Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


Form 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2017March 31, 2020

or

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                      to                     

Commission File Number: 001-37477


TELADOC HEALTH, INC.

(Exact name of registrant as specified in its charter)

Delaware

04-3705970

(State of incorporation)

(I.R.S. Employer Identification No.)

2 Manhattanville Road, Suite 203

Purchase, New York

10577

(Address of principal executive office)

(Zip code)

(203) (203635-2002

(Registrant’s telephone number including area code)

Securities registered pursuant to Section 12(b) of the 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


Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes   No 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes    No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer

Accelerated filer

Non-accelerated filer

Smaller reporting company

Emerging growth company     ☒

(Do not check if a smaller reporting 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.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.) Yes    No  

As of October  30, 2017,April 27, 2020, the Registrant had 56,961,275 74,453,266 shares of Common Stock outstanding.


Table of Contents

TELADOC HEALTH, INC.

TELADOC, INC.

QUARTERLY REPORT ON FORM 10-Q

For the period ended September 30, 2017March 31, 2020

TABLE OF CONTENTS

Page
Number

PART I

Financial Information

1

2

Item 1.

Financial Statements

1

2

Consolidated Balance Sheets as of September 30, 2017March 31, 2020 (unaudited) and December 31, 20162019

1

2

Consolidated Statements of Operations (unaudited) for the quarters ended March 31, 2020 and nine months ended September 30, 2017 and 20162019

2

3

Consolidated Statements of Comprehensive (Loss) IncomeLoss (unaudited) for the quarters ended March 31, 2020 and nine months ended September 30, 2017 and 20162019

3

4

Consolidated StatementStatements of Stockholders’ Equity (unaudited) for the nine monthsquarters ended September 30, 2017March 31, 2020 and 2019

4

5

Consolidated Statements of Cash Flows (unaudited) for the nine monthsquarters ended September 30, 2017March 31, 2020 and 20162019

5

6

Notes to Unaudited Consolidated Financial Statements

6

7

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

20

21

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

34

30

Item 4.

Controls and Procedures

35

30

PART II

Other Information

36

31

Item 1.

Legal Proceedings

36

31

Item 1A.

Risk Factors

36

31

Item 6.5.

ExhibitsOther Information

37

31

Exhibit IndexItem 6.

38

Exhibits

33

SignaturesExhibit Index

41

33

Signatures

35

i1


Table of Contents

PART I

PART I

FINANCIAL INFORMATION

ITEM 1. Financial Statements

TELADOC HEALTH, INC.

TELADOC, INC.

CONSOLIDATED BALANCE SHEETSSHEETS

(In thousands, except share and per share data, unaudited)

March 31,

December 31,

    

2020

    

2019

Assets

Current assets:

Cash and cash equivalents

$

507,956

$

514,353

Short-term investments

2,819

2,711

Accounts receivable, net of allowance of $4,651 and $3,787, respectively

 

70,721

 

56,948

Prepaid expenses and other current assets

 

14,932

 

13,990

Total current assets

 

596,428

 

588,002

Property and equipment, net

 

10,092

 

10,296

Goodwill

 

734,386

 

746,079

Intangible assets, net

 

214,666

 

225,453

Operating lease - right-of-use assets

32,175

26,452

Other assets

 

15,330

 

6,545

Total assets

$

1,603,077

$

1,602,827

Liabilities and stockholders’ equity

Current liabilities:

Accounts payable

$

8,142

$

9,075

Accrued expenses and other current liabilities

 

71,927

 

49,848

Accrued compensation

 

17,095

 

31,258

Total current liabilities

 

97,164

 

90,181

Other liabilities

 

10,237

 

11,539

Operating lease liabilities, net of current portion

29,430

24,994

Deferred taxes

 

18,848

 

21,678

Convertible senior notes, net

447,221

440,410

Commitments and contingencies

Stockholders’ equity:

Common stock, $0.001 par value; 150,000,000 shares authorized as of March 31, 2020 and December 31, 2019; 74,076,286 shares and 72,761,941 shares issued and outstanding as of March 31, 2020 and December 31, 2019, respectively

 

74

 

73

Additional paid-in capital

 

1,572,024

 

1,538,716

Accumulated deficit

 

(537,128)

 

(507,525)

Accumulated other comprehensive loss

(34,793)

(17,239)

Total stockholders’ equity

 

1,000,177

 

1,014,025

Total liabilities and stockholders’ equity

$

1,603,077

$

1,602,827

See accompanying notes to unaudited consolidated financial statements.

 

 

 

 

 

 

 

 

 

September 30,

 

December 31,

 

 

2017

    

2016

 

 

 

 

 

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

83,119

 

$

50,015

Short-term marketable securities

 

 

89,758

 

 

15,793

Accounts receivable, net of allowance of $2,989 and $2,422, respectively

 

 

26,995

 

 

13,806

Prepaid expenses and other current assets

 

 

7,484

 

 

3,103

Total current assets

 

 

207,356

 

 

82,717

Property and equipment, net

 

 

9,627

 

 

7,479

Goodwill

 

 

498,549

 

 

188,184

Intangible assets, net

 

 

164,570

 

 

24,875

Other assets

 

 

822

 

 

415

Total assets

 

$

880,924

 

$

303,670

Liabilities and stockholders’ equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

1,852

 

$

2,236

Accrued expenses and other current liabilities

 

 

24,137

 

 

7,981

Accrued compensation

 

 

14,854

 

 

8,856

Other debt - current portion

 

 

 —

 

 

2,000

Total current liabilities

 

 

40,843

 

 

21,073

Other liabilities

 

 

7,555

 

 

7,609

Deferred taxes

 

 

14,416

 

 

1,694

Long term bank and other debt, net

 

 

166,938

 

 

42,424

Convertible senior notes, net

 

 

204,393

 

 

 —

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Common stock, $0.001 par value; 100,000,000 shares and 75,000,000 shares authorized as of September 30, 2017 and December 31, 2016, respectively; 56,908,305 shares and 46,201,563 shares issued and outstanding as of September 30, 2017 and December 31, 2016, respectively

 

 

57

 

 

46

Additional paid-in capital

 

 

710,010

 

 

435,551

Accumulated deficit

 

 

(267,194)

 

 

(204,726)

Accumulated other comprehensive income (loss)

 

 

3,906

 

 

(1)

Total stockholders’ equity

 

 

446,779

 

 

230,870

Total liabilities and stockholders’ equity

 

$

880,924

 

$

303,670

2

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TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except share and per share data, unaudited)

Quarter Ended March 31,

 

    

2020

2019

 

Revenue

$

180,799

    

$

128,573

Expenses:

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

72,382

 

44,677

Operating expenses:

Advertising and marketing

 

32,515

 

26,404

Sales

 

17,940

 

16,212

Technology and development

 

19,257

 

15,987

Legal and regulatory

1,222

 

1,586

Acquisition and integration related costs

3,664

 

1,012

General and administrative

 

45,120

 

35,982

Depreciation and amortization

 

9,710

 

9,600

Total expenses

201,810

151,460

Loss from operations

 

(21,011)

 

(22,887)

Interest expense, net

 

9,303

 

6,521

Net loss before taxes

 

(30,314)

 

(29,408)

Income tax (benefit) expense

 

(711)

 

742

Net loss

$

(29,603)

$

(30,150)

Net loss per share, basic and diluted

$

(0.40)

$

(0.43)

 

 

Weighted-average shares used to compute basic and diluted net loss per share

73,278,857

70,919,496

See accompanying notes to unaudited consolidated financial statements.

3

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TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(In thousands, unaudited)

Quarter Ended March 31,

 

    

2020

2019

 

Net loss

$

(29,603)

    

$

(30,150)

Other comprehensive loss, net of tax:

Net change in unrealized gains on available-for-sale securities

0

55

Cumulative translation adjustment

(17,554)

(3,843)

Other comprehensive loss, net of tax

(17,554)

(3,788)

Comprehensive loss

$

(47,157)

$

(33,938)

See accompanying notes to unaudited consolidated financial statements

4

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TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(In thousands, except share data, unaudited)

    

���

Accumulated

    

Additional

    

    

Other

    

Total

Common Stock

 

Paid-In

 

Accumulated

 

Comprehensive

 

Stockholders’

    

Shares

    

Amount

    

Capital

    

Deficit

    

Loss

    

Equity

Balance of December 31, 2019

72,761,941

73

1,538,716

(507,525)

(17,239)

1,014,025

Exercise of stock options

671,279

0

14,830

0

0

14,830

Issuance of common stock upon vesting of restricted stock units

642,411

1

(1)

0

0

0

Issuance of common stock for Convertible Notes

655

0

58

0

0

58

Stock-based compensation

0

0

18,421

0

0

18,421

Other comprehensive loss, net of tax

0

0

0

0

(17,554)

(17,554)

Net loss

0

0

0

(29,603)

0

(29,603)

Balance as of March 31, 2020

74,076,286

$

74

$

1,572,024

$

(537,128)

$

(34,793)

$

1,000,177

Balance as of December 31, 2018

70,516,249

$

70

$

1,434,780

$

(408,661)

$

(13,070)

$

1,013,119

Exercise of stock options

564,102

1

8,853

0

0

8,854

Issuance of common stock upon vesting of restricted stock units

383,060

0

0

0

0

0

Stock-based compensation

0

0

13,523

0

0

13,523

Other comprehensive loss, net of tax

0

0

0

0

(3,788)

(3,788)

Net loss

0

0

0

(30,150)

0

(30,150)

Balance as of March 31, 2019

71,463,411

$

71

$

1,457,156

$

(438,811)

$

(16,858)

$

1,001,558

See accompanying notes to unaudited consolidated financial statements.

5

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TELADOC HEALTH, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands, unaudited)

Quarter Ended March 31,

    

2020

2019

Cash flows used in operating activities:

    

    

    

    

Net loss

$

(29,603)

$

(30,150)

Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

Depreciation and amortization

 

11,228

 

11,563

Allowance for doubtful accounts

 

1,247

 

783

Stock-based compensation

 

18,315

 

13,523

Deferred income taxes

 

(2,820)

 

(2,672)

Accretion of interest

6,859

6,060

Changes in operating assets and liabilities:

Accounts receivable

 

(17,219)

 

(8,251)

Prepaid expenses and other current assets

 

101

 

350

Other assets

 

137

 

30

Accounts payable

 

(502)

 

(28)

Accrued expenses and other current liabilities

 

21,565

 

14,530

Accrued compensation

 

(13,798)

 

(11,737)

Operating lease liabilities

(1,287)

(479)

Other liabilities

 

(543)

 

(1,414)

Net cash used in operating activities

 

(6,320)

 

(7,892)

Cash flows (used in) provided by investing activities:

Purchase of property and equipment

 

(962)

 

(571)

Purchase of internal-use software

 

(1,966)

 

(1,099)

Proceeds from marketable securities

0

9,000

Sale of assets

0

6

Pre-funding associated with the pending acquisition

 

(9,000)

 

0

Net cash (used in) provided by investing activities

 

(11,928)

 

7,336

Cash flows provided by financing activities:

Net proceeds from the exercise of stock options

 

14,889

 

8,854

Cash received for withholding taxes on stock-based compensation, net

164

1,848

Net cash provided by financing activities

 

15,053

 

10,702

Net (decrease) increase in cash and cash equivalents

 

(3,195)

 

10,146

Foreign exchange difference

(3,202)

(177)

Cash and cash equivalents at beginning of the period

 

514,353

 

423,989

Cash and cash equivalents at end of the period

$

507,956

$

433,958

Income taxes paid

$

0

$

23

Interest paid

$

0

$

0

See accompanying notes to unaudited consolidated financial statements.

1


6

Table of Contents

TELADOC, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS  

(In thousands, except share and per share data, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended September 30,

 

Nine Months Ended September 30,

 

 

 

 

2017

 

2016

 

2017

 

2016

 

 

Revenue

    

$

68,650

    

$

32,381

    

$

156,139

    

$

85,757

    

 

Cost of revenue

 

 

16,742

 

 

7,112

 

 

38,907

 

 

21,946

 

 

Gross profit

 

 

51,908

 

 

25,269

 

 

117,232

 

 

63,811

 

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advertising and marketing

 

 

14,328

 

 

9,046

 

 

39,222

 

 

24,900

 

 

Sales

 

 

11,393

 

 

7,662

 

 

26,705

 

 

18,792

 

 

Technology and development

 

 

9,964

 

 

5,867

 

 

24,013

 

 

15,921

 

 

Legal

 

 

105

 

 

1,033

 

 

725

 

 

3,348

 

 

Regulatory

 

 

777

 

 

817

 

 

2,771

 

 

2,437

 

 

Acquisition and integration related costs

 

 

8,526

 

 

6,196

 

 

10,639

 

 

6,959

 

 

General and administrative

 

 

21,938

 

 

12,298

 

 

52,299

 

 

35,215

 

 

Depreciation and amortization

 

 

6,418

 

 

2,607

 

 

11,693

 

 

5,673

 

 

Loss from operations

 

 

(21,541)

 

 

(20,257)

 

 

(50,835)

 

 

(49,434)

 

 

Amortization of warrants and loss on extinguishment of debt

 

 

1,457

 

 

8,454

 

 

1,457

 

 

8,454

 

 

Interest expense, net

 

 

8,202

 

 

873

 

 

9,678

 

 

1,707

 

 

Net loss before taxes

 

 

(31,200)

 

 

(29,584)

 

 

(61,970)

 

 

(59,595)

 

 

Income tax provision

 

 

130

 

 

188

 

 

429

 

 

360

 

 

Net loss

 

$

(31,330)

 

$

(29,772)

 

$

(62,399)

 

$

(59,955)

 

 

Net loss per share, basic and diluted

 

$

(0.55)

 

$

(0.65)

 

$

(1.15)

 

$

(1.46)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares used to compute basic and diluted net loss per share

 

 

56,493,054

 

 

45,860,269

 

 

54,435,343

 

 

41,071,474

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See accompanying notes to unaudited consolidated financial statements.

2


Table of Contents

TELADOC, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended September 30,

 

Nine Months Ended September 30,

 

 

 

2017

 

2016

 

2017

 

2016

 

Net loss

    

$

(31,330)

    

$

(29,772)

    

$

(62,399)

    

$

(59,955)

 

Other comprehensive income (loss), net of tax:

 

 

 

 

 

 

 

 

 

 

 

 

 

 Net change in unrealized gains on available-for-sale securities

 

 

(6)

 

 

(17)

 

 

(6)

 

 

50

 

 Cumulative translation adjustment

 

 

3,913

 

 

 —

 

 

3,913

 

 

 —

 

Other comprehensive income (loss), net of tax

 

 

3,907

 

 

(17)

 

 

3,907

 

 

50

 

Comprehensive loss

 

$

(27,423)

 

$

(29,789)

 

$

(58,492)

 

$

(59,905)

 

See accompanying notes to unaudited consolidated financial statements

3


Table of Contents

TELADOC, INC.

CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY

(In thousands, except share data, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

 

 

 

 

 

 

 

Accumulated

 

 

 

 

 

 

 

 

    

Additional

    

 

 

    

Other

    

Total

 

 

 

Common Stock

 

Paid-In

 

Accumulated

 

Comprehensive

 

Stockholders’

 

 

    

Shares

    

Amount

    

Capital

    

Deficit

    

Income

    

Equity

 

Balance as of December 31, 2016

 

46,201,563

 

$

46

 

$

435,551

 

$

(204,726)

 

$

(1)

 

$

230,870

 

Exercise of stock options

 

734,293

 

 

 1

 

 

6,995

 

 

 —

 

 

 —

 

 

6,996

 

Exercise of warrants

 

138,903

 

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

 —

 

Issuance of common stock under employee stock purchase plan

 

90,968

 

 

 —

 

 

1,265

 

 

 —

 

 

 —

 

 

1,265

 

Issuance of common stock for the acquisition of Best Doctors

 

1,855,078

 

 

 2

 

 

66,178

 

 

 —

 

 

 —

 

 

66,180

 

Equity component of Convertible Senior Notes, net of issuance costs

 

 —

 

 

 —

 

 

62,404

 

 

 —

 

 

 —

 

 

62,404

 

Stock-based compensation (1)

 

 —

 

 

 —

 

 

13,697

 

 

(69)

 

 

 —

 

 

13,628

 

Follow-On Offering

 

7,887,500

 

 

 8

 

 

123,920

 

 

 —

 

 

 —

 

 

123,928

 

Other comprehensive income, net of tax

 

 —

 

 

 —

 

 

 —

 

 

 —

 

 

3,907

 

 

3,907

 

Net loss

 

 —

 

 

 —

 

 

 —

 

 

(62,399)

 

 

 —

 

 

(62,399)

 

Balance as of September 30, 2017

 

56,908,305

 

$

57

 

$

710,010

 

$

(267,194)

 

$

3,906

 

$

446,779

 

(1)

The $0.1 million adjustment to accumulated deficit represents the adoption of ASU 2016-09 for cumulative forfeitures expense. See Note 2 for additional information.

See accompanying notes to unaudited consolidated financial statements.

4


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TELADOC, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS  

(In thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

 

2017

 

2016

 

Cash flows used in operating activities:

    

 

    

    

 

    

 

Net loss

 

$

(62,399)

 

$

(59,955)

 

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

Depreciation and amortization

 

 

11,693

 

 

5,673

 

Allowance for doubtful accounts

 

 

1,343

 

 

1,970

 

Stock-based compensation

 

 

13,628

 

 

5,198

 

Deferred income taxes

 

 

225

 

 

360

 

Accretion of interest

 

 

3,262

 

 

29

 

Amortization of warrants and loss on extinguishment of debt

 

 

1,457

 

 

7,717

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

Accounts receivable

 

 

(3,186)

 

 

(1,515)

 

Prepaid expenses and other current assets

 

 

(2,717)

 

 

(1,116)

 

Other assets

 

 

(89)

 

 

(18)

 

Accounts payable

 

 

(782)

 

 

(2,265)

 

Accrued expenses and other current liabilities

 

 

9,432

 

 

(462)

 

Accrued compensation

 

 

967

 

 

23

 

Other liabilities

 

 

 0

 

 

20

 

Net cash used in operating activities

 

 

(27,166)

 

 

(44,341)

 

Cash flows (used in) provided by investing activities:

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(2,043)

 

 

(1,118)

 

Purchase of internal-use software

 

 

(1,473)

 

 

(852)

 

Purchase of marketable securities

 

 

(119,670)

 

 

(44,187)

 

Proceeds from marketable securities

 

 

45,820

 

 

95,604

 

Acquisition of business, net of cash acquired

 

 

(379,355)

 

 

(37,013)

 

Net cash (used in) provided by investing activities

 

 

(456,721)

 

 

12,434

 

Cash flows provided by financing activities:

 

 

 

 

 

 

 

Net proceeds from the exercise of stock options

 

 

6,996

 

 

2,209

 

Proceeds from issuance of convertible notes

 

 

263,722

 

 

 —

 

Proceeds from borrowing under bank and other debt

 

 

166,679

 

 

29,490

 

Repayment of bank loan and other debt

 

 

(46,191)

 

 

(11,667)

 

Proceeds from issuance of common stock

 

 

123,928

 

 

250

 

Proceeds from employee stock purchase plan

 

 

1,265

 

 

 —

 

Cash for withholding taxes on stock-based awards, net

 

 

495

 

 

591

 

Net cash provided by financing activities

 

 

516,894

 

 

20,873

 

Net increase (decrease) in cash and cash equivalents

 

 

33,007

 

 

(11,034)

 

Foreign exchange difference

 

 

97

 

 

 —

 

Cash and cash equivalents at beginning of the period

 

 

50,015

 

 

55,066

 

Cash and cash equivalents at end of the period

 

$

83,119

 

$

44,032

 

 

 

 

 

 

 

 

 

Interest paid

 

$

4,727

 

$

1,734

 

See accompanying notes to unaudited consolidated financial statements.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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”“Teladoc Health” or the “Company”. The Company’s principal executive offices areoffice is located in Purchase, New York and Lewisville, Texas.York. Teladoc Health is the nation’s largest telehealth company.global leader in providing virtual healthcare services with a focus on high quality, lower costs, and improved outcomes around the world.

On July 14, 2017, the Company completed the acquisition of Best Doctors Holdings, Inc. (“Best Doctors”), an expert medical consultation company focused on improving health outcomes for the most complex, critical and costly medical issues. See Note 3 “Business Acquisition”.

On January 24, 2017, Teladoc completed its follow on public offering (the “Follow-On Offering”) in which12, 2020, the Company issuedentered into a definitive agreement to acquire InTouch Technologies, Inc., the leading provider of enterprise telehealth solutions for hospitals and sold 7,887,500 shareshealth systems. The transaction is expected to close in mid-2020. Under the terms of common stock, including the exercise of an underwriter option toagreement, the purchase additional shares, at an issuance price of $16.75 per share. The Company received net proceeds$600.0 million will consist of $123.9approximately $150.0 million after deducting underwriting discounts and commissions of $7.6 millionin cash as well as other offering expenses$450.0 million of $0.6 million.

On July 1, 2016,Teladoc Health’s common stock which is subject to adjustment based on the Company completedaverage of the acquisitions of HY Holdings, Inc. d/b/a HealthiestYou Corporation (“HealthiestYou”), a telehealth consumer engagement technology platformCompany’s stock price for the smallten full trading days prior to mid-sized employer market. Upon the effective datecompletion of the merger, HealthiestYou merged with and into Teladoc. See Note 3 “Business Acquisition”.acquisition.

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 quarters and nine monthsquarter ended September 30, 2017March 31, 2020 are not necessarily indicative of results for the full 20172020 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, 2016. 

2019

The unaudited consolidated financial statements include the results of Teladoc Health, its wholly owned subsidiaries, twoas well as 2 professional associations, and twenty two14 professional corporations and a service corporation (collectively, the(the “Association”).

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 Agreementsservices agreements by and among it and the professional corporations pursuant to which each professional corporation provides services to Teladoc Physicians,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.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.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Total revenue and net loss(loss) income for the VIE were $6.9$42.5 million and $(1.3)$(0.1) million, respectively, for the quarter ended September 30, 2017March 31, 2020 and $4.5$21.1 million and $(2.2)$(0.1) million, respectively, for the quarter ended September 30, 2016. Total revenue and net loss for the VIE were $22.6 million and $(5.7) million, respectively, for the nine months ended September 30, 2017 and $15.5 million and $(5.7) million, respectively, for the nine months ended September 30, 2016.March 31, 2019. The VIE’s total assets were $3.0$22.8 million and $2.9$13.6 million at September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively. Total liabilities for the VIE were $33.8$60.4 million and $27.8$51.3 million at September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively. The VIE’s total stockholders’ deficit was $30.7$37.8 million and $25.0$37.7 million at September 30, 2017March 31, 2020 and December 31, 2016,2019, respectively.

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

7

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date. Revenues and expenses are translated at the weighted average exchange rate during the period. Cumulative translation gains or losses are included in stockholders’ equity as a component of accumulated other comprehensive income (loss).

The Company operates in a single reportable segment – health services. Revenue earned by foreign operations outside of the United States which relate to Best Doctors, were $8.7$29.4 million and $25.2 million for the quarterquarters ended March 31, 2020 and nine months ended September 30, 2017 and zero in 2016.2019, respectively. Long-lived assets from foreign operations both totaled $0.3$2.2 million as of September 30, 2017March 31, 2020 and zero as of September 30, 2016.December 31, 2019.

All intercompany transactions and balances have been eliminated.

Recently Issued Accounting Pronouncements

In December 2019, FASB issued ASU 2019-12 Simplification of Income Taxes (Topic 740) Income Taxes. ASU 2019-12 simplifies the accounting for income taxes by removing certain exceptions to the general principles in Topic 740. The Companyamendments 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 are early adopting 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 2016-09, Compensation – Stock Compensation2016-13, Financial Instruments - Credit Losses (Topic 718): Improvements326) Measurement of Credit Losses on Financial Instruments. ASU 2016-13 requires an entity to Employee Share-Based Payment Accounting duringutilize 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 will apply 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 for the first quarter of 2020 and was adopted in the quarter ended March 31, 2017 as described below. 2020, with no material impact to the financial statements.

Summary of Significant Accounting Policies

There have been no other 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.

Reclassifications

Certain prior year amounts have been reclassified The Company has not experienced any significant impact to conform to the current year presentation.

Recently Issued Accounting Pronouncements

In March 2016, the FASB issued ASU 2016-09, Compensation—Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting. ASU 2016-09 simplifies several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awardsit’s estimates and assumptions as either equity or liabilities, and classification on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2016, and interim periods within those fiscal years and early adoption is permitted. On January 1, 2017, the Company adopted this standard on a modified retrospective basis. As a result of the adoption of this standard, a deferred tax asset of approximately $1.3 million was recorded as a cumulative effect adjustmentCOVID-19 pandemic. On an ongoing basis, the Company will continue to accumulated deficit. closely monitor for any changes to the related impacts, especially on the allowance for doubtful accounts.

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 also recordedcertain contracts that generate revenue based solely on a full valuation allowanceper 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.

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The Company’s agreements generally have a term of one year. The majority of clients renew their contracts following their first year of services. Revenues are recognized when the Company satisfies its performance obligation to stand ready to provide telehealth services which occurs when the Company’s clients and members have access to and obtain control of the telehealth service. The Company generally bills for the deferred tax asset due totelehealth services on a monthly basis with payment terms generally being 30 days. There are not significant differences between the uncertainty regarding the future realization and as a result, there was no change to stockholders’ equity. Additionally, the Company elected to change its policy from estimating forfeitures to recognizing forfeitures when they occur and recorded a cumulative adjustment to accumulated deficit of approximately $0.1 million as of January 1, 2017.

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers (Topic 606), to achieve a consistent applicationtiming of revenue recognition withinand billing. Consequently, the U.S., resulting inCompany has determined that client contracts do not include a single revenue model to be applied by reporting companies under GAAP. Under the new model, recognition of revenue occurs when a customer obtains control of promised goods or servicesfinancing component. Revenue is recognized in an amount that reflects the consideration to which the entity expects to be entitledthat is expected in exchange for those goodsthe service and includes a variable transaction price as the number of members may vary from period to period. Based on historical experience, the Company estimates this amount.

Subscription access revenue accounted for approximately 76% and 82% of our total revenue for the quarters ended March 31, 2020 and 2019, respectively.

The following table presents the Company’s revenues disaggregated by revenue source (in thousands):

Quarter Ended

March 31,

    

2020

    

2019

    

Subscription Access Fees:

U.S.

$

107,939

$

80,979

International

29,114

24,975

Visit Fee Revenue:

U.S. Paid Visits

30,898

18,248

U.S. Visit Fee Only

12,586

 

4,121

International Paid Visits

262

250

Total Revenues

$

180,799

$

128,573

As of March 31, 2020, accounts receivable, net of allowance for doubtful accounts, were $70.7 million. The allowance for doubtful accounts reflects our best estimate of probable losses inherent in the accounts receivable balance. The Company determines the allowance based on historical experience, specific account information and other currently available evidence.

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. In addition,The net increase of $5.4 million and $2.9 million in the revised guidance requires that reporting companies disclosedeferred revenue balance for the nature, amount, timing,three months ended March 31, 2020 and uncertainty of revenue2019, respectively, are primarily driven by the direct-to-consumer behavioral health product and cash flows arising frompayments received or due in advance of satisfying the Company’s performance obligations, offset by revenue recognized that were included in the deferred revenue balance at the beginning of the period. The Company anticipates that it will satisfy most of its performance obligations associated with the deferred revenue within the prospective fiscal year.

The Company’s contracts with customers.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 revised guidance is effectiveCompany issued refunds of approximately $1.2 million and $0.6 million for the quarter ended March 31, 2020 and 2019, respectively.

Additionally, certain of the Company’s contracts include client performance guarantees that are based upon minimum Member utilization and guarantees by the Company beginning infor 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 endingended March 31, 2018; early adoption is allowed. The revised guidance is required2020 and 2019, revenue recognized from performance obligations related to be applied retrospectively to each prior reporting period presentedperiods for the aforementioned changes in transaction price or modified retrospectively applied with the cumulative effect of initially applying it recognized at the date of initial application. client performance guarantees, were not material.

The Company has undergoneelected the optional exemption to not disclose the remaining performance obligations of its contracts since substantially all of its contracts have a processduration of identifyingone year or less and the various types of revenue streams and has performed an initial evaluationvariable consideration expected to be received over the duration of the components ofcontract is allocated entirely to the wholly unsatisfied performance obligations.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

the associated contractual arrangements. As a result of the Best Doctors acquisition, the Company is in process of performing a similar assessment. The Company is assessing the impact of this standard on its revenue recognition policy and anticipates adopting the standard using the modified retrospective method.  

In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). ASU 2016-02 outlines a comprehensive lease accounting model and supersedes the current lease guidance. The new guidance requires lessees to recognize lease liabilities and corresponding right-of-use assets for all leases with lease terms of greater than 12 months. It also changes the definition of a lease and expands the disclosure requirements of lease arrangements. The new guidance must be adopted using the modified retrospective approach and will be effective for the Company starting in the first quarter of fiscal 2019. Early adoption is permitted. The Company is currently in the process of evaluating the impact of the adoption of this standard on the consolidated financial statements.

Note 3.4. Business Acquisitions

On July 14, 2017,April 30, 2019, the Company completed the acquisition of Best Doctors through a mergerthe Paris-based telemedicine provider MedecinDirect in which Best DoctorsMedecinDirect became a wholly-owned subsidiary of the Company. The aggregate merger consideration paid was $445.5$11.2 million net of cash acquired of $13.7 million, which was comprised of 1,855,078 shares of Teladoc’s common stock valued at $66.2 million on July 14, 2017, and $375.0 million of cash, subject to post-closing working capital adjustments as defined in the merger agreement. The post-closing working capital adjustment was finalized in the amount of $4.3 million. Best Doctors provides technology innovations and services to help employers, health plans and provider organizations to ensure that their members combat medical uncertainty with access to the best medical minds.additional potential earnout consideration. The acquisition was considered a stock acquisition for tax purposes and accordingly, the goodwill resulting from thisthe acquisition is not tax deductible. The total acquisition related costs of the acquisition were $9.1 million and included transaction costs for investment bankers and other professional fees. The Company recorded $21.8 million of revenue and $1.1 million of net income from Best Doctors for the quarter and nine months ended September 30, 2017.

On July 1, 2016, the Company completed the acquisition of HealthiestYou through a merger in which HealthiestYou became a wholly-owned subsidiary of the Company. The aggregate merger consideration paid was $151.5 million, which was comprised of 6,955,796 shares of Teladoc’s common stock valued at $108.3 million on July 1, 2016, and $43.2 million of cash, subject to post-closing working capital adjustments as defined in the merger agreement. The post-closing working capital adjustment was finalized in the amount of less than $0.1 million. HealthiestYou was a telehealth consumer engagement technology platform for the small to mid-sized employer market. Solutions provided by HealthiestYou included 24/7 access to telephone and video conferencing with doctors as well as the convenience of procedure price comparisons, prescription medicine price comparisons, health plan information and benefits eligibility and location information for wellness service providers. The acquisition was considered a stock acquisition for tax purposes and as such the goodwill resulting from this acquisition is not tax deductible. The total acquisition related costs of the acquisition were $6.9 million and included transaction costs for investment bankers and other professional fees as well as $5.7 million of contract termination costs for certain HealthiestYou third party providers. The contract termination costs of $5.7 million were previously accrued by HealthiestYou and reflected in HealthiestYou’s financial statements as of June 30, 2016, prior to the acquisition. These non-cash expenses are also reflected in the Company’s financial results in the quarter ended September 30, 2016 as the Company benefited from the termination of these contracts.

The acquisitions described above were accounted for using the acquisition method of accounting, which requires, among other things, the assets acquired and the liabilities assumed be recognized at their fair values as of the acquisition date. The results of the acquisitions were included within the consolidated financial statements commencing on the respective aforementioned acquisition dates.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The following table summarizes the fair value estimates of the assets acquired and liabilities assumed at each acquisition date. The Company, with the assistance of a third-party valuation expert, estimated the fair value of the acquired tangible and intangible assets.

Identifiable assets acquired and liabilities assumed (in thousands):

 

 

 

 

 

 

 

 

 

    

BestDoctors

 

HealthiestYou

 

Purchase price

 

$

459,225

 

$

151,484

 

Less:

 

 

 

 

 

 

 

Cash

 

 

13,690

 

 

6,204

 

Accounts receivable

 

 

11,205

 

 

1,184

 

Other assets

 

 

13,613

 

 

1,537

 

Client relationships

 

 

112,810

 

 

10,930

 

Non-compete agreements

 

 

 -

 

 

70

 

Internal-use software

 

 

 -

 

 

2,220

 

Trademarks

 

 

24,920

 

 

1,180

 

Accounts payable

 

 

(393)

 

 

(836)

 

Deferred taxes

 

 

(11,800)

 

 

 —

 

Other liabilities

 

 

(12,337)

 

 

(2,847)

 

Goodwill

 

$

307,517

 

$

131,842

 

The amount allocated to goodwill reflects the benefits Teladoc expects to realize from the growth of the respective acquisitions operations.

The Company’s unaudited pro forma revenue and net loss for the quarters ended September 30, 2017 and 2016 and for the nine months ended September 30, 2017 and 2016 below have been prepared as if Best Doctors and HealthiestYou had been purchased on January 1, 2016.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unaudited Pro Forma

 

Unaudited Pro Forma

 

 

 

Quarters Ended

 

Nine Months Ended 

 

 

 

September 30,

 

September 30,

 

(in thousands)

 

2017

 

2016

 

2017

 

2016

 

Revenue

    

$

72,562

    

$

56,106

    

$

217,506

    

$

163,718

 

Net loss

 

$

(31,281)

 

$

(33,278)

 

$

(65,532)

 

$

(74,889)

 

The unaudited pro forma financial information above is not necessarily indicative of what the Company’s consolidated results actually would have been if the acquisitions had been completed at the beginning of the respective periods. In addition, the unaudited pro forma information above does not attempt to project the Company’s future results.

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Table of Contents

TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Note 4.5. 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

 

September 30, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

Average

    

Useful

    

    

Accumulated

    

Net Carrying

    

Remaining

 

Life

Gross Value

Amortization

Value

 

Useful Life

March 31, 2020

Client relationships

 

2 to 20 years  

 

$

232,987

$

(65,733)

$

167,254

13.0

Non-compete agreements

 

1.5 to 5 years

 

 

4,930

 

(4,366)

 

564

1.2

Trademarks

3 to 15 years  

41,764

(7,727)

34,037

12.6

Patents

3 years  

200

(200)

0

0

Internal-use software and other

 

3 to 5 years

 

 

37,219

(24,408)

12,811

2.4

Intangible assets, net

$

317,100

$

(102,434)

$

214,666

12.3

December 31, 2019

Client relationships

 

2 to 10 years  

 

$

136,368

 

$

(11,326)

 

$

125,042

 

9.5

 

 

2 to 20 years  

 

$

237,182

$

(60,647)

$

176,535

13.1

Non-compete agreements

 

1.5 to 5 years

 

 

3,480

 

 

(2,943)

 

 

537

 

0.9

 

 

1.5 to 5 years

 

 

4,958

 

(4,260)

 

698

1.4

Trademarks

 

3 to 15 years  

 

 

26,456

 

 

(960)

 

 

25,496

 

14.4

 

3 to 15 years  

42,606

(7,143)

35,463

12.9

Patents

 

3 years  

 

 

200

 

 

(55)

 

 

145

 

2.2

 

3 years  

200

(200)

0

0

Internal-use software

 

3 to 5 years

 

 

18,974

 

 

(5,624)

 

 

13,350

 

 1.9

 

 

3 to 5 years

 

 

34,850

(22,093)

12,757

2.3

Intangible assets, net

 

 

 

$

185,478

 

$

(20,908)

 

$

164,570

 

 9.6

 

$

319,796

$

(94,343)

$

225,453

12.4

December 31, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Client relationships

 

2 to 10 years  

 

$

22,581

 

$

(6,226)

 

$

16,355

 

8.5

 

Non-compete agreements

 

1.5 to 5 years

 

 

3,480

 

 

(2,344)

 

 

1,136

 

1.6

 

Trademarks

 

3 years  

 

 

1,320

 

 

(287)

 

 

1,033

 

2.4

 

Patents

 

3 years  

 

 

200

 

 

(6)

 

 

194

 

2.9

 

Internal-use software

 

3 to 5 years

 

 

8,976

 

 

(2,819)

 

 

6,157

 

3.0

 

Intangible assets, net

 

 

 

$

36,557

 

$

(11,682)

 

$

24,875

 

6.5

 

Amortization expense for intangible assets was $5.3$8.9 million and $2.0$8.7 million for the quarters ended September 30, 2017March 31, 2020 and 2016, respectively and $9.2 million and $4.1 million for the nine months ended September 30, 2017 and 2016,2019, respectively.

Note 5.6. Goodwill

Goodwill consists of the following (in thousands):

 

 

 

 

 

 

 

    

As of September 30,

    

As of December 31,

 

    

2017

    

2016

 

    

As of March 31,

 

    

2020

 

Beginning balance

 

$

188,184

 

$

56,342

 

$

746,079

Additions associated with acquisitions

 

 

 307,517

 

 

131,842

 

Cumulative translation adjustment

 

 

2,848

 

 

 -

 

 

(11,693)

Goodwill

 

$

498,549

 

$

188,184

 

$

734,386

Note 7. Leases

The Company commenced a new 5 year lease on March 1, 2020 for office space in Santa Clara, CA. As a result the Company recorded a right-of-use asset and lease liability of $6.8 million as of March 1, 2020.

 

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Note 6.8. Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consist of the following (in thousands):

 

 

 

 

 

 

 

 

 

    

As of September 30,

    

As of December 31,

 

 

    

2017

    

2016

 

Professional fees

 

$

1,520

 

$

293

 

Consulting fees/provider fees

 

 

3,233

 

 

1,687

 

Client performance guarantees

 

 

2,421

 

 

431

 

Legal fees

 

 

607

 

 

897

 

Interest payable

 

 

2,849

 

 

389

 

Marketing

 

 

2,149

 

 

142

 

Earnout and compensation

 

 

2,543

 

 

1,045

 

Printing and postage

 

 

844

 

 

 —

 

Deferred revenue

 

 

3,522

 

 

1,002

 

Other

 

 

4,449

 

 

2,095

 

Total

 

$

24,137

 

$

7,981

 

    

As of March 31,

    

As of December 31,

    

2020

    

2019

 

Professional fees

$

1,567

$

1,535

Consulting fees/provider fees

 

16,668

10,618

Client performance guarantees

3,087

3,298

Legal fees

1,549

1,077

Interest payable

3,889

838

Income tax payable

5,478

2,859

Insurance

1,587

1,263

Marketing

3,052

2,810

Operating lease liabilities - current

5,836

5,088

Deferred revenue

 

17,872

12,466

Other

 

11,342

7,996

Total

$

71,927

$

49,848

Note 7.9. Fair Value Measurements

The Company measures its financial assets and liabilities at fair value at each reporting period using a fair value hierarchy that requires it to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. A financial instrument’s classification within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. Three levels of inputs may be used to measure fair value:

Level 1—Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active

markets.

Level 2—Include other inputs that are directly or indirectly observable in the marketplace.

Level 3—Unobservable inputs that are supported by little or no market activity.

The Company measures its cash equivalents at fair value on a recurring basis. The Company classifies its cash equivalents within Level 1 because they are valued using observable inputs that reflect quoted prices for identical assets in active markets and quoted prices directly in active markets.

The Company measures its short-term marketable securitiesinvestments at fair value on a recurring basis and classifies such as Level 2. They are valued using observable inputs that reflect quoted prices directly or indirectly in active markets. The short-term marketable securitiesinvestments amortized cost approximates fair value.

The Company measuresmeasured its contingent consideration at fair value on a recurring basis and classifiesclassified such as Level 3. The Company estimates the fair value of contingent consideration as the present value of the expected contingent payments, determined using the weighted probability of the possible payments.

The following tables present information about the Company’s assets and liabilities that are measured at fair value on a recurring basis using the above input categories (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

September 30, 2017

 

    

Level 1

    

Level 2

    

Level 3

    

Total

Cash and cash equivalents

 

$

68,137

 

$

14,982

 

$

 —

 

$

83,119

Short-term marketable securities

 

$

 —

 

$

89,758

 

$

 —

 

$

89,758

Contingent liability (included in other liabilities)

 

$

 —

 

$

 —

 

$

3,991

 

$

3,991

March 31, 2020

    

Level 1

    

Level 2

    

Level 3

    

Total

Cash and cash equivalents

$

507,956

$

0

$

0

$

507,956

Short-term investments

$

0

$

2,819

$

0

$

2,819

Contingent liability

$

0

$

0

$

4,782

$

4,782

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2016

 

    

Level 1

    

Level 2

    

Level 3

    

Total

Cash and cash equivalents

 

$

50,015

 

$

 —

 

$

 —

 

$

50,015

Short-term marketable securities

 

$

 —

 

$

15,793

 

$

 —

 

$

15,793

Contingent liability (included in accrued expenses and other current liabilities and other liabilities)

 

$

 —

 

$

 —

 

$

3,678

 

$

3,678

December 31, 2019

    

Level 1

    

Level 2

    

Level 3

    

Total

Cash and cash equivalents

$

514,353

$

0

$

0

$

514,353

Short-term investments

$

0

$

2,711

$

0

$

2,711

Contingent liability

$

0

$

$

4,769

$

4,769

There were no transfers between fair value measurement levels during the quarter ended March 31, 2020 and nine months ended September 30, 2017 and 2016.2019.

The change in fair value of the Company’s contingent liability is recorded in general and administrative expenses in the consolidated statements of operations. The following table reconciles the beginning and ending balance of the Company’s Level 3 contingent liability:

 

 

 

 

 

    

 

    

Balance at December 31, 2016

 

$

3,678

Change in fair value

 

 

313

Fair value at September 30, 2017

 

$

3,991

Fair value at December 31, 2019

    

$

4,769

Payments

 

0

Change in fair value

 

105

Currency translation adjustment

(92)

Fair value at March 31, 2020

$

4,782

Note 8. Long Term Bank and Other Debt10. Revolving Credit Facility

Long‑term bank and other debt consist of the following (in thousands):

 

 

 

 

 

 

 

 

 

    

As of September 30,

    

As of December 31,

 

 

    

2017

    

2016

 

Senior Secured Term Loan, less debt discount of $8,062

 

$

166,938

 

$

 —

 

SVB Mezzanine Term Loan

 

 

 —

 

 

25,000

 

SVB Line of Credit Facility less debt discount of $66

 

 

 —

 

 

17,424

 

Subordinated Promissory Note

 

 

 —

 

 

2,000

 

Total

 

 

166,938

 

 

44,424

 

Less: current portion of Subordinated Promissory Note

 

 

 —

 

 

(2,000)

 

Long term bank and other debt

 

$

166,938

 

$

42,424

 

Long term bank and other debt are stated at amortized cost, which approximates fair value.

On July 14, 2017 and concurrent with the consummation of the Best Doctors acquisition, theThe Company entered into a $175.0 million Senior Secured Term Loan Facility (the “New Term Loan Facility”) and a $10.0 million Senior Secured Revolving Credit Facility (the “New Revolving Credit Facility” and together with the New Term Loan Facility, the “New Senior Secured Credit Facilities”) pursuant to a credit agreement by and among the Company, the lenders party thereto from time to time and Jefferies Finance LLC, as administrative agent and collateral agent.in 2017. The New Term Loan Facility has been used to fund the expansion of the Company’s business and the New Revolving Credit Facility is available for working capital and other general corporate purposes.

The New Term Loan Facility carries interest at a rate of 7.25% above fixed 90 days Libor of 1.24% (or 8.49%) and matures in July 2022. Interest payments are payable monthly in arrears. The New Revolving Credit Facility carries interest at a rate of 7.25% above fixed 90- days Libor of 1.24% and matures in July 2020. The Company is also required to pay a commitment fee on the average daily unused portion ofhas maintained the New Revolving Credit Facility at 0.50%. The Company incurred expenses of $8.3 million in conjunction with obtaining the New Senior Secured Credit Facilities.

In July 2016, the Company entered into an Amended and, Restated Loan and Security Agreement with Silicon Valley Bank (“SVB”), that provided for a $25 million Mezzanine Term Loan and a $25 million Line of Credit Facility. The Mezzanine Term Loan carried interest at a rate of 6.25% above the Wall Street Journal (“WSJ”) Prime Rate with a WSJ Prime Rate floor of 3.75% and matured  in July 2019. Interest payments were payable monthly in arrears. The Company incurred a $250,000 loan origination fee and was liable for a final payment fee of $750,000 payable at maturity or upon prepayment of the Mezzanine Term Loan. In connection with entry into the Mezzanine Term Loan, the

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Company granted two affiliates of SVB warrants to purchase an aggregate of 798,694 shares of common stock of the Company at an exercise price of $13.50 per share. The warrants were immediately exercisable and had a 10-year term. The fair value of the common stock warrants on the date of issue was approximately $7.7 million. The Company also granted SVB a security interest in significantly all of the Company’s assets. The Mezzanine Term Loan had been used to fund the expansion of the Company’s business.

The amended Line of Credit Facility provided for borrowings up to $25 million based on 300% of the Company’s monthly recurring revenue, as defined. In addition, there was an additional $25 million Uncommitted Incremental Facility permitted under the Line0 amount outstanding as of Credit Facility. The Line of Credit Facility carried interest at a rate of 0.50% above the WSJ Prime RateMarch 31, 2020 and matured in JulyDecember 31, 2019. The Company incurred an initial $75,000 loan origination fee and is responsibleutilized $2.2 million of letters of credit for additional $75,000 in annual fees on the anniversary of the Line of Credit Facility. The Company was also liable for a $50,000 loan arrangement fee if and when the Company utilized the Uncommitted Incremental Facility.

On July 13, 2017, the Company repaid and extinguished all the outstanding amounts under both of the SVB Line of Credit Facility and Mezzanine Term Loan of $17.5 million and $25 million, respectively, including early termination and final deferred origination fees of $1.7 million and recorded a one-time charge reflected on the consolidated statements of operations as amortization of warrants and loss on extinguishment of debt.  

Effective with the purchase of AmeriDoc, LLC (“AmeriDoc”) in 2014, the Company executed a Subordinated Promissory Note in the amount of $3.5 million payable to the seller of AmeriDoc on April 30, 2015. The Subordinated Promissory Note carried interestfacility security deposits at a rate of 10.00% annual interest and is subordinated to the SVB Facilities. In March 2015, the Company, the seller of AmeriDoc and SVB executed an Amended and Restated Subordinated Promissory Note that extended the maturity of the Amended and Restated Subordinated Promissory Note to April 30, 2017. In November 2015, the Company executed the Second Amended and Restated Subordinated Promissory Note with a revised annual interest rate of 7% commencing on January 1, 2016 and extended the maturity of the Second Amended and Restated Subordinated Promissory Note to April 30, 2018 with a seller put option effective on April 30, 2017. The Company repaid $1.0 million during 2016 and the remaining outstanding amount of $2.0 million was paid during the first quarter of 2017.31, 2020.

The Company was in compliance with all debt covenants at September 30, 2017March 31, 2020 and December 31, 2016.2019.

Note 9.11. Convertible Senior Notes

Convertible Senior Notes Due 2025

On May 8, 2018, the Company issued, at par value, $287.5 million aggregate principal amount of 1.375% convertible senior notes due 2025. The 2025 Notes bear cash interest at a rate of 1.375% per year, payable semi-annually in arrears on May 15 and November 15 of each year. The 2025 Notes will mature on May 15, 2025. The net proceeds to the Company from the offering were $279.1 million after deducting offering costs of approximately $8.4 million.

The 2025 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2025 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2025 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding November 15, 2024 only under the following circumstances:

during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day;
during the 5 business day period after any 10 consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate on each such trading day;
upon the occurrence of specified corporate events described under the 2025 Notes Indenture; or

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if the Company calls the 2025 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

On or after November 15, 2024, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2025 Notes, regardless of the foregoing circumstances.

The conversion rate for the 2025 Notes was initially, and remains, 18.6621 shares of the Company’s common stock per $1,000 principal amount of the 2025 Notes, which is equivalent to an initial conversion price of approximately $53.58 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period.

The Company may redeem for cash all or any portion of the 2025 Notes, at its option, on or after May 22, 2022 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2025 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2025 Note for redemption on or after May 22, 2022 will constitute a make-whole fundamental change with respect to that 2025 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the 2025 Notes Indenture.

In accounting for the issuance of the 2025 Notes, the Company separated the 2025 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2025 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to November 15, 2024 (the first date on which the Company may be required to repurchase the 2025 Notes at the option of the holder). The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2025 Notes was $91.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2025 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2025 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the seven-year term of the 2025 Notes, and transaction costs attributable to the equity component are netted with the equity component in stockholders’ equity.

The 2025 Notes consist of the following (in thousands):

As of March 31,

As of December 31,

Liability component

    

2020

    

2019

Principal

$

287,500

$

287,500

Less: Debt discount, net (1)

(78,131)

(81,207)

Net carrying amount

$

209,369

$

206,293

(1)Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2025 Notes using the effective interest rate method.

The fair value of the 2025 Notes was approximately $833.8 million as of March 31, 2020. The Company estimates the fair value of its 2025 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2025 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 9, “Fair Value Measurements,” for

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definitions of hierarchy levels. As of March 31, 2020, the remaining contractual life of the 2025 Notes is approximately 5.1 years.

The following table sets forth total interest expense recognized related to the 2025 Notes (in thousands):

Quarters Ended

March 31,

    

2020

2019

Contractual interest expense

 

$

988

$

975

Amortization of debt discount

 

3,076

 

2,836

Total

 

$

4,064

$

3,811

Effective interest rate of the liability component

 

7.9

%  

 

7.9

%  

Convertible Senior Notes Due 2022

On June 27, 2017, the Company issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022 (the “2022 Notes”).2022. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrears on June 15 and December 15 of each year, beginning on December 15, 2017.year. The 2022 Notes will mature on December 15, 2022. The net proceeds to the Company from the offering were $263.7 million after deducting offering costs of approximately $11.3 million.

The 2022 Notes are senior unsecured obligations of the Company and rank senior in right of payment to the Company’s indebtedness that is expressly subordinated in right of payment to the 2022 Notes; equal in right of payment to the Company’s liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by the Company’s subsidiaries.

Holders may convert all or any portion of their 2022 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the close of business on the business day immediately preceding June 15, 2022 only under the following circumstances:

during any calendar quarter (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day;
during the 5 business day period after any 10 consecutive trading day period in which the trading price was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate on each such trading day;
upon the occurrence of specified corporate events described under the 2022 Notes Indenture; or
if the Company calls the 2022 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date.

•during any calendar quarter commencing after the calendar quarter ending on September 30, 2017 (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day;

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

•during the five business day period after any ten consecutive trading day period (the ‘‘measurement period’’) in which the trading price (as defined in the 2022 Notes Indenture) per $1,000 principal amount of 2022 Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate on each such trading day;

•upon the occurrence of specified corporate events described under the 2022 Notes Indenture; or

•if the Company calls the 2022 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date as described under the 2022 Notes Indenture.

On or after June 15, 2022, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2022 Notes, in integral multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.

The conversion rate for the 2022 Notes was initially, and remains, 22.7247 shares of the Company’s common stock per $1,000 principal amount of the 2022 Notes, which is equivalent to an initial conversion price of approximately $44.00 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects (or are deemed to have elected) to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period (as defined in the 2022 Notes Indenture).period.

The Company may redeem for cash all or any portion of the 2022 Notes, at its option, on or after December 22, 2020 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least

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20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2022 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2022 Note for redemption on or after December 22, 2020 will constitute a make-whole fundamental change with respect to that 2022 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the 2022 Notes Indenture.

In accounting for the issuance of the 2022 Notes, the Company separated the 2022 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2022 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense from the issuance date to June 15, 2022 (the first date on which the Company may be required to repurchase the 2022 Notes at the option of the holder). The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2022 Notes was $62.4 million, net of issuance costs which was recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet.

In accounting for the transaction costs related to the issuance of the 2022 Notes, the Company allocated the total costs incurred to the liability and equity components of the 2022 Notes based on their relative values. Transaction costs attributable to the liability component are being amortized to interest expense over the five and a half year term of the 2022 Notes, and transaction costs attributable to the equity component are netted with the equity components in stockholders’ equity.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The 2022 Notes consist of the following (in thousands):

As of March 31,

As of December 31,

Liability component

    

2020

    

2019

Principal

$

274,970

$

274,995

Less: Debt discount, net (2)

(37,118)

(40,878)

Net carrying amount

$

237,852

$

234,117

 

 

 

 

 

 

As of September 30,

Liability component

    

2017

Principal

 

$

275,000

Less: Debt issuance costs, net (1)

 

 

(70,607)

Net carrying amount

 

$

204,393


(1)

(2)

Included in the accompanying consolidated balance sheets within convertible senior notes and amortized to interest expense over the expected life of the 2022 Notes using the effective interest rate method.

The fair value of the 2022 Notes was approximately $298$970.2 million as of September 30, 2017.March 31, 2020. The Company estimates the fair value of its 2022 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2022 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 7,9, “Fair Value Measurements,” for definitions of hierarchy levels. As of September 30, 2017,March 31, 2020, the remaining contractual life of the 2022 Notes is approximately 4.82.7 years.

The following table sets forth total interest expense recognized related to the 2022 Notes (in thousands):

 

 

 

 

 

 

Nine Months Ended September 30,

 

    

2017

    

 

Quarters Ended

March 31,

2020

  

2019

    

Contractual interest expense

 

$

2,147

 

 

$

2,062

$

2,034

Amortization of debt discount

 

 

3,075

 

 

 

3,761

 

3,374

Total

 

$

5,222

 

 

$

5,823

$

5,408

Effective interest rate of the liability component

 

 

10.0

%  

 

 

10.0

%  

 

10.0

%  

15

Note 10. Commitments and Contingencies

12. Legal Matters

From time to time, Teladoc Health is involved in various litigation matters arising out of the normal course of business, including the matters described below. The Company consults with legal counsel on those issues related to litigation and seek input from other experts and advisors with respect to such matters. Estimating the probable losses or a range of probable losses resulting from litigation, government actions and other legal proceedings is inherently difficult and requires an extensive degree of judgment, particularly where the matters involve indeterminate claims for monetary damages, may becomeinvolve discretionary amounts, present novel legal theories, are in the early stages of the proceedings, or are subject to legal proceedings, claimsappeal. Whether any losses, damages or remedies ultimately resulting from such matters could reasonably have a material effect on our business, financial condition, results of operations, or cash flows will depend on a number of variables, including, for example, the timing and amount of such losses or damages (if any) and the structure and type of any such remedies. Teladoc Health’s management does not presently expect any litigation arising in the ordinary coursematter to have a material adverse impact on our business, financial condition, results of its business. At September 30, 2017, the Companyoperations or cash flows.

On December 12, 2018, a purported securities class action complaint (Reiner v. Teladoc Health, Inc., et.al.) was party to the following legal proceedings:

On April 29, 2015, the Company filed a lawsuit against the Texas Medical Board (the ‘‘TMB’’) in the United States District Court for the WesternSouthern District of Texas, Austin DivisionNew York (the “District Court”“SDNY”) allegingagainst the Company and certain of the Company’s officers and a former officer. The complaint is brought on behalf of a purported class consisting of all persons or entities who purchased or otherwise acquired shares of the Company’s common stock during the period March 3, 2016 through December 5, 2019. The complaint asserts violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 based on allegedly false or misleading statements and omissions with respect to, among other things, the alleged misconduct of one of the Company’s previous Executive Officers. The complaint seeks certification as a class action and unspecified compensatory damages plus interest and attorneys’ fees. The Company believes that the TMB’s adoption on April 10, 2015 of an amendmentclaims against the Company and its officers are without merit, and the Company and its named officers intend to 22 T.A.C. 190.8(1)(L) that would require a prior in-person examination for a doctor validly to prescribe any controlled substance to a patient in Texas constitutes a violation, inter alia, ofdefend the Sherman Antitrust Act. The District Court held a hearing on May 22, 2015 on Teladoc’s motion for preliminary injunction of the effectiveness of such amendment, which otherwise was scheduled to take effect on June 3, 2015. On May 29, 2015, the District Court issued the preliminary injunction requested by Teladoc and enjoined the effectiveness of such rule amendment pending trial. On July 30, 2015, the TMB filedCompany vigorously, including filing a motion to dismiss the suit,complaint.

In addition, on June 21, 2019, a stockholder derivative lawsuit (Kreutter v. Gorevic, et al.) was filed in the SDNY against certain current and former directors and officers of the Company. The derivative lawsuit alleges that the named directors and officers breached their fiduciary duties to the Company in connection with factual assertions substantially similar to those in the purported securities class action complaint described above. The Company believes that the claims set forth in this stockholder derivative lawsuit are without merit.

On May 14, 2018, a purported class action complaint (Thomas v. Best Doctors, Inc.) was filed in the United States District Court for the District Court denied this motionof Massachusetts against the Company’s wholly owned subsidiary, Best Doctors, Inc. The complaint alleges that on December 14, 2015. On January 8, 2016, the TMB provided notice of its intent to appeal the District Court’s denial of its motion to dismiss toor about May 16, 2017, Best Doctors violated the U.S. Court of AppealsTelephone Consumer Protection Act (TCPA) by sending unsolicited facsimiles to plaintiff and certain other recipients without the recipients’ prior express invitation or permission. The lawsuit seeks statutory damages for each violation, subject to trebling under the Fifth Circuit, which was filed on June 17, 2016TCPA, and voluntarily withdrawn by the TMB on October 17, 2016. On November 2, 2016, the District Court granted the parties’ joint motion to stay the trial case through April 19, 2017. On April 10, 2017, the District Court granted the parties’ joint motion to stay the trial case through September 1, 2017. On September 7, 2017, the District Court granted the parties’ joint motion to stay the trial case through November 30, 2017. Accordingly, no trial date has been set. 

Business in the State of Texas accounted for approximately $12.4 million, or 8%  and $15.1 million or 12% of the Company’s consolidated revenue for the nine months ended September  30, 2017 and for the year ended December 31, 2016, respectively. If the TMB’s proposed rule amendments go into effect as written and Teladoc is unable to adapt its business model in compliance with the revised rules, its ability to operate its business in the State of Texas could be

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

materially adversely affected, which would have a material adverse effect on its business, financial condition and results of operations.

Other than as stated the Company is not a party to any material legal proceeding, and it is not aware of any pending or threatened litigation that would have a material adverse effect on its business, results of operations, cash flows or financial condition should such litigation be resolved unfavorably.

injunctive relief. The Company routinely assesses all of its litigationwill vigorously defend the lawsuit and threatened litigation asany potential loss is currently deemed to the probability of ultimately incurring a liability and records its best estimate of the ultimate loss in situations where it assesses the likelihood of loss as probable and estimable. In this regard, the Company establishes accruals for various lawsuits, claims, investigations and proceedings when it is probable that an asset has been impaired or a liability incurred at the date of the financial statements and the loss can be reasonably estimated. At September  30, 2017, the Company has established accruals for certain of its lawsuits, claims, investigations and proceedings based upon estimates of the most likely outcome in a range of loss or the minimum amounts in a range of loss if no amount within a range is a more likely estimate. The Company does not believe that at September  30, 2017 any reasonably possible losses in excess of the amounts accrued would be material to the unaudited consolidated financial statements.immaterial.

Note 11.13. Common Stock and Stockholders’ Equity

Capitalization

On January 24, 2017, Teladoc closed on its Follow-On Offering in whichEffective May 31, 2018, the Company issued and sold 7,887,500authorized number of shares of the Company’s common stock including the exercise of an underwriter optionwas increased from 100,000,000 to purchase additional shares, at an issuance price of $16.75 per share. The Company received net proceeds of $123.9 million after deducting underwriting discounts and commissions of $7.6 million as well as other offering expenses of $0.6 million. 150,000,000 shares.

Warrants

In July 2016, in conjunction with the debt refinancing of the Mezzanine Term Loan, the Company issued 798,694 common stock warrants to purchase an aggregate of 798,694 shares of its common stock at an exercise price of $13.50 per share to two entities affiliated with SVB. The common stock warrants were immediately exercisable upon issuance and had a 10-year term. The fair value of the common stock warrants on the date of issue was approximately $7.7 million.

On December 9, 2016, the Company issued an aggregate of 107,931 shares of common stock resulting from an SVB affiliate’s cashless exercise of 399,347 of these warrants at an exercise price of $13.50 per share.

On January 31, 2017, the Company issued an aggregate of 138,903 shares of common stock resulting from an SVB affiliate’s cashless exercise of the remaining 399,347 of these warrants at an exercise price of $13.50 per share.

The Company had no warrants outstanding as of September 30, 2017 and 399,347 warrants outstanding as of December 31, 2016.

Stock Plan and Stock Options

The Company’s 2015 Incentive Award Plan and 2017 Inducement Plan (the “Plan”) provides for the issuance of incentive and non-statutory options and other equity-based awards to its employees and non‑employees.non-employees. Options issued under the Plan are exercisable for periods not to exceed ten years, and vest and contain such other terms and conditions as specified in the applicable award document. Prior to becoming a public enterprise and pursuant to the Company’s Second Amended and Restated Stock Incentive Plan which is now retired, the Company historically issued incentive and non-statutory stock options with exercise prices equal to the fair value of the Company’s common stock on the date of grant, as determined by the Company’s board of directors informed by third-party valuations. Subsequent to becoming a public enterprise, optionsOptions to buy common stock have beenare issued under the Plan, with exercise prices equal to the closing price of shares of the Company’s common stock on the New York Stock Exchange on the trading day immediately preceding the date of award.

The Company had 8,161,962 shares available for grant at March 31, 2020.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Activity under the Plan is as follows (in thousands, except share and per share amounts and years):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

    

 

    

 

 

    

Weighted-

    

 

 

 

 

 

 

 

 

 

Weighted-

 

Average

 

 

 

 

 

 

Shares

 

Number of

 

Average

 

Remaining

 

Aggregate

 

 

 

Available

 

Shares

 

Exercise

 

Contractual

 

Intrinsic

 

 

 

for Grant

 

Outstanding

 

Price

 

Life in Years

 

Value

 

Balance at December 31, 2016

 

343,216

 

6,839,868

 

$

11.70

 

8.64

 

$

36,795

 

Increase in Plan authorized shares

 

4,176,722

 

 —

 

$

 —

 

 —

 

$

 —

 

Restricted stock units granted

 

(342,524)

 

 —

 

$

 —

 

 —

 

$

 —

 

Stock option grants

 

(3,671,073)

 

3,671,073

 

$

25.02

 

 —

 

$

 —

 

Stock options exercised

 

 —

 

(734,293)

 

$

9.53

 

 —

 

$

14,301

 

Stock options forfeited

 

687,375

 

(681,759)

 

$

16.84

 

 —

 

$

5,647

 

Balance at September 30, 2017

 

1,193,716

 

9,094,889

 

$

16.87

 

8.50

 

$

149,973

 

Vested or expected to vest at September 30, 2017

 

 

 

9,094,889

 

$

16.87

 

8.50

 

$

149,973

 

Exercisable at September 30, 2017

 

 

 

2,348,722

 

$

8.86

 

7.16

 

$

57,048

 

    

    

Weighted-

    

 

Weighted-

Average

 

Number of

Average

Remaining

Aggregate

 

Shares

Exercise

Contractual

Intrinsic

 

Outstanding

Price

Life in Years

Value

 

Balance at December 31, 2019

5,206,981

$

24.47

 

7.03

$

308,538

Stock option grants

7,441

$

106.25

 

0

$

0

Stock options exercised

(671,279)

$

22.10

 

0

$

(65,192)

Stock options forfeited

(126,577)

$

34.48

 

0

$

0

Balance at March 31, 2020

4,416,566

$

24.67

 

6.77

$

575,408

Vested or expected to vest at March 31, 2020

4,414,765

$

24.67

 

6.77

$

575,408

Exercisable at March 31, 2020

3,055,075

$

19.80

 

6.41

$

413,071

The total grant‑dategrant-date fair value of stock options granted during the quarterquarters ended March 31, 2020 and nine months ended September 30, 2017 were $18.52019 was $0.3 million and $54.8$1.2 million, respectively.

Stock‑Based

Stock-Based Compensation

All stock‑basedstock-based awards to employees are measured based on the grant‑dategrant-date fair value of the awards and are generally recognized on a straight line basis in the Company’s consolidated statement of operations over the period during which the employee is required to perform services in exchange for the award (generally requiring a four‑yearfour-year vesting period for each award)stock option and a three-year vesting period for each restricted stock unit (“RSU”). The Company estimates the fair value of stock options granted using the Black‑Scholes option‑pricingBlack-Scholes option-pricing model. Compensation cost is generally recognized over the vesting period of the applicable award using the straight‑line method.

Given the absence of a public trading market prior to July 2015, the Company’s board of directors considered numerous objective and subjective factors to determine the fair value of its common stock at each grant date. These factors included, but were not limited to, (i) contemporaneous valuations of common stock performed by unrelated third‑party specialists; (ii) the prices for the preferred stock sold to outside investors; (iii) the rights, preferences and privileges of the preferred stock relative to the common stock; (iv) the lack of marketability of the common stock; (v) developments in the business; and (vi) the likelihood of achieving a liquidity event, such as an IPO or a merger or acquisition of the Company, given prevailing market conditions.

The assumptions used in the Black‑Scholes option‑pricingBlack-Scholes option-pricing model wereare determined as follows:

Volatility. Since the Company does not have a trading history prior to July 2015 for its common stock, the expected volatility was derived from the historical stock volatilities of several unrelated public companies within its industry that it considers to be comparable to its business combined with the Company’s stock volatility over a period equivalent to the expected term of the stock option grants.

Risk‑FreeRisk-Free Interest Rate. The risk‑freerisk-free interest rate is based on U.S. Treasury zero‑couponzero-coupon issues with terms similar to the expected term on the options.

Expected Term. The expected term represents the period that the stock‑basedstock-based awards are expected to be outstanding. When establishing the expected term assumption, the Company utilizes historical data.

Dividend Yield. The Company has never declared or paid any cash dividends and does not plan to pay cash dividends in the foreseeable future, and therefore, it used an expected dividend yield of zero.0.

Forfeiture rate.  Prior to 2017, the The Company used historical data to estimate pre‑ vesting option forfeitures and record stock‑based compensation expense only for those awards that are expected to vest. On January 1, 2017, the Company adopted ASU 2016-09 and elected to account for stock optionrecognizes forfeitures as they occur which resulted in a cumulative effect adjustment of $0.1 million recorded to accumulated deficit and additional paid-in capital.

occur.

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

The fair value of each option grant was estimated on the date of grant using the Black‑Scholes option‑pricingBlack-Scholes option-pricing model with the following assumptions and fair value per share:

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

    

2017

    

2016

 

Volatility

 

 

45.1% – 47.7%

 

 

44.7% – 46.3%

 

Expected life (in years)

 

 

6.1

 

 

6.0

 

Risk-free interest rate

 

 

1.81% - 2.30%

 

 

1.09% - 1.91%

 

Dividend yield

 

 

 

 

 

Weighted-average fair value of underlying common stock

 

$

11.83

 

$

6.27

 

Quarters Ended March 31,

    

2020

    

2019

    

Volatility

 

46.1% – 47.9%

47.5% – 47.6%

Expected life (in years)

 

4.3

5.4

Risk-free interest rate

 

0.87% - 1.64%

2.50% - 2.55%

Dividend yield

 

Weighted-average fair value of underlying stock options

$

42.06

$

27.87

For the quarter ended September 30, 2017March 31, 2020 and 2016,2019, the Company recorded compensation expense related to stock options granted of $5.0$3.9 million and $2.2$5.5 million, respectively, and $12.2 million and $5.1 million for the nine months ended September 30, 2017 and 2016, respectively.

As of September 30, 2017,March 31, 2020, the Company had $55.8$20.0 million in unrecognized compensation cost related to non‑vestednon-vested stock options, which is expected to be recognized over a weighted‑averageweighted-average period of approximately 3.11.8 years.

Restricted Stock Units

In May 2017, the Company commenced issuing Restricted Stock Units (“RSU’s”)RSUs pursuant to the Plan to certain employees and Board members under the 2017 Employment Inducement Incentive Award Plan.

The fair value of the RSU’sRSUs is determined on the date of grant. On a monthly basis, theThe Company will record compensation expense in the consolidated statement of operations on a straight-line basis over the vesting period.period for RSUs. The vesting period for employees and members of the Board of Directors isranges from one to four years and one year, respectively.years.

Activity under the RSU’sRSUs is as follows (in thousands, except share and per share amounts and years):follows:

Weighted-Average

Grant Date

    

Shares

    

Fair Value Per Share

Balance at December 31, 2019

1,483,558

$

54.13

Granted

 

321,311

$

122.96

Vested and issued

(455,956)

$

51.79

Forfeited

(54,476)

$

48.78

Balance at March 31, 2020

 

1,294,437

$

58.82

Vested and unissued at March 31, 2020

13,755

$

50.90

Non-vested at March 31, 2020

1,280,682

$

58.91

 

 

 

 

 

 

 

 

 

 

Weighted-Average

 

 

 

 

Grant Date

 

    

Shares

    

Fair Value Per Share

Balance at December 31, 2016

 

 —

 

$

 —

Granted

 

342,524

 

$

33.19

Cancelled/Forfeited

 

(5,616)

 

$

30.50

Balance at September 30, 2017

 

336,908

 

$

33.23

Vested and deferred at September 30, 2017

 

 —

 

$

 —

Non-vested at September 30, 2017

 

336,908

 

$

33.23

The total grant‑dategrant-date fair value of RSU’sRSUs granted during the quarter ended March 31, 2020 and nine months ended September 30, 20172019 were $6.9$39.5 million and $11.3$48.0 million, respectively.

For both of the quarter ended March 31, 2020 and nine months ended September 30, 2017,2019, the Company recorded stock basedstock-based compensation expense related to the RSU’sRSUs of $0.8$9.4 million and $0.9$5.0 million respectively. There was no charge

As of March 31, 2020, the Company had $82.8 million in unrecognized compensation cost related to non-vested RSUs, which is expected to be recognized over a weighted-average period of approximately 2.0 years.

Performance Stock Units

The Company began issuing grants Performance Stock Units (“PSUs”) to employees under the Plan in 2018. Stock-based compensation costs associated with our PSUs are initially determined using the fair market value of the Company's common stock on the date the awards are approved by the Compensation Committee of the Board of Directors (service inception date). The vesting of these PSU is subject to certain performance conditions and a service requirement ranging from 1-3 years. Until the performance conditions are met, stock compensation costs associated with these PSU reflect the estimated performance attainment on the reporting date. The ultimate number of PSUs that are issued to an employee is the result of the actual performance of the Company at the end of the performance period compared to the performance conditions and can range from 50% to 200% of the initial grant. Stock compensation expense for PSUs is recognized on an accelerated tranche by tranche basis for performance-based awards. Forfeitures are accounted for at the time the occur consistent with Company policy.

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Activity under the PSU is as follows:

Weighted-Average

Grant Date

    

Shares

    

Fair Value Per Share

Balance at December 31, 2019

512,482

$

62.51

Granted

 

111,199

$

117.81

Vested and issued

(186,455)

$

62.02

Balance at March 31, 2020

 

437,226

$

76.78

Vested and unissued at March 31, 2020

0

$

0

Non-vested at March 31, 2020

437,226

$

76.78

The total grant-date fair value of PSUs granted during the quarter ended March 31, 2020 and nine months2019 were $13.1 million and $28.4 million, respectively.

For the quarter ended September 30, 2016.March 31, 2020 and 2019, the Company recorded stock-based compensation expense related to the PSU of $4.6 million and $2.6 million, respectively.

As of March 31, 2020, the Company had $25.4 million in unrecognized compensation cost related to non-vested PSU, which is expected to be recognized over a weighted-average period of approximately 1.8 years.

Employee Stock Purchase Plan

In July 2015, the Company adopted the 2015 Employee Stock Purchase Plan, or ESPP, in connection with its initial public offering. A total of 551,641832,492 shares of common stock were reserved for issuance under this plan as of September 30, 2017.March 31, 2020. The Company’s ESPP permits eligible employees to purchase common stock at a discount through payroll deductions during defined offering periods. Under the ESPP, the Company may specify offerings with durations of not more than 27 months and may specify shorter purchase periods within each offering. Each offering will have one or more purchase dates on which shares of its common stock will be purchased for employees participating in the offering. An offering may be terminated under certain circumstances. The price at which the stock is purchased is equal

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TELADOC, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

to the lower of 85% of the fair market value of the common stock at the beginning of an offering period or on the date of purchase.

On May 8, 2017,During the Company issued 90,968 shares under the ESPP andquarter March 31, 2020, the Company had not issued any shares under the ESPP asESPP. During 2019, the Company issued 64,497 shares under the ESPP. As of DecemberMarch 31, 2016. 460,6732020, 555,267 shares remained available for issuance as of September 30, 2017.issuance.

For the quarter ended September 30, 2017March 31, 2020 and 2016,2019, the Company recorded stock-based compensation expense related to the ESPP of $0.4 million and $0.3 million, respectively.

As of March 31, 2020, the Company had $0.2 million and $0.1 million, respectively. For the nine months ended September 30, 2017 and 2016, the Company recorded stock-basedin unrecognized compensation expensecost related to the ESPP, which is expected to be recognized over a weighted-average period of $0.5 million and $0.1 million, respectively, based on offerings made under the plan to-date.approximately 0.1 years.

Total compensation costs charged as an expense for stock‑basedstock-based awards, including stock options, RSU’s and ESPP, recognized in the components of operating expenses are as follows (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended

 

Nine Months Ended 

 

 

September 30,

 

September 30,

 

    

2017

    

2016

    

2017

    

2016

 

Quarter Ended

March 31,

    

2020

    

2019

    

Administrative and marketing

 

$

315

 

$

132

 

$

798

 

$

348

 

$

1,259

$

821

Sales

 

 

1,293

 

 

355

 

 

2,894

 

 

794

 

 

2,919

 

2,130

Technology and development

 

 

852

 

 

322

 

 

2,048

 

 

797

 

 

2,104

 

1,898

General and administrative

 

 

3,506

 

 

1,356

 

 

7,888

 

 

3,148

 

 

12,033

 

8,674

Total stock-based compensation expense

 

$

5,966

 

$

2,165

 

$

13,628

 

$

5,087

 

$

18,315

$

13,523

Note 12.14. Income Taxes

As a result of the Company’s history of net operating losses (“NOL”), the Company has provided for a full valuation allowance against its deferred tax assets for assets that are not more-likely-than-not to be realized. For the quarter ended March 31, 2020, the Company recognized an income tax benefit of $0.7 million, primarily due to the

19

Table of Contents

amortization of acquired intangibles and nine monthsstock compensation deductions. For the quarter ended September 30, 2017,March 31, 2019, the income tax provisionexpense was recognizedprimarily due U.S. tax expense for timing differences with respectits non-consolidated U.S. subsidiary, which was transferred to the treatmentU.S. parent company in the fourth quarter of 2019 and as a result the amortization of tax deductible goodwillsubsidiary’s 2020 income will be offset by other U.S. losses as the company has elected to include it in the U.S. consolidation, as well as foreign related income partially offset by a tax benefit associatedamortization of tax-deductible goodwill.

Beginning with the expiration of a statute of limitations. Income tax provisions recognized for the quarter ended March 31, 2018, the Company is calculating tax expense based on the U.S. statutory rate of 21%. The US Federal tax law includes a Base Erosion Anti-Abuse Tax, commonly referred to as BEAT, which imposes a minimum tax on certain deductible payments or accruals made to foreign affiliates in tax years beginning after December 31, 2017. The Company has determined that it is currently not subject to BEAT. US Federal tax law imposes a minimum tax on global intangible low-taxed income, commonly referred to as GILTI. The Company does not expect to recognize any tax expense related to GILTI as it has net operating losses available and nine months ended September  30, 2016, were primarily attributablea full valuation allowance. In addition, US Tax law imposes an interest expense limitation which disallows a portion of the interest deduction based on EBITDA. While the disallowed interest deduction is deferred, there is no impact to tax expense due to the timing differences with respect to the treatment of the amortization of tax deductible goodwill. A majority of the Company’s operations,current year taxable loss and resulting deferred tax assets, were generated in the United States.related valuation allowance.

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Table of Contents

Item2.

Item2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Special Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. All statements other than statements of historical fact are, or may be, forward-looking statements. These forward-looking statements are not historical facts, but rather are based on current expectations, estimate, assumptions and projections about our industry, business and future financial results. We use words such as “anticipates”, “believes”, “suggests”, “targets”, “projects”, “plans”, “expects”, “future”, “intends”, “estimates”, “predicts”, “potential”, “may”, “will”, “should”, “could”, “would”, “likely”, “foresee”, “forecast”, “continue” and other similar words or phrases, as well as statements in the future tense to identify these forward-looking statements.

Forward-looking statements involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be different from any future results, performance and achievements expressed or implied by these statements. Our actual results could differ materially from the results contemplated by these forward-looking statements due to a number of important factors, including those set forth below.

·

ongoing legal challenges to or new state actions against our business model;

·

our dependence on our relationships with affiliated professional entities;

·

evolving government regulations and our ability to stay abreast of new or modified laws and regulations that currently apply or become applicable to our business;

·

our ability to operate in the heavily regulated healthcare industry;

·

our history of net losses and accumulated deficit;

·

failures of our cyber-security measures that expose the impactconfidential information of recent healthcare reform legislationour Clients and other changes in the healthcare industry;

Members;

·

risk of the loss of any of our significant Clients;

·

risks associated with a decrease in the number of individuals offered benefits by our Clients or the number of products and services to which they subscribe;

·

our ability to establish and maintain strategic relationships with third parties;

·

risks specifically related to our ability to operate in competitive international markets and comply with complex non-U.S. legal requirements;

·

our ability to recruit and retain a network of qualified Providers;

·

risk that the insurance we maintain may not fully cover all potential exposures;

·

rapid technological change in the telehealth market;

·

our ability to integrate acquired businesses and achieve fully the strategic and financial objectives related thereto and its impact on our financial condition and results of operations;

our level of indebtedness and our ability to fund debt obligations and comply with covenants in our debt instruments;

any statements of belief and any statements of assumptions underlying any of the foregoing;

·

other factors disclosed in this Form 10-Q; and

·

other factors beyond our control.

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Table of Contents

The foregoing list of factors is not exhaustive and does not necessarily include all of the important factors that could cause actual results to differ materially from those expressed in any of our forward-looking statements. The information in this Quarterly Report should be read carefully in conjunction with other uncertainties and potential events described in our Form 10-K in the Annual Report for the year ended December 31, 20162019 filed with the Securities and Exchange Commission (the “SEC”) and our other filings with the SEC. The forward-looking statements included in this Quarterly Report on Form 10-Q are made only as of the date of this Quarterly Report. Except as required by law or regulation, we do not undertake any obligation to update any forward-looking statements to reflect subsequent events or circumstances.

20


Overview

Overview

We are the largest and most trusted telehealth providerTeladoc, Inc. was incorporated in the world. Recognized by MIT Technology ReviewState of Texas in June 2002 and changed its state of incorporation to the State of Delaware in October 2008. Effective August 10, 2019, Teladoc, Inc. changed its corporate name to Teladoc Health, Inc. from Teladoc, Inc. Unless the context otherwise requires, Teladoc Health, Inc., together with its subsidiaries, is referred to herein as one of“Teladoc Health” or the “50 Smartest Companies”, we are forging“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 new healthcare experience with better convenience, outcomes and value. We provide virtual access tofocus on high quality, carelower costs, 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 an award-winning user experience and a  highly flexible technology platform, we have delivered millions of medical visits to patientsimproved outcomes around the globe. Over 22 million unique Members now benefit from access to world.

Teladoc 24 hours a day, seven days a week, 365 days a year. We completed approximately 1,000,000 telehealth visits in the first nine months of 2017 and approximately 952,000 telehealth visits for the full year of 2016. Paid membership increased by approximately 5.6 million members from September 30, 2016 through September 30, 2017 including the impact from Best Doctors.

On July 14, 2017, we completed the acquisition of Best Doctors Holdings, Inc. (“Best Doctors”), an expert medical consultation company. Best Doctors provides technology innovations and services to help employers, health plans and provider organizations to improve health outcomes for the most complex, critical and costly medical issues.

The Teladoc solution isHealth solutions are transforming the access, cost and quality dynamics of healthcare delivery for all of our market participants. Our Members rely on Teladoc Health to remotely access affordable, on-demand healthcare whenever and wherever they choose. Employers, health plans provider organization, insurance and financial services companies and consumers (our “Clients”)health systems, or our Clients, as well as our direct-to-consumer members purchase our solutionsolutions to reduce their healthcare spending or to provide a market differentiating service as a complement to their core set of consumer service offerings, while at the same time offeringand offer convenient, affordable, high-quality healthcare to their employees or beneficiaries. Our network of physicians and other healthcare professionals, (our “Providers”) as well asor our medical expertsProviders have the ability to generate meaningful income and deliver their services more efficiently with no administrative burden. We believe the value proposition of our solution is evidenced by our overall Member satisfaction rate, which has exceeded 90% over the last eight years. We further believe any consumer, employer, health plan or provider, insurance and financial service companies interested in a better approach to healthcare is a potential Teladoc Member, Client or Provider.

Revenue

We generatehave a demonstrated track record of driving growth both organically and through acquisitions. We increased revenue from our Clients on a contractually recurring, per-Member-per-month, subscription access fee basis, which provides us with significant revenue visibility. In addition, under the majority of our Client contracts, we generate additional revenue on a per-telehealth general medical visit basis, through a visit fee. Certain of our Client contracts generate revenue for expert second opinions on a per case basis. Subscription access fees are paid by our Clients on behalf of their employees, dependents, policy holders, card holders, beneficiaries or themselves, while general medical and other specialty visit fees are paid by either Clients or Members.

We generated $68.7 million, including $21.8 million from Best Doctors and $32.4 million in revenue for the quarters ended September 30, 2017 and 2016, respectively, representing 112% year-over-year growth. Excluding the impact from Best Doctors our organic growth rate was 45%. We generated  $156.1 million, including $21.8 million from Best Doctors and $85.8 million in revenue for the nine months ended September 30, 2017 and 2016, respectively, representing 82% year-over-year growth. Excluding the impact from Best Doctors our organic growth rate was 57%. We had net losses of $31.3 million and $29.841% to $180.8 million for the quartersquarter ended September 30, 2017 and 2016, respectively and $62.4March 31, 2020, including $0.9 million and $60.0 millionfrom our April 2019 MedecinDirect acquisition. The increase in revenue includes an unprecedented surge in demand for our services in the nine months ended September 30, 2017 and 2016, respectively. month of March associated with the global outbreak of COVID-19.

For the quarter ended September 30, 2017, 87%March 31, 2020, 76% and 13% of our revenue was derived from subscription access fees and visit fees, respectively and for the nine months ended September 30, 2017, 84% and 16%24% of our revenue was derived from subscription access fees and visit fees, respectively. For the quarter ended September 30, 2016, 86% and 14% of our revenue was derived from subscription access fees and visit fees, respectively and for the nine months ended September 30, 2016,March 31, 2019, 82% and 18% of our revenue was derived from subscription access fees and visit fees, respectively. The increased percentage of visit related revenue in 2020 is a result of the COVID-19 pandemic. Additionally, we believe our continued strong subscription fee revenue is mainly representative of the value proposition we provide the broader U.S. healthcare system.

In January 2017, we successfully closed on our Follow-On Offering

Membership and Visits

We completed approximately 2.0 million telehealth visits in which the Company issuedfirst three months of 2020 and sold 7,887,500 sharesapproximately 4.1 million telehealth visits for the full year of common stock, including the exercise of an underwriter option2019. Paid Membership increased by approximately 6.2 million Members to purchase additional shares, at an issuance price of $16.75 per share. We received net proceeds of $123.943.0 million after deducting underwriting discounts and commissions of $7.6 million as well as other offering expenses of $0.6 million.from December 31, 2019 through March 31, 2020.

21


Acquisition History

We have scaled and intend to continue to scale our platform through the pursuit of selective acquisitions. We have completed multiple acquisitions since our inception, which we believe have expanded our distribution capabilities and broadened our service offerings.

On July 14, 2017, we completed our acquisition

22

Table of Best Doctors, for aggregate consideration of $445.5 million, comprised of $379.4 million of cash and $66.2 million of our common stock (or 1,855,078 shares), net of cash acquired.  Best Doctors is the world’s leading expert medical consultation company focused on improving health outcomes for the most complex, critical and costly medical issues.Contents

On July 1, 2016, we completed our acquisitionJanuary 12, 2020, the Company entered into a definitive agreement to acquire InTouch Technologies, Inc., the leading provider of HY Holdings, Inc. d/b/a HealthiestYou Corporation, or HealthiestYou,enterprise telehealth solutions for aggregate considerationhospitals and health systems. The transaction is expected to close by the end of $151.5the second quarter of 2020. Under the terms of the agreement, the purchase price of $600.0 million comprisedwill consist of $43.2approximately $150.0 million ofin cash and $108.3 million of our common stock (or 6,955,796 shares), net of cash acquired. HealthiestYou is a telehealth consumer engagement technology platform for the small to mid-sized employer market. Solutions provided by HealthiestYou include 24/7 access to telephone and video conferencing with doctors as well as $450.0 million of Teladoc Health’s common stock which is subject to adjustment based on the convenienceaverage of procedurethe Company’s stock price comparisons, prescription medicine price comparisons, health plan information and benefits eligibility and location information for wellness service providers.the ten full trading days prior to the completion of the acquisition.

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 $11.2 million with additional potential earnout consideration. On June 19, 2019, the Company made a $5.0 million minority investment in Vida Health which is accounted for under the cost method for investments.

Key Factors Affecting Our Performance

Number of Members. Our revenue growth rate and long-term profitability are affected by our ability to increase our number of Members because we derive a substantial portion of our revenue from subscription access fees via Client contracts that provide Members access to our professional Providerprovider network in exchange for a contractual based monthly fee. Revenue is driven primarily by the number of Clients, the number of Members in a Client’s population, the number of services contracted for by a Client and the contractually negotiated prices of our services and the negotiated pricing that is specific to that particular Client. We believe that increasing our membership is an integral objective that will provide us with the ability to continually innovate our services and support initiatives that will enhance Member experiences. Paid membershipMembership increased by approximately 5.66.2 million membersMembers to 43.0 million from September 30, 2016December 31, 2019 through September 30, 2017, including approximately 2.8 million members from the acquisition of Best Doctors.March 31, 2020.

Number of Visits. We also recognize revenue in connection with the completion of a general medical visit, expert second opinionmedical service and other specialty visitvisits for the majoritycertain of our contracts. Accordingly, our visit revenue, or visit fees, generally increase as the number of visits increase. Visit fee revenue is driven primarily by the number of Clients, the number of Members in a Client’s population, Member utilization of our Providerprovider network services and the contractually negotiated prices of our services. We believe that increasing our current Member utilization rate and increasing penetration further penetration into existing and sales to new health plan clientsClients is a key objective in order for our Clients to realize tangible healthcare savings with our service. Visits increased by 92% or 1.0 million to approximately 103,0002.0 million for the quarter ended September 30, 2017March 31, 2020 compared to the same period in 2016.2019. The increase in visits is reflective of our ability to secure new clients as well as the surge in demand for our services associated with COVID-19.

Seasonality. We typically experience the strongest increases in consecutive quarterly revenue during the fourth and first quarters of each year, which coincides with traditional annual benefit enrollment seasons. In particular, as a result of many Clients’ introduction of new services at the very end of the current year, or the start of each year, the majority of our new Client contracts have an effective date of January 1. Additionally, asTherefore, while Membership increases, utilization is dampened until service delivery ramps up over the course of the year. Our business also has become more diversified across services, channels and geographies. As a result, we have seen a diversification of client start dates, resulting from our health plan expansions, cross sales of new services, international growth, and mid-market employer growth, all of which are not constrained by a calendar year start.

As a result of national seasonal cold and flu trends, we typically experience our highest level of general medical visit fees during the first and fourth quarters of each year when compared to other quarters of the year. Conversely, the second quarter of the year has historically been the period of lowest utilization of our Providerprovider network services relative to the other quarters of the year. We experienced a surge in demand for our services in March of 2020 associated with the COVID-19 global pandemic and anticipate that this will alter our historical seasonal utilization trends during 2020. See “Risk Factors—Risks Related to Our Business—Our quarterly results may fluctuate significantly, which could adversely impact the value of our common stock.” included in our Form 10-K for the year ended December 31, 20162019 filed with the SEC.

Components of Results of OperationsCritical Accounting Policies and Estimates

Revenue

We generate our revenue from our Clients who purchase access to our professional Provider network or our medical experts for their employees, dependentsOur discussion and other beneficiaries. Our Client contracts include a per-Member-per-month subscription access fee as well as contracts that generate additional revenue on a per-telehealth visit basis for general medical and other specialty visits and expert second opinion on a per case basis. Accordingly, we generate

22


subscription access revenue from our subscription access fees and visit revenue from our general medical, expert second opinion and other specialty visit fees.

Subscription access revenue accounted for approximately 87% and 86%analysis of our total revenue during the quarters ended September 30, 2017results of operations, liquidity and 2016, respectively and 84% and 82% ofcapital resources are based on our total revenue during the nine months ended September 30, 2017 and 2016, respectively. Subscription access revenue is driven primarily by the number of Clients, the number of Memberscondensed consolidated financial statements which have been prepared in a Client’s population, the number of services contracted for by a Client and the contractually negotiated prices of our services. Visit fee revenue for general medical, expert second opinion and other specialty visits is driven primarily by the number of Clients, the number of Members in a Client’s population, Member utilization of our professional Provider network services and the contractually negotiated prices of our services.

We recognize subscription access fees and visit and second opinion access fees in arrears on a monthly basis when the following criteria are met: (i) there is an executed subscription agreement, (ii) the Member has access to the service, (iii) collection of the fees is reasonably assured and (iv) the amount of fees to be paid by the Client and Member is fixed and determinable. Our agreementsconformity with accounting principles generally have a term of one year. The majority of Clients renew their contracts with us following their first year of services.

Warranties and Indemnification

Our arrangements generally include certain provisions for indemnifying Clients against liabilities if there is a breach of a Client’s data or if our service infringes a third party’s intellectual property rights. To date, we have not incurred any material costs as a result of such indemnifications.

We have also agreed to indemnify our directors and executive officers for costs associated with any fees, expenses, judgments, fines and settlement amounts incurred by any of these persons in any action or proceeding to which any of those persons is, or is threatened to be, made a party by reason of the person’s service as a director or officer, including any action by us, arising out of that person’s services as our director or officer or that person’s services provided to any other company or enterprise at our request. We maintain director and officer liability insurance coverage that would generally enable us to recover a portion of any future amounts paid. We may also be subject to indemnification obligations by law with respect to the actions of our employees under certain circumstances and in certain jurisdictions.

Concentrations of Risk and Significant Clients

Our financial instruments that are exposed to concentrations of credit risk consist primarily of cash and cash equivalents, short-term marketable securities and accounts receivable. Although we deposit our cash with multiple financial institutions in U.S. and in foreign countries, our deposits, at times, may exceed federally insured limits. Our short-term marketable securities are comprised of a portfolio of diverse high credit rating instruments with maturity durations of 1 year or less.

Revenue from Clients locatedaccepted in the United States forof America (“U.S. GAAP”). The preparation of these condensed consolidated financial statements requires us to make estimates and judgments that affect the quarters ended September 30, 2017reported amounts of assets, liabilities, revenues and 2016 were $60.0 millionexpenses, and $32.4 million, respectively. Revenue from Clients located in the United States for the nine months ended September 30, 2017disclosure of contingent assets and 2016 were $147.5 millionliabilities. On an ongoing basis, we evaluate our estimates and $85.8 million, respectively. 

Revenue from Clients located outside the United States for the quarter and nine months ended September 30, 2017 was  $8.7 million and zero in 2016.

No Client represented over 10% of revenues for the quarters and nine months ended September 30, 2017 and 2016.

No Client represented over 10% ofjudgments, including those related to revenue recognition, accounts receivable, at September 30, 2017. One client represented 11% of accounts receivable at December 31, 2016.

Cost of Revenue

Cost of revenue primarily consists of fees paid to our Providersaccounting for business combinations, goodwill, intangible assets, long-lived assets, capitalized development costs, earnout, income taxes, lease liabilities, loss contingencies and medical experts, costs incurred in connection with our Provider network operations, which include employee-related expenses (including salaries and benefits), costs related to our Provider network operations center activities, medical records, magnetic resonance imaging, medical lab tests, translation, postage and insurance, which includes coverage for medical malpractice claims.the

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Table of Contents

Costvalue of revenue is driven primarily by the number of general medical visits, expert second opinionssecurities underlying stock-based compensation. We base our estimates on historical and anticipated results and trends and on various other specialty visits completed in each period. Many of the elements of the cost of revenue are relatively variable and semi-variable, and can be reduced in the near-term to offset any decline in our revenue. Our business and operational models are designed to be highly scalable and leverage variable costs to support revenue-generating activities. While we currently expect to continue to enhance our Provider network operations center as well as our sales and technology capabilities to support business growth,assumptions that we believe our increased investment in automation and integration capabilities and economiesare reasonable under the circumstances, including assumptions as to future events. These estimates form the basis for making judgments about the carrying values of scale in our Provider network operations center operating model, will position us to grow our revenue at a greater rate than our cost of revenue.

Gross Profit

Our gross profit is our total revenue minus our total cost of revenue, and we also express our gross profit as a percentage of our total revenue. Our gross profit 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. We expect our annual gross profit to remain relatively steady over the near term, although our quarterly gross profit is expected to fluctuate from period to period depending on the interplay of these aforementioned factors.

Advertising and Marketing Expenses

Advertising and marketing expenses consist primarily of costs of digital advertisements, personnel and related expenses for our marketing staff and communications materials that are produced to generate greater awareness and utilization among our Clients and Members. Marketing costs also include third-party independent research, trade shows and brand messages, public relations costs and stock-based compensation for our advertising and marketing employees. Our advertising and marketing expenses exclude certain allocations of occupancy expense as well as depreciation and amortization.

We expect our advertising and marketing expenses to increase for the foreseeable future as we continue to increase the size of our digital advertising and marketing operations including member engagement activities and expand into new products and markets. Our advertising and marketing expenses will fluctuate as a percentage of our total revenue from period to period due to the seasonality of our total revenue and the timing and extent of our advertising campaigns and marketing expenses. We will continue to invest in advertising and marketing by promoting our brands through a variety of marketing and public relations activities.

Sales Expenses

Sales expenses consist primarily of employee-related expenses, including salaries, benefits, commissions, employment taxes, travel and stock-based compensation costs for our employees engaged in sales, account management and sales support in addition to commissions paid to external brokers. Our sales expenses exclude certain allocations of occupancy expense as well as depreciation and amortization. We expect our sales expenses to increase in the short-to-medium-term as we strategically invest to expand our business and to capture an increasing amount of our market opportunity.

Technology and Development Expenses

Technology and development expenses include personnel and related expenses for software engineering, information technology infrastructure, security and compliance and product development. Technology and development expenses also include outsourced software engineering services, the costs of operating our on-demand technology infrastructure, licensed applications and stock-based compensation for our technology and development employees. Our technology and development expenses exclude certain allocations of occupancy expense as well as depreciation and amortization.

We expect our technology and development expenses to increase for the foreseeable future as we continue to invest in the development of our technology platform. Our technology and development expenses may fluctuate as a percentage of our total revenue from period to period due to the seasonality of our total revenue and the timing and extent of our technology and development expenses. Historically, the majority of our technology and development costs have been expensed.

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Table of Contents

Legal and Regulatory Expenses

Legal and regulatory expenses include professional fees incurred. Our legal and regulatory expenses exclude certain allocations of personnel and related expenses, occupancy expense as well as depreciation and amortization.

Acquisition and Integration Related Costs

Acquisition and integration related costs include investment banking, financing, legal, accounting, consultancy, integration and certain non-recurring transaction costs related to mergers and acquisitions.

General and Administrative Expenses

General and administrative expenses include personnel and related expenses of, and professional fees incurred by our executive, finance, product development, business development, operations and human resources departments. They also include stock-based compensation and most of the facilities costs including utilities and facilities maintenance. Our general and administrative expenses exclude any allocation of depreciation and amortization.

We expect our general and administrative expenses to increase for the foreseeable future as we continue to grow our business. However, we expect our general and administrative expenses to decrease as a percentage of our total revenue over the next several years. Our general and administrative expenses may fluctuate as a percentage of our total revenue from period to period due to the seasonality of our total revenue and the timing and extent of our general and administrative expenses.

Depreciation and Amortization

Depreciation and amortization consists primarily of depreciation of fixed assets, amortization of capitalized software development costs and amortization of acquisition-related intangible assets.

Amortization of Warrants and Loss on Extinguishment of Debt

Amortization of warrants and loss on extinguishment of debt consists of the recognition of the fair value of warrants issued in connection with the July 2016 Mezzanine Term Loan, the write-off of origination and termination financing fees and related deferred cost in connection with SVB indebtedness extinguished in connection with our July 2017 and 2016 refinancings.

Interest Expense, Net

Interest expense, net consists of interest costs associated with our bank and other debt, net of interest earned on short-term marketable securities.

Foreign Currency

The functional currency for each of our 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 translation gains or losses are included in stockholders’ equity as a component of accumulated other comprehensive income (loss). We have not utilized hedging strategies with respect to such foreign exchange exposure.

Income Tax Provision

We account for income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the future tax consequences attributable to differences between the financial reporting carrying amounts of existing assets and liabilities and their respective tax bases and tax credit and NOLs. Deferred tax assets and liabilities are measured using the enacted tax rates that are expectednot readily apparent from other sources. By their nature, estimates are subject to be inan inherent degree of uncertainty. Actual results may differ from our estimates and could have a significant adverse effect when the differences are expected to reverse. We assess the likelihood that deferred tax assets will be recovered from future taxable income, and a valuation allowance is established when necessary to reduce deferred tax assets to the amounts more likely than not expected to be realized. We have also recorded deferred tax liabilities arising principally from the difference between the treatmenton our results of

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Table of Contents

goodwill between tax operations and financial position. For a discussion of our critical accounting book purposes. Wepolicies and estimates see Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report and there have provided a full valuation allowance at September 30, 2017 and December 31, 2016, duebeen no material changes to the uncertainty surrounding the future realization of such assets.our critical accounting policies during 2020.  

Consolidated Results of Operations

The following table sets forth our consolidated statement of operations data for the quarters ended March 31, 2020 and nine months ended September 30, 2017 and 20162019 and the dollar and percentage change between the respective periods:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarters Ended September 30,

 

 

Nine Months Ended September 30,

 

 

    

2017

    

2016

    

 

    

    

    

    

2017

    

2016

    

 

    

    

    

 

 

$

 

$

 

Variance

 

%(a)  

 

 

$

 

$

 

Variance

 

%(a)  

 

 

Quarter Ended March 31,

2020

    

2019

    

    

    

    

    

    

$

$

Variance

%

Revenue

 

$

68,650

 

$

32,381

 

$

36,269

 

112

%  

 

$

156,139

 

$

85,757

 

$

70,382

 

82

%

 

$

180,799

$

128,573

$

52,226

 

41

%  

Cost of revenue

 

 

16,742

 

 

7,112

 

 

9,630

 

135

%  

 

 

38,907

 

 

21,946

 

 

16,961

 

77

%

 

Gross profit

 

 

51,908

 

 

25,269

 

 

26,639

 

105

%  

 

 

117,232

 

 

63,811

 

 

53,421

 

84

%

 

Expenses:

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

72,382

 

44,677

 

27,705

 

62

%  

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advertising and marketing

 

 

14,328

 

 

9,046

 

 

5,282

 

58

%  

 

 

39,222

 

 

24,900

 

 

14,322

 

58

%

 

 

32,515

 

26,404

 

6,111

 

23

%  

Sales

 

 

11,393

 

 

7,662

 

 

3,731

 

49

%  

 

 

26,705

 

 

18,792

 

 

7,913

 

42

%

 

 

17,940

 

16,212

 

1,728

 

11

%  

Technology and development

 

 

9,964

 

 

5,867

 

 

4,097

 

70

%  

 

 

24,013

 

 

15,921

 

 

8,092

 

51

%

 

 

19,257

 

15,987

 

3,270

 

20

%  

Legal

 

 

105

 

 

1,033

 

 

(928)

 

-90

%  

 

 

725

 

 

3,348

 

 

(2,623)

 

-78

%

 

Regulatory

 

 

777

 

 

817

 

 

(40)

 

-5

%  

 

 

2,771

 

 

2,437

 

 

334

 

14

%

 

Legal and regulatory

1,222

1,586

(364)

 

-23

%  

Acquisition and integration related costs

 

 

8,526

 

 

6,196

 

 

2,330

 

38

%  

 

 

10,639

 

 

6,959

 

 

3,680

 

53

%

 

3,664

1,012

2,652

 

262

%  

General and administrative

 

 

21,938

 

 

12,298

 

 

9,640

 

78

%  

 

 

52,299

 

 

35,215

 

 

17,084

 

49

%

 

 

45,120

 

35,982

 

9,138

 

25

%  

Depreciation and amortization

 

 

6,418

 

 

2,607

 

 

3,811

 

146

%  

 

 

11,693

 

 

5,673

 

 

6,020

 

106

%

 

 

9,710

 

9,600

 

110

 

1

%  

Loss from operations

 

 

(21,541)

 

 

(20,257)

 

 

(1,284)

 

6

%  

 

 

(50,835)

 

 

(49,434)

 

 

(1,401)

 

3

%

 

 

(21,011)

 

(22,887)

 

1,876

 

-8

%  

Amortization of warrants and loss on extinguishment of debt

 

 

1,457

 

 

8,454

 

 

(6,997)

 

-83

%  

 

 

1,457

 

 

8,454

 

 

(6,997)

 

-83

%

 

Interest expense, net

 

 

8,202

 

 

873

 

 

7,329

 

839

%  

 

 

9,678

 

 

1,707

 

 

7,971

 

467

%

 

 

9,303

 

6,521

 

2,782

 

43

%  

Net loss before taxes

 

 

(31,200)

 

 

(29,584)

 

 

(1,616)

 

5

%  

 

 

(61,970)

 

 

(59,595)

 

 

(2,375)

 

4

%

 

 

(30,314)

 

(29,408)

 

(906)

 

3

%  

Income tax provision

 

 

130

 

 

188

 

 

(58)

 

-31

%  

 

 

429

 

 

360

 

 

69

 

19

%

 

Income tax (benefit) expense

 

(711)

 

742

 

(1,453)

 

-196

%  

Net loss

 

$

(31,330)

 

$

(29,772)

 

$

(1,558)

 

5

%  

 

$

(62,399)

 

$

(59,955)

 

$

(2,444)

 

4

%

 

$

(29,603)

$

(30,150)

$

547

 

-2

%  

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Table of Contents

EBITDA and Adjusted EBITDA

The following table reconciles net loss to EBTIDAEBITDA and Adjusted EBITDA for the quarters ended March 31, 2020 and nine months ended September 30, 2017 and 2016:2019:

Quarter Ended

March 31,

    

2020

    

2019

Net loss

$

(29,603)

$

(30,150)

Add:

Interest expense, net

 

9,303

6,521

Income tax (expense)/benefit

 

(711)

742

Depreciation expense

 

851

863

Amortization expense

 

8,859

8,737

EBITDA(1)

(11,301)

(13,287)

Stock-based compensation

18,315

13,523

Acquisition and integration related costs

3,664

1,012

Adjusted EBITDA(1)

$

10,678

$

1,248

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended 

 

Nine Months Ended 

 

 

 

September 30,

 

September 30,

 

 

    

2017

    

2016

    

2017

    

2016

 

Net loss

 

$

(31,330)

 

$

(29,772)

 

$

(62,399)

 

$

(59,955)

 

Add:

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

8,202

 

 

873

 

 

9,678

 

 

1,707

 

Income tax provision

 

 

130

 

 

188

 

 

429

 

 

360

 

Depreciation expense

 

 

1,113

 

 

606

 

 

2,466

 

 

1,542

 

Amortization expense

 

 

5,305

 

 

2,001

 

 

9,227

 

 

4,131

 

EBITDA(1)

 

 

(16,580)

 

 

(26,104)

 

 

(40,599)

 

 

(52,215)

 

Stock-based compensation

 

 

5,966

 

 

2,165

 

 

13,628

 

 

5,087

 

Amortization of warrants and loss on extinguishment of debt

 

 

1,457

 

 

8,454

 

 

1,457

 

 

8,454

 

Acquisition and integration related costs

 

 

8,526

 

 

6,196

 

 

10,639

 

 

6,959

 

Adjusted EBITDA(1)

 

$

(631)

 

$

(9,289)

 

$

(14,875)

 

$

(31,715)

 


(1)

(1)

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

24

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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, foreign exchange gain or loss, 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 amortization of warrants and loss on extinguishment of debt 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 limitationlimitations 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:

·

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

·

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

·

although depreciation and amortization are non-cash charges, the assets being depreciated and amortized will often have to be replaced in the future, and both measures do not reflect any expenditures for such replacements; and

27


Table of Contents

·

does not reflect the significant non-recurring charge associated with the amortization of warrants and loss on extinguishment of debt; and

·

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

·

Adjusted EBITDA does not reflect the significant non cashnon-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 both 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.

Consolidated Results of Operations Discussion

We completed our acquisitionsacquisition of Best Doctors and HealthiestYouMedecinDirect on July 14, 2017 and July 1, 2016, respectively.April 30, 2019. The results of operations of the aforementioned acquisitions haveacquisition has been included in our unaudited consolidated financial statements included in this Quarterly Report since completionfrom the date of the acquisitions.acquisition.

Revenue. Total revenue was $68.7$180.8 million including $21.8 million from Best Doctors for the quarter ended September 30, 2017,March 31, 2020, compared to $32.4$128.6 million during the quarter ended September 30, 2016,March 31, 2019, an increase of $36.3$52.2 million, or 112%41%, with organic growth was 45%. Total revenue was $156.1 million for the nine months ended September 30, 2017, compared to $85.8 million during the nine months ended September 30, 2016, an increase

25

Table of $70.4 million, or 82%. Excluding the contribution of $21.8 million from Best Doctors our organic growth rate for the period was 57%.Contents

reflecting a 40% increase. The primary increase in revenue for both periods in 20172020 was substantially driven by the acquisition of Best Doctors contributing $21.8 million in revenue, and an increase in new Clients and the number of new Members generating additional subscription access fees.fees and an increase in volume associated with the COVID-19 pandemic. Subscription access fee revenue increased to $137.1 million or 29% for the quarter ended March 31, 2020. The increase in subscription access fees was due to the addition of new Clients and direct-to-consumer members, as the number of paid Members increased by 33%61% from September 30, 2016March 31, 2019 to September 30, 2017.March 31, 2020. Revenue from the U.S. subscription access fees was $51.6$107.9 million which includes $11.6for the quarter ended March 31, 2020 compared to $81.0 million from Best Doctors. Best Doctorsfor the quarter ended March 31, 2019. We generated $8.2$29.1 million of international subscription access fees for the quarter ended September 30, 2017. Revenue from the U.S. subscription access fees were $123.4March 31, 2020 and $25.0 million including $11.6 million from Best Doctors and $8.2 million of international subscription fees generated by Best Doctors for the nine monthsquarter ended September 30, 2017. March 31, 2019.

We completed approximately 306,0002.0 million visits, representing $8.9$43.7 million of visit fees for the quarter ended September 30, 2017,March 31, 2020, compared to approximately 203,0001.1 million visits, representing $4.6$22.6 million of visit fees during the quarter ended September 30, 2016, anMarch 31, 2019. The increase in visit fees is associated with the aforementioned increase in paid Members as well as the impact of $4.3 million, or 94%. Revenue from general medical visits and other specialty visits (primarily expert second opinions)COVID-19.

Cost of Revenue. Cost of revenue was $6.8 million and $2.1$72.4 million for the quarter ended September 30, 2017, respectively. We also completed approximately 1,000,000 visits, representing $24.5 million of visit fees for the nine months ended September 30, 2017,March 31, 2020 compared to approximately 642,000 visits, representing $15.7 million of visit fees during the nine months ended September 30, 2016, an increase of $8.9 million, or 57%. Revenues from general medical visits and other specialty visits (primarily expert second opinions) was $22.4 million and $2.1 million for the nine months ended September 30, 2017, respectively.

Cost of Revenue.  Cost of revenue was $16.7$44.7 million for the quarter ended September 30, 2017 compared to $7.1 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $9.6$27.7 million, or 135%. Cost of revenue was $38.9 million for the nine months ended September 30, 2017 compared to $21.9 million for the nine months ended September 30, 2016, an increase of $17.0 million, or 77%62%. The increase in both periods in 2017 was primarily due to the the additional $7.0 million in costs associated with Best Doctors services, and increased general medical visits and behavioral health visits resulting in increased provider fees, additional incentive fees paid to physicians and increased physician network operation center costs.

Gross Profit.  Gross profit was $51.9 million, or 76% as a percentage The cost of revenue for March 31, 2020 also reflects approximately $4.0 million for additional investments in capacity expansion associated with the quarter ended September 30, 2017 compared to $25.3 million, or 78%, as a percentageglobal outbreak of revenue, for the quarter ended September 30, 2016, an increase of $26.6 million, or 105%. Gross profit was $117.2 million, or 75% as a percentage of revenue, for the nine months ended September 30, 2017 compared to $63.8 million, or 74%, as a percentage of revenue, for the nine 

28


months ended September 30, 2016, an increase of $53.4 million, or 84%. The increase in both periods reflects the aforementioned revenue and cost of revenue growth.COVID-19.

Advertising and Marketing Expenses. Advertising and marketing expenses were $14.3$32.5 million for the quarter ended September 30, 2017March 31, 2020 compared to $9.0$26.4 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $5.3$6.1 million, or 58%23%. Including the impact from Best Doctors, thisThis increase primarily consisted of increased digital advertising, member engagement and acquisition initiatives, sponsorship of professional organizations and trade shows of $3.7 million, increased staffing of $1.1$5.1 million and otherincreases in employee-related expenses and others of $0.5$1.0 million. Advertising and marketing expenses were $39.2 million for the nine months ended September 30, 2017 compared to $24.9 million for the nine months ended September 30, 2016, an increase of $14.3 million, or 58%. Including the impact from Best Doctors, this increase primarily consisted of increased digital advertising, member engagement initiatives, sponsorship of professional organizations and trade shows of $11.2 million, increased staffing of $2.3 million and other expenses of $0.8 million. 

Sales Expenses. Sales expenses were $11.4$17.9 million for the quarter ended September 30, 2017March 31, 2020 compared to $7.7$16.2 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $3.7$1.7 million, or 49%11%. Including the impact from Best Doctors, thisThis increase primarily consisted of increased staffing and sales commissions of $3.3$2.3 million and an increaseoffset by a decrease to other sales expenses of $0.4$0.6 million. Sales expenses were $26.7 million for the nine months ended September 30, 2017 compared to $18.8 million for the nine months ended September 30, 2016, an increase of $7.9 million, or 42%. Including the impact from Best Doctors, this increase primarily consisted of increased staffing and sales commissions of $7.2 million and an increase to other sales expenses of $0.7 million.

Technology and Development Expenses. Technology and development expenses were $9.9$19.3 million for the quarter ended September 30, 2017March 31, 2020 compared to $5.8$16.0 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $4.1$3.3 million, or 70%20%. Including the impact from Best Doctors, thisThis increase resulted primarily from hiring additional personnel totaling $2.3 million, technology and development expense of $1.4$1.9 million and other professional expenses of $0.4$1.4 million. Technology

Legal and developmentRegulatory Expenses. Legal and regulatory expenses were $24.0 million for the nine months ended September 30, 2017 compared to $15.9 million for the nine months ended September 30, 2016, an increase of $8.1 million, or 51%. Including the impact from Best Doctors, this increase resulted primarily from hiring additional personnel totaling $5.4 million and technology and development expense of $2.6 million.    

Legal Expenses.  Legal expenses were $0.1$1.2 million for the quarter ended September 30, 2017March 31, 2020 compared to $1.6 million for the quarter ended March 31, 2019, a decrease of $0.4 million, or 23%. The decrease in 2020 resulted primarily from timing associated with activities to support litigation.

Acquisition and Integration Related Costs. Acquisition and integration related costs, incurred primarily in connection with integration activities of prior acquisitions as well as costs associated with the pending In Touch Technologies, Inc. acquisition, were $3.7 million for the quarter ended March 31, 2020 compared to $1.0 million for the quarter ended September 30, 2016, a decrease of $0.9 million, or 90%. Legal expenses were $0.7 million for the nine months ended September 30, 2017 compared to $3.3 million for the nine months ended September 30, 2016, a decrease of $2.6 million, or 78%. The decrease in both periods resulted primarily from lower legal fees incurred in connection with the Company’s legal activities in Texas.

Regulatory Expenses.  Regulatory expenses were $0.8 million for each of the quarters ended September 30, 2017 and 2016. Regulatory expenses were $2.8 million for the nine months ended September 30, 2017 compared to $2.4 million for the nine months ended September 30, 2016,March 31, 2019, an increase of $0.4 million, or 14%. This increase resulted primarily from the increased activities required in connection with the Company’s legal efforts in Texas and certain other states.

Acquisition and Integration Related Costs.  Acquisition and integration related costs were $8.5 million for the quarter ended September 30, 2017 compared to $6.2 million for the quarter ended September 30, 2016, an increase of $2.3 million. Acquisition and integration related costs were $10.6 million for the nine months ended September 30, 2017 compared to $7.0 million for the nine months ended September 30, 2016, an increase of $3.6$2.7 million. The 20172020 and 2019 acquisition and integration related costs represent investment banking, financing, legal, accounting, consultancy, integration, fair value changes related to contingent consideration and professional fees for the July 2017 acquisition of Best Doctors. The 2016 acquisitioncertain other non-recurring transaction costs related costs represent legal, professionalto mergers and contract termination costs for the July 2016 HealthiestYou transaction.acquisitions.

General and Administrative Expenses. General and administrative expenses were $21.9$45.1 million for the quarter ended September 30, 2017March 31, 2020 compared to $12.3$36.0 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $9.6$9.1 million, or 78%25%. This increase was driven primarily by an increase in employee-related expenses of approximately $6.7$4.6 million resulting from growth in total employee headcount to 1,2472,588 at September 30, 2017March 31, 2020 as compared to 6582,046 employees at September 30, 2016 primarily fromMarch 31, 2019 reflecting the impact fromof the Best Doctors acquisition.MedecinDirect acquisitions and to support the increase volume of activities due to COVID-19. Other expenses, which include office-related charges, professional fees and bank charges, increased by $2.9$4.6 million for the quarter ended September, 2017March 31, 2020 as compared to September 30, 2016, to support the growth of our business including the impact from the Best Doctors acquisition. General and administrative expenses were $52.3 million for the nine months ended September 30, 2017 compared to $35.2 million for the nine months ended September 30, 2016, an increase of $17.1 million, or 49%. This

29


increase was driven primarily by an increase in employee-related expenses of approximately $11.6 million resulting from growth in total employee headcount to 1,247 at September 30, 2017 as compared to 658 at September 30, 2016 including the impact from the Best Doctors acquisition. Other expenses, which include office-related charges and bank charges, increased by $5.5 million for the nine months ended September 30, 2017 as compared to September 30, 2016 to support the growth of our business including the impact from the Best Doctors acquisition. March 31, 2019.

Depreciation and Amortization. Depreciation and amortization was $6.4were $9.7 million for the quarter ended September 30, 2017March 31, 2020 compared to $2.6$9.6 million for the quarter ended September 30, 2016,March 31, 2019, an increase of $3.8$0.1 million, or 146%. Depreciation and amortization was $11.7 million for the nine months ended September 30, 2017 compared to $5.7 million for the nine months ended September 30, 2016, an increase of $6.0 million, or 106%1%. The increase in both periods was primarily due to additionalthe impact from acquisitions in 2019. Additional amortization expenses primarily related

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to the Best Doctorsan increase in acquisition-related intangible assets that grewincreased from $36.1$305.4 million at September 30, 2016March 31, 2019 to $185.5$317.1 million at September 30, 2017March 31, 2020 and an increase of depreciation expense on an increased base of depreciable fixed assets including the impactthat increased from the Best Doctors acquisition that grew from $10.7$23.0 million at September 30, 2016March 31, 2019 to $17.3$26.2 million at September 30, 2017.March 31, 2020..

Amortization of Warrants and Loss on Extinguishment of Debt.  Amortization of warrants and loss on extinguishment of debt was $1.5 million for the quarter and nine months ended September 30, 2017 compared to $8.5 million for the quarter and nine months ended September 30, 2016, a decrease of $7.0 million. As a result of the July 2017 refinancing, the Company paid off the July 2016 Mezzanine Term Loan and recorded a one-time charge associated with the loss on extinguishment of debt of $1.5 million. As a result of the July 2016 refinancing, the Company determined that the July 2016 Mezzanine Term Loan represents an extinguishment of the original SVB Mezzanine Term Loan and recorded a one-time charge associated with the amortization of warrants and loss on extinguishment of debt of $8.5 million in 2016. The amortization of warrants and loss on extinguishment of debt includes the write-off of fees paid to SVB, deferred debt costs associated with the original Mezzanine Term Loan and the $7.7 million non-cash fair value of the warrants issued in connection with the July 2016 Mezzanine Term Loan.

Interest Expense, Net. Interest expense, net consists of interest costs and amortization of debt discount associated with our bank and other debt andConvertible Senior Notes, interest income from short-term investments in marketable securities.securities as well as foreign exchange gain or loss. Interest expense, net was $8.2$9.3 million for the quarter ended September 30, 2017March 31, 2020 compared to $0.9$6.5 million for the quarter ended September 30, 2016. Interest expense, net was $9.7 million for the nine months ended September 30, 2017 compared to $1.7 million for the nine months ended September 30, 2016.March 31, 2019. The increase in net interest expense in both periods in 20172020 reflects higher outstanding debt and costsinterest expense accretion associated with theour Convertible Senior Notes, lower interest income from short-term investments as well as higher foreign exchange loss.

Income tax (benefit) expense.   Income tax benefit was $0.7 million for the quarter ended March 31, 2020 compared to an income tax expense $0.7 million for the quarter ended March 31, 2019 and is primarily reflective of the July 2017 re-financing.jurisdiction mix of income in the first quarter of 2020. 

Liquidity and Capital Resources

The following table presents a summary of our cash flow activity for the periods set forth below:

 

 

 

 

 

 

 

 

Nine Months Ended 

 

 

September 30,

 

    

2017

    

2016

 

Quarter Ended 

 

March 31,

 

    

2020

    

2019

 

Consolidated Statements of Cash Flows Data

 

 

 

 

 

 

 

Net cash used in operating activities

 

$

(27,166)

 

$

(44,341)

 

$

(6,320)

$

(7,892)

Net cash (used in) provided by investing activities

 

 

(456,721)

 

 

12,434

 

 

(11,928)

 

7,336

Net cash provided by financing activities

 

 

516,894

 

 

20,873

 

 

15,053

 

10,702

Total

 

$

33,007

 

$

(11,034)

 

$

(3,195)

$

10,146

Since our inception,Historically, we have financed our operations primarily through public and private sales of equity securities, debt issuance and bank borrowings.

On July 14, 2017,April 30, 2019, we completed the Company acquired Best Doctors.acquisition of MedecinDirect. The purchase price was $445.5$11.2 million consisting of $379.3cash with additional potential earnout consideration. We also made a $5.0 million of cash and 1.9 million shares of Teladoc’s common stock valued at approximately $66.2 million on July 14, 2017.

On July 14, 2017 and concurrent with the consummation of the Best Doctors acquisition, the Company entered into a New Revolving Credit Facility of $10.0 million and a New Term Loan Facility of $175.0 million which resultedminority investment in net proceeds of $166.7 million after debt issuance related costs.

30


On July 13, 2017, the Company repaid all the outstanding amounts under both the SVB Line of Credit Facility and the Mezzanine Term Loan of $17.5 million and $25 million, respectively, including early termination and final deferred origination fees of $1.7 million.

In June 2017, the Company issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrearsVida Health on June 15 and December 15 of each year, beginning on December 15, 2017. The 2022 Notes will mature on December 15, 2022. The net proceeds to the Company from the offering were $263.7 million after deducting the initial purchasers’ discounts and commissions and the offering expenses payable by the Company.

In January 2017, we received $123.9 million of net cash proceeds associated with the issuance of 7,887,500 shares of common stock in conjunction with our Follow-On Offering, after deducting underwriting discounts and commissions of $7.6 million as well as other offering expenses of $0.6 million.

In July 2015, we received $163.1 million of net cash proceeds associated with the issuance of 9,487,500 shares of common stock in conjunction with our IPO, after deducting underwriting discounts and commissions of $12.6 million as well as other offering expenses of $4.5 million.19, 2019.

Our principal sources of liquidity are cash and cash equivalents totaling $83.1$508.0 million as of September 30, 2017,March 31, 2020, which were held for working capital purposes. Our cash and cash equivalents are comprised of money market funds and marketable securities. Additionally, we have short term marketable securities of $89.8$2.8 million as of September 30, 2017.March 31, 2020.

Cash Used in Operating Activities

For the ninethree months ended September 30, 2017,March 31, 2020, cash used in operating activities was $27.2$6.3 million. The negative cash flows resulted primarily from our net loss of $62.4$29.6 million, changes in deferred income tax of $2.8 million and adjusted for the effect of net changes in working capital and other balance sheet accounts largely associated with the Company’s annual bonus payment in March resulting in cash outflows of approximately $11.6 million. These are partially offset by depreciation and amortization of $11.7$11.2 million, allowance for doubtful accounts of $1.3 million, stock-based compensation of $13.6$18.3 million deferred income tax of $0.2 million,and accretion of interest $3.3 million, loss on extinguishment of debt of $1.5 million as well as the effect of changes in working capital and other balance sheet accounts resulting in cash outflows of approximately $3.6 million, all of which was used to support the growth of the business. Included in cash used in operating activities is approximately $10.6 million of one-time costs associated with acquisition and integration related costs.$6.9 million.

For the ninethree months ended September 30, 2016,March 31, 2019, cash used in operating activities was $44.3$7.9 million. The negative cash flows resulted primarily from our net loss of $60.0$30.2 million, as well as the effectadjusted for deferred income tax of changes in working capital and other balance sheet accounts resulting in cash outflows of approximately $5.3$2.7 million, all of which was used to support the growth of the business. The impact was partially offset by depreciation and amortization of $5.7$11.6 million, allowance for doubtful accounts of $2.0$0.8 million, stock-based compensation of $5.2 million, deferred income tax of $0.4$13.5 million and amortizationaccretion of warrantsinterest of $7.7$6.1 million. Included in cash used in operating activities is approximately $7.0 million of acquisition and integration related costs.

The decrease in cash used in operating activities for the three months ended March 31, 2020 and March 31, 2019 was primarily the result of increased gross profit resulting from the growth in revenueaforementioned annual bonus payment partially offset by additional headcount, increased advertising and marketing expenses, costs incurredthe Company’s ability to improve and optimizecontinue to increase our technology platform, increases inrevenue dollars while gaining operating leverage on our provider network operations center and office-related charges to support the growthcash related operating expenses.

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Table of our business.Contents

Cash (Used in) Provided by Investing Activities

Cash used in investing activities was $456.7$11.9 million for the ninethree months ended September 30, 2017.March 31, 2020. Cash used in investing activities consisted of the acquisitionpurchases of Best Doctorsproperty and equipment totaling $0.9 million, investments in internally developed capitalized software of $379.4$2.0 million, netand $9.0 million of cash acquired, purchases andpre-funding associated with the pending InTouch Technologies, Inc. acquisition.

Cash provided by investing activities was $7.3 million for the three months ended March 31, 2019. Cash provided by investing activities consisted of maturities of short-term marketable securities of $73.8$9.0 million, net of sales, and ofoffset by the purchases of property and equipment totaling $2.0$0.6 million and investments in internally developed capitalized software of $1.5$1.1 million.

Cash provided by investing activities was $12.4 million for the nine months ended September 30, 2016. Cash provided by investing activities consisted of purchases and maturities of short-term marketable securities of $51.4 million, net of sales, offset by the acquisition of HealthiestYou of $37.0 million net of cash acquired, and of purchases of property and equipment totaling $1.1 million and investments in internally developed capitalized software of $0.8 million.

31


Cash Provided by Financing Activities

Cash provided by financing activities for the ninethree months ended September 30, 2017March 31, 2020 was $517.1$15.1 million. Cash provided by financing activities consisted of $263.7 million of net cash proceeds from the issuance of convertible senior notes, $123.9 million of net cash proceeds from our Follow-Up Offering in January 2017, $166.7 million of proceeds under the credit facilities, $6.9$14.9 million of proceeds from the exercise of employee stock options $1.3and $0.2 million of timing associated with cash proceeds from employee stock purchase plan and $0.5 million offor tax withholding for options exercised, offset by the repayment of $44.1 million under the SVB Mezzanine Term Loan and the Revolving Advance Facility and repayment of $2.0 million under the Amended and Restated Subordinated Promissory Note.exercised.

Cash provided by financing activities for the ninethree months ended September 30, 2016March 31, 2019 was $20.9$10.7 million. Cash provided by financing activities consisted of $8.9 million of proceeds from the exercise of employee stock options of $2.3 million, proceeds from the issuance of common stock of $0.2 million and $17.5 million borrowed under the Revolving Advance Facility and $0.6$1.8 million of timing associated with cash proceeds for tax withholding for options exercised, offset byexercised.

Looking Forward

At March 31, 2020, the repayment of $11.7 million under the Amended Term Loan Facility.

Looking Forward

As a result of our January 2017 Follow-On Offering, we received $123.9 million of net cash proceeds. Additionally in June 2017, we issued Convertible Senior Notes with net proceeds of $263.7 million and in July 2017, we entered into New Senior Secured Credit Facilities with net proceeds of $166.7 million. In July 2017, we acquired Best Doctors for approximately $379.4 million inCompany’s cash and short-term investments were $510.8 million. For the three months ended March 31, 2020, we paid offhave experienced positive Adjusted EBITDA and for the entire SVB Facilities plus other deal related costs amounting to approximately $53.7 million. Currently,full year 2020 we anticipate negativepositive Adjusted EBITDA results for 2017.as well as positive free cash flow.

We believe that our existing cash and cash equivalents and short-term marketable securities will be sufficient to meet our working capital and capital expenditure needs for at least the next 12 months. Our future capital requirements will depend on many factors including our growth rate, contract renewal activity, number of visits, the timing and extent of spending to support product development efforts, our expansion of sales and marketing activities, the introduction of new and enhanced service offerings and the continuing market acceptance of telehealth. We may in the future enter into arrangements to acquire or invest in complementary businesses, services and technologies and intellectual property rights. We may be required to seek additional equity or debt financing. In the event that additional financing is required from outside sources, we may not be able to raise it on terms acceptable to us or at all. If we are unable to raise additional capital when desired, our business, financial condition and results of operations would be adversely affected.

2016 Shelf Registration StatementStatements

We filed aan automatically effective shelf registration statement on Form S-3 under the Securities Act on September 30, 2016, which was declared effective October 5, 2016, the “2016November 28, 2017 (the “2017 Shelf”). Under the 20162017 Shelf at the time of effectiveness, we had the ability to raise up to $300$175 million by selling common stock in addition to 2,000,0001,200,000 shares of common stock eligible for resale by certain shareholders. We currently have the ability under the 2017 Shelf to raise up to approximately $32 million by selling common stock in addition to 370,000 shares of common stock eligible for resale by certain existing shareholders.

In January 2017,On July 23, 2018, we successfully closedfiled an automatically effective universal shelf registration statement on our Follow-On Offering in whichForm S-3 under the Company issued and sold 7,885,500 sharesSecurities Act (the “2019 Shelf”). The 2019 Shelf registers the offering of securities, including common stock, including the exercise of an underwriter option to purchase additional sharespreferred stock and 1,600,000 shares offered by certain stockholders of the Company, at an issuance price of $16.75 per share. We received net proceeds of $123.9 million after deducting underwriting discounts and commissions of $7.6 million as well as other offering expenses of $0.6 million.

Indebtedness

On July 14, 2017 and concurrent with the consummation of the Best Doctors acquisition, the Company entered into a $175.0 million Senior Secured Term Loan Facility (the “New Term Loan Facility”) and a $10.0 million Senior Secured Revolving Credit Facility (the “New Revolving Credit Facility” and together with the New Term Loan Facility, the “New Senior Secured Credit Facilities”) pursuant to a credit agreement by and among the Company, the lenders party theretodebt securities, that we may issue from time to time in amounts to be determined, as well as the issuance of common stock by selling stockholders. Issuances of securities under the 2019 Shelf require the filing of a prospectus supplement identifying the amount and Jefferies Finance LLC, as administrative agent and collateral agent. The New Term Loan Facility has been used to fund the expansionterms of the Company’s businesssecurities to be issued. Our ability to issue securities is subject to market conditions and theother factors impacting our borrowing capacity.

Indebtedness

We entered into a $10.0 million New Revolving Credit Facility in 2017. The New Revolving Credit Facility is available for working capital and other general corporate purposes. We have maintained the New Revolving Credit Facility and, there was no amount outstanding as of March 31, 2020 and December 31, 2019. The Company utilized $2.2 million of letters of credit for facility security deposits and credit card at March 31, 2020 and December 31, 2019,

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Table of Contents

respectively.

On May 8, 2018, we issued, at par value, $287.5 million aggregate principal amount of 1.375% convertible senior notes due 2025. The New Term Loan Facility carries2025 Notes bear cash interest at a rate of 7.25% above fixed 90 days Libor1.375% per year, payable semi-annually in arrears on May 15 and November 15 of 1.24% (or 8.49%)each year. The 2025 Notes will mature on May 15, 2025. The net proceeds to us from the offering were $279.1 million after deducting offering costs of approximately $8.4 million.

The 2025 Notes are senior unsecured obligations of ours and maturesrank senior in July 2022. Interest payments are payable monthlyright of payment to our indebtedness that is expressly subordinated in arrears. The New Revolving Credit Facility carries

32


interest at a ratepayment to the 2025 Notes; equal in right of 7.25% above fixed 90- days Liborpayment to our liabilities that is not so subordinated; effectively junior in right of 1.24% and matures in July 2020. The Company is also requiredpayment to pay a commitment fee onany of our secured indebtedness to the average daily unused portionextent of the New Revolving Credit Facility at 0.50%. The Companyvalue of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred expenses of $8.3 million in conjunction with obtaining the New Senior Secured Credit Facilities.by our subsidiaries.

In June 2017, the Companywe issued, at par value, $275 million aggregate principal amount of 3% convertible senior notes due 2022 (the “2022 Notes”).2022. The 2022 Notes bear cash interest at a rate of 3% per year, payable semi-annually in arrears on June 15 and December 15 of each year, beginning on December 15, 2017.year. The 2022 Notes will mature on December 15, 2022. The net proceeds to the Companyus from the offering were $263.7 million after deducting offering costs of approximately $11.3 million.

The 2022 Notes are senior unsecured obligations of the Companyours and rank senior in right of payment to the Company’sour indebtedness that is expressly subordinated in right of payment to the 2022 Notes; equal in right of payment to the Company’sour liabilities that is not so subordinated; effectively junior in right of payment to any of the Company’sour secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities incurred by our subsidiaries. See Note 11, “Convertible Senior Notes” of the Company’s subsidiaries.

Holders may convert all or any portion of their 2022 Notes in integral multiples of $1,000 principal amount, at their option, at any time prior to the closeConsolidated Financial Statements of businessthe Quarterly Report on Form 10-Q for additional information on the business day immediately preceding June 15, 2022 only under the following circumstances:

•during any calendar quarter commencing after the calendar quarter ending on September 30, 2017 (and only during such calendar quarter), if the last reported sale price of the shares of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day;

•during the five business day period after any ten consecutive trading day period (the ‘‘measurement period’’) in which the trading price (as defined in the 20222025 Notes Indenture) per $1,000 principal amount of 2022 Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate on each such trading day;

•upon the occurrence of specified corporate events described under the 2022 Notes Indenture; or

•if the Company calls the 2022 Notes for redemption, at any time until the close of business on the second business day immediately preceding the redemption date as described under the 2022 Notes Indenture.

•on or after June 15, 2022, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2022 Notes, in integral multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.

The conversion rate for the 2022 Notes was initially, and remains, 22.7247 shares of the Company’s common stock per $1,000 principal amount of the 2022 Notes, which is equivalent to an initial conversion price of approximately $44.00 per share of the Company’s common stock. Upon conversion, the Company will pay or deliver, as the case may be, cash, shares of the Company’s common stock or a combination thereof, at the Company’s election. If the Company elects (or are deemed to have elected) to satisfy the conversion obligation solely in cash or through payment and delivery, as the case may be, of a combination of cash and shares of the Company’s common stock, the amount of cash and shares of the Company’s common stock, if any, due upon conversion will be based on a daily conversion value calculated on a proportionate basis for each trading day in a 25 trading day observation period (as defined in the 2022 Notes Indenture).

 The Company may redeem for cash all or any portion of the 2022 Notes, at its option, on or after December 22, 2020 if the last reported sale price of its common stock exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading days ending on, and including the trading day immediately preceding the date on which the Company provides notice of the redemption. The redemption price will be the principal amount of the 2022 Notes to be redeemed, plus accrued and unpaid interest, if any. In addition, calling any 2022 Note for redemption on or after December 22, 2020 will constitute a make-whole fundamental change with respect to that 2022 Note, in which case the conversion rate applicable to the conversion of that Note, if it is converted in connection with the redemption, will be increased in certain circumstances as described in the 2022 Notes Indenture.

33


In accounting for the issuance of the 2022 Notes, the Company separated the 2022 Notes into liability and equity components. The carrying amount of the liability component was calculated by measuring the fair value of a similar liability that does not have an associated convertible feature. The carrying amount of the equity component representing the conversion option was determined by deducting the fair value of the liability component from the par value of the 2022 Notes as a whole. The excess of the principal amount of the liability component over its carrying amount, referred to as the debt discount, is amortized to interest expense over the five-year term of the 2022 Notes. The equity component is not re-measured as long as it continues to meet the conditions for equity classification. The equity component related to the 2022 Notes is $62.4 million, net of debt issuance costs and is recorded in additional paid-in capital on the accompanying condensed consolidated balance sheet. The Company has reserved 8.1 million shares of common stock for the 2022 Notes.

The fair value of the 2022 Notes was approximately $290 million as of September 30, 2017. The Company estimates the fair value of its 2022 Notes utilizing market quotations for debt that have quoted prices in active markets. Since the 2022 Notes do not trade on a daily basis in an active market, the fair value estimates are based on market observable inputs based on borrowing rates currently available for debt with similar terms and average maturities, which are classified as Level 2 measurements within the fair value hierarchy. See Note 7, “Fair Value Measurements,” for definitions of hierarchy levels. As of September 30, 2017, the remaining contractual life of the 2022 Notes is approximately 5.5 years.

As discussed in Note 8 to the consolidated financial statements, the SVB Mezzanine Term Loan, the SVB Line of Credit Facility and Ameridoc Subordinated Promissory NoteWe were paid off in the third quarter of 2017.

The Company was in compliance with all debt covenants at September 30, 2017March 31, 2020 and December 31, 2016.2019.

Contractual Obligations and Commitments

The following summarizes our contractual obligations as of September 30, 2017:March 31, 2020:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment Due by Period

 

 

    

 

 

    

Less than

    

1 to 3

    

4 to 5

    

More than

 

 

 

Total

 

1 Year

 

Years

 

Years

 

5 Years

 

Operating leases

 

$

29,730

 

$

6,795

 

$

9,975

 

$

7,095

 

$

5,865

 

Obligations under the Senior Secured Credit Facilities

 

 

175,000

 

 

 —

 

 

 —

 

 

175,000

 

 

 —

 

Obligations under the Convertible Notes

 

 

275,000

 

 

 —

 

 

 —

 

 

275,000

 

 

 —

 

Interest associated with long term debt

 

 

110,215

 

 

23,108

 

 

46,215

 

 

40,892

 

 

 —

 

Total

 

$

589,945

 

$

29,903

 

$

56,190

 

$

497,987

 

$

5,865

 

Payment Due by Period

 

    

    

Less than

    

1 to 3

    

4 to 5

    

More than

 

Total

1 Year

Years

Years

5 Years

 

Operating leases

$

42,428

$

6,107

$

14,694

$

13,120

$

8,507

Debt obligations under the Convertible Notes

562,470

0

$

274,970

$

0

$

287,500

Interest associated with the Convertible Notes

 

38,728

12,202

$

18,126

$

7,906

$

494

Total

$

643,626

$

18,309

$

307,790

$

21,026

$

296,501

Our existing office and hosting co-location facilities lease agreements provide us with the option to renew and generally provide for rental payments on a graduated basis. Our future operating lease obligations would change if we entered into additional operating lease agreements as we expand our operations and if we exercised the office and hosting co-location facilities lease options. The contractual commitment amounts in the table above are associated with agreements that are enforceable and legally binding and that specify all significant terms, including fixed or minimum services to be used, fixed, minimum or variable price provisions and the approximate timing of the transaction. Obligations under contracts that we can cancel without a significant penalty are not included in the table above.

Off-Balance Sheet Arrangements

During the periods presented, we did not have, nor do we currently have, any relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes. We are therefore not exposed to the financing, liquidity, market or credit risk that could arise if we had engaged in those types of relationships.

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Table of Contents

Item 3. Quantitative and Qualitative Disclosures About Market RiskRisk

Interest Rate Risk and Foreign Exchange Risk

We do not have any floating rate debt with our Term LoanNew Revolving Credit Facility and Revolving Advance Facility, and cashas of March 31, 2020. Cash equivalents that are subject to interest rate volatility which isrepresent our principal market risk. A 25 basis point change in the weighted average interest rate relating to the Term Loan facility and Revolving Advance facility as of September  30, 2017, which

34


are subject to variable interest rates based on the LIBOR rate, would yield a change of approximately $438,000 in annual interest expense. We do not expect cash flows to be affected to any significant degree by a sudden change in market interest rates.

We operate our business primarily within the United States and currently execute approximately 85%more than 84% of our transactions in U.S. dollars. We have not utilized hedging strategies with respect to such foreign exchange exposure. This limited foreign currency translation risk is not expected to have a material impact on our consolidated financial statements.

Concentrations of Risk and Significant Clients

Our financial instruments that are exposed to concentrations of credit risk consist primarily of cash and cash equivalents, short-term marketable securities and accounts receivable. Although we deposit our cash with multiple financial institutions in U.S. and in foreign countries, our deposits, at times, may exceed federally insured limits. Our short-term marketable securities are comprised of a portfolio of diverse high credit rating instruments with maturity durations of one year or less.

No Client represented over 10% of revenues for the quarters ended March 31, 2020 and 2019.

No Client represented over 10% of accounts receivable at March 31, 2020 and December 31, 2019.

Item 4. Controls and ProceduresProcedures

Management’s Report on Internal Control over Financial Reporting

In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated, as of the end of the period covered by this Quarterly Report on Form 10-Q, the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)). Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of September  30, 2017.

March 31, 2020.

No changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) occurred during the fiscal quarter ended September  30, 2017March 31, 2020 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II - OTHER INFORMATIONINFORMATION

Item 1. Legal ProceedingsProceedings

We areThe Company is subject to legal proceedings, claims and litigation arising in the ordinary course of ourits business.

On April 29, 2015, At March 31, 2020, the Company filed a lawsuit against the Texas Medical Board,is not aware of any pending or the TMB, in the United States District Court for the Western District of Texas, Austin Division, which we refer to as the District Court, allegingthreatened litigation that the TMB’s adoption on April 10, 2015 of an amendment to 22 T.A.C. 190.8(1)(L) that would require a prior in-person examination for a doctor validly to prescribe any controlled substance to a patient in Texas constitutes a violation, inter alia, of the Sherman Antitrust Act. The District Court held a hearing on May 22, 2015 on Teladoc’s motion for preliminary injunction of the effectiveness of such amendments, which otherwise was scheduled to take effect on June 3, 2015. On May 29, 2015, the District Court issued the preliminary injunction requested by Teladoc and enjoined the effectiveness of such rule amendment pending trial. On July 30, 2015, the TMB filed a motion to dismiss the suit, and the District Court denied this motion on December 14, 2015. On January 8, 2016, the TMB provided notice of its intent to appeal the District Court’s denial of its motion to dismiss to the U.S. Court of Appeals for the Fifth Circuit, which was filed on June 17, 2016 and voluntarily withdrawn by the TMB on October 17, 2016. On November 2, 2016, the District Court granted the parties’ joint motion to stay the trial case through April 19, 2017. On April 10, 2017, the District Court granted the parties’ joint motion to stay the trial case through September 1, 2017. On September 7, 2017, the District Court granted the parties’ joint motion to stay the trial case through November 30, 2017. Accordingly, no trial date has been set.

Business in the State of Texas accounted for approximately $12.4 million, or 8% and $15.1 million, or 12%, of the Company’s consolidated revenue for the nine months ended September  30, 2017 and during the year ended December 31, 2016, respectively. If the TMB’s revisions go into effect as written and Teladoc is unable to adapt its business model in compliance with the TMB rule, its ability to operate its business in the State of Texas could be materially adversely affected, which would have a material adverse effect on its business, financial condition and results of operations,. cash flows or financial condition should such litigation be resolved unfavorably.

On December 12, 2018, a purported securities class action complaint (Reiner v. Teladoc Health, Inc., et.al.) was filed in the United States District Court for the Southern District of New York (the “SDNY”) against the Company and certain of the Company’s officers and a former officer. The complaint is brought on behalf of a purported class consisting of all persons or entities who purchased or otherwise acquired shares of the Company’s common stock during the period March 3, 2016 through December 5, 2018. The complaint asserts violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 based on allegedly false or misleading statements and omissions with respect to, among other things, the alleged misconduct of one of the Company’s previous Executive Officers. The complaint seeks certification as a class action and unspecified compensatory damages plus interest and attorneys’ fees. The Company believes that the claims against the Company and its officers are without merit, and the Company and its named officers intend to defend the Company vigorously, including filing a motion to dismiss the complaint.

In addition, on June 21, 2019, a stockholder derivative lawsuit (Kreutter v. Gorevic, et al.) was filed in the SDNY against certain current and former directors and officers of the Company. The derivative lawsuit alleges that the named directors and officers breached their fiduciary duties to the Company in connection with factual assertions substantially similar to those in the purported securities class action complaint described above. The Company believes that the claims set forth in this stockholder derivative lawsuit are without merit.

On May 14, 2018, a purported class action complaint (Thomas v. Best Doctors, Inc.) was filed in the United States District Court for the District of Massachusetts against the Company’s wholly owned subsidiary, Best Doctors, Inc. The complaint alleges that on or about May 16, 2017, Best Doctors violated the U.S. Telephone Consumer Protection Act (TCPA) by sending unsolicited facsimiles to plaintiff and certain other recipients without the recipients’ prior express invitation or permission. The lawsuit seeks statutory damages for each violation, subject to trebling under the TCPA, and injunctive relief. The Company will vigorously defend the lawsuit and any potential loss is currently deemed to be immaterial.

Item 1A. Risk FactorsFactors

Other than the risk factor set forth below, there have been no material changes fromto the risk factors previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2016 (in response2019. For a discussion of potential risks and uncertainties related to our Company see the information in Part I, Item 1A ("Risk Factors") of our Annual Report on Form 10-K).  10-K for the year ended December 31, 2019.

In addition to the other information set forth in this Quarterly Report on Form 10-Q, you should carefully consider the factors discussed in the “Special Note Regarding Forward-Looking Statements” section in Part I, Item 2, of this Quarterly Report on Form 10-Q. Other events that we do not currently anticipate or that we currently deem immaterial may

In March 2020, the World Health Organization declared COVID-19 a global pandemic. This contagious outbreak, which has continued to spread, and the related adverse public health developments, including orders to shelter-in-place, travel restrictions and mandated business closures, have adversely affected workforces, organizations, customers, economies and financial markets globally, leading to an economic downturn and increased market volatility. It has also affect our business, prospects, financial condition and resultsdisrupted the normal operations of operations.many businesses, including ours.

As we expand our international operations, we will increasingly face political, legal and compliance, operational, regulatory, economic and other risks that we do not face or that are more significant than in our domestic operations. Our exposure to these risks is expected to increase. These risks vary widely by country and include varying regional and geopolitical business conditions and demands, government intervention and censorship, discriminatory regulation, nationalization or expropriation of assets and pricing constraints. Our international products need to meet country-specific client and member preferencesThis outbreak, as well as country-specific legal requirements,intensified measures undertaken to contain the spread of COVID-19, could cause disruptions and severely impact our business, including, thosebut not limited to:

causing one or more of our Clients to file for bankruptcy protection or shut down;
reducing Client and Member subscription fees generated, as well as visit fees by other individuals, as a result of funding constraints related to loss of revenue or employment;

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Table of Contents

negatively impacting collections of accounts receivable;
negatively impacting our ability to facilitate the provision of our services to Clients and other consumers; and
harming our business, results of operations and financial condition.

We cannot predict with any certainty whether and to licensing, privacy, data storage, location, protectionwhat degree the disruption caused by the COVID-19 pandemic and security.

reactions thereto will continue, and expect to face difficulty accurately predicting our internal financial forecasts.

Our international operations increasecontinued access to sources of liquidity also depend on multiple factors, including global economic conditions, the condition of global financial markets, the availability of sufficient amounts of financing and our exposureoperating performance. As of March 31, 2020, we had unused commitments under our revolving credit facility available to us of $10.0 million (without giving effect to approximately $2.2 million of letters of credit). There is no guarantee that additional debt financing will be available in the future to fund our obligations, or that it will be available on commercially reasonable terms, in which case we may need to seek other sources of funding. In addition, the terms of the agreements governing our current indebtedness include, and requireany future debt agreements could include, restrictive covenants, which could restrict our business operations.

The outbreak also presents challenges as our entire workforce is currently working remotely and shifting to assisting new and existing Clients, Members and other consumers, who are also generally working remotely.

It is not possible for us to devote significant management resourcesaccurately predict the duration or magnitude of the adverse results of the outbreak and its effects on our business, results of operations or financial condition at this time, but such effects may be material. The COVID-19 pandemic may also have the effect of heightening many of the other risks identified in the “Risk Factors” section of our Annual Report on Form 10-K for the year ended December 31, 2019, such as those relating to implement controlsour indebtedness, our need to generate sufficient cash flows to service our indebtedness and systemsour ability to comply with the privacy and data protection laws of non-U.S. jurisdictions andcovenants contained in the anti-bribery, anti-corruption and anti-money laundering laws of the United States (including the FCPA) and the United Kingdom (including the Bribery Act 2010) and similar laws in other jurisdictions. Implementingagreements that govern our compliance policies, internal controls and other systems upon our expansion into new countries and geographies may require the investment of considerable management time and management, financial and other resources over a number of years before any significant revenues or profits are generated. Violations of these laws and regulations could result in fines, criminal sanctions against us, our officers or employees, restrictions or outright prohibitions on the conduct of our business, and significant brand and reputational harm. We must regularly reassess the size, capability and location of our global infrastructure and make appropriate changes, and must have effective change management processes and internal controls in place to address changes in our business and operations. Our success depends, in part, on our ability to anticipate these risks and manage these difficulties, and the failure to do so could have a material adverse effect on our business, operating results, financial position, brand, reputation and/or long-term growth.indebtedness.

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Our international operations require us to overcome logistical and other challenges based on differing languages, cultures, legal and regulatory schemes and time zones. Our international operations encounter labor laws, customs and employee relationships that can be difficult, less flexible than in our domestic operations and expensive to modify or terminate. In some countries we are required to, or choose to, operate with local business partners, which requires us to manage our partner relationships and may reduce our operational flexibility and ability to quickly respond to business challenges.

In some countries, we may be exposed to currency exchange controls or other restrictions that prevent us from transferring funds internationally or converting local currencies into U.S. dollars or other currencies. Fluctuations in foreign currency exchange rates may have an impact on our revenues, operating results and cash flows from our international operations. Some of our operations are, and are increasingly likely to be, in emerging markets where these risks are heightened. Any measures we may implement to reduce the effect of volatile currencies and other risks on our international operations may not be effective.

Our exposure to all of the above risks is expected to increase as we seek to grow our foreign operations over the next several years.

Item 6. Exhibits and Reports on Form 8-K

Exhibit

A list of exhibits is set forth on the Exhibit Index immediately following the signature page of this Form 10-Q, and is incorporated herein by reference.

Incorporated by Reference

Exhibit
Number

  

Exhibit Description

  

Form

    

File No.

    

Exhibit

    

Filing
Date

    

Filed
Herewith

2.1

Agreement and Plan of Merger, dated January 11, 2020, by and among Teladoc Health, Inc., Jonata Sub One, Inc., Jonata Sub Two, Inc., InTouch Technologies, Inc. and Fortis Advisors LLC, as equity holder representative

8-K

001-37477

2.1

1/13/20

3.1

Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.

8-K

001-37477

3.1

5/31/17

3.2

Certificate of Amendment to the Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.

8-K

001-37477

3.1

6/1/18

3.3

Second Certificate of Amendment to the Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.

8-K

001-37477

3.1

8/10/18

3.4

Fourth Amended and Restated Bylaws of Teladoc Health, Inc.

8-K

001-37477

3.1

2/25/19

10.1

Separation and Release of Claims Agreement, dated January 3, 2020, by and between Teladoc Health, Inc. and Peter McClennen.

*

10.2

Form of Performance Restricted Stock Unit Agreement under the Teladoc Health, Inc. 2015 Incentive Award Plan

*

21.1

Subsidiaries of the Registrant.

*

31.1

Chief Executive Officer—Certification pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

*

31.2

Chief Financial Officer—Certification pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

*

32.1

Chief Executive Officer—Certification pursuant to Rule13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

**

32.2

Chief Financial Officer—Certification pursuant to Rule 13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C.

**

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Exhibit

Index

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Incorporated by Reference

Exhibit
Number

    

Exhibit Description

    

Form

    

File No.

    

Exhibit

    

Filing
Date

    

Filed
Herewith

 

 

 

 

 

 

 

 

 

 

 

 

 

2.1

 

Amended and Plan of Merger, dated as of June 29, 2016, by and among Teladoc, Inc., Copper Acquisition Sub One, Inc., Copper Acquisition Sub Two, Inc., HY Holdings, Inc. and Frontier Fund IV, L.P., as stockholder representative.

 

8-K

 

001-37477

 

2.1

 

7/06/16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.2

 

Agreement and Plan of Merger, dated as of June 19, 2017, by and among Teladoc, Inc., Barolo Acquisition Corp., Best Doctors Holdings, Inc., Shareholder Representative Services LLC, as stockholder representative, BBH Capital Partners IV, L.P. and BBH Capital Partners QP IV, L.P.

 

 

8-K

 

001-37477

 

2.1

 

6/20/17

 

 

2.3

 

Amendment to Agreement and Plan of Merger, dated as of July 14, 2017, by and among Teladoc, Inc., Best Doctors Holdings, Inc. and Shareholder Representative Services LLC, as stockholder representative

 

 

8-K

 

001-37477

 

2.1

 

7/18/17

 

 

3.1

 

Sixth Amended and Restated Certificate of Incorporation of Teladoc, Inc.

 

8-K

 

001-37477

 

3.1

 

5/31/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.2

 

Second Amended and Restated Bylaws of Teladoc, Inc.

 

8-K

 

001-37477

 

3.2

 

5/31/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.1

 

Specimen stock certificate evidencing shares of the common stock.

 

S-1/A

 

333-204577

 

4.5

 

6/24/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.2

 

Indenture, dated as of June 27, 2017, by and between Teladoc, Inc. and Wilmington Trust, National Association.

 

 

8-K

 

001-37477

 

4.1

 

6/29/17

 

 

4.3

 

Global 3.00% Convertible Senior Note due 2022, dated as of June 27, 2017.

 

 

8-K

 

001-37477

 

4.2

 

6/29/17

 

 

10.1

 

Form of Indemnification Agreement.

 

S-1/A

 

333-204577

 

10.7

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.2

 

Teladoc, Inc. 2015 Incentive Award Plan (as amended and restated effective May 25, 2017).

 

8-K

 

001-37477

 

10.1

 

5/31/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.3

 

Form of Stock Option Agreement under the Teladoc, Inc. 2015 Incentive Award Plan.

 

S-1/A

 

333-204577

 

10.11

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.4

 

Form of Restricted Stock Agreement under the Teladoc, Inc. 2015 Incentive Award Plan.

 

S-1/A

 

333-204577

 

10.12

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.5

 

Form of Restricted Stock Unit Agreement under the Teladoc, Inc. 2015 Incentive Award Plan.

 

S-1/A

 

333-204577

 

10.13

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.6

 

Teladoc, Inc. 2015 Employee Stock Purchase Plan.

 

S-1/A

 

333-204577

 

10.14

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Table of Contents

10.7

 

Teladoc, Inc. Non-Employee Director Compensation Program.

 

10-Q

 

001-37477

 

10.7

 

8/12/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.8

 

Amended and Restated Executive Employment Agreement, dated June 16, 2015, by and between Teladoc, Inc. and Jason Gorevic.

 

S-1/A

 

333-204577

 

10.19

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.9

 

Amended and Restated Executive Employment Agreement, dated June 16, 2015, by and between Teladoc, Inc. and Mark Hirschhorn.

 

S-1/A

 

333-204577

 

10.20

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.10

 

Amended and Restated Executive Employment Agreement, dated June 16, 2015, by and between Teladoc, Inc. and Michael King.

 

S-1/A

 

333-204577

 

10.21

 

6/18/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.11

 

Amendment to Amended and Restated Executive  Employment Agreement, by and between Teladoc, Inc. and Mark Hirschhorn

 

8-K

 

001-37477

 

10.1

 

12/30/16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.12

 

Teladoc, Inc. 2017 Inducement Award Plan

 

S-8

 

333-219275

 

99.3

 

7/14/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.13

 

Form of Stock Option Agreement under the Teladoc, Inc. 2017 Inducement Award Plan

 

10-K

 

001-37477

 

10.17

 

3/01/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.14

 

Form of Restricted Stock Agreement under the Teladoc, Inc. 2017 Inducement Award Plan

 

10-K

 

001-37477

 

10.18

 

3/01/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.15

 

Form of Restricted Stock Unit Agreement under the Teladoc, Inc. 2017 Inducement Award Plan

 

10-K

 

001-37477

 

10.19

 

3/01/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.16

 

Debt Commitment Letter, dated June 20, 2017, by and among Teladoc, Inc., Jefferies Group LLC and Jefferies Finance LLC.

 

8-K

 

001-37477

 

10.1

 

6/21/17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.17

 

Credit Agreement, dated as of July 14, 2017, by and among Teladoc, Inc., as Borrower, the Lenders from time to time party thereto, Jefferies Finance LLC, as Administrative Agent and Collateral Agent, and Jefferies Finance LLC, as Sole Lead Arranger and Bookrunner.

 

 

8-K

 

001-37477

 

10.1

 

7/18/17

 

 

21.1

 

Subsidiaries of the Registrant.

 

S-1

 

333-204577

 

21.1

 

5/29/15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31.1

 

Chief Executive Officer—Certification pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

 

 

 

 

*

 

 

 

 

 

 

 

 

 

 

 

 

 

31.2

 

Chief Financial Officer—Certification pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

 

 

 

 

 

 

 

 

*

 

 

 

 

 

 

 

 

 

 

 

 

 

39


Table of Contents

32.1

Chief Executive Officer—Certification pursuant to Rule13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

**

32.2

Chief Financial Officer—Certification pursuant to Rule 13a-14(b) or Rule 15d-14(b) of the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

**

101.INS

XBRL Instance Document.Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the

Inline XBRL document.

*

101.SCH

XBRL Taxonomy Extension Schema Document.

*

101.CAL

XBRL Taxonomy Calculation Linkbase Document.

*

101.DEF

XBRL Definition Linkbase Document.

*

101.LAB

XBRL Taxonomy Label Linkbase Document.

*

101.PRE

XBRL Taxonomy Presentation Linkbase Document.

*

104

Cover Page Interactive Data File – The cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document


*     Filed herewith.

**   Furnished herewith.

40


34

Signatures

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 thereunto duly authorized.

TELADOC HEALTH, INC.

Date: November 1, 2017April 29, 2020

By:

/s/ JASON GOREVIC

Name:

Jason Gorevic

Title:

Chief Executive Officer

Date: November 1, 2017April 29, 2020

By:

/s/ MARK HIRSCHHORNMALA MURTHY

Name:

Mark HirschhornMala Murthy

Title:

Executive Vice President, Chief Operating Officer and Chief Financial Officer

4135