Definitive Healthcare Corp. (DH) Earnings Call Transcript & Summary
August 10, 2022
Earnings Call Speaker Segments
David Hynes
analystOkay. I think we're going to kick it off. So I'm DJ Hynes. I'm Canaccord's senior software analyst. This is the 42nd year that Canaccord has been doing this conference, so we really appreciate all the support of the clients in the room and the corporates that support the event. So thanks to the Definitive team for being here. We're lucky to have CEO, Robert Musslewhite, non-Executive Chair? Executive Chair? I'm taking a look at what the title is right now, yes. Jason Krantz, who is the founder of the business; and CFO, Rick Booth, here with us today. So we're going to do this as a fireside chat. I'd love to take questions from the audience as well. So please let's make this as interactive as we can. If there are questions, raise your hand. I'll integrate them to the conversation.
David Hynes
analystBut Robert, Jason, maybe just to level set, I'm sure we have some folks in the room that are hearing the story for the first time. You guys are a relatively recent IPO. Maybe just give us a 2- to 3-minute overview of the business, the problem you solve, who you're selling to and kind of what makes Definitive unique.
Jason Krantz
executiveSure. Why don't I take that one. So if you think about the health care end market, it's a $4 trillion market. So this massive industry. But what makes it particularly unique for a company like Definitive Healthcare is the complexity of this industry. So you have all these different players, physicians and hospitals and skilled nursing and PT, they're all highly interconnected, and they all want something slightly different out of the system. So what we do is we provide health care commercial intelligence that helps these companies sell and market more effectively into this complex market. So if you think about who we're selling to, it's anybody that wants to sell into or compete within health care. Just about 100,000 companies overall that are potential buyers of our product, but you can think about them primarily in a few key groups. There's life sciences companies, so biotech and med device companies trying to bring a new drug or device to market. You have health care providers, which is a very fast growing market for us. So these are companies like hospitals and physician groups and health systems that are trying to build out new physician relationships and build out their networks more effectively. We sell to health care IT companies that are trying to sell into this market and build out their networks. And then finally, we sell to this whole other group of companies, we call them diversified companies. So companies that are selling into health care, but also sell into many other markets. But they realize that health care is such a big important market for them that they want health care-specific intelligence to be effective within that market.
David Hynes
analystAnd if we think about just in rough terms, and maybe this is a question for Rick, but in rough terms, how ARR splits among each of those groups? I just want to give folks a sense for like who's cutting the checks.
Richard Booth
executiveYes. And I'll frame it in terms of the addressable market. We estimate this is around a $10 billion addressable market. About $6 billion of that relates to life sciences, which would include bio as well as med devices. Another $2 million relates to providers and the remainder is the diversified. Our ARR is more evenly spread than that today. So about, at the time of IPO, a little under half of our revenue was coming from bio and med devices, which we call life sciences. Providers, which is a newer market for us is less than 10%, and the remainder is the diversified area. So when we think about the market, we think about 100,000 potential customers, and we have strong growth across all those segments because if you're looking for growth in today's economy, health care is too big to ignore. And it's a vibrant recession-resistant corner of the market with good secular long-term growth trends.
David Hynes
analystYes. I want to spend some time on the data asset. I think that's an important part of the story to understand. So just talk about kind of key sources of data. What makes it proprietary? Why is it hard to replicate? I mean it gets that kind of like what is the moat that you've built here?
Robert Musslewhite
executiveYes, I'm happy to take that one, having come in more recently and having seen the power of the moat. I think Jason and the team did a great job over 10 years building up a really proprietary asset. So if you think about -- when you talk about building health care commercial intelligence, the company started out by using every available source to map the web of relationships in health care. So government sources and government websites, local municipality websites. There's a lot of primary research in terms of calling and conducting surveys in the market of understanding the web of relationships. There are -- gosh, what are some of the other sources that you used early on?
Jason Krantz
executiveYes. If you think about the 4 sources in key buckets, you've got first priority research, which would be like calls and e-mail surveys directly to providers. So we can make about 700,000 phone calls per year now. On the technology side, we built web scrapers to get data from a few hundred thousand different places on the public domain, and then we ingest that and pull it in and link it all together and cleanse it. Government sources, as Robert said. And then the newest one is medical and prescription drug claims. And this is really about pulling data from clearing houses, EHR systems, insurance companies and pulling this together so that our clients can understand sizing the markets and how patients flow through the health care ecosystem, which is really important as they think about how do they want to educate physicians on when to use their drug and how to use their drug and importantly, how to target and segment more effectively.
Robert Musslewhite
executiveThe one thing I'd add is what's really cool about take all that data, we actually run analysis and AI on the data to create new data sources. So for example, during the pandemic, the company created a telemedicine propensity score based on insights about all the doctors and their use -- their likelihood to use telemedicine, and that became another data source that was proprietary for us that we could load into the platform. So there are a bunch of examples like that, that when you have the proprietary data and combine the affiliations with the claims, you can do a lot with it.
David Hynes
analystYes. Yes, that was the point I was going to make. It's kind of the secret sauce is teasing out all the relationships between all those different data sets. And as you said, it kind of makes the network more proprietary, as you do that. So you guys reported earnings last week. The numbers were pretty good. The stock got whacked. And I think partially, it was you're a victim of your own success. It was -- you had done quite well going into earnings. Just talk about what you saw in Q2? Anything that's top of mind coming off of the earnings report.
Richard Booth
executiveYes. So I think I'd put it in context. The stock had basically doubled in 3 or 4 months heading into the period. The results were pretty good, 37% revenue growth and 33% unlevered free cash flow. So where I come from, that's pretty good. What we look at -- and I think part of the reason why the stock ran was there was a flight to health care under the assumption that health care was completely immune to the uncertainty that is pervading in the market right now. And what we observed and what we tried to clearly communicate to investors is we are seeing a bit of a slowdown in the time period of deals moving through the pipe. That means that our win rates are unaffected, but our close rates in terms of decisions reaching ultimate closure are getting extended because CFOs across the economy are scrutinizing larger spend. So we saw impact in new business, less impact in upsells and virtually no impact in our gross churn. So we see nothing to indicate that it would be a pervasive or a long-term problem, but we very much believe in predictability and candor. We measure everything in our business. And so we put that message out there in our Q2 earnings. And I think people then corrected -- it's almost the mirror image of ZoomInfo, who was way down and then corrected up. We were way up and then corrected down a little bit.
David Hynes
analystYes. Yes. As you look a lot across those deals that are maybe delaying or taking longer to get over the finish line, any common threads between them in terms of which of the kind of subsegments they fall into or the timing of them? Anything you'd call out?
Robert Musslewhite
executiveNo. We saw it across the end markets that we talked about here. It was -- if you had to isolate where the effect was, it tended to be more new business than upsell, although some impacting both, but more new business than upsell and then the larger deals and large deals make sense as they tend to be more complex anyway. So when you -- if you're a CFO and you're starting to scrutinize deals, you're going to go after the ones that are larger and have bigger outflows and put more scrutiny on those. That's where we tended to see.
David Hynes
analystYes. Yes. And just to put in perspective for investors, like what's the typical new land look like in terms of size? And then how do you scale it over time? And maybe that bridges into a conversation around net revenue retention and kind of the trends there.
Robert Musslewhite
executiveDo you want to take that one?
Richard Booth
executiveYes. So our typical deals, if we focus on the enterprise customers that are approaching 60% of our revenue and are very important strategically, about half those customers enter as enterprise customers. So we're able to make an initial sale of 100,000 or more and half grow into that position with us over time. So we have up to 16 different modules. We usually land with a handful of modules, depending on the industry, ranging from 1 to 3 or 4 because usually you start solving a discrete problem, and then they grow over time.
David Hynes
analystYes. Yes. And then the net revenue expansion conversation?
Richard Booth
executiveYes. So the way that we think about net revenue retention is we look at it both at an overall level, where our overall NDR was 108% at last quarter end. We also look at it separately for those larger customers that have more propensity to use multiple products. That NDR was 120 at our last year-end. And the reason that I keep emphasizing year-end is because there is a seasonal aspect to our business. A lot of our renewals occur in Q4. That's a big upsell opportunity for us as well. And so looking at it after Q4 on a TTM basis is the best way to look at NDR.
David Hynes
analystYes. Perfect.
Robert Musslewhite
executiveAnd I think strategically, just to step back for a second, we really think about the business that way. So we have a team dedicated to landing new business. And again, that's where we saw a little more of the expanding sales cycles. Then we have a team dedicated to upselling existing customers. And I think part of the dynamic we saw that upsell wasn't as affected is this dynamic of once someone comes in and uses 1 or 2 of our modules, they tend to get great return. The ROI is very clear and very quick. And once they've seen that, it's easier to then both keep them as customers, which is why we didn't see as much really impact on churn, but also upselling the new modules because they want to expand, they want to get more value. So that case is easier to make with an existing customer than with someone who's still being kind of sold at the front end and hasn't actually experienced it.
David Hynes
analystYes. It's a good segue the next topic, which is kind of around go-to-market strategy, and does it shift at all in an environment like this? I mean you alluded to kind of an emphasis on ROI. How do customers like think about it like measure payback period? Do you have good data to share with new prospects that helps kind of get them over the finish line?
Robert Musslewhite
executiveWe do. I mean I think when you have an environment like this, you want to be sure that your commercial teams are armed with the best tactics in this environment because it's a little different than maybe we started the year, but it's not rocket science. It's about being sure they're armed with these ROI case studies. We have, I think, over 40 case studies on our website with customers' testimonials about specific ways they generate ROI in their business. We have great product marketing materials. We want to train -- if we can get someone to experience a demo, they tend to see the ROI. So if you can get them into that interaction, that tends to start the ball rolling. We also want to be sure that our reps map out the process flow a little more clearly at the beginning of the process. So the process that they started the year with and expected is now different in a lot of cases. So there's new approval steps, new people coming in. So we're really focused on mapping that out at the beginning of the sales cycle and being sure that they're connecting if they need to, with all the influencers of the decision early in the process. So now we manage a lot and manage and track that a little more than we might have at the beginning. So it's more adjusting to the environment than, I'd say, a wholesale change in selling. We have a great sales motion. It's worked very well. And so I think it's more about being sure that customers, especially new customers can understand the value coming into the sales discussion.
Richard Booth
executiveYes. And we're selling to create revenue with a very direct connection to the return. So certainly, scrutiny takes time, but on the other end of that pipeline, things that lead to revenue with a short payback period are much easier to justify than things that are more indirect.
David Hynes
analystYes. Yes, that's an important point. So one of the questions I get a lot is around the size of the opportunity. And you gave us a headline number, you said $10 billion. But I think what underpins the question is like, hey, how many modules can these guys really build from the same data asset, right? So it gets that kind of 2 things, is like, a, what do you look at -- how do you think about future potential for module expansion? And, b, how important is bringing new data assets in to kind of expanding that TAM?
Robert Musslewhite
executiveI think both are great avenues for our innovation and growth. So we've been on the pace of launching 1 to 2 and probably a little more modules per year. So those are new use cases built off our platform that expand us into a new area of spend for a client. Or a different area of spend -- new value story for a client. And we've been doing that since -- certainly since I've been involved with the company, and I think going all the way back every year. So I don't think there's any sort of ceiling on the number of applications and use cases we can roll out, especially given the diversity of our end markets. So for example, our data and our platform is amazing for providers. We haven't spent much time tailoring that into a provider-focused product, and yet our provider is our fastest-growing market. So we now have a team dedicated to building a provider product. We expect to have one of those coming out sometime in future quarters. When we have that, that will, I think, accelerate our growth and open up new use cases and provider as an example. And I could go through examples in each of our end markets where we have opportunities to do that. A good example also is you asked about bringing in new data sources. So we continually do that as well. And I think you're seeing that this year as we're adding some new prescription and commercial claims -- medical claims sources. That's important for us to do because of all the value we can create with that. So when you bring the claims onto our platform and merge it with all of our proprietary reference and affiliations data, again, you create many more powerful use cases that we talked about earlier. So for us, we're always looking for new data sources because we can not just have those data sources to then bring to our clients, we can enhance them with all the other things we do by connecting them and creating new data elements from that, if that makes sense.
David Hynes
analystYes. No, it totally does.
Robert Musslewhite
executiveSo this innovation machine is a key part of our growth. So we innovate heavily on our platform. We also continue to build new modules that we can take out across.
Richard Booth
executiveAnd I think it's important to remember that the ultimate decision makers are buying answers, not data. So if you compare this to the way that legacy claims data providers try to solve this problem, they will generally provide a large extract and then professional services to slice and dice in this back and forth process. What we've done is we've instantiated that data into our SaaS application in real time and provided modules that guide users in their decision-making. So it's fast, it's direct and companies that don't necessarily have large teams of data scientists or are having trouble maintaining the staffing of those data scientists can use this to get more leverage out of them. So it really is -- it's a bit of a paradigm shift and a tech application, which rests on a robust platform of proprietary data.
David Hynes
analystYes. Yes. I was going to ask about competition next, but maybe that's kind of part of the answer is it's these data providers plus professional services that you're really competing with. But I think investors also look at a company like Veeva, right, who's talked a lot about kind of pursuing a data strategy. So, a, did I characterize kind of the competitive environment correct, who you're selling against like who else is in the last company standing in RFP? And then b, maybe talk a little bit about Veeva and their data strategy, how it compares to what you're doing and if you see overlap there over time?
Robert Musslewhite
executiveI always like to say we don't have a direct competitor, which can be good and bad. But in general, we think it's good. We have a moat, and we're the only company that has the health care affiliations and reference data connected to everything else. So in all of our end markets, we're unique. There's no other company where people can get the depth of health care, commercial intelligence that we provide. So you mentioned the claims vendors and Rick talked about them. So if you're going to a life science company, they'll normally buy claims data from other vendors that they've been using for a long time. But because we connect those claims to the reference and affiliations data we bring, we end up covering a lot more facilities and have a lot more of the interconnections, which they can't get from those other vendors. So a lot of times, we'll be side-by-side. They won't trade us out. Of course, we'd love to trade them out over time, but we will be side-by-side and they can't get what we have from the other. So we tend to always have a sales opportunity. We never get closed out by them working with another company. On the diversified side, these are companies that sell across multiple industries but also sell in the health care, there are lots of intelligent sources they get. They're list vendors, ZoomInfo's out there. Those are very broad companies that cover all the industries. We're the only ones that have the depth in health care. And so if you really are going to have a concerted sales effort in health care, you need Definitive to help you do it or you're going to be missing a lot of the intelligence. So that's why I say we don't really have a direct competitor. You asked about Veeva. We sort of see our relationship with Veeva as more of a, I don't know, collaborate -- not collaborative, but we sort of sit -- we work in conjunction with Veeva a lot. So a lot of companies will take our data and load it into their CRM system, which is generally Veeva on the life sciences side, to make it better and more powerful. And I don't think that changes even if Veeva has some data, we have, again, such unique data that I think the value proposition of life science companies, even if they're using Veeva as a CRM, they're going to want other data sources to make their CRM smarter. And that's actually good for us because it embeds us even more deeply in our clients' operations. It makes us much more sticky. So we're happy if people take our platform and take our data and load it into Veeva.
David Hynes
analystYes. Yes.
Jason Krantz
executiveThe other piece -- I was going to say just to quantify the advantage we have for a minute. So within life sciences, you have all these legacy claims providers like IQVIA and Symphony and DRG and Clarivate. If you take the claims data and you overlay that on to the entire ecosystem that we've built from the ground up, only about -- you'll miss about 45% of the universe. So 45% of the facilities out there in the world will never generate a claim. And the reason is because they're generating it through the physician or the other relationships that they have. They don't actually issue a claim. So if you just look at the world through claims, which is what like an IQVIA provides, you miss 45% of the universe. That's incredibly powerful, and that took us 11 years to build up that advantage and that competitive moat that we can keep building on over time as we attach claims and build out prescriptions and pulling information on social intent and all the data that we can continue to add to enhance this platform over time.
David Hynes
analystThat's a great step. I want to talk about the M&A strategy a little bit. I mean you guys have been regular acquirers, I would say. At a high level, like what do you look for in a target? Like what are the financial thresholds that it needs to meet? And then maybe you could bridge that into a conversation around Analytical Wizards and what you're doing there?
Robert Musslewhite
executiveSure. I think we start strategically. So we tend to look for companies that have a capability that we see would be really good built into our platform and delivered to our clients, that we think we can also accelerate. So it's something we don't have, maybe we're thinking about developing it ourselves, but in whatever way it's something new and different that we can bring out. And then tends it to be a growing company. It tends to be -- I mean, if we had our ideal company, it's in the $5 million to probably $20 million range, growing quickly, doesn't have to be profitable, but we have to see that it could scale to similar economics, similar margins that we have. And we can obviously help with that. And so if you kind of take that sweet spot, what we're able to do is take a company like that and build it and integrate it quickly into our platform, which makes our platform more powerful, again, from the dynamics I talked about before, and then also accelerate their commercial performance by putting them in the hands of our large commercial teams out across all of our markets. So I think our last 2 acquisitions are perfect examples. Monocl has been a great acquisition. That's our expert information product. It's sold generally into medical affairs representatives and pharmaceutical companies or biotech companies, biotech and pharma. That's been a great way. It's new data that we were able to load into our platform that gave us a lot of additional data. We could accelerate their growth. They've grown faster under our ownership and we're able to use that data and connect it with our data to create new data sources that make us more valuable to biopharma. Analytical Wizards, the company we acquired in February, same thing. They bring an analytical platform that enables very quick and very standardized analytics, again, for biopharma companies, but they can use any data sources in that. So if we're going to a company and they want to use Definitive, but also other data sources, Analytical Wizards can pull all that together and create robust analytics very quickly that then refresh over time that help, again, supplement clients, analytic teams when needed to create awesome analytics that they need. And so it gives us another angle. And there are times even when we walk into a client and they don't have Definitive data, and they might not be looking to purchase additional data, but now we have a solution we can bring to them because they can use their own data and other data sources and still run Analytical Wizards' applications. And we just launched our first product. We announced at the end of -- or in our announcement, the launch of Passport Express, which is the first product that we built together with Analytical Wizards where we essentially preload Definitive data into an Analytical Wizards framework -- analytical framework for about 20 therapeutic areas, and our teams can then take that out and sell that as almost a prepackaged solution. So hey, here we can address your TA, make the purchase on day 1, they're getting the robust analytics from them.
David Hynes
analystYes. Yes. Time is dwindling. I want to make sure we spend a little bit of time on the numbers. I think it's important to just reemphasize kind of the balanced growth profile of the business. I mean it was near 30% organic growth, north of 30% cash margin. So we're talking well north of a Rule of 60 business. As you look and think about the trajectory going forward, a, talk about kind of opportunities for continued growth in operating leverage. There is some M&A activity in the model, so like how do you think about balancing all that out? And then, b, kind of like how high is up for margins? I mean we've seen other data-driven businesses get to mid-40s cash flow margins. Like is that in the cards?
Richard Booth
executiveYes. So a couple of thoughts on the margin profile. We value growth and profitability, and we measure everything. Every environment creates opportunity. So just as our customers are providing more scrutiny to spend -- we are doing the same thing. We managed to bring our G&A expense down by 230 basis points over the last 2 quarters from Q4 on a run rate basis. Right now, we're choosing to reinvest that in sales and marketing and development because the ROI on those investments is incredibly high for us. Over time, as we scale, we're confident that we will be able to target at least mid- to low adjusted EBITDA margins. I know some of the larger companies out there are doing even more at greater scale, but we like to stick to what we can see.
David Hynes
analystMid- to low 30s?
Richard Booth
executiveMid- to low 40% adjusted EBITDA margin.
David Hynes
analystYes. Got it. Maybe just a concluding question, I've been asking kind of all the companies that I've had presenting is just what do you think is something that investors still underappreciate about the Definitive story?
Richard Booth
executiveI think the predictability. So this company is built to scale and create shareholder value over a very long time. The combination of our revenue growth, our profitability and our capital efficiency positions us perfectly to compound and scale over time. So we're always looking at the business from a long-term perspective. We enter any given year with about 90% revenue visibility. So it gives us a rare opportunity to manage day-to-day fluctuations, communicate openly with clear metrics. And we like to think that we're a stock that let you sleep at night.
David Hynes
analystYes. Yes. Well, predictability is certainly highly valued in this market. So thank you guys very much, Robert, Jason, Rick. I really appreciate you being here.
Jason Krantz
executiveThanks, DJ.
Robert Musslewhite
executiveThank you.
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