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William Blair Annual Growth Stock Conference June 5

William Blair Annual Growth Stock Conference June 5 · 2019. 6. 5. · (1) Full-year and quarter management guidance; midpoint of range, unless otherwise noted. 64% Revenue CAGR (2016-2019E)

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  • William Blair Annual Growth Stock Conference

    June 5

  • Safe harbor

  • At Teladoc Health, we are

    transforming how people access

    healthcare around the world.

    We are creating a new kind of

    healthcare experience – one

    with greater convenience,

    outcomes, and value.

  • publicly-traded

    on NYSE since 2015

    TDOCemployees

    worldwide

    +2,200experts across

    450+ specialties

    +50,000network

    clinicians

    +7,000

    cumulative visits

    through YE 2019

    >9 million

  • (1) Full-year and quarter management guidance; midpoint of range, unless otherwise noted.

    64%Revenue CAGR

    (2016-2019E)

    58%Visit CAGR

    (2016-2019E)

    65%Gross margin

    Q1 2019

    10.2 mmUS visit feeonly livesQ1 2019

    26.7 mmUS paid access

    membershipQ1 2019

  • Global trends are driving innovation in healthcare

    Significant volume resulting in

    multi-day wait times and

    shorter appointments

    Limited or no access to a

    family doctor

    Physician shortages in critical

    specialties

    Aging populationRising costs of care

    Growth in HDHP enrollees

    Consumer empowerment

    Data and device integrations

    Offline to online transitions

    Convenience expectations

  • Proprietary Clinical

    Capabilities

    Entrenched

    Distribution Across

    Channels

    Tech-Enabled Ops at

    Scale

    Global ReachEngagement

    Science & Results

    Product/Clinical

    Scope of Offerings

    Category-defining brand

    Consumer demand

    Returns to scale

    Market leadership

    Premium pricing

    Proven ROI

  • Positioned to serve patients wherever they are

    • 40% of

    Fortune 500

    • Thousands of

    small

    businesses,

    labor unions

    and

    employer

    coalitions

    • 40+ US health

    plan client

    including

    commercial,

    Medicare and

    Medicaid

    populations

    • 70 global

    insurance and

    financial

    services firms

    • Public sector:

    US federal,

    state and local

    municipalities

    • Medicare

    • Medicaid

    • ~300

    hospitals and

    health

    systems

    • Leading

    behavioral

    health

    platform

    • Partnership

    with leading

    national

    retailer

  • First & only Patient Safety Organization (PSO)

    Teladoc Health Physicians Network

    Quality & Strategic Oversight

    Staff Clinicians

    (MDs, APs, Nurses)

    Telemedicine

    Practice

    Global Expert

    Panel

    Teladoc Health

    Global Medical

    Advisory Board

    Clinical

    Leadership

    Team

    Teladoc Health

    Quality and

    Care Committee

    Unique clinical partnerships

  • Growth levers

    Distribution Channels

    Products & Services

    Employers

    Insurers

    DTC

    Hospitals & Health Systems

    International markets

    Upsell/cross sell

    Penetration of existing

    New distribution

    Visits/utilization

    Virtual COE specialty services

    Telemedicine

    Behavioral health

    Licensed platformBroaden role in

    healthcare delivery

    Clinical services

    innovation

    Accelerate

    consumer adoption

    Expand footprint &

    distribution

  • Broaden role in

    healthcare delivery

    Clinical services

    innovation

    Accelerate

    consumer adoption

    Expand footprint &

    distribution

    Existing distribution

    channels

    Product cross sell /

    upsell

    Government programs

    Direct to consumer

    Global markets

    leadership

    Virtual Primary Care

    Integrated Behavioral

    Health solutions

    Virtual Center of

    Excellence specialty

    services

    Chronic care

    Clinical quality

    leadership

    Integrated, intuitive

    consumer experiences

    Engagement science &

    Surround Sound

    investments

    Virtual First experience

    Expanding access

    points and modalities

    Health System use

    cases

    Insurer scope of

    services

    In home solutions

    Integration with local

    delivery system

  • 2017 Insured Population - Commercial Lives vs. Government Lives (lives in millions)

    Commercial

    177

    Military

    5

    Medicaid

    72

    Medicare FFS

    39

    Medicare

    Advantage

    20

    Goverment

    131

    Note: Amounts may not sum due to rounding.

    New

    addressable market for 2020

  • Global opportunity

    61 52

    14 9 6 6

    38

    13 24

    7 28

    3

    56

    43

    56

    10

    12

    67

    80

    17

    65

    49

    62

    23

    36

    France Germany Netherlands UK Spain Italy Rest of

    Europe

    Australia Canada

    Privately Insured Public Option Only

    Source: NIH; OECD; CIA FactbookNote: Rest of Europe excludes Russia. Numbers may not sum due to rounding.

    Privately insured reflects a minimum level of privately administered primary, duplicate, complementary, or supplementary health insurance.

    196

    157

  • Delivering the Virtual First experience

    Components

    Virtual front door member

    experience

    Innovative physical & mental

    health services

    Integrated delivery platform

    Benefits

    Superior utilization & member

    satisfaction

    Greater impact on healthcare

    costs

    Deeper client partnerships

  • Strong interest for comprehensive, integrated solutions

    Demand for Virtual First ™ plan designs

    Strong demand across all channels

    Increased level of new and existing client bookings

    Increased RFP volume

  • + 1.0

    + 0.3 + 0.3 + 0.7

    + 0.3

    + 1.5

    + 0.2

    + 2.7

    + 0.4

    + 3.9

    + 0.5

    + 1.2 + 1.7

    + 0.1 + 0.2

    + 3.9

    Paid Membership Net Adds (millions) PMPM

    6.2%

    7.8%

    9.4%

    10.5% 10.9% 11.0%

    Q1 FY

    (1) US Paid Membership Only.

    (2) Pro forma to exclude Aetna Fully Insured, Amerigroup, and VFO.

    Organic onboarding of large health plan population

    Acquisition of Best Doctors

    Acquisition of Advance Medical

  • 0.9

    1.8

    3.3

    5.9

    9.7 >9 million cumulative by YE 2019

  • (1) First year utilization measured as annualized utilization of first calendar year with eligibility. 2018 utilization reflects annualized YTD 2018 through November.

    1.0x 1.0x 1.0x 1.0x 1.2x

    1.6x 1.7x

    2.4x

    2017 Cohort 2016 Cohort 2015 Cohort 2014 Cohort

    1st Year 2018

  • (1) Products include General Medical, Expert Medical Services, Behavioral Health, and Dermatology.(2) Visits per member by product access for registered members with at least one visit YTD through November 2018.

    40%

    13%

    1%

  • Liquidity

    Cash & Short Term Investments $479.7

    Debt

    Cash

    Interest Fair

    Debt Rate Outstanding Expense Value

    Convertible Notes 2022 3.0% $275.0 $8.3 $408.2

    Convertible Notes 2025 1.4% $285.0 $3.9 $371.4

    Total 2.2% $560.0 $12.2 $779.6