Accolade Announces Results for Fiscal Fourth Quarter and Full Year 2023

  • Fiscal fourth quarter 2023 revenue of $99.0 million, a 6% increase compared to fiscal fourth quarter 2022 revenue of $93.8 million 
  • Fiscal year 2023 revenue of $363.1 million, a 17% increase compared to fiscal 2022 revenue of $310.0 million

SEATTLE, April 27, 2023 (GLOBE NEWSWIRE) -- Accolade, Inc. (NASDAQ: ACCD) today announced financial results for the fiscal fourth quarter and full year ended February 28, 2023.

“Fiscal year 2023 marked a transformational time for Accolade, as we tightly integrated our acquisitions, greatly expanded our presence across the healthcare ecosystem, and delivered against our financial objectives. We demonstrated strength across the mix of bookings, signing a significant number of new customers and expanding existing relationships. We diversified our business across customer size and verticals, across solutions, and across distribution channels. We increased our footprint with our growing portfolio of offerings. And our competitive advantage continued to grow as evidenced by our win rate and the increasing number of customers who are purchasing more than one of our solutions as bundles. We enter fiscal year 2024 as a more streamlined organization carrying significant momentum on our path to creating the first nationwide, customer-obsessed healthcare delivery company,” said Rajeev Singh, Accolade Chief Executive Officer.

Financial Highlights for Fiscal Fourth Quarter and Fiscal Year ended February 28, 2023

                  
  Three Months Ended February 28, % Twelve Months Ended February 28, % 
     2023    2022    Change(3) 2023    2022    Change(3) 
  (in millions, except percentages)   (in millions, except percentages)   
GAAP Financial Data:                 
Revenue $99.0  $93.8  6 % $363.1  $310.0  17 % 
Net Loss(1) $(30.4) $(34.6) 12 % $(459.7) $(123.1) (273)% 
                  
Non-GAAP Financial Data(2):                 
Adjusted EBITDA $2.8  $1.8  56 % $(36.5) $(42.4) 14 % 
Adjusted Gross Profit $50.0  $51.0  (2)% $170.1  $144.2  18 % 
Adjusted Gross Margin  50.5 %  54.4 %    46.8 %  46.5 %   

(1) A non-cash goodwill impairment charge of $299.7 million was recorded during the year ended February 28, 2023.

(2) A reconciliation of GAAP to non-GAAP results has been provided in this press release in the accompanying Financial Tables. An explanation of these measures is also included below under the heading "Non-GAAP Financial Measures."

(3) Percentages are calculated from accompanying Financial Tables and may differ from percentage change of numbers in Financial Highlights table due to rounding.

Steve Barnes, Accolade Chief Financial Officer, commented, “Despite the macroeconomic pressures in fiscal 2023, Accolade delivered against our financial objectives, highlighted by more than 30% growth in new ARR bookings and similarly strong growth driven by our virtual primary care offering. We now serve more than 800 customers covering more than 12 million lives. The combination of that scale, our strong balance sheet, and the actions we took in February to align our organization and our cost structure, allows us to improve our expected Adjusted EBITDA loss by nearly 50% vs. our previous guidance, and bring us much closer to achieving positive cash flow.”

Financial Outlook

Accolade provides forward-looking guidance on revenue and Adjusted EBITDA, a non-GAAP financial measure.

For the fiscal first quarter ending May 31, 2023, we expect:

  • Revenue between $89 million and $91 million
  • Adjusted EBITDA between $(15) million and $(18) million

For the fiscal year ending February 29, 2024, we expect:

  • Revenue of approximately $410 million
  • Adjusted EBITDA between (2)% and (4)% of revenue, or $(8) million and $(16) million

Accolade has not reconciled guidance for Adjusted EBITDA to net loss, the most directly comparable GAAP measure, and has not provided forward-looking guidance for net loss, because there are items that may impact net loss, including stock-based compensation, that are not within the company’s control or cannot be reasonably predicted.

Quarterly Conference Call Details 

The company will host a conference call today, April 27, 2023 at 4:30 p.m. E.T. to discuss its financial results.  

To Listen via Telephone: Pre-registration is required by the conference call operator. Please pre-register by clicking here (https://register.vevent.com/register/BIe065384248b84c44a0c07c32b9820deb). Upon registering, you will be emailed a dial-in number, direct passcode and unique PIN. 
  
To Listen via Internet: The conference call can be accessed via a live audio webcast that will be available online at http://ir.accolade.com
  
Replay: A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at http://ir.accolade.com.

Forward-Looking Statements 

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and our financial outlook. Forward-looking statements are subject to risks and uncertainties and are based on potentially inaccurate assumptions that could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. In some cases, you can identify forward-looking statements because they contain words such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “maintain,” “might,” “likely,” “plan,” “potential,” “predict,” “project,” “seek,” “should,” “target,” “will,” “would,” or similar expressions and the negatives of those terms.

Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the risks described under the heading “Risk Factors” in Accolade’s most recently filed Annual Report on Form 10-K and subsequent filings, which should be read in conjunction with any forward-looking statements. All forward-looking statements in this press release are based on information available to Accolade as of the date hereof, and it does not assume any obligation to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.

About Accolade, Inc. 

Accolade (Nasdaq: ACCD) is a Personalized Healthcare company that provides millions of people and their families with exceptional healthcare experiences so they can live their healthiest lives. Accolade’s employer, health plan, and consumer solutions combine virtual primary care and mental health, expert medical opinion, and best-in-class care navigation. These offerings are built on a platform that is engineered to care through predictive engagement of population health needs, proactive care that improves outcomes and cost savings, and by addressing barriers to access and continuity of care. Accolade consistently receives consumer satisfaction ratings of over 90%. For more information, visit accolade.com. Follow us on LinkedInTwitter, Instagram and Facebook.

Investor Contact:

Todd Friedman, Investor Relations, IR@accolade.com

Media Contact:

Public Relations, Media@accolade.com

Source: Accolade

Financial Tables

Accolade, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets (unaudited)
(In thousands, except share and per share data)

       
             
  February 28,
  2023 2022
Assets        
Current assets:        
Cash and cash equivalents $321,083  $365,853 
Accounts receivable, net  23,435   21,116 
Unbilled revenue  3,260   9,685 
Current portion of deferred contract acquisition costs  4,022   3,015 
Prepaid and other current assets  14,149   9,468 
Total current assets  365,949   409,137 
Property and equipment, net  14,763   11,797 
Operating lease right-of-use assets  29,525   33,126 
Goodwill  278,191   577,896 
Intangible assets, net  203,202   244,690 
Deferred contract acquisition costs  9,815   7,205 
Other assets  1,624   1,678 
Total assets $903,069  $1,285,529 
Liabilities and stockholders’ equity        
Current liabilities:        
Accounts payable $10,155  $7,837 
Accrued expenses and other current liabilities  11,744   11,000 
Accrued compensation  39,346   39,189 
Due to customers  15,694   16,263 
Current portion of deferred revenue  35,191   30,875 
Current portion of operating lease liabilities  7,284   6,589 
Total current liabilities  119,414   111,753 
Loans payable, net of unamortized issuance costs  282,323   280,666 
Operating lease liabilities  27,189   32,486 
Other noncurrent liabilities  203   4,562 
Deferred revenue  154   268 
Total liabilities  429,283   429,735 
Commitments and contingencies      
Stockholders’ equity        
Common stock par value $0.0001; 500,000,000 shares authorized; 73,089,075 and 67,098,477 shares issued and outstanding at February 28, 2023 and 2022, respectively  7   7 
Additional paid‑in capital  1,428,073   1,350,431 
Accumulated deficit  (954,294)  (494,644)
Total stockholders’ equity  473,786   855,794 
Total liabilities and stockholders’ equity $903,069  $1,285,529 
 

Accolade, Inc. and Subsidiaries
Condensed Consolidated Statements of Operations (unaudited)
(In thousands, except share and per share data)

             
     Three Months Ended Twelve Months Ended
  February 28, February 28,
  2023 2022 2023 2022
  (in thousands) (in thousands)
Revenue $99,025  $93,756  $363,142  $310,021 
Cost of revenue, excluding depreciation and amortization  51,048   43,593   198,905   169,019 
Operating expenses:            
Product and technology  24,082   22,367   101,347   83,664 
Sales and marketing  23,540   23,631   99,113   86,765 
General and administrative  19,914   29,470   81,209   99,106 
Depreciation and amortization  11,628   11,641   46,377   42,608 
Goodwill impairment        299,705    
Change in fair value of contingent consideration     (7,134)     (45,416)
Total operating expenses  79,164   79,975   627,751   266,727 
Loss from operations  (31,187)  (29,812)  (463,514)  (125,725)
Interest income (expense), net  739   (768)  255   (2,905)
Other income (expense)  (36)  (114)  (15)  (133)
Loss before income taxes  (30,484)  (30,694)  (463,274)  (128,763)
Income tax benefit (expense)  51   (3,862)  3,624   5,639 
Net loss $(30,433) $(34,556) $(459,650) $(123,124)
Net loss per share, basic and diluted $(0.42) $(0.51) $(6.45) $(1.93)
Weighted‑average common shares outstanding, basic and diluted  72,075,136   67,301,856   71,279,831   63,823,270 
 

The following table summarizes the amount of stock-based compensation included in the condensed consolidated statements of operations:

             
     Three Months Ended Twelve Months Ended
  February 28, February 28,
  2023 2022 2023 2022
  (in thousands) (in thousands)
Cost of revenue $1,149 $866 $4,794 $3,197
Product and technology  5,950  5,253  24,995  18,744
Sales and marketing  4,503  3,787  17,275  12,822
General and administrative  6,233  17,206  25,580  38,176
Total stock‑based compensation $17,835 $27,112 $72,644 $72,939
 

Accolade, Inc. and Subsidiaries
Condensed Consolidated Statements of Cash Flows (unaudited)
(In thousands)

          
  Fiscal Year Ended February 28,
     2023    2022    2021
Cash flows from operating activities:            
Net loss $(459,650) $(123,124) $(50,652)
Adjustments to reconcile net loss to net cash used in operating activities:           
Goodwill impairment  299,705       
Depreciation and amortization expense  46,377   42,608   8,212 
Amortization of deferred contract acquisition costs  3,698   2,945   1,657 
Change in fair value of contingent consideration     (45,416)   
Deferred income taxes  (3,997)  (6,132)   
Noncash interest expense  1,660   1,673   2,252 
Stock‑based compensation expense  72,644   72,939   9,576 
Changes in operating assets and liabilities:         
Accounts receivable and unbilled revenue  4,106   (11,829)  (10,648)
Accounts payable and accrued expenses  1,131   (1,899)  2,991 
Deferred contract acquisition costs  (7,314)  (4,148)  (4,690)
Deferred revenue and due to customers  3,634   13,986   (2,700)
Accrued compensation  157   (2,519)  16,356 
Other liabilities  1,627   (106)  (505)
Other assets  (4,483)  (1,328)  2,919 
Net cash used in operating activities  (40,705)  (62,350)  (25,232)
Cash flows from investing activities:            
Capitalized software development costs  (5,123)  (1,096)  (374)
Purchases of property and equipment  (2,105)  (2,521)  (1,991)
Purchase of marketable securities     (99,998)   
Sale of marketable securities     99,998    
Cash paid for acquisitions, net of cash acquired     (259,996)   
Earnout payments to MD Insider        (58)
Net cash used in investing activities  (7,228)  (263,613)  (2,423)
Cash flows from financing activities:            
Proceeds from employee stock purchase plan  2,927   4,703   2,379 
Proceeds from stock option exercises  2,064   8,600   9,348 
Payment of contingent consideration for acquisition  (1,828)      
Payments of equity issuance costs     (60)   
Payment of debt issuance costs     (8,368)   
Payment for purchase of capped calls     (34,443)   
Proceeds from borrowings on debt     287,500   51,166 
Proceeds from public offerings, net of underwriters' discounts and commissions and offering costs        439,410 
Repayments of debt principal        (73,166)
Payments related to debt retirement        (753)
Net cash provided by financing activities  3,163   257,932   428,384 
Net increase (decrease) in cash and cash equivalents  (44,770)  (68,031)  400,729 
Cash and cash equivalents, beginning of period  365,853   433,884   33,155 
Cash and cash equivalents, end of period $321,083  $365,853  $433,884 
Supplemental cash flow information:            
Interest paid $1,640  $930  $2,296 
Issuance of stock options in lieu of cash bonus $  $  $5,735 
Fixed assets included in accounts payable $771  $161  $232 
Other receivable related to stock option exercises $13  $4  $97 
Income taxes paid $157  $122  $149 
Common stock issued in connection with acquisitions $  $455,586  $156 
Replacement awards issued in connection with acquisitions $  $6,729  $ 
             

Non-GAAP Financial Measures

In addition to our financial results determined in accordance with GAAP, we use the following non-GAAP financial measures to help us evaluate trends, establish budgets, measure the effectiveness and efficiency of our operations, and determine employee incentives. We believe that non-GAAP financial information, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool and should not be considered in isolation or as a substitute for financial information presented in accordance with GAAP. In addition, other companies, including companies in our industry, may calculate similarly-titled non-GAAP measures differently or may use other measures to evaluate their performance. A reconciliation is provided below for each non-GAAP financial measure to the most directly comparable financial measure stated in accordance with GAAP. Investors are encouraged to review the related GAAP financial measures and the reconciliation of these non-GAAP financial measures to their most directly comparable GAAP financial measures, and not to rely on any single financial measure to evaluate our business. In evaluating these non-GAAP financial measures, you should be aware that in the future we expect to incur expenses similar to the adjustments in this presentation. Our presentation of non-GAAP financial measures should not be construed as an inference that our future results will be unaffected by these expenses or any unusual or nonrecurring items.

Adjusted Gross Profit and Adjusted Gross Margin

Adjusted Gross Profit is a non-GAAP financial measure that we define as revenue less cost of revenue, excluding depreciation and amortization, and excluding stock-based compensation and severance costs. We define Adjusted Gross Margin as our Adjusted Gross Profit divided by our revenue. We believe Adjusted Gross Profit and Adjusted Gross Margin are useful to investors, as they eliminate the impact of certain noncash expenses and allow a direct comparison of these measures between periods without the impact of noncash expenses and certain other nonrecurring operating expenses.

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that we define as net income (loss) adjusted to exclude interest expense (income), net, income tax expense (benefit), depreciation and amortization, stock-based compensation, acquisition and integration-related costs, goodwill impairment, change in fair value of contingent consideration, severance costs, and other expense (income). Severance costs include severance payments related to the realignment of our resources. Other expense (income) includes foreign exchange gain or loss. We believe Adjusted EBITDA provides investors with useful information on period-to-period performance as evaluated by management and comparison with our past financial performance. We believe Adjusted EBITDA is useful in evaluating our operating performance compared to that of other companies in our industry, as this measure generally eliminates the effects of certain items that may vary from company to company for reasons unrelated to overall operating performance.

Adjusted Gross Profit, Adjusted Gross Margin and Adjusted EBITDA have certain limitations, including that they exclude the impact of certain non-cash charges, such as depreciation and amortization, whereas underlying assets may need to be replaced and result in cash capital expenditures, and stock-based compensation expense, which is a recurring charge.

The following table presents, for the periods indicated, a reconciliation of our revenue to Adjusted Gross Profit:

              
     Three Months Ended  Twelve Months Ended
  February 28,     February 28,
  2023 2022  2023 2022
  (in thousands, except percentages) (in thousands, except percentages)
Revenue $99,025  $93,756   $363,142  $310,021 
Less:               
Cost of revenue, excluding depreciation and amortization  (51,048)  (43,593)   (198,905)  (169,019)
Gross profit, excluding depreciation and amortization  47,977   50,163    164,237   141,002 
              
Add:              
Stock-based compensation, cost of revenue  1,149   866    4,794   3,197 
Severance costs, cost of revenue  911       1,025    
Adjusted Gross Profit $50,037  $51,029   $170,056  $144,199 
Gross margin, excluding depreciation and amortization  48.4 %  53.5 %   45.2 %  45.5 %
Adjusted Gross Margin  50.5 %  54.4 %   46.8 %  46.5 %

The following table presents, for the periods indicated, a reconciliation of our Adjusted EBITDA to our net income (loss):

             
     Three Months Ended Twelve Months Ended
  February 28, February 28,
  2023 2022 2023 2022
  (in thousands) (in thousands)
Net Loss $(30,433) $(34,556) $(459,650) $(123,124)
Adjusted for:             
Interest expense (income), net  (739)  768   (255)  2,905 
Income tax expense (benefit)  (51)  3,862   (3,624)  (5,639)
Depreciation and amortization  11,628   11,641   46,377   42,608 
Stock-based compensation  17,835   27,112   72,644   72,939 
Acquisition and integration-related costs(1)  779   11   1,218   13,219 
Goodwill impairment        299,705    
Change in fair value of contingent consideration     (7,134)     (45,416)
Severance costs(2)  3,777      7,065    
Other expense  36   114   15   133 
Adjusted EBITDA $2,832  $1,818  $(36,505) $(42,375)

(1) For the three and twelve months ended February 28, 2023, acquisition and integration-related costs represent expenses associated with litigation inherited through the PlushCare acquisition. Refer to Note 16 in our consolidated financial statements for further details. For the three and twelve months ended February 28, 2022, acquisition and integration-related costs represent banking, legal, accounting, and consulting fees related to acquisitions.
(2) Severance costs represent expenses associated with workforce realignment actions taken by management.


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