Sharecare Q2 2023 Earnings Call Transcript

Quartr
Provided by Quartr
August 9, 2023

There are 6 speakers on the call.

Operator

Good day, and welcome to the Sharecare Second Quarter 2023 Earnings Call and Webcast. All participants are in listen only mode. After today's presentation, there will be an opportunity to ask Today's call is being recorded and will be available on the company's website. On today's call, we have Mr. Jeff Arnold, Chairman and CEO and Mr.

Operator

Justin Ferreiro, President and Chief Financial Officer as well as Mr. Jaffray Mohammed, Chief Operating Officer, who will join for the question and answer session. Before we begin, we would like to remind you that certain statements made during this call will be forward looking statements within the meaning of the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995, which includes statements regarding strategic initiatives, Expected cost savings, new capabilities, pipelines and our guidance, these forward looking statements are subject to various risks and uncertainties Please reflect our current expectations based on our beliefs, assumptions and information currently available to us. Although we believe these expectations are reasonable, we undertake no obligation to revise any statement and to reflect changes that will occur after this call. Descriptions of some of the factors that could cause actual results to differ materially from these forward looking statements are discussed in more detail in our filings with the SEC, including the Risk Factors section of our Form 10 ks for the year ended December 31, 2022.

Operator

In addition, please note that the company will be discussing certain non GAAP financial measures that we believe are important in evaluating performance. Details on the relationship between these non GAAP measures to the most comparable GAAP measures and reconciliation of historical non GAAP financial measures can be found in the press release that is posted on the company's website. I would now like to hand the conference call over to Mr. Jeff Arnold. Jeff, please go ahead.

Speaker 1

Good morning, and thank you for joining us today as we discuss Sharecare's Q2 2023 results. First, I want to briefly discuss the conclusion of our strategic review, which we announced on May 31. The Board came to the unanimous decision that Our 3 business channels, enterprise, provider and life sciences complement one another with a depth and breadth of capabilities that together create a unique Platform driven ecosystem built for scale. The strategic alignment of these businesses allows us to seize new growth opportunities and serve our expanding customer base And their needs more effectively, which I will highlight during today's comments. We continue to make significant progress this quarter, Coming in at the high end of revenue guidance and exceeding the high end of our adjusted EBITDA guidance, with a revenue of 110,400,000 Adjusted EBITDA of $3,800,000 Our strong financial results and expansion of our adjusted EBITDA margins this quarter have us on track to reach our goal of cash flow breakeven by year's end.

Speaker 1

We also continue to make progress with Carillon to integrate our respective complementary capabilities To bring efficiency, flexibility and efficacy to our tech enabled advocacy solution to scale to current And new health plan customers. The robustness of our high-tech, high touch platform that delivers comprehensive care solutions was instrumental in the quarter yielding 7% revenue growth for the enterprise channel compared to Q2 2022 And marking continued progress toward our full year target of 12,900,000 eligible lives across large employers, Health systems, payers, TPAs and government customers. Our integrated approach to care has proven successful enhancing user experiences, Reducing cost and measurably improving clinical outcomes across populations, whether people simply require routine preventative care or managing high risk and chronic conditions. In fact, in a third party evaluation of the effectiveness of disease management program for one of our leading health plan clients, we decreased annual costs for engaged members by 8%, Primarily by lowering inpatient admission cost. We're also driving associated cost savings as measured by our value on investment by helping members reduce their risk across more than 40 lifestyle, biometric and prevention measures.

Speaker 1

As an example, based on research conducted with the UNC Center For the Business of Health, we know that increasing movement among people who largely spend their day sitting carries with it a cost savings of approximately $4.75 per member per year as it reduces the risk of conditions that can show up later in claims cost. While we significantly impact risk reduction associated with sedentary lifestyle across our entire book of business Through our digital platform, digital therapeutics and lifestyle management coaching programs, we also continue to explore innovative and accessible ways to help employers Encourage exercise among their workforces. A recent example, which launched earlier this year and uses the immersive power of virtual reality Our Get After program and a customer pilot completed in the quarter participants all of whom classified as sedentary Increased weekly moderate intensity activity from a baseline of 21 minutes to more than 181 minutes by the end of the program, with 61% of respondents Reporting having either more or much more energy than they did before Get Active. Our continued investments in generative AI technology, Capitalizing on our DocAI acquisition and building digital connectivity to ingest clinical data are enhancing our offerings and longitudinal and aggregated data delivering more tailored engaging care solutions.

Speaker 1

Additionally, we were able to quickly identify health risks within customer and close care gaps such as cancer screenings, medication adherence and cardiovascular and MSK related issues At scale, a win win for their organizations and their members. Within one of our large employer groups, we have identified Hundreds of thousands of care gaps since the beginning of the year, and we continue to improve processes to enable our clinical advocates to quickly and efficiently Close the most complicated and costly care gaps. We also have a unique advantage in being able to train our AI models with proprietary content from our award winning digital therapeutics. For example, our unwinding anxiety program has yielded a 67% reduction in anxiety corresponding to a 64% remission rate In randomized controlled trials compared to clinical care alone, this content can now be integrated and delivered through our generative AI model To seamlessly meet people where they are in their mental health journey. CareLink's Sharecare's home care solution with a net promoter score of over 90 In fact, the convergence of our payer agnostic advocacy solution, Sharecare Plus and CareLink creates the opportunity to go deeper with all our members As our highly credentialed in home caregivers bring the advantage of physical proximity and established trust as well as deeper knowledge about the patient's needs And the ability to recommend the programs available to them across our ecosystem.

Speaker 1

Early feedback from one of our marquee employer clients who recently implemented CareLink Further associates identified that their efforts to ease caregiver burden are resulting in more productive and satisfied employees. At this employer, our professional caregivers have provided care to associates across a number of real world use cases, including people who Post discharge and surgical transitional care, those who need extra in home non clinical support and employees who also are caregivers For a chronically ill adult. We have a growing pipeline for 2024 2025, and we not only assist with members' unmet functional needs in the home, which drives trust and engagement, but also identify clinical complexity and social risk factors that can help address through our clinical advocacy services, Our 3rd party referral programs. In the case of one of our large health plan clients that leverage our caregivers to drive engagement in the home, they saw a 30% increase completion of annual wellness visits and a 30% increase in completion of in home clinical visits for risk adjustment. Capitalizing on these patient engagement capabilities and our in home clinical expertise, we are poised to seize the opportunity To address the full set of healthcare quality metrics and standards by leveraging assets in our provider channel to create new and better risk adjustment and care GAAP closure models for the home care market.

Speaker 1

These new models, which we plan to roll out in 2024 stand to greatly benefit Medicare Advantage plans By providing accurate and complete code capture and increasing their quality scores, while driving improved outcomes for patients through prevention, Screening, better chronic disease management and addressing social determinants of health. Speaking of our provider channel, Which is now delivering health insight and data solutions and it's coming off a great Q1. It performed better than ever in Q2, Yielding 11% revenue growth compared to Q2 2022 and setting us up to meet our core KPI target for the full year. The demand for medical records and clinical content from health plans continues to be a major driver for our growth and our provider pipeline shows significant promise. While maintaining a focus on historically strong markets such as provider practices and specialties, we're branching out into larger strategic health systems through RFPs And proactive targeting.

Speaker 1

To date this year, we've already surpassed total RFP participation compared to all of 2022. Additionally, we're advancing our channel strategy through partnerships with several SOs and new agreements with revenue cycle management groups. The robustness of our audit business, the maturity of our new services and the ARR closed in Q2 bolster our confidence Achieving our 2023 provider goals. Sharecare's life science channel, which is continuing to evolve to offer broader, More robust customer activation and management solutions across the healthcare industry was approximately flat for the quarter year over year as anticipated. While it was our slowest growing channel this quarter, it's important to note that this occurred during an industry wide decline of 27% in digital ad Spending by pharmaceutical companies according to Nielsen data.

Speaker 1

Recently, the channel launched its 2024 go to market offerings featuring 4 unique high impact digital solutions for clients and expanded its reach through new collaborations to sell point of care inventory across LabCorp's On-site testing and diagnostic facilities. As we continue to maximize the integrated assets across our channels, We are working on several new opportunities, including leveraging Life Sciences' proven activation capabilities and 100,000,000 Person 0 party database to market the direct to consumer offerings of CareLink for non medical support at home and a new solution that's in development, the RealAge The longevity program leverages our assets, reach and expertise to provide a comprehensive framework for managing GLP-one medication cost Through utilization management, ensuring treatment adherence and balancing financial efficiencies with improved health outcomes. A key component of this offering is our weight loss program Eat right now, which is scientifically proven to reduce craving related eating by 40% and take a mindfulness based whole human approach To foster sustainable positive eating habits that stick over time. Our strategic direction, unique ecosystem, which creates valuable cross sell opportunities And proven commitment to manage cost coupled with our strong financial performance in Q2 signal a promising future for Sharecare.

Speaker 1

We extend our gratitude to our shareholders, partners and the dedicated Sharecare team for their support. And at this time, I'd like to hand the call over to our CFO, Justin Ferrero, We'll delve deeper into the financial details.

Speaker 2

Thank you, Jeff. We reported strong second quarter results with revenue of $110,400,000 Which exceeded the high end of our guidance. Notably, our adjusted EBITDA margin of 3.5% Is a 90% improvement over the previous quarter as well as an approximate 70% improvement over the same period last year. Our growth was driven by an increase in eligible lives on our platform and our enterprise channel as well as an increase in records process in the provider channel. We are on track to achieve our core year end KPIs in both channels, which are 12,900,000 eligible lives and 6,500,000 records processed.

Speaker 2

As Jeff mentioned earlier, our provider channel set another quarterly revenue record in Q2. And despite ongoing market pressure, Life Sciences Q2 revenue was approximately flat year over year, which was consistent with our expectations. Our financial health remains strong. We ended the Q2 with a cash balance of $144,000,000 and approximately $200,000,000 in available liquidity. Our commitment to efficient financial management is further evidenced by our cash flow, which showed significant improvement from the last quarter, Reporting a $7,700,000 burn this quarter excluding the impact of the stock buyback compared to $28,000,000 burn in Q1.

Speaker 2

Our dedication to achieving cash flow breakeven by the end of the year remains a core focus and this quarter's results underpin that commitment. Regarding our previously announced stock repurchase program, to date we have bought back $2,500,000 worth of shares in the open market, Leaving us with $47,500,000 remaining under the current authorization. We will continue to evaluate our capital allocation strategy, But strongly believe our stock price currently does not represent the intrinsic value of our business. As we look to Q3, We expect to generate revenue within the range of $111,000,000 to $113,000,000 Our adjusted EBITDA guidance For Q3 is $8,000,000 to $10,000,000 which represents over 100% increase in adjusted EBITDA over Q2 of this year. And there are several key drivers behind our expected adjusted EBITDA improvement.

Speaker 2

1st, in the enterprise channel, We continue to automate several back office functional areas that are driving improved margins. Additionally, We have non technology related costs that have been strategically reduced without impacting customer facing operations. In our provider channel, which continues to deliver record top line results, the 3rd quarter is historically the strongest quarter of the year as we Process a large volume of Medicare Advantage risk adjustment audit related charts. Additionally, our previously discussed globalization efforts continue to progress, resulting in improved margins. In Life Sciences, Q3 is a historically stronger quarter relative to Q2 And our current campaign activity anticipates similar growth this year.

Speaker 2

More broadly speaking, while our business will continue to have Some channel level seasonality going forward, Q3's expected adjusted EBITDA is indicative of the emerging underlying earnings power of Sharecare, Driven in part by our $30,000,000 annualized cost savings initiative, which we are on track to achieve by the end of 2023. In summary, I am pleased with our strong second quarter, expanding adjusted EBITDA margins, improved cash burn And the strength of our balance sheet. We want to reiterate our full year revenue guidance of between $452,500,000 And $460,000,000 and full year adjusted EBITDA guidance of $25,000,000 to $30,000,000 Your continued support is greatly appreciated. We're now ready to take your questions. Thank you.

Operator

We will now begin the question and answer session. And our first question comes from David Larsen of BTIG. Please go ahead.

Speaker 3

Hi. Congratulations on the good quarter. I like the beats in revenue and EBITDA. So good quarter. Congrats.

Speaker 3

Can you talk a bit about the enterprise division and growth in lives there? I think last quarter you'd mentioned signing up 275,000 lives. Those will impact 2024. Just any color there. And then you've mentioned Care Gap closures a couple of times.

Speaker 3

Are you generating Revenue with each Care Gap closure and are you recording those for the health plans and how do you sort of report that Any color there would be very helpful. Thank you.

Speaker 4

Hey, David, it's Justin. Thanks for the question.

Speaker 2

And we are excited about the quarter. On the I'll take the first question on eligible lives. That's correct. We did add over $250,000 in Q1. And we talked about our excitement because we thought that we'd meet or exceed that number in Q2, And we have done that.

Speaker 2

So had great addition to eligible lives. We expect those to come on Towards the end of the year or oneone, we're working through that with the customer now. But it was a great quarter and adding eligible lives to the platform. And as I talked about in the script, we're tracking to achieve our core KPI this year, dollars 12,900,000

Speaker 4

And David, regarding the Care gap closure that Jeff talked about, this Primarily for our commercial group, where we have sold a high dollar PMPM, which includes the overall Care and disease management program. So we are not charging them on per care gap part, but it is part of a total PMPM.

Speaker 3

So I think it was a little bit difficult to hear you. I think you said that the care gap closure program is part of the 5 dollars PMPM rate and that you track that data, you report it back to the plan. Is that part of Sharecare Plus, the $5 PMPM rate?

Speaker 4

Yes. So David, I did not said $5 I said high dollar. It is a higher dollar PMPM. Yes, But the rest of the parts is what you're saying.

Speaker 3

And the Care gap closures is part of Sharecare Plus or is that part of Sharecare Legacy?

Speaker 4

It is part of Sharecare Plus.

Speaker 3

Okay. So what I'm hearing is there's good uptake in Sharecare Plus. All right. And then without getting too specific, obviously, can you maybe talk a little bit about your relationship with Enlivin? I think There was a client through Enlivin that you were working with them.

Speaker 3

They basically transitioned to the lower cost Sharecare product, what are the odds of them sort of coming back to the higher cost Sharecare Plus Solution in 2024, 2025, any thoughts there?

Speaker 1

Well, I think overall, We're pleased with the Carillon partnership as we continue to integrate and sell together. We've added another health plan since our go live with Carillon, and we do believe there is an to increase the number of services that we're offering the one customer that you're referring to and we're in active conversations around that.

Speaker 3

Okay. That's very helpful. And then just can you maybe talk a little bit about The sort of EBITDA expectations, I mean, obviously, you're looking at a potentially very significant increase in EBITDA in 3Q and 4Q. Just any color or thoughts there? I mean, I always quite frankly get a little bit worried when we talk about offshoring jobs.

Speaker 3

Just any what sort of additional detail can you provide, please? Thank you.

Speaker 1

Yes. We're Incredibly pleased with the progress that we've made in our optimization efforts. And the majority of that work is already behind us, As we sit here in August, and Justin, I don't know if you want to give any additional color to that.

Speaker 4

Yes. So two things,

Speaker 2

Dave, is we're going to achieve, as I So in the opening remarks, the $30,000,000 in savings this year, but that EBITDA expansion isn't just From driving efficiencies around cost, it's all around top line growth as well. We've spoken historically about Q3 being the largest quarter historically For our provider channel, Q4 is always the largest quarter on the life sciences business. And then I touched on it in the opening remarks that Life Science sequentially grows from Q2 to Q3. So it's really a combination of Driving top line growth across our channels as well as at the same time realizing The lion's share of the benefits of all that optimization work that we've done from year to date, the majority of that is going to hit our bottom line in the second half of the year. So It gives us really good confidence in achieving the targets for this year.

Speaker 3

Okay. And then for CareLink's, is there any reason why CareLink's Could not be expanded into other plans beyond Medicare Advantage. It seems to me like there'd be a huge need across commercial Plans, Medicaid plans, employer groups like just any thoughts on the growth there, please?

Speaker 1

I think we're in active conversations across all those channels. We had a good success story that I mentioned in my script with one of our large employers On the commercial side, utilizing CareLink as an employee benefit. We've expanded beyond our one large payer into our 1st Blues plan, And we're in active conversations with MA, with Medicaid and with health systems. Do you want to add anything to that, Jeff? Yes.

Speaker 4

The one thing I will add, David, is our hospital readmission program, very Well received by lot of risk takers that include the ACOs and health system. So as Jeff said, I mean the GTM that we have the go to market plan for CareLink include all the channels that you mentioned.

Speaker 3

Okay. And then just one more for me and I'll hop back in the queue. Jeff, I liked hearing about all of the sort of cost savings data that Sharecare is Providing to customers, I mean, is this something that you're you can bear risk on? Are you driving any revenue based The amount of cost savings you can deliver to certain health plan clients and, I think you had talked about a white paper that you were going to publish. Just any additional color or thoughts there would be helpful.

Speaker 1

Yes, I think we're having increased Visibility with our data with our clients as we work with them more over time. So we're collecting lots of data and we're driving insights From that data and sharing it with our clients, which is giving us confidence in how to price. And today, we're doing that through PGs, But it's working very well kind of as we had hoped is get confidence in the data, generate the insight, deliver the capability And move from performance guarantees to more at risk models. And that's a constant conversation that we have with our clients as we see evolving with them over time.

Speaker 3

Okay. And then I'm sorry, just one more for me. Can you comment on the competitive environment like, I mean, thinking about American Well in particular, they have their converge platform. Elavance is one of their largest customers. I mean, Just who are you bumping into, if anybody in your largest customers?

Speaker 3

And it's my understanding that you power Sydney for Elavance, which I think would give you A huge sort of competitive advantage. Just any thoughts or color on the overall market?

Speaker 1

Yes, I would say in the overall market is it's competitive, but we are well diversified. So as you know, we work with large health plans And we work hard every day to drive value for Carillon and Elevance as one example, but other plans as well. We have Several large employer clients, as you know, and we've invested kind of heavily in sales to kind of increase our RFPs. We've invested in government and we have some good success stories there with the state of Georgia and others. We have health systems, Which we're starting to do some really effective cross selling in and turning health system clients into enterprise clients for their employees.

Speaker 1

We started to add TPAs this quarter, which we see as a big growth area for us. And so I think the diversification of of Sharecare helps us a lot. So we can go to market with a Carillon or we can go direct through our sales force or we can cross sell. And so it's given us a lot of that that that help us in a competitive market.

Speaker 3

Okay. Congrats on the good quarter. I'll hop back in the queue. Thank you.

Speaker 1

Thank you.

Operator

The next question comes from Eric Percher of Nephron Research. Please go ahead.

Speaker 5

Thank you. To start on the enterprise side, good to hear about the live additions. Could you speak a little bit about Development of the marketplace and maybe as we think about lives ex Carillon, what are you seeing among the Blues Targets for the year and whether it's keeping pace with expectation?

Speaker 1

Well, I think on uncovered lives, it's we're keeping pace with expectations. So Selling through our partners, like Carillon is meeting expectations. Our sales force delivering new logos, is meeting expectations. A continued focus on the Blues plan, and we've added a new Blues plan this year continues to be on mark. So all those things Are progressing as planned.

Speaker 1

As the marketplace goes, we're having success in upselling our digital therapeutics to our installed base, And we're leading with our owned solutions, which give us higher margin and more revenue. And so we're starting to see some good pull through in that area as well. Yes.

Speaker 4

Also our partnership with Carillon where we are jointly selling the market that you mentioned is tracking very well.

Speaker 5

Okay. So that seems to be an important factor. You mentioned your own offerings And you mentioned GLP-1s, which seems to be the hot topic this earnings season. Can you give us a little bit more on what you've done there with Real age and what management looks like for you beyond that?

Speaker 1

Well, yes, we've done a lot of work And the GLP-one space since we last talked of understanding on our clients of should this be a managed Service or what's the cost if it goes unmanaged? And then what are the unique assets that Sharecare has that it could marry with a GLP medication so that you could get Sustained results. And so we already have our Real Age program that has been distributed to 13,000,000 covered lives. And so people have their RealAge program. And we already have a CDC approved Weight loss program and Eat Right Now that came from our Mind Sciences acquisition, that's all based on mindfulness and how to curb cravings.

Speaker 1

We have obviously Sharecare Plus and our advocates that can help with insurance companies. And so we're packaging all that together And creating a B2B offering that we're going to launch in January of next year to our enterprise clients.

Speaker 5

Interesting. And do you partner to the life sciences part of the market here as well?

Speaker 1

Well, yes. So we're doing a lot of research right now on once we develop the solution for B2B, which is the combination of RealAge right now, our advocates and some incentive strategies is, would that be an interesting life science offering as well? And as you know, We have a 0 party database of over 100,000,000 people. That's kind of the power of what powers our life science business And many would qualify and the demand is obviously quite high. And so we're thinking through different life science Offerings for not only enterprise, but direct to consumer.

Speaker 5

Is there any historical analog that's been similar? I I think back to the hep C products, but quite different. Have you ever seen a launch that got this type of employer interest?

Speaker 1

Hey, Ali. Demand is off the start. It's I can't think of anything off the top of my head. I mean, the demand is massive. And so you've got all you've got massive consumer demand.

Speaker 1

You have obviously a cost issue. Then you have this as a forever drug. And so you need behavior change programs with it. And so we're excited about it. I mean, we have as I said, we've got the RealAge program.

Speaker 1

We have a perfect weight loss Solution and EIT right now, we've got the infrastructure with the advocates. And so we're just thinking through how do we package and price the offer And how can we get to market by Q1?

Speaker 5

Yes. And I guess my question is a little bit more of it. Have you done this before in other Categories where a new product, obviously, the opportunity is larger here, but is there a good example of having executed on this before?

Speaker 2

Well, I mean, I would just add one is when we launched advocacy, we went from essentially 0 lives to Close to a 1,000,000 and that has to be one of the larger, more successful launches. We have very happy Customers in that, that's $50,000,000 Yes. That's not an easy task. We weren't in that business this time last year and we have close to 1,000,000 lives Our advocacy platform today and very happy customers.

Speaker 1

Yes. And doing the crossover sell is like we know how to do that enterprise and life sciences. So for example, our EIT right now, our unwinding anxiety is both B2B and B2C. And this quarter, we launched CareLink B2B and B2C. So we're using life sciences now to promote CareLink's Direct to consumer, similar to what we've done with MindSciences.

Speaker 5

Great. And my other question was on the Life Sciences business. And Jeff, you've obviously seen a few cycles. I'd love to get your view on The macro trend here and what enables you to put up a flat in a down market. And then just in understanding, we're going to see An increase in Q3, Q4 is typically that seasonally large quarter.

Speaker 5

How does what you've seen year to date make you feel about Q4?

Speaker 2

So I can I'll start with that is that we're number 1, as I talked about for Q3 is We're going to see growth from Q2 to Q3 and that's it's not trivial growth. So we're bullish as we sit here today. At the outset of the year, we were conservative in our guide, right? And so we think we factored in most of A year that we were anticipating headwinds, but there could be more pressure. Again, we talked about it a lot, but we don't really know until we get into the quarter.

Speaker 2

We're confident that there'll be growth in Q4, And it's just a matter of how much, but we know that sequentially we're going to grow into Q3 and Q4 and if we do we hit the target exactly, I'm not sure, but we feel very confident in our range Across our business for the year, which is why we reiterated guidance today. Got you.

Speaker 1

Yes. And I would just say the Quality of the execution of campaigns year to date has been very strong. And again, how we differentiate is our 0 party, 1 100,000,000 person database. So we're pretty precise on our targeting. But just to answer your question, I mean, what gives us confidence is the quality of our execution of campaigns to date.

Speaker 1

So we think the customers will be there in the second half of the year for us.

Speaker 5

Yes, I hear you and that's how you outperformed the market. But Jeff, what is your perspective on the overall market? And do you expect this Downturn to do you have a view on duration?

Speaker 1

I'm hoping that 2024 It's stronger than what the last 2 years have been. So but we're watching it carefully. And we're adjusting our products and Our products and our mix to be able to succeed in current conditions, But we're hopeful with the GLP-1s and others that there'll be some new opportunities.

Speaker 5

Thank you, both. Thank you.

Operator

This concludes our question and answer session. I would like to turn the conference back over to Mr. Jeff Arnold for any closing remarks.

Speaker 1

Well, thank you. And in closing, I want to reiterate that we're very pleased with our financial performance this quarter. I'd also like to take a moment to reinforce the fact that we are confident in Sharecare today and into the future and remain committed to maximizing shareholder value. We're confident in our strategic direction in our products and solutions and in our pipeline. We're confident in our team and our ability to maximize the opportunities before us,

Operator

The conference has now concluded. Thank you for attending today's presentation and you may now disconnect.

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Earnings Conference Call
Sharecare Q2 2023
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