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Catasys Announces 2019 Fourth Quarter Financial and Year-end Financial Results

Catasys, Inc. (NASDAQ: CATS) (“Catasys” or the “Company”), an AI and telehealth enabled, virtualized outpatient healthcare treatment company, today reported its financial results for the fourth quarter and year ended December 31, 2019. The Company provides big data-based analytics and predictive identification and engagement capabilities to health plans and their members through its OnTrak™ solution on the Catasys PRE™ (Predict-Recommend-Engage) platform.

Management Commentary

Mr. Terren Peizer, the Company’s Chairman and CEO, stated, “Entering 2020, Catasys is not only a leader in healthcare engagement when it comes to behavioral health and chronic disease but an advanced healthcare technology company possessing proprietary AI capabilities on the Catasys PRE platform that enable us to predict health conditions, recommend solutions, and engage broader populations in evidence-based programs. The OnTrak™ program is delivered through a multi-modal virtualized and scalable outpatient telehealth platform that improves member health, saves lives and lowers total cost of care. During the 2019 transitional year, continued program expansions with existing health plan partners and contracts with new partners significantly increased our effective outreach pool of eligible members as we continued to invest in our engagement team and care coaches, all of which helped drive enrollment growth and has us well positioned to support the exponential growth expected in 2020 and beyond.”

Mr. Peizer continued, “We are reiterating our previous guidance of $90.0 million of revenues for 2020. We anticipate enrollments will continue to ramp rapidly throughout 2020, which will support the significant revenue growth particularly in the second half of the year. Important to driving this growth has been our continued efforts to strengthen Catasys’ leadership team and Board of Directors. We were pleased to welcome Curt Medeiros as our President and Chief Operating Officer in December, who came to us following his service as President of Optum’s Advanced Data and Analytics at UnitedHealth, one of the premier healthcare analytics entities in the country. With his 20 years of industry experience in various operational and strategic roles and his proven ability to create and execute on growth initiatives, Curt will play a critical role in leading us through the next phase of our growth.”

Mr. Curt Medeiros, President and COO, stated, “We were pleased to see the continued positive momentum in our enrollment growth during the fourth quarter of 2019, which led to the Company achieving record revenues for the quarter and its $35.0 million GAAP revenue target for the year. This was largely due to our continued success at identifying, engaging and treating those suffering from co-occurring behavioral and medical health conditions. As we continue building upon existing relationships with health plan partners and forging new relationships, we anticipate our effective outreach pool of eligible lives will surpass 200,000 before the end of 2020, setting the foundation for continued exponential growth heading into 2021. Catasys is uniquely positioned with its unrivaled value proposition in the industry, extraordinary leadership and constant innovation with regards to technology, and we are ready and committed to delivering positive outcomes for as many members of our health plan partners as possible.”

Fourth Quarter 2019 Results:

  • Revenue for the fourth quarter of 2019 was $11.8 million, representing a 109% increase compared to the same period in 2018 and a 33% increase from prior quarter.
  • Operating loss for the fourth quarter of 2019 was ($7.0) million, yielding an operating loss margin of (60%), compared to an operating loss of ($1.2) million, yielding an operating loss margin of (21%) for the fourth quarter of 2018.
  • Net loss for the fourth quarter of 2019 was ($8.7) million, or a ($0.52) diluted net loss per share, compared to net loss of ($1.4) million, or a ($0.09) diluted net loss per share for the fourth quarter of 2018.
  • Non-GAAP net loss for the fourth quarter of 2019 was ($6.4) million, or a ($0.39) diluted net loss per share, compared to non-GAAP net loss of ($1.4) million, or a ($0.09) non-GAAP diluted net loss per share for the fourth quarter of 2018.

Fiscal Year 2019 Results:

  • Revenue for the full year of 2019 was $35.1 million, representing a 131% increase compared to the prior year.
  • Operating loss for the full year of 2019 was ($20.0) million, yielding an operating loss margin of (57%), compared to an operating loss of ($13.6) million, yielding an operating loss margin of (90%) for the full year of 2018.
  • Net loss for the full year of 2019 was ($25.7) million, or a ($1.56) diluted net loss per share, compared to net loss of ($14.2) million, or a ($0.89) diluted net loss per share for the fourth quarter of 2018.
  • Non-GAAP net loss for the full year of 2019 was ($18.9) million, or a ($1.15) diluted net loss per share, compared to net loss of ($12.2) million, or a ($0.76) diluted net loss per share for the full year of 2018.

2019 Fourth Quarter and Recent Operating Highlights

  • Total Outreach Pool of Eligible Lives increased to 156,000, representing a 280% increase year over year and an increase of 11% from prior quarter.
  • Effective Outreach Pool increased to 108,000, representing a 163% increase year over year and an increase of 6% from prior quarter. Total Effective Outreach Pool is defined as Total Eligible Lives from all of our health plans that we are actively engaging to enroll in our OnTrak program. In future periods, we will focus on Effective Outreach Pool, as opposed to Total Outreach Pool of Eligible Lives, as we believe it is more closely aligned with our market opportunity in the near future.
  • Net New Enrolled Members during the quarter was 1,589, representing an increase of 349% year over year and an increase of 9% from prior quarter.
  • Catasys expanded its OnTrak-A solution with a leading national health plan into California. As of January 31, 2020, eligible commercial members of this health plan in California have access to critical behavioral healthcare to help them better manage chronic disease.
  • Catasys announced the expansion of its OnTrak-A solution with a leading national health plan to eligible commercial and Medicare Advantage members in Colorado, Washington, D.C., Virginia and Louisiana beginning March 20, 2020. With these expansions into Colorado and Washington, D.C., OnTrak is now available in 28 states, as well as the nation’s capital.
  • Mr. Curt Medeiros joined Catasys as President and Chief Operating Officer. Mr. Medeiros brings over 20 years of healthcare and life science experience, most recently as President of OPTUM Advanced Data and Analytics at UnitedHealth Group.
  • Mr. Gus Giraldo joined the Board of Directors. Mr. Giraldo currently serves as Centene’s Managing Director, International.
  • Mr. Brian Kelly was appointed to the newly created position of Senior Executive Vice President, Product Portfolio. Mr. Kelly brings 25 years of healthcare experience including executive leadership at several large reputable healthcare organizations, strong growth orientation, and in-depth knowledge of healthcare data and analytics.

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, 2020, the Company provides the following outlook:

  • Revenues of at least $90 million in 2020, representing year-over-year growth of 156% from revenues for 2019.

Conference Call – Thursday, March 12, 2020 – 4:30 pm ET

The Company will host a conference call/webcast on Thursday, March 12, 2020, at 4:30 pm ET/1:30 pm PT.

Investors, analysts, employees and the public are invited to listen to the conference call via:

Conference Call
877-705-2969 (domestic) or 201-689-8868 (international)

Webcast
https://78449.themediaframe.com/dataconf/productusers/cats/mediaframe/35836/indexl.html

Those who are unable to attend the conference call live can use the following information to hear a replay version:

Conference ID#:

13672721

Conference Call Replay:

877-660-6853 (domestic) or 201-612-7415 (international)

Expiration Date:

3/19/2020

About Catasys, Inc.

Catasys, Inc. is a leading AI and technology-enabled healthcare company whose mission is to help improve the health and save the lives of as many people as possible. Its Catasys PRE™ (Predict-Recommend-Engage) platform predicts people whose chronic disease will improve with behavior change, recommends effective care pathways that people are willing to follow, and engages people who aren’t getting the care they need. By combining predictive analytics with human engagement, Catasys delivers improved member health and validated outcomes and savings to healthcare payers.

Catasys’ integrated, technology-enabled OnTrak solution, a critical component of the Catasys PRE platform, is designed to treat members with behavioral conditions that cause or exacerbate chronic medical conditions such as diabetes, hypertension, coronary artery disease, COPD, and congestive heart failure, which result in high medical costs.

Catasys has a unique ability to engage these members, who do not otherwise seek behavioral healthcare, leveraging proprietary enrollment capabilities built on deep insights into the drivers of care avoidance.

OnTrak integrates evidence-based psychosocial and medical interventions delivered either in-person or via telehealth, along with care coaching and in-market Community Care Coordinators who address the social and environmental determinants of health, including loneliness. The program improves member health and delivers validated cost savings to healthcare payers of more than 50 percent for enrolled members. OnTrak is available to members of leading national and regional health plans in 28 states and in Washington, D.C.

Learn more at www.catasys.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. 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, 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, lack of outcomes and statistically significant formal research studies, difficulty enrolling new members and maintaining existing members in our programs, the risk that treatment programs might not be effective, difficulty in developing, exploiting and protecting proprietary technologies, intense competition and substantial regulation in the health care industry, the risks associated with the adequacy of our existing cash resources and our ability to continue as a going concern, our ability to raise additional capital when needed and our liquidity. You are urged to consider statements that include the words "may," "will," "would," "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 condensed 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 measure include non-GAAP net loss and non-GAAP net loss per share, which exclude, for the periods in which they are presented, one-time debt termination costs and write-off of debt issuance costs.

The Company’s management uses these non-GAAP financial measures and other key metrics internally in analyzing its financial results and believes they are useful to investors, as a supplement to the corresponding GAAP measures, in evaluating the Company’s ongoing operational performance and trends. Non-GAAP financial measures should not be considered in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. The Company believes that the following non-GAAP adjustments are useful to management and investors for the following reasons:

  • Stock-based compensation. The Company excludes stock-based compensation expense because it is non-cash in nature, and management believes that its exclusion provides additional insight into the Company’s operational performance and also provides a useful comparison of the Company’s operating results to prior periods and its peer companies. Additionally, determining the fair value of certain stock-based awards involves a high degree of judgment and estimation and the expense recorded may bear little resemblance to the actual value realized upon the vesting or future exercise of such awards.
  • Debt issuance write off. The Company excludes debt issuance costs write off because the expense is a non-cash expense and is not indicative of its continuing operations and believes that the exclusion of these costs provides investors with a supplemental view of the Company’s operational performance.
 

CATASYS, INC.
Consolidated Statements of Operations
(in thousands, except per share data)

 

For the Three Months

Ended
December 31,

For the Year
Ended
December 31,

2019

2018

2019

2018

Revenue

$

11,758

$

5,624

$

35,095

$

15,177

Cost of revenue

6,897

2,654

20,408

11,119

Gross profit

4,861

2,970

14,687

4,058

Operating expenses

11,858

4,157

34,701

17,684

Operating loss

(6,997)

(1,187)

(20,014)

(13,626)

Other income (expense)

(2,538)

40

Interest expense

(1,665)

(292)

(3,047)

(570)

Change in fair value of warrant liability

(21)

38

(60)

(56)

Net loss

$

(8,683)

$

(1,441)

$

(25,659)

$

(14,212)

Net loss per share, basic and diluted

$

(0.52)

$

(0.09)

$

(1.56)

$

(0.89)

Weighted-average shares used to compute basic and diluted net loss per share

16,590

16,091

16,418

15,955

 

CATASYS, INC.
Consolidated Balance Sheets
(in thousands, except share and per share data)

 

December 31,
2019

December 31,
2018

Assets

Current assets:

Cash, cash equivalents and restricted cash

$

13,610

$

3,162

Receivables, net

3,615

1,382

Unbilled receivables

2,093

Prepaid expenses and other current assets

1,074

1,108

Total current assets

20,392

5,652

Long-term assets:

Property and equipment, net

150

263

Restricted cash, long-term

408

408

Deferred commissions

112

Right-of-use assets

2,793

Total assets

$

23,855

$

6,323

Liabilities and stockholders' deficit

Current liabilities:

Accounts payable

$

1,385

$

497

Accrued compensation and benefits

3,640

1,537

Deferred revenue

5,803

4,195

Current portion of lease liabilities

519

Other accrued liabilities

2,060

1,501

Warrant liabilities

691

86

Total current liabilities

14,098

7,816

Long-term liabilities:

Long-term debt, net

31,597

7,472

Long-term lease liabilities

2,069

Total liabilities

47,764

15,288

Stockholders' deficit:

Preferred stock, $0.0001 par value; 50,000,000 shares authorized; no shares issued and outstanding

Common stock, $0.0001 par value; 500,000,000 shares authorized; 16,585,199 and 16,185,146
shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively

2

2

Additional paid-in capital

307,402

296,688

Accumulated deficit

(331,313)

(305,655)

Total stockholders' deficit

(23,909)

(8,965)

Total liabilities and stockholders' deficit

$

23,855

$

6,323

 

CATASYS, INC.
Consolidated Statements of Cash Flows
(in thousands)

 

For the Year Ended
December 31,

2019

2018

Cash flows used in operating activities

Net loss

$

(25,659)

$

(14,212)

Adjustments to reconcile net loss to net cash used in operating activities:

Stock-based compensation expense

5,210

2,056

Write-off of debt issuance costs

1,505

Depreciation

133

288

Amortization

696

187

Warrants issued for services

43

86

Change in fair value of warrants

60

56

Common stock issued for consulting services

112

Loss on disposal of fixed assets

70

Deferred rent

(26)

(91)

Changes in operating assets and liabilities:

Accounts payable

888

893

Leases liabilities

684

Other accrued liabilities

2,529

Prepaids and other current assets

(246)

(311)

Deferred revenue

1,608

3,163

Receivables

(2,233)

(871)

Unbilled receivables

(2,093)

Net cash used in operating activities

(16,901)

(8,574)

Cash flows provided by investing activities

Purchases of property and equipment

(9)

Deposits and other assets

71

Net cash provided by investing activities

62

Cash flows provided by financing activities

Proceeds from secured promissory note

7,500

Proceeds from revolving loan

7,500

Repayment of revolving loan

(15,000)

Proceeds from A/R facility

1,938

Repayment of A/R facility

(1,938)

Proceeds from GS loan

36,527

Debt issuance costs

(2,813)

(317)

Debt termination related fees

(1,956)

Proceeds from warrant exercise

1,128

150

Proceeds from options exercise

1,894

Capital lease obligations

69

(30)

Net cash provided by financing activities

27,349

7,303

Net increase in cash and restricted cash

10,448

(1,209)

Cash and restricted cash at beginning of period

3,570

4,779

Cash and restricted cash at end of period

$

14,018

$

3,570

Supplemental disclosure of cash flow information:

Right of use asset obtained in exchange for lease obligation

$

2,574

$

Interest paid

859

363

Financing and investing activities:

Warrant issued in connection with A/R facility

$

$

64

Warrant issued in connection with GS facility

2,354

Reclassification of warrant liability to equity upon amendment of the loan agreement

86

 

CATASYS, INC.
Reconciliation of Net Loss to Non-GAAP Net Loss and Net Loss per Share to Non-GAAP Net Loss per Share
(in thousands, except share and per share data)

 

For the Three Months Ended
December 31,

For the Year Ended
December 31,

2019

2018

2019

2018

Net loss

$

(8,683)

$

(1,441)

$

(25,659)

$

(14,212)

Adjustments to net loss

Stock-based compensation

2,263

32

5,210

$

2,056

Write off debt issuance costs

1,505

Total adjustments to net loss

2,263

32

6,715

2,056

Non-GAAP net loss

$

(6,420)

$

(1,409)

$

(18,944)

$

(12,156)

Non-GAAP basic and diluted net loss per share

$

(0.39)

$

(0.09)

$

(1.15)

$

(0.76)

Weighted-average common shares outstanding, basic and diluted

16,590

$

16,091

16,418

$

15,955

Non-GAAP weighted-average common shares outstanding, diluted

16,590

$

16,091

16,418

$

15,955

Contacts:

For Investors:
Catasys, Inc.
Ariel Davis
Phone: 310-444-4346
Email: ariel@catasys.com

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