UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
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TELADOC HEALTH, INC.
QUARTERLY REPORT ON FORM 10-Q
For the period ended June 30, 2020
TABLE OF CONTENTS
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 | $ | | $ | | ||
Short-term investments | | | ||||
Accounts receivable, net of allowance of $ |
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Prepaid expenses and other current assets |
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Total current assets |
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Property and equipment, net |
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Goodwill |
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Intangible assets, net |
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Operating lease - right-of-use assets | | | ||||
Other assets |
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Total assets | $ | | $ | | ||
Liabilities and stockholders’ equity | ||||||
Current liabilities: | ||||||
Accounts payable | $ | | $ | | ||
Accrued expenses and other current liabilities |
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Accrued compensation |
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Total current liabilities |
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Other liabilities |
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Operating lease liabilities, net of current portion | | | ||||
Deferred taxes |
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Convertible senior notes, net | | | ||||
Commitments and contingencies | ||||||
Stockholders’ equity: | ||||||
Common stock, $ |
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Additional paid-in capital |
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Accumulated deficit |
| ( |
| ( | ||
Accumulated other comprehensive loss | ( | ( | ||||
Total stockholders’ equity |
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Total liabilities and stockholders’ equity | $ | | $ | |
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, |
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| 2020 | 2019 | 2020 | 2019 |
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Revenue | $ | |
| $ | |
| $ | |
| $ | |
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Expenses: | ||||||||||||||
Cost of revenue (exclusive of depreciation and amortization shown separately below) | |
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Operating expenses: | ||||||||||||||
Advertising and marketing |
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Sales |
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Technology and development |
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Legal and regulatory | |
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Acquisition and integration related costs | |
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General and administrative |
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Depreciation and amortization |
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Total expenses | | | | | ||||||||||
Loss from operations |
| ( |
| ( |
| ( |
| ( | ||||||
Loss on extinguishment of debt | |
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Interest expense, net |
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Net loss before taxes |
| ( |
| ( |
| ( |
| ( | ||||||
Income tax (benefit) expense |
| ( |
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| ( |
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Net loss | $ | ( | $ | ( | $ | ( | $ | ( | ||||||
Net loss per share, basic and diluted | $ | ( | $ | ( | $ | ( | $ | ( | ||||||
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Weighted-average shares used to compute basic and diluted net loss per share | | | | |
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, |
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| 2020 | 2019 | 2020 | 2019 |
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Net loss | $ | ( |
| $ | ( |
| $ | ( |
| $ | ( |
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Other comprehensive loss, net of tax: | ||||||||||||||
Net change in unrealized gains on available-for-sale securities | | | | | ||||||||||
Cumulative translation adjustment | | | ( | | ||||||||||
Other comprehensive loss, net of tax | | | ( | | ||||||||||
Comprehensive loss | $ | ( | $ | ( | $ | ( | $ | ( |
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 |
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| Other |
| Total | ||||||||||||
Common Stock |
| Paid-In |
| Accumulated |
| Comprehensive |
| Stockholders’ | ||||||||||
| Shares |
| Amount |
| Capital |
| Deficit |
| Loss |
| Equity | |||||||
Balance of December 31, 2019 | | $ | | $ | | $ | ( | $ | ( | $ | | |||||||
Exercise of stock options | | | | | | | ||||||||||||
Issuance of common stock upon vesting of restricted stock units | | | ( | | | | ||||||||||||
Issuance of common stock for 2022 Notes | | | | | | | ||||||||||||
Stock-based compensation | | | | | | | ||||||||||||
Other comprehensive loss, net of tax | | | | | ( | ( | ||||||||||||
Net loss | | | | ( | | ( | ||||||||||||
Balance as of March 31, 2020 | | | | ( | ( | | ||||||||||||
Exercise of stock options | | | | | | | ||||||||||||
Issuance of common stock upon vesting of restricted stock units | | | ( | | | | ||||||||||||
Issuance of stock under employee stock purchase plan | | | | | | | ||||||||||||
Issuance of common stock for 2022 Notes | | | | | | | ||||||||||||
Equity portion of extinguishment of 2022 Convertible Notes | | | ( | | | ( | ||||||||||||
Equity component of 2027 Notes, net of issuance costs | | | | | | | ||||||||||||
Stock-based compensation | | | | | | | ||||||||||||
Other comprehensive loss, net of tax | | | | | | | ||||||||||||
Net loss | | | | ( | | ( | ||||||||||||
Balance as of June 30, 2020 | | $ | | $ | | $ | ( | $ | ( | $ | | |||||||
Balance as of December 31, 2018 | | $ | | $ | | $ | ( | $ | ( | $ | | |||||||
Exercise of stock options | | | | | | | ||||||||||||
Issuance of common stock upon vesting of restricted stock units | | | | | | | ||||||||||||
Stock-based compensation | | | | | | | ||||||||||||
Other comprehensive loss, net of tax | | | | | ( | ( | ||||||||||||
Net loss | | | | ( | | ( | ||||||||||||
Balance as of March 31, 2019 | | | | ( | ( | | ||||||||||||
Exercise of stock options | | | | | | | ||||||||||||
Issuance of restricted stock units | | | | | | | ||||||||||||
Issuance of stock under employee stock purchase plan | | | | | | | ||||||||||||
Stock-based compensation | | | | | | | ||||||||||||
Other comprehensive loss, net of tax | | | | | | | ||||||||||||
Net loss | | | | ( | | ( | ||||||||||||
Balance as of June 30, 2019 |
| | $ | | $ | | $ | ( | $ | ( | $ | |
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: |
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Net loss | $ | ( | $ | ( | |||
Adjustments to reconcile net loss to net cash provided by (used in) operating activities: | |||||||
Depreciation and amortization |
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Allowance for doubtful accounts |
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Stock-based compensation |
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Deferred income taxes |
| ( |
| ( | |||
Accretion of interest | | | |||||
Loss on extinguishment of debt |
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Changes in operating assets and liabilities: | |||||||
Accounts receivable |
| ( |
| ( | |||
Prepaid expenses and other current assets |
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Other assets |
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Accounts payable |
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Accrued expenses and other current liabilities |
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Accrued compensation |
| ( |
| ( | |||
Operating lease liabilities | ( | ( | |||||
Other liabilities |
| ( |
| ( | |||
Net cash provided by (used) in operating activities |
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| ( | |||
Cash flows (used in) provided by investing activities: | |||||||
Purchase of property and equipment |
| ( |
| ( | |||
Purchase of internal-use software |
| ( |
| ( | |||
Proceeds from marketable securities | | | |||||
Sale of assets | | | |||||
Investment in securities | | ( | |||||
Pre-funding associated with the pending acquisition |
| ( |
| ( | |||
Net cash (used in) provided by investing activities |
| ( |
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Cash flows provided by financing activities: | |||||||
Net proceeds from the exercise of stock options |
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Proceeds from issuance of 2027 Notes | | | |||||
Issuance costs of 2027 Notes | ( | | |||||
Contingent consideration fair value adjustment | | | |||||
Repurchase of 2022 Notes |
| ( |
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Proceeds from employee stock purchase plan |
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Cash received (paid) for withholding taxes on stock-based compensation, net | | ( | |||||
Net cash provided by financing activities |
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Net increase in cash and cash equivalents |
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Foreign exchange difference | ( | | |||||
Cash and cash equivalents at beginning of the period |
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Cash and cash equivalents at end of the period | $ | | $ | | |||
Income taxes paid | $ | | $ | | |||
Interest paid | $ | | $ | |
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
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 $
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
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
Subscription access revenue accounted for approximately
.
The following table presents the Company’s revenues disaggregated by revenue source (in thousands):
Quarter Ended | Six Months Ended |
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June 30, | June 30, | ||||||||||||||
| 2020 |
| 2019 |
| 2020 |
| 2019 |
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Subscription Access Fees: | |||||||||||||||
U.S. | $ | | $ | | $ | | $ | | |||||||
International | | | | | |||||||||||
Visit Fee Revenue: | |||||||||||||||
U.S. Paid Visits | | | | | |||||||||||
U.S. Visit Fee Only | |
| |
| |
| | ||||||||
International Paid Visits | | | | | |||||||||||
Total Revenues | $ | | $ | | $ | | $ | |
As of June 30, 2020, accounts receivable, net of allowance for doubtful accounts, were $
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 $
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 $
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 $
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 |
|
| $ | | $ | ( | $ | | ||||||
Non-compete agreements |
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| ( |
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Trademarks | | ( | | |||||||||||
Patents | | ( | | |||||||||||
Internal-use software and other |
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| | ( | | ||||||||
Intangible assets, net | $ | | $ | ( | $ | | ||||||||
December 31, 2019 | ||||||||||||||
Client relationships |
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| $ | | $ | ( | $ | | ||||||
Non-compete agreements |
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|
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| ( |
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Trademarks | | ( | | |||||||||||
Patents | | ( | | |||||||||||
Internal-use software and other |
|
|
| | ( | | ||||||||
Intangible assets, net | $ | | $ | ( | $ | |
Amortization expense for intangible assets was $
10