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Ontrak Announces 2023 Fourth Quarter and Year End Financial Results

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Ontrak, Inc. (NASDAQ: OTRK) reports Q4 revenue of $3.5 million, up 41% year over year, with a full-year revenue of $12.7 million, down 12%. The company expands services, completes equity financing, and amends its master note purchase agreement. Ontrak receives $1.9 million from the exercise of Public Offering Warrants. The financial results show improvements in operating loss and adjusted EBITDA compared to the previous year.
Positive
  • Revenue for Q4 2023 was $3.5 million, a 41% increase from the same period in 2022.
  • Operating loss for Q4 2023 was $(5.2) million, a 35% improvement from Q4 2022.
  • Adjusted EBITDA for Q4 2023 was $(3.6) million, an improvement from $(6.1) million in Q4 2022.
  • Full-year 2023 revenue was $12.7 million, a 12% decrease from the prior year.
  • Operating loss for full-year 2023 was $(20.6) million, an improvement from $(44.1) million in the prior year.
  • Adjusted EBITDA for full-year 2023 was $(14.7) million, an improvement from $(31.5) million in the prior year.
  • Ontrak expands its WholeHealth+ program to a larger commercial population and eligible self-insured groups.
  • The company completes equity financing, raising approximately $5.3 million in a public offering.
  • Ontrak amends its master note purchase agreement, making up to $15.0 million of borrowing capacity available.
  • The company receives $1.9 million from the exercise of Public Offering Warrants.
  • Ontrak introduces the Recovering Quality of Life Assessment (ReQoL) into its WholeHealth+ Product and Solutions Suite.
Negative
  • None.

Insights

Ontrak's financial highlights indicate a company that is in the midst of a complex transformation. While Q4 revenue growth of 41% year-over-year is commendable, it's important to note the full-year revenue declined by 12%. Investors should consider the volatility in these numbers, focusing on the company's ability to sustain and improve revenue growth moving forward. Additionally, the 35% and 52% year-over-year improvements in operating loss for Q4 and the full year, respectively, suggest a significant reduction in expenses or improved operational efficiency. Investors might view these improvements as a positive sign of management's ability to control costs. However, the heavy reliance on one customer for 33.8% of total revenue is a potential risk and the customer's decision not to continue the services post-February 2024 raises concerns about revenue concentration and client diversification.

The closing of the public offering and private placement, netting approximately $5.3 million, adds liquidity but also dilutes current shareholders. The conversion of $16.3 million in secured notes and the amendment allowing for $15 million borrowing capacity under senior secured convertible promissory notes indicate a company that is actively restructuring its balance sheet. While these measures may provide short-term financial relief, they may also lead to long-term debt obligations that can affect profitability.

Ontrak's service expansion to a larger commercial population and self-insured groups, along with its strategic partnership expansion, indicate a push to capture a larger market share and diversify its customer base. The increased eligibility for the WholeHealth+ program initially representing over a six-fold increase in potential members is a significant stride. Given the industry's move towards value-based care models, Ontrak's alignment with health outcomes and cost reduction is a strategic fit.

However, the market response to the company's strategic direction could be influenced by the loss of the health plan customer. Potentially, initiatives like the introduction of the ReQoL into the WholeHealth+ suite may offer differentiation in the market and appeal to new customers looking for innovative mental health solutions. Investors should keep an eye on how these operational highlights translate into user engagement and client acquisition, which will be critical drivers of revenue growth.

When analyzing Ontrak's performance and outlook, it's important to understand the healthcare sector's dynamics. Ontrak operates within the telehealth and AI-powered healthcare space, which has seen increased demand but also heightened competition. The introduction of the Advanced Engagement System and the Recovering Quality of Life Assessment (ReQoL) reflect the company's investment in technology and product innovation, which could enhance its value proposition and improve its competitive positioning.

The financial outlook for the next quarter, with estimated revenues between $2.5 million to $2.9 million, suggests caution. For investors, it's key to consider both the company's innovation trajectory and its ability to convert these innovations into sustainable revenue streams, especially following the indicated customer loss. Long-term performance will likely hinge on the company's ability to attract new customers and penetrate deeper into existing markets with its expanded service offerings.

  • Q4 Revenue of $3.5 million, up 41% year over year; and Full Year Revenue of $12.7 million, down 12% year over year
  • Q4 operating loss of $5.2 million, a 35% improvement year over year; and Full Year operating loss of $21.1 million, a 52% improvement year over year
  • Company expands its services to a larger commercial population as well as eligible self-insured groups with a health plan customer
  • Company completes equity financing transaction, raising approximately $5.3 million, net in a public offering and completes $16.3 million conversion of secured notes
  • Company completes amendment to its master note purchase agreement, which makes available up to $15.0 million of borrowing capacity under senior secured convertible promissory notes
  • Company receives $1.9 million of cash proceeds from the exercise of Public Offering Warrants by certain holders thereof for a total of 5,166,664 shares of the Company's common stock
  • Company to Host Conference Call at 4:30 pm ET Today

MIAMI--(BUSINESS WIRE)-- Ontrak, Inc. (NASDAQ: OTRK) (“Ontrak” or the “Company”), a leading AI-powered and telehealth-enabled healthcare company, today reported its financial results for the fourth quarter and year ended December 31, 2023.

Management Commentary

“In addition to new business development efforts, we focused this quarter on continued innovation with a technology focus. We introduced our Advanced Engagement System to offer increased efficiencies and higher ROI, while maintaining a patient-centered focus amidst a challenging macro environment facing our health plan partners,” said Brandon LaVerne, the Company's Chief Executive Officer and Chief Operating Officer. “Our WholeHealth+ program is incredibly important and aligned to help solve for these macro issues by delivering proven health outcomes and reducing costs while also increasing engagement, leading to increased quality scores. We are confident in our value-proposition to health plan partners, and are seeing continued demand in our recent customer expansions and further progress in our pipeline as a result.”

Fourth Quarter 2023 Financial Results Highlights

  • Revenue for the fourth quarter of 2023 was $3.5 million, representing a 41% increase compared to the same period in 2022.
  • Operating loss for the fourth quarter of 2023 was $(5.2) million compared to an operating loss of $(8.0) million for the same period in 2022.
  • Adjusted EBITDA for the fourth quarter of 2023 was $(3.6) million compared to adjusted EBITDA of $(6.1) million for the same period in 2022.
  • Net loss for the fourth quarter of 2023 was $(6.4) million, or a $(0.29) diluted net loss per common share (after deduction for undeclared preferred stock dividends), compared to net loss of $(9.1) million, or a $(2.52) diluted net loss per common share (after deduction for undeclared preferred stock dividends) for the same period in 2022.
  • Non-GAAP net loss for the fourth quarter of 2023 was $(5.8) million, or a $(0.27) non-GAAP diluted net loss per common share (after deduction for undeclared preferred stock dividends), compared to non-GAAP net loss of $(7.6) million, or a $(2.19) non-GAAP diluted net loss per common share (after deduction for undeclared preferred stock dividends) for the same period in 2022.

Adjusted EBITDA, non-GAAP net loss and non-GAAP diluted net loss per common share are non-GAAP financial measures. See our description and reconciliation of such non-GAAP measures at the end of this release.

Fiscal Year 2023 Financial Results Highlights

  • Revenue for the full year of 2023 was $12.7 million, representing a 12% decrease from prior year.
  • Operating loss for the full year of 2023 was $(20.6) million compared to an operating loss of $(44.1) million for the prior year.
  • Adjusted EBITDA for the full year of 2023 was $(14.7) million compared to adjusted EBITDA of $(31.5) million for the prior year.
  • Net loss for the full year of 2023 was $(27.9) million, or a $(3.30) diluted net loss per common share (after deduction for undeclared preferred stock dividends), compared to net loss of $(51.6) million, or a $(15.61) diluted net loss per share (after deduction for undeclared preferred stock dividends) for the prior year.
  • Non-GAAP net loss for the full year of 2023 was $(24.9) million, or a $(3.04) non-GAAP diluted net loss per common share (after deduction for undeclared preferred stock dividends), compared to non-GAAP net loss of $(39.6) million, or a $(12.54) non-GAAP diluted net loss per share (after deduction for declared and undeclared preferred stock dividends) for the prior year.

Fourth Quarter 2023 and Recent Operating Highlights

  • Total enrolled members in our WholeHealth+ program numbered 1,758 at the end of Q4 2023, compared to 2,297 at the end of Q3 2023 and 1,333 at the end of Q4 2022.
  • The Company's effective outreach pool was 2,161 at December 31, 2023 compared to 3,861 at December 31, 2022. As of the date of filing this report, the Company's effective outreach pool was 5,094.
  • On February 29, 2024, the Company announced the expansion of Ontrak's WholeHealth+ program to a larger commercial population with a health plan customer, one of the largest health systems in the U.S. Mid-Atlantic and Southeast. On March 12, 2024, the Company announced a continuing expansion of its strategic partnership with the same health plan customer to offer its program to eligible self-insured groups. The expanded partnership initially represents more than 6.5 times increase in the number of this customer's members who are eligible for the Ontrak WholeHealth+ program.
  • On October 10, 2023, the Company was notified by a health plan customer of its intent not to continue using the Company’s services after February 2024. The customer also informed us that the notification was related to the customer’s financial and budgetary constraints and not reflective of the performance or value of the Company’s services. For the year ended December 31, 2023, we billed this customer approximately $4.3 million, representing 33.8% of our total revenue.
  • On October 31, 2023, the Company and Acuitas Capital entered into a Fifth Amendment to the Master Note Purchase Agreement, as amended (the "Fifth Amendment"), which, among other things, in the event the Company completes a Qualified Financing, as defined in the Keep Well Agreement, the following were provided: i) the conversion of Keep Well Notes plus accrued and unpaid interest thereon, less $7.0 million, ii) in lieu of the provision set forth in the Fourth Amendment concerning investment of Escrowed Funds in an offering (which is described below), the Company and Acuitas to consummate a private placement which would consist of the escrowed funds and $5.0 million of Keep Well Notes in pre-funded warrants. In addition, the maturity date of the remaining $2.0 million Keep Well Note was changed from September 30, 2024 to the date that is two years and six months after the closing date of the offering (May 14, 2026), unless it becomes due and payable in full earlier, whether by acceleration or otherwise.
  • On November 14, 2023, the Company announced the closing of its previously announced public offering of:
    • 4,592,068 shares of its common stock and 9,184,136 warrants to purchase up to 9,184,136 shares of its common stock at a combined public offering price of $0.60 per share of common stock and accompanying warrants, and
    • 5,907,932 pre-funded warrants to purchase up to 5,907,932 shares of its common stock and 11,815,864 warrants to purchase up to 11,815,864 shares of its common stock at a combined public offering price of $0.5999 per pre-funded warrant and accompanying warrants, which represents the per share public offering price for the common stock and accompanying warrants less the $0.0001 per share exercise price for each pre-funded warrant.
    • The Company estimates net proceeds of approximately $5.3 million from the public offering described above.
  • In addition, concurrent with the public offering described above, the Company announced the closing of its previously announced concurrent private placement (the “Private Placement”) of $11.0 million worth of unregistered pre-funded warrants to purchase shares of the Company's common stock and unregistered warrants to purchase shares of the Company's common stock to Acuitas. The Company issued 18,333,333 pre-funded warrants to purchase up to 18,333,333 shares of its common stock and 36,666,666 warrants to purchase up to 36,666,666 shares of its common stock at a purchase price of $0.5999 per pre-funded warrant and accompanying warrants, which represents the per share public offering price for the common stock and accompanying warrants less the $0.0001 per share exercise price for each pre-funded warrant. The warrants accompanying the pre-funded warrants have an exercise price of $0.85 per share. The consideration for the Private Placement Securities purchased by Acuitas consisted of (a) the $6.0 million of escrowed funds then held in an escrow account, and (b) $5.0 million of senior secured convertible notes outstanding under the Keep Well Notes.
  • Prior to the closing of the public offering and private placement described above, Acuitas converted approximately $16.3 million of outstanding senior secured convertible notes, pursuant to which the Company issued to Acuitas 18,054,791 shares of its common stock and warrants to purchase 18,054,791 shares of its common stock, as well as 9,027,395 shares of its common stock and warrants to purchase 9,027,395 shares of its common stock upon obtainment of shareholder approval in December 2023.
  • In February 2024, the Company announced the introduction of Recovering Quality of Life Assessment (ReQoL) into its cutting-edge WholeHealth+ Product and Solutions Suite. ReQoL assessments can be used in healthcare and research settings to evaluate the impact of mental health conditions, psychological interventions, and healthcare interventions on patients' lives because they focus on understanding the person over the diagnosis, consistent with recovery strategies.
  • In March 2024, the Company and Acuitas Capital entered into a Sixth Amendment to the Master Note Purchase Agreement, as amended (the "Sixth Amendment"). In accordance with the Sixth Amendment, on April 5, 2024, the Company issued and sold to Acuitas Capital, and Acuitas Capital purchased from the Company, a senior secured convertible promissory note with a principal amount of $1.5 million (the "Initial Demand Note"), and in Acuitas Capital’s sole discretion, Acuitas Capital may purchase from the Company, and the Company will issue and sell to Acuitas, up to an additional $13.5 million in principal amount of Demand Notes. In connection with each Demand Note purchased by Acuitas from the Company (including the Initial Demand Note), subject to stockholder approval effective date occurring, the Company will issue to Acuitas (or an entity affiliated with Acuitas, as designated by Acuitas) a warrant (“Demand Warrant”), to purchase such number of shares of the Company’s common stock that results in 200% warrant coverage. Each Demand Warrant will have a term of five (5) years. The initial exercise price of each Demand Warrant will be (a) in the case of the Demand Warrant issued in connection with the Initial Demand Note and in respect of the next $3.0 million of principal amount of Demand Notes purchased by Acuitas, the lesser of (i) $0.3442 (after giving effect to the reduction of the exercise price of the Public Offering Warrants and Private Placement Warrant (collectively, the “November 2023 Warrants”) that occurred on April 5, 2024) and (ii) the greater of (1) the consolidated closing bid price of the Company’s common stock as reported on The Nasdaq Stock Market or such other exchange on which the Company’s common stock is listed (the “Exchange”) immediately preceding the time the applicable Demand Note is deemed issued by the Company and (2) $0.12, and (b) in the case of the Demand Warrants issued in connection with any subsequent Demand Notes, the consolidated closing bid price of the Company’s common stock as reported on the Exchange immediately preceding the time the applicable Demand Note is deemed issued by the Company, which initial exercise price will, in each case of clauses (a) and (b) above, be subject to further adjustment in accordance with the terms of the Demand Warrant and the Sixth Amendment.
  • From March 28, 2024 through April 2, 2024, the Company received a total of $1.9 million of cash proceeds from the exercise of Public Offering Warrants by certain holders thereof for a total of 5,166,664 shares of the Company's common stock.

Financial Outlook

The following outlook is based on information available as of the date of this press release and is subject to change in the future.

For the quarter ending March 31, 2024, the Company estimates revenue in the range of $2.5 million to $2.9 million.

Conference Call & Webcast Details

The Company will host a conference call/webcast today at 4:30 pm ET/1:30 pm PT. Investors, analysts, employees and the general public can access the call by registering online for dial-in information or via live audio webcast at: https://ontrakhealth.com/investors/presentations-events. Participants interested in dialing in to the conference call are requested to register a day in advance or at a minimum 15 minutes before the start of the call to obtain a unique pin for the call.

A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Ontrak, Inc.

Ontrak Health (NASDAQ: OTRK) is a leading AI and telehealth-enabled healthcare company, whose mission is to help improve the health and save the lives of as many people as possible. Ontrak identifies, engages, activates, and provides care pathways to treatment for the most vulnerable members of the behavioral health population who would otherwise fall through the cracks of the healthcare system. We engage individuals with anxiety, depression, substance use disorder and chronic disease through personalized care coaching and customized care pathways that help them receive the treatment and advocacy they need, despite the socio-economic, medical and health system barriers that exacerbate the severity of their comorbid illnesses. The company’s integrated intervention platform uses AI, predictive analytics and digital interfaces combined with dozens of care coach engagements to deliver improved member health, better healthcare system utilization, and durable outcomes and savings to healthcare payors.

Learn more at www.ontrakhealth.com

Forward-Looking Statements

This press release contains “forward-looking” statements that are based on the Company’s beliefs and assumptions and on information currently available to the Company on the date of this press release and are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that are not historical facts and can be identified by terms such as “may,” “will,” “could,” “should,” “believes,” “estimates,” “projects,” “potential,” “expects,” “plan,” “anticipates,” “intends,” “continues,” “forecast,” “designed,” “goal,” or the negative of those words or other comparable words. Forward-looking statements may include, but are not limited to, the expectations around state approval and timing of launch of the new customer contract, the Company’s belief that its strategy will accelerate the Company’s return to growth, maximize the Company’s differentiated platform, and strengthen the Company’s position, the Company’s expectations regarding reductions in costs resulting from its cost saving measures, and the Company’s estimated revenue for 2023. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the Company’s actual results, performance or achievements to be materially different from those expressed or implied by forward-looking statements, including, without limitation, risks related to: the Company’s ability to successfully execute on its strategy and business plan; the Company’s ability to increase its revenue and efficiently manage expenses and achieve profitability; the Company’s high customer concentration and the ability of its customers to terminate their contracts for convenience; the adequacy of the Company’s existing cash resources and anticipated capital commitments and future cash requirements to enable the Company to continue as a going concern; the Company’s ability to raise additional capital when needed; difficulty enrolling new members and maintaining existing members in the Company’s programs; the effectiveness of the Company’s treatment programs; lower than anticipated eligible members under the Company’s contracts; the Company’s dependence on key personnel and the Company’s ability to recruit and retain key personnel; the Company’s ability to maintain the listing of its stock on Nasdaq; the outcomes of ongoing legal proceedings brought by the U.S. Department of Justice and the Securities and Exchange Commission against the Company’s largest stockholder and former Chief Executive Officer and Chairman, and whether governmental authorities will institute separate investigations or proceedings against the Company and/or its current or former executives and/or directors; substantial regulation in the health care industry; changes in regulations or issuance of new regulations or interpretations; the Company’s limited operating history; difficulty in developing, exploiting and protecting proprietary technologies; business disruption and related risks; general economic conditions, nationally and globally, and their effect on the market for our service; intense competition and competitive pressures and trends in the Company’s industry and the Company’s ability to successfully compete; changes in laws, regulations, or policies; and risks related to the Company’s ability to realize the potential benefits of and to effectively integrate acquisitions. For a further list and description of the risks and uncertainties the Company faces, please refer to the Company’s most recent Securities and Exchange Commission filings which are available on its website at http://www.sec.gov. Forward-looking statements are current only as of the date they are made and the Company assumes no obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

Non-GAAP Financial Measures

To supplement its consolidated financial statements, which are prepared and presented in accordance with U.S. generally accepted accounting principles, or GAAP, the Company has provided in this press release and the quarterly conference call held on the date hereof certain non-GAAP financial measures. The non-GAAP financial measures presented include EBITDA, Adjusted EBITDA, Non-GAAP net loss, and Non-GAAP net loss per common share, which are not U.S. GAAP financial measures. 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.

EBITDA consists of net loss before interest, taxes, depreciation and amortization expenses. Adjusted EBITDA consists of net loss before interest, taxes, depreciation, amortization, stock-based compensation, write-off of debt issuance costs, write-off of other assets, restructuring, severance and related costs, gain on termination of operating lease, and gain/loss on change in fair value of warrant liability. We believe that making such adjustments provides investors meaningful information to understand our results of operations and the ability to analyze our financial and business trends on a period-to-period basis.

Non-GAAP net loss consists of net loss adjusted for stock-based compensation, write-off of debt issuance costs, write-off of other assets, restructuring, severance and related costs, gain on termination of operating lease and gain/loss on change in fair value of warrant liability. Non-GAAP net loss per common share consists of loss per share adjusted for non-GAAP net loss attributable to common stockholders. We believe that making such adjustments provides investors meaningful information to understand our results of operations and the ability to analyze our financial and business trends on a period-to-period basis.

We believe the above non-GAAP financial measures are commonly used by investors to evaluate our performance and that of our competitors. However, our use of the term EBITDA, Adjusted EBITDA, Non-GAAP net loss and Non-GAAP net loss per common share may vary from that of others in our industry. None of EBITDA, Adjusted EBITDA, Non-GAAP net loss or Non-GAAP net loss per common share should be considered as an alternative to net loss before taxes, net loss, net loss per common share or any other performance measures derived in accordance with U.S. GAAP as measures of performance.

See the Reconciliation of Non-GAAP Measures table at the end of this press release for a reconciliation of the Non-GAAP financial measures to U.S. GAAP financial measures.

ONTRAK, INC.
Consolidated Statements of Operations
(in thousands, except per share data)

 

 

Three Months Ended
December 31,

 

Year Ended
December 31,

 

2023

 

2022

 

2023

 

2022

Revenue

$

3,539

 

 

$

2,510

 

 

$

12,743

 

 

$

14,514

 

Cost of revenue

 

1,252

 

 

 

973

 

 

 

3,943

 

 

 

7,461

 

Gross profit

$

2,287

 

 

$

1,537

 

 

$

8,800

 

 

$

7,053

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

Research and development

 

1,893

 

 

 

1,861

 

 

 

6,626

 

 

 

10,974

 

Sales and marketing

 

931

 

 

 

1,113

 

 

 

3,580

 

 

 

5,006

 

General and administrative

 

4,676

 

 

 

6,562

 

 

 

19,269

 

 

 

34,256

 

Restructuring, severance and related charges

 

 

 

 

 

 

 

457

 

 

 

934

 

Total operating expenses

 

7,500

 

 

 

9,536

 

 

 

29,932

 

 

 

51,170

 

Operating loss

 

(5,213

)

 

 

(7,999

)

 

 

(21,132

)

 

 

(44,117

)

 

 

 

 

 

 

 

 

Other income (expense), net

 

10

 

 

 

(248

)

 

 

334

 

 

 

(3,461

)

Interest expense, net

 

(1,193

)

 

 

(911

)

 

 

(7,202

)

 

 

(3,907

)

Loss before income taxes

 

(6,396

)

 

 

(9,158

)

 

 

(28,000

)

 

 

(51,485

)

Income tax benefit (expense)

 

 

 

 

52

 

 

 

80

 

 

 

(88

)

Net loss

 

(6,396

)

 

 

(9,106

)

 

 

(27,920

)

 

 

(51,573

)

Dividends on preferred stock - declared and undeclared

 

(2,238

)

 

 

(2,238

)

 

 

(8,954

)

 

 

(8,954

)

Net loss attributable to common stockholders

$

(8,634

)

 

$

(11,344

)

 

$

(36,874

)

 

$

(60,527

)

 

 

 

 

 

 

 

 

Net loss per common share, basic and diluted

$

(0.29

)

 

$

(2.52

)

 

$

(3.30

)

 

$

(15.61

)

 

 

 

 

 

 

 

 

Weighted-average common shares outstanding, basic and diluted

 

29,950

 

 

 

4,505

 

 

 

11,159

 

 

 

3,877

 

ONTRAK, INC.
Consolidated Balance Sheets
(in thousands, except share and per share data)

 

 

December 31,

 

2023

 

2022

Assets

 

 

 

Current assets:

 

 

 

Cash

$

9,701

 

 

$

5,032

 

Restricted cash - current

 

 

 

 

4,477

 

Receivables, net

 

 

 

 

973

 

Unbilled receivables

 

207

 

 

 

453

 

Deferred costs - current

 

128

 

 

 

156

 

Prepaid expenses and other current assets

 

2,743

 

 

 

3,168

 

Total current assets

 

12,779

 

 

 

14,259

 

Long-term assets:

 

 

 

Property and equipment, net

 

913

 

 

 

2,498

 

Restricted cash - long-term

 

 

 

 

204

 

Goodwill

 

5,713

 

 

 

5,713

 

Intangible assets, net

 

99

 

 

 

1,125

 

Other assets

 

147

 

 

 

1,326

 

Operating lease right-of-use assets

 

195

 

 

 

632

 

Total assets

$

19,846

 

 

$

25,757

 

 

 

 

 

Liabilities and stockholders' equity

 

 

 

Current liabilities:

 

 

 

Accounts payable

$

563

 

 

$

1,927

 

Accrued compensation and benefits

 

442

 

 

 

1,987

 

Deferred revenue

 

97

 

 

 

326

 

Current portion of operating lease liabilities

 

56

 

 

 

653

 

Other accrued liabilities

 

2,784

 

 

 

4,576

 

Total current liabilities

 

3,942

 

 

 

9,469

 

Long-term liabilities:

 

 

 

Long-term debt, net

 

1,467

 

 

 

10,065

 

Long-term operating lease liabilities

 

166

 

 

 

546

 

Total liabilities

 

5,575

 

 

 

20,080

 

Commitments and contingencies

 

 

 

 

 

 

 

Stockholders' equity:

 

 

 

Preferred stock, $0.0001 par value; 50,000,000 shares authorized; 3,770,265 shares issued and outstanding at each of December 31, 2023 and 2022

 

 

 

 

 

Common stock, $0.0001 par value, 500,000,000 shares authorized; 38,466,979 and 4,527,914 shares issued and outstanding at December 31, 2023 and 2022, respectively

 

6

 

 

 

3

 

Additional paid-in capital

 

484,926

 

 

 

448,415

 

Accumulated deficit

 

(470,661

)

 

 

(442,741

)

Total stockholders' equity

 

14,271

 

 

 

5,677

 

Total liabilities and stockholders' equity

$

19,846

 

 

$

25,757

 

ONTRAK, INC.
Consolidated Statements of Cash Flows
(in thousands)

 

 

Year Ended December 31,

 

2023

 

2022

Cash flows from operating activities

 

 

 

Net loss

$

(27,920

)

 

$

(51,573

)

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

 

 

 

Stock-based compensation expense

 

2,948

 

 

 

7,532

 

Write-off of debt issuance costs

 

 

 

 

3,334

 

Paid-in-kind interest expense

 

3,753

 

 

 

553

 

Bad debt expense

 

531

 

 

 

 

Gain on termination of operating lease

 

(471

)

 

 

 

Write-off of other asset

 

100

 

 

 

259

 

Depreciation expense

 

1,801

 

 

 

2,494

 

Amortization expense

 

4,581

 

 

 

2,706

 

Change in fair value of warrants

 

(35

)

 

 

(133

)

401(k) employer match in common shares

 

 

 

 

628

 

Common stock issued for consulting services

 

 

 

 

102

 

Changes in operating assets and liabilities:

 

 

 

Receivables

 

972

 

 

 

4,965

 

Unbilled receivables

 

(285

)

 

 

2,781

 

Prepaid and other assets

 

668

 

 

 

1,558

 

Accounts payable

 

(1,179

)

 

 

791

 

Deferred revenue

 

(229

)

 

 

(115

)

Lease liabilities

 

(166

)

 

 

(328

)

Other accrued liabilities

 

(567

)

 

 

480

 

Net cash used in operating activities

 

(15,498

)

 

 

(23,966

)

Cash flows from investing activities

 

 

 

Purchases of property and equipment

 

(285

)

 

 

(1,156

)

Net cash used in investing activities

 

(285

)

 

 

(1,156

)

 

 

 

 

Cash flows from financing activities

 

 

 

Proceeds from Keep Well Notes

 

8,000

 

 

 

11,000

 

Proceeds from Keep Well Agreement held in escrow and funded Private Placement

 

6,000

 

 

 

 

Common stock, Pre-Funded Warrants and Warrants issued in Public Offering

 

6,299

 

 

 

 

Financing transaction costs

 

(1,744

)

 

 

(907

)

Repayment of 2024 Notes

 

 

 

 

(39,194

)

Proceeds from issuance of common stock

 

 

 

 

4,000

 

Common stock issuance costs

 

 

 

 

(706

)

Financed insurance premium payments

 

(2,647

)

 

 

(2,777

)

Finance lease obligations

 

(134

)

 

 

(282

)

Dividends paid

 

 

 

 

(2,239

)

Payment of taxes related to net-settled stock awards

 

(3

)

 

 

(6

)

Net cash provided by (used in) financing activities

 

15,771

 

 

 

(31,111

)

 

 

 

 

Net change in cash and restricted cash

 

(12

)

 

 

(56,233

)

Cash and restricted cash at beginning of period

 

9,713

 

 

 

65,946

 

Cash and restricted cash at end of period

$

9,701

 

 

$

9,713

 

 

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information:

 

 

 

Interest paid

$

67

 

 

$

2,330

 

Income taxes paid

 

3

 

 

 

136

 

 

 

 

 

Non-cash financing and investing activities:

 

 

 

 

 

 

 

Conversion of Keep Well Notes to Common Stock and Warrants Issued

$

16,249

 

 

$

 

Keep Well Note cancelled and funded Private Placement

 

5,000

 

 

 

 

Common stock issued in connection with Keep Well Agreement

 

 

 

 

1,249

 

Warrants issued in connection with Keep Well Notes and 2024 Notes

 

11,034

 

 

 

1,002

 

Losses on extinguishments of debt with related party

 

4,494

 

 

 

 

Write-off of debt issuance costs related to conversion of Keep Well Notes

 

3,654

 

 

 

 

Write-off of debt issuance costs related to cancelled Keep Well Notes in Private Placement

 

1,522

 

 

 

 

Financed insurance premiums

 

2,103

 

 

 

2,474

 

Accrued debt issuance costs

 

42

 

 

 

5

 

Finance lease and accrued purchases of property and equipment

 

3

 

 

 

171

 

Common stock issued to settle contingent liability

 

 

 

 

293

ONTRAK, INC.
Reconciliation of Non-GAAP Measures
(in thousands, except per share data)

Reconciliation of Operating Loss to EBITDA and Adjusted EBITDA

 

 

 

Three Months Ended
December 31,

 

Year Ended
December 31,

 

 

2023

 

2022

 

2023

 

2022

Operating loss

 

$

(5,213

)

 

$

(7,999

)

 

$

(21,132

)

 

$

(44,117

)

Depreciation expense

 

 

925

 

 

 

272

 

 

 

1,801

 

 

 

2494

 

Amortization expense (1)

 

 

122

 

 

 

413

 

 

 

1,196

 

 

 

1,630

 

EBITDA

 

 

(4,166

)

 

 

(7,314

)

 

 

(18,135

)

 

 

(39,993

)

Stock-based compensation expense

 

 

608

 

 

 

1,250

 

 

 

2,948

 

 

 

7,532

 

Restructuring, severance and related costs (2)

 

 

 

 

 

 

 

 

457

 

 

 

934

 

Adjusted EBITDA

 

$

(3,558

)

 

$

(6,064

)

 

$

(14,730

)

 

$

(31,527

)

Reconciliation of Net Loss to Non-GAAP Net Loss; and Net Loss per Common Share to Non-GAAP Net Loss per Common Share

 

 

 

Three Months Ended
December 31,

 

Year Ended
December 31,

 

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Net loss

 

$

(6,396

)

 

$

(9,106

)

 

$

(27,920

)

 

$

(51,573

)

Stock-based compensation expense

 

 

608

 

 

 

1,250

 

 

 

2,948

 

 

 

7,532

 

Write-off of debt issuance costs (3)

 

 

 

 

 

 

 

 

 

 

 

3,334

 

Restructuring, severance and related costs (2)

 

 

 

 

 

 

 

 

457

 

 

 

934

 

Write-off of other asset

 

 

 

 

 

259

 

 

 

100

 

 

 

259

 

Gain on change in fair value of warrant liability

 

 

(9

)

 

 

(12

)

 

 

(35

)

 

 

(133

)

Gain on termination of operating lease (4)

 

 

 

 

 

 

 

 

(471

)

 

 

 

Non-GAAP net loss

 

 

(5,797

)

 

 

(7,609

)

 

 

(24,921

)

 

 

(39,647

)

Dividends on preferred stock - declared and undeclared

 

 

(2,238

)

 

 

(2,238

)

 

 

(8,954

)

 

 

(8,954

)

Non-GAAP net loss attributable to common stockholders

 

$

(8,035

)

 

$

(9,847

)

 

$

(33,875

)

 

$

(48,601

)

 

 

 

 

 

 

 

 

 

Net loss per common share - basic and diluted

 

$

(0.29

)

 

$

(2.52

)

 

$

(3.30

)

 

$

(15.61

)

Non-GAAP net loss per common share - basic and diluted

 

 

(0.27

)

 

 

(2.19

)

 

 

(3.04

)

 

 

(12.54

)

Weighted-average common shares outstanding - basic and diluted

 

 

29,950

 

 

 

4,505

 

 

 

11,159

 

 

 

3,877

 

_______________________

(1)

 

Relates to operating and financing right-of-use assets and acquired intangible assets.

(2)

 

Includes one-time severance and related benefit costs related to reduction in workforce plans announced in March 2023 and August 2022 as part of Company's continued cost savings measure.

(3)

 

Relates to write-off of debt issuance costs on our 2024 Notes.

(4)

 

Represents gain realized on derecognition of ROU operating asset and related lease liability due to early termination of the lease of the office space located in Santa Monica, CA in February 2023.

 

For Investors:

Ryan Halsted

Gilmartin Group

investors@ontrakhealth.com

Source: Ontrak, Inc.

FAQ

What was Ontrak's Q4 2023 revenue and how does it compare to the previous year?

Ontrak reported Q4 2023 revenue of $3.5 million, a 41% increase from the same period in 2022.

What was Ontrak's operating loss for Q4 2023?

Ontrak's operating loss for Q4 2023 was $(5.2) million, a 35% improvement from Q4 2022.

How much did Ontrak raise in equity financing?

Ontrak raised approximately $5.3 million in a public offering.

What amendment did Ontrak make to its master note purchase agreement?

Ontrak amended its master note purchase agreement, making up to $15.0 million of borrowing capacity available.

How much did Ontrak receive from the exercise of Public Offering Warrants?

Ontrak received $1.9 million from the exercise of Public Offering Warrants.

Ontrak, Inc.

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