WELL Health Reports Record Revenue Results for Q4 and Full Year 2022 and Provides Strong Growth Outlook for 2023
WELL Health Technologies Corp. reported record annual revenue of $569.1 million for 2022, marking an 88% increase year-over-year. Q4-2022 revenue reached $156.5 million, a 35% rise from Q4-2021. The company achieved an Adjusted EBITDA of $104.6 million, up 73% from 2021, with Q4 Adjusted EBITDA at $27.2 million, a 6% growth. Patient interactions grew significantly, with 3.5 million omni-channel visits in 2022. For 2023, WELL predicts revenue between $665 million and $685 million, forecasting over 10% growth in Adjusted EBITDA. This performance is underpinned by a strong focus on tech-driven healthcare solutions.
- Record annual revenue of $569.1 million in 2022, up 88% YoY.
- Achieved Adjusted EBITDA of $104.6 million, reflecting a 73% increase versus 2021.
- Omni-channel patient visits grew by 50%, totaling approximately 3.5 million in 2022.
- Q4-2022 revenue of $156.5 million, a 35% increase from Q4-2021.
- Anticipated 2023 revenue guidance of $665 million to $685 million, representing 17% to 20% growth.
- Q4-2022 Adjusted Gross Margin decreased to 51.3% from 54.9% in Q4-2021.
- Q4-2022 Adjusted EBITDA growth was only 6%, possibly indicating slower momentum.
- WELL achieved record annual revenue of
$569.1 million for 2022, an increase of88% compared to the prior year. WELL achieved record quarterly revenues of$156.5 million in Q4-2022, an increase of35% as compared to Q4-2021. - For the full year, WELL achieved record annual Adjusted EBITDA of
$104.6 million , an increase of73% as compared to 2021. WELL achieved Adjusted EBITDA(1) of$27.2 million in Q4-2022, an increase of6% as compared to Q4-2021 which included more than$2 million of pandemic related government incentives. - WELL achieved a total of approximately 3.5 million omni-channel patient visits and 4.9 million patient interactions in 2022. Omni-channel patient visits grew
50% in 2022 compared to the prior year, and total patient interactions grew86% over the same time period. - WELL is pleased to provide a healthy growth outlook for 2023 with guidance for annual revenue between
$665 million and$685 million . The Company expects Annual Adjusted EBITDA to increase by more than10% over 2022 levels as the Company invests in sustained profitable growth.
VANCOUVER, BC, March 21, 2023 /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 audited consolidated financial results for the fiscal year and fourth quarter ended December 31, 2022.
Hamed Shahbazi, Chairman and CEO of WELL commented, "We had an outstanding year, demonstrating strength across all our key operational and patient metrics and reflected continued elevated organic growth of
Mr. Shahbazi further added, "WELL's committed and passionate high-performance team delivered
Eva Fong, WELL's CFO commented, "We are very pleased to report that in fiscal 2022,
Fiscal 2022 Annual Financial Highlights:
- Total revenue for the year ended December 31, 2022, was
$569.1 million , compared to total revenue of$302.3 million for the prior year, an increase of88% driven by acquisitions and organic growth during the past year. - Omni-channel patient services revenue was
$376.8 million in 2022, an increase of66% as compared to omni-channel patient services revenue of$226.7 million in 2021. - Virtual Services revenue was
$192.4 million in 2022, an increase of154% as compared to Virtual Services revenue of$75.6 million in 2021. - Adjusted Gross Profit(1) was
$303.2 million in 2022, an increase of97% as compared to Adjusted Gross Profit(1) of$153.7 million in 2021. - Adjusted Gross Margin(1) percentage was
53.3% in 2022, as compared to Adjusted Gross Margin(1) percentage of50.8% in 2021. The increase in Adjusted Gross Margin(1) percentage is mainly due to the addition of higher margin CRH, MyHealth and Virtual Services revenue over the past year. - Adjusted EBITDA(1) was
$104.6 million in 2022, an increase of73% as compared to Adjusted EBITDA(1) of$60.4 million in 2021. - Adjusted EBITDA to WELL shareholders was
$76.6 million in 2022, an increase of83% as compared to Adjusted EBITDA to WELL shareholders of$42.0 million in 2021. - Adjusted Net Income(1) was
$53.7 million , or$0.24 per share in 2022, an increase of228% as compared to Adjusted Net Income(1) of$16.4 million , or$0.09 per share in 2021.
Fourth Quarter 2022 Financial Highlights:
- WELL achieved record quarterly revenue of
$156.5 million in Q4-2022, an increase of35% as compared to revenue of$115.7 million generated in Q4-2021. This growth was driven by acquisitions and organic growth during the past year. - Omni-channel patient services revenue was
$102 million in Q4-2022, an increase of21% as compared to omni-channel patient services revenue of$84.3 million in Q4-2021. - Virtual Services revenue was
$54.5 million in Q4-2022, an increase of74% as compared to Virtual Services revenue of$31.3 million in Q4-2021. - Adjusted Gross Profit(1) was
$80.2 million in Q4-2022, an increase of26% as compared to Adjusted Gross Profit(1) of$63.5 million in Q4-2021. - Adjusted Gross Margin(1) percentage was
51.3% during Q4-2022 compared to Adjusted Gross Margin(1) percentage of54.9% in Q4-2021. - Adjusted EBITDA(1) was
$27.2 million in Q4-2022, an increase of6% as compared to Adjusted EBITDA(1) of$25.7 million in Q4-2021 which was supported by more than$2 million in pandemic related government incentives. - Adjusted EBITDA to WELL shareholders was
$21.1 million in Q4-2022, an increase of18% as compared to Adjusted EBITDA to WELL shareholders of$17.8 million in Q4-2021. - Adjusted Net Income(1) was
$12.5 million , or$0.05 per share in Q4-2022, as compared to Adjusted Net Income(1) of$10.1 million , or$0.05 per share in Q4-2021.
Fourth Quarter and Annual 2022 Patient Visit Metrics:
WELL achieved a total of 991,268 omni-channel patient visits in Q4-2022, representing a year-over-year increase of
For the full year, WELL achieved a total of approximately 3.5 million omni-channel patient visits and 4.9 million patient interactions in 2022. Omni-channel patient visits grew
Fourth Quarter 2022 Business Highlights:
On November 1, 2022, the Company completed the acquisition Cloud Practice Inc. ("Cloud Practice") and three primary care clinics located in the province of British Columbia from CloudMD Software & Services Inc. for total consideration of
Events Subsequent to December 31, 2022:
On March 1, 2023, the Company completed the acquisition of
On March 2, 2023, the Company's venture capital arm, WELL Ventures led an investment round alongside its partner Horizon Ventures and a syndicate of leading venture capital firms, in doctorly GmbH ("doctorly"), a medical practice management software provider based in Germany. doctorly provides a fully centralised, cloud powered, GDPR compliant, medical practice operating system that dramatically reduces the time and effort doctors and medical assistants spend on day-to-day administrative tasks. As part of the investment and strategic alliance agreements, the Ocean platform, created by WELL's wholly owned subsidiary OceanMD, will be used as the exclusive booking and practice engagement platform for doctorly. This will be WELL's first commercial launch into the European market.
Outlook:
WELL's outlook continues to be positive and resilient for 2023. The Company is poised to achieve significant growth while effectively managing its costs and delivering sustained growth in cashflow available to shareholders. Management is pleased to provide the following guidance for 2023:
- Annual revenue between
$665 million and$685 million , representing17% to20% annual growth as compared to 2022. This revenue guidance only includes announced acquisitions. - Annual Adjusted EBITDA is expected to increase by more than
10% over 2022 levels allowing the company to invest in growth and continue to acquire market share.
WELL's strong organic growth and robust cash flow profile allows the Company to continue to successfully execute on its acquisition plans. Management expects additional cash flows 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.
WELL is expecting to have strong performance in 2023 across all its business units and for the entire Company as a whole. Despite the current geo-political, inflationary, and turbulent economic environment, the Company does not foresee any material influences or challenges that would impair its ability to deliver solid results 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.
WELL is a purpose-driven business that aims to transform the world for the better, as such the Company has embarked on an ongoing ESG (Environmental, Social and Governance) program. The Company plans on publishing its annual ESG report in mid-2023 highlighting WELL's ESG strategy, reporting initiatives and targeted actions. Please see more information on WELL's ESG program at: https://well.company/esg-report/
Conference Call:
WELL will hold a conference call to discuss its 2022 Fourth Quarter and Annual financial results on Tuesday, March 21, 2022, at 1:00 pm ET (10:00 am PT). Please use the following dial-in numbers: 416-764-8650 (Toronto local), 778-383-7413 (Vancouver local), 1-888-664-6383 (Toll-Free) or +1-416-764-8650 (International), with Conference ID: 2519 7474.
The conference call will also be simultaneously webcast and can be accessed at the following audience URL: https://www.well.company/events/
Selected Unaudited Financial Highlights:
Please see SEDAR for complete copies of the Company's audited annual consolidated financial statements and annual MD&A for the year ended December 31, 2022.
Year ended | Quarter ended | |||||
December 31, | December 31, | December 31, | September 30, | December 31, | ||
Restated | Restated | |||||
$ '000 | $ '000 | $ '000 | $ '000 | $ '000 | ||
Revenue | 569,136 | 302,324 | 156,513 | 145,789 | 115,680 | |
Cost of sales (excluding depreciation and amortization) | -265,845 | -148,629 | -76,276 | -67,597 | -52,197 | |
Adjusted gross profit(1) | 303,291 | 153,695 | 80,237 | 78,192 | 63,483 | |
Adjusted gross margin(1) | 53.3 % | 50.8 % | 51.3 % | 53.6 % | 54.9 % | |
Adjusted EBITDA(1) | 104,559 | 60,363 | 27,174 | 27,458 | 25,679 | |
Net income (loss) | 18,675 | -31,287 | 22,084 | 611 | -4,446 | |
Adjusted net income (1) | 53,704 | 16,353 | 12,493 | 14,753 | 10,099 | |
Net loss per share, basic and diluted (in $) | 0.00 | -0.23 | 0.09 | -0.02 | -0.05 | |
Adjusted Net income per share, basic and diluted (in $) (1) | 0.24 | 0.09 | 0.05 | 0.07 | 0.05 | |
Weighted average number of common shares outstanding, basic | 220,691,471 | 190,900,309 | 229,505,226 | 226,783,493 | 208,101,672 | |
Reconciliation of net loss to Adjusted EBITDA: | ||||||
Net income (loss) for the period | 18,675 | -31,287 | 22,084 | 611 | -4,446 | |
Depreciation and amortization | 55,203 | 38,710 | 14,100 | 13,918 | 13,687 | |
Income tax expense (recovery) | -1,150 | 5,802 | -3,684 | 2,979 | 1,350 | |
Interest income | -649 | -555 | -238 | -200 | -70 | |
Interest expense | 25,291 | 9,009 | 7,761 | 7,122 | 4,059 | |
Rent expense on finance leases | -9,176 | -5,474 | -2,458 | -2,339 | -1,899 | |
Stock-based compensation | 24,483 | 21,012 | 4,934 | 5,883 | 4,263 | |
Foreign exchange (gain) loss | 670 | 4,749 | 61 | 1,088 | 283 | |
Time-based earn-out expense | -15,767 | 5,085 | -25,472 | 2,669 | 1,805 | |
Change in fair value of investments | -282 | - | 320 | - | - | |
Gain on disposal of subsidiaries | -5,206 | - | 34 | -5,240 | - | |
Share of net loss of associates | 396 | 209 | -37 | 195 | 56 | |
Revenue precluded from recognition under IFRS 15 (2) | - | 3,110 | - | - | 3,110 | |
Loss on transition of billing service provider (3) | 9,577 | - | 9,577 | - | - | |
Transaction, restructuring, & integration costs expensed | 2,494 | 9,993 | 192 | 772 | 3,481 | |
Adjusted EBITDA(1) | 104,559 | 60,363 | 27,174 | 27,458 | 25,679 | |
Attributable to WELL shareholders | 76,613 | 41,968 | 21,090 | 20,240 | 17,811 | |
Attributable to Non-controlling interests | 27,946 | 18,395 | 6,084 | 7,218 | 7,868 | |
Adjusted EBITDA(1) | ||||||
WELL Corporate | -16,750 | -13,208 | -4,086 | -4,623 | -3,978 | |
Canada and others | 32,453 | 16,228 | 9,094 | 9,877 | 5,155 | |
US operations | 88,856 | 57,343 | 22,166 | 22,204 | 24,502 | |
Adjusted EBITDA(1) attributable to WELL shareholders | ||||||
WELL Corporate | -16,750 | -13,208 | -4,086 | -4,623 | -3,978 | |
Canada and others | 31,679 | 15,371 | 8,916 | 9,631 | 4,933 | |
US operations | 61,684 | 39,805 | 16,260 | 15,232 | 16,856 | |
Adjusted EBITDA(1) attributable to Non-controlling interests | ||||||
Canada and others | 774 | 857 | 178 | 246 | 222 | |
US operations | 27,172 | 17,538 | 5,906 | 6,972 | 7,646 | |
Reconciliation of net loss to Adjusted Net Income: | ||||||
Net income (loss) for the period | 18,675 | -31,287 | 22,084 | 611 | -4,446 | |
Amortization of intangible assets | 42,819 | 31,325 | 11,001 | 10,620 | 10,552 | |
Time-based earn-out expense | -15,767 | 5,085 | -25,472 | 2,669 | 1,805 | |
Stock-based compensation | 24,483 | 21,012 | 4,934 | 5,883 | 4,263 | |
Change in fair value of investments | -282 | - | 320 | - | - | |
Revenue precluded from recognition under IFRS 15 (2) | - | 3,110 | - | - | 3,110 | |
Other items | 1,082 | - | 1,082 | - | - | |
Non-controlling interest included in net income | -17,306 | -12,892 | -1,456 | -5,030 | -5,185 | |
Adjusted Net Income (1) | 53,704 | 16,353 | 12,493 | 14,753 | 10,099 | |
Adjusted Net Income per share (1) | 0.24 | 0.09 | 0.05 | 0.07 | 0.05 |
Footnotes:
- Non-GAAP financial measures and ratios.
In addition to results reported in accordance with IFRS, the Company uses certain non-GAAP financial measures as supplemental indicators of its financial and operating performance. These non-GAAP financial measures include Adjusted Net Income, Adjusted Net Income Per Share, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Gross Margin, and Adjusted Free Cash Flow. The Company believes these supplementary financial measures reflect the Company's ongoing business in a manner that allows for meaningful period-to-period comparisons and analysis of trends in its business.
Adjusted Net Income and Adjusted Net Income per Share
The Company defines Adjusted Net Income as net income (loss), after excluding the effects of stock-based compensation expense, amortization of acquired intangible assets, 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 divided by weighted average number of shares outstanding. The Company believes that these non-GAAP financial measures 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 by management in decision making. More specifically, the Company believes Adjusted Net Income is a financial metric that tracks the earning power of the business that is available to WELL shareholders.
EBITDA and Adjusted EBITDA
EBITDA and Adjusted EBITDA are non-GAAP measures. EBITDA represents net income (loss) before interest, taxes, depreciation, and amortization. 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, share of loss of associates, foreign exchange gain/loss, and stock-based compensation expense, (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, and (iv) gains/losses that are not reflective of ongoing operating performance. 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. EBITDA and Adjusted EBITDA should not be considered alternatives to net income (loss), cash flow from operating activities or other measures of financial performance in accordance with IFRS.
Adjusted Gross Profit and Adjusted Gross Margin
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 income (loss) determined in accordance with IFRS. The Company does not present gross profit in its consolidated 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.
Adjusted Free Cash Flow
The Company defines Adjusted Free Cash Flow Attributable to Shareholders as Adjusted EBITDA Attributable to Shareholders, less cash interest, less cash taxes and less capital expenditures.
Adjusted Net income, Adjusted Net Income per Share, Adjusted EBITDA, Adjusted Gross Profit, Adjusted Gross Margin, and Adjusted Free Cash Flow are not recognized measures for financial statement presentation under IFRS and do not have standardized meanings. As such, these measures may not be comparable to similar measures presented by other companies and should be considered as supplements to, and not as substitutes for, or superior to, the corresponding measures calculated in accordance with IFRS. - For the quarter and year ended December 31, 2021, the Company was precluded from recognizing certain potential patient services revenue under IFRS 15 - Revenue from contracts with customers. IFRS 15 requires that certain conditions be met in order to recognize revenue, including that it is probable that the Company will collect the amount recognized, which is based upon a customer's ability and intention to pay. The Company determined that there was insufficient certainty regarding a customer's intent to pay
$3,110 and therefore did not recognize the revenue. The Company has an agreement setting fixed reimbursement rates for the provision of anesthesia services for which collections have not been received as a result of what the Company believes to be an administrative issue. The Company will recognize these amounts as revenue only if and when they are ultimately collected. - In the quarter ended December 31, 2021, the Company's wholly-owned subsidiary, CRH, entered into a relationship with a new billing service provider. Due to the one-time implementation and transition of billings from the previous billing service provider to the new billing service provider, CRH experienced significant delays in its cash collections, including delays in and non-payment of accounts receivable relating to those services billed and collected by the billing service providers. Subsequently, the predecessor billing service provider has also become inoperative. As a result of this transition, CRH incurred credit losses on accounts receivable billed under the predecessor billing provider and was precluded from recognizing certain patient services revenue under IFRS 15 due to the temporary decline in the pace of historical collection activity. The loss of
$8,495 has been excluded from the calculation of Adjusted EBITDA as the Company believes this is non-recurring and not reflective of ongoing operations.
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. WELL's overarching mission is to positively impact health outcomes by leveraging technology to empower healthcare practitioners and their patients globally. WELL exists to enable healthcare practitioners with best-in-class technology and services. WELL has built the most comprehensive end-to-end healthcare system across Canada including the nation's largest network of clinics supporting primary care, specialized care, and diagnostics services. In the United States, WELL provides omni-channel healthcare services and solutions targeting specialized markets such as the gastrointestinal market, women's health, primary care, and mental disorders. In addition to providing patient services, WELL develops, integrates, and sells its own suite of technology software and solutions to medical clinics and healthcare practitioners. WELL's practitioner enablement platform includes: Electronic Medical Records ("EMR"), telehealth platforms, practice management, billing, Revenue Cycle Management ("RCM"), digital health apps and data protection solutions. WELL is publicly traded on the Toronto Stock Exchange under the symbol "WELL" and on the OTC Exchange under the symbol "WHTCF". To learn more about the Company, please visit: www.well.company.
Forward-Looking Statements
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.
This news release contains future-oriented financial information and financial outlook information (collectively, "FOFI") about estimated annual run-rate revenue and Adjusted EBIDTA, 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.
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SOURCE WELL Health Technologies Corp.
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