Teladoc and Livongo: Merging While the Iron Is Hot

On Wednesday, Aug. 6, Teledoc Overall health Inc. (NYSE:TDOC) introduced that it intends to acquire Livongo Overall health Inc. (NASDAQ:LVGO) in a hard cash and inventory deal that values Livongo at $18.5 billion.

In accordance to the announcement, the merger is supposed to develop a firm that can present “high quality, customized, technology-enabled longitudinal care that increases results and lowers fees across the whole spectrum of health and fitness.”

Teladoc CEO Jason Gorevic mentioned that with the Covid-19 telehealth boom, “it helps make sense” to do the deal now, as it will bring better engagement and referrals to the merged firm.

The strategic positive aspects listed here are simple, as the telehealth boom is generating a uncommon possibility for an market leader to emerge quickly and grab the major share of the sector. However, the stocks of both businesses fell extra than 10% following the announcement prior to recovering somewhat on Thursday, indicating that some buyers may perhaps come across the valuation also superior.


With profitability continue to eluding both businesses, it is not really hard to see why buyers could be careful. On the other hand, the merger will mix a general telehealth firm (Teladoc) with a peer that focuses extra on the controlling of long-term ailments (Livongo), which helps make it quite a harmonious deal. Both equally businesses are properly recognized, and the probable for sector dominance following the merger ought to not be dismissed.

The conditions of the deal

Teladoc and Livongo, two of the major businesses in the U.S. electronic health and fitness field, have viewed their share rates skyrocket, with Teladoc’s inventory acquiring tripled calendar year to day even though Livongo’s enhanced fivefold.


These sharp raises in valuation would make the deal the 3rd major this calendar year. As Longbow Asset Administration CEO Jack Dollarhide pointed out, “Stock rates have gotten so superior with these tech businesses and Covid-19 performs that they’re likely to use their inventory as currency to make acquisitions like this.”

Appropriately, Teladoc designs to spend $eleven.33 in hard cash and .592 of a Teladoc share for each and every share of Livongo, valuing the acquisition at somewhere around $18.5 billion. The deal is set to close in the fourth quarter of 2020, matter to regulatory acceptance.

In conditions of administration, Teladoc’s CEO will be in charge of the merged firm, even though the board of directors will consist of 8 customers from Teladoc and 5 from Livongo.

In accordance to the executives of both businesses, the two had been talking about possibly building a partnership for a long time. The talks accelerated three months ago, but with record numbers of new clients signing up for both companies’ companies, it took a even though for a deal to be struck.

It is important to be aware that the deal is not intended to get rid of a competitor, but rather to mix complementary functions in two similar companies that finally present really various goods, generating it price accretive.

Teladoc presents an option to in-individual business visits in the situation of illnesses that can be easily diagnosed (by doctors) devoid of lab work or long-term monitoring, this kind of as heartburn, typical skin ailments and viruses. Livongo, on the other hand, presents distant monitoring and coaching for long-term ailments that have customarily compelled patients to devote sizeable amounts of time at their doctor’s business. Both equally companies drastically improve the accessibility of health and fitness care for patients with both long-term and limited-term mobility and long-term health and fitness challenges.

Of system, if Teladoc and Livongo have been to go on functioning independently, it is possible that they would inevitably transfer into each and every other’s spheres of business. If the two are to merge, then, a superior possibility to do so is unlikely to appear in the future. As Gorevic advised CNBC, “Our two businesses have been both on a route of convergence or collision.”

Price probable

Teladoc visits surged 203% in the 2nd quarter of 2020 compared to the similar interval of the prior calendar year, contributing to an 85% improve in income. In the meantime, Livongo observed a 113% surge calendar year around calendar year in new diabetes patients, encouraging income make improvements to 125% around the similar interval.

How much of that growth will stick in the limited term, and how much will desire for these companies go on to develop in the long term? We will only know in hindsight, but Teladoc expects once-a-year gross sales growth of amongst thirty% and forty% for the next couple a long time. Livongo’s “Estimated Price of Agreements,” which is the sum of income anticipated in the future from agreements signed with clients, grew 46% calendar year around calendar year in the 2nd quarter.


So far, the two businesses have nonetheless to become lucrative, with earnings for each share remaining firmly in the unfavorable selection. In accordance to Morningstar analysts, earnings for each share is anticipated to remain in the purple for both businesses right until all-around 2022. Teladoc has also delivered unfavorable GAAP earnings for each share steering for whole-calendar year 2020.


With the expense of income reaching somewhere around a fourth of Livongo’s income and half of Teladoc’s income, it is safe to say that a emphasis on growth is a person of the most significant contributing aspects to the absence of profitability at both businesses. Presented the timing of the merger and the executives’ comments, it would seem the businesses intend to retain the emphasis on growth even right after merging.

However, regardless of the absence of profitability so far, both businesses are maintaining steady harmony sheets. GuruFocus offers Teladoc a monetary energy score of 5 out of 10, with a hard cash-credit card debt ratio of 1.34 and an Altman Z-Score of 9.27. Livongo’s monetary energy score is seven out of 10, with a hard cash-credit card debt ratio of 20.09 and a recent ratio of 10.66.


The Covid-19 pandemic has accelerated the desire for telemedicine companies, drastically rising the price that the sector and clients alike spot on businesses in this house. From the viewpoint of rising sector share and establishing a dominant place, there has never ever been a superior possibility for a merger in the telemedicine house.

Consequently, in advance of the merger, Teladoc and Livongo could possibly demonstrate to be lucrative long-term macro bets on the telemedicine field. As with numerous superior-growth businesses, they have nonetheless to turn a financial gain, but that could change with a big plenty of strengthen in popularity and sector share.

Disclosure: Author owns no shares in any of the stocks talked about. The mention of stocks in this post does not at any place constitute an investment decision advice. Investors ought to generally perform their have mindful analysis and/or consult with registered investment decision advisors prior to getting motion in the inventory sector.

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