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

Exhibit 99.1

 

Picture 2

 

Teladoc Health Announces Third Quarter 2018 Financial Results

 

Third quarter revenue grows 62 percent year over year to $111.0 million

 

Total paid membership grows 18 percent year over year to 22.6 million

 

Third quarter total visits grow 110 percent year over year to 641,000

 

 

PURCHASE, NY, November 1, 2018 — Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today announced financial results for the third quarter ending September 30, 2018.

 

“Teladoc Health delivered very strong third quarter results. We carry significant momentum into the end of the year as demand for our comprehensive suite of virtual care services is robust across channels and geographies,” said Jason Gorevic, Teladoc Health’s chief executive officer. “We have a tremendous growth opportunity in front of us as the entry point into the health care system where individuals can go for guided access to a fully integrated, high-quality care experience."

 

Financial Results for the Third Quarter Ended September 30, 2018

 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

 

 

 

 

 

 

 

 

 

($ million)

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

Year over Year

 

 

 

September 30,

 

Growth

 

 

    

2018

    

2017

    

 

 

Subscription Access Fees Revenue

 

 

 

 

 

 

 

 

 

 

U.S.

 

$

72,521

 

$

51,956

 

40

%

 

International

 

 

24,040

 

 

8,375

 

187

%

 

Total

 

 

96,561

 

 

60,331

 

60

%

 

 

 

 

 

 

 

 

 

 

 

 

Visit Fee Revenue

 

 

 

 

 

 

 

 

 

 

U.S.

 

 

11,330

 

 

8,066

 

40

%

 

International

 

 

562

 

 

253

 

122

%

 

Total

 

 

11,892

 

 

8,319

 

43

%

 

 

 

 

 

 

 

 

 

 

 

 

Visit Fee Only Revenue

 

 

2,509

 

 

 —

 

NM

 

 

Total Revenue*

 

$

110,962

 

$

68,650

 

62

%

 

 

*Organic third quarter 2018 revenue, excluding Advance Medical, was $88.3 million, up 29 percent year over year.


 

 

 

 

 

 

 

 

 

 

 

 

Membership & Visit Fee Only Access

 

 

 

 

 

 

 

 

(millions)

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

Year over Year

 

 

 

September 30,

 

Growth

 

 

    

2018

    

2017

    

 

 

Total U.S. Paid Membership*

 

22.6

 

19.1

**

18

%

 

 

 

 

 

 

 

 

 

 

Total U.S. Visit Fee Only Access

 

9.4

 

 —

 

NM

 

 

 

*Organic third quarter 2018 U.S. Paid Membership, excluding Advance Medical, was 21.4 million, up 12 percent year over year. 

**Adjusted for 3.5 million Aetna visit fee only lives.

 

 

 

 

 

 

 

 

 

 

 

 

Visits

 

 

 

 

 

 

 

 

 

 

(thousands)

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

 

Year over Year

 

 

 

September 30,

 

  

Growth

 

 

    

2018

 

 

2017

 

 

 

 

Paid Visits from U.S. Paid Membership

 

202

 

 

155

 

 

31

%

 

Percent of Paid Visits from U.S. Paid Membership

 

46

%

 

51

%

 

(9)

%

 

Visits Included from U.S. Paid Membership

 

237

 

 

150

 

 

58

%

 

 

 

 

 

 

 

 

 

 

 

 

Total Visits from U.S. Paid Membership

 

439

 

 

305

 

 

44

%

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Visit Fee Only

 

36

 

 

 —

 

 

NM

 

 

 

 

 

 

 

 

 

 

 

 

 

International Visits

 

166

 

 

 1

 

 

NM

 

 

Total Visits

 

641

 

 

306

 

 

110

%

 

 

·

Gross margin was 69.2 percent for the third quarter 2018 compared to 75.6 percent for the third quarter 2017.

·

Net loss was $(23.3) million for the third quarter 2018 compared to $(31.3) million for the third quarter 2017.

·

Net loss per basic and diluted share was $(0.34) for the third quarter 2018 compared to $(0.55) for the third quarter 2017.

·

EBITDA was $(6.0) million for the third quarter 2018 compared to $(16.6) million for the third quarter 2017.

·

Adjusted EBITDA was a positive $6.3 million for the third quarter 2018 compared to a loss of $(0.6) million for the third 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”.

 

Financial Outlook

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

 


 

For the fourth quarter 2018, we expect : 

·

Revenue to be in the range of $119 million to $121 million.

·

EBITDA to be in the range of a loss of $(9) million to a loss of $(11) million.

·

Adjusted EBITDA to be in the range of $4 million to $6 million.

·

Total visits to be between 720,000 and 820,000.

·

Net loss per share, based on 70.4 million weighted average shares outstanding, to be between $(0.36) and $(0.38).

 

For the full-year 2018, we expect: 

·

Revenue to be in the range of $414 million to $416 million.

·

EBITDA to be in the range of a loss of $(36) million to a loss of $(38) million.

·

Adjusted EBITDA to be in the range of $12 million to $14 million.

·

Total U.S. paid membership to be in the range of 22.6 million to 23.5 million and visit fee only access to be available to approximately 9.4 million individuals at December 31, 2018.

·

Total visits to be between 2.5 million to 2.6 million.

·

Net loss per share, based on 65.9 million weighted average shares outstanding, to be between $(1.48) and $(1.50).

 

Quarterly Conference Call

 

The third quarter 2018 earnings conference call and webcast will be held Thursday, November 1, 2018 at 4:30 p.m. EST. 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: 5178989 to expedite caller registration; or via a live audio webcast available online at http://ir.teladoc.com/news-and-events/events-and-presentations/. A webcast replay will be available for on-demand listening shortly after the completion of the call at the same web link.

 

About Teladoc Health

 

A mission-driven organization, Teladoc Health, Inc. is successfully transforming how people access and experience healthcare, with a focus on high quality, lower costs, and improved outcomes around the world. The company’s award-winning, integrated clinical solutions are inclusive of telehealth, expert medical services, AI and analytics, and licensable platform services. With more than 2,000 employees, the organization delivers care in 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.teladochealth.com or follow @TeladocHealth on Twitter.

 

Cautionary Note Regarding Forward-Looking Statements

 

This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Examples of forward-


 

looking statements include, among others, statements we make regarding future revenues, future earnings, future numbers of members or clients, litigation outcomes, regulatory developments, market developments, new products and growth strategies, and the effects of any of the foregoing on our future results of operations or financial conditions.

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

 

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


 

CONSOLIDATED BALANCE SHEETS

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

 

 

 

 

 

 

 

 

 

 

September 30,

 

December 31,

 

 

2018

    

2017

 

 

 

 

 

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

457,554

 

$

42,817

Short-term investments

 

 

14,974

 

 

79,489

Accounts receivable, net of allowance of $3,103 and $2,422, respectively

 

 

39,965

 

 

27,094

Prepaid expenses and other current assets

 

 

10,760

 

 

6,839

Total current assets

 

 

523,253

 

 

156,239

Property and equipment, net

 

 

9,717

 

 

8,963

Goodwill

 

 

744,062

 

 

498,520

Intangible assets, net

 

 

256,834

 

 

159,811

Other assets

 

 

1,316

 

 

858

Total assets

 

$

1,535,182

 

$

824,391

Liabilities and stockholders’ equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

4,821

 

$

3,884

Accrued expenses and other current liabilities

 

 

32,586

 

 

19,357

Accrued compensation

 

 

20,786

 

 

17,089

Total current liabilities

 

 

58,193

 

 

40,330

Other liabilities

 

 

5,601

 

 

4,882

Deferred taxes

 

 

34,964

 

 

12,906

Convertible senior notes, net

 

 

408,653

 

 

207,370

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Common stock, $0.001 par value; 150,000,000 and 100,000,000 shares authorized as of September 30, 2018 and December 31, 2017, respectively; 70,034,851 shares and 61,534,101 shares issued and outstanding as of September 30, 2018 and December 31, 2017, respectively

 

 

70

 

 

61

Additional paid-in capital

 

 

1,415,840

 

 

866,330

Accumulated deficit

 

 

(383,782)

 

 

(311,577)

Accumulated other comprehensive income (loss)

 

 

(4,357)

 

 

4,089

Total stockholders’ equity

 

 

1,027,771

 

 

558,903

Total liabilities and stockholders’ equity

 

$

1,535,182

 

$

824,391


 

 

CONSOLIDATED STATEMENTS OF OPERATIONS

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended September 30,

 

Nine Months Ended September 30,

 

 

 

 

2018

 

2017

 

2018

 

2017

 

 

Revenue

    

$

110,962

    

$

68,650

    

$

295,166

    

$

156,139

    

 

Cost of revenue

 

 

34,167

 

 

16,742

 

 

88,707

 

 

38,907

 

 

Gross profit

 

 

76,795

 

 

51,908

 

 

206,459

 

 

117,232

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advertising and marketing

 

 

21,668

 

 

14,328

 

 

61,554

 

 

39,222

 

 

Sales

 

 

16,303

 

 

11,393

 

 

44,645

 

 

26,705

 

 

Technology and development

 

 

13,577

 

 

9,964

 

 

40,829

 

 

24,013

 

 

Legal

 

 

254

 

 

105

 

 

843

 

 

725

 

 

Regulatory

 

 

553

 

 

777

 

 

1,648

 

 

2,771

 

 

Acquisition and integration related costs

 

 

1,588

 

 

8,526

 

 

8,957

 

 

10,639

 

 

Gain on sale

 

 

(1,430)

 

 

 —

 

 

(5,500)

 

 

 —

 

 

General and administrative

 

 

30,314

 

 

21,938

 

 

80,455

 

 

52,299

 

 

Depreciation and amortization

 

 

9,746

 

 

6,418

 

 

26,045

 

 

11,693

 

 

Loss from operations

 

 

(15,778)

 

 

(21,541)

 

 

(53,017)

 

 

(50,835)

 

 

Amortization of warrants and loss on extinguishment of debt

 

 

 —

 

 

1,457

 

 

 —

 

 

1,457

 

 

Interest expense, net

 

 

7,666

 

 

8,202

 

 

19,449

 

 

9,678

 

 

Net loss before taxes

 

 

(23,444)

 

 

(31,200)

 

 

(72,466)

 

 

(61,970)

 

 

Income tax (benefit) provision

 

 

(180)

 

 

130

 

 

(261)

 

 

429

 

 

Net loss

 

$

(23,264)

 

$

(31,330)

 

$

(72,205)

 

$

(62,399)

 

 

Net loss per share, basic and diluted

 

$

(0.34)

 

$

(0.55)

 

$

(1.12)

 

$

(1.15)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

68,247,655

 

 

56,493,054

 

 

64,363,943

 

 

54,435,343

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

 

2018

 

2017

 

Cash flows used in operating activities:

    

 

    

    

 

    

 

Net loss

 

$

(72,205)

 

$

(62,399)

 

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

 

 

 

 

 

 

 

Depreciation and amortization

 

 

26,045

 

 

11,693

 

Allowance for doubtful accounts

 

 

1,535

 

 

1,343

 

Stock-based compensation

 

 

31,086

 

 

13,628

 

Deferred income taxes

 

 

(1,907)

 

 

225

 

Accretion of interest

 

 

13,593

 

 

3,262

 

Amortization of warrants and loss on extinguishment of debt

 

 

 —

 

 

1,457

 

Gain on sale

 

 

(5,500)

 

 

 —

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

Accounts receivable

 

 

(7,535)

 

 

(3,186)

 

Prepaid expenses and other current assets

 

 

(1,656)

 

 

(2,717)

 

Other assets

 

 

(327)

 

 

(89)

 

Accounts payable

 

 

(357)

 

 

(782)

 

Accrued expenses and other current liabilities

 

 

7,561

 

 

9,432

 

Accrued compensation

 

 

1,991

 

 

967

 

Other liabilities

 

 

340

 

 

 —

 

Net cash used in operating activities

 

 

(7,336)

 

 

(27,166)

 

Cash flows used in investing activities:

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(2,732)

 

 

(2,043)

 

Purchase of internal-use software

 

 

(2,758)

 

 

(1,473)

 

Purchase of marketable securities

 

 

(12,141)

 

 

(119,670)

 

Proceeds from marketable securities

 

 

79,470

 

 

45,820

 

Sale of assets

 

 

5,500

 

 

 —

 

Acquisition of business, net of cash acquired

 

 

(282,487)

 

 

(379,355)

 

Net cash used in investing activities

 

 

(215,148)

 

 

(456,721)

 

Cash flows provided by financing activities:

 

 

 

 

 

 

 

Net proceeds from the exercise of stock options

 

 

26,198

 

 

6,996

 

Proceeds from issuance of convertible notes

 

 

279,147

 

 

263,722

 

Proceeds from borrowing under bank and other debt

 

 

 —

 

 

166,679

 

Repayment of debt

 

 

 —

 

 

(46,191)

 

Proceeds from issuance of common stock

 

 

330,856

 

 

123,928

 

Proceeds from employee stock purchase plan

 

 

1,423

 

 

1,265

 

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

 

 

539

 

 

495

 

Net cash provided by financing activities

 

 

638,163

 

 

516,894

 

Net increase in cash and cash equivalents

 

 

415,679

 

 

33,007

 

Foreign exchange difference

 

 

(942)

 

 

97

 

Cash and cash equivalents at beginning of the period

 

 

42,817

 

 

50,015

 

Cash and cash equivalents at end of the period

 

$

457,554

 

$

83,119

 

 

 

 

 

 

 

 

 

Income taxes paid

 

$

238

 

$

 —

 

 

 

 

 

 

 

 

 

Interest paid

 

$

4,125

 

$

4,727

 

 


 

Operating Metrics

(In million, except for visits, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

Nine Months Ended 

 

 

 

September 30,

 

September 30,

 

 

    

2018

    

2017

    

2018

    

2017

    

Subscription Access Fees:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S.

 

$

72,521

 

$

51,956

 

$

198,607

 

$

123,775

 

 International

 

 

24,040

 

 

8,375

 

 

49,480

 

 

8,375

 

Visit Fee Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S.

 

 

11,330

 

 

8,066

 

 

37,334

 

 

23,736

 

 International

 

 

562

 

 

253

 

 

987

 

 

253

 

Visit Fee Only Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 U.S.

 

 

2,509

 

 

 —

 

 

8,758

 

 

 —

 

     Total Revenues

 

$

110,962

 

$

68,650

 

$

295,166

 

$

156,139

 

 


 

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, amortization of warrants and loss on extinguishment of debt, 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 amortization of warrants and loss on extinguishment of debt;

·

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 

 

Nine Months Ended 

 

 

 

 

September 30,

 

September 30,

 

 

 

    

2018

    

2017

    

2018

    

2017

    

 

Net loss

 

$

(23,264)

 

$

(31,330)

 

$

(72,205)

 

$

(62,399)

 

 

Add:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

7,666

 

 

8,202

 

 

19,449

 

 

9,678

 

 

Income tax (benefit) provision

 

 

(180)

 

 

130

 

 

(261)

 

 

429

 

 

Depreciation expense

 

 

854

 

 

1,113

 

 

3,118

 

 

2,466

 

 

Amortization expense

 

 

8,892

 

 

5,305

 

 

22,927

 

 

9,227

 

 

EBITDA

 

 

(6,032)

 

 

(16,580)

 

 

(26,972)

 

 

(40,599)

 

 

Stock-based compensation

 

 

12,195

 

 

5,966

 

 

31,086

 

 

13,628

 

 

Amortization of warrants and loss on extinguishment of debt

 

 

 —

 

 

1,457

 

 

 —

 

 

1,457

 

 

Gain on sale

 

 

(1,430)

 

 

 —

 

 

(5,500)

 

 

 —

 

 

Acquisition and integration related costs

 

 

1,588

 

 

8,526

 

 

8,957

 

 

10,639

 

 

Adjusted EBITDA

 

$

6,321

 

$

(631)

 

$

7,571

 

$

(14,875)

 

 

 

Media:

Courtney McLeod

914-265-6789

cmcleod@teladochealth.com 

 

Investors:
Kelsey Turcotte

914-265-6706

kturcotte@teladochealth.com