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WELL Health Reports Record Revenue and Adjusted EBITDA Results for Q3-2022 and Raises Guidance for Fourth Straight Quarter

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WELL Health Technologies reported record quarterly revenues of $145.8 million for Q3-2022, a 47% increase year-over-year. Adjusted EBITDA reached $27.5 million, up 23% YoY. Virtual Services grew 75% organically, contributing to 36% of total revenue. The company raised its 2022 revenue guidance to exceed $565 million and anticipates a run-rate revenue of $700 million by the end of 2023. Free cash flow for the quarter was $11.4 million. Patient interactions topped 1.25 million, demonstrating strong demand for its services.

Positive
  • Record quarterly revenue of $145.8 million in Q3-2022, a 47% increase YoY.
  • Adjusted EBITDA of $27.5 million, up 23% YoY.
  • Virtual Services unit grew organically by 75%, now 36% of total revenue.
  • Increased guidance for 2022 annual revenue to exceed $565 million.
  • Forecasted exit run-rate revenue approaching $700 million by end of 2023.
  • Free cash flow of $11.4 million for the quarter.
Negative
  • None.
  • WELL achieved record quarterly revenues of $145.8 million in Q3-2022 representing a 47% year-over-year (YoY) increase compared to Q3-2021, driven by robust organic growth.
  • WELL achieved record Adjusted EBITDA(2) of $27.5 million in Q3-2022, an increase of 23% YoY compared to Adjusted EBITDA(2) of $22.3 million for Q3-2021.
  • WELL's Virtual Services unit grew by 75% organically YoY and now is the largest of the three main lines of business at 36% of total revenue.
  • WELL is increasing its guidance for 2022 annual revenue to exceed $565 million from the previous guidance for annual revenue to exceed $550 million. WELL also expects to generate over $100 million of Adjusted EBITDA(2) in 2022. Furthermore, the Company expects its exit run-rate revenue to approach $700 million by the end of 2023.

VANCOUVER, BC, Nov. 10, 2022 /PRNewswire/ - WELL Health Technologies Corp. (TSX: WELL) (OTCQX: WHTCF) (the "Company" or "WELL"), a digital healthcare company focused on positively impacting health outcomes by leveraging technology to empower healthcare practitioners and their patients globally, is pleased to announce its results for the fiscal third quarter ended September 30, 2022.

Hamed Shahbazi, Chairman and CEO of WELL commented, "We had a great quarter achieving 'best ever' results on both revenue and Adjusted EBITDA(2) line without even being in our seasonally strongest quarter.  These exemplary results were once again driven by strong operating performances across all our lines of business including on and offline channels reflecting robust operating margins and organic growth of over 18% YoY.   Organic growth in our Virtual Services was especially strong at 75%, making Virtual Services now our single largest line of business by revenue, larger now than our CRH or our Canadian Clinics businesses which both continue to grow and perform nicely.  WELL also achieved record patient engagement in the quarter with over 1.25 million combined omni-channel, diagnostic and asynchronous patient interactions – representing an annual run-rate of approximately 5.0 million patient interactions system wide. WELL's US-based virtual patient services businesses, Circle Medical and Wisp, achieved profitable results and continued growth in revenues with a combined annual revenue run-rate exceeding US$100 million in Q3, which was one quarter earlier than our prior forecast.  We have worked hard to align ourselves closely to the success of care providers and doing everything we can to further their success.  That is what makes the success of these record results so special. We don't prosper or succeed unless our care provider partners do. Our outlook for the fourth quarter remains very positive, hence we are able to confidently increase our annual guidance for annual revenue to exceed $565 million in 2022."  

Third Quarter 2022 Financial Highlights:

  • WELL achieved record quarterly revenue of $145.8 million in Q3-2022, compared to revenue of $99.3 million generated during Q3-2021, an increase of 47% driven by acquisitions during the past year and organic growth.
  • Omni-channel Patient Services revenue increased 15% to $93.6 million in Q3-2022, compared to $81.3 million in Q3-2021.
  • Virtual Services revenues increased 191% to $52.2 million in Q3-2022, compared to Virtual Services revenue of $18.0 million in Q3-2021.
  • WELL achieved record Adjusted Gross Profit(1) of $78.2 million in Q3-2022, compared to Adjusted Gross Profit(1) of $50.0 million in Q3-2021, representing an increase of 56%.
  • WELL achieved Adjusted Gross Margin(1) percentage of 53.6% during Q3-2022 compared to Adjusted Gross Margin(1) percentage of 50.3% in Q3-2021.
  • Adjusted EBITDA(2) was a record $27.5 million for Q3-2022, compared to Adjusted EBITDA(2) of $22.3 million in Q3-2021. Adjusted EBITDA(2) was positively impacted in the quarter by an increase in revenue for the higher margin virtual services businesses, in addition to healthy EBITDA margins in the Company's Omni-channel Patient Services.
  • Adjusted Net Income(3) was $14.8 million, or $0.07 per share in Q3-2022, compared to Adjusted Net Income(3) of $9.8 million, or $0.05 per share in Q3-2021.

Eva Fong, CFO of WELL commented, "I am also pleased to report that WELL is a profitable business that generated $11.4 million free cash flow during the quarter attributable to shareholders(4) in Q3 which can be used to fund the Company's future organic and in-organic growth.  As we turn our attention to the next fiscal year, we can't help but be filled with optimism as our talented team is executing and delivering on our mission of supporting providers with best-in-class technology and operating solutions.  For this reason, the Company is pleased to announce it expects to approach $700 million in exit run-rate revenue by the end of 2023."

Third Quarter 2022 Patient Visit Metrics:

Total omni channel patient visits in Q3-2022 was 892,966, a 53% increase as compared to Q3-2021.  In addition, MyHealth conducted 169,294 diagnostic visits in Q3-2022, while Wisp completed 186,952 asynchronous patient consultations.  Combining WELL's omni-channel patient visits, MyHealth's diagnostic visits and Wisp's asynchronous patient consultations, WELL achieved a total of 1,249,212 patient interactions in Q3-2022, representing an annual run-rate of 5.0 million patient interactions.

Third Quarter 2022 Business Highlights:

  • On August 1, 2022, the Company completed the acquisition of INLIV Inc. ("INLIV") INLIV is a healthcare provider located in Calgary, Alberta, specializing in consumer preventative health, corporate and executive health, primary care, cosmetics, fitness, and integrated health services. For the 12 months ended April 30, 2022, INLIV had revenues of approximately $7.3 million with double digit Adjusted EBITDA(1) margins. INLIV has over 1,000 customers and 85%+ of its revenues are attributable to recurring membership fees.
  • On August 5, 2022, the Company announced the addition of Sybil Lau to WELL's Board of Directors. Sybil has 25 years of experience in both public and private investments. She is also on the Board of Directors of the Dalio Family Office in Singapore and a Chinese hedge fund.
  • On September 1, 2022, CRH completed the sale of its 55% stake in West Florida Anesthesia Associates ("WFAA") to United Digestive for US$12.4 million and recorded a gain in the amount of $5.2 million net of transaction costs. The transaction includes a 5-year multi-million dollar Management Services Agreement, meaning CRH will continue to provide services to these ASCs for the next 5 years.
  • On September 26, 2022, CRH completed the acquisition of Grand Canyon Anesthesia ("GCA"), a well-established group headquartered in Phoenix, Arizona and consisting of over 100 anesthesia providers supporting the delivery of anesthesia for more than 50,000 surgical cases annually. This acquisition marks CRH's entry into its 18th state of service, further supporting its disciplined growth and diligent focus on the provision of services while staying in the ambulatory surgical setting. GCA was purchased for a net of US$6.5 million after adjusting for working capital and is expected to generate more than US$16.0 million in annual revenue and US$2.0 million in shareholder EBITDA.

Events Subsequent to September 30, 2022:

  • On November 1, 2022, the Company completed the acquisition of CloudMD's Cloud Practice entity which includes Juno EMR or "Electronic Medical Record" and ClinicAid billing Software applications as well as three primary care clinics located in the province of British Columbia for total consideration of approximately $5.7 million subject to post-closing adjustments and holdbacks.

Outlook:

WELL's outlook for 2022 remains strong and resilient. As a result of Company's strong organic growth profile, the Company is increasing its guidance for 2022 annual revenue to exceed $565 million, compared to the previous guidance for annual revenue exceeding $550 million. WELL expects to achieve Adjusted EBITDA(2) exceeding $100 million in 2022, representing Adjusted EBITDA margin of approximately 18%.  Furthermore, the Company is pleased to announce it expects to approach $700 million in exit run-rate revenue by the end of 2023.

WELL's performance continues to be very positive across all its business units and for the entire Company as a whole. The cashflows generated by the Company will continue to be re-invested in the business and allocated in a disciplined manner, which may come in the form of further acquisitions, debt repayments, share repurchases, and/or to accelerate organic growth. 

Despite the current geo-political, inflationary, and turbulent economic environment, the Company does not see any material influences or challenges that would impair its ability to deliver strong results for the remainder of 2022 and in 2023.  Many of the key variables inherent in the execution of WELL's business are firmly in its own grasp and not dependent on outside factors.

Conference Call:

WELL will hold a conference call to discuss its 2022 Third Quarter financial results on Thursday, November 10, 2022, at 1:00 pm ET (10:00 am PT).  Please use the following dial-in numbers: +1-416-764-8650 (Toronto local and International), 778-383-7413 (Vancouver local), 1-888-664-6383 (Toll-Free), with Conference ID: 0127 7025.

The conference call will also be simultaneously webcast and can be accessed at the following audience URL: https://www.well.company/for-investors/events/ 

Selected Unaudited Financial Highlights:

Please see SEDAR for complete copies of the Company's consolidated financial statements and MD&A for the three and nine months ended September 30, 2022.



Restated

Restated



Restated


Three
months
ended
September
30, 2022

Three
months
ended June
30, 2022

Three
months
ended
September
30, 2021


Nine
months
ended
September
30, 2022

Nine months
ended
September
30, 2021


$ '000

$ '000

$ '000


$ '000

$ '000

Revenue

145,789

140,326

99,291


412,623

186,644

Cost of sales (excluding depreciation and amortization)

(67,597)

(64,852)

(49,322)


(189,569)

(96,432)

Adjusted gross profit(1)

78,192

75,474

49,969


223,054

90,212

Adjusted gross margin(1)

53.6 %

53.8 %

50.3 %


54.1 %

48.3 %

Adjusted EBITDA(2) 

27,458

26,434

22,275


77,385

34,684

Net income (loss)

611

(1,244)

(7,801)


(3,409)

(26,841)

Adjusted net income (3) 

14,753

17,528

9,849


41,211

6,254

Net loss per share, basic and diluted (in $)

(0.02)

(0.03)

(0.06)


(0.09)

(0.19)

Adjusted Net (loss)/income per share, basic and diluted (in $) (3)

0.07

0.08

0.05


0.19

0.03








Weighted average number of common shares outstanding, basic and diluted

226,783,493

216,181,083

203,959,885


217,721,268

185,103,512

Weighted average number of common shares outstanding, diluted

187,778,646

187,778,646

126,181,778


175,519,058

126,181,778








Reconciliation of net loss to Adjusted EBITDA(2)







Net income (loss) for the period

611

(1,244)

(7,801)


(3,409)

(26,841)

Depreciation and amortization  

13,918

13,810

13,632


41,103

25,023

Income tax expense (recovery) 

2,979

(2,398)

2,924


2,534

4,452

Interest income 

(200)

(109)

(71)


(411)

(485)

Interest expense 

7,122

5,254

3,141


17,530

4,950

Rent expense on finance leases

(2,339)

(2,227)

(1,909)


(6,718)

(3,575)

Stock-based compensation

5,883

8,527

9,447


19,549

16,749

Foreign exchange (gain) loss

1,088

(439)

(387)


608

4,466

Time-based earn-out expense

2,669

4,515

1,393


9,705

3,280

Change in fair value of investments

-

-

-


(602)

-

Gain on disposal of subsidiaries

(5,240)

-

-


(5,240)

-

Share of net loss of associates

195

90

97


433

153

Transaction, restructuring, & integration costs expensed

772

655

1,809


2,303

6,512

Adjusted EBITDA(2) 

27,458

26,434

22,275


77,385

34,684








  Attributable to WELL shareholders

20,240

19,187

16,449


55,523

24,157

  Attributable to Non-controlling interests

7,218

7,247

5,826


21,862

10,527








Adjusted EBITDA(2)







  Canada and others

5,254

3,957

3,483


10,695

1,843

   US operations

22,204

22,477

18,792


66,690

32,841

Adjusted EBITDA(2) attributable to WELL shareholders







 Canada and others

5,008

3,796

3,277


10,099

1,208

  US operations

15,232

15,391

13,172


45,424

22,949

Adjusted EBITDA(2) attributable to Non-controlling interests







 Canada and others

246

161

206


596

635

  US operations

6,972

7,086

5,620


21,266

9,892








Reconciliation of net loss to Adjusted Net Income (3)







Net income (loss) for the period

611

(1,244)

(7,801)


(3,409)

(26,841)

Amortization of intangible assets

10,620

10,841

11,116


31,818

20,773

Time-based earn-out expense

2,669

4,515

1,393


9,705

3,280

Stock-based compensation

5,883

8,527

9,447


19,549

16,749

Change in fair value of investments

-

-

-


(602)

-

Non-controlling interest included in net income

(5,030)

(5,111)

(4,306)


(15,850)

(7,707)








Adjusted Net Income (3)

14,753

17,528

9,849


41,211

6,254








Adjusted Net Income per share (3)

0.07

0.08

0.05


0.19

0.03

 

Notes:

(1)

Non-GAAP financial measure and ratio.  Adjusted gross profit and adjusted gross margin do not have any standardized meaning under IFRS and therefore may not be comparable to similar measures presented by other issuers.  The Company defines adjusted gross profit as revenue less cost of sales (excluding depreciation and amortization) and adjusted gross margin as adjusted gross profit as a percentage of revenue.  Adjusted gross profit and adjusted gross margin should not be construed as an alternative for revenue or net loss determined in accordance with IFRS.  The Company does not present gross profit in the financial statements as it is a non-GAAP financial measure.  The Company believes that adjusted gross profit and adjusted gross margin are meaningful metrics that are often used by readers to measure the Company's efficiency of selling its products and services.



(2)

Non-GAAP financial measure.  Earnings before interest, taxes, depreciation, and amortization ("EBITDA") and Adjusted EBITDA should not be construed as alternatives to net income/loss determined in accordance with IFRS.  EBITDA and Adjusted EBITDA do not have any standardized meaning under IFRS and therefore may not be comparable to similar measures presented by other issuers.  The Company defines Adjusted EBITDA as EBITDA (i) less net rent expense on premise leases considered to be finance leases under IFRS and (ii) before transaction, restructuring, and integration costs, time-based earn-out expense, change in fair value of investments, gain on disposal of assets, share of loss of associates, foreign exchange gain/loss, and stock-based compensation expense, and (iii) Revenue precluded from recognition under IFRS 15 that relates to certain patient services revenue that the Company believes should be recognized as revenue based on its contractual relationships.  The Company considers Adjusted EBITDA a financial metric that measures cash that the Company can use to fund working capital requirements, service future interest and principal debt repayments and fund future growth initiatives.



(3)

Non-GAAP financial measure and ratio.  The Company defines Adjusted Net Income as net income, after excluding the effects of stock-based compensation expense, amortization of acquired intangibles, time-based earnout expense, change in fair value of investments, non-controlling interests, and revenue precluded from recognition under IFRS 15 that relates to certain patient services revenue that the Company believes should be recognized as revenue based on its contractual relationships.  Adjusted Net Income Per Share is Adjusted Net Income dividend by weighted average number of shares outstanding.  The Company believes that these non-GAAP financial measure and ratio provide useful information to analyze our results, enhance a reader's understanding of past financial performance and allow for greater understanding with respect to key metrics used my management in decision making.  More specifically, WELL believes Adjusted Net Income is a financial metric that tracks the earning power of the business that is available to WELL shareholders. Adjusted Net income and Adjusted Net income Per Share are not recognized measure and ratio for financial statement presentation under IFRS and do not have a standardized meaning. As such, these measures may not be comparable to similar measures or ratios presented by other companies. Adjusted Net Income and Adjusted Net Income Per Share should be considered a supplement to, and not as a substitute for, or superior to, the corresponding measures calculated in accordance with IFRS.



(4)

Non-GAAP financial measure and ratio.  The Company defines Free Cash Flow Attributable to Shareholders as Adjusted EBITDA Attributable to Shareholders, less cash interest, less cash taxes and less capital expenditures.

 

WELL HEALTH TECHNOLOGIES CORP.

Per:     "Hamed Shahbazi"             
Hamed Shahbazi
Chief Executive Officer, Chairman and Director

About WELL Health Technologies Corp.

WELL is a practitioner focused digital healthcare company whose overarching objective is to positively impact health outcomes to empower and support healthcare practitioners and their patients. WELL has built an innovative practitioner enablement platform that includes comprehensive end to end practice management tools inclusive of virtual care and digital patient engagement capabilities as well as Electronic Medical Records (EMR), Revenue Cycle Management (RCM) and data protection services. WELL uses this platform to power healthcare practitioners both inside and outside of WELL's own omni-channel patient services offerings. As such, WELL owns and operates Canada's largest network of outpatient medical clinics serving primary and specialized healthcare services and is the provider of a leading multi-national, multi-disciplinary telehealth offering. WELL is publicly traded on the Toronto Stock Exchange under the symbol "WELL" and on OTCQX under the symbol "WHTCF". To learn more about the Company, please visit: www.well.company.

Forward-Looking Information

This news release may contain "Forward-Looking Information" within the meaning of applicable Canadian securities laws, including, without limitation: information regarding the Company's goals, strategies and growth plans; expectations regarding continued revenue and EBITDA growth; the expected benefits and synergies of completed acquisitions; capital allocation plans in the form of more acquisitions or share repurchases; the expected financial performance as well as information in the "Outlook" section herein.  Forward-Looking Information are necessarily based upon a number of estimates and assumptions that, while considered reasonable by management, are inherently subject to significant business, economic and competitive uncertainties, and contingencies. Forward-Looking Information generally can be identified by the use of forward-looking words such as "may", "should", "will", "could", "intend", "estimate", "plan", "anticipate", "expect", "believe" or "continue", or the negative thereof or similar variations.

Forward-Looking Information involve known and unknown risks, uncertainties and other factors that may cause future results, performance, or achievements to be materially different from the estimated future results, performance or achievements expressed or implied by the Forward-Looking Information and the Forward-Looking Information are not guarantees of future performance. WELL's comments expressed or implied by such Forward-Looking Information are subject to a number of risks, uncertainties, and conditions, many of which are outside of WELL 's control, and undue reliance should not be placed on such information. Forward-Looking Information are qualified in their entirety by inherent risks and uncertainties, including: direct and indirect material adverse effects from the COVID-19 pandemic; adverse market conditions; risks inherent in the primary healthcare sector in general; regulatory and legislative changes; that future results may vary from historical results; inability to obtain any requisite future financing on suitable terms; any inability to realize the expected benefits and synergies of acquisitions; that market competition may affect the business, results and financial condition of WELL and other risk factors identified in documents filed by WELL under its profile at www.sedar.com, including its most recent Annual Information Form. Except as required by securities law, WELL does not assume any obligation to update or revise any forward-looking information, whether as a result of new information, events or otherwise.

Future-Oriented Financial Information

This news release contains future-oriented financial information and financial outlook information (collectively, "FOFI") about estimated annual run-rate revenue, Adjusted EBITDA(2), and expected profitability for the full year of 2022, all of which are subject to the same assumptions, risk factors, limitations, and qualifications as set out in the above paragraph. The actual financial results of WELL may vary from the amounts set out herein and such variation may be material. WELL and its management believe that the FOFI has been prepared on a reasonable basis, reflecting management's best estimates and judgments. However, because this information is subjective and subject to numerous risks, it should not be relied on as necessarily indicative of future results. Except as required by applicable securities laws, WELL undertakes no obligation to update such FOFI. FOFI contained in this news release was made as of the date hereof and was provided for the purpose of providing further information about WELL's anticipated future business operations on an annual basis. Readers are cautioned that the FOFI contained in this news release should not be used for purposes other than for which it is disclosed herein.

Neither the TSX nor its Regulation Services Provider (as that term is defined in policies of the TSX) accepts responsibility for the adequacy or accuracy of this release.

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/well-health-reports-record-revenue-and-adjusted-ebitda-results-for-q3-2022-and-raises-guidance-for-fourth-straight-quarter-301674275.html

SOURCE WELL Health Technologies Corp.

FAQ

What were WELL's Q3-2022 financial highlights?

WELL reported a record revenue of $145.8 million in Q3-2022, with an Adjusted EBITDA of $27.5 million.

How much did WELL's Virtual Services revenue grow in Q3-2022?

WELL's Virtual Services revenue increased by 75% organically in Q3-2022.

What is WELL's revenue guidance for 2022?

WELL increased its 2022 revenue guidance to exceed $565 million.

What is the expected run-rate revenue for WELL by the end of 2023?

WELL expects to approach $700 million in exit run-rate revenue by the end of 2023.

What was the free cash flow for WELL in Q3-2022?

WELL generated free cash flow of $11.4 million in Q3-2022.

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