Teladoc Announces First Quarter 2018 Results


1Q 2018 Revenue of $89.6 million, growth of 109%

Total Paid Membership of 20.8 million, growth of 41%

1Q 2018 Total Visits of 606,000, growth of 57%

PURCHASE, NY, May 01, 2018 (GLOBE NEWSWIRE) -- Teladoc, Inc. (NYSE:TDOC), the undisputed leader in telehealth, today announced results for the first-quarter ended March 31, 2018.

“Teladoc is off to an excellent start in 2018, posting strong first quarter results across all key financial and operating metrics. I’m very pleased with our performance during the intense 2018 flu season, providing yet another proof point for the inevitability of virtual care as a critical component of the healthcare system,” said Jason Gorevic, Teladoc’s chief executive officer. “I’m more encouraged than ever by the tremendous market response to Teladoc’s comprehensive virtual care platform, further validating our multi-dimensional growth strategy.”

Financial Performance for the First Quarter Ended March 31, 2018

All comparisons are to the first quarter ended March 31, 2017. Organic growth figures are calculated removing the  effect of the July 14, 2017 acquisition of Best Doctors.

•   Total revenue was $89.6 million for the first quarter 2018, compared to $42.9 million, an increase of 109% . Organic revenue growth was 47%.

  • Revenue from Subscription Access Fees was $71.7 million for the first quarter 2018 compared to $34.3 million an increase of 109%.
    •  Revenue from U.S. Subscription Access Fees for the first quarter 2018 was $61.0 million, compared to $34.3 million, an increase of 78%. Organic US Subscription Access Fee revenue growth for the first quarter 2018 compared to the same period last year was 37%.
    •  Revenue from International Subscription Access Fees for the first quarter 2018 was $10.7 million compared to none in 2017. 

  • Revenue from Visits was $17.9 million for the first quarter 2018 compared to $8.6 million, an increase of 109%.
    •  Revenue from General Medical Visits (including dermatology and behavioral health) was $16.3 million for the first quarter 2018 compared to $8.6 million in the first quarter in 2017.
    •  Revenue from Other Specialty Visits (principally expert medical opinions) was $1.6 million for the first quarter 2018 compared to none in 2017.

•   Total visits from U.S. Paid Membership was 554,000 for the first quarter 2018 compared to 385,000 an increase of 44%.

  • Paid visits totaled 298,000 or 54% as a percentage of total visits from US paid membership in the first quarter 2018 compared to 217,000 paid visits, or 56% as a percentage of total visits in the first quarter of 2017.

•   Total visits from U.S. Visit Fee Only Access, which was launched on January 1, 2018, was 51,000.
•   Total U.S. paid membership was 20.8 million, an increase of 41% compared to the first quarter 2017 U.S. paid membership of 14.8 million (adjusted for 5.4 million Aetna and Amerigroup lives). Organic U.S. paid membership growth for the first quarter 2018 compared to the same period last year was 27%.
•   Total U.S. Visit Fee Only access, which was launched on January 1, 2018 was available to 9.5 million individuals.
•   Gross profit was 70.0% for first quarter 2018 compared to 71.7% in the first quarter of 2017.
•   Net loss was $23.9 million for the first quarter 2018 compared to $15.7 million in the first quarter 2017.
•   Net loss per basic and diluted share was $0.39 for first quarter 2018 compared to a first quarter 2017 net loss per share of $0.30.
•   EBITDA was a loss of $10.8 million for first quarter 2018 compared to a loss of $12.2 million in the first quarter of 2017.
•   Adjusted EBITDA improved to a loss of $1.4 million for first quarter 2018 compared to a loss of $9.1 million in the first quarter of 2017.

A reconciliation of generally accepted accounting principles (“GAAP”) in the United States to non-GAAP results has been provided in this press release in the accompanying tables. An explanation of these measures is also included below under the heading “Non-GAAP Financial Measures”.

Business Outlook

Second Quarter 2018 Guidance: Revenue for the second quarter 2018 is expected to be in the range of $86 million to $87 million. EBITDA is expected to be in the range of a loss of $8 million to a loss of $9 million. Adjusted EBITDA is expected to be in the range of $1.5 million to $2.5 million. Total U.S. paid membership is expected to total approximately 20.8 million to 21.0 million and visit fee only access are expected to total between of 18 million to 18.5 million individuals at June 30, 2018. Total visits are projected to be between 450,000 and 500,000. Second quarter net loss per share, based on 62.6 million weighted average shares outstanding, is expected to be between $(0.35) and $(0.37).

Full Year 2018 Guidance: Revenue for 2018 is expected to be in the range of $350 million to $360 million. EBITDA is expected to be in the range of a loss of $27 million to $30 million. Adjusted EBITDA is expected to be positive in the range of $7 million to $10 million. Total U.S. paid membership is expected to be approximately 22 million to 24 million, plus visit fee only access should be available to approximately 19 million individuals. Total visits are projected to be between 1.9 million to 2.0 million visits. Net loss per share, based on 62.8 million weighted average shares outstanding, is expected to be between $(1.36) and $(1.41).

Quarterly Conference Call

The first quarter 2018 earnings conference call and webcast will be held Tuesday May 1, 2018 at 5:00 p.m. ET. The conference call can be accessed by dialing 1-833-241-4255 for U.S. participants, or 1-647-689-4206 for international participants, and including the following Conference ID Number: 6993917 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, Inc.

Teladoc, Inc. (NYSE:TDOC) is the largest and most trusted telehealth provider in the world. Recognized by MIT Technology Review as one of the “50 Smartest Companies”, Teladoc is forging a new healthcare experience with better convenience, outcomes and value. The company provides virtual access to high quality care and expertise, with a portfolio of services and solutions covering 450 medical subspecialties from non-urgent, episodic needs like flu and upper respiratory infections, to chronic, complicated medical conditions like cancer and congestive heart failure. By marrying the latest in data and analytics with its award-winning user experience and highly flexible technology platform, Teladoc has delivered millions of medical visits to patients around the globe. For additional information, please visit www.teladoc.com.

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)
       
  March 31,  December 31,
  2018 2017
      
Assets      
Current assets:      
Cash and cash equivalents $65,179  $42,817 
Short-term investments  54,555   79,489 
Accounts receivable, net of allowance of $3,093 and $2,422, respectively  30,701   27,094 
Prepaid expenses and other current assets  6,497   6,839 
Total current assets  156,932   156,239 
Property and equipment, net  7,995   8,963 
Goodwill  498,277   498,520 
Intangible assets, net  153,493   159,811 
Other assets  827   858 
Total assets $817,524  $824,391 
Liabilities and stockholders’ equity      
Current liabilities:      
Accounts payable $3,290  $3,884 
Accrued expenses and other current liabilities  21,498   19,357 
Accrued compensation  13,024   17,089 
Total current liabilities  37,812   40,330 
Other liabilities  6,154   4,882 
Deferred taxes  12,258   12,906 
Convertible senior notes, net  210,432   207,370 
Commitments and contingencies      
Stockholders’ equity:      
Common stock, $0.001 par value; 100,000,000 shares as of March 31, 2018 and December 31, 2017; 62,280,205 shares and 61,534,101 shares issued and outstanding as of March 31, 2018 and December 31, 2017, respectively  62   61 
Additional paid-in capital  882,804   866,330 
Accumulated deficit  (335,439)  (311,577)
Accumulated other comprehensive income  3,441   4,089 
Total stockholders’ equity  550,868   558,903 
Total liabilities and stockholders’ equity $817,524  $824,391 
         

 


 
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share data, unaudited)
       
  Quarters Ended March 31,
  2018 2017
Revenue $89,644  $42,898 
Cost of revenue  26,856   12,139 
Gross profit  62,788   30,759 
Operating expenses:      
Advertising and marketing  20,325   12,616 
Sales  13,783   7,988 
Technology and development  12,904   6,512 
Legal  481   343 
Regulatory  564   1,007 
Acquisition and integration related costs  1,569    
General and administrative  24,001   14,488 
Depreciation and amortization  8,253   2,607 
Loss from operations  (19,092)  (14,802)
Interest expense, net  4,873   702 
Net loss before taxes  (23,965)  (15,504)
Income tax (benefit) provision  (103)  150 
Net loss $(23,862) $(15,654)
Net loss per share, basic and diluted $(0.39) $(0.30)
       
Weighted-average shares used to compute basic and diluted net loss per share  61,797,762   52,192,859 
       


 
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
       
  Three Months Ended March 31,
  2018 2017
Cash flows used in operating activities:      
Net loss $(23,862) $(15,654)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization  8,253   2,607 
Allowance for doubtful accounts  1,148   306 
Stock-based compensation  7,832   3,097 
Deferred income taxes  (585)  150 
Accretion of interest  3,018   (18)
Changes in operating assets and liabilities:      
Accounts receivable  (4,738)  (1,809)
Prepaid expenses and other current assets  599   (430)
Other assets  31   (9)
Accounts payable  (533)  (287)
Accrued expenses and other current liabilities  1,836   966 
Accrued compensation  (7,917)  (1,921)
Other liabilities  1,047   495 
Net cash used in operating activities  (13,871)  (12,507)
Cash flows provided by (used in) investing activities:      
Purchase of property and equipment  (557)  (620)
Purchase of internal-use software  (471)  (152)
Purchase of marketable securities     (34,957)
Proceeds from marketable securities  25,000   14,740 
Net cash provided by (used in) investing activities  23,972   (20,989)
Cash flows provided by financing activities:      
Net proceeds from the exercise of stock options  8,643   1,195 
Repayment of debt     (2,000)
Proceeds from issuance of common stock     123,928 
Proceeds from cash received for withholding taxes on stock-based compensation, net  3,555   306 
Net cash provided by financing activities  12,198   123,429 
Net increase in cash and cash equivalents  22,299   89,933 
Foreign exchange difference  63    
Cash and cash equivalents at beginning of the period  42,817   50,015 
Cash and cash equivalents at end of the period $65,179  $139,948 
       
Income taxes paid $52  $994 
       
Interest paid $2  $2,387 
         


 
Operating Metrics
(In million, except for visits, unaudited)
                  
                 Year Over
  Actual Actual Actual Actual Actual Year
  1Q18 4Q17 3Q17 2Q17 1Q17 Increase
Total Revenue $ 89.6  $ 77.1  $ 68.6  $ 44.6  $ 42.9  109%
Subscription Access Fee Revenue $71.7  $65.4  $60.3  $37.5  $34.3  109%
U.S Subscription Access Fee Revenue $61.0  $55.4  $52.0  $37.5  $34.3  78%
International Subscription Access Fee Revenue $10.7  $10.0  $8.4  $  $  0%
Visit Revenue $17.9  $11.8  $8.3  $7.1  $8.6  109%
General Medical Visit Revenue $16.3  $10.7  $6.9  $7.1  $8.6  91%
Other Specialty Visit Revenue $1.6  $1.1  $1.5  $  $  0%
                  
Total Visits from U.S. Paid Members   553,730    462,297    304,627    309,085    384,839  44%
Paid Visits  298,258   250,182   153,296   170,225   217,387  37%
Visits from Visits-Included Members  255,472   212,115   151,331   138,860   167,452  53%
   54%  54%  50%  55%  56%  
Visits from U.S. Visit Fee Only Access   51,000    —    —    —    —  0%
                  
Total U.S. Paid Membership   20.8    19.6    19.1    15.2    14.8  41%
                  
Total U.S Visit Fee Only Access   9.5    —    —    —    —  0%
                        

Non-GAAP Financial Measures:

To supplement our financial information presented in accordance with generally accepted accounting principles in the United States, or U.S. GAAP, we use EBITDA and Adjusted EBITDA, which are non-U.S. GAAP financial measures to clarify and enhance an understanding of past performance. We believe that the presentation of these financial measures enhances an investor’s understanding of our financial performance. We further believe that these financial measures are useful financial metrics to assess our operating performance from period-to-period by excluding certain items that we believe are not representative of our core business. We use certain financial measures for business planning purposes and in measuring our performance relative to that of our competitors. We utilize Adjusted EBITDA as the primary measure of our performance.

EBITDA consists of net loss before interest, taxes, depreciation and amortization. We believe that making such adjustment provides investors meaningful information to understand our results of operations and the ability to analyze financial and business trends on a period-to-period basis.

Adjusted EBITDA consists of net loss before interest, taxes, depreciation, amortization, stock-based compensation and acquisition and integration related costs. We believe that making such adjustment provides investors meaningful information to understand our results of operations and the ability to analyze financial and business trends on a period-to-period basis.

We believe both financial measures are commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term EBITDA and Adjusted EBITDA may vary from that of others in our industry. Neither EBITDA nor Adjusted EBITDA should be considered as an alternative to net loss before taxes, net loss, loss per share or any other performance measures derived in accordance with U.S. GAAP as measures of performance.

EBITDA and Adjusted EBITDA have important limitation as analytical tools and you should not consider them in isolation or as a substitute for analysis of our results as reported under U.S. GAAP. Some of these limitations are:

  • EBTIDA and Adjusted EBITDA do not reflect the significant interest expense on our debt;

  • EBTIDA and Adjusted EBITDA eliminate the impact of income taxes on our results of operations;

  • Adjusted EBITDA does not reflect the significant acquisition and integration related costs related to mergers and acquisitions;

  • Adjusted EBITDA does not reflect the significant non cash stock compensation expense which should be viewed as a component of recurring operating costs; and

  • other companies in our industry may calculate EBITDA and Adjusted EBITDA differently than we do, limiting the usefulness of EBITDA and Adjusted EBITDA as comparative measures.

In addition, although depreciation and amortization are non-cash charges, the assets being depreciated and amortized will often have to be replaced in the future, and EBITDA and Adjusted EBITDA do not reflect any expenditures for such replacements.

We compensate for these limitations by using EBITDA and Adjusted EBITDA along with other comparative tools, together with U.S. GAAP measurements, to assist in the evaluation of operating performance. Such U.S. GAAP measurements include gross profit, net loss, net loss per share and other performance measures.

In evaluating these financial measures, you should be aware that in the future we may incur expenses similar to those eliminated in this presentation. Our presentation of EBITDA and Adjusted EBITDA should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

 
Reconciliation of EBITDA and Adjusted EBITDA to Net Loss
(In thousands, unaudited)
       
  Three Months Ended 
  March 31,
  2018 2017
Net loss $(23,862) $(15,654)
Add:      
Interest expense, net  4,873   702 
Income tax (benefit) provision  (103)  150 
Depreciation expense  1,531   658 
Amortization expense  6,722   1,949 
EBITDA  (10,839)  (12,195)
Stock-based compensation  7,832   3,097 
Acquisition and integration related costs  1,569    
Adjusted EBITDA $(1,438) $(9,098)
         

Media:
Courtney McLeod
914-265-6789
cmcleod@teladoc.com

Investors:
Westwicke Partners
Jordan E. Kohnstam
Office: 443-450-4189
Jordan.kohnstam@westwicke.com