Full Press Release Details
Reports Fourth Quarter 2024 Results
| Consolidated revenues increased 43% year-over-year to $64.3 million with telehealth revenue up 60% | ||
| Adjusted EBITDA increased 78% to $9.0 million | ||
| Telehealth adjusted EBITDA increased 396% to $5.9 million | ||
| Full-year cash flow from operations increased 99% to $17.5 million and generated positive full-year net cash flow | ||
| Exited 2024 with over $35 million in cash | ||
| Introduces 2025 guidance for consolidated revenue of $265 million to $275 million and consolidated adjusted EBITDA of $30 million to $32 million |
call begins at 4:30 p.m. Eastern time today
YORK, March 10, 2025 - LifeMD,
Inc. (Nasdaq: LFMD), a leading provider of virtual primary care services, today reported
financial results for the three and 12 months ended December 31, 2024.
had a great fourth quarter. We not only achieved record quarterly revenue and adjusted EBITDA but continued to accelerate growth across
our core telehealth brands. We are especially pleased with the growth of our weight management program. While GLP-1 market dynamics
continue to change with semaglutide coming off shortage, the quality of synchronous care we provide positions and differentiates LifeMD.
We have a comprehensive care platform, which includes our pharmacy benefits infrastructure that helps patients access branded GLP-1 medications.
In addition, our Medicare launch is slated for April 1 and could be a significant growth driver for our weight management program as
we expect Medicare ultimately will cover GLP-1 medications for eligible beneficiaries. Further, we recently announced integration with LillyDirect
to provide another more affordable route to Zepbound for patients who don't have coverage through insurance," said Justin
Schreiber, Chairman and CEO of LifeMD. "We also are pleased with the uptake of Rex MD's Hormone Replacement Therapy offering.
We have begun laying the groundwork for the launch of our virtual-first behavioral health offering followed by a women's
health specialty offering later this year. We remain laser focused on building the highest quality virtual care platform in
the United States that is transparent, affordable and accessible to everyone."
had an exceptionally strong quarter with top- and bottom-line growth led by our core telehealth business. Telehealth achieved 60% year-over-year
growth on a standalone basis, while our telehealth adjusted EBITDA increased 396% to $5.9 million. Our consolidated adjusted EBITDA
was a record $9.0 million. Also, I am pleased to report that the WorkSimpli business returned to growth on both a sequential and
year-over-year basis and their adjusted EBITDA exceeded $1 million per month during the quarter, in line with our previously guided
expectations," commented Marc Benathen, Chief Financial Officer of LifeMD. "We entered 2025 well positioned for another year
of record growth and profitability. As such, we are introducing 2025 guidance for consolidated revenue of $265 million to $275 million
and consolidated adjusted EBITDA of $30 million to $32 million."
Quarter Financial Highlights
comparisons are with the fourth quarter of 2023.
| Consolidated revenue increased 43% to $64.3 million with telehealth revenue up 60%. | ||
| Telehealth active subscribers increased 27% to approximately 275,000 at quarter-end. |
| WorkSimpli active subscribers increased 3% to approximately 164,000 at quarter-end and increased sequentially by approximately 3,000 subscribers. | ||
| Gross margin was 85% compared with 88% due to one-time start-up costs with a new pharmacy and revenue mix changes. We expect gross margin to return to a range of 88% to 90% in 2025. | ||
| GAAP net loss was $0.9 million or $0.02 per share, compared with $4.5 million or $0.12 per share. | ||
| Adjusted EBITDA was $9.0 million compared with $5.0 million (see definition below of this non-GAAP financial measure and reconciliation to GAAP). | ||
| The telehealth business achieved adjusted EBITDA profitability of $5.9 million compared with $1.2 million (see definition below of this non-GAAP financial measure and reconciliation to GAAP). | ||
| Adjusted diluted EPS was $0.21 compared with $0.14 (see definition below of this non-GAAP financial measure and reconciliation to GAAP). | ||
| Cash was $35.0 million as of December 31, 2024. |
Year Financial Highlights
comparisons are with the full year of 2023.
| Consolidated revenue increased 39% to $212.5 million with telehealth revenue up 61%. | ||
| Gross margin was 89% compared with 88%. | ||
| GAAP net loss was $22.0 million or $0.53 per share, compared with $23.7 million or $0.70 per share. | ||
| Adjusted EBITDA was $14.4 million compared with $11.2 million (see definition below of this non-GAAP financial measure and reconciliation to GAAP). | ||
| The telehealth business achieved adjusted EBITDA of $7.4 million compared with a loss of $5.2 million (see definition below of this non-GAAP financial measure and reconciliation to GAAP). | ||
| Adjusted diluted EPS was $0.35 compared with $0.32 (see definition below of this non-GAAP financial measure and reconciliation to GAAP). |
Quarter Key Performance Metrics
| ($ in 000s) | Three Months Ended Dec 31, | Y-o-Y | ||||||||||
| Key Performance Metrics | 2024 | 2023 | % Growth | |||||||||
| Revenue | ||||||||||||
| Telehealth | $ | 49,889 | $ | 31,256 | 60 | % | ||||||
| WorkSimpli | $ | 14,365 | $ | 13,604 | 6 | % | ||||||
| Total Revenue | $ | 64,254 | $ | 44,860 | 43 | % | ||||||
| Active Subscribers | ||||||||||||
| Telehealth Active Subscribers | 275,267 | 217,171 | 27 | % | ||||||||
| WorkSimpli Active Subscribers | 163,743 | 158,363 | 3 | % | ||||||||
| Total Active Subscribers | 439,010 | 375,534 | 17 | % |
the first quarter of 2025, the Company expects:
| Total revenue in the range of $61 million to $63 million, with telehealth revenue in the range of $48 million to $49 million. | ||
| Adjusted EBITDA in the range of $5 million to $7 million, with telehealth adjusted EBITDA in the range of $3 million to $4 million. |
the full year 2025, the Company expects:
| Total revenue in the range of $265 million to $275 million, with telehealth revenue in the range of $205 million to $213 million. | ||
| Adjusted EBITDA in the range of $30 million to $32 million, with telehealth adjusted EBITDA of approximately $20 million. |
management will host a conference call today at 4:30 p.m. Eastern time to discuss the Company's financial results and outlook,
and answer questions. Details for the call are as follows:
| Toll-free dial-in number: | 800-225-9448 | |
| International dial-in number: | 203-518-9708 | |
| Conference ID: | LIFEMD | |
| Live & Archived Webcast: | Link |
live and archived webcast will be available in the Investors section of the Company's website at ir.lifemd.com.
is a leading provider of virtual primary care. LifeMD offers telemedicine, access to laboratory and pharmacy services, and
specialized treatment across more than 200 conditions, including primary care, men's and women's health, weight management,
and hormone therapy. The Company leverages a vertically integrated, proprietary digital care platform, a 50-state affiliated medical
group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center to increase access to high-quality and affordable
care. For more information, please visit LifeMD.com.
Note Regarding Forward Looking Statements
news release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended; Section
21E of the Securities Exchange Act of 1934, as amended; and the safe harbor provision of the U.S. Private Securities Litigation Reform
Act of 1995. Forward-looking statements contained in this news release may be identified by the use of words such as: "believe,"
"expect," "anticipate," "project," "should," "plan," "will,"
"may," "intend," "estimate," predict," "continue," and "potential,"
or, in each case, their negative or other variations or comparable terminology referencing future periods. Examples of forward-looking
statements include, but are not limited to, statements regarding our financial outlook and guidance, short and long-term business performance
and operations, future revenues and earnings, regulatory developments, legal events or outcomes, ability to comply with complex and evolving
regulations, market conditions and trends, new or expanded products and offerings, growth strategies, underlying assumptions, and the
effects of any of the foregoing on our future results of operations or financial condition.
statements are not historical facts and are not assurances of future performance. Rather, these statements are based on our current expectations,
beliefs, and assumptions regarding future plans and strategies, projections, anticipated and unanticipated events and trends, the economy,
and other future conditions, including the impact of any of the aforementioned on our future business. As forward-looking statements
relate to the future, they are subject to inherent risk, uncertainties, and changes in circumstances and assumptions that are difficult
to predict, including some of which are out of our control. Consequently, our actual results, performance, and financial condition may
differ materially from those indicated in the forward-looking statements. These risks and uncertainties include, but are not limited
to, "Risk Factors" identified in our filings with the Securities and Exchange Commission, including, but not limited to,
our most recently filed Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, and any amendments thereto. Even if our actual results,
performance, or financial condition are consistent with forward-looking statements contained in such filings, they may not be indicative
of our actual results, performance, or financial condition in subsequent periods.
forward-looking statement made in the news release is based on information currently available to us as of the date on which this release
is made. We undertake no obligation to update or revise any forward-looking statement, whether as a result of new information, future
events, or otherwise, except as may be required under applicable law or regulation.
Benathen, Chief Financial Officer
Friedeman, Chief Marketing Officer
| December 31, 2024 | December 31, 2023 | |||||||
| ASSETS | ||||||||
| Current Assets | ||||||||
| Cash | $ | 35,004,924 | $ | 33,146,725 | ||||
| Accounts receivable, net | 8,217,813 | 5,277,250 | ||||||
| Product deposit | 40,763 | 485,850 | ||||||
| Inventory, net | 2,797,358 | 2,759,932 | ||||||
| Other current assets | 2,672,231 | 934,510 | ||||||
| Total Current Assets | 48,733,089 | 42,604,267 | ||||||
| Non-current Assets | ||||||||
| Equipment, net | 1,479,184 | 476,303 | ||||||
| Right of use assets | 6,400,596 | 594,897 | ||||||
| Capitalized software, net | 13,816,501 | 11,795,979 | ||||||
| Intangible assets, net | 2,030,656 | 3,009,263 | ||||||
| Total Non-current Assets | 23,726,937 | 15,876,442 | ||||||
| Total Assets | $ | 72,460,026 | $ | 58,480,709 | ||||
| LIABILITIES, MEZZANINE EQUITY AND STOCKHOLDERS' (DEFICIT) EQUITY | ||||||||
| Current Liabilities | ||||||||
| Accounts payable | $ | 16,009,484 | $ | 11,084,855 | ||||
| Accrued expenses | 20,811,763 | 13,937,494 | ||||||
| Notes payable, net | - | 327,597 | ||||||
| Current operating lease liabilities | 508,537 | 603,180 | ||||||
| Current portion of long-term debt | 8,444,444 | - | ||||||
| Deferred revenue | 14,480,917 | 8,828,598 | ||||||
| Total Current Liabilities | 60,255,145 | 34,781,724 | ||||||
| Long-term Liabilities | ||||||||
| Long-term debt, net | 9,885,057 | 17,927,727 | ||||||
| Noncurrent operating lease liabilities | 6,265,192 | 73,849 | ||||||
| Contingent consideration | 100,000 | 131,250 | ||||||
| Total Liabilities | 76,505,394 | 52,914,550 | ||||||
| Commitments and Contingencies | ||||||||
| Mezzanine Equity | ||||||||
| Preferred Stock, $0.0001 par value; 5,000,000 shares authorized Series B Convertible Preferred Stock, $0.0001 par value; 5,000 shares authorized, zero shares issued and outstanding, liquidation value, $0 per share as of December 31, 2024 and 2023 | - | - | ||||||
| Stockholders' (Deficit) Equity | ||||||||
| Series A Preferred Stock, $0.0001 par value; 1,610,000 shares authorized, 1,400,000 shares issued and outstanding, liquidation value approximately $25.55 per share as of December 31, 2024 and 2023 | 140 | 140 | ||||||
| Common Stock, $0.01 par value; 100,000,000 shares authorized, 42,293,907 and 38,358,641 shares issued, 42,190,867 and 38,255,601 outstanding as of December 31, 2024 and 2023, respectively | 422,939 | 383,586 | ||||||
| Additional paid-in capital | 230,508,339 | 217,550,583 | ||||||
| Accumulated deficit | (236,253,218 | ) | (214,265,236 | ) | ||||
| Treasury stock, 103,040 shares, at cost, as of December 31, 2024 and 2023 | (163,701 | ) | (163,701 | ) | ||||
| Total LifeMD, Inc. Stockholders' (Deficit) Equity | (5,485,501 | ) | 3,505,372 | |||||
| Non-controlling interest | 1,440,133 | 2,060,787 | ||||||
| Total Stockholders' (Deficit) Equity | (4,045,368 | ) | 5,566,159 | |||||
| Total Liabilities, Mezzanine Equity and Stockholders' (Deficit) Equity | $ | 72,460,026 | $ | 58,480,709 |
STATEMENTS OF OPERATIONS
| Fourth Quarter Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2024 | 2023 | 2024 | 2023 | |||||||||||||
| Revenues | ||||||||||||||||
| Telehealth revenue, net | $ | 49,889,374 | $ | 31,256,199 | $ | 158,438,631 | $ | 98,152,919 | ||||||||
| WorkSimpli revenue, net | 14,365,198 | 13,603,648 | 54,015,207 | 54,394,087 | ||||||||||||
| Total revenues, net | 64,254,572 | 44,859,847 | 212,453,838 | 152,547,006 | ||||||||||||
| Cost of revenues | ||||||||||||||||
| Cost of telehealth revenue | 8,391,484 | 4,954,646 | 21,440,799 | 17,480,533 | ||||||||||||
| Cost of WorkSimpli revenue | 1,038,362 | 400,913 | 2,627,680 | 1,419,931 | ||||||||||||
| Total cost of revenues | 9,429,846 | 5,355,559 | 24,068,479 | 18,900,464 | ||||||||||||
| Gross profit | 54,824,726 | 39,504,288 | 188,385,359 | 133,646,542 | ||||||||||||
| Expenses | ||||||||||||||||
| Selling and marketing expenses | 25,855,545 | 20,389,121 | 103,020,025 | 76,451,466 | ||||||||||||
| General and administrative expenses | 19,909,060 | 15,573,509 | 72,662,021 | 51,694,232 | ||||||||||||
| Customer service expenses | 2,831,985 | 2,058,549 | 10,217,654 | 7,632,283 | ||||||||||||
| Development costs | 2,410,653 | 1,998,015 | 9,512,308 | 6,060,513 | ||||||||||||
| Other operating expenses | 2,799,241 | 1,656,631 | 9,118,032 | 6,297,321 | ||||||||||||
| Total expenses | 53,806,484 | 41,675,825 | 204,530,040 | 148,135,815 | ||||||||||||
| Operating income (loss) | 1,018,242 | (2,171,537 | ) | (16,144,681 | ) | (14,489,273 | ) | |||||||||
| Other expenses | ||||||||||||||||
| Interest expense, net | (614,074 | ) | (622,685 | ) | (2,181,817 | ) | (2,596,586 | ) | ||||||||
| Loss on debt extinguishment | - | - | - | (325,198 | ) | |||||||||||
| Net income (loss) before income taxes | 404,168 | (2,794,222 | ) | (18,326,498 | ) | (17,411,057 | ) | |||||||||
| Income tax expense | (169,477 | ) | (428,000 | ) | (402,000 | ) | (428,000 | ) | ||||||||
| Net income (loss) | 234,691 | (3,222,222 | ) | (18,728,498 | ) | (17,839,057 | ) | |||||||||
| Net income attributable to noncontrolling interests | 340,963 | 509,880 | 153,234 | 2,756,935 | ||||||||||||
| Net loss attributable to LifeMD, Inc. | (106,272 | ) | (3,732,102 | ) | (18,881,732 | ) | (20,595,992 | ) | ||||||||
| Preferred stock dividends | (776,562 | ) | (776,562 | ) | (3,106,250 | ) | (3,106,250 | ) | ||||||||
| Net loss attributable to LifeMD, Inc. common stockholders | $ | (882,834 | ) | $ | (4,508,664 | ) | $ | (21,987,982 | ) | $ | (23,702,242 | ) | ||||
| Basic loss per share attributable to LifeMD, Inc. common stockholders | $ | (0.02 | ) | $ | (0.12 | ) | $ | (0.53 | ) | $ | (0.70 | ) | ||||
| Diluted loss per share attributable to LifeMD, Inc. common stockholders | $ | (0.02 | ) | $ | (0.12 | ) | $ | (0.53 | ) | $ | (0.70 | ) | ||||
| Weighted average number of common shares outstanding: | ||||||||||||||||
| Basic | 42,205,767 | 36,710,746 | 41,196,292 | 33,905,155 | ||||||||||||
| Diluted | 42,205,767 | 36,710,746 | 41,196,292 | 33,905,155 |
STATEMENTS OF CASH FLOWS
| Fourth Quarter Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2024 | 2023 | 2024 | 2023 | |||||||||||||
| CASH FLOWS FROM OPERATING ACTIVITIES | ||||||||||||||||
| Net income (loss) | $ | 234,691 | $ | (3,222,222 | ) | $ | (18,728,498 | ) | $ | (17,839,057 | ) | |||||
| Adjustments to reconcile net loss to net cash provided by operating activities: | ||||||||||||||||
| Amortization of debt discount | 100,444 | 100,444 | 401,775 | 333,939 | ||||||||||||
| Amortization of capitalized software | 2,136,248 | 1,637,094 | 8,021,141 | 5,424,810 | ||||||||||||
| Amortization of intangibles | 244,569 | 245,968 | 982,405 | 971,464 | ||||||||||||
| Accretion of consideration payable | - | 18,740 | 13,644 | 167,221 | ||||||||||||
| Depreciation of fixed assets | 166,278 | 57,666 | 487,976 | 203,952 | ||||||||||||
| Write-down of inventory | 675,669 | 537,685 | 675,669 | 537,685 | ||||||||||||
| Loss on debt extinguishment | - | - | - | 325,198 | ||||||||||||
| Noncash operating lease expense | 247,042 | 204,207 | 776,080 | 766,280 | ||||||||||||
| Stock issued for legal settlement | - | - | - | 532,000 | ||||||||||||
| Stock compensation expense | 3,104,956 | 3,645,607 | 12,234,797 | 12,489,343 | ||||||||||||
| Changes in Assets and Liabilities | ||||||||||||||||
| Accounts receivable | (2,168,312 | ) | (858,668 | ) | (2,940,563 | ) | (2,442,500 | ) | ||||||||
| Product deposit | 95,992 | (401,082 | ) | 445,087 | (358,585 | ) | ||||||||||
| Inventory | (827,584 | ) | 493,029 | (713,095 | ) | 405,746 | ||||||||||
| Other current assets | (434,226 | ) | 369,450 | (1,737,721 | ) | (247,488 | ) | |||||||||
| Operating lease liabilities | (38,397 | ) | (218,624 | ) | (485,079 | ) | (808,368 | ) | ||||||||
| Deferred revenue | (1,909,624 | ) | 2,589,244 | 5,652,319 | 3,281,092 | |||||||||||
| Accounts payable | 142,015 | 1,447,465 | 4,924,629 | 978,062 | ||||||||||||
| Accrued expenses | (201,412 | ) | (932,373 | ) | 7,502,624 | 4,678,757 | ||||||||||
| Other operating activity | - | - | - | (579,319 | ) | |||||||||||
| Net cash provided by operating activities | 1,568,349 | 5,713,630 | 17,513,190 | 8,820,232 | ||||||||||||
| CASH FLOWS FROM INVESTING ACTIVITIES | ||||||||||||||||
| Cash paid for capitalized software costs | (2,495,317 | ) | (2,107,307 | ) | (10,041,663 | ) | (8,380,602 | ) | ||||||||
| Purchase of equipment | (225,410 | ) | (109,332 | ) | (1,490,857 | ) | (203,814 | ) | ||||||||
| Purchase of intangible assets | - | - | (3,798 | ) | (148,868 | ) | ||||||||||
| Net cash used in investing activities | (2,720,727 | ) | (2,216,639 | ) | (11,536,318 | ) | (8,733,284 | ) | ||||||||
| CASH FLOWS FROM FINANCING ACTIVITIES | ||||||||||||||||
| Proceeds from long-term debt, net | - | - | - | 19,466,887 | ||||||||||||
| Proceeds from common stock issued to Medifast | - | 10,000,000 | - | 10,000,000 | ||||||||||||
| Proceeds from notes payable | - | - | - | 2,347,691 | ||||||||||||
| Sale of common stock under ATM, net | - | 5,303,092 | - | 6,202,659 | ||||||||||||
| Repayment of notes payable, net of prepayment penalty | - | (98,626 | ) | (327,597 | ) | (5,142,542 | ) | |||||||||
| Cash proceeds from exercise of options | 12,499 | 94,500 | 120,312 | 94,500 | ||||||||||||
| Preferred stock dividends | (776,562 | ) | (776,562 | ) | (3,106,250 | ) | (3,106,250 | ) | ||||||||
| Contingent consideration payment for ResumeBuild | - | (125,000 | ) | (31,250 | ) | (312,500 | ) | |||||||||
| Net payments for membership interest of WorkSimpli | - | - | - | (305,625 | ) | |||||||||||
| Distributions to non-controlling interest | (665,888 | ) | (36,000 | ) | (773,888 | ) | (144,000 | ) | ||||||||
| Net cash (used in) provided by financing activities | (1,429,951 | ) | 14,361,404 | (4,118,673 | ) | 29,100,820 | ||||||||||
| Net (decrease) increase in cash | (2,582,329 | ) | 17,858,395 | 1,858,199 | 29,187,768 | |||||||||||
| Cash at beginning of period | 37,587,253 | 15,288,330 | 33,146,725 | 3,958,957 | ||||||||||||
| Cash at end of period | $ | 35,004,924 | $ | 33,146,725 | $ | 35,004,924 | $ | 33,146,725 | ||||||||
| Cash paid for interest | ||||||||||||||||
| Cash paid during the period for interest | $ | 614,993 | $ | 663,212 | $ | 2,528,042 | $ | 2,148,454 | ||||||||
| Non-cash investing and financing activities: | ||||||||||||||||
| Cashless exercise of options | $ | - | $ | - | $ | 5,127 | $ | 744 | ||||||||
| Cashless exercise of warrants | $ | - | $ | 793 | $ | 16,305 | $ | 793 | ||||||||
| Stock issued for noncontingent consideration payments | $ | - | $ | 642,000 | $ | 642,000 | $ | 2,568,000 | ||||||||
| Stock issued for debt conversion | $ | - | $ | 1,000,000 | $ | - | $ | 1,000,000 | ||||||||
| Series B Preferred Stock conversion | $ | - | $ | - | $ | - | $ | 5,072,814 | ||||||||
| Warrants issued for debt instruments | $ | - | $ | - | $ | - | $ | 873,100 | ||||||||
| Right of use assets | $ | (102,618 | ) | $ | - | $ | 6,581,779 | $ | 155,168 | |||||||
| Operating lease liabilities | $ | (102,618 | ) | $ | - | $ | 6,581,779 | $ | 155,168 |
the Use of Non-GAAP Financial Measures:
supplement our financial information presented in accordance with GAAP, we use adjusted EBITDA and adjusted EPS as non-GAAP financial
measures to clarify and enhance an understanding of past performance. Additionally, we report telehealth adjusted EBITDA as a non-GAAP
financial measure to clarify the financial performance of our core telehealth business excluding WorkSimpli. 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. We use certain financial measures for business planning purposes and in measuring our performance
relative to that of our competitors.
EBITDA is defined as income (loss) attributable to common shareholders before interest, taxes, depreciation, amortization, accretion,
financing transaction expense, non-controlling interests, foreign currency translation, extraordinary litigation costs, loss on debt
extinguishment, dividends, insurance acceptance and Sarbanes-Oxley readiness expenses, acquisition costs, severance expenses and stock-based
compensation expense. We have provided below a reconciliation of adjusted EBITDA to net loss attributable to common shareholders, its
most directly comparable GAAP financial measure.
EPS is defined as the diluted net loss attributable to LifeMD, Inc common shareholders before interest, taxes, depreciation, amortization,
accretion, financing transaction expense, non-controlling interests, foreign currency translation, extraordinary litigation costs, loss
on debt extinguishment, dividends, insurance acceptance and Sarbanes-Oxley readiness expenses, acquisition costs, severance expenses
and stock-based compensation expense. We have provided below a reconciliation of adjusted EPS to Diluted loss per share attributable
to LifeMD, Inc common shareholders, its most directly comparable GAAP financial measure.
and WorkSimpli adjusted EBITDA is defined as segment operating income or loss before depreciation, amortization, accretion, financing
transaction expense, extraordinary litigation costs, insurance acceptance and Sarbanes-Oxley readiness expenses, acquisition costs, severance
expenses and stock-based compensation expense. We have provided below a reconciliation of segment operating income or loss to segment
believe the above financial measures are commonly used by investors to evaluate our performance and that of our competitors. However,
our use of the terms adjusted EBITDA and adjusted EPS may vary from that of others in our industry. Telehealth adjusted EBITDA is specifically