EX-99.1 2 tdoc-20200729ex991bbfc4f.htm EX-99.1

Exhibit 99.1

Graphic

Teladoc Health Reports Second-Quarter 2020 Results

Year-over-year Q2 revenue grows 85% to $241.0 million and total visits increase 203% to 2.8 million

Year-over-year six months revenue grows 63% to $421.8 million and total visits increase 144% to 4.8 million

Issues 2020 third-quarter guidance, raises full-year expectations, and provides preliminary 2021 revenue growth outlook

PURCHASE, NY, July 29, 2020 — Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today reported strong financial results for the quarter ending June 30, 2020, citing sustained momentum across its diversified portfolio. In its U.S. market, the brief period of national COVID-19 containment in late May and early June provided visibility into continuing demand for virtual care, with utilization stabilizing at a level 40 percent higher than before COVID. Greater awareness and acceptance of virtual care, in addition to continued lower cost sharing, are helping to drive this sustained growth. Demand for specialty care including virtual mental health visits also continued to show rapid acceleration while InTouch Health, acquired by Teladoc Health on July 1st, has solidified the company’s leadership in hospital-based telemedicine and is projected to grow over 35 percent in 2020.

“Even as we continue to battle the coronavirus in the U.S. and other hard-hit countries, we are also seeing sustained demand in areas that are no longer considered hotspots. In some states where the curve has flattened, we are still seeing twice as many patient visits as last year,” said Jason Gorevic, CEO of Teladoc Health. “While COVID-19 has accelerated the virtual care needs of consumers and providers alike, our broad based momentum in 2020 and beyond is rooted in the satisfaction and trust our partners have in our ability to transform the healthcare experience.”


Financial Highlights for the Second Quarter and Six Months Ended June 30, 2020

Revenue

($ thousands)

Quarter Ended

Year over Year

Six Months Ended 

Year over Year

June 30,

Growth

June 30,

Growth

    

2020

    

2019

    

    

2020

    

2019

    

Subscription Access Fees Revenue

U.S.

$

152,021

$

85,530

78

%

$

259,960

$

166,509

56

%

International

30,150

25,711

17

%

59,264

50,686

17

%

Total

182,171

111,241

64

%

319,224

217,195

47

%

Visit Fee Revenue

U.S. Paid Visits

39,041

15,083

159

%

69,939

33,331

110

%

U.S. Visit Fee Only

19,471

3,546

449

%

32,057

7,667

318

%

International Paid Visits

347

406

(14)

%

609

656

(7)

%

Total

58,859

19,035

209

%

102,605

41,654

146

%

Total Revenue

$

241,030

$

130,276

85

%

$

421,829

$

258,849

63

%

Membership & Visit Fee Only Access

(millions)

Quarter Ended

Year over Year

June 30,

Growth

    

2020

    

2019

    

Total U.S. Paid Membership

51.5

26.8

92

%

Total U.S. Visit Fee Only Access

21.8

9.7

125

%

Visits

(thousands)

Quarter Ended

Year over Year

Six Months Ended 

Year over Year

June 30,

Growth

June 30,

Growth

2020

2019

2020

2019

Paid Visits from U.S. Paid Membership

797

291

174

%

1,445

656

120

%

Percent of Paid Visits from U.S. Paid Membership

40

%

48

%

43

%

49

%

Visits Included from U.S. Paid Membership

1,199

319

276

%

1,938

672

188

%

Total Visits from U.S. Paid Membership

1,996

610

227

%

3,383

1,328

155

%

U.S. Visit Fee Only

306

54

468

%

533

116

358

%

International Visits

453

244

85

%

885

527

68

%

Total Visits

2,755

908

203

%

4,801

1,971

144

%

Utilization

16.0%

9.1%

690

pt

14.7%

8.0%

663

pt

Net loss was $(25.7) million for the second quarter 2020 compared to $(29.3) million for the second quarter 2019.

Net loss per basic and diluted share was $(0.34) for the second quarter 2020 compared to $(0.41) for the second quarter 2019. The net loss per share includes a 10 cent net impact associated with our May 2020 convertible debt offering which includes a charge associated with a loss on extinguishment of a portion of our previously outstanding debt that was to mature in 2022.
GAAP Gross margin which includes depreciation and amortization was 61.7 percent for the second quarter 2020 and 67.2% for the second quarter 2019.
Adjusted Gross margin was 62.3 percent for the second quarter 2020 compared to 68.0 percent for the second quarter 2019.
EBITDA was a positive $2.7 million for the second quarter 2020 compared to a loss of $(12.2) million for the second quarter 2019.
Adjusted EBITDA was a positive $26.3 million for the second quarter 2020 compared to a positive $6.3 million for the second quarter 2019.

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. Given the uncertainty of the expected path of the COVID-19 outbreak as well as the broader economic impact, our updated guidance is based on what we know today. As this is an emerging situation, circumstances are likely to change in the coming weeks and months, but we believe our guidance ranges provide a reasonable baseline for 2020 financial performance.

For the third-quarter 2020, we expect:

Total revenue to be in the range of $275 million to $285 million.
EBITDA to be in the range of $(3) million to $1 million.
Adjusted EBITDA to be in the range of $27 million to $31 million.
Total U.S. paid membership to be approximately 50 million to 51 million members and visit-fee-only access to be available to approximately 21 to 22 million individuals, including 2 to 3 million members on a temporary basis.
Total visits to be between 2.5 million and 2.7 million.
Net loss per share, based on 83.4 million weighted average shares outstanding, to be between $(0.35) and $(0.30).

For the full-year 2020, we expect:

Total revenue to be in the range of $980 million to $995 million.
EBITDA loss to be in the range of $(13) million to $(6) million.
Adjusted EBITDA to be in the range of positive $85 million to $92 million.
Total U.S. paid membership to be at least 50 million members and visit-fee-only access to be available to approximately 19 to 20 million individuals.
Total visits to be between 9.8 million to 10.3 million.

Net loss per share, based on 79.6 million weighted average shares outstanding, to be between $(1.45) and $(1.36).

Anticipated results for the full-year 2020 include approximately $63 million of revenue, net of an anticipated $2 million to $3 million purchase accounting reduction to deferred revenue, for the acquisition of InTouch Health, which closed on July 1, 2020.

Preliminary outlook for 2021:

Given the significant level of change in the marketplace, Teladoc Health is providing a preliminary outlook for expected revenue growth in 2021. For the full-year 2021, the company anticipates year-over-year revenue growth to be in the range of 30% to 40%.

Quarterly Conference Call

The second quarter 2020 earnings conference call and webcast will be held Wednesday, July 29, 2020 at 4:30 p.m. EDT. The conference call can be accessed by dialing 1-833-968-2101 for U.S. participants, or 1-236-714-2089 for international participants, and including the following Conference ID Number: 4085218 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

Teladoc Health is transforming how people access and experience healthcare. Recognized as the world leader in virtual care, Teladoc Health directly delivers millions of medical visits across 175 countries each year through the Teladoc Health Medical Group and enables millions of patient and provider touchpoints for thousands of hospitals, health systems and physician practices globally. Ranked #1 among direct-to-consumer telehealth providers in the J.D. Power 2019 U.S. Telehealth Satisfaction Study and Best in KLAS for Virtual Care Platforms for 2020, Teladoc Health leverages more than a decade of expertise and real-time insights to meet the growing virtual care needs of consumers, healthcare professionals, employers and health plans. 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)

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


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


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


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 adjusted gross profit, adjusted gross margin, 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.

Adjusted gross profit is our total revenue minus our total cost of revenue (exclusive of depreciation and amortization shown separately) and adjusted gross margin is adjusted gross profit as a percentage of our total revenue. We believe that it 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.

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 the above financial measures are commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term adjusted gross profit, adjusted gross margin, EBITDA and adjusted EBITDA may vary from that of others in our industry. Neither adjusted gross profit, adjusted gross margin, 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.

Adjusted gross profit, adjusted gross margin, 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:

Adjusted gross margin has been and will continue to be affected by a number of factors, including the fees we charge our Clients, the number of visits and cases we complete the costs paid to Providers and medical experts as well as the costs of our provider network operations center;
Adjusted gross margin does not reflect the significant depreciation and amortization to cost of revenue;
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;
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 adjusted gross profit, adjusted gross margin, EBITDA and adjusted EBITDA differently than we do, limiting the usefulness of adjusted gross profit, adjusted gross margin, 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 adjusted gross profit, adjusted gross margin, EBITDA and Adjusted EBITDA do not reflect any expenditures for such replacements.

We compensate for these limitations by using adjusted gross profit, adjusted gross margin, 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 adjusted gross profit, adjusted gross margin, EBITDA and adjusted EBITDA should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

The following is a reconciliation of gross profit, the most directly comparable GAAP financial measure, to adjusted gross profit:

Reconciliation of GAAP Gross Profit to Adjusted Gross Profit and Adjusted Gross Margin

(In thousands, unaudited)

Quarter Ended

Six Months Ended 

June 30,

June 30,

    

2020

    

2019

    

2020

    

2019

    

Revenue

$

241,030

$

130,276

$

421,829

$

258,849

Cost of revenue (exclusive of depreciation and amortization shown separately below)

(90,780)

(41,634)

(163,162)

(86,311)

Depreciation and amortization of intangible assets

 

(1,538)

(1,076)

(3,026)

(2,092)

Gross Profit

148,712

87,566

255,641

170,446

Depreciation and amortization of intangible assets

1,538

1,076

3,026

2,092

Adjusted gross profit

$

150,250

$

88,642

$

258,667

$

172,538

Gross margin

61.7

%

67.2

%

60.6

%

65.8

%

Adjusted gross margin

62.3

%

68.0

%

61.3

%

66.7

%


Reconciliation of EBITDA and Adjusted EBITDA to Net Loss

(In thousands, unaudited)

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

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

$

26,269

$

6,329

$

36,947

$

7,577

Media:

Courtney McLeod

914-265-6789

cmcleod@teladochealth.com

Investors:
Patrick Feeley

914-265-7925

pfeeley@teladochealth.com