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, 2021.
Management Commentary
Jonathan Mayhew, Ontrak CEO, stated: “During the fourth quarter of 2021 we took important steps to prepare the company for accelerated growth and profitability. We are building a robust and diversified portfolio of current and new customers comprising health plans, employers, health retailers, managed behavioral health organizations, healthcare associations and providers. We have also begun implementation of our AI-enhanced clinical and coaching model, which will include our own behavioral health treatment specialist network. I’m especially pleased that we have also launched an advanced provider integration system that simplifies and automates the exchange of data and insights between behavioral health treatment specialists, Ontrak care coaches, PCPs and members, which addresses a tremendous need to expand system capacity, and provide faster access to a continuum of care support.”
Fourth Quarter 2021 Financial Results Highlights
Adjusted EBITDA and Non-GAAP net loss are non-GAAP financial measures. See our description and reconciliation of such Non-GAAP measures at the end of this release.
Fiscal Year 2021 Financial Results Highlights
Fourth Quarter 2021 and Recent Operating Highlights
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. This outlook solely represents existing and planned enrollment launches, and program expansions with current health plan partners.
For the year ending December 31, 2022, the Company provides the following outlook:
2022 revenue in the range of $25 - $30 million, reflecting current expectations with our existing health plan customers regarding outreach pool, budget considerations and timing of expansions, as well as certain pipeline opportunities beginning to contribute to revenue in the second half.
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 dialing (833) 519-1269 for U.S. participants or (914) 800-3841 for international participants and referencing conference ID #1577032. A live and archived webcast of the event will be available at: https://ontrakhealth.com/investors/presentations-events.
About Ontrak, Inc.
Ontrak, Inc. (f/k/a Catasys, Inc.) 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
Except for statements of historical fact, the matters discussed in this press release are forward-looking and made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward looking statements may include for example statements regarding: expectations regarding future revenue reflecting current expectations with our existing health plan customers regarding outreach pool, budget considerations and timing of expansions; the strength of our pipeline; our ability to convert our pipeline or sign several health plans to contribute to revenue in 2022 and beyond; acceleration and adoption of our AI-enhanced clinical and operating model; our ability to achieve our intended path to profitability; and driving accelerated growth, expansion and performance. These forward-looking statements reflect numerous assumptions and involve a variety of risks and uncertainties, many of which are beyond our control, which may cause actual results to differ materially from stated expectations. These risk factors include, among others, dependence on key personnel and the ability to recruit, retain and develop a large and diverse workforce; high customer concentration and the ability of our customer to terminate our contracts for convenience; intense competition and substantial regulation in the health care industry; changes in regulations or issuance of new regulations or interpretations; limited operating history; our inability to execute our business plan; increase our revenue and achieve profitability; lower than anticipated eligible members under our contracts; our inability to recognize revenue; the adequacy of our existing cash resources and anticipated capital commitments to enable us to continue as a going concern; our ability to raise additional capital when needed; lack of outcomes and statistically significant formal research studies; difficulty enrolling new members and maintaining existing members in our programs; the risk that the treatment programs might not be effective; difficulty in developing, exploiting and protecting proprietary technologies; business disruption and related risks resulting from the outbreak of the novel coronavirus 2019; and risks related to our ability to realize the potential benefits of and to effectively integrate acquisitions. You are urged to consider statements that include the words “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 to be uncertain and forward-looking For a further list and description of the risks and uncertainties we face, please refer to our most recent Securities and Exchange Commission filings which are available on its website at http://www.sec.gov. Such forward-looking statements are current only as of the date they are made, and we assume 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, Adjusted EBITDA Margin, Non-GAAP net loss, and Non-GAAP net loss per common share, which are not U.S. GAAP financial measures, and clarifies and enhances an understanding of our 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.
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, restructuring, severance and related costs, acquisition related costs, and loss (gain) on change in fair value of warrant liability and contingent 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, restructuring, severance and related costs, acquisition related costs, loss (gain) on change in fair value of warrant liability and contingent liability, and gain on forgiveness of PPP loan. 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, Adjusted EBITDA Margin, Non-GAAP net loss and Non-GAAP net loss per common share may vary from that of others in our industry. Neither EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, Non-GAAP net loss nor 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.
ONTRAK, INC. | |||||||||||||||
Consolidated Statements of Operations | |||||||||||||||
(in thousands, except per share data) | |||||||||||||||
| Three Months Ended |
| Year Ended | ||||||||||||
| 2021 |
| 2020 |
| 2021 |
| 2020 | ||||||||
Revenue | $ | 10,332 |
|
| $ | 29,251 |
|
| $ | 84,133 |
|
| $ | 82,837 |
|
Cost of revenue |
| 4,089 |
|
|
| 13,426 |
|
|
| 31,214 |
|
|
| 43,603 |
|
Gross profit | $ | 6,243 |
|
| $ | 15,825 |
|
| $ | 52,919 |
|
| $ | 39,234 |
|
|
|
|
|
|
|
|
| ||||||||
Operating expenses: |
|
|
|
|
|
|
| ||||||||
Research and development |
| 4,748 |
|
|
| 4,908 |
|
|
| 18,279 |
|
|
| 12,923 |
|
Sales and marketing |
| 2,056 |
|
|
| 1,423 |
|
|
| 9,895 |
|
|
| 4,525 |
|
General and administrative |
| 9,808 |
|
|
| 11,318 |
|
|
| 43,774 |
|
|
| 36,709 |
|
Restructuring, severance and related charges |
| 7,613 |
|
|
| — |
|
|
| 8,952 |
|
|
| — |
|
Total operating expenses |
| 24,225 |
|
|
| 17,649 |
|
|
| 80,900 |
|
|
| 54,157 |
|
Operating loss |
| (17,982 | ) |
|
| (1,824 | ) |
|
| (27,981 | ) |
|
| (14,923 | ) |
|
|
|
|
|
|
|
| ||||||||
Other expense, net |
| (9 | ) |
|
| 13 |
|
|
| (1,013 | ) |
|
| (1,213 | ) |
Interest expense, net |
| (1,907 | ) |
|
| (2,063 | ) |
|
| (7,997 | ) |
|
| (7,219 | ) |
Loss before income taxes |
| (19,898 | ) |
|
| (3,874 | ) |
|
| (36,991 | ) |
|
| (23,355 | ) |
Income tax (expense) benefit |
| (153 | ) |
|
| 645 |
|
|
| (153 | ) |
|
| 645 |
|
Net loss |
| (20,051 | ) |
|
| (3,229 | ) |
|
| (37,144 | ) |
|
| (22,710 | ) |
Dividends on preferred stock - declared and undeclared |
| (2,238 | ) |
|
| (1,523 | ) |
|
| (8,954 | ) |
|
| (1,987 | ) |
Net loss attributable to common stockholders | $ | (22,289 | ) |
| $ | (4,752 | ) |
| $ | (46,098 | ) |
| $ | (24,697 | ) |
|
|
|
|
|
|
|
| ||||||||
Net loss per common share, basic and diluted | $ | (1.12 | ) |
| $ | (0.27 | ) |
| $ | (2.47 | ) |
| $ | (1.44 | ) |
|
|
|
|
|
|
|
| ||||||||
Weighted-average common shares outstanding, basic and diluted |
| 19,902 |
|
|
| 17,472 |
|
|
| 18,656 |
|
|
| 17,112 |
|
ONTRAK, INC. | |||||||
Consolidated Balance Sheets | |||||||
(in thousands, except share and per share data) | |||||||
| December 31, | ||||||
| 2021 |
| 2020 | ||||
Assets |
|
|
| ||||
Current assets: |
|
|
| ||||
Cash and cash equivalents | $ | 58,824 |
|
| $ | 86,907 |
|
Restricted cash - current |
| 6,716 |
|
|
| 9,127 |
|
Receivables, net |
| 5,938 |
|
|
| 16,682 |
|
Unbilled receivables |
| 3,235 |
|
|
| 4,426 |
|
Deferred costs - current |
| 600 |
|
|
| 2,352 |
|
Prepaid expenses and other current assets |
| 5,019 |
|
|
| 4,144 |
|
Total current assets |
| 80,332 |
|
|
| 123,638 |
|
Long-term assets: |
|
|
| ||||
Property and equipment, net |
| 3,785 |
|
|
| 2,273 |
|
Restricted cash - long-term |
| 406 |
|
|
| 7,176 |
|
Goodwill |
| 5,713 |
|
|
| 5,727 |
|
Intangible assets, net |
| 2,346 |
|
|
| 3,561 |
|
Other assets |
| 444 |
|
|
| 367 |
|
Operating lease right-of-use assets |
| 656 |
|
|
| 1,959 |
|
Total assets | $ | 93,682 |
|
| $ | 144,701 |
|
|
|
|
| ||||
Liabilities and stockholders' equity |
|
|
| ||||
Current liabilities: |
|
|
| ||||
Accounts payable | $ | 1,001 |
|
| $ | 1,287 |
|
Accrued compensation and benefits |
| 2,343 |
|
|
| 4,723 |
|
Deferred revenue |
| 441 |
|
|
| 20,954 |
|
Current portion of operating lease liabilities |
| 595 |
|
|
| 434 |
|
Other accrued liabilities |
| 5,953 |
|
|
| 9,012 |
|
Total current liabilities |
| 10,333 |
|
|
| 36,410 |
|
Long-term liabilities: |
|
|
| ||||
Long-term debt, net |
| 35,792 |
|
|
| 45,719 |
|
Long-term operating lease liabilities |
| 932 |
|
|
| 1,403 |
|
Long-term finance lease liabilities |
| 136 |
|
|
| 418 |
|
Other liabilities |
| 934 |
|
|
| — |
|
Total liabilities |
| 48,127 |
|
|
| 83,950 |
|
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 30, 2021 and 2020 |
| — |
|
|
| — |
|
Common stock, $0.0001 par value, 500,000,000 shares authorized; 20,680,186 and 17,543,218 shares issued and outstanding at December 31, 2021 and 2020, respectively |
| 2 |
|
|
| 2 |
|
Additional paid-in capital |
| 436,721 |
|
|
| 414,773 |
|
Accumulated deficit |
| (391,168 | ) |
|
| (354,024 | ) |
Total stockholders' equity |
| 45,555 |
|
|
| 60,751 |
|
Total liabilities and stockholders' equity | $ | 93,682 |
|
| $ | 144,701 |
|
ONTRAK, INC. | |||||||
Consolidated Statements of Cash Flows | |||||||
(in thousands) | |||||||
| Year Ended December 31, | ||||||
| 2021 |
| 2020 | ||||
Cash flows from operating activities |
|
|
| ||||
Net loss | $ | (37,144 | ) |
| $ | (22,710 | ) |
Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
| ||||
Stock-based compensation expense |
| 11,858 |
|
|
| 8,126 |
|
Restructuring and related costs |
| 6,297 |
|
|
| — |
|
Paid-in-kind interest expense |
| — |
|
|
| 3,500 |
|
Depreciation expense |
| 1,070 |
|
|
| 303 |
|
Amortization expense |
| 2,941 |
|
|
| 1,624 |
|
Deferred taxes |
| — |
|
|
| (654 | ) |
Gain on forgiveness of PPP loan |
| (171 | ) |
|
| — |
|
Change in fair value of warrants |
| — |
|
|
| 1,233 |
|
Change in fair value of contingent consideration |
| 1,315 |
|
|
| (20 | ) |
401(k) employer match in common shares |
| 1,105 |
|
|
| 691 |
|
Changes in operating assets and liabilities: |
|
|
| ||||
Receivables |
| 10,744 |
|
|
| (13,014 | ) |
Unbilled receivables |
| 1,191 |
|
|
| (2,333 | ) |
Prepaid and other assets |
| (867 | ) |
|
| (5,677 | ) |
Accounts payable |
| (314 | ) |
|
| (175 | ) |
Deferred revenue |
| (20,513 | ) |
|
| 15,057 |
|
Lease liabilities |
| (310 | ) |
|
| (373 | ) |
Other accrued liabilities |
| (3,357 | ) |
|
| 8,140 |
|
Net cash used in operating activities |
| (26,155 | ) |
|
| (6,282 | ) |
Cash flows from investing activities |
|
|
| ||||
Purchases of property and equipment |
| (4,480 | ) |
|
| (1,757 | ) |
Acquisition of LifeDojo, net of cash acquired |
| — |
|
|
| (2,881 | ) |
Net cash used in investing activities |
| (4,480 | ) |
|
| (4,638 | ) |
|
|
|
| ||||
Cash flows from financing activities |
|
|
| ||||
Proceeds from issuance of common stock |
| 11,142 |
|
|
| — |
|
Common stock issuance costs |
| (271 | ) |
|
| — |
|
Proceeds from issuance of preferred stock |
| — |
|
|
| 87,359 |
|
Preferred stock issuance costs |
| — |
|
|
| (806 | ) |
Dividends paid |
| (8,954 | ) |
|
| (1,241 | ) |
Repayment of 2024 Notes |
| (10,807 | ) |
|
| — |
|
Proceeds from 2024 Notes |
| — |
|
|
| 10,000 |
|
Debt issuance costs |
| — |
|
|
| (128 | ) |
Proceed from warrant exercise |
| 58 |
|
|
| 133 |
|
Proceed from options exercise |
| 5,584 |
|
|
| 6,171 |
|
Payment of taxes related to net-settled stock awards |
| (24 | ) |
|
| — |
|
Finance lease obligations |
| (325 | ) |
|
| (186 | ) |
Financed insurance premium payments |
| (3,032 | ) |
|
| (1,190 | ) |
Net cash (used in) provided by financing activities |
| (6,629 | ) |
|
| 100,112 |
|
|
|
|
| ||||
Net change in cash and restricted cash |
| (37,264 | ) |
|
| 89,192 |
|
Cash and restricted cash at beginning of period |
| 103,210 |
|
|
| 14,018 |
|
Cash and restricted cash at end of period | $ | 65,946 |
|
| $ | 103,210 |
|
|
|
|
| ||||
Supplemental disclosure of cash flow information: |
|
|
| ||||
Interest paid | $ | 7,146 |
|
| $ | 2,961 |
|
Income taxes paid |
| 108 |
|
|
| — |
|
Non-cash financing and investing activities: |
|
|
| ||||
Common stock issued to settle contingent liability | $ | 1,443 |
|
| $ | — |
|
Stock issued in acquisition of LifeDojo |
| — |
|
|
| 5,035 |
|
Financed insurance premiums |
| 3,144 |
|
|
| 3,344 |
|
Reclassification of warrant liability to equity |
| — |
|
|
| 1,924 |
|
Finance lease and accrued purchases of property and equipment |
| 162 |
|
|
| 500 | |
Contingent consideration and cash holdback relating to acquisition of LifeDojo |
| — |
|
| 605 |
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 |
| Year Ended | ||||||||||||
|
| 2021 |
| 2020 |
| 2021 |
| 2020 | ||||||||
Operating loss |
| $ | (17,982 | ) |
| $ | (1,824 | ) |
| $ | (27,981 | ) |
| $ | (14,923 | ) |
Depreciation expense |
|
| 412 |
|
|
| 125 |
|
|
| 1070 |
|
|
| 303 |
|
Amortization expense (1) |
|
| 514 |
|
|
| 392 |
|
|
| 2,061 |
|
|
| 874 |
|
EBITDA |
|
| (17,056 | ) |
|
| (1,307 | ) |
|
| (24,850 | ) |
|
| (13,746 | ) |
Stock-based compensation expense |
|
| 2,987 |
|
|
| 2,327 |
|
|
| 11,858 |
|
|
| 8,126 |
|
Restructuring, severance and related costs (2) |
|
| 7,613 |
|
|
| — |
|
|
| 8,952 |
|
|
| — |
|
Acquisition related costs (3) |
|
| — |
|
|
| 1,153 |
|
|
| 583 |
|
|
| 1,329 |
|
Adjusted EBITDA |
| $ | (6,456 | ) |
| $ | 2,173 |
|
| $ | (3,457 | ) |
| $ | (4,291 | ) |
Adjusted EBITDA Margin |
|
| (62 | )% |
|
| 7 | % |
|
| (4 | )% |
|
| (5 | )% |
Reconciliation of Net Loss to Non-GAAP Net (Loss) Income; and Net Loss per Common Share to Non-GAAP Net Loss per Common Share | ||||||||||||||||
|
| Three Months Ended |
| Year Ended | ||||||||||||
|
| 2021 |
| 2020 |
| 2021 |
| 2020 | ||||||||
Net loss |
| $ | (20,051 | ) |
| $ | (3,229 | ) |
| $ | (37,144 | ) |
| $ | (22,710 | ) |
Stock-based compensation expense |
|
| 2,987 |
|
|
| 2,327 |
|
|
| 11,858 |
|
|
| 8,126 |
|
Restructuring, severance and related costs (2) |
|
| 7,613 |
|
|
| — |
|
|
| 8,952 |
|
|
| — |
|
Loss (gain) on change in fair value of warrant liability |
|
| — |
|
|
| 16 |
|
|
| (29 | ) |
|
| 1,233 |
|
Loss on change in fair value of contingent liability (4) |
|
| 10 |
|
|
| — |
|
|
| 1,315 |
|
|
| — |
|
Acquisition related costs (3) |
|
| — |
|
|
| 1,153 |
|
|
| 583 |
|
|
| 1,329 |
|
Gain on forgiveness of PPP loan (5) |
|
| — |
|
|
| — |
|
|
| (171 | ) |
|
| — |
|
Non-GAAP net (loss) income |
|
| (9,441 | ) |
|
| 267 |
|
|
| (14,636 | ) |
|
| (12,022 | ) |
Dividends on preferred stock - declared and undeclared |
|
| (2,239 | ) |
|
| (1,523 | ) |
|
| (8,954 | ) |
|
| (1,987 | ) |
Non-GAAP net loss attributable to common stockholders |
| $ | (11,679 | ) |
| $ | (1,256 | ) |
| $ | (23,590 | ) |
| $ | (14,009 | ) |
|
|
|
|
|
|
|
|
| ||||||||
Net loss per common share - basic and diluted |
| $ | (1.12 | ) |
| $ | (0.27 | ) |
| $ | (2.47 | ) |
| $ | (1.44 | ) |
Non-GAAP net loss per common share - basic and diluted |
|
| (0.59 | ) |
|
| (0.07 | ) |
|
| (1.26 | ) |
|
| (0.82 | ) |
Weighted-average common shares outstanding - basic and diluted |
|
| 19,902 |
|
|
| 17,472 |
|
|
| 18,656 |
|
|
| 17,112 |
|
(1) |
| Relates to operating and financing ROU assets and acquired intangible assets. |
(2) |
| Includes restructuring charges relating to write-off of capitalized software, computers, equipment and related contract costs, as well as one-time severance and related benefit costs and impairment of a right-of-use operating asset related to our headquarters office lease. |
(3) |
| Includes external legal, accounting, and advisory costs associated with acquisition activity. |
(4) |
| Relates to loss resulting from change in fair value of contingent liability related to a stock price guarantee associated with an acquisition. |
(5) |
| Relates to gain recognized upon forgiveness of LifeDojo's PPP loan in May 2021. |
Last Trade: | US$1.77 |
Daily Change: | -0.01 -0.56 |
Daily Volume: | 30,789 |
Market Cap: | US$5.660M |
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