Quarterly Activities Report / Appendix 4C Cash Flow Report
Released
Released
Announcement PDF
31 January 2024
Quarterly Activity Report and Appendix 4C
Doctor Care Anywhere Group PLC (ASX:DOC, “Doctor Care Anywhere” or “the Company”) is
pleased to provide an update on trading and corporate activity for the quarter ended 31
December 2023 (“Q4 2023”)1.
Executive Summary
On track for our first EBITDA positive quarter in Q1 2024
Total Operating and Investing Outflows materially reduced to £0.7m/A$1.3m in Q4 2023,
down from £4.2m/A$8.1m in Q4 2022 and £1.6m/A$3.1m in Q3 2023, as the business drives
towards profitability
Gross margin guidance hit for whole of Q4 2023. Contribution margin guidance hit in
October and November, while achieving 34% for whole of Q4 2023 due to lower December
volumes.
174,500 consultations delivered, up 8.7% on PcP but down 3.5% QoQ due to the mild UK
winter and limited marketing of our services by AXA.
Raised £10.6m Convertible Loan Note due 31 December 2027 with no repayment of
principal required until maturity. Proceeds settled in January 2024 and used to pay off
AXA Loan
Exited quarter with £6.1m / A$13.0m cash on hand.
Operational Performance – KPIs
Eligible Lives2 at Period End
Activated Lives3 at Period End
Consultations4 in Period
Secondary Care Journeys5 in Period
Repeat Patients6 in Period
Actual
% increase /
(decrease) on
% increase /
(decrease) on
Q4 2023
000’s
3,016.3
1,048.4
174.5
9.1
133.5
Q4 2022 (PCP)
Q3 2023 (QoQ)
10.9%
20.7%
8.7%
0.0%
13.1%
0.9%
4.8%
(3.5%)
(15.1%)
(2.1%)
Commentary
Eligible Lives at the end of Q4 2023 were 3.02 million, up 10.9% on PcP and 0.9% QoQ. Growth in
Eligible Lives was primarily driven by further penetration of the Company’s services across
existing channel partners.
This Quarterly Activity Report and Appendix 4C is prepared in GBP in accordance with International
Financial Reporting Standards in conformity with the requirements of the Companies Act 2006 (UK) and
is unaudited. Figures expressed in Australian Dollars (“A$”) have been converted from British Pounds
Sterling at an exchange rate of AUD:GBP 1:0.52 for the quarter ended 31 December 2023 and at 1:0.57 for
the quarter ended 31 December 2022.
2
Eligible Lives represents the total number of people who have an entitlement to use DOC’s services.
3
Activated Lives represents the total number of people who “sign up” for DOC’s service and enter their
personal details.
4
Consultations is the number of GP, ANP, Psychiatrist and Psychologist consultations delivered to patients
over the period.
5
Secondary Care Journeys is the number of secondary care journeys completed by patients over the period
following a referral from an initial GP or ANP consultation on the DCA platform.
6
Repeat Patients represents the number of consultations completed by patients who had previously
completed an appointment.
1
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At the end of Q4 2023, Activated Lives were 1.05 million, up 20.7% on PcP and 4.8% QoQ.
Consultation volumes continued to grow year-on-year, with 174,500 consultations delivered in Q4
2023, up 8.7% on PcP but down 3.5% QoQ. The increase in consultation volumes on PCP was
primarily driven by both growth in activated lives and the successful launch of Mixed Clinical
Workforce in June 2023, while the reduction QoQ is primarily driven by the mild UK winter and
limited marketing of our services by AXA.
Consultations by Quarter (000’s)
First Time
Repeat
185
143
152
151
165
63
35
89
53
55
74
42
93
102
104
104
76
181
174
136
133
146
117
91
192
124
141
118
32
38
34
41
51
50
47
41
47
60
28
51
44
41
Q3
2020
Q4
2020
Q1
2021
Q2
2021
Q3
2021
Q4
2021
Q1
2022
Q2
2022
Q3
2022
Q4
2022
Q1
2023
Q2
2023
Q3
2023
Q4
2023
Returning patients represented 77% of all consultations in the quarter, an increase of 6
percentage points compared to the PcP and an increase of 2 percentage points QoQ. This is our
highest ever percentage of returning patients, demonstrating strong satisfaction from our
services.
Secondary Care journeys fell by 15.1% QoQ (no change vs PcP). DCA and AXA Health continue to
review the economics of the diagnostic pathways and consider opportunities to optimise the
patient journey while managing claims costs for AXA Health.
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Cash Position: Progress to Profitability and Net Cash Generation
Q4 2022
£000
% increase
/(decrease)
QoQ
£000
% increase
/(decrease)
versus PcP
9,520
10,986
(13.3%)
7,871
21.0%
Other/Non-operating staff costs
(2,067)
(2,163)*
(4.4%)
(2,292)
(9.8%)
R&D/Intellectual property costs
(1,024)
(1,067)
(4.0%)
(1,734)
(40.9%)
Operating costs
(6,135)
(7,302)*
(16.0%)
(6,151)
(0.2%)
Other administrative costs
(1,454)
(2,852)
(49.0%)
(1,924)
(24.4%)
Other cash inflows
439
763
(42.5%)
13
n/m
Total operating and investing outflows
(721)
(1,635)
(55.9%)
(4,217)
(82.9%)
Financing cash flows
(133)
2,366
n/m
(29)
358.6%
Exchange gain/(loss)
(3)
(57)
n/m
(20)
(85.0%)
(857)
674
(227.2%)
(4,266)
79.9%
Q4 2023
Q3 2023
Cash movements
£000
Receipts from customers
Net cash flow
*Q3 2023 values for other/non-operating staff costs have been reduced by £175k and operating costs have been increased
by the same amount following a re-categorisation of expenditure.
The Company is making positive strides towards EBITDA breakeven in Q1 2024, with total
operating and investing cash outflows reducing by £0.9 million (A$1.7 million) QoQ and by £3.5
million (A$6.7 million) versus PCP. This was primarily driven by cost reduction activity and the
impact of several one-off items, with further details as follows:
Cash receipts from customers decreased by 13.3% QoQ primarily driven by a combination
of a reduction in consultation volumes and timing of major customer receipts . Receipts
increased by 21.0% versus PcP driven by contractual price increases and increasing
volumes.
Staff cash spend was down 4.4% QoQ and down 9.8% versus PcP as the Company
continues to reduce its cost base and improve productivity.
R&D and intellectual property cash spend reduced 4.0% QoQ primarily due to continuing
efficiency gains realised throughout the technology function. The 40.9% decrease versus
PcP is primarily from the 2022 restructuring programme, which reduced the size of the
technology development team, and ongoing productivity work.
Operating cash spend was down 16.0% QoQ driven by a combination of lower volumes
and the continued roll out of Mixed Clinical workforce (“MCW”) which has reduced cost to
serve. Spend was largely consistent versus PcP, despite the rise in volumes, also due to
MCW.
Other administrative costs cash spend decreased by 49.0% QoQ which was primarily due
to an exceptional payment in Q3 2023 of 18 months’ worth of accrued charges to Doctor
at Hand Limited, DCA’s Joint Venture with AXA. Adjusting for this payment, administrative
cost expenditure reduced by 12%, which was primarily due to continued management of
costs and timing of payments.
Other cash inflows in Q4 2023 relate to a VAT receipt in the period, whereas those in Q3
2023 relate to a VAT receipt in the period, together with the annual R&D tax rebate for the
calendar year 2022 and cash consideration received on the sale of GP2U.
3|Page
Net financing cash inflows for the prior quarter of £2.4 million (A$4.5 million) was primarily due to
the drawdown of the £2.5m third tranche of the AXA loan facility. At 31 December 2023 this £10
million facility was fully drawn.
The overall cash outflow for the business in Q4 2023 was £0.9 million (A$1.7 million) versus a cash
inflow of £0.7m (A$1.3m) in Q3 2023, the change being largely due to receipt of the AXA loan
tranche in Q3 2023, offset by improvements in operating cash flows in Q4 2023.
The Company exited the quarter with £6.1 million (A$11.7 million) of cash on hand at 31 December
2023.
Activities since previous market update
Following the market update issued as part of the Appendix 4C release on 18 October 2023, an
update is provided below on key matters:
Operational and financial
-
As announced on 1 1 December 2023, DCA signed an agreement to raise £10.6m of funds
under an offer of convertible loan notes. Following shareholder approval on 4 January
2024 at the Company’s Extraordinary General Meeting, the financing completed on 11
January 2024 and the funds were used to repay the outstanding balance of the Company’s
December 2022 senior loan facility with AXA Health. The convertible notes are not interest
bearing and are due for repayment on 31 December 2027 with no repayment of principal
required until maturity (unless there is an early redemption) allowing the Company to reinvest its cash resources into the business.
Further details of the convertible loan notes are set out in the announcement released on
11 January 2024.
Guidance
-
As per the release dated 11 December 2023, based on its unaudited management
accounts, DCA met its guidance of achieving margin targets in October and November
2023. In December 2023 the Company also achieved gross margin of over 50% while
contribution margin was lower due to seasonal trends and a mild winter.
-
As at the date of this report, DCA remains on track to meet the final item from its guidance
issued in February 2023, being positive EBITDA in Q1 2024, which is subject to the
assumptions and dependencies accompanying that guidance.
Other
As required by ASX Listing Rule 4.7C.3, the Company discloses that payments to related parties
in the period totalled £0.08 million, representing payment of Director Fees to Non-Executive
Directors (including pension and payroll tax payments), the same value as in the prior quarter.
This update must be read as a whole and is subject to the disclaimer that it:
Is subject to the assumptions referred to above and, if any of those assumptions are not
met, actual results may differ from this guidance;
Is not a prediction or guarantee of future performance; and
4|Page
Involves known and unknown risks, uncertainties and other factors which are beyond the
Company’s control, and which may cause actual results to differ from this guidance. The
Company is not liable for the accuracy and/or correctness of this information and any
differences between the guidance and actual outcomes.
Corporate Overview
366,771,846 shares/CDIs on issue
Market capitalisation of A$23.8m at date of report release
£6.1m (A$11.7m) cash at 31 December 2023
£10.0m (A$19.2m) in drawn down debt under the AXA loan at 31 December 2023. The
AXA loan (together with accrued interest) was repaid from the proceeds of the
convertible loan note issued in January 2024.
- ENDS -
This ASX announcement has been authorised for release by the Board of Directors.
About Doctor Care Anywhere:
Doctor Care Anywhere Group PLC is one of the UK’s largest private providers of telehealth
services. The Company works with insurers, healthcare providers and corporate customers to
connect patients to a range of digitally enabled telehealth services on its proprietary platform.
It is committed to delivering the best possible patient experience and clinical care through
digitally enabled, joined up, evidence-based pathways.
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Appendix 4C
Quarterly report for entities subject to Listing Rule 4.7B
Name of entity
Doctor Care Anywhere Group PLC
ARBN
Quarter ended (“current quarter”)
645 163 873
31 December 2023
Consolidated statement of cash flows
1.
Cash flows from operating activities
1.1
Receipts from customers
1.2
Payments for
Current quarter
£’000
Year to date
(12 months)
£’000
9,520
38,863
(709)
(2,689)
(6,135)
(26,984)
(72)
(299)
-
-
(e) staff costs
(2,067)
(8,889)
(f) administration and corporate costs
(1,362)
(8,160)
-
-
26
48
(a) research and development
(b) product manufacturing and operating
costs
(c) advertising and marketing
(d) leased assets
1.3
Dividends received (see note 3)
1.4
Interest received
1.5
Interest and other costs of finance paid
-
(1)
1.6
Income taxes paid
-
-
1.7
Government grants and tax incentives
-
700
1.8
Other (provide details if material)
414
1,160
1.9
Net cash from / (used in) operating
activities
(385)
(6,251)
2.
Cash flows from investing activities
2.1
Payments to acquire or for:
(a) entities
-
-
(b) businesses
-
-
(21)
(173)
-
-
(c) property, plant and equipment
(d) investments
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Consolidated statement of cash flows
(e) intellectual property
Current quarter
£’000
Year to date
(12 months)
£’000
(315)
(2,242)
-
-
(g) entities
-
90
(h) businesses
-
-
(i) property, plant and equipment
-
-
(j) investments
-
-
(k) intellectual property
-
-
(l) other non-current assets
-
-
2.3
Cash flows from loans to other entities
-
-
2.4
Dividends received
-
-
2.5
Other
-
-
2.6
Net cash from / (used in) investing
activities
(336)
(2,325)
3.
Cash flows from financing activities
3.1
Proceeds from issues of equity securities
(excluding convertible debt securities)
-
-
(f) other non-current assets
2.2
Proceeds from disposal of:
3.2
Proceeds from issue of convertible debt
securities
-
-
3.3
Proceeds from exercise of options
-
-
3.4
Transaction costs related to issues of
equity securities or convertible debt
securities
-
-
3.5
Proceeds from borrowings
-
10,000
3.6
Repayment of borrowings
(133)
(684)
3.7
Transaction costs related to loans and
borrowings
-
-
3.8
Dividends paid
-
-
3.9
Other (provide details if material)
-
-
3.10
Net cash from / (used in) financing
activities
(133)
9,316
4.
Net increase / (decrease) in cash and
cash equivalents for the period
4.1
Cash and cash equivalents at beginning of
period
6,917
5,406
4.2
Net cash from / (used in) operating
activities (item 1.9 above)
(385)
(6,251)
4.3
Net cash from / (used in) investing activities
(item 2.6 above)
(336)
(2,325)
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Consolidated statement of cash flows
Current quarter
£’000
Year to date
(12 months)
£’000
4.4
Net cash from / (used in) financing activities
(item 3.10 above)
(133)
9,316
4.5
Effect of movement in exchange rates on
cash held
(3)
(86)
4.6
Cash and cash equivalents at end of
period
6,060
6,060
5.
Reconciliation of cash and cash
equivalents
Current quarter
£’000
Previous quarter
£’000
at the end of the quarter (as shown in the
consolidated statement of cash flows) to the
related items in the accounts
5.1
Bank balances
6,060
6,917
5.2
Call deposits
-
-
5.3
Bank overdrafts
-
-
5.4
Other (provide details)
-
-
5.5
Cash and cash equivalents at end of
quarter (should equal item 4.6 above)
6,060
6,917
6.
Payments to related parties of the entity and their
associates
6.1
Aggregate amount of payments to related parties and their
associates included in item 1
83
6.2
Aggregate amount of payments to related parties and their
associates included in item 2
-
Current quarter
£'000
Note: if any amounts are shown in items 6.1 or 6.2, your quarterly activity report must include a description of, and an
explanation for, such payments.
8|Page
7.
Financing facilities
Note: the term “facility’ includes all forms of financing
arrangements available to the entity.
Add notes as necessary for an understanding of the
sources of finance available to the entity.
Total facility
amount at quarter
end
£’000
Amount drawn at
quarter end
£’000
10,000
10,000
7.1
Loan facilities
7.2
Credit standby arrangements
-
-
7.3
Other (please specify)
-
-
7.4
Total financing facilities
-
10,000
7.5
Unused financing facilities available at quarter end
7.6
Include in the box below a description of each facility above, including the lender, interest
rate, maturity date and whether it is secured or unsecured. If any additional financing
facilities have been entered into or are proposed to be entered into after quarter end,
include a note providing details of those facilities as well.
-
The loan facility is as announced by the Company on 12 December 2022:
https://cdn-api.markitdigital.com/apiman-gateway/ASX/asx-research/1.0/file/292402611642-2A1419999?access_token=83ff96335c2d45a094df02a206a39ff4.
The lender is AXA PPP Healthcare Group Limited (AXA).
The interest is 5%, accruing quarterly and payable in full on the Maturity Date. The loan is
guaranteed by Doctor Care Anywhere Group Limited (DOC) and a number of its
subsidiaries. To secure the loan, the subsidiaries have granted AXA a debenture creating
fixed and floating charges over all of their assets and undertakings and DOC has granted
AXA a pledge over all of its shares in the subsidiaries.
Maturity date is 30 November 2026.
This loan was paid off in January 2024 following the completion of the convertible loan
financing arrangement.
8.
Estimated cash available for future operating activities
£’000
8.1
Net cash from / (used in) operating activities (item 1.9)
(385)
8.2
Cash and cash equivalents at quarter end (item 4.6)
6,060
8.3
Unused finance facilities available at quarter end (item 7.5)
8.4
Total available funding (item 8.2 + item 8.3)
8.5
Estimated quarters of funding available (item 8.4 divided by
item 8.1)
6,060
16
Note: if the entity has reported positive net operating cash flows in item 1.9, answer item 8.5 as “N/A”. Otherwise, a
figure for the estimated quarters of funding available must be included in item 8.5.
8.6
If item 8.5 is less than 2 quarters, please provide answers to the following questions:
8.6.1
Does the entity expect that it will continue to have the current level of net operating
cash flows for the time being and, if not, why not?
Answer:
9|Page
8.6.2
Has the entity taken any steps, or does it propose to take any steps, to raise further
cash to fund its operations and, if so, what are those steps and how likely does it
believe that they will be successful?
Answer:
8.6.3
Does the entity expect to be able to continue its operations and to meet its business
objectives and, if so, on what basis?
Answer:
Note: where item 8.5 is less than 2 quarters, all of questions 8.6.1, 8.6.2 and 8.6.3 above must be answered.
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Compliance statement
1
This statement has been prepared in accordance with accounting standards and policies which
comply with Listing Rule 19.11A.
2
This statement gives a true and fair view of the matters disclosed.
Date: 31 January 2024
Authorised by: Board of Directors
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