Babylon Delivers Exceptional H1 2021 Operational and Financial Results and Reaffirms Growth Guidance
H1 2021 Revenue grew 472% year-over-year
Global growth to become one of the largest Value-Based Care businesses with over 200,000 Members1
U.S. grew from its January 2020 launch to over 3 million covered lives including over 80,000 VBC lives
Alkuri Global Acquisition Corp. and Babylon expect to close the transaction mid-October 2021
Babylon reaffirms 2021 and 2022 growth guidance
PALO ALTO, Calif. and LONDON, Sept. 15, 2021 /PRNewswire/ -- Babylon Holdings Limited ("Babylon"), a world leading company reengineering how people engage with their health at every step of the care continuum, today announced its financial and operating results for the six months ended June 30, 2021.
Ali Parsa, CEO and Founder of Babylon said: "Babylon again passed many milestones in the first half of 2021, growing revenue by 472% year on year. We continued to execute, putting us amongst the fastest growing companies worldwide, including in the US, where since our initial launch last year, we gained millions of covered members and, as of today, over 100,000 value-based lives."
"But I believe we have not even really begun. We are on the verge of a fundamental overhaul in the global system of delivery of healthcare, with finally everything that is solid melting into air as it did years ago with other sectors like retail, finance and information. Out of this the healthcare sector will also emerge some of the world's most valuable and impactful companies by creating a more scalable, accessible and affordable value proposition worldwide."
"We have the determination and the confidence to focus on this long-term goal, and not be distracted by short term glory. Babylon has one of the largest and most diverse collections of scientists, engineers and clinicians working together across the world, led by an accomplished management team with a proven track record, addressing affordability and accessibility of healthcare. We will continue to invest to create a powerful and unique combination of our digital-first, AI-enabled, comprehensive clinical services that will in time transform every touch point of the care continuum. I couldn't be more proud of our Babylonian team and we look at these results that were delivered by every Babylonian as just a confirmation that we are on the right path," said Parsa.
Financial Results and Operating Metrics Summary
Improvement in the following financial and operational metrics for the six months ended June 30, 2021, compared to the six months ended June 30, 2020:
- Revenue totaled $128.8 million compared to $22.5 million, an increase of 472% year over year
- Net loss improved to $75.7 million compared to a net loss of $90.8 million
- Adjusted EBITDA loss improved to $54.2 million compared to a loss of $76.2 million
- VBC member count in the U.S. was zero on June 30, 2020 versus ~84,000 on June 30, 2021
- Coverage of residents under UK Babylon GP at Hand grew to over 102,000 on June 30, 2021, now largest GP practice in UK
- In Rwanda, appointment volumes tripled from ~44,000 in June 2020 to ~132,000 in June 2021
- Users2 increased 55% year-over-year to 8.2 million on June 30, 2021
H1 2021 and Recent Highlights
- On June 3, 2021, Babylon entered into a definitive merger agreement with Alkuri Global Acquisition Corp. (NASDAQ: KURI), a special purpose acquisition company; this combination is further supported by a $230 million PIPE – funded over 85% from new, institutional investors
- In January 2021, TELUS acquired Babylon's Canadian venture and concurrently signed a long-term licensing deal to continue offering Babylon's innovative AI-driven digital health tools to TELUS' customers. This is Babylon's first long-term license of its digital platform including its telehealth capabilities and AI-tools together.
- In June 2021, Babylon entered into an agreement to make its Babylon 360 solution available to ~15,000 members across New York state commencing on July 1, 2021, and combined with more members in Missouri and California, total VBC Members in the U.S. grew to over 100,000
- Publication of peer-reviewed research in July 2021 affirmed that Babylon's digital-first model in the UK delivered 15% - 35% lower hospital care costs than the regional average3 – confirming Babylon's proprietary model of care can produce meaningful cost savings
- In August 2021, Babylon announced that it was extending its partnership with the Royal Wolverhampton NHS Trust to introduce an integrated and accessible digital-first healthcare experience to be made available to ~55,000 Wolverhampton residents in October 2021
- Babylon completed preparation for participation commencing January 2022 in one of the innovative VBC programs sponsored by CMS4 and CMMI5 and is awaiting finalization of CMS processes and approvals
- Babylon accelerated its rate of product revisions and releases 4-fold, putting it in a category with other world-class technology companies
1 Including GP at Hand members
2 Number of members who have joined our digital platform and complete all mandatory fields on the digital platform
3 Commissioned by Babylon Holdings and published in Journal of Medical Internet Research. Study compared spending per patient for Babylon GP at Hand to the regional average spending over a two-year period from April 1, 2018 to March 31, 2019 in North West London
4 Centers for Medicare & Medicaid Services
5 Center for Medicare & Medicaid Innovation
Leadership Development
Babylon has made substantial investment in its leadership team over the past year. These additions include:
- Paul-Henri Ferrand, former President at Google Cloud and Dell, North America as the company's Chief Business Officer (CBO);
- Steven Davis, former SVP and GM of AI and data at Expedia as the Chief Technology Officer (CTO);
- Stacy Saal, former GM/COO of Prime Air at Amazon as the Chief Operating Officer (COO);
- Yon Nuta, former Chief Product Officer at Gaia, Inc as the Chief Product Officer (CPO);
- Samira Lowman, former VP, Organization and Talent Acquisition & Development at General Electric as Chief People Officer (CPO); and
- Darshak Sanghavi, former Chief Medical Officer at United Healthcare and Optum as Global Chief Medical Officer (CMO).
Balance Sheet
As of June 30, 2021, the Company had cash and cash equivalents of $42.4 million.
In August 2021, Babylon completed a debt offering of $50 million which is due to be repaid at the completion of the transaction with Alkuri Global Acquisition Corp.
Financial Outlook
"We're pleased with our first half results and strong execution of our growth plan, and we remain on track to deliver our 2021 revenue and adjusted EBITDA expectations," said Charlie Steel, Chief Financial Officer of Babylon. "Our business and operational momentum continue to accelerate as we enter the second half, and our world class team has us well positioned to further our track record of robust growth to achieve our revenue growth and objectives for 2022 and beyond."
FY 2021 Financial Guidance
For the twelve months ended December 31, 2021, the Company reiterates its previously provided outlook and continues to expect:
- Revenue of ~$321 million
- Adjusted EBITDA of ~ ($140) million
These statements are forward-looking and actual results may differ materially. Please refer to the Forward-Looking Statements disclaimer below for information on the factors that could cause our actual results to differ materially from these forward-looking statements.
Upon the closing of the definitive merger agreement with Alkuri Global Acquisition Corp., which is expected in October 2021, subject to receipt of Alkuri stockholder approval and the satisfaction of other customary closing conditions, the new company will become Babylon Holdings Limited and will be listed on the New York Stock Exchange under the ticker symbol BBLN. The transaction reflects an initial pro forma equity value of approximately $4.2 billion and is expected to deliver up to $575 million of gross proceeds to fund Babylon's pro forma balance sheet, including the contribution of up to $345 million of cash held in Alkuri Global's trust account assuming no redemptions. The combination is further supported by a $230 million PIPE - funded over 85% from new, institutional investors.
A reconciliation of International Financial Reporting Standards ("IFRS") and non-IFRS results has been provided in the accompanying tables. An explanation of these measures is included in the supplemental tables to this press release.
Accompanying supplemental information will be posted to the Investor Relations section of Babylon's web site at https://www.babylonhealth.com/us/investor-relations.
About Babylon
Babylon is a world leading, digital-first, value-based care company whose mission is to make high-quality healthcare accessible and affordable for everyone on Earth.
Babylon is re-engineering healthcare, shifting the focus from sick care to preventative healthcare so that patients experience better health, and reduced costs. This is achieved by leveraging a highly scalable, digital-first platform combined with high quality, virtual clinical operations to provide integrated, personalized healthcare. We endeavor to support patients' health needs, all from their devices, with the aim to promote longer and healthier lives. When sick, Babylon provides assistance to navigate the health system, connecting patients digitally to the right clinician 24/7, at no additional cost.
Founded in 2013, we have since delivered millions of clinical consultations and AI interactions, with c.2m clinical consultations and c.3.9m AI interactions in 2020 alone. We work with governments, health providers and insurers across the globe, and support healthcare facilities from small local practices to large hospitals. For more information, please visit www.babylonhealth.com/us.
Table 1 |
||||
Babylon Holdings Limited |
||||
Consolidated Statement of Profit and Loss and Other Comprehensive Loss |
||||
(In thousands, except per share amounts, unaudited) |
||||
For the Six Months Ended June 30, |
||||
2021 |
2020 |
|||
Revenue |
$ 128,771 |
$ 22,503 |
||
Cost of care delivery |
(92,137) |
(18,820) |
||
Platform & application expenses |
(21,377) |
(12,898) |
||
Research & development expenses |
(17,201) |
(20,881) |
||
Sales, general & administrative expenses |
(76,606) |
(52,762) |
||
Operating loss |
(78,550) |
(82,858) |
||
Finance costs |
(2,243) |
(2,569) |
||
Finance income |
28 |
6 |
||
Exchange (loss) |
(91) |
(2,146) |
||
Net finance (expense) |
(2,306) |
(4,709) |
||
Gain on sale of subsidiary |
3,917 |
- |
||
Share of loss of equity-accounted investees |
(1,276) |
(309) |
||
Loss before taxation |
(78,215) |
(87,876) |
||
Tax benefit / (provision) |
2,493 |
(2,937) |
||
Loss for the period |
(75,722) |
(90,813) |
||
Other comprehensive loss |
||||
Items that may be reclassified subsequently to profit or loss: |
||||
Currency translation differences |
(67) |
1,530 |
||
Other comprehensive (loss) / gain for the period, net of income tax |
(67) |
1,530 |
||
Total comprehensive loss for the period |
(75,789) |
(89,283) |
||
Loss attributable to: |
||||
Equity holders of the parent |
(74,907) |
(89,984) |
||
Non-controlling interest |
(815) |
(829) |
||
(75,722) |
(90,813) |
|||
Total comprehensive loss attributable to: |
||||
Equity holders of the parent |
(74,974) |
(88,454) |
||
Non-controlling interest |
(815) |
(829) |
||
$ (75,789) |
$ (89,283) |
|||
Net loss per share, Basic and Diluted |
$ (0.09) |
$ (0.11) |
Table 2 |
|||
Babylon Holdings Limited |
|||
Consolidated Statement of Cash Flows |
|||
(In thousands, unaudited) |
|||
For the Six Months Ended June 30, |
|||
2021 |
2020 |
||
Cash flows from operating activities |
|||
Loss for the period |
$ (75,722) |
$ (90,813) |
|
Adjustments for: |
|||
Finance costs |
2,243 |
2,569 |
|
Finance income |
(28) |
(6) |
|
Depreciation and amortization |
13,322 |
6,459 |
|
Share-based compensation |
12,344 |
433 |
|
Taxation |
(2,493) |
2,937 |
|
Exchange loss |
91 |
2,146 |
|
Gain on disposal of subsidiary |
(3,917) |
- |
|
Impairment expense |
- |
32 |
|
Share of net loss of associates and joint ventures |
1,276 |
309 |
|
(52,884) |
(75,934) |
||
Working capital adjustments: |
|||
(Increase) in trade and other receivables |
(12,414) |
(8,291) |
|
Increase/(Decrease) in trade and other payables |
43,604 |
(3,166) |
|
Decrease in assets/liabilities held for sale |
1,460 |
- |
|
Decrease in other assets/liabilities |
768 |
- |
|
Net cash used in operating activities |
(19,466) |
(87,391) |
|
Cash flows from investing activities |
|||
Capital expenditure |
(2,444) |
(460) |
|
Interest received |
7 |
6 |
|
Development costs capitalized |
(16,254) |
(18,138) |
|
Acquisition of subsidiary, net of cash acquired |
(13,835) |
- |
|
Proceeds from sale of investment in subsidiary |
2,213 |
- |
|
Purchase of shares in associates and joint ventures |
(5,000) |
(5,000) |
|
Net cash used in investing activities |
(35,313) |
(23,592) |
|
Cash flows from financing activities |
|||
Proceeds from other loans |
116 |
357 |
|
Payments from exercise of share options |
(482) |
- |
|
Net proceeds from issue of share capital |
- |
1 |
|
Fees directly attributable to equity raise |
- |
(10,245) |
|
Principle payments on leases |
(2,293) |
(782) |
|
Interest paid |
(1,826) |
(2,338) |
|
Net cash outflow from financing activities |
(4,485) |
(13,007) |
|
Net (decrease) in cash and cash equivalents |
(59,264) |
(123,990) |
|
Cash and cash equivalents at January 1 |
101,757 |
214,888 |
|
Effect of movements in exchange rate on cash held |
(112) |
(702) |
|
Cash and cash equivalents at June 30 |
$ 42,381 |
$ 90,196 |
Table 3 |
|||
Babylon Holdings Limited |
|||
Consolidated Statement of Financial Position |
|||
(In thousands, unaudited) |
|||
June 30, |
December 31, |
||
2021 |
2020 |
||
ASSETS |
|||
Non-current assets |
|||
Right-of-use assets |
$ 10,135 |
$ 2572 |
|
Property, plant and equipment |
2,879 |
1,334 |
|
Investments in associates |
12,600 |
8,876 |
|
Goodwill |
31,303 |
17,832 |
|
Other intangible assets |
102,331 |
78,853 |
|
Total non-current assets |
159,248 |
109,467 |
|
Current assets |
|||
Right-of-use assets |
3,487 |
1,942 |
|
Trade and other receivables |
28,218 |
13,525 |
|
Prepayments and contract assets |
9,253 |
8,841 |
|
Cash and cash equivalents |
42,381 |
101,757 |
|
Assets held for sale |
- |
3,282 |
|
Total current assets |
83,339 |
129,347 |
|
Total assets |
$ 242,587 |
$ 238,814 |
|
EQUITY AND LIABILITIES |
|||
Ordinary share capital |
$ 10 |
$ 10 |
|
Preference share capital |
4 |
3 |
|
Share premium |
557,569 |
485,221 |
|
Share-based payment reserve |
45,286 |
32,185 |
|
Retained earnings |
(544,411) |
(469,504) |
|
Foreign currency translation reserve |
1,608 |
1,675 |
|
Total capital and reserves |
60,066 |
49,590 |
|
Non-controlling interests |
(2,046) |
(1,231) |
|
Total equity |
58,020 |
48,359 |
|
LIABILITIES |
|||
Non-current liabilities |
|||
Contract liabilities |
81,982 |
57,274 |
|
Deferred grant income – tax credit |
6,340 |
7,488 |
|
Lease liabilities |
10,815 |
2,011 |
|
Deferred tax liability |
768 |
- |
|
Total non-current liabilities |
99,905 |
66,773 |
|
Current liabilities |
|||
Trade and other payables |
26,231 |
11,635 |
|
Accruals and provisions |
31,574 |
18,636 |
|
Contract liabilities |
23,136 |
18,744 |
|
Deferred grant income – tax credit |
1,264 |
- |
|
Lease liabilities |
1,984 |
2,488 |
|
Loans and borrowings |
473 |
70,357 |
|
Liabilities directly associated with the assets held for sale |
- |
1,822 |
|
Total current liabilities |
84,662 |
123,682 |
|
Total liabilities |
184,567 |
190,455 |
|
Total liabilities and equity |
$ 242,587 |
$ 238,814 |
EBITDA is defined as profit (loss), adjusted for depreciation, amortization, net finance income (costs), and income taxes. Adjusted EBITDA is defined as profit (loss), adjusted for depreciation, amortization, net finance income (costs), income taxes, share-based compensation, impairment expenses, foreign exchange gains or losses and gains or losses on sale of subsidiaries.
We believe that EBITDA and Adjusted EBITDA are useful metrics for investors to understand and evaluate our operating results and ongoing profitability because it permits investors to evaluate our recurring profitability from our ongoing operating activities.
EBITDA and Adjusted EBITDA have certain limitations, and you should not consider them in isolation or as a substitute for analysis of our results of operations as reported under IFRS. We caution investors that amounts presented in accordance with our definition of EBITDA and Adjusted EBITDA may not be comparable to similar measures disclosed by other issuers, because some issuers calculate EBITDA and Adjusted EBITDA differently or not at all, limiting their usefulness as direct comparative measures.
Table 4 |
||||
Babylon Holdings Limited |
||||
Reconciliation of IFRS Loss for the Period to EBITDA and Adjusted EBITDA |
||||
(In thousands, unaudited) |
||||
Six Months Ended June 30, |
||||
2021 |
2020 |
|||
Loss for the period |
(75,722) |
(90,813) |
||
Add: |
||||
Depreciation and amortization expenses |
13,322 |
6,459 |
||
Finance costs and income |
2,215 |
2,563 |
||
Tax (benefit) / provision on loss |
(2,493) |
2,937 |
||
EBITDA |
(62,678) |
(78,854) |
||
Share-based compensation |
12,344 |
433 |
||
Impairment expense |
- |
32 |
||
Exchange loss |
91 |
2,146 |
||
Gain on sale of subsidiary |
(3,917) |
- |
||
Adjusted EBITDA |
(54,160) |
(76,243) |
Additional Information and Where to Find It
In connection with the proposed business combination between Alkuri Global Acquisition Corp. ("Alkuri Global") and Babylon Holdings Limited ("Babylon") and the other parties to the Merger Agreement dated June 3, 2021 (the "Merger Agreement"), Babylon filed a registration statement on Form F-4 dated July 2, 2021 (the "Registration Statement") with the U.S. Securities and Exchange Commission (the "SEC") with respect to Babylon's securities to be issued in connection with the proposed business combination (File No. 333-257694), and Alkuri Global intends to file a preliminary proxy statement in connection with Alkuri Global's solicitation of proxies for the vote by Alkuri Global's stockholders in connection with the proposed business combination and other matters as described in the proxy statement, as well as the preliminary prospectus relating to the offer of the securities to be issued to Alkuri Global's stockholders in connection with the completion of the business combination. After the Registration Statement is declared effective, Alkuri Global shall mail a definitive proxy statement and other relevant documents to its stockholders as of the record date established for voting on the proposed business combination. Alkuri Global's stockholders and other interested persons are advised to read the Registration Statement and any amendments thereto and, once available, the definitive proxy statement/consent solicitation/prospectus, in connection with Alkuri Global's solicitation of proxies for its special meeting of stockholders to be held to approve, among other things, the proposed business combination (the "Special Meeting"), because these documents will contain important information about Alkuri Global, Babylon and the proposed business combination.
Alkuri Global's stockholders may also obtain a copy of the preliminary proxy statement/prospectus, or definitive proxy statement/prospectus once available, as well as other documents filed with the SEC regarding the proposed business combination and other documents filed with the SEC by Alkuri Global, without charge, at the SEC's website located at www.sec.gov or by directing a request to: Alkuri Global Acquisition Corp., 4235 Hillsboro Pike, Suite 300, Nashville, TN 37215, Attention: Secretary, (615) 632-0303.
Participants in Solicitation
Alkuri Global, Babylon, and their respective directors and officers may be deemed participants in the solicitation of proxies of Alkuri Global stockholders in connection with the proposed business combination. Alkuri Global stockholders and other interested persons may obtain, without charge, more detailed information regarding the directors and officers of Alkuri Global in Alkuri Global's registration statement on Form S-1 (File No. 333-251832), which was declared effective by the SEC on February 4, 2021. Information regarding the persons who may, under SEC rules, be deemed participants in the solicitation of proxies to Alkuri Global stockholders in connection with the proposed business combination and other matters to be voted upon at its Special Meeting will be set forth in the proxy statement/prospectus for the proposed business combination when available. Additional information regarding the interests of participants in the solicitation of proxies in connection with the proposed business combination will be included in the Registration Statement that Babylon intends to file with the SEC.
Forward-Looking Statements
This communication contains, and certain oral statements made by representatives of Babylon and Alkuri Global and their respective affiliates, from time to time may contain, a number of "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements generally relate to future events or our future financial or operating performance. When used in this communication, the words "estimates," "projected," "expects," "anticipates," "forecasts," "plans," "intends," "believes," "seeks," "may," "will," "should," "future," "propose" and variations of these words or similar expressions (or the negative versions of such words or expressions) are intended to identify forward-looking statements. These forward-looking statements include, without limitation, information concerning Babylon's or Alkuri Global's possible or assumed future results of operations, business strategies, debt levels, competitive position, industry environment, potential growth opportunities, Babylon's and Alkuri Global's expectations with respect to the future performance of the combined company, including whether this proposed business combination will generate returns for stockholder, the anticipated addressable market for the combined company, the satisfaction of the closing conditions to the business combination, and the timing of the transaction.
These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside Babylon's or Alkuri Global's management's control, that could cause actual results to differ materially from the results discussed in the forward-looking statements. These risks, uncertainties, assumptions and other important factors include, but are not limited to: (a) the occurrence of any event, change or other circumstances that could give rise to the termination of the Merger Agreement and the proposed business combination contemplated thereby; (b) the inability to complete the proposed business combination due to the failure to obtain approval of the stockholders of Alkuri Global or other conditions to closing in the Merger Agreement; (c) the ability to meet Nasdaq's listing standards following the consummation of the proposed business combination; (d) the failure of investors in the PIPE to fund their commitments upon the closing of the proposed business combination; (e) the risk that the proposed business combination disrupts current plans and operations of Babylon or its subsidiaries as a result of the announcement and consummation of the transactions described herein; (f) the ability to recognize the anticipated benefits of the proposed business combination, which may be affected by, among other things, competition, the ability of the combined company to grow and manage growth profitably, maintain relationships with customers and suppliers and retain its management and key employees; (g) costs related to the proposed business combination; (h) changes in applicable laws or regulations, including legal or regulatory developments (such as the SEC's recently released statement on accounting and reporting considerations for warrants in SPACs) which could result in the need for Alkuri Global to restate its historical financial statements and cause unforeseen delays in the timing of the business combination and negatively impact the trading price of Alkuri Global's securities and the attractiveness of the business combination to investors; (i) the possibility that Babylon may be adversely affected by other economic, business and/or competitive factors; and (j) other risks and uncertainties to be identified in the registration/proxy statement relating to the business combination, when available, and in other documents filed or to be filed with the SEC by Alkuri Global and Babylon and available at the SEC's website at www.sec.gov.
Babylon and Alkuri Global caution that the foregoing list of factors is not exclusive, and caution readers not to place undue reliance upon any forward-looking statements, which speak only as of the date made. Except as required by law, neither Alkuri Global nor Babylon undertakes any obligation to update or revise its forward-looking statements to reflect events or circumstances after the date of this release.
No Offer or Solicitations
This communication is for informational purposes only and shall not constitute an offer to sell or the solicitation of an offer to buy any securities pursuant to the proposed business combination or otherwise, nor shall there be any sale of securities in any jurisdiction in which the offer, solicitation or sale would be unlawful prior to the registration or qualification under the securities laws of any such jurisdiction. No offer of securities shall be made except by means of a prospectus meeting the requirements of Section 10 of the Securities Act of 1933, as amended.
No Assurances
There can be no assurance that the proposed business combination will be completed, nor can there be any assurance, if the proposed business combination is completed, that the potential benefits of combining the companies will be realized.
Contacts:
Media
Adam Davison
[email protected]
Investors
Kathy Kress
[email protected]
SOURCE Babylon
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