UpHealth Announces Second Quarter 2023 Financial Results

Second Quarter Revenues Were $37.8 million and Gross Margin Expanded to 53%

Year-to-Date Net Loss Attributable to UpHealth, Inc. Improved 9% to $27.2 million

Year-to-Date Adjusted EBITDA Improved by $9.2 million to $11.8 million

Closed Strategic Sale of Innovations Group, Inc. for $56.0 million

Completed Repurchase of $10.3 Million of Convertible Debt

Increasing Full Year 2023 Outlook

DELRAY BEACH, Fla., Aug. 10, 2023 (GLOBE NEWSWIRE) -- UpHealth, Inc. (“UpHealth” or the “Company”) (NYSE: UPH), a global digital health company delivering technology platforms, infrastructure, and services to modernize care delivery and health management, today announced financial results for the second quarter ended June 30, 2023.

UpHealth Chief Executive Officer Sam Meckey said, “During the second quarter we delivered results I am very proud of - revenues of $37.8 million, gross margins of 53% and an improvement in Adjusted EBITDA of $1.3 million to $5.3 million compared to the same period a year ago. We are executing against our stated recalibration plan of right-sizing our businesses. We completed the sale of Innovations Group, Inc. (“IGI”) delivering $56.0 million in gross proceeds, and in accordance with the indenture agreement for our 2025 Notes, we repaid $10.3 million of Company debt. With our balance sheet solidified, we concluded the quarter with $46.8 million in cash, offering sufficient liquidity to run our business and invest where appropriate. Given the second quarter results and execution, we are in a position to increase our full year 2023 outlook. Halfway through 2023 I am very pleased with our improvement in fundamental execution. While there remains work to be done, I am confident in our team’s ability to deliver on our newly stated outlook.”

Second Quarter 2023 Results:

• Revenues were $37.8 million, compared to revenues for the second quarter of 2022 of $43.7 million. Revenues by segment were as follows:
  • Virtual Care Infrastructure revenues were $16.8 million (45% of total revenues), compared to revenues for the second quarter of 2022 of $16.8 million. There were no revenues in the second quarter of 2023 from Glocal Healthcare Private Limited (“Glocal”), which was deconsolidated as previously reported, compared to $3.6 million of revenue from Glocal for the second quarter of 2022. The loss of Glocal revenue was offset by an increase of $3.6 million in revenue from U.S. Telehealth compared to the second quarter of 2022.
  • Services revenues were $15.5 million (41% of total revenues), compared to revenues for the second quarter of 2022 of $19.0 million. The decrease was primarily due to the strategic sale of IGI, which was completed on May 11, 2023, and the decision to wind-down a company within our Behavioral business in the second quarter of 2023, which contributed combined revenues of $4.4 million and $11.2 million for the second quarters of 2023 and 2022, respectively.
  • Integrated Care Management revenues were $5.5 million (14% of total revenues), compared to revenues for the second quarter of 2022 of $7.8 million. The decrease was primarily due to a one-time license fee recognized in the second quarter of 2022.
• Gross margin expanded to 53% from 48% for the second quarter of 2022. Gross margins by segment were as follows:
  • Virtual Care Infrastructure gross margin was 50%, an increase from 43% for the second quarter of 2022. Gross margin from Glocal, which was deconsolidated in the third quarter of 2022, was 23% for the second quarter 2022.
  • Services gross margin was 50%, an increase from 36% for the second quarter of 2022. The increase was primarily due to the strategic sale of IGI, which was completed on May 11, 2023, and the decision to wind-down a company within our Behavioral business in the second quarter of 2023, which contributed combined gross margins of 29% and 25% for the second quarters of 2023 and 2022, respectively.
  • Integrated Care Management gross margin was 69%, a decrease compared to 88% for the second quarter of 2022. The decrease was primarily due to a one-time license fee recognized in the second quarter of 2022.
• Loss from operations was $10.7 million, compared to loss from operations in the second quarter of 2022 of $10.0 million. Non-GAAP income from operations, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.2 million and acquisition, integration, and transformation costs of $3.6 million, was $1.1 million for the second quarter of 2023. Non-GAAP loss from operations, which excludes acquisition, integration, and transformation costs of $6.7 million, was $3.3 million for the second quarter of 2022.
• Net loss attributable to UpHealth was $19.1 million, compared to a net loss attributable to UpHealth for the second quarter of 2022 of $12.4 million. Non-GAAP net loss attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.2 million and acquisition, integration, and transformation costs of $3.6 million, was $7.2 million for the second quarter of 2023. Non-GAAP net loss attributable to UpHealth, which excludes acquisition, integration, and transformation costs of $6.7 million, was $(5.7) million for the second quarter of 2022.
• Net loss per share attributable to UpHealth was $(1.05), compared to a net loss per share attributable to UpHealth for the second quarter of 2022 of $(0.86). Non-GAAP net loss per share attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.2 million and acquisition, integration, and transformation costs of $3.6 million, was $(0.40) for the second quarter of 2023. Non-GAAP net loss per share attributable to UpHealth, which excludes acquisition, integration, and transformation costs of $6.7 million, was $(0.39) for the second quarter of 2022.
• Adjusted EBITDA was $5.3 million, which represented an improvement of $1.3 million compared to Adjusted EBITDA for the second quarter of 2022 of $4.0 million.
• On May 11, 2023, UpHealth completed the strategic sale of IGI to Belmar Pharma Solutions for gross proceeds of $56.0 million, which added significant liquidity to UpHealth’s balance sheet in the second quarter of 2023. This transaction represented execution against UpHealth's new strategic vision and focus on scalable growth opportunities in the U.S. Telehealth, Behavioral, and Integrated Care Management businesses.
• On June 15, 2023, UpHealth completed the repurchase of $10.3 million in aggregate principal amount of its Variable Rate Convertible Senior Secured Notes due in 2025.

Year-To-Date Second Quarter Results:

• Year-to-date revenues were $80.0 million, compared to year-to-date revenues for the second quarter of 2022 of $79.6 million. Revenues by segment were as follows:
  • Virtual Care Infrastructure year-to-date revenues were $34.3 million (39% of total year-to-date revenues), representing an increase of 6% compared to year-to-date revenues for the second quarter of 2022 of $32.4 million. Revenues from Glocal, which was deconsolidated as previously reported, were $6.9 million for the year-to-date second quarter of 2022.
  • Services year-to-date revenues were $36.3 million (44% of total year-to-date revenues), compared to year-to-date revenues for the second quarter of 2022 of $36.8 million. The decrease was primarily due to the strategic sale of IGI, which was completed on May 11, 2023, and the decision to wind-down a company within our Behavioral business in the second quarter of 2023, which contributed combined revenues of $15.3 million and $22.0 million for the year-to-date second quarters of 2023 and 2022, respectively.
  • Integrated Care Management year-to-date revenues were $9.4 million (18% of total year-to-date revenues), compared to year-to-date revenues for the second quarter of 2022 of $10.4 million. The decrease was primarily due to a one-time license fee recognized in the second quarter of 2022, partially offset by growth in professional services revenue from existing customers.
• Year-to-date gross margin expanded to 53% from 44% for the year-to-date second quarter of 2022. Gross margins by segment were as follows:
  • Virtual Care Infrastructure gross margin was 54%, an increase from 42% for the year-to-date second quarter of 2022. Gross margins from Glocal, which was deconsolidated in the third quarter of 2022, was 22% for the year-to-date second quarter of 2022.
  • Services gross margin was 49%, an increase from 34% for the year-to-date second quarter of 2022. The increase was primarily due to the strategic sale of IGI, which was completed on May 11, 2023, and the decision to wind-down a company within our Behavioral business in the second quarter of 2023, which contributed combined gross margins of 36% and 26% for the year-to-date second quarters of 2023 and 2022, respectively.
  • Integrated Care Management gross margin was 68%, a decrease compared to 82% for the year-to-date second quarter of 2022. The decrease was primarily due to a one-time license fee recognized in the second quarter of 2022.
• Year-to-date loss from operations improved 59% to $11.5 million, compared to loss from operations in the year-to-date second quarter of 2022 of $28.0 million. Non-GAAP income from operations, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.7 million and acquisition, integration, and transformation costs of $7.1 million, was $4.3 million for the year-to-date second quarter of 2023. Non-GAAP loss from operations, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $6.2 million and acquisition, integration, and transformation costs of $9.1 million, was $12.6 million for the year-to-date second quarter of 2022.
• Year-to-date net loss attributable to UpHealth was $27.2 million, a 9% improvement compared to net loss attributable to UpHealth for the year-to-date second quarter of 2022 of $30.2 million. Non-GAAP net loss attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.7 million and acquisition, integration, and transformation costs of $7.1 million, was $11.4 million for the year-to-date second quarter of 2023. Non-GAAP net loss attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $6.2 million and acquisition, integration, and transformation costs of $9.1 million, was $14.5 million for the year-to-date second quarter of 2022.
• Net loss per share attributable to UpHealth was $(1.60), compared to a net loss per share attributable to UpHealth for the year-to-date second quarter of 2022 of $(2.07). Non-GAAP net loss per share attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $8.7 million and acquisition, integration, and transformation costs of $7.1 million, was $(0.67) for the year-to-date second quarter of 2023. Non-GAAP net loss per share attributable to UpHealth, which excludes impairment of goodwill, intangible assets, and other long-lived assets of $6.2 million and acquisition, integration, and transformation costs of $9.1 million, was $(1.00) the year-to-date second quarter of 2022.
• Year-to-date Adjusted EBITDA was $11.8 million, which represented an improvement of $9.2 million compared to Adjusted EBITDA for the year-to-date second quarter of 2022 of $2.6 million.

Certain prior period amounts have been reclassified to conform with our current period presentation. Please refer to the discussion and tables under “Non-GAAP Financial Information.”

Balance Sheet and Cash Flow

On June 30, 2023, UpHealth reported $46.8 million of cash and cash equivalents. This does not include approximately $7.0 million in cash in India that is held in a bank account which the Emergency Arbitrator has ordered cannot be accessed by Glocal or UpHealth. UpHealth completed the strategic sale of IGI to Belmar Pharma Solutions for gross proceeds of $56.0 million on May 11, 2023.

Fiscal 2023 Financial Outlook

We are updating our outlook and expect both 2023 revenues and gross margin to be at the top end of our previously guided ranges of $127 to $135 million and 43% to 45%, respectively. In addition, we now expect 2023 adjusted EBITDA to be at least $15 million versus our previously guided range of $7 to $10 million.

Conference Call

UpHealth management will host a live question-and-answer session with investors and analysts beginning at 5:00 p.m. Eastern Time today, August 10, 2023. The call can be accessed live over the telephone by dialing (877-704-4453) from the U.S. or International callers can dial (201) 389-0920. There will also be a simultaneous, live webcast available on the Investor Relations section of the Company's web site at https://investors.uphealthinc.com/events-and-presentations/default.aspx or directly here. The webcast will be archived for approximately 30 days.

Inducement Grant

UpHealth’s Compensation Committee of its Board of Directors approved on August 7, 2023, the grant, which was made on August 8, 2023, under Section 303A.08 of the NYSE Listed Company Manual of an employment inducement award consisting of restricted stock units (“RSUs”) covering 80,000 shares of UpHealth common stock to each of its new SVP of Product, Leah Schelin, and its new VP of Marketing, Samantha Downing, to induce them to join UpHealth. For each grant, (i) 40,000 will vest over a three‑year period beginning August 8, 2023, with the initial one-third vesting on August 22, 2024, and the remainder vesting quarterly thereafter on each November 22, March 7, May 22, and August 22, subject to their continued employment by UpHealth, and (ii) 40,000 performance-based RSUs will vest based on the achievement of specified performance goals during the years ending December 31, 2023, 2024, and 2025, subject to their continued employment by UpHealth. The awards were granted under UpHealth’s Inducement Equity Incentive Plan as employment inducement awards pursuant to the New York Stock Exchange rules.

About UpHealth, Inc.

UpHealth is a global digital health company that delivers digital-first technology, infrastructure, and services to dramatically improve how healthcare is delivered and managed. The UpHealth platform creates digitally enabled “care communities” that improve access and achieve better patient outcomes at lower cost, through digital health solutions and interoperability tools that serve patients wherever they are, in their native language. UpHealth’s clients include health plans, healthcare providers and community-based organizations. For more information, please visit https://uphealthinc.com and follow at UpHealth Inc on LinkedIn.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of U.S. federal securities laws. Such forward-looking statements include, but are not limited to, the projected operation and financial performance of UpHealth, its product offerings and developments and reception of its product by customers, the arbitration and other legal disputes involving Glocal, and UpHealth’s expectations, hopes, beliefs, intentions, plans, prospects or strategies regarding the future revenue and the business plans of UpHealth’s management team. Any statements contained herein that are not statements of historical fact may be deemed to be forward-looking statements. In addition, any statements that refer to projections, forecasts, or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intends,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “would” and similar expressions may identify forward-looking statements, but the absence of these words does not mean that a statement is not forward-looking. The forward-looking statements contained in this press release are based on certain assumptions and analyses made by the management of UpHealth considering their respective experience and perception of historical trends, current conditions, and expected future developments and their potential effects on UpHealth as well as other factors they believe are appropriate in the circumstances. There can be no assurance that future developments affecting UpHealth will be those anticipated. These forward-looking statements involve a number of risks, uncertainties (some of which are beyond the control of the parties), or other assumptions that may cause actual results or performance to be materially different from those expressed or implied by these forward-looking statements, including the ability of UpHealth to service or otherwise pay its debt obligations, the mix of services utilized by UpHealth’s customers and such customers’ needs for these services, market acceptance of new service offerings, the ability of UpHealth to expand what it does for existing customers as well as to add new customers, uncertainty with respect to how the ICA or the Indian courts shall decide various matters that are before them or that the Glocal Board will act in compliance with their fiduciary duties to their shareholders, that UpHealth will have sufficient capital to operate as anticipated, and the impact that the novel coronavirus and the illness, COVID-19, that it causes, as well as government responses to deal with the spread of this illness and the reopening of economies that have been closed as part of these responses, may have on UpHealth’s operations, the demand for UpHealth’s products, global supply chains and economic activity in general. Should one or more of these risks or uncertainties materialize or should any of the assumptions being made prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements. UpHealth undertakes no obligation to update or revise any forward-looking statements, whether because of new information, future events, or otherwise, except as may be required under applicable securities laws.

Investors Relations:
Shannon Devine (MZ North America)
Managing Director
203-741-8811
UPH@mzgroup.us

UPHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, unaudited)

UPHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share amounts, unaudited)

(1)Amounts as of June 30, 2022 and before that date differ from those published in our prior condensed consolidated financial statements as they were retrospectively adjusted as a result of the Reverse Stock Split (as described below in Note 1, Organization and Business). Specifically, the number of common shares outstanding during periods before the Reverse Stock Split are divided by the exchange ratio of 10:1, such that each ten shares of common stock were combined and reconstituted into one share of common stock effective December 8, 2022.

UPHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)

UPHEALTH, INC.
NON-GAAP FINANCIAL INFORMATION

Non-GAAP Financial Information

This press release includes financial measures that are not calculated in accordance with accounting principles generally accepted in the United States of America (GAAP). To supplement UpHealth’s condensed consolidated financial statements presented in accordance with GAAP, UpHealth presents investors with non-GAAP financial measures, including Adjusted EBITDA.

• Adjusted EBITDA consists of net income (loss) attributable to UpHealth, Inc., excluding depreciation and amortization; stock-based compensation; impairment of goodwill, intangible assets, and other long-lived assets; acquisition, integration, and transformation costs; other income (expense); income tax benefit (expense); net income (loss) attributable to noncontrolling interests; and other non-recurring charges to GAAP net income (loss) attributable to UpHealth, Inc. Other non-recurring charges to GAAP net income (loss) attributable to UpHealth, Inc. may include transaction expenses in connection with capital raising transactions (whether debt, equity or equity-linked) and acquisitions, whether or not consummated, purchase price adjustments, the cumulative effect of a change in accounting principles, or other expenses determined to be non-recurring.

UpHealth believes that the presentation of these non-GAAP financial measures provides important supplemental information to management and investors regarding financial and business trends relating to UpHealth’s financial condition and results of operations. Management believes that the items described above provide an additional measure of UpHealth’s operating results and facilitates comparisons of UpHealth’s core operating performance against prior periods and business model objectives. This information is provided to investors in order to facilitate additional analyses of past, present, and future operating performance and as a supplemental means to evaluate UpHealth’s ongoing operations. UpHealth believes that these non-GAAP financial measures are useful to investors in their assessment of UpHealth’s operating performance.

Adjusted EBITDA is not calculated in accordance with GAAP, and should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. You should not consider this measure in isolation or as a substitute for analysis of UpHealth’s results as reported under GAAP. UpHealth compensates for these limitations by prominently disclosing GAAP financial measures and providing investors with reconciliations from UpHealth’s GAAP operating results to the non-GAAP financial measures for the relevant periods.

The accompanying tables provide more details on the GAAP financial measures that are most directly comparable to the non-GAAP financial measures described above and the related reconciliations between these financial measures.

UPHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES(1)
(In thousands)

(1)See Non-GAAP Financial Information section for definitions of the Company’s non-GAAP financial measures.
(2)Amounts reflect acquisition, integration, and transformation costs and impairment of goodwill, intangible assets, and other long-lived assets from the condensed consolidated statements of operations, as well as other operating expenses considered to be non-recurring during the period.

UPHEALTH, INC.
SEGMENT INFORMATION AND RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES(1)
(In thousands)