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Teladoc Health Reports Second-Quarter 2020 Results

July 29, 2020 4:06 PM

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 (GLOBE NEWSWIRE) -- 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 Membership40% 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%
Utilization16.0% 9.1% 690pt 14.7% 8.0% 663pt

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:

For the full-year 2020, we expect:

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:

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
Expenses:
Cost of revenue (exclusive of depreciation and amortization) (90,780) (41,634) (163,162) (86,311)
Depreciation and amortization (1,538) (1,076) (3,026) (2,092)
GAAP Gross Profit 148,712 87,566 255,641 170,446
Depreciation and amortization 1,538 1,076 3,026 2,092
Adjusted Gross Profit $150,250 $ 88,642 $ 258,667 $ 172,538
GAAP Gross Margin (Gross Profit as a % of Revenue) 61.7% 67.2% 60.6% 65.8%
Adjusted Gross Margin (Adjusted Gross Profit as a % of Revenue) 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
[email protected]

Investors:
Patrick Feeley
914-265-7925
[email protected]

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