SEATTLE, Feb. 15, 2023 (GLOBE NEWSWIRE) -- Trupanion, Inc. (NASDAQ:TRUP), the leading provider of medical insurance for cats and dogs, today announced financial results for the fourth quarter and full year ended December 31, 2022.

"2022 was another year of consistent revenue growth and we set solid foundations for our long-term growth initiatives, leading to the doubling of our addressable market," said Darryl Rawlings, founder and chief executive officer of Trupanion. "With our work over the last 24 months and the opportunities ahead of us, 2023 will be an exciting year. We will remain disciplined in our cash deployment and focused on earning strong internal rates of return."

Full Year 2022 Financial and Business Highlights

Total revenue was $905.2 million, an increase of 29% compared to 2021.
Total enrolled pets (including pets from our other business segment) was 1,537,573 at December 31, 2022, an increase of 31% over 2021.
Subscription business revenue was $596.6 million, an increase of 21% compared to 2021 (22% on a constant currency basis).
Subscription enrolled pets was 869,862 at December 31, 2022, an increase of 24% over 2021.
Net loss was $(44.7) million, or $(1.10) per basic and diluted share, compared to net loss of $(35.5) million, or $(0.89) per basic and diluted share, in 2021. Net loss per share is inclusive of stock-based compensation expense of $0.80 and $0.70 for the year ended December 31, 2022 and December 31, 2021, respectively.
Adjusted EBITDA was $0.7 million, compared to adjusted EBITDA of $4.7 million in 2021.
Operating cash flow was $(8.0) million and free cash flow was $(25.1) million in 2022. This compared to operating cash flow of $7.5 million and free cash flow of $(4.9) million in 2021.

Fourth Quarter 2022 Financial and Business Highlights

Total revenue was $246.0 million, an increase of 27% compared to the fourth quarter of 2021.
Subscription business revenue was $158.6 million, an increase of 18% compared to the fourth quarter of 2021 (20% on a constant currency basis).
Net loss was $(9.3) million, or $(0.23) per basic and diluted share, compared to net loss of $(7.0) million, or $(0.17) per basic and diluted share, in the fourth quarter of 2021. Net loss per share is inclusive of stock-based compensation expense of $0.21 and $0.17 for the three months ended December 31, 2022 and December 31, 2021, respectively.
Adjusted EBITDA was $2.2 million, compared to adjusted EBITDA of $3.5 million in the fourth quarter of 2021.
Operating cash flow was $1.0 million and free cash flow was $(4.5) million in the fourth quarter of 2022. This compared to operating cash flow of $5.2 million and free cash flow of $1.3 million in the fourth quarter of 2021.

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Conference Call

Trupanion's management will host a conference call today to review its fourth quarter and full year 2022 results. The call is scheduled to begin shortly after 1:30 p.m. PT/ 4:30 p.m. ET. A live webcast will be accessible through the Investor Relations section of Trupanion's website at https://investors.trupanion.com/ and will be archived online for 3 months upon completion of the conference call. Participants can access the conference call by dialing 1-877-407-0784 (United States) or 1-201-689-8560 (International). A telephonic replay of the call will also be available after the completion of the call, by dialing 1-844-512-2921 (United States) or 1-412-317-6671 (International) and entering the replay pin number: 13735524.

About Trupanion

Trupanion is a leader in medical insurance for cats and dogs throughout the United States, Canada, Europe, Puerto Rico and Australia with over 800,000 pets enrolled. For over two decades, Trupanion has given pet owners peace of mind so they can focus on their pet's recovery, not financial stress. Trupanion is committed to providing pet owners with the highest value in pet medical insurance with unlimited payouts for the life of their pets. With its patented process, Trupanion is the only North American provider with the technology to pay veterinarians directly in seconds at the time of checkout. Trupanion is listed on NASDAQ under the symbol "TRUP". The company was founded in 2000 and is headquartered in Seattle, WA. Trupanion policies are issued, in the United States, by its wholly-owned insurance entity American Pet Insurance Company and, in Canada, by Omega General Insurance Company. Trupanion Australia is a partnership between Trupanion and Hollard Insurance Company. For more information, please visit trupanion.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 relating to, among other things, expectations, plans, prospects and financial results for Trupanion, including, but not limited to, its expectations regarding its ability to continue to grow its enrollments and revenue, and otherwise execute its business plan. These forward-looking statements are based upon the current expectations and beliefs of Trupanion's management as of the date of this press release, and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. All forward-looking statements made in this press release are based on information available to Trupanion as of the date hereof, and Trupanion has no obligation to update these forward-looking statements.

In particular, the following factors, among others, could cause results to differ materially from those expressed or implied by such forward-looking statements: the ability to achieve or maintain profitability and/or appropriate levels of cash flow in future periods; the ability to keep growing our membership base and revenue; the accuracy of assumptions used in determining appropriate member acquisition expenditures; the severity and frequency of claims; the ability to maintain high retention rates; the accuracy of assumptions used in pricing medical plan subscriptions and the ability to accurately estimate the impact of new products or offerings on claims frequency; actual claims expense exceeding estimates; regulatory and other constraints on the ability to institute, or the decision to otherwise delay, pricing modifications in response to changes in actual or estimated claims expense; the effectiveness and statutory or regulatory compliance of our Territory Partner model and of our Territory Partners, veterinarians and other third parties in recommending medical plan subscriptions to potential members; the ability to retain existing Territory Partners and increase the number of Territory Partners and active hospitals; compliance by us and those referring us members with laws and regulations that apply to our business, including the sale of a pet medical plan; the ability to maintain the security of our data; fluctuations in the Canadian currency exchange rate; the ability to protect our proprietary and member information; the ability to maintain our culture and team; the ability to maintain the requisite amount of risk-based capital; our ability to implement and maintain effective controls, including over financial reporting; the ability to protect and enforce Trupanion's intellectual property rights; the ability to successfully implement our alliance with Aflac; the ability to continue key contractual relationships with third parties; third-party claims including litigation and regulatory actions; the ability to recognize benefits from investments in new solutions and enhancements to Trupanion's technology platform and website; and our ability to retain key personnel.

For a detailed discussion of these and other cautionary statements, please refer to the risk factors discussed in filings with the Securities and Exchange Commission (SEC), including but not limited to, Trupanion's Annual Report on Form 10-K for the year ended December 31, 2022 and any subsequently filed reports on Forms 10-Q, 10-K and 8-K. All documents are available through the SEC's Electronic Data Gathering Analysis and Retrieval system at https://www.sec.gov/ or the Investor Relations section of Trupanion's website at https://investors.trupanion.com/.

Non-GAAP Financial Measures

Trupanion's stated results may include certain non-GAAP financial measures. These non-GAAP financial measures may not provide information that is directly comparable to that provided by other companies in its industry as other companies in its industry may calculate or use non-GAAP financial measures differently. In addition, there are limitations in using non-GAAP financial measures because the non-GAAP financial measures are not prepared in accordance with GAAP, may be different from non-GAAP financial measures used by other companies and exclude expenses that may have a material impact on Trupanion's reported financial results. The presentation and utilization of non-GAAP financial measures is not meant to be considered in isolation or as a substitute for the directly comparable financial measures prepared in accordance with GAAP. Trupanion urges its investors to review the reconciliation of its non-GAAP financial measures to the most directly comparable GAAP financial measures in its consolidated financial statements, and not to rely on any single financial or operating measure to evaluate its business. These reconciliations are included below and on Trupanion's Investor Relations website.

Because of varying available valuation methodologies, subjective assumptions and the variety of equity instruments that can impact a company's non-cash expenses, Trupanion believes that providing various non-GAAP financial measures that exclude stock-based compensation expense and depreciation and amortization expense allows for more meaningful comparisons between its operating results from period to period. Trupanion offsets new pet acquisition expense with sign-up fee revenue in the calculation of net acquisition cost because it collects sign-up fee revenue from new members at the time of enrollment and considers it to be an offset to a portion of Trupanion's new pet acquisition expense. Trupanion believes this allows it to calculate and present financial measures in a consistent manner across periods. Trupanion's management believes that the non-GAAP financial measures and the related financial measures derived from them are important tools for financial and operational decision-making and for evaluating operating results over different periods of time.


Trupanion, Inc. Consolidated Statements of Operations (in thousands, except share data)
	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
	(unaudited)
Revenue:
Subscription business	$	158,562		$	134,120		$	596,610		$	494,862
Other business		87,447			60,259			308,569			204,129
Total revenue		246,009			194,379			905,179			698,991
Cost of revenue:
Subscription business⁽¹⁾		131,823			108,627			497,684			407,664
Other business		80,537			55,217			285,310			186,981
Total cost of revenue⁽²⁾		212,360			163,844			782,994			594,645
Operating expenses:
Technology and development⁽¹⁾		6,955			4,665			25,133			16,866
General and administrative⁽¹⁾		10,472			8,996			39,379			31,893
New pet acquisition expense⁽¹⁾		22,457			19,845			89,500			78,647
Depreciation and amortization		2,897			2,770			10,921			11,965
Total operating expenses		42,781			36,276			164,933			139,371
Loss from investment in joint venture		(85	)		(22	)		(253	)		(171	)
Operating loss		(9,217	)		(5,763	)		(43,001	)		(35,196	)
Interest expense		1,587			9			4,267			10
Other expense (income), net		(1,504	)		236			(3,072	)		14
Loss before income taxes		(9,300	)		(6,008	)		(44,196	)		(35,220	)
Income tax expense		(15	)		1,034			476			310
Net loss	$	(9,285	)	$	(7,042	)	$	(44,672	)	$	(35,530	)

Net loss per share:
Basic and diluted	$	(0.23	)	$	(0.17	)	$	(1.10	)	$	(0.89	)
Weighted average shares of common stock outstanding:
Basic and diluted		40,936,507			40,413,434			40,765,355			40,137,505

⁽¹⁾Includes stock-based compensation expense as follows:	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
Cost of revenue	$	1,346		$	1,379		$	6,484		$	7,148
Technology and development		1,549			843			4,742			3,056
General and administrative		3,550			2,450			12,831			8,862
New pet acquisition expense		2,122			2,136			9,336			9,160
Total stock-based compensation expense	$	8,567		$	6,808		$	33,393		$	28,226

⁽²⁾The breakout of cost of revenue between veterinary invoice expense and other cost of revenue is as follows:
	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
Veterinary invoice expense	$	176,083		$	132,852		$	649,737		$	486,062
Other cost of revenue		36,277			30,992			133,257			108,583
Total cost of revenue	$	212,360		$	163,844		$	782,994		$	594,645

Trupanion, Inc. Consolidated Balance Sheets (in thousands, except share data)
	December 31, 2022			December 31, 2021

Assets
Current assets:
Cash and cash equivalents	$	65,605		$	87,400
Short-term investments		156,804			126,012
Accounts and other receivables, net of allowance for doubtful accounts of $540 at December 31, 2022 and $342 at December 31, 2021		232,439			165,217
Prepaid expenses and other assets		14,248			12,325
Total current assets		469,096			390,954
Restricted cash		19,032			13,469
Long-term investments		7,841			7,061
Property and equipment, net		90,701			77,950
Intangible assets, net		24,031			22,663
Other long-term assets		18,943			17,776
Goodwill		41,983			32,709
Total assets	$	671,627		$	562,582
Liabilities and stockholders' equity
Current liabilities:
Accounts payable	$	9,471		$	8,952
Accrued liabilities and other current liabilities		32,616			28,162
Reserve for veterinary invoices		43,734			39,671
Deferred revenue		202,692			146,911
Long-term debt - current portion		1,103			—
Total current liabilities		289,616			223,696
Long-term debt		68,354			—
Deferred tax liabilities		3,392			2,827
Other liabilities		4,968			3,859
Total liabilities		366,330			230,382
Stockholders' equity:
Common stock: $0.00001 par value per share, 100,000,000 shares authorized; 42,041,344 and 41,013,158 shares issued and outstanding at December 31, 2022; 41,408,350 and 40,475,185 shares issued and outstanding at December 31, 2021		—			—
Preferred stock: $0.00001 par value per share, 10,000,000 shares authorized; no shares issued and outstanding		—			—
Additional paid-in capital		499,694			466,792
Accumulated other comprehensive loss		(6,301	)		3,077
Accumulated deficit		(171,562	)		(126,890	)
Treasury stock, at cost: 1,028,186 and 933,165 shares at December 31, 2022 and 2021		(16,534	)		(10,779	)
Total stockholders' equity		305,297			332,200
Total liabilities and stockholders' equity	$	671,627		$	562,582


Trupanion, Inc. Consolidated Statements of Cash Flows (in thousands)
	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
	(unaudited)
Operating activities
Net loss	$	(9,285	)	$	(7,042	)	$	(44,672	)	$	(35,530	)
Adjustments to reconcile net loss to cash provided by (used in) operating activities:
Depreciation and amortization		2,897			2,770			10,921			11,965
Stock-based compensation expense		8,567			6,808			33,393			28,226
Other, net		1,023			(996	)		1,051			(1,927	)
Changes in operating assets and liabilities:
Accounts and other receivables		(8,034	)		(7,397	)		(66,982	)		(66,170	)
Prepaid expenses and other assets		(807	)		(1,133	)		(5,227	)		(3,055	)
Accounts payable, accrued liabilities, and other liabilities		2,388			4,443			3,136			8,796
Reserve for veterinary invoices		4,164			914			4,227			10,768
Deferred revenue		106			6,789			56,153			54,385
Net cash provided by (used in) operating activities		1,019			5,156			(8,000	)		7,458
Investing activities
Purchases of investment securities		(147,346	)		(33,384	)		(273,006	)		(95,672	)
Maturities and sales of investment securities		134,718			18,803			239,210			57,869
Cash paid in business acquisition, net of cash acquired		(12,279	)		—			(15,034	)		—
Purchases of property and equipment		(5,478	)		(3,818	)		(17,088	)		(12,355	)
Other		(167	)		(1,707	)		(1,598	)		(1,755	)
Net cash provided by (used in) investing activities		(30,552	)		(20,106	)		(67,516	)		(51,913	)
Financing activities
Repurchase of common stock		—			—			(5,755	)		—
Proceeds from exercise of stock options		706			551			2,290			3,607
Shares withheld to satisfy tax withholding		(579	)		(1,002	)		(4,359	)		(4,732	)
Proceeds from debt financing, net of financing fees		14,826			—			69,138			—
Repayment of debt financing		(271	)		—			(571	)		—
Net cash provided by (used in) financing activities		14,682			(451	)		60,743			(1,125	)
Effect of foreign exchange rate changes on cash, cash equivalents, and restricted cash, net		505			305			(1,459	)		252
Net change in cash, cash equivalents, and restricted cash		(14,346	)		(15,096	)		(16,232	)		(45,328	)
Cash, cash equivalents, and restricted cash at beginning of period		98,983			115,965			100,869			146,197
Cash, cash equivalents, and restricted cash at end of period	$	84,637		$	100,869		$	84,637		$	100,869

The following tables set forth our key operating metrics:

	Year Ended December 31,
	Year Ended December 31,
		2022			2021
Total Business:
Total pets enrolled (at period end)		1,537,573			1,176,778
Subscription Business:
Total subscription pets enrolled (at period end)		869,862			704,333
Monthly average revenue per pet	$	63.82		$	63.56
Lifetime value of a pet, including fixed expenses	$	641		$	717
Average pet acquisition cost (PAC)	$	289		$	287
Average monthly retention		98.69	%		98.74	%


	Three Months Ended
	Dec. 31, 2022			Sept. 30, 2022			Jun. 30, 2022			Mar. 31, 2022			Dec. 31, 2021			Sept. 30, 2021			Jun. 30, 2021			Mar. 31, 2021
Total Business:
Total pets enrolled (at period end)		1,537,573			1,439,605			1,348,145			1,267,253			1,176,778			1,104,376			1,024,226			943,854
Subscription Business:
Total subscription pets enrolled (at period end)		869,862			808,077			770,318			736,691			704,333			676,463			643,395			609,835
Monthly average revenue per pet	$	63.11		$	63.80		$	64.26		$	64.21		$	63.89		$	63.60		$	63.69		$	62.97
Lifetime value of a pet, including fixed expenses	$	641		$	673		$	713		$	730		$	717		$	697		$	681		$	684
Average pet acquisition cost (PAC)	$	283		$	268		$	309		$	301		$	306		$	280		$	284		$	279
Average monthly retention		98.69	%		98.71	%		98.74	%		98.75	%		98.74	%		98.72	%		98.72	%		98.73	%

The following table reflects the reconciliation of cash provided by (used in) operating activities to free cash flow (in thousands):

	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
Net cash provided (used) by operating activities	$	1,019		$	5,156		$	(8,000	)	$	7,458
Purchases of property and equipment		(5,478	)		(3,818	)		(17,088	)		(12,355	)
Free cash flow	$	(4,459	)	$	1,338		$	(25,088	)	$	(4,897	)

The following table reflects the reconciliation between GAAP and non-GAAP measures (in thousands, except percentages):
	Three Months Ended December 31,						Year Ended December 31,
		2022			2021			2022			2021
Veterinary invoice expense	$	176,083		$	132,852		$	649,737		$	486,062
Excluding:
Stock-based compensation expense		(899	)		(798	)		(4,054	)		(4,538	)
Other business cost of paying veterinary invoices		(59,946	)		(38,009	)		(212,857	)		(129,614	)
Subscription cost of paying veterinary invoices	$	115,238		$	94,045		$	432,826		$	351,910
% of subscription revenue		72.7	%		70.1	%		72.5	%		71.1	%

Other cost of revenue	$	36,277		$	30,992		$	133,257		$	108,583
Excluding:
Stock-based compensation expense		(414	)		(581	)		(2,232	)		(2,610	)
Other business variable expenses		(20,591	)		(17,208	)		(72,453	)		(57,367	)
Subscription variable expenses	$	15,272		$	13,203		$	58,572		$	48,606
% of subscription revenue		9.6	%		9.8	%		9.8	%		9.8	%

Technology and development expense	$	6,955		$	4,665		$	25,133		$	16,866
General and administrative expense		10,472			8,996			39,379			31,893
Excluding:
Stock-based compensation expense		(5,019	)		(3,293	)		(17,135	)		(11,918	)
Development expenses¹		(2,084	)		(858	)		(7,789	)		(3,719	)
Business combination transaction costs		(193	)		—			(372	)		(82	)
Fixed expenses	$	10,131		$	9,510		$	39,216		$	33,040
% of total revenue		4.1	%		4.9	%		4.3	%		4.7	%

New pet acquisition expense	$	22,457		$	19,845		$	89,500		$	78,647
Excluding:
Stock-based compensation expense		(2,079	)		(2,136	)		(9,116	)		(9,160	)
Other business pet acquisition expense		(65	)		(76	)		(541	)		(499	)
Subscription acquisition cost	$	20,313		$	17,633		$	79,843		$	68,988
% of subscription revenue		12.8	%		13.1	%		13.4	%		13.9	%

¹As we enter the next phase of our growth, we expect to invest in initiatives that are pre-revenue, including adding new products and international expansion. These development expenses are costs related to product exploration and development that are pre-revenue and historically have been insignificant. We view these activities as uses of our adjusted operating income separate from pet acquisition spend.

The following tables reflect the reconciliation of new pet acquisition expense, previously called "sales and marketing", to acquisition cost and net acquisition cost (in thousands):

	Year Ended December 31,
	Year Ended December 31,
		2022			2021
New pet acquisition expense	$	89,500		$	78,647
Excluding:
Stock-based compensation expense		(9,116	)		(9,160	)
Acquisition cost		80,384			69,487
Net of:
Sign-up fee revenue		(4,984	)		(4,954	)
Other business segment pet acquisition expense		(541	)		(499	)
Pet acquisition expense for managing general agent policies		(443	)		—
Net acquisition cost	$	74,416		$	64,034

	Three Months Ended
	Dec. 31, 2022			Sept. 30, 2022			Jun. 30, 2022			Mar. 31, 2022			Dec. 31, 2021			Sept. 30, 2021			Jun. 30, 2021			Mar. 31, 2021
New pet acquisition expense	$	22,457		$	22,434		$	22,982		$	21,627		$	19,845		$	19,708		$	19,390		$	19,704
Excluding:
Stock-based compensation expense		(2,079	)		(2,108	)		(2,601	)		(2,328	)		(2,136	)		(2,112	)		(2,181	)		(2,731	)
Acquisition cost		20,378			20,326			20,381			19,299			17,709			17,596			17,209			16,973
Net of:
Sign-up fee revenue		(1,191	)		(1,339	)		(1,252	)		(1,202	)		(1,162	)		(1,268	)		(1,260	)		(1,264	)
Other business segment pet acquisition expense		(65	)		(181	)		(186	)		(109	)		(76	)		(134	)		(118	)		(171	)
Pet acquisition expense for managing general agent policies		(443	)		—			—			—			—			—			—			—
Net acquisition cost	$	18,679		$	18,806		$	18,943		$	17,988		$	16,471		$	16,194		$	15,831		$	15,538

The following tables reflect the reconciliation of adjusted EBITDA to net loss (in thousands):

	Year Ended December 31,
	Year Ended December 31,
		2022			2021
Net loss	$	(44,672	)	$	(35,530	)
Excluding:
Stock-based compensation expense		32,537			28,226
Depreciation and amortization expense		10,921			11,965
Interest income		(3,026	)		(337	)
Interest expense		4,267			10
Other non-operating expenses		(1	)		2
Income tax expense		476			310
Business combination transaction costs		372			82
(Gain) loss from equity method investment		(131	)		6
Adjusted EBITDA	$	743		$	4,734

	Three Months Ended
	Dec. 31, 2022			Sept. 30, 2022			Jun. 30, 2022			Mar. 31, 2022			Dec. 31, 2021			Sept. 30, 2021			Jun. 30, 2021			Mar. 31, 2021
Net loss	$	(9,285	)	$	(12,914	)	$	(13,618	)	$	(8,855	)	$	(7,042	)	$	(6,819	)	$	(9,221	)	$	(12,448	)
Excluding:
Stock-based compensation expense		8,412			8,306			8,462			7,358			6,808			6,443			6,527			8,448
Depreciation and amortization expense		2,897			2,600			2,707			2,717			2,770			2,944			3,158			3,093
Interest income		(1,614	)		(1,018	)		(297	)		(97	)		(80	)		(85	)		(84	)		(88	)
Interest expense		1,587			1,408			1,193			79			9			—			3			(2	)
Other non-operating expenses		—			—			(1	)		—			—			(1	)		3			—
Income tax expense (benefit)		(15	)		496			19			(24	)		1,034			(312	)		(195	)		(217	)
Business combination transaction costs		193			179			—			—			—			—			—			82
(Gain) loss from equity method investment		—			—			(131	)		—			—			—			6			—
Adjusted EBITDA	$	2,175		$	(943	)	$	(1,666	)	$	1,178		$	3,499		$	2,170		$	197		$	(1,132	)

Contacts:

Investors:

Laura Bainbridge, Vice President, Corporate Communications

Investor.Relations@trupanion.com

Trupanion Reports Fourth Quarter and Full Year 2022 Results