the 2022 Notes.

In accounting for the issuance of the 2022 Notes, the Company separated the 2022 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2022 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to June 15, 2022 (the first date on which the Company may be required to repurchase the 2022 Notes at the option of the holder). The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2022 Notes was $62.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2022 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2022 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the five and a half year term of the 2022 Notes, and transaction costs attributable to the equity component are netted with the equity components in stockholders’ equity.

The 2022 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	46,771	$	274,995
Less: Debt discount, net (3)		(5,465)		(40,878)
Net carrying amount	$	41,306	$	234,117

(3) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2022 Notes using the effective interest rate method.

The fair value of the 2022 Notes was approximately $203.3 million as of June 30, 2020. The Company estimates the fair value of its 2022 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2022 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for definitions of hierarchy levels. As of June 30, 2020, the remaining contractual life of the 2022 Notes is approximately 2.5 years.

The following table sets forth total interest expense recognized related to the 2022 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	1,286		$	2,091		$	3,349		$	4,125
Amortization of debt discount		2,521			3,412			6,281			6,786
Total	$	3,807		$	5,503		$	9,630		$	10,911
Effective interest rate of the liability component		10.0	%		10.0	%		10.0	%		10.0	%

On May 14, 2020, the Company entered into privately negotiated agreements with certain holders of 2022 Notes to exchange 2022 Notes for shares of the Company’s common stock, together with cash, in private placement transactions pursuant to Section 4(a)(2) of the Securities Act (the “Exchange Transactions”). The closing occurred on May 19, 2020. In exchange for approximately $228.2 million aggregate principal amount of 2022 Notes, the Company paid approximately $231.1 million in cash (including accrued and unpaid interest and cash paid in lieu of fractional shares), together with an aggregate of approximately 3.9 million shares of its common stock. As a result of the Exchange Transactions, the company recorded a charge associated with the loss on extinguishment of debt of $7.7 million during the quarter ended June 30, 2020.

Approximately $46.8 million aggregate principal amount of the 2022 Notes remains outstanding as of June 30, 2020.

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Legal Matters

6 Months Ended

Jun. 30, 2020

Legal Matters

Legal Matters

Note 12. Legal Matters

From time to time, Teladoc Health is involved in various litigation matters arising out of the normal course of business, including the matters described below. The Company consults with legal counsel on those issues related to litigation and seek input from other experts and advisors with respect to such matters. Estimating the probable losses or a range of probable losses resulting from litigation, government actions and other legal proceedings is inherently difficult and requires an extensive degree of judgment, particularly where the matters involve indeterminate claims for monetary damages, may involve discretionary amounts, present novel legal theories, are in the early stages of the proceedings, or are subject to appeal. Whether any losses, damages or remedies ultimately resulting from such matters could reasonably have a material effect on our business, financial condition, results of operations, or cash flows will depend on a number of variables, including, for example, the timing and amount of such losses or damages (if any) and the structure and type of any such remedies. Teladoc Health’s management does not presently expect any litigation matter to have a material adverse impact on our business, financial condition, results of operations or cash flows.

On December 12, 2018, a purported securities class action complaint (Reiner v. Teladoc Health, Inc., et.al.) was filed in the United States District Court for the Southern District of New York (the “SDNY”) against the Company and certain of the Company’s officers and a former officer. The complaint is brought on behalf of a purported class consisting of all persons or entities who purchased or otherwise acquired shares of the Company’s common stock during the period March 3, 2016 through December 5, 2019. The complaint asserts violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 based on allegedly false or misleading statements and omissions with respect to, among other things, the alleged misconduct of one of the Company’s previous Executive Officers. The complaint seeks certification as a class action and unspecified compensatory damages plus interest and attorneys’ fees. The Company believes that the claims against the Company and its officers are without merit, and the Company and its named officers intend to defend the Company vigorously, including filing a motion to dismiss the complaint.

In addition, on June 21, 2019, a stockholder derivative lawsuit (Kreutter v. Gorevic, et al.) was filed in the SDNY against certain current and former directors and officers of the Company. The derivative lawsuit alleges that the named directors and officers breached their fiduciary duties to the Company in connection with factual assertions substantially similar to those in the purported securities class action complaint described above. The Company believes that the claims set forth in this stockholder derivative lawsuit are without merit.

On May 14, 2018, a purported class action complaint (Thomas v. Best Doctors, Inc.) was filed in the United States District Court for the District of Massachusetts against the Company’s wholly owned subsidiary, Best Doctors, Inc. The complaint alleges that on or about May 16, 2017, Best Doctors violated the U.S. Telephone Consumer Protection Act (TCPA) by sending unsolicited facsimiles to plaintiff and certain other recipients without the recipients’ prior express invitation or permission. The lawsuit seeks statutory damages for each violation, subject to trebling under the TCPA, and injunctive relief. The Company will vigorously defend the lawsuit and any potential loss is currently deemed to be immaterial.

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Common Stock and Stockholders' Equity

6 Months Ended

Jun. 30, 2020

Common Stock and Stockholders'Equity

Common Stock and Stockholders' Equity

Note 13. Common Stock and Stockholders’ Equity

Capitalization

Effective May 31, 2018, the authorized number of shares of the Company’s common stock was increased from 100,000,000 to 150,000,000 shares.

Stock Plans and Stock Options

The Company’s 2015 Incentive Award Plan and 2017 Employment Inducement Incentive Award Plan (together, the “Plans”) provide for the issuance of incentive and non-statutory options and other equity-based awards to its employees and non-employees. Options issued under the Plans are exercisable for periods not to exceed ten years, and vest and contain such other terms and conditions as specified in the applicable award document. Options to buy common stock are issued under the Plans, with exercise prices equal to the closing price of shares of the Company’s common stock on the New York Stock Exchange on the date of award. The Company had 8,179,285 shares available for grant at June 30, 2020.

Activity under the Plans is as follows (in thousands, except share and per share amounts and years):

				Weighted-
		Weighted-		Average
	Number of	Average		Remaining	Aggregate
	Shares	Exercise		Contractual	Intrinsic
	Outstanding	Price		Life in Years	Value
Balance at December 31, 2019	5,206,981	$	24.47	7.03	$	308,538
Stock option grants	10,832	$	125.65	0	$	0
Stock options exercised	(1,598,963)	$	21.00	0	$	0
Stock options forfeited	(148,655)	$	32.82	0	$	0
Balance at June 30, 2020	3,470,195	$	25.97	6.62	$	575,590
Vested or expected to vest at June 30, 2020	3,470,194	$	25.97	6.62	$	575,590
Exercisable at June 30, 2020	2,439,319	$	20.94	6.28	$	414,445

The total grant-date fair value of stock options granted during the quarters ended June 30, 2020 and 2019 was $0.2 million and $1.2 million, respectively. The total grant-date fair value of stock options granted during the six months ended June 30, 2020 and 2019 was $0.5 million and $2.4 million, respectively.

.

Stock-Based Compensation

All stock-based awards to employees are measured based on the grant-date fair value of the awards and are generally recognized on a straight line basis in the Company’s consolidated statement of operations over the period during which the employee is required to perform services in exchange for the award (generally requiring a four-year vesting period for each stock option and a three-year vesting period for each restricted stock unit (“RSU”)). The Company estimates the fair value of stock options granted using the Black-Scholes option-pricing model.

The assumptions used in the Black-Scholes option-pricing model are determined as follows:

Volatility. Since the Company does not have a trading history prior to July 2015 for its common stock, the expected volatility was derived from the historical stock volatilities of several unrelated public companies within its industry that it considers to be comparable to its business combined with the Company’s stock volatility over a period equivalent to the expected term of the stock option grants.

Risk-Free Interest Rate. The risk-free interest rate is based on U.S. Treasury zero-coupon issues with terms similar to the expected term on the options.

Expected Term. The expected term represents the period that the stock-based awards are expected to be outstanding. When establishing the expected term assumption, the Company utilizes historical data.

Dividend Yield. The Company has never declared or paid any cash dividends and does not plan to pay cash dividends in the foreseeable future, and therefore, it used an expected dividend yield of zero.

Forfeiture rate. The Company recognizes forfeitures as they occur.

The fair value of each option grant was estimated on the date of grant using the Black-Scholes option-pricing model with the following assumptions and fair value per share:

	Six Months Ended June 30,
	2020		2019
Volatility		46.1% – 51.0%		46.9% – 47.6%
Expected life (in years)		4.3		5.2
Risk-free interest rate		0.27% - 1.64%		1.75% - 2.55%
Dividend yield		0		0
Weighted-average fair value of underlying stock options	$	49.44	$	27.34

For the quarter ended June 30, 2020 and 2019, the Company recorded compensation expense related to stock options granted of $4.2 million and $5.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded compensation expense related to stock options granted of $8.1 million and $10.7 million, respectively.

As of June 30, 2020, the Company had $16.4 million in unrecognized compensation cost related to non-vested stock options, which is expected to be recognized over a weighted-average period of approximately 1.8 years.

Restricted Stock Units

In May 2017, the Company commenced issuing RSUs to certain employees and Board members under the 2017 Employment Inducement Incentive Award Plan.

The fair value of the RSUs is determined on the date of grant. The Company will record compensation expense in the consolidated statement of operations on a straight-line basis over the vesting period for RSUs. The vesting period for employees and members of the Board of Directors ranges from one to four years.

Activity under the RSUs is as follows:

		Weighted-Average
		Grant Date
	RSUs	Fair Value Per RSU
Balance at December 31, 2019	1,483,558	$	54.13
Granted	342,383	$	125.69
Vested and issued	(565,724)	$	52.11
Forfeited	(73,072)	$	52.17
Balance at June 30, 2020	1,187,145	$	58.82
Vested and unissued at June 30, 2020	13,755	$	50.90
Non-vested at June 30, 2020	1,173,390	$	58.91

The total grant-date fair value of RSU’s granted during the quarter ended June 30, 2020 and 2019 were $3.5 million and $6.8 million, respectively. The total grant-date fair value of RSUs granted during the six months ended June 30, 2020 and 2019 were $43.0 million and $56.5 million, respectively.

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the RSU’s of $11.3 million and $7.8 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the RSUs of $20.7 million and $12.8 million, respectively.

As of June 30, 2020, the Company had $74.8 million in unrecognized compensation cost related to non-vested RSUs, which is expected to be recognized over a weighted-average period of approximately 1.8 years.

Performance Stock Units

The Company began issuing grants Performance Stock Units (“PSUs”) to employees under the Plan in 2018. Stock-based compensation costs associated with our PSUs are initially determined using the fair market value of the Company's common stock on the date the awards are approved by the Compensation Committee of the Board of Directors (service inception date). The vesting of these PSU is subject to certain performance conditions and a service requirement ranging from 1-3 years. Until the performance conditions are met, stock compensation costs associated with these PSU reflect the estimated performance attainment on the reporting date. The ultimate number of PSUs that are issued to an employee is the result of the actual performance of the Company at the end of the performance period compared to the performance conditions and can range from 50% to 200% of the initial grant. Stock compensation expense for PSUs is recognized on an accelerated tranche by tranche basis for performance-based awards. Forfeitures are accounted for at the time the occur consistent with Company policy.

Activity under the PSU is as follows:

		Weighted-Average
		Grant Date
	Shares	Fair Value Per Share
Balance at December 31, 2019	512,482	$	62.51
Granted	111,199	$	117.81
Vested and issued	(186,455)	$	62.02
Balance at June 30, 2020	437,226	$	76.78
Vested and unissued at June 30, 2020	0	$	0
Non-vested at June 30, 2020	437,226	$	76.78

No PSUs were granted during the quarter ended June 30, 2020 and 2019. The total grant-date fair value of PSU’s granted during the six months ended June 30, 2020 and 2019 were $13.1 million and $28.5 million, respectively

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the PSU of $6.2 million and $4.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the PSUs of $10.9 million and $6.9 million, respectively.

As of June 30, 2020, the Company had $28.4 million in unrecognized compensation cost related to non-vested PSU, which is expected to be recognized over a weighted-average period of approximately 1.6 years.

Employee Stock Purchase Plan

In July 2015, the Company adopted the 2015 Employee Stock Purchase Plan, or ESPP, in connection with its initial public offering. A total of 832,492 shares of common stock were reserved for issuance under this plan as of June 30, 2020. The Company’s ESPP permits eligible employees to purchase common stock at a discount through payroll deductions during defined offering periods. Under the ESPP, the Company may specify offerings with durations of not more than 27 months and may specify shorter purchase periods within each offering. Each offering will have one or more purchase dates on which shares of its common stock will be purchased for employees participating in the offering. An offering may be terminated under certain circumstances. The price at which the stock is purchased is equal to the lower of 85% of the fair market value of the common stock at the beginning of an offering period or on the date of purchase.

During the quarter ended June 30, 2020 and 2019, the Company issued 35,901 shares and 35,716 shares, respectively, under the ESPP. As of June 30, 2020, 519,366 shares remained available for issuance.

For the quarter ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the ESPP of $0.5 million and $0.2 million, respectively. For the six months ended June 30, 2020 and 2019, the Company recorded stock-based compensation expense related to the ESPP of $0.9 million and $0.5 million, respectively

As of June 30, 2020, the Company had $0.8 million in unrecognized compensation cost related to the ESPP, which is expected to be recognized over a weighted-average period of approximately 0.4 years.

Total compensation costs charged as an expense for stock-based awards, including stock options, RSUs, PSUs and ESPP, recognized in the components of operating expenses are as follows (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Administrative and marketing	$	1,544	$	1,317	$	2,803	$	2,138
Sales		3,271		2,528		6,190		4,658
Technology and development		2,559		2,141		4,663		4,039
General and administrative		14,554		11,382		26,587		20,056
Total stock-based compensation expense	$	21,928	$	17,368	$	40,243	$	30,891

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Income Taxes

6 Months Ended

Jun. 30, 2020

Income Taxes

Income Taxes

Note 14. Income Taxes

As a result of the Company’s history of net operating losses (“NOL”), the Company has provided for a full valuation allowance against its deferred tax assets for assets that are not more-likely-than-not to be realized. For the quarter and six months ended June 30, 2020, the Company recognized an income tax benefit of $(2.4) million and $(3.1) million, respectively, primarily due to the amortization of acquired intangibles and stock compensation deductions. For the quarter and six months ended June 30, 2019, the Company recognized an income tax expense of $0.1 million and $0.8 million, respectively, related to certain United States and foreign income, as well as amortization of tax-deductible goodwill, which partially benefits the realization of its indefinite lived NOL in the United States.

Beginning with the quarter ended March 31, 2018, the Company is calculating tax expense based on the U.S. statutory rate of 21%. The US Federal tax law includes a Base Erosion Anti-Abuse Tax, commonly referred to as BEAT, which imposes a minimum tax on certain deductible payments or accruals made to foreign affiliates in tax years beginning after December 31, 2017. The Company has determined that it is currently not subject to BEAT. US Federal tax law imposes a minimum tax on global intangible low-taxed income, commonly referred to as GILTI. The Company does not expect to recognize any tax expense related to GILTI as it has net operating losses available and a full valuation allowance. In addition, US Tax law imposes an interest expense limitation which disallows a portion of the interest deduction based on EBITDA. While the disallowed interest deduction is deferred, there is no impact to tax expense due to the current year taxable loss and related valuation allowance.

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Subsequent Events

6 Months Ended

Jun. 30, 2020

Subsequent Events

Subsequent Events

Note 15. Subsequent Events

On July 1, 2020, the Company completed the acquisition of InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and health systems. The purchase price was $1,076.4 million consisting of $157.5 million of cash and 4.6 million shares of Teladoc Health’s common stock valued at approximately $918.9 million on July 1, 2020.

.

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Basis of Presentation and Principles of Consolidations (Policies)

6 Months Ended

Jun. 30, 2020

Basis Of Presentation And Principles Of Consolidation

Basis of Presentation and Principles of Consolidation

Basis of Presentation and Principles of Consolidation

The accompanying unaudited consolidated financial statements of the Company have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (the “SEC”) regarding interim financial reporting. In the opinion of the Company’s management, the accompanying unaudited consolidated financial statements contain all adjustments (consisting of normal recurring accruals and adjustments) necessary to present fairly the financial position, results of operations and cash flows of the Company at the dates and for the periods indicated. The interim results for the quarter and six months ended June 30, 2020 are not necessarily indicative of results for the full 2020 calendar year or any other future interim periods. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the consolidated financial statements and accompanying notes included in the Company’s Form 10-K for the year ended December 31, 2019

The unaudited consolidated financial statements include the results of Teladoc Health, its wholly owned subsidiaries, as well as two professional associations, eleven professional corporations and a service corporation (the “Association”).

Teladoc Physicians, P.A. became Teladoc Health Medical Group, P.A. on January 1, 2020. Teladoc Health Medical Group, P.A. is party to several services agreements by and among it and the professional corporations pursuant to which each professional corporation provides services to Teladoc Health Medical Group, P.A. Each professional corporation is established pursuant to the requirements of its respective domestic jurisdiction governing the corporate practice of medicine.

The Company holds a variable interest in the Association which contracts with physicians and other health professionals in order to provide services to Teladoc Health. The Association is considered a variable interest entity (“VIE”) since it does not have sufficient equity to finance its activities without additional subordinated financial support. An enterprise having a controlling financial interest in a VIE, must consolidate the VIE if it has both power and benefits—that is, it has (1) the power to direct the activities of a VIE that most significantly impact the VIE’s economic performance (power) and (2) the obligation to absorb losses of the VIE that potentially could be significant to the VIE or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). The Company has the power and rights to control all activities of the Association and funds and absorbs all losses of the VIE.

Total revenue and net (loss) income for the VIE were $57.7 million and $0.9 million, respectively, for the quarter ended June 30, 2020 and $17.4 million and $(0.2) million, respectively, for the quarter ended June 30, 2019. Total revenue and net (loss) income for the VIE were $100.2 million and $0.8 million, respectively, for the six months ended June 30, 2020 and $38.5 million and $(0.3) million, respectively, for the six months ended June 30, 2019. The VIE’s total assets were $22.9 million and $13.6 million at June 30, 2020 and December 31, 2019, respectively. Total liabilities for the VIE were $59.8 million and $51.3 million at June 30, 2020 and December 31, 2019, respectively. The VIE’s total stockholders’ deficit was $36.9 million and $37.7 million at June 30, 2020 and December 31, 2019, respectively.

The functional currency for each of the Company’s foreign subsidiaries is the local currency. All assets and liabilities denominated in a foreign currency are translated into U.S. dollars at the exchange rate on the balance sheet date. Revenues and expenses are translated at the weighted average exchange rate during the period. Cumulative

translation gains or losses are included in stockholders’ equity as a component of accumulated other comprehensive income (loss).

The Company operates in a single reportable segment – health services. Revenue earned by foreign operations outside of the United States were $30.5 million and $26.1 million for the quarters ended June 30, 2020 and 2019, respectively. Revenue earned by foreign operations outside of the United States were $59.9 million and $51.3 million for the six months ended June 30, 2020 and 2019, respectively. Long-lived assets from foreign operations totaled $1.6 million and $2.2 million as of June 30, 2020 and December 31, 2019, respectively.

All intercompany transactions and balances have been eliminated.

Reclassifications

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation.

Recently Issued and Adopted Accounting Pronouncements

Recently Issued Accounting Pronouncements

In December 2019, FASB issued ASU 2019-12 Simplification of Income Taxes (Topic 740). ASU 2019-12 simplifies the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The amendments also improve consistent application of and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. ASU 2019-12 is effective for public companies for annual periods beginning after December 15, 2020, including interim periods within those fiscal years. We have early adopted ASU 2019-12 on our consolidated financial statements and disclosures effective January 1, 2020, with no material impact to the financial statements.

In January 2017, the FASB issued ASU 2017-04, Goodwill Simplifications (Topic 350). ASU 2017-04 simplifies the test for goodwill impairment. The new guidance eliminates Step 2 from the goodwill impairment test as currently prescribed in the U.S. generally accepted accounting principle. This ASU is the result of the FASB project focused on simplifications to accounting for goodwill. The new guidance was effective for the first quarter of 2020 and was adopted in the quarter-ended December 31, 2019.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments. ASU 2016-13 requires an entity to utilize a new impairment model known as the current expected credit loss ("CECL") model to estimate its lifetime "expected credit loss" and record an allowance that, when deducted from the amortized cost basis of the financial asset, presents the net amount expected to be collected on the financial asset. The CECL model is expected to result in more timely recognition of credit losses. ASU 2016-13 requires new disclosures for financial assets measured at amortized cost, loans and available-for-sale debt securities. ASU 2016- 13 is effective for public companies for annual periods beginning after December 13, 2019, including interim periods within those fiscal years. The standard applies as a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is adopted. The guidance was effective and adopted in the quarter ended March 31, 2020, with no material impact to the financial statements.

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Revenue (Tables)

6 Months Ended

Jun. 30, 2020

Revenue

Schedule of disaggregation of revenue

The following table presents the Company’s revenues disaggregated by revenue source (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Subscription Access Fees:
U.S.	$	152,021	$	85,530	$	259,960	$	166,509
International		30,150		25,711		59,264		50,686
Visit Fee Revenue:
U.S. Paid Visits		39,041		15,083		69,939		33,331
U.S. Visit Fee Only		19,471		3,546		32,057		7,667
International Paid Visits		347		406		609		656
Total Revenues	$	241,030	$	130,276	$	421,829	$	258,849

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Intangible Assets, Net (Tables)

6 Months Ended

Jun. 30, 2020

Intangible Assets, Net

Schedule of finite lived intangible assets

Intangible assets, net consist of the following (in thousands):

								Weighted
								Average
	Useful			Accumulated		Net Carrying		Remaining
	Life	Gross Value		Amortization		Value		Useful Life
June 30, 2020
Client relationships	2 to 20 years	$	235,906	$	(72,523)	$	163,383	12.8
Non-compete agreements	1.5 to 5 years		4,960		(4,508)		452	0.9
Trademarks	3 to 15 years		42,319		(8,524)		33,795	12.2
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		42,546		(26,702)		15,844	2.6
Intangible assets, net		$	325,931	$	(112,457)	$	213,474	11.4
December 31, 2019
Client relationships	2 to 20 years	$	237,182	$	(60,647)	$	176,535	13.1
Non-compete agreements	1.5 to 5 years		4,958		(4,260)		698	1.4
Trademarks	3 to 15 years		42,606		(7,143)		35,463	12.9
Patents	3 years		200		(200)		0	0
Internal-use software and other	3 to 5 years		34,850		(22,093)		12,757	2.3
Intangible assets, net		$	319,796	$	(94,343)	$	225,453	12.4

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Goodwill (Tables)

6 Months Ended

Jun. 30, 2020

Goodwill

Summary of goodwill

Goodwill consists of the following (in thousands):

	As of June 30,			As of December 31,
	2020		2019
Beginning balance	$	746,079	$	737,197
Additions associated with acquisitions		0		10,604
Cumulative translation adjustment		(3,765)		(1,722)
Goodwill	$	742,314	$	746,079

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Accrued Expenses and Other Current Liabilities (Tables)

6 Months Ended

Jun. 30, 2020

Accrued Expenses and Other Current Liabilities

Schedule of accrued expenses and other current liabilities

Accrued expenses and other current liabilities consist of the following (in thousands):

	As of June 30,		As of December 31,
	2020		2019
Professional fees	$	1,838	$	1,535
Consulting fees/provider fees		18,430		10,618
Client performance guarantees		3,121		3,298
Legal fees		1,820		1,077
Interest payable		2,046		838
Income tax payable		1,790		2,859
Insurance		2,480		1,263
Marketing		3,090		2,810
Operating lease liabilities - current		5,763		5,088
Earnout		5,216		0
Deferred revenue		24,813		12,466
Other		4,746		5,053
Total	$	75,153	$	46,905

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Fair Value Measurements (Tables)

6 Months Ended

Jun. 30, 2020

Fair Value Measurements

Schedule assets and liabilities measured at fair value on a recurring basis

The following tables present information about the Company’s assets and liabilities that are measured at fair value on a recurring basis using the above input categories (in thousands):

	June 30, 2020
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	1,308,843	$	0	$	0	$	1,308,843
Short-term investments	$	0	$	2,932	$	0	$	2,932
Contingent liability	$	0	$	0	$	4,990	$	4,990

	December 31, 2019
	Level 1		Level 2		Level 3		Total
Cash and cash equivalents	$	514,353	$	0	$	0	$	514,353
Short-term investments	$	0	$	2,711	$	0	$	2,711
Contingent liability	$	0	$	0	$	4,769	$	4,769

Schedule of reconciliation of company's Level 3 liabilities

The following table reconciles the beginning and ending balance of the Company’s Level 3 contingent liability:

Fair value at December 31, 2019	$	4,769
Payments		0
Change in fair value		215
Currency translation adjustment		6
Fair value at June 30, 2020	$	4,990

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Convertible Senior Notes (Tables)

6 Months Ended

Jun. 30, 2020

2027 Notes

Convertible Senior Notes

Summary of the Notes

The 2027 Notes consist of the following (in thousands):

	As of June 30,
Liability component	2020
Principal	$	1,000,000
Less: Debt discount, net (1)		(305,639)
Net carrying amount	$	694,361

(1) Included in the accompanying consolidated balance sheet within convertiable senior notes and amortized to interest expense over the expected life of the 2027 Notes using the effective interest rate method.

Schedule of total interest expense recognized related to the Notes

The following table sets forth total interest expense recognized related to the 2027 Notes (in thousands):

	Six Months Ended
	June 30,
	2020
Contractual interest expense	$	1,493
Amortization of debt discount		4,033
Total	$	5,526
Effective interest rate of the liability component		7.0	%

2025 Notes

Convertible Senior Notes

Summary of the Notes

The 2025 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	287,500	$	287,500
Less: Debt discount, net (2)		(74,989)		(81,207)
Net carrying amount	$	212,511	$	206,293

(2) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2025 Notes using the effective interest rate method.

Schedule of total interest expense recognized related to the Notes

The following table sets forth total interest expense recognized related to the 2025 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	989		$	1,002		$	1,977		$	1,977
Amortization of debt discount		3,142			2,892			6,218			5,728
Total	$	4,131		$	3,894		$	8,195		$	7,705
Effective interest rate of the liability component		7.9	%		7.9	%		7.9	%		7.9	%

2022 Notes

Convertible Senior Notes

Summary of the Notes

The 2022 Notes consist of the following (in thousands):

	As of June 30,		As of December 31,
Liability component	2020		2019
Principal	$	46,771	$	274,995
Less: Debt discount, net (3)		(5,465)		(40,878)
Net carrying amount	$	41,306	$	234,117

(3) Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2022 Notes using the effective interest rate method.

Schedule of total interest expense recognized related to the Notes

The following table sets forth total interest expense recognized related to the 2022 Notes (in thousands):

	Quarters Ended						Six Months Ended
	June 30,						June 30,
	2020			2019			2020			2019
Contractual interest expense	$	1,286		$	2,091		$	3,349		$	4,125
Amortization of debt discount		2,521			3,412			6,281			6,786
Total	$	3,807		$	5,503		$	9,630		$	10,911
Effective interest rate of the liability component		10.0	%		10.0	%		10.0	%		10.0	%

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Common Stock and Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2020

Common Stock and Stockholders'Equity

Summary of stock option activity under the Plan

Activity under the Plans is as follows (in thousands, except share and per share amounts and years):

				Weighted-
		Weighted-		Average
	Number of	Average		Remaining	Aggregate
	Shares	Exercise		Contractual	Intrinsic
	Outstanding	Price		Life in Years	Value
Balance at December 31, 2019	5,206,981	$	24.47	7.03	$	308,538
Stock option grants	10,832	$	125.65	0	$	0
Stock options exercised	(1,598,963)	$	21.00	0	$	0
Stock options forfeited	(148,655)	$	32.82	0	$	0
Balance at June 30, 2020	3,470,195	$	25.97	6.62	$	575,590
Vested or expected to vest at June 30, 2020	3,470,194	$	25.97	6.62	$	575,590
Exercisable at June 30, 2020	2,439,319	$	20.94	6.28	$	414,445

Assumptions used for estimate of fair value of options

	Six Months Ended June 30,
	2020		2019
Volatility		46.1% – 51.0%		46.9% – 47.6%
Expected life (in years)		4.3		5.2
Risk-free interest rate		0.27% - 1.64%		1.75% - 2.55%
Dividend yield		0		0
Weighted-average fair value of underlying stock options	$	49.44	$	27.34

Schedule of activity under the RSUs

Activity under the RSUs is as follows:

		Weighted-Average
		Grant Date
	RSUs	Fair Value Per RSU
Balance at December 31, 2019	1,483,558	$	54.13
Granted	342,383	$	125.69
Vested and issued	(565,724)	$	52.11
Forfeited	(73,072)	$	52.17
Balance at June 30, 2020	1,187,145	$	58.82
Vested and unissued at June 30, 2020	13,755	$	50.90
Non-vested at June 30, 2020	1,173,390	$	58.91

Schedule of activity under the PSUs

Activity under the PSU is as follows:

		Weighted-Average
		Grant Date
	Shares	Fair Value Per Share
Balance at December 31, 2019	512,482	$	62.51
Granted	111,199	$	117.81
Vested and issued	(186,455)	$	62.02
Balance at June 30, 2020	437,226	$	76.78
Vested and unissued at June 30, 2020	0	$	0
Non-vested at June 30, 2020	437,226	$	76.78

Components of operating expense charged for compensation cost expense

Total compensation costs charged as an expense for stock-based awards, including stock options, RSUs, PSUs and ESPP, recognized in the components of operating expenses are as follows (in thousands):

	Quarter Ended				Six Months Ended
	June 30,				June 30,
	2020		2019		2020		2019
Administrative and marketing	$	1,544	$	1,317	$	2,803	$	2,138
Sales		3,271		2,528		6,190		4,658
Technology and development		2,559		2,141		4,663		4,039
General and administrative		14,554		11,382		26,587		20,056
Total stock-based compensation expense	$	21,928	$	17,368	$	40,243	$	30,891

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Basis of Presentation and Principles of Consolidation - VIE (Details) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2020 USD ($)	Mar. 31, 2020 USD ($)	Jun. 30, 2019 USD ($)	Mar. 31, 2019 USD ($)	Jun. 30, 2020 USD ($) item	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)	Dec. 31, 2018 USD ($)
Variable interest entity
Number of professional associations consolidated as VIEs | item					2
Number of professional corporations consolidated as VIEs | item					11
Number of service corporations consolidated as VIEs | item					1
Revenue	$ 241,030		$ 130,276		$ 421,829	$ 258,849
Net (loss) income	(25,682)	$ (29,603)	(29,324)	$ (30,150)	(55,285)	(59,474)
Assets	2,418,828				2,418,828		$ 1,602,827
Deficit	(1,294,929)	$ (1,000,177)	(1,002,640)	$ (1,001,558)	(1,294,929)	(1,002,640)	(1,014,025)	$ (1,013,119)
Primary beneficiary
Variable interest entity
Revenue	57,700		17,400		100,200	38,500
Net (loss) income	900		$ (200)		800	$ (300)
Assets	22,900				22,900		13,600
Liabilities	59,800				59,800		51,300
Deficit	$ 36,900				$ 36,900		$ 37,700

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Basis of Presentation and Principles of Consolidation - Segment and Foreign Operations (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($) segment	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Segment Information
Number of reportable segments | segment			1
Revenue	$ 241,030	$ 130,276	$ 421,829	$ 258,849
Foreign.
Segment Information
Revenue	30,500	$ 26,100	59,900	$ 51,300
Long-lived assets	$ 1,600		$ 1,600		$ 2,200

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Revenue - Other Disclosures (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Revenue
Contract term			1 year
Payment terms			30 days
Product and Service Concentration Risk | Revenue from Contract with Customer | Subscription Access Fees
Revenue
Concentration risk (as a percent)	76.00%	85.00%	76.00%	84.00%

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Revenue - Disaggregation and Other (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Revenue
Revenue	$ 241,030	$ 130,276	$ 421,829	$ 258,849
Accounts receivable, net of allowance for doubtful accounts	76,902		76,902		$ 56,948
Net increase in deferred revenue			12,300	4,600
Member refunds issued relating to Company's direct-to-consumer behavioral health products	2,400	600	3,700	1,200
United States | Subscription Access Fees
Revenue
Revenue	152,021	85,530	259,960	166,509
United States | Paid Visits
Revenue
Revenue	39,041	15,083	69,939	33,331
United States | Visit Fee Only
Revenue
Revenue	19,471	3,546	32,057	7,667
Foreign.
Revenue
Revenue	30,500	26,100	59,900	51,300
Foreign. | Subscription Access Fees
Revenue
Revenue	30,150	25,711	59,264	50,686
Foreign. | Paid Visits
Revenue
Revenue	$ 347	$ 406	$ 609	$ 656

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Business Acquisitions (Details) $ in Millions	Apr. 30, 2019 USD ($)
MedecinDirect
Business acquisition
Consideration paid	$ 11.2

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Intangible Assets, Net - Summary (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Intangible assets
Gross Value	$ 325,931		$ 325,931		$ 319,796
Accumulated Amortization	(112,457)		(112,457)		(94,343)
Net Carrying Value	213,474		213,474		$ 225,453
Amortization expense for intangible assets	9,000	$ 9,000	$ 17,900	$ 17,700
Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			11 years 4 months 24 days		12 years 4 months 24 days
Client relationships
Intangible assets
Gross Value	235,906		$ 235,906		$ 237,182
Accumulated Amortization	(72,523)		(72,523)		(60,647)
Net Carrying Value	163,383		$ 163,383		$ 176,535
Client relationships | Minimum
Intangible assets
Useful life			2 years		2 years
Client relationships | Maximum
Intangible assets
Useful life			20 years		20 years
Client relationships | Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			12 years 9 months 18 days		13 years 1 month 6 days
Non-compete agreements
Intangible assets
Gross Value	4,960		$ 4,960		$ 4,958
Accumulated Amortization	(4,508)		(4,508)		(4,260)
Net Carrying Value	452		$ 452		$ 698
Non-compete agreements | Minimum
Intangible assets
Useful life			1 year 6 months		1 year 6 months
Non-compete agreements | Maximum
Intangible assets
Useful life			5 years		5 years
Non-compete agreements | Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			10 months 24 days		1 year 4 months 24 days
Trademarks
Intangible assets
Gross Value	42,319		$ 42,319		$ 42,606
Accumulated Amortization	(8,524)		(8,524)		(7,143)
Net Carrying Value	33,795		$ 33,795		$ 35,463
Trademarks | Minimum
Intangible assets
Useful life			3 years		3 years
Trademarks | Maximum
Intangible assets
Useful life			15 years		15 years
Trademarks | Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			12 years 2 months 12 days		12 years 10 months 24 days
Patents
Intangible assets
Gross Value	200		$ 200		$ 200
Accumulated Amortization	(200)		(200)		(200)
Net Carrying Value	0		$ 0		$ 0
Useful life			3 years		3 years
Patents | Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			0 years		0 years
Internal-use software and other
Intangible assets
Gross Value	42,546		$ 42,546		$ 34,850
Accumulated Amortization	(26,702)		(26,702)		(22,093)
Net Carrying Value	$ 15,844		$ 15,844		$ 12,757
Internal-use software and other | Minimum
Intangible assets
Useful life			3 years		3 years
Internal-use software and other | Maximum
Intangible assets
Useful life			5 years		5 years
Internal-use software and other | Weighted Average
Intangible assets
Weighted Average Remaining Useful Life			2 years 7 months 6 days		2 years 3 months 18 days

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Goodwill (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Goodwill
Beginning balance	$ 746,079	$ 737,197
Additions associated with acquisitions	0	10,604
Cumulative translation adjustment	(3,765)	(1,722)
Goodwill	$ 742,314	$ 746,079

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Leases - Other (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Mar. 01, 2020	Dec. 31, 2019
Leases
Operating lease - right-of-use assets	$ 30,440		$ 26,452
Office Lease, Santa Clara, CA
Leases
Lease term		5 years
Operating lease - right-of-use assets		$ 6,800
Operating lease liability		$ 6,800

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Accrued Expenses and Other Current Liabilities (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Accrued Expenses and Other Current Liabilities
Professional fees	$ 1,838	$ 1,535
Consulting fees/provider fees	18,430	10,618
Client performance guarantees	3,121	3,298
Legal fees	1,820	1,077
Interest payable	2,046	838
Income tax payable	1,790	2,859
Insurance	2,480	1,263
Marketing	3,090	2,810
Operating lease liabilities - current	5,763	5,088
Earnout	5,216	0
Deferred revenue	24,813	12,466
Other	4,746	5,053
Total	$ 75,153	$ 46,905

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Fair Value Measurements - Recurring (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Fair Value
Short-term investments	$ 2,932		$ 2,711
Fair Value, Assets, Level 1 to Level 2 Transfers, Amount	0	$ 0
Fair Value, Assets, Level 2 to Level 1 Transfers, Amount	0	0
Fair Value, Liabilities, Level 1 to Level 2 Transfers, Amount	0	0
Fair value assets level 3 net transfers	0	0
Fair value liabilities level 3 net transfers	0	$ 0
Recurring
Fair Value
Cash and cash equivalents	1,308,843		514,353
Short-term investments	2,932		2,711
Contingent liability	4,990		4,769
Level 1 | Recurring
Fair Value
Cash and cash equivalents	1,308,843		514,353
Short-term investments	0		0
Contingent liability	0		0
Level 2 | Recurring
Fair Value
Cash and cash equivalents	0		0
Short-term investments	2,932		2,711
Contingent liability	0		0
Level 3 | Recurring
Fair Value
Cash and cash equivalents	0		0
Short-term investments	0		0
Contingent liability	$ 4,990		$ 4,769

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Fair Value Measurements - Level 3 (Details) - Contingent Liability $ in Thousands	6 Months Ended
	Jun. 30, 2020 USD ($)
Reconciliation of Level 3 liabilities
Fair value at beginning of period	$ 4,769
Payments	0
Change in fair value	215
Currency translation adjustment	6
Fair value at end of period	$ 4,990

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Revolving Credit Facility (Details) - USD ($) $ in Millions	Jun. 30, 2020	Dec. 31, 2019	Jul. 14, 2017
Revolving Credit Facility
Letters of credit outstanding	$ 2.2
New Revolving Credit Facility
Revolving Credit Facility
Maximum borrowings			$ 10.0
Amount outstanding	$ 0.0	$ 0.0

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Convertible Senior Notes - Due 2027 - Terms (Details) $ / shares in Units, shares in Millions		6 Months Ended
	May 19, 2020 USD ($) D $ / shares shares	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)
Convertible Senior Notes
Net proceeds from offering | $		$ 1,000,000,000	$ 0
Offering costs | $		24,070,000	$ 0
2027 Notes
Convertible Senior Notes
Face amount | $	$ 1,000,000,000	$ 1,000,000,000
Interest rate (as a percent)	1.25%
Net proceeds from offering | $	$ 975,900,000
Offering costs | $	24,100,000
Principal multiple amount used in the conversion of the debt instrument | $	$ 1,000
Minimum percentage of common stock price as a percentage of the conversion price	130.00%
Convertible debt, threshold, trading days | D	20
Convertible debt, threshold, consecutive trading days | D	30
Convertible debt, number of business days, measurement period | D	5
Convertible debt, number of consecutive trading days, measurement period | D	10
Trading price expressed as a percentage of the last reported sales price and conversion rate after the specified consecutive trading day period	98.00%
Convertible debt, conversion rate	4.1258
Convertible debt, conversion price (in dollars per share) | $ / shares	$ 242.38
Trading day observation period used to determine the amount of cash and shares, if any, that are due upon conversion | D	25
Debt term	7 years
Convertible debt, equity component | $	$ 286,000,000
Shares reserved for issuance (in shares) | shares	5.4
2027 Notes | On or after June 5, 2024
Convertible Senior Notes
Minimum percentage of common stock price as a percentage of the conversion price	130.00%
Convertible debt, threshold, trading days | D	20
Convertible debt, threshold, consecutive trading days | D	30

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Convertible Senior Notes - Due 2027 - Summary (Details) - 2027 Notes - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	May 19, 2020
Convertible Senior Notes
Principal	$ 1,000,000	$ 1,000,000
Less: Debt discount, net	(305,639)
Net carrying amount	$ 694,361
Remaining contractual life	6 years 10 months 24 days
Interest Expense
Contractual interest expense	$ 1,493
Amortization of debt discount	4,033
Total	$ 5,526
Effective interest rate of the liability component (as a percent)	7.00%
Level 2
Convertible Senior Notes
Fair value	$ 1,103,300

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Convertible Senior Notes - Due 2025 - Terms (Details)		6 Months Ended
	May 08, 2018 USD ($) D item $ / shares	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Convertible Senior Notes
Net proceeds from offering		$ 1,000,000,000	$ 0
Offering costs		24,070,000	$ 0
2025 Notes
Convertible Senior Notes
Face amount	$ 287,500,000	$ 287,500,000		$ 287,500,000
Interest rate (as a percent)	1.375%
Net proceeds from offering	$ 279,100,000
Offering costs	8,400,000
Principal multiple amount used in the conversion of the debt instrument	$ 1,000
Convertible debt, conversion rate	18.6621
Convertible debt, conversion price (in dollars per share) | $ / shares	$ 53.58
Trading day observation period used to determine the amount of cash and shares, if any, that are due upon conversion | item	25
Convertible debt, equity component	$ 91,400,000
Debt term	7 years
2025 Notes | At any time prior to close of business on the business day immediately preceding November 15, 2024
Convertible Senior Notes
Principal multiple amount used in the conversion of the debt instrument	$ 1,000
Convertible debt, threshold, trading days | D	20
Convertible debt, threshold, consecutive trading days | D	30
Minimum percentage of common stock price as a percentage of the conversion price	130.00%
Convertible debt, number of business days, measurement period | D	5
Convertible debt, number of consecutive trading days, measurement period | D	10
Trading price expressed as a percentage of the last reported sales price and conversion rate after the specified consecutive trading day period	98.00%
2025 Notes | On or after May 22, 2022
Convertible Senior Notes
Convertible debt, threshold, trading days | D	20
Convertible debt, threshold, consecutive trading days | D	30
Minimum percentage of common stock price as a percentage of the conversion price	130.00%

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Convertible Senior Notes - Due 2025 - Summary (Details) - 2025 Notes - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019	May 08, 2018
Convertible Senior Notes
Principal	$ 287,500		$ 287,500		$ 287,500	$ 287,500
Less: Debt discount, net	(74,989)		(74,989)		(81,207)
Net carrying amount	212,511		$ 212,511		$ 206,293
Remaining contractual life			4 years 10 months 24 days
Interest Expense
Contractual interest expense	989	$ 1,002	$ 1,977	$ 1,977
Amortization of debt discount	3,142	2,892	6,218	5,728
Total	$ 4,131	$ 3,894	$ 8,195	$ 7,705
Effective interest rate of the liability component (as a percent)	7.90%	7.90%	7.90%	7.90%
Level 2
Convertible Senior Notes
Fair value	$ 1,023,900		$ 1,023,900

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Convertible Senior Notes - Due 2022 - Terms (Details) $ / shares in Units, shares in Millions			3 Months Ended		6 Months Ended
	May 19, 2020 USD ($) shares	Jun. 27, 2017 USD ($) D item $ / shares	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Convertible Senior Notes
Loss on extinguishment of debt			$ (7,751,000)	$ 0	$ (7,751,000)	$ 0
Net proceeds from offering					1,000,000,000	0
Offering costs					24,070,000	$ 0
2022 Notes
Convertible Senior Notes
Principal amount of debt exchanged for shares of the Company's common stock in private placement transactions	$ 228,200,000
Face amount		$ 275,000,000	$ 46,771,000		$ 46,771,000		$ 274,995,000
Shares issued for exchange of debt | shares	3.9
Loss on extinguishment of debt	$ 7,700,000
Interest rate (as a percent)		3.00%
Net proceeds from offering		$ 263,700,000
Offering costs		11,300,000
Principal multiple amount used in the conversion of the debt instrument		$ 1,000
Convertible debt, conversion rate		22.7247
Convertible debt, conversion price (in dollars per share) | $ / shares		$ 44.00
Trading day observation period used to determine the amount of cash and shares, if any, that are due upon conversion | item		25
Debt term		5 years 6 months
Convertible debt, equity component		$ 62,400,000
At any time prior to close of business on the business day immediately preceding June 15, 2022 | 2022 Notes
Convertible Senior Notes
Principal multiple amount used in the conversion of the debt instrument		$ 1,000
Convertible debt, threshold, trading days | D		20
Convertible debt, threshold, consecutive trading days | D		30
Minimum percentage of common stock price as a percentage of the conversion price		130.00%
Convertible debt, number of business days, measurement period | D		5
Convertible debt, number of consecutive trading days, measurement period | D		10
Trading price expressed as a percentage of the last reported sales price and conversion rate after the specified consecutive trading day period		98.00%
On or after December 22, 2020 | 2022 Notes
Convertible Senior Notes
Convertible debt, threshold, trading days | D		20
Convertible debt, threshold, consecutive trading days | D		30
Minimum percentage of common stock price as a percentage of the conversion price		130.00%

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Convertible Senior Notes - Due 2022 - Summary (Details) - 2022 Notes - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019	Jun. 27, 2017
Convertible Senior Notes
Principal	$ 46,771		$ 46,771		$ 274,995	$ 275,000
Less: Debt discount, net	(5,465)		(5,465)		(40,878)
Net carrying amount	41,306		$ 41,306		$ 234,117
Remaining contractual life			2 years 6 months
Interest Expense
Contractual interest expense	1,286	$ 2,091	$ 3,349	$ 4,125
Amortization of debt discount	2,521	3,412	6,281	6,786
Total	$ 3,807	$ 5,503	$ 9,630	$ 10,911
Effective interest rate of the liability component (as a percent)	10.00%	10.00%	10.00%	10.00%
Level 2
Convertible Senior Notes
Fair value	$ 203,300		$ 203,300

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Convertible Senior Notes - Due 2022 - Other (Details) $ / shares in Units, shares in Millions			3 Months Ended		6 Months Ended
	May 19, 2020 USD ($) shares	Jun. 27, 2017 USD ($) D item $ / shares	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Jun. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Convertible Senior Notes
Loss on extinguishment of debt			$ (7,751,000)	$ 0	$ (7,751,000)	$ 0
Net proceeds from offering					1,000,000,000	0
Offering costs					24,070,000	$ 0
2022 Notes
Convertible Senior Notes
Principal amount of debt exchanged for shares of the Company's common stock in private placement transactions	$ 228,200,000
Payment of cash for repurchase of convertible debt	$ 231,100,000
Shares issued for exchange of debt | shares	3.9
Loss on extinguishment of debt	$ 7,700,000
Face amount		$ 275,000,000	$ 46,771,000		$ 46,771,000		$ 274,995,000
Interest rate (as a percent)		3.00%
Net proceeds from offering		$ 263,700,000
Offering costs		11,300,000
Principal multiple amount used in the conversion of the debt instrument		$ 1,000
Convertible debt, conversion rate		22.7247
Convertible debt, conversion price (in dollars per share) | $ / shares		$ 44.00
Trading day observation period used to determine the amount of cash and shares, if any, that are due upon conversion | item		25
Debt term		5 years 6 months
Convertible debt, equity component		$ 62,400,000
2022 Notes | At any time prior to close of business on the business day immediately preceding June 15, 2022
Convertible Senior Notes
Principal multiple amount used in the conversion of the debt instrument		$ 1,000
Convertible debt, threshold, trading days | D		20
Convertible debt, threshold, consecutive trading days | D		30
Minimum percentage of common stock price as a percentage of the conversion price		130.00%
Convertible debt, number of business days, measurement period | D		5
Convertible debt, number of consecutive trading days, measurement period | D		10
Trading price expressed as a percentage of the last reported sales price and conversion rate after the specified consecutive trading day period		98.00%
2022 Notes | On or after December 22, 2020
Convertible Senior Notes
Convertible debt, threshold, trading days | D		20
Convertible debt, threshold, consecutive trading days | D		30
Minimum percentage of common stock price as a percentage of the conversion price		130.00%

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Common Stock and Stockholders' Equity - Capitalization (Details) - shares	Jun. 30, 2020	Dec. 31, 2019	May 31, 2018	May 30, 2018
Common Stock and Stockholders'Equity
Number of common stock shares authorized	150,000,000	150,000,000	150,000,000	100,000,000

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Common Stock and Stockholders' Equity - Stock Plan and Stock Options (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Stock options
Common Stock and Stockholders' Equity
Shares available for grant	8,179,285		8,179,285
Stock options | Maximum
Common Stock and Stockholders' Equity
Exercisable period (in years)			10 years
2015 Incentive Award Plan
Number of Shares Outstanding
Balance, beginning of period (in shares)			5,206,981
Stock option grants (in shares)			10,832
Stock option exercised (in shares)			(1,598,963)
Stock options forfeited (in shares)			(148,655)
Balance, end of period (in shares)	3,470,195		3,470,195		5,206,981
Vested or expected to vest at end of period (in shares)	3,470,194		3,470,194
Exercisable as of end of period (in shares)	2,439,319		2,439,319
Weighted-Average Exercise Price
Balance, beginning of period (in dollars per share)			$ 24.47
Stock option grants (in dollars per share)			125.65
Stock option exercised (in dollars per share)			21.00
Stock options forfeited (in dollars per share)			32.82
Balance, end of period (in dollars per share)	$ 25.97		25.97		$ 24.47
Vested or expected to vest at end of period (in dollars per share)	25.97		25.97
Exercisable as of end of period (in dollars per share)	$ 20.94		$ 20.94
Weighted-average remaining contractual life in Years
Weighted-average remaining contractual life (in years)			6 years 7 months 13 days		7 years 10 days
Vested or expected to vest at end of period (in years)			6 years 7 months 13 days
Exercisable as of end of period (in years)			6 years 3 months 10 days
Aggregate Intrinsic Value
Aggregate Intrinsic Value	$ 575,590		$ 575,590		$ 308,538
Vested or expected to vest at end of period	575,590		575,590
Exercisable as of end of period	414,445		414,445
Grant-date fair value of stock options granted during the period	$ 200	$ 1,200	$ 500	$ 2,400

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Common Stock and Stockholders' Equity - Vesting (Details) - Employee	6 Months Ended
	Jun. 30, 2020
Stock options
Common Stock and Stockholders' Equity
Vesting period	4 years
RSUs
Common Stock and Stockholders' Equity
Vesting period	3 years

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Common Stock and Stockholders' Equity - Fair Value Assumptions (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Other disclosures
Compensation expense	$ 21,928	$ 17,368	$ 40,243	$ 30,891
Stock options
Fair value assumptions
Volatility, minimum (as a percent)			46.10%	46.90%
Volatility, maximum (as a percent)			51.00%	47.60%
Expected life (in years)			4 years 3 months 18 days	5 years 2 months 12 days
Risk-free interest rate, minimum			0.27%	1.75%
Risk-free interest rate, maximum			1.64%	2.55%
Dividend yield (as a percent)			0.00%	0.00%
Weighted-average fair value of the underlying stock options			$ 49.44	$ 27.34
Other disclosures
Compensation expense	4,200	$ 5,200	$ 8,100	$ 10,700
Unrecognized compensation cost	$ 16,400		$ 16,400
Period over which unrecognized compensation cost is expected to be recognized			1 year 9 months 18 days

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Common Stock and Stockholders' Equity - Restricted Stock Units (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Other disclosures
Stock-based compensation	$ 21,928	$ 17,368	$ 40,243	$ 30,891
RSUs
Shares
Outstanding at beginning of period (in shares)			1,483,558
Granted (in shares)			342,383
Vested and issued (in shares)			(565,724)
Forfeited (in shares)			(73,072)
Outstanding at end of period (in shares)	1,187,145		1,187,145
Vested and unissued (in shares)	13,755		13,755
Nonvested (in shares)	1,173,390		1,173,390
Weighted-Average Grant Date Fair Value Per Share
Outstanding at beginning of period (in dollars per share)			$ 54.13
Granted (in dollars per share)			125.69
Vested and issued (in dollars per share)			52.11
Forfeited (in dollars per share)			52.17
Outstanding at end of period (in dollars per share)	$ 58.82		58.82
Vested and unissued (in dollars per share)	50.90		50.90
Non-vested (in dollars per share)	$ 58.91		$ 58.91
Other disclosures
Grant date fair value of RSUs granted	$ 3,500	6,800	$ 43,000	56,500
Stock-based compensation	11,300	$ 7,800	20,700	$ 12,800
Unrecognized compensation cost related to non vested	$ 74,800		$ 74,800
Period over which unrecognized compensation cost is expected to be recognized			1 year 9 months 18 days
Minimum | RSUs
Common Stock and Stockholders' Equity
Vesting period			1 year
Maximum | RSUs
Common Stock and Stockholders' Equity
Vesting period			4 years
Employee | RSUs
Common Stock and Stockholders' Equity
Vesting period			3 years

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Common Stock and Stockholders' Equity - Performance Stock Units (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Other disclosures
Stock-based compensation	$ 21,928	$ 17,368	$ 40,243	$ 30,891
PSUs
Shares
Outstanding at beginning of period (in shares)			512,482
Granted (in shares)	0	0	111,199
Vested and issued (in shares)			(186,455)
Outstanding at end of period (in shares)	437,226		437,226
Vested and unissued (in shares)	0		0
Nonvested (in shares)	437,226		437,226
Weighted-Average Grant Date Fair Value Per Share
Outstanding at beginning of period (in dollars per share)			$ 62.51
Granted (in dollars per share)			117.81
Vested and issued (in dollars per share)			62.02
Outstanding at end of period (in dollars per share)	$ 76.78		76.78
Vested and unissued (in dollars per share)	0		0
Non-vested (in dollars per share)	$ 76.78		$ 76.78
Other disclosures
Grant date fair value of PSUs granted			$ 13,100	28,500
Stock-based compensation	$ 6,200	$ 4,200	10,900	$ 6,900
Unrecognized compensation cost related to non vested	$ 28,400		$ 28,400
Period over which unrecognized compensation cost is expected to be recognized			1 year 7 months 6 days
PSUs | Minimum
Common Stock and Stockholders' Equity
Vesting period			1 year
Actual performance compared to performance conditions percentage			50.00%
PSUs | Maximum
Common Stock and Stockholders' Equity
Vesting period			3 years
Actual performance compared to performance conditions percentage			200.00%

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Common Stock and Stockholders' Equity - Employee Stock Purchase Plan (Details) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended		6 Months Ended
	Jul. 31, 2015	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Employee Stock Purchase Plan
Stock-based compensation		$ 21,928	$ 17,368	$ 40,243	$ 30,891
ESPP
Employee Stock Purchase Plan
Shares reserved for issuance under the plan (in shares)		832,492		832,492
Maximum offering period	27 months
Stock purchase price as a percentage of fair value (as a percent)	85.00%
Issuance of stock under employee stock purchase plan (in shares)		35,901	35,716
Remaining shares available for issuance under the plan (in shares)		519,366		519,366
Stock-based compensation		$ 500	$ 200	$ 900	$ 500
Unrecognized compensation cost		$ 800		$ 800
Period over which unrecognized compensation cost is expected to be recognized				4 months 24 days

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Common Stock and Stockholders' Equity - Compensation Costs (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Compensation costs charged as an expense
Stock-based compensation	$ 21,928	$ 17,368	$ 40,243	$ 30,891
Administrative And Marketing
Compensation costs charged as an expense
Stock-based compensation	1,544	1,317	2,803	2,138
Sales
Compensation costs charged as an expense
Stock-based compensation	3,271	2,528	6,190	4,658
Technology And Development
Compensation costs charged as an expense
Stock-based compensation	2,559	2,141	4,663	4,039
General and administrative expenses
Compensation costs charged as an expense
Stock-based compensation	$ 14,554	$ 11,382	$ 26,587	$ 20,056

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Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Income Taxes
Income tax (benefit) expense	$ (2,399)	$ 90	$ (3,110)	$ 832
Corporate tax rate (as a percent)			21.00%

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Subsequent Events (Details) - Subsequent Event - InTouch Technologies, Inc. shares in Millions, $ in Millions	Jul. 01, 2020 USD ($) shares
Subsequent events
Purchase price	$ 1,076.4
Cash consideration	$ 157.5
Equity consideration (in shares) | shares	4.6
Equity consideration	$ 918.9