Definitive Healthcare Corp. (NASDAQ:DH) Q3 2023 Earnings Call Transcript November 3, 2023
Operator: Welcome to the Definitive Healthcare Q3 2023 Earnings Call. Our host for today’s call is Robert Musslewhite. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session. I would now like to turn the call over to your host, Mr. Musslewhite, you may begin.
Matt Ruderman: Good afternoon and thank you for joining us today to review Definitive Healthcare’s quarterly financial results. Joining me on the call today are Robert Musslewhite, CEO; Jason Krantz, the Founder and Executive Chairman; and Rick Booth, CFO. During this call, we will make forward-looking statements, including, but not limited to, statements related to our market and future performance and growth opportunities, ability to mitigate churn, the benefits of our health care commercial intelligence solutions, our competitive position, customer behaviors and use of our solutions, our financial guidance, investments, generating value for our customers and shareholders and the anticipated impact of global macroeconomic conditions on our business results and clients and on the health care industry generally.
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Any forward-looking statements are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve a number of risks and uncertainties, including those discussed in the Risk Factors sections and elsewhere in our filings with the SEC. Actual results may differ materially from any forward-looking statements. The company undertakes no obligation to revise or update any forward-looking statements to reflect events that may arise after this conference call, except as required by law. For more information, please refer to the cautionary statement included in the earnings release that we have posted to the Investor Relations portion of our website. Additionally, discuss non-GAAP financial measures on this conference call.
Please refer to the tables in our earnings release on the Investor Relations portion of our website for a reconciliation of these measures to their most directly non-GAAP financial measure. With that, I’d like to turn the call over to Robert.
Robert Musslewhite: Thanks Matt. And thanks to all of you for joining us this afternoon to review Definitive Healthcare’s third quarter financial results. On today’s call, I’ll provide an overview of our third quarter results, provide some perspective on business trends and what we are seeing in the market, and review some of our key wins from the third quarter. Then I will turn it over to Jason to highlight some of our latest innovations. I’ll begin by reviewing our third quarter financial results. Our total revenue was $65.3 million, which represents 14% year-over-year growth, and our adjusted EBITDA was $21.7 million, which translates into a 33% margin. Revenue and adjusted EBITDA for the quarter were both above the high end of our guidance ranges for the quarter.
We were pleased with our increased profitability in the quarter on a non-GAAP basis. We have been focused on becoming more efficient across all parts of the organization, and it is nice to see that work yielding some measurable results. Revenue growth was consistent with what we have seen in recent quarters and continues to reflect full macroeconomic conditions facing some of our key markets. Looking at the quarter in more detail. The good news is that despite the challenging macro, customers are continuing to engage with us in many different ways. Most importantly, we signed sizable new deals in each of our target markets with both new and existing customers. Demand generation also remains solid as frontline go-to-market and product development professionals are planning for investments in growth when their businesses begin to improve.
For example, we are conducting a record number of product demos for our prospective customers interested in the health care’s platform. While this type of activity is a positive sign for future growth, our end markets still remain pressured by the macroeconomic environment. The trends for new business, whether with new or existing customers were consistent with what we have seen over the past year. Budget scrutiny remains elevated, client decision processes are slow and complex and getting transactions through the final buying stages is challenging. This dynamic is true across the business at the moment, but it is most acute with smaller companies, particularly biotech firms that have been dealing with funding constraints for a number of quarters.
We also continue to see these dynamics play out in our renewals. As the challenging market environment persists and customers scrutinize their budgets more tightly, they not only have pulled back on new spending, but have also in some cases, sought to reduce their existing spend, and this has led to a modest increase in both down-sell and churn in our most impacted end markets. In the midst of these conditions, we are very focused on being sure we control what we can control. And we are thus implementing a series of initiatives to try to minimize churn as much as possible in this environment. These include internal data science analysis to help identify our accounts most at risk and focus the efforts of our account managers and customer success team.
Extra executive interaction and intervention with key clients and concerted value delivery initiatives from our products and professional services teams. Additionally, we have run a series of outreach campaigns to our customer base aimed at helping our clients utilize our data and solutions as effectively as possible to help their businesses during this time. The good news is that companies that have made larger investments in Definitive Healthcare generally continue to renew at higher rates than our smaller clients. And while our efforts are in the early stages, we are seeing signs that the work is worthwhile and as a result to mitigate the incremental churn we have seen. In addition, we have seen some customers that churn in the past returned to us realizing the importance and value of leveraging our data and their efforts.
In a moment, I’ll highlight one specific example of a customer like this. Stores like these and the consistent expansion we are seeing among many of our existing enterprise customers give us great confidence in the long-term land-and-expand opportunity in our business. It’s important to remember that it remains early in the growth opportunity in the health care commercial intelligence market. And there are numerous opportunities to expand our data sets and develop new solutions that enhance the value Definitive Healthcare can deliver for customers. We’ve always taken a balanced approach between growth and profitability and continue to invest in strategic areas to lay the foundation for faster growth when market conditions improve. Our customers consistently tell us that they need high-quality actionable data that helps them make more informed decisions about their business.
In a higher cost of capital world, companies face constraints on the number of growth investments they can pursue, this dynamic makes an unsuccessful clinical trial or a poorly designed go-to-market plan even more costly. We believe the combination of the Atlas Dataset and our commercial intelligence platform has positioned Definitive Healthcare to be the partner of choice for any company looking to make more efficient and effective investments in the health care market and we are confident that this demand will drive strong growth for us into the future. I would now like to spend a few minutes highlighting some of those customer wins from the third quarter that demonstrate the numerous ways customers are generating business value from the Definitive Healthcare platform.
In the life sciences space, we had a significant win back at a leading diagnostic genomics vendor that offers a full spectrum of clinically relevant genetic testing. This customer ended its prior Definitive Healthcare contract in December 2022 and then reach out to us in the second quarter of 2023, ultimately signing a multiyear enterprise agreement in August for access to both our Atlas reference and affiliation data set and our Atlas all payer claims. This customer plans to integrate our data into its CRM system to improve targeted marketing outreach to clinicians. In August, we released a significant update to the Atlas technology installed dataset. That update contributed to multiple wins in the quarter, including one particular win at a patient engagement software vendor.
Within hours of receiving access to the dataset, the client ran a report to identify 225 new targets that had its top competitors’ software installed, along with the name, phone number and e-mail address of the purchasing decision maker. Thrilled with these quick results, the client continues to use our data to shape its messaging and value proposition to those targets in addition to identifying other prospects using its competition. Also in August, we announced our acquisition of Populi, a leading provider of health care commercial intelligence to the provider market. Populi had multiple strong wins in the quarter, both before and after the acquisition but its most important win was an enterprise upsell at a large academic medical center in California.
This customer, which was already using Populi’s network intelligence and market intelligence products, purchased our population intelligence and campaign activation services. With this expanded product suite, the customer will be able to hyper-segment and target consumers based off clinical propensities and a wealth of other behavioral, demographic and social determinants of health elements. The customer plans to run omnichannel digital marketing campaigns to recruit more patients in a highly competitive urban market. Turning to our Passport Analytics Suite, we had a multiyear enterprise win at a commercial stage pharmaceutical company focused on transformative medicines treating genetic diseases. This firm plans to submit its new drug application to the FDA before the end of 2023, with regulatory filings and additional to follow in 2024.
This company will use the Path Forward planning and performance modules to assist in the implementation of an evidence plan and to assess the current standard-of-care, diagnostic path, health economics, treatment paths, and outcomes for patients with amyloid cardiomyopathy. Finally, as you know by now, I also like to include a unique customer from outside the health care industry that sells its product or service into health care organizations. In the third quarter, we were chosen by the American division of those largest dairy and cheese manufacturer to help it expand its presence in both hospitals and long-term care facilities. This customer wants to target group purchasing organizations for integrated delivery networks and plans to use our Atlas reference and affiliation dataset to understand the networks and relationships between different facilities.
In particular, I plan to integrate our proprietary data into a salesforce.com incidence to better identify strategic accounts, develop customized pricing proposals, and reach out to the right individuals with purchasing authority for food services. With that, I’d like to turn it over to Jason to talk about what we’re doing on the product and innovation front.
Jason Krantz: Thanks Robert. As we have discussed, we spent a lot of time, energy and money this year, improving our product. I want to see my time today to share an update on the number of ways that we are innovating to help our customers commercialize more successfully within health care. Definitive Healthcare offers unique health care commercial intelligence to help companies all types better understand, compete and win in the complex US health care market. Our approach focuses on helping our clients conveniently identify the right health care providers to target and partner with as well as the right people within those organizations. We do this by providing our clients with detailed contextual data on the entire health care ecosystem automated with powerful analytics and data science.
Let’s expand into these concepts a bit more. Organizations and people, we are the leading company covering providers across the entire health care ecosystem from acute care to skilled nursing facilities to clinics and to offer data on 4.5 million physicians and executives at these organizations. Importantly, we provide intricate details about how these organizations relate to and interact with each other which helps our clients understand buying authority and referral patterns. Next, convenience and integrations. Customers can choose the method for accessing our data and analytics that works best for them, whether they want to access data through our SaaS platform, through our powerful APIs or directly into the CRM or third-party data hosting platform.
We work hard to make it easy for them and to ensure that we can be the single source of data tree [ph] for their entire organization. Analytics and data science, our AI-driven proprietary analytics provides automated insight to hundreds of different complex areas across a wide variety of use cases, such as physician prescribing behaviors, network referral and leakage analysis, and proprietary clinical scores across a range of 23 unique metrics. Our clients want insights that help them reach their health care targets more effectively and the work of our data science team provides them exactly the intelligence they need. And finally, context. We deliver all of the above in the context of a cohesive, comprehensive view of what is most important to our clients to know about the health care ecosystem.
This includes more than 5.5 million technology installation records, quality of care and financial data, billions of all payer claims, and extensive data on social determinants of health. But this market is evolving quickly, and we are laser-focused on continuing to innovate to meet our clients’ complex demands. As we previously shared earlier this year, an independent third-party research firm ranked Definitive Healthcare Number One for each of the top 10 use cases for our health care reference and affiliation data among diversified customers. However, we’re not content to sit on our laurels. So we’ve made a number of enhancements to our data sets this year, including a 21% increase in the number of health care professionals in our database, a 43% increase in the number of practice locations, a 120% increase in the number of pharmacy claims, and a 21% increase in the number of pharmacy patients.
Additionally, we launched a new behavioral health data set that leverages AI and advanced data science to provide customers with a comprehensive view of behavioral health care settings across the provider landscape. Customers can leverage the Atlas behavioral health data set to better identify, segment and research unit facilities and treatment locations that are part of a patient’s care journey. And as I shared on our last earnings call, we also made significant improvements to our Atlas technology installed data set. We updated data on more than 1.5 million technology installations for hospitals, health systems, ambulatory surgery centers and physician groups by collecting data from multiple new sources and then applying our proprietary cleansing and linking algorithms to generate new intelligence.
As an example, clients can now more accurately learn which clinical systems their clients and prospects are using, what electronic health record systems are installed and when that implementation took place. In addition, we added a signaling strength score that helped predict and infer installations where data may not be fully available. And when combined with our reference and affiliation data, clients can now more confidently understand how health care providers are interconnected and how technology is deployed across multiple facilities, locations, and organizations. We also heard from our clients the importance of continued investment and improvement in our platform and user experience. I’m proud to say that we delivered on that front this year.
Some of the improvements we made in 2023 include a new social media and news tab and our Monocl Expert inside product to cover key opinion leader activity inventions across YouTube, Instagram, and Facebook. To help our clients understand which KOLs are influencing the health care universe online. In addition, we enhanced our search capabilities for lab, durable medical equipment and medical supplies to give better visibility into physician ordering behavior. And finally, we added a new cohort creation workflow to provide guidance on new medical code sets, patient cohorts and reports. As we emphasized in the past, innovation is critical to our growth and even in a more difficult macro environment, we continue to invest in the people, processes and data that we need to build even more effective solutions to help our clients succeed in the dynamic health care market.
I’d now like to turn it over to our CFO, Rick Booth, to walk through definitive Healthcare’s second quarter financial performance in more detail.
Rick Booth: Thank you, Jason. I’ll start with a detailed review of our Q3 results before providing our guidance for Q4 and commenting on 2024. In all my remarks, I will be discussing our results on a non-GAAP basis, unless otherwise noted. And all results for third quarter of 2022 or as reflected in our most recent filings. Our strong business model allowed us to deliver solid revenue results and very strong profitability in Q3 by focusing on what we can control despite economic conditions, which continue to be challenging. Our focus efficiency and continued innovation should position us well as the market recovers. Our financial highlights in the quarter include 14% revenue growth compared to Q3 2022, 33% adjusted EBITDA margin, and a 22% unlevered free cash flow margin over the last 12 months.
Revenue growth, plus the trailing 12-month adjusted EBITDA was 43% or 36% using unlevered free cash flow margin. Turning to our results in more detail. Revenue for the third quarter will be $65.3 million, up 14% from the same period in prior year and at the above our guidance. This includes $2.8 million of professional services as large clients engage us to work on some of their most challenging issues. We ended the quarter with 555 enterprise customers, defined as customers with at least $100,000 in ARR. This was an increase of 51 enterprise customers were 10% year-over-year and an increase of 28 enterprise customers from the previous quarter. As a reminder, enterprise customers represent the majority of our ARR and are a key focus of our go-to-market programs.
Our total customer account, which includes smaller customers, was 2,922 at the end of Q3, down from 3,023 in Q3 of 2022 and down 35 from the previous quarter. As smaller customers have been disproportionately impacted by current conditions. Gross profit was $56 million, up 10% from Q3 2022. And our overall gross margin at 85.7%, decreased 280 basis points from Q3 2022 due to both the addition of data sources from the Atlas Dataset and Populi relative to prior year. Most of these additions are intended to drive innovation and long-term growth. Sales and marketing expense was $20 million up 6% from Q3 2022. As a percentage of revenue, sales and marketing spend 31% of revenue, down 230 basis points from Q3 2022. This results from the changes that we have made to drive efficiencies in marketing are focusing on the markets and activities with the highest return on investment.
Product development expense was $7.5 million up 8% from Q3 2022. Product development expenses were 11.5% of revenue, down 60 basis points from Q3 2022 as we realized efficiencies by integrating acquired operations and further globalizing our talent pool. Investing in our platform and using our existing datasets to launch or enhance multiple products is a highly effective and efficient way to increase the value we deliver to customers. Robert and Jason started some examples of these earlier, and we will continue to invest in the multiple opportunities we have identified in our long-term product roadmap. G&A expense was $7.7 million, down 13% from Q3 2022. And as a percentage of revenue, G&A expenses were 12% of revenue, down from 15% in Q3 of 2022.
We expect to see continued leverage from G&A, both because these costs are relatively fixed and due to ongoing efforts to lower administrative costs as we improve efficiency. Adjusted income was $20.4 million, up 30% from Q3 2022 and as a percentage of revenue, operating income was 31% of revenue, up 390 basis points versus Q3 2022. The year-over-year margin increase was primarily due to efficiencies in sales and marketing and G&A. Adjusted EBITDA was $21.7 million, a 33% increase from Q3 2022 and above the upper end of our guidance range. As a percentage of revenue, adjusted EBITDA was 33% of revenue compared to Q3 2022. Adjusted EBITDA as a percentage of revenue was approximately 470 basis points higher due to the savings and investments described earlier.
Adjusted net income in Q3 is $14.6 million or $0.09 per diluted share based on 155 million weighted average shares outstanding. Turning to cash flow. Definitive Healthcare’s high margins, upfront billing and low CapEx requirements provide substantial free cash flow generation. We focus on trailing 12-month cash flows due to seasonality. Operating cash flows were $32.3 million on a trailing 12-month basis, down 27% from $44 million in the comparable period a year ago. Like any SaaS company, when bookings growth slows, so does growth in deferred revenue, which is the biggest driver of cash flow. As growth rates stabilize and recover, so should cash flows. Unlevered free cash flow was $54.1 million on a trailing 12-month basis, down 23% from the comparable period a year ago.
And unlevered free cash flow was 22% of revenue on a TTM basis, effectively converting 75% of our TTM adjusted EBITDA of $71.7 million into cash. On the balance sheet, we ended the quarter with $307 million in cash and short-term investments and with our strong adjusted EBITDA profitability and only $260 million of debt, we believe that we are well-positioned to fund both organic and inorganic growth initiatives. Current revenue performance obligations of $170.8 million were up 7% year-over-year and total revenue performance obligations were up 3% year-over-year. Deferred revenue of $89.8 million was up 6% year-over-year. You will note that as we expected and have seen throughout the year, CRPO and deferred revenue grew more slowly than revenue.
Subsequent to year end, we undertook our normally scheduled segment of our equities book value versus our stock market value, and that review identified a $287.4 million good retirement as of September 30th. [Indiscernible] also generated a $29.7 million gain on the TRA liability and a $17.2 million tax benefit. As a reminder, these are noncash accounting charges and have no impact on our debt covenants, and all impacts are excluded from our adjusted earnings. Moving now to guidance for the fourth quarter. We believe it’s prudent to assume that current conditions also extend through the remainder of the year. Assuming this is the case, in Q4, we would expect total revenue of $65.5 million to $66.5 million for a growth rate of 8% to 10%. Adjusted operating income of $17.5 million to $18.5 million.
Adjusted EBITDA of $19 million to $20 million were 29% to 30% adjusted EBITDA margin and adjusted net in of $11.5 million to $12.5 million or $0.06 to $0.08 per diluted share on 155.6 million weighted average shares outstanding. We will formally guide 2024 when we announce our Q4 results, but I can share some preliminary remarks as we approach year-end. Due to our recurring revenue model, 2023 bookings are the primary driver of 2024 revenue. The fourth quarter is an important sales and renewal quarter for us, so there’s still a range of potential outcomes. But as the day, CRPO growth is our single best predictor of 2024 revenue growth. Q4 renewals and upsells are also critical to net dollar retention. We do not formally guide net dollar retention, but given our performance across 2023 to date, we’d expect year-end NDR in the low 90s on an overall basis.
And from a profitability perspective, we’re confident that we’re making the right moves to align the business to today’s conditions while maintaining important long-term growth drivers. Q4 performance will significantly impact 2024 profitability levels, but we would expect to see improvements in our year-over-year adjusted EBITDA margin. To summarize, Q3 was a solid quarter for Definitive Healthcare despite current economic headwinds. We’re committed to efficiently and prudently manage the top and bottom-line results while continuing to invest in product development to best position the company for long-term growth. We believe we are well-positioned for the long-term because we have developed a clear leadership position in a large and attractive market that we believe will support high levels of predictable revenue growth, profitability, and capital efficiency.
And with that, I’ll hand it back to Robert for a few closing thoughts before we take questions.
Robert Musslewhite: Thanks Rick. Before we open the call for questions, I want to take a moment and welcome Carrie Lazorchak to our executive leadership team as our new Chief Revenue Officer. Carrie has a tremendous background on Chief Revenue Officer at SimilarWeb and SVP of Worldwide Sales at Nuance, and she brings a wealth of experience selling software as a service to both enterprise accounts and small and medium-sized businesses across a range of verticals. Her passion for customer success is evident in everything she does, and I’m absolutely delighted that she chose to join our team. In addition, I’d like to welcome Craig Hazenfield as our new Chief People Officer. Craig also has a very impressive background. Most recently, he led HR at [Indiscernible] and before that, Craig was a senior HR leader at Google, where we partnered directly with Google’s Ads and consumer hardware executive teams.
I’m excited to partner with Craig to grow and evolve our team as we grow our business. I’m excited about the additions of both Carrie and Craig. They are great examples of the types of the fantastic and diverse people that we’re adding at all levels of the organization and that will support Definitive Healthcare as we grow and evolve into the future. I also want to acknowledge and thank all of our employees for their continued commitment to customer success. In a challenging economy, customers are routinely demanding excellence from their vendors and partners, and I’m proud to say that the Definitive Healthcare team continually rises to that challenge. Every day, I see countless of passion and innovation, all in service to our nearly 3,000 customers.
As we look close out to 2023, I want to reiterate that we believe we are well positioned to deliver on our financial commitments for the year. Our team is doing a great job remaining focused on our customers and executing on our key product and growth initiatives. We have built an incredible business in a large, dynamic and growing market that provides great opportunity to meaningfully scale our revenue and profitability in the coming years, and we remain confident in the long-term opportunity for definitive health care and our ability to generate substantial value for our customers and shareholders. With that, we would now like to start the Q&A. Operator?
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