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8-K - 8-K - Teladoc Health, Inc.f8-k.htm

Exhibit 99.1

 

Picture 1

 

Teladoc Announces Second Quarter 2018 Results

 

2Q 2018 Revenue of $94.6 million, growth of 112%

 

Total Paid Membership of 22.5 million, growth of 48%

 

2Q 2018 Total Visits of 533,000, growth of 72%

 

PURCHASE, NY, August 1, 2018 — Teladoc, Inc. (NYSE:TDOC), the global leader in virtual care, today announced results for the second quarter ended June 30, 2018.

 

“Teladoc saw another strong quarter financially and operationally as we met or exceeded our expectations across the board. I’m particularly pleased that we made significant early progress on the integration of Advance Medical, which empowers consumers to access high quality healthcare seamlessly around the world,” said Jason Gorevic, Teladoc’s chief executive officer. “As we enter the second half of the year, I am excited by the breadth of our pipeline, our prospects’ level of enthusiasm around our full clinical suite, and the changes coming out of Washington D.C. which all serve as further evidence that virtual care is an invaluable component of the healthcare delivery system of the future."

Financial Performance for the Second Quarter Ended June 30, 2018

 

All comparisons are to the second quarter ended June 30, 2017. Organic growth figures are calculated removing the  effect of the Best Doctors and Advance Medical acquistions.

 

·

Total revenue was $94.6 million (including $26.7 million from Best Doctors and $6.2 million from Advance Medical) for the second quarter 2018 compared to $44.6 million, an increase of 112%. Organic revenue growth was 39%.  

o

Revenue from Subscription Access Fees was $79.8 million for the second quarter 2018 compared to $37.5 million, an increase of 113%.

§

Revenue from U.S. Subscription Access Fees for the second quarter 2018 was $65.1 million compared to $37.5 million, an increase of 74%. Organic U.S. Subscription Access Fee revenue growth for the second quarter 2018 compared to the same period last year was 35%.

§

Revenue from International Subscription Access Fees for the second quarter 2018 was $14.7 million compared to none in the same period last year. 

o

Revenue from Visits was $14.8 million for the second quarter 2018 compared to $7.1 million, an increase of 107%.

§

Revenue from General Medical Visits (including dermatology and behavioral health) was $12.9 million for the second quarter 2018 compared to $7.1 million in the same period last year.

§

Revenue from Other Specialty Visits (principally expert medical opinions) was $1.9 million for the second quarter 2018 compared to none in the same period last year.

·

Total visits from U.S. Paid Membership were 436,000 for the second quarter 2018 compared to 309,000, an increase of 41%.

o

Second quarter 2018 paid visits totaled 218,000, or 50% of total visits from U.S. paid membership, compared to 170,000 second quarter 2017 paid visits, or 55% of total visits from U.S. paid membership.

·

Total visits from U.S. Visit Fee Only Access, which was launched on January 1, 2018, were 36,000.

·

Total U.S. paid membership was 22.5 million, an increase of 48% compared to the second quarter 2017 U.S. paid membership of 15.2 million (adjusted for 5.3 million Aetna and Amerigroup visit fee only lives). Organic U.S. paid membership growth for the second quarter 2018 was 23%.

·

Total U.S. Visit Fee Only access, which was launched on January 1, 2018, was available to 9.6 million individuals.


 

·

Gross margin was 70.7% for the second quarter 2018 compared to 77.5% for the second quarter 2017.

·

Net loss was $(25.1) million for the second quarter 2018 compared to $(15.4) million for the second quarter 2017.

·

Net loss per basic and diluted share was $(0.40) for the second quarter 2018 compared to a net loss per share of $(0.28) for the second quarter 2017.

·

EBITDA was a loss of $(10.1) million for the second quarter 2018 compared to a loss of $(11.8) million for the second quarter 2017.

·

Adjusted EBITDA improved to a positive $2.7 million for the second quarter 2018 compared to a loss of $(5.1) million for the second quarter 2017.

 

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

 

Business Outlook

 

Third Quarter 2018 Guidance: Revenue for the third quarter 2018 is expected to be in the range of $106 million to $108 million. EBITDA is expected to be in the range of a loss of $(7) million to a loss of $(9) million. Adjusted EBITDA is expected to be positive in the range of $4 million to $6 million. Total U.S. paid membership is expected to be in the range of 23.0 million to 23.5 million and visit fee only access is expected to be in the range of 9.6 million to 9.7 million individuals at September 30, 2018. Total visits are projected to be between 600,000 and 650,000 visits. Third quarter net loss per share, based on 68.3 million weighted average shares outstanding, is expected to be between $(0.37) and $(0.39).

 

Full Year 2018 Guidance: Revenue for 2018 is expected to be in the range of $405 million to $410 million. EBITDA is expected to be in the range of a loss of $(36) million to a loss of $(40) million. Adjusted EBITDA is expected to be positive in the range of $11 million to $13 million. Total U.S. paid membership is expected to be in the range of 23 million to 24 million and visit fee only access is expected to be available to approximately 10 million individuals. Total visits are projected to be between 2.5 million to 2.6 million visits. Net loss per share, based on 66 million weighted average shares outstanding, is expected to be between $(1.48) and $(1.52).

 

Quarterly Conference Call

 

The second quarter 2018 earnings conference call and webcast will be held Wednesday, August 1, 2018 at 5:00 p.m. ET. The conference call can be accessed by dialing 1-833-241-4255 for U.S. participants, or 1-647-689-4206 for international participants, and including the following Conference ID Number: 3399134 to expedite caller registration; or via a live audio webcast available online at http://ir.teladoc.com/news-and-events/events-and-presentations/. A webcast replay will be available for on-demand listening shortly after the completion of the call at the same web link.

 

2018 Investor Day

 

The company will host Investor Day on Thursday, September 27, 2018 at 10:00 AM ET in New York, NY. To RSVP or for further information, please contact Kelsey Turcotte at KTurcotte@teladoc.com or 914-265-6706.

 

About Teladoc, Inc.

 

Teladoc, Inc. (NYSE:TDOC) is the global leader in virtual care. A mission-driven organization, Teladoc is successfully expanding access to high quality healthcare, lowering costs and improving outcomes around the world. The company’s award winning, integrated clinical solutions are inclusive of telehealth, expert medical opinions, AI and analytics, and licensable platform services. With more than 2,000 employees, the organization delivers care in 125 countries and in more than 20 languages, partnering with employers, hospitals and health systems, and insurers to transform care delivery. For more information, please visit www.teladoc.com or follow @Teladoc on Twitter.

 

Cautionary Note Regarding Forward-Looking Statements

 

This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as:


 

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

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

 

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


 

CONSOLIDATED BALANCE SHEETS

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

 

 

 

 

 

 

 

 

 

 

June 30,

 

December 31,

 

 

2018

    

2017

 

 

 

 

 

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

105,804

 

$

42,817

Short-term investments

 

 

26,559

 

 

79,489

Accounts receivable, net of allowance of $3,045 and $2,422, respectively

 

 

38,100

 

 

27,094

Prepaid expenses and other current assets

 

 

8,396

 

 

6,839

Total current assets

 

 

178,859

 

 

156,239

Property and equipment, net

 

 

10,034

 

 

8,963

Goodwill

 

 

745,280

 

 

498,520

Intangible assets, net

 

 

264,677

 

 

159,811

Other assets

 

 

1,059

 

 

858

Total assets

 

$

1,199,909

 

$

824,391

Liabilities and stockholders’ equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

5,545

 

$

3,884

Accrued expenses and other current liabilities

 

 

27,936

 

 

19,357

Accrued compensation

 

 

23,538

 

 

17,089

Total current liabilities

 

 

57,019

 

 

40,330

Other liabilities

 

 

5,579

 

 

4,882

Deferred taxes

 

 

35,175

 

 

12,906

Convertible senior notes, net

 

 

402,755

 

 

207,370

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Common stock, $0.001 par value; 150,000,000 and 100,000,000 shares authorized as of June 30, 2018 and December 31, 2017, respectively; 64,303,938 shares and 61,534,101 shares issued and outstanding as of June 30, 2018 and December 31, 2017, respectively

 

 

64

 

 

61

Additional paid-in capital

 

 

1,062,362

 

 

866,330

Accumulated deficit

 

 

(360,517)

 

 

(311,577)

Accumulated other comprehensive income (loss)

 

 

(2,528)

 

 

4,089

Total stockholders’ equity

 

 

699,381

 

 

558,903

Total liabilities and stockholders’ equity

 

$

1,199,909

 

$

824,391


 

 

CONSOLIDATED STATEMENTS OF OPERATIONS

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended June 30,

 

Six Months Ended June 30,

 

 

 

 

2018

 

2017

 

2018

 

2017

 

 

Revenue

    

$

94,560

    

$

44,591

    

$

184,204

    

$

87,489

    

 

Cost of revenue

 

 

27,684

 

 

10,026

 

 

54,540

 

 

22,165

 

 

Gross profit

 

 

66,876

 

 

34,565

 

 

129,664

 

 

65,324

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advertising and marketing

 

 

19,561

 

 

12,278

 

 

39,886

 

 

24,894

 

 

Sales

 

 

14,559

 

 

7,324

 

 

28,342

 

 

15,312

 

 

Technology and development

 

 

14,348

 

 

7,537

 

 

27,252

 

 

14,049

 

 

Legal

 

 

108

 

 

277

 

 

589

 

 

620

 

 

Regulatory

 

 

531

 

 

987

 

 

1,095

 

 

1,994

 

 

Acquisition and integration related costs

 

 

5,800

 

 

2,113

 

 

7,369

 

 

2,113

 

 

Gain on sale

 

 

(4,070)

 

 

 —

 

 

(4,070)

 

 

 —

 

 

General and administrative

 

 

26,140

 

 

15,873

 

 

50,141

 

 

30,361

 

 

Depreciation and amortization

 

 

8,046

 

 

2,668

 

 

16,299

 

 

5,275

 

 

Loss from operations

 

 

(18,147)

 

 

(14,492)

 

 

(37,239)

 

 

(29,294)

 

 

Interest expense, net

 

 

6,910

 

 

774

 

 

11,783

 

 

1,476

 

 

Net loss before taxes

 

 

(25,057)

 

 

(15,266)

 

 

(49,022)

 

 

(30,770)

 

 

Income tax (benefit) provision

 

 

22

 

 

149

 

 

(81)

 

 

299

 

 

Net loss

 

$

(25,079)

 

$

(15,415)

 

$

(48,941)

 

$

(31,069)

 

 

Net loss per share, basic and diluted

 

$

(0.40)

 

$

(0.28)

 

$

(0.78)

 

$

(0.58)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

62,975,535

 

 

54,572,862

 

 

62,389,902

 

 

53,389,435

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30,

 

 

 

2018

 

2017

 

Cash flows used in operating activities:

    

 

    

    

 

    

 

Net loss

 

$

(48,941)

 

$

(31,069)

 

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

Depreciation and amortization

 

 

16,299

 

 

5,275

 

Allowance for doubtful accounts

 

 

1,258

 

 

764

 

Stock-based compensation

 

 

18,891

 

 

7,662

 

Deferred income taxes

 

 

(1,258)

 

 

299

 

Accretion of interest

 

 

7,627

 

 

28

 

Gain on sale

 

 

(4,070)

 

 

 —

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

Accounts receivable

 

 

(4,027)

 

 

(1,186)

 

Prepaid expenses and other current assets

 

 

(540)

 

 

700

 

Other assets

 

 

(73)

 

 

107

 

Accounts payable

 

 

1,371

 

 

(1,085)

 

Accrued expenses and other current liabilities

 

 

(287)

 

 

1,703

 

Accrued compensation

 

 

(3,812)

 

 

(264)

 

Other liabilities

 

 

45

 

 

1,645

 

Net cash used in operating activities

 

 

(17,517)

 

 

(15,421)

 

Cash flows provided by (used in) investing activities:

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(2,015)

 

 

(1,299)

 

Purchase of internal-use software

 

 

(1,388)

 

 

(285)

 

Purchase of marketable securities

 

 

(12,141)

 

 

(34,954)

 

Proceeds from marketable securities

 

 

67,970

 

 

19,677

 

Sale of assets

 

 

5,500

 

 

 —

 

Acquisition of business, net of cash acquired

 

 

(273,535)

 

 

 —

 

Net cash used in investing activities

 

 

(215,609)

 

 

(16,861)

 

Cash flows provided by financing activities:

 

 

 

 

 

 

 

Net proceeds from the exercise of stock options

 

 

15,765

 

 

4,316

 

Proceeds from issuance of convertible notes

 

 

279,126

 

 

263,722

 

Repayment of debt

 

 

 —

 

 

(2,000)

 

Proceeds from issuance of common stock

 

 

 —

 

 

123,928

 

Proceeds from employee stock purchase plan

 

 

1,423

 

 

1,265

 

Proceeds from cash received for withholding taxes on stock-based compensation, net

 

 

500

 

 

260

 

Net cash provided by financing activities

 

 

296,814

 

 

391,491

 

Net increase in cash and cash equivalents

 

 

63,688

 

 

359,209

 

Foreign exchange difference

 

 

(701)

 

 

 —

 

Cash and cash equivalents at beginning of the period

 

 

42,817

 

 

50,015

 

Cash and cash equivalents at end of the period

 

$

105,804

 

$

409,224

 

 

 

 

 

 

 

 

 

Income taxes paid

 

$

59

 

$

 —

 

 

 

 

 

 

 

 

 

Interest paid

 

$

4,125

 

$

1,847

 

 


 

Operating Metrics

(In million, except for visits, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

Six Months Ended 

 

 

 

June 30,

 

June 30,

 

 

    

2018

    

2017

    

2018

    

2017

    

Subscription Access Fees:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S.

 

$

65,066

 

$

37,476

 

$

126,086

 

$

71,819

 

 International

 

 

14,731

 

 

 —

 

 

25,440

 

 

 —

 

Visit Fee Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S. General Medical, Dermatology and Behavioral Health

 

 

10,194

 

 

7,115

 

 

22,949

 

 

15,670

 

 Other Specialty Visit (Expert Medical Opinion and Other)

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S.

 

 

1,601

 

 

 —

 

 

3,055

 

 

 —

 

International

 

 

258

 

 

 —

 

 

425

 

 

 —

 

Visit Fee Only Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S. - General Medical

 

 

2,710

 

 

 —

 

 

6,249

 

 

 —

 

     Total Revenues

 

$

94,560

 

$

44,591

 

$

184,204

 

$

87,489

 

 


 

Non-GAAP Financial Measures:

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

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

Adjusted EBITDA consists of net loss before interest, taxes, depreciation, amortization, gain on sale of certain contracts, 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 limitation as analytical tools and you should not consider them in isolation or as a substitute for analysis of our results as reported under U.S. GAAP. Some of these limitations are:

·

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

·

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

·

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

·

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

·

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

·

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

In addition, although depreciation and amortization are non-cash charges, the assets being depreciated and amortized will often have to be replaced in the future, and EBITDA and Adjusted EBITDA do not reflect any expenditures for such replacements.

We compensate for these limitations by using EBITDA and Adjusted EBITDA along with other comparative tools, together with U.S. GAAP measurements, to assist in the evaluation of operating performance. Such U.S. GAAP measurements include gross profit, net loss, net loss per share and other performance measures.

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

 


 

Reconciliation of EBITDA and Adjusted EBITDA to Net Loss

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended 

 

Six Months Ended 

 

 

 

 

June 30,

 

June 30,

 

 

 

    

2018

    

2017

    

2018

    

2017

    

 

Net loss

 

$

(25,079)

 

$

(15,415)

 

$

(48,941)

 

$

(31,069)

 

 

Add:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

6,910

 

 

774

 

 

11,783

 

 

1,476

 

 

Income tax (benefit) provision

 

 

22

 

 

149

 

 

(81)

 

 

299

 

 

Depreciation expense

 

 

733

 

 

696

 

 

2,264

 

 

1,354

 

 

Amortization expense

 

 

7,313

 

 

1,972

 

 

14,036

 

 

3,921

 

 

EBITDA(1)

 

 

(10,101)

 

 

(11,824)

 

 

(20,939)

 

 

(24,019)

 

 

Stock-based compensation

 

 

11,060

 

 

4,565

 

 

18,891

 

 

7,662

 

 

Gain on sale

 

 

(4,070)

 

 

 —

 

 

(4,070)

 

 

 —

 

 

Acquisition and integration related costs

 

 

5,800

 

 

2,113

 

 

7,369

 

 

2,113

 

 

Adjusted EBITDA(1)

 

$

2,689

 

$

(5,146)

 

$

1,251

 

$

(14,244)

 

 

 

Media:

Courtney McLeod

914-265-6789

cmcleod@teladoc.com 

 

Investors:
Kelsey Turcotte

914-265-6706

kturcotte@teladoc.com