8-K
Teladoc Health, Inc. (TDOC)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, District of Columbia 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(D) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported): July 29, 2020
Teladoc Health, Inc.
(Exact Name of Registrant as Specified in its Charter)
| | | | | |
|---|---|---|---|---|
| Delaware | 001-37477 | 04-3705970 | ||
| (State or Other Jurisdiction<br>of Incorporation) | | (Commission<br>File Number) | | (IRS Employer<br>Identification No.) |
| | | |
|---|---|---|
| 2 Manhattanville Road, Suite 203 | | |
| Purchase , New York | | 10577 |
| (Address of Principal Executive Offices) | | (Zip Code) |
( 203 ) 635-2002
(Registrant’s telephone number, including area code)
Not applicable
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| ☐ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425). |
|---|
| ☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12). |
|---|
| ☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)). |
|---|
| ☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)). |
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Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the
Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2
of this chapter).
Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended
transition period for complying with any new or revised financial accounting standards provided pursuant to Section
13(a) of the Exchange Act. ☐
| | | |
|---|---|---|
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
| Common Stock, par value $0.001 per share | TDOC | The New York Stock Exchange |
Item 2.02.Results of Operations and Financial Condition.
On July 29, 2020, Teladoc Health, Inc. (the “Company”) issued a press release relating to its financial results for the second quarter of 2020. A copy of the press release, which is incorporated by reference herein, is attached hereto as Exhibit 99.1.
The foregoing information (including the exhibit set forth in Item 9.01 hereto) is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, except as expressly set forth by specific reference in such filing.
Item 9.01.Financial Statements and Exhibits.
(d)Exhibits.
| | | |
|---|---|---|
| Exhibit No. | | Description |
| 99.1* | | Teladoc Health, Inc. press release, dated July 29, 2020. |
| | | |
| 104 | | Cover Page Interactive Data File (formatted as Inline XBRL)<br><br> |
* Furnished herewith.
2
INDEX TO EXHIBITS
| ove | | |
|---|---|---|
| Exhibit No. | | Description |
| 99.1* | | Teladoc Health, Inc. press release, dated July 29, 2020. |
| | | |
| 104 | | Cover Page Interactive Data File (formatted as Inline XBRL) |
* Furnished herewith.
3
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| | | |
|---|---|---|
| | TELADOC HEALTH, INC. | |
| | | |
| Date: July 29, 2020 | | |
| | By: | /s/ Adam C. Vandervoort |
| | | |
| | Name: | Adam C. Vandervoort |
| | | |
| | Title: | Chief Legal Officer and Secretary |
4
Exhibit 99.1

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 $421.8 million and total visits increase 144% to 4.8 million
Issues 2020 third-quarter guidance, raises full-year expectations, and provides preliminary 2021 revenue growth outlook
PURCHASE, NY, July 29, 2020 — Teladoc Health, Inc. (NYSE: TDOC), the global leader in virtual care, today reported strong financial results for the quarter ending June 30, 2020, citing sustained momentum across its diversified portfolio. In its U.S. market, the brief period of national COVID-19 containment in late May and early June provided visibility into continuing demand for virtual care, with utilization stabilizing at a level 40 percent higher than before COVID. Greater awareness and acceptance of virtual care, in addition to continued lower cost sharing, are helping to drive this sustained growth. Demand for specialty care including virtual mental health visits also continued to show rapid acceleration while InTouch Health, acquired by Teladoc Health on July 1^st^, has solidified the company’s leadership in hospital-based telemedicine and is projected to grow over 35 percent in 2020.
“Even as we continue to battle the coronavirus in the U.S. and other hard-hit countries, we are also seeing sustained demand in areas that are no longer considered hotspots. In some states where the curve has flattened, we are still seeing twice as many patient visits as last year,” said Jason Gorevic, CEO of Teladoc Health. “While COVID-19 has accelerated the virtual care needs of consumers and providers alike, our broad based momentum in 2020 and beyond is rooted in the satisfaction and trust our partners have in our ability to transform the healthcare experience.”
Financial Highlights for the Second Quarter and Six Months Ended June 30, 2020
| | | | | | | | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | | | | | | | | | | | | | | | | | | | |
| ($ 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; |
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| ● | Adjusted gross margin does not reflect the significant depreciation and amortization to cost of revenue; |
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| ● | EBITDA and adjusted EBITDA do not reflect the significant interest expense on our debt; |
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| ● | EBITDA and adjusted EBITDA eliminate the impact of income taxes on our results of operations; |
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| ● | EBITDA and Adjusted EBITDA do not reflect the loss on extinguishment of debt; |
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| ● | Adjusted EBITDA does not reflect the significant acquisition and integration related costs related to mergers and acquisitions; |
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| ● | Adjusted EBITDA does not reflect the significant non-cash stock compensation expense which should be viewed as a component of recurring operating costs; and |
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| ● | 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. |
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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