NASDAQ:DRIO DarioHealth Q4 2023 Earnings Report $0.75 +0.05 (+7.14%) Closing price 04/17/2025 03:59 PM EasternExtended Trading$0.75 +0.00 (+0.27%) As of 04/17/2025 04:55 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast DarioHealth EPS ResultsActual EPS-$0.41Consensus EPS -$0.54Beat/MissBeat by +$0.13One Year Ago EPSN/ADarioHealth Revenue ResultsActual Revenue$3.62 millionExpected Revenue$3.57 millionBeat/MissBeat by +$50.00 thousandYoY Revenue GrowthN/ADarioHealth Announcement DetailsQuarterQ4 2023Date3/28/2024TimeN/AConference Call DateThursday, March 28, 2024Conference Call Time8:30AM ETUpcoming EarningsDarioHealth's Q1 2025 earnings is scheduled for Tuesday, May 13, 2025, with a conference call scheduled on Friday, May 9, 2025 at 9:30 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Annual Report (10-K)Earnings HistoryCompany ProfilePowered by DarioHealth Q4 2023 Earnings Call TranscriptProvided by QuartrMarch 28, 2024 ShareLink copied to clipboard.There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the DarioHealth 4th Quarter 20 23 Results Conference Call. Answer session. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Kat Perella, Investor Relations Manager. Speaker 100:00:26Thank you, operator, and good morning, everybody. Thank you for joining us today for a discussion of DarioHealth's Q4 and full year 2023 financial results. Leading the call today will be Erez Raphael, CEO of DarioHealth. He'll be joined by Rick Anderson, President. After the prepared remarks, we will open the call for Q and A, where we will be joined by Twill Co Founders, Tomer Benckiki and Ofer Weidner. Speaker 100:00:51An audio recording and webcast replay for this call will also be available online as detailed in the press release invite for this call. For the benefit of those who may be listening to the replay or archived webcast, this call is being held on Thursday, March 28, 2024. This morning, we issued a press release announcing our financial results for the Q4 and full year 2023. A copy of the release can be found on the Investor Relations page of DarioHealth's website. Actual events or results may differ materially from those projected as a result of changing market trends, reduced demand or the competitive nature of DarioHealth's industry. Speaker 100:01:30Such forward looking statements and their implications may involve known and unknown risks, uncertainties and other factors that may cause actual results or performance to differ materially from those projected. The forward looking statements discussed on this call are subject to other risks and uncertainties, including those discussed in the Risk Factors section and elsewhere in the company's full year 2023 Annual Report on Form 10 ks. Additional information concerning factors that could cause results to differ materially from our forward looking statements are described in greater detail on the company's press release issued this morning and in the company's other filings with the SEC. In addition, certain non GAAP financial measures may be discussed during this call. These non GAAP measures are used by management to make strategic decisions, forecast future results and evaluate the company's current performance. Speaker 100:02:21Management believes the presentation of these non GAAP financial measures is useful for investors' understanding and assessment of the company's ongoing core operations and prospects for the future. A reconciliation of these non GAAP measures to the most GAAP measures is included in this morning's press release. With that, I'd like to introduce Erez Raphael, Chief Executive Officer of DarioHealth. Erez? Speaker 200:02:45Thank you, Kat, and thanks to all of you for joining our call this morning. 2023 financial results are a continuation of our multi year strategy and the evolution of our financial profile that is now being accelerated with the Q1 accounts that are launching and accelerated further with the Twilio acquisition. Before analyzing the potential contribution of Aetna and other accounts that we launched in Q1 and that will continue to launch in Q2, I would like to first remind you of the 3 revenue streams, which remains the same post the Twilio acquisition as we operate in the same channels. First is our historical direct to consumer or B2C business. 2nd is our core business, the recurring revenue from health plans and employers or what we call commercial B2B2C with clients like Blue Shield's California, Aetna CVS, in Quilke's, it's clients like Cigna, Elevent, Amazon, Google and others. Speaker 200:03:46The 3rd revenue stream that we call commercial strategy, which is milestone based rather than in full case clients like Merck, Eli Lilly and others. In the Q4, our B2C business generated approximately $2,000,000 which is consistent with the channel expected $8,000,000 to $9,000,000 annual revenue run rate. This number has been managed down to a cash flow natural or slightly positive run rate, which has proved accretive to our strategy of allocating resources to growing our B2B2C channel, reducing OpEx and improving gross margins. On the commercial strategic side, our commercial strategic revenue remains on track for annual run rate of approximately $6,000,000 to $8,000,000 a year. In the Q4, we recorded $582,000 in revenue, which is less than the average quarterly strategic revenue for the first half of the year. Speaker 200:04:57This is due to simply the milestone based timing of revenues from our strategic channel. Want to reiterate that this partnership's revenue should be viewed on a yearly basis and not on a quarterly basis. And the economic value for us on a yearly basis has not changed. We expect our commercial strategic revenue to continue at an annual run rate of $6,000,000 to $8,000,000 on a Dario stand alone basis due to the demand we have already seen from pharma for the integrated dilute wheel offering since the acquisition was announced, we expect to be able to grow this commercial strategic revenue stream along 2024 2025. The fundamentals of our core B2B2C ARR business with employers and health plans continues to grow and is also accelerating in Q1 2024 due to the launch of Aetna and multiple employers accounts. Speaker 200:06:02For year 20 2023, B2B2C channel revenue grew by grew by 0.39% year over year. This Dario standalone B2B2C revenue stream shows an adjusted gross margins of above 70%. Going forward with Twil historic B2B2C margins that are above 90%, we anticipate the combined gross margin for the company to hit above 80%. The vast majority of both the immediate and expected future revenues from the Twil acquisition will appear in the B2B2C channel, pushing us much further ahead in our objective to grow our core business. We anticipate that with the launch of Aetna and other employers' accounts in 2024 and combined with the full B2B2C revenues, the B2B2C recurring revenues channel will be a majority of the total revenue for the full year of 2024 among the 3 revenue streams that we had. Speaker 200:07:06We also saw significant interest in multiple employers adoption of the Dario GLP-one behavioral change program as well as expansions of current customer relationships on the metabolic side. Our product is already fundamentally a complement of the new GLP-one market opportunity. We have seen solid growth in our whole B2B2C business in 2023 and see that accelerating in 2024 on a standalone base. We anticipate larger growth and scale with the transformational acquisition of Quill that we announced last month, an acquisition that we believe will accelerate the timeline to cash flow positive. This acquisition creates the most disruptive digital health platform, the Space of Thing. Speaker 200:07:56It provides the ability to leverage Swill innovative approach to engagement and navigation and breadth of offering to increase sales opportunities, revenue per customer, our enrollment rate and the lifetime value of our members. The combined company will cover 6 conditions: diabetes, hypertension, prediabetes, musculoskeletal, MSK, behavioral health, mental well-being and pregnancy support, as well as redesigning the top of the funnel to increase enrollment rates through innovative member navigation. The acquisition nearly doubles our pro form a revenues. It creates immediate scale across big name clients in the health plan and pharma space with clients like Cigna, Elevent, Amazon, Google, Microsoft, Merck, Eli Lilly and others. First, the companies are very synergetic Also on the operational side, we expect to achieve 30% annualized cost synergies within 2 years. Speaker 200:09:04Most importantly, we expect an accelerated path to profitability in 2025 through revenue scale, increased gross margins and cost synergies. We believe our new cash flow positive point is at approximately $62,000,000 in revenue. We ended the year with $37,000,000 in cash. And on top of that, we raised an additional $22,400,000 alongside the acquisition. This put us in a great position to execute on our strategy. Speaker 200:09:38With that, I would like to hand the call over to Rick to elaborate on the commercial side. Rick? Speaker 300:09:45Thanks, Erez. We were pleased to complete the 2023 employer sales cycle last quarter and have launched or will launch more than 15 new new customers on the platform in the Q1 of 2024 or within the next couple of months. In addition, we launched the first members on the private label Aetna continue to add customers throughout the Q1. We expect that our revenue from Aetna will continue to grow over the next several quarters as they continue to sell the solution to their customers. Last quarter, we announced that we have been selected by Aetna to replace one of their existing vendors in digital cognitive behavioral therapy. Speaker 300:10:28This separate piece of business we anticipate will launch with more than 5,000,000 members within the second quarter. Please keep in mind that our behavioral health is priced on a per employee per month basis at a much lower price than our full suite product. In aggregate, these launches are expected to significantly increase our revenue in the Q1 of 2024 with further increases into the Q2. As Erez noted, our core B2B2C revenue increased 39% in 2023 over 2024, which reflects our investments in building the Dario brand and reputation in the self insured employer and health plan space over the last several years. As I have discussed in the past, the B2B2C market yields step growth in a reinforcing cycle that requires a significant amount of work at the beginning to build reputation, benefit consultant relationships and reference customers. Speaker 300:11:27When successful, this cycle builds on itself each year. We are seeing the continued fruits of our efforts in early 2020 4, which is off to our best start ever as measured by number and size of opportunities in the pipeline at this point of the year. Currently, our average size of employer in the pipeline is more than 200% larger this year than the average in our current book of business. And this does not reflect the Twil standalone pipeline. The building of reference customers is also reflected in existing customers expanding including a self insured financial services customer that expanded in the Q1 and both of our Medicaid customers being in the process of expanding, which is anticipated to impact 2024 and 2025 revenue. Speaker 300:12:13We have further expanded our relationship with Blue Shield of California through our partner Solera and we expect to launch a second condition within a month. In addition, we expect to add to our list of health plan customers during 2020 4, including at least one additional large health plan. Of course, the most significant recent development commercially is the acquisition of Twilio Health. We believe this will enable us to provide a comprehensive and differentiated platform to our customers that will increase our win rate, revenue per customer, lifetime value per member and gross margins. It gives us significantly more B2B2C scale by approximately tripling our B2B2C revenue, adding marquee employer customers, including 3 of the largest technology companies and 2 additional health plans. Speaker 300:13:04The fact that both companies are selling into the same channels with no customer overlap provides significant opportunities for cross selling, especially since Swill customers have historically expressed interest in chronic condition. This has been validated in the last month through discussions with our largest customers and partners who have expressed an interest in understanding how they can access a larger array of our services from the combined entity. We are very pleased to have such affirmation so soon after the acquisition. And like Dario, Twil has several large opportunities in the pipeline for 2024 2025. Twil also has significant relationships with pharmaceutical companies that we believe will enhance the strategies that we have been pursuing with B2B strategic as well as platform licensing opportunities. Speaker 300:13:52We expect this to result in more opportunities to leverage our combined platform, including relationships already in the pipeline that we expect to come to fruition in 2024. In summary, between the standalone and combined opportunities, we expect to increase B2B2C revenues in the Q1 of 2024 and we see the ability to dramatically accelerate our revenue in 2024 and 2025 across our B2B2C and strategic B2B channels. With that, I would like to turn it back over to Erez. Speaker 200:14:25Thank you, Rick. As we look back on the strategic changes we have made to the company in the past few years, such as moving from single to multi condition and from B2C to B2B2C, we see how impactful they were on the financial profile and path to growth and to profitability. The expansion of our product offering, especially post WIL has delivered the most comprehensive platform in the industry, validated by clinical results among the members as well as billions of deeply analyzed data points. Our plan of expanding our B2B2C core business has been progressing with a good pace and will accelerate more in 2024. With real, this channel of this recurring revenue becomes even larger and will be larger than the other two channels combined when we are looking on the full 2024 revenues. Speaker 200:15:19This will be the main driver for the acceleration to profitability at $62,000,000 in revenue. Today Dario has a massive client base and book of business including 3 out of the top 8 national health plans such as Cigna, Elavance and Aetna as well as the big name national employers such as Amazon, Google, Microsoft and key pharma companies such as Enofi, Merck and Eli Lilly. And we are very encouraged by the interest of Dario and Quill clients to expand their contracts into the full offering of the acquisition. The domestic jump start we are starting 2024 with, we believe that our path to profitability is clear and direct and we plan to continue our upward trajectory for this goal on a quarterly basis. With that, I want to hand over the call to the operator for a Q and A session. Operator00:16:19Thank Our first question comes from the line of Charles Rhyee of TD Cowen. Please go ahead. Your line is open. Speaker 400:16:49Hi, this is Adam on for Charles. Thanks for taking my questions. It's great to see many new customers launching the platform already in 2024, both on the white label Aetna solution and the core Dario platform. At the Investor Day, you talked about how the average cost for Maritos for could be meaningfully larger in terms of employees versus the average customer size in 2023. So it's good to hear in her prepared remarks that the average size employer in the pipeline is 200% larger versus the existing book of business. Speaker 400:17:16Can you talk about from the new customers that launched so far in 2024, what the average customer is like that Dario is winning, both in terms of the number of employees and so their size and as well as prior experience with digital health, such as are these competitive links? Speaker 300:17:35Yes. So thanks for the question I think that really what I mentioned in the remarks as well the fact that what you see in the business is really a step function of that. So I would say that the average size of customer is what we would call large middle market to smaller enterprise size customers would be the average, although there are some that are sprinkling in there that are bigger in 2023 and we see, as I mentioned, a big step up of that in 2024. And most of those are employers. I don't think there's really a standard in terms of type of business, etcetera. Speaker 300:18:20We have had good traction actually in labor as well as in transportation companies. So what one may think of not necessarily as traditional, high technology adopting companies, we're actually seeing good traction. I think that that really speaks to the fact that diabetes, hypertension and prediabetes are sort of universal concepts and that those are challenging employers across the spectrum. Geographically, they're also fairly well distributed across the U. S. Speaker 300:18:52So there's not really a typical industry or type of customer I think from that perspective. Speaker 400:19:00That's very helpful. Thank you. And another question on adjusted OpEx. It looked like it decreased sequentially in the Q4 driven by what looks like lower digital marketing expense. Can you talk about what drove this lower digital marketing expense, whether the function of CAC trends or something else in the quarter? Speaker 400:19:15And a follow-up to that would be the Twill. Can you remind us how you're thinking about OpEx trending in 2024 for the combined entity? Speaker 200:19:24Yes. So strategy that we had in the transformation from B2C to B2B, we deliberately or intentionally decided to slow down the B2C to improve our financial profile. So you clearly can see in the last 6 quarters that we are quarter by quarter reduced the OpEx, improved the gross margins, while taking the B2C down. And the way that we think about the B2C is that it's on an average of $2,000,000 a quarter, dollars 8,000,000 a year. That's the cash flow positive point. Speaker 200:20:06And I think that relatively between Q3 to Q4, we have seen more or less the same number. So we don't see a real decline on the B2C. That's the stable run rate looking into this kind of channel. Regarding Twil, generally speaking, Twil are not generating a B2C revenue. So this is only a Dario channel. Speaker 200:20:34Twil do generate what we are calling B2B2C, which means employers and health plans, which is our second channel. And the 3rd channel that Tario have is strategic that is coming mainly from pharma. And on that channel, Quill is also active. So the way to look into the evolution into 2024, 2025 with Twil, I think that the 2nd channel, which is the B2BDC, hence, employers and health plans that drives ARR annual recurring revenue and monthly recurring revenue, that's going to be the majority of the revenue of the company in 2024 and going to account for more than 50 percent of the revenues of the company, which is something that will also contribute to the continuous improvement in the gross margins that will improve potentially to more than 80% on an integrated base. And this channel is going to be the main driver that will help us push the company to the cash flow positive point that we are targeting for the second half of twenty twenty five according to our plans. Speaker 400:21:43That's very helpful. Thank you. And last question for us is how should we think about growth expectations for 2024 whether to the standalone business? Is it still right to think about 100% to 170% B2B2C revenue growth? And for the integrated business with Twill, what's the right way to think about the outlook for potential growth for B2B2C in 2024? Speaker 200:22:03So on the B2C, we disclosed that we're going to keep it stable in the ranges of $8,000,000 On a standalone base, Dario was talking about 100% for the 2nd channel. On an integrated base, given the revenue is much larger, we're not going to see this level of growth on the B2B2C. It's going to be less than 100% on an integrated base for Dario and Twil. And for the integrated base for Navios and Twil. And for the 3rd channel, which is the strategic, we expect that the company will be able to close more deals because we already see interest on the integrated platform. Speaker 200:22:44And we got very concrete discussions with few clients. So the average of $6,000,000 to $8,000,000 have the potential to grow between 2024 to 2025. So overall, we do think that we're going to see a growth for the second and the third channels B2B2C and the strategic on an integrated wave of barrier and fuel. Speaker 400:23:13That's very helpful. Thank you, guys. Speaker 200:23:16Thank you, guys. Operator00:23:18Thank you. And we had another question come through. That's from the line of David Grossman at Stifel. Please go ahead. Your line is open. Operator00:23:41Thank Speaker 500:23:44you. Eric, maybe first just to follow-up on that last comment about the strategic piece of business. So $6,000,000 to $8,000,000 run rate, is that a good number to use for 2024 and then growth in 2025? Or will you expect growth in 2024 as well? Speaker 200:24:10I think that in 2024, there is some potential to grow. I think that the majority of the growth is going to come in 2025. We are in the concrete discussions that started even before some of them started even before the acquisition was announced with few clients that were over the wall. But I think that this is things that will take time in terms of getting to get signed. And I would anticipate that the majority of the impact will happen in 2025 and not in 2024, Although the chances to have something in 2024 exist. Speaker 200:24:50Got it. Speaker 500:24:53And in terms of Edna, I assume that the ramp, the new piece of business that you won as well as the new clients that you're onboarding will show up in the enterprise segment, right, the 2nd segment of your business. Is that accurate? And if so, can you give us a sense of what kind of visibility you have right now based on the business in hand with Aetna? Speaker 200:25:20Yes. You are correct. First of all, it's counted into the 2nd channel, the B2B2C, hence, employers and health plans, specifically Aetna enrolling new employers into the platform. And the more employers they enroll, the more revenue we have. At the moment, we have like in the ranges of like 10 employers that went on the platform and this is something that is keep moving forward into Q2 and Q3. Speaker 200:25:51So this is something that will gradually go up and the visibility that we have is ongoing activities that we are having between our sales team and Aetna in order to introduce the platform to more and more employers. It's not like a full sales cycle like when we are selling directly to employers. This is something that is relatively faster and the platform is getting adopted. But we don't have a visibility like a specific target of 40 or 50 or 60 employers by this quarter or another quarter. And this is why we are relatively thinking about the growth in a conservative way, although the network that Aetna have is very, very wide and the win rate and the ability to get more clients is much faster than Dario on a standalone base. Speaker 200:26:47So we're very positive about the potential growth here. Speaker 500:26:52Right. And for Sorry, just to add Speaker 300:26:57one thing. The new piece of business that we won that will launch in the Q2 is an existing piece of business. So all 5,000,000 of those members will come in the second quarter. Speaker 500:27:07In 2Q, Rick, is that what you said? Speaker 300:27:10Yes, beginning of Q2. Speaker 500:27:14Got it. And then, sorry if I missed this or it was in the release, but did you mention just how large Twil was in the quarter and for the year in 2023 in terms of revenue? Speaker 200:27:32Yes. This is something that we disclosed in the press release. So I think that between Dario and Twil together, the pro form a for 2023 is $37,000,000 to $38,000,000 not audited yet. And that's the disclaimer that we put. We are working on the audits of PWAIL and in the next quarter, it's going to be published. Speaker 200:27:56But on a non audited way, we are looking into $17,000,000 to $18,000,000 that is coming from Twil, from which between $14,000,000 to $15,000,000 is related to the 2nd channel, Employers and Health Plans and another $3,000,000 to 4,000,000 that came from pharma. All the numbers are for 2023 obviously. Speaker 500:28:19Right. Got it. And just on Twil, maybe you can just help us understand, as you look at their existing book of business, they do obviously have a really strategic presence in the Medicaid kind of segment of the market. How should we think about the sales cycle in terms of selling metabolic into that base? Speaker 300:28:52Sorry, David, selling metabolic into which base? Kind of Speaker 500:28:58Into the Medicaid base, like how should we think about the timing of your ability to do that? Is it more given Medicaid awards happen more on an annual basis? Is that something that can be added before that? Or is it really getting into that particular segment? Is that something that's more of a 25% kind of outcome than a 24% outcome? Speaker 300:29:22No. I mean, one of the good news, bad news about selling into health plans when they bear the risk, which would be managed Medicaid, managed Medicare or Medicare Advantage or even on the commercial to some extent, right, they have to have the business. So, you know, to some extent, right, they have to have the business. So if they're looking to add new business, that won't we won't be able to start until they add that business, or if they need renewals, etcetera, that may impact the timing of it. But what we've seen so far is our Medicaid businesses all launched, if you will, sort of mid cycle on those kinds of things. Speaker 300:30:08We do have one of our Medicaid current customers that is in a rebid process at the moment. But even in that particular case that relates to part of their Medicaid business and they are in the process of expanding even in light of that. So it can happen essentially any time. It's just what we're expecting is that we're going to see expansions of Medicaid that will increase our 2024 population under management and therefore revenue. But we also have with one of those plans they're looking 2025 expansion into other lines of business as well. Speaker 300:30:46So that was the comment about 2024 2025. Speaker 500:30:51Rick, does metabolic is the utilization rate of metabolic in the Medicaid base, is it different than the corporate average or is it similar? Speaker 300:31:03There's actually wide variation in the customers that we have, but I would say on average, if you average both of them together, it's a little bit below. One of them is entirely consistent, maybe even a little higher than our commercial book of business and the other one is lower. I believe that relates to the population that we started in with the one that's lower and I believe that will come up. We started in a more challenging segment of that population. Speaker 500:31:32Got it. And just last, Erez, if just thinking about the cash burn in 2024, can you give us a sense of just how you're planning on the cadence of the cash burn given that we're closing the acquisition and I'm sure there's some work that has to be done in conjunction with that. How would you like us to think about again, the cadence of the cash burn over the course of the year? Speaker 200:32:02Yes. Sure. So first of all, I'll try with on a stand alone base. Dario on a stand alone base reduced the OpEx by more than 30% year over year. And if you look into the OpEx of Q4, we had another 11% reduction comparing to the previous quarter. Speaker 200:32:19So Dario is clearly in a path to keep the OpEx down and the OpEx on a standalone base between 2023 to 2024 is going to go down just for Dario by 10% to 15%. That's number 1. Tweel, we're going through a similar kind of path in 2022, 2023. So we are getting into this 2024 in an OpEx that is already reduced. On top of that, on a combined base, because the 2 companies are operating in a very, very similar way. Speaker 200:33:11The objective of the businesses and everything is being done in a digital way. So if you look on the org structure and the operation, it's very, very, very similar. And a lot of the analysis that we did prior to the acquisition and also in the last 4 weeks after the acquisition, we are very, very, very positive that we are having tons of synergies that will create additional efficiency of 30% in the next couple of years from which we think we can get at least 20% in the 1st year, which means that on an integrated base, we're going to see an OpEx that is lower by at least 20% for this year of 2024. If you apply the revenues, the potential growth and the improved gross margins, and we think that for the core business, it's going to be above 80% because that will revenue provide more than 90% gross margins. I think that the overall loss of the company on the operation side is going to be down by at least 30% comparing to the Dario on a standalone base in 2023. Speaker 200:34:27So you're looking into somewhere like $22,000,000 to 20 $4,000,000 a year loss and that's something that we are having as an objective. And the year after, as I said, we believe that with reduced OpEx and growth in the revenues, we're going to go to cash flow positive or very close to cash flow positive. That's the objective. From a cash perspective, we ended the year with $37,000,000 We raised $22,400,000 that we announced alongside with the deal. We paid $10,000,000 cash on the acquisition of Twil, and we ended up with, call it, $50,000,000 approximately $50,000,000 cash. Speaker 200:35:09So we think that we are in a good spot and we think that we are designing the right financial profile in order to manage the risk of cash burn and the ability to growth in a very responsible way. Speaker 500:35:25All right. That's very helpful. Thank you very much. Operator00:35:29Thanks, David. Thank you. And our next question comes from the line of Chuck Bedolla at LifeSci Advisors. Please go ahead. Your line is open. Speaker 500:35:42Thank you, operator, and good morning. Can you tell us more about the main benefits of the Toolkit navigation technology? Speaker 200:35:55Yes. We'll hand this question to Ofer Leidner, the founder of Twil, that is part of Altium. Speaker 600:36:03Yes. Thanks, Jack, for the question. So I think the main benefit of our care navigation solution is mostly that it shifts the relationship with the user on a very fundamental basis from transactional relationship, what do you need and how can you find it into something we like to call longitudinal relationship. We're creating a top of final engagement that's really helping users feel confident and safe in that environment and knowing that they can manage their health journey with us during episodes and in between those episodes. What we've built into that layer of engagement is several proven modalities such as peer to peer support, intelligent personalized content feed, doctors that are supporting users and helping them with answering questions and helping them navigate deeper into the care. Speaker 600:37:04And from there, we simply take them into the self care solution, coaches or any other care that they need deeper into their journey. What we've done in this care navigation kind of environment is essentially removed all barriers to access. You don't need to log in to your benefit portal. You can log in and access it for free, which by the way for employers, it's a huge challenge when it comes to families and dependents. As a matter of fact, this platform is an open platform. Speaker 600:37:38So what we created though ultimately is a total population solution that engages people top of funnel, understand very uniquely their journey, where they are and what they need that drives them deeper into the support that they need. What we're doing ultimately is driving people from engaging top of funnel and further pushing them downstream. And we know that more people when you engage with more people on the top funnel, you can actually engage more people that need support in chronic conditions. As we mentioned before, in our database, about 36% of the users that have touched our platform top of funnel have chronic conditions, many of which have metabolic conditions. So ultimately, to summarize, we're moving with this solution from longitudinal relationship to we're moving to longitudinal versus transactional. Speaker 600:38:41We're using better data and engagement to lead more people towards activations into the conditions. Speaker 500:38:51All right. Thank you. Very helpful. And know it's still very early, but can you speak more to any feedback or progress you've made on the 12 cross selling efforts? Speaker 600:39:02Yes. So I'm happy to address that. As you heard from Rick, we are practically integrated on the commercial side of the house. We went to all of our large clients and introduced the new capabilities. And I would say, we have received very positive feedback with concrete discussions about how we can bring more services. Speaker 600:39:29For me, I would summarize this to say that thesis behind the combined entity and the multiplatform condition is moving from theory to execution right now, and that's where our focus in and what we're going to be focusing over the next few quarters. Speaker 400:39:48Okay. Thank you. And lastly, Speaker 500:39:52what are some of the integration milestones that you're looking for in the short and medium term with 12? Speaker 700:40:00Yes. This is Torben with Kiki. Maybe I'll take this. So we've been working diligently on the integration on multiple levels since the announcement of the acquisition and obviously earlier than that. As Ofer mentioned, the first milestone that we targeted and have achieved is the commercial team of Dario that took over the entire set of products from Twil in market on multiple levels. Speaker 700:40:25They are selling the entire portfolio of products. And as we said, the vision is a comprehensive set of services in digital health that allows an employer or health plan or pharma company to get access to all these digital tools with one relationship. The second component is selling the Beaba Health standalone product suite of 12, which is undergoing right now. And thirdly, we are going to, I would say, launch this combined vision that have been outlined by both Twilcare but there's a high prevalence of them in the mental health level at full care that we'll provide. So that synergy would be available in the middle of the second half, but we're actively selling it already. Speaker 700:41:22Secondly, on the organizational level, we have integrated our executive leadership teams, the senior leadership teams and are now executing on delivering on the financial profile and the cost optimizations that we've been presenting to the market. This is a couple of milestones ahead of us in order to extract those in a best possible way. And lastly, there's a couple of data, AI and ML, I would say, achievements that we're not announcing yet, but we're deeply delivering obviously in digital solutions and the ability of the state of the art technologies to drive our KPIs up. So that gives a bit more color. Operator00:42:14Thank you. And there are currently no further questions in the queue. So I'll hand the floor back to Erez Raphael, CEO of Dario for the closing comments. Speaker 200:42:23Thank you. I would like to thank everyone for joining our call today and the interest in DarioHealth. Have a good day. Thank you. Operator00:42:34This now concludes the conference. Thank you all very much for attending. You may now disconnect your lines.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallDarioHealth Q4 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Annual report(10-K) DarioHealth Earnings HeadlinesDarioHealth Collaborates with Leading National Benefit Plan Administrator to Offer Cardiometabolic Solution including a GLP-1 Support Program to EmployersApril 17 at 8:30 AM | prnewswire.comDarioHealth (NASDAQ:DRIO) Shares Cross Below 200-Day Moving Average - Here's What HappenedApril 15, 2025 | americanbankingnews.com$2 Trillion Disappears Because of Fed's Secretive New Move$2 trillion has disappeared from the US government's books. The reason why is a new, secretive move being carried out by the Fed that has nothing to do with lowering or raising interest rates... but could soon have an enormous impact on your wealth.April 19, 2025 | Stansberry Research (Ad)Top U.S. Healthcare Institution Deploys DarioHealth's Full Suite, Contributing to 2025 Revenue Growth and Market ExpansionApril 8, 2025 | prnewswire.comMarket Alert: Hinge Health's Multi-Billion Dollar Expected IPO Highlights 600% Valuation Opportunity for DarioHealthMarch 24, 2025 | businesswire.comDarioHealth granted extension to regain Nasdaq complianceMarch 21, 2025 | investing.comSee More DarioHealth Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like DarioHealth? Sign up for Earnings360's daily newsletter to receive timely earnings updates on DarioHealth and other key companies, straight to your email. Email Address About DarioHealthDarioHealth (NASDAQ:DRIO) operates as a digital health company in the United States, Canada, the European Union, Australia, and New Zealand. Its digital therapeutics platform and suite of solutions deliver personalized and dynamic interventions driven by data analytics and one-on-one coaching for diabetes, hypertension, weight management, musculoskeletal pain, and behavioral health. The company offers Dario Evolve, a metabolic solution to address metabolic health needs, such as diabetes, pre-diabetes, hypertension, and weight management; Dario Move, which address most common musculoskeletal conditions; Dario Elevate, a behavioral health solution that optimizes access to evidence-based care; and Dario One, a full suite of chronic condition management solution; and Dario blood glucose monitoring systems. It also provides native devices, such as glucose meter, blood pressure cuff, digital scale, and biofeedback sensor device, as well as live coaching services. The company was formerly known as LabStyle Innovations Corp. and changed its name to DarioHealth Corp. in July 2016. DarioHealth Corp. was incorporated in 2011 and is based in New York, New York.View DarioHealth ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Archer Aviation Unveils NYC Network Ahead of Key Earnings Report3 Reasons to Like the Look of Amazon Ahead of EarningsTesla Stock Eyes Breakout With Earnings on DeckJohnson & Johnson Earnings Were More Good Than Bad—Time to Buy? 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There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the DarioHealth 4th Quarter 20 23 Results Conference Call. Answer session. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Kat Perella, Investor Relations Manager. Speaker 100:00:26Thank you, operator, and good morning, everybody. Thank you for joining us today for a discussion of DarioHealth's Q4 and full year 2023 financial results. Leading the call today will be Erez Raphael, CEO of DarioHealth. He'll be joined by Rick Anderson, President. After the prepared remarks, we will open the call for Q and A, where we will be joined by Twill Co Founders, Tomer Benckiki and Ofer Weidner. Speaker 100:00:51An audio recording and webcast replay for this call will also be available online as detailed in the press release invite for this call. For the benefit of those who may be listening to the replay or archived webcast, this call is being held on Thursday, March 28, 2024. This morning, we issued a press release announcing our financial results for the Q4 and full year 2023. A copy of the release can be found on the Investor Relations page of DarioHealth's website. Actual events or results may differ materially from those projected as a result of changing market trends, reduced demand or the competitive nature of DarioHealth's industry. Speaker 100:01:30Such forward looking statements and their implications may involve known and unknown risks, uncertainties and other factors that may cause actual results or performance to differ materially from those projected. The forward looking statements discussed on this call are subject to other risks and uncertainties, including those discussed in the Risk Factors section and elsewhere in the company's full year 2023 Annual Report on Form 10 ks. Additional information concerning factors that could cause results to differ materially from our forward looking statements are described in greater detail on the company's press release issued this morning and in the company's other filings with the SEC. In addition, certain non GAAP financial measures may be discussed during this call. These non GAAP measures are used by management to make strategic decisions, forecast future results and evaluate the company's current performance. Speaker 100:02:21Management believes the presentation of these non GAAP financial measures is useful for investors' understanding and assessment of the company's ongoing core operations and prospects for the future. A reconciliation of these non GAAP measures to the most GAAP measures is included in this morning's press release. With that, I'd like to introduce Erez Raphael, Chief Executive Officer of DarioHealth. Erez? Speaker 200:02:45Thank you, Kat, and thanks to all of you for joining our call this morning. 2023 financial results are a continuation of our multi year strategy and the evolution of our financial profile that is now being accelerated with the Q1 accounts that are launching and accelerated further with the Twilio acquisition. Before analyzing the potential contribution of Aetna and other accounts that we launched in Q1 and that will continue to launch in Q2, I would like to first remind you of the 3 revenue streams, which remains the same post the Twilio acquisition as we operate in the same channels. First is our historical direct to consumer or B2C business. 2nd is our core business, the recurring revenue from health plans and employers or what we call commercial B2B2C with clients like Blue Shield's California, Aetna CVS, in Quilke's, it's clients like Cigna, Elevent, Amazon, Google and others. Speaker 200:03:46The 3rd revenue stream that we call commercial strategy, which is milestone based rather than in full case clients like Merck, Eli Lilly and others. In the Q4, our B2C business generated approximately $2,000,000 which is consistent with the channel expected $8,000,000 to $9,000,000 annual revenue run rate. This number has been managed down to a cash flow natural or slightly positive run rate, which has proved accretive to our strategy of allocating resources to growing our B2B2C channel, reducing OpEx and improving gross margins. On the commercial strategic side, our commercial strategic revenue remains on track for annual run rate of approximately $6,000,000 to $8,000,000 a year. In the Q4, we recorded $582,000 in revenue, which is less than the average quarterly strategic revenue for the first half of the year. Speaker 200:04:57This is due to simply the milestone based timing of revenues from our strategic channel. Want to reiterate that this partnership's revenue should be viewed on a yearly basis and not on a quarterly basis. And the economic value for us on a yearly basis has not changed. We expect our commercial strategic revenue to continue at an annual run rate of $6,000,000 to $8,000,000 on a Dario stand alone basis due to the demand we have already seen from pharma for the integrated dilute wheel offering since the acquisition was announced, we expect to be able to grow this commercial strategic revenue stream along 2024 2025. The fundamentals of our core B2B2C ARR business with employers and health plans continues to grow and is also accelerating in Q1 2024 due to the launch of Aetna and multiple employers accounts. Speaker 200:06:02For year 20 2023, B2B2C channel revenue grew by grew by 0.39% year over year. This Dario standalone B2B2C revenue stream shows an adjusted gross margins of above 70%. Going forward with Twil historic B2B2C margins that are above 90%, we anticipate the combined gross margin for the company to hit above 80%. The vast majority of both the immediate and expected future revenues from the Twil acquisition will appear in the B2B2C channel, pushing us much further ahead in our objective to grow our core business. We anticipate that with the launch of Aetna and other employers' accounts in 2024 and combined with the full B2B2C revenues, the B2B2C recurring revenues channel will be a majority of the total revenue for the full year of 2024 among the 3 revenue streams that we had. Speaker 200:07:06We also saw significant interest in multiple employers adoption of the Dario GLP-one behavioral change program as well as expansions of current customer relationships on the metabolic side. Our product is already fundamentally a complement of the new GLP-one market opportunity. We have seen solid growth in our whole B2B2C business in 2023 and see that accelerating in 2024 on a standalone base. We anticipate larger growth and scale with the transformational acquisition of Quill that we announced last month, an acquisition that we believe will accelerate the timeline to cash flow positive. This acquisition creates the most disruptive digital health platform, the Space of Thing. Speaker 200:07:56It provides the ability to leverage Swill innovative approach to engagement and navigation and breadth of offering to increase sales opportunities, revenue per customer, our enrollment rate and the lifetime value of our members. The combined company will cover 6 conditions: diabetes, hypertension, prediabetes, musculoskeletal, MSK, behavioral health, mental well-being and pregnancy support, as well as redesigning the top of the funnel to increase enrollment rates through innovative member navigation. The acquisition nearly doubles our pro form a revenues. It creates immediate scale across big name clients in the health plan and pharma space with clients like Cigna, Elevent, Amazon, Google, Microsoft, Merck, Eli Lilly and others. First, the companies are very synergetic Also on the operational side, we expect to achieve 30% annualized cost synergies within 2 years. Speaker 200:09:04Most importantly, we expect an accelerated path to profitability in 2025 through revenue scale, increased gross margins and cost synergies. We believe our new cash flow positive point is at approximately $62,000,000 in revenue. We ended the year with $37,000,000 in cash. And on top of that, we raised an additional $22,400,000 alongside the acquisition. This put us in a great position to execute on our strategy. Speaker 200:09:38With that, I would like to hand the call over to Rick to elaborate on the commercial side. Rick? Speaker 300:09:45Thanks, Erez. We were pleased to complete the 2023 employer sales cycle last quarter and have launched or will launch more than 15 new new customers on the platform in the Q1 of 2024 or within the next couple of months. In addition, we launched the first members on the private label Aetna continue to add customers throughout the Q1. We expect that our revenue from Aetna will continue to grow over the next several quarters as they continue to sell the solution to their customers. Last quarter, we announced that we have been selected by Aetna to replace one of their existing vendors in digital cognitive behavioral therapy. Speaker 300:10:28This separate piece of business we anticipate will launch with more than 5,000,000 members within the second quarter. Please keep in mind that our behavioral health is priced on a per employee per month basis at a much lower price than our full suite product. In aggregate, these launches are expected to significantly increase our revenue in the Q1 of 2024 with further increases into the Q2. As Erez noted, our core B2B2C revenue increased 39% in 2023 over 2024, which reflects our investments in building the Dario brand and reputation in the self insured employer and health plan space over the last several years. As I have discussed in the past, the B2B2C market yields step growth in a reinforcing cycle that requires a significant amount of work at the beginning to build reputation, benefit consultant relationships and reference customers. Speaker 300:11:27When successful, this cycle builds on itself each year. We are seeing the continued fruits of our efforts in early 2020 4, which is off to our best start ever as measured by number and size of opportunities in the pipeline at this point of the year. Currently, our average size of employer in the pipeline is more than 200% larger this year than the average in our current book of business. And this does not reflect the Twil standalone pipeline. The building of reference customers is also reflected in existing customers expanding including a self insured financial services customer that expanded in the Q1 and both of our Medicaid customers being in the process of expanding, which is anticipated to impact 2024 and 2025 revenue. Speaker 300:12:13We have further expanded our relationship with Blue Shield of California through our partner Solera and we expect to launch a second condition within a month. In addition, we expect to add to our list of health plan customers during 2020 4, including at least one additional large health plan. Of course, the most significant recent development commercially is the acquisition of Twilio Health. We believe this will enable us to provide a comprehensive and differentiated platform to our customers that will increase our win rate, revenue per customer, lifetime value per member and gross margins. It gives us significantly more B2B2C scale by approximately tripling our B2B2C revenue, adding marquee employer customers, including 3 of the largest technology companies and 2 additional health plans. Speaker 300:13:04The fact that both companies are selling into the same channels with no customer overlap provides significant opportunities for cross selling, especially since Swill customers have historically expressed interest in chronic condition. This has been validated in the last month through discussions with our largest customers and partners who have expressed an interest in understanding how they can access a larger array of our services from the combined entity. We are very pleased to have such affirmation so soon after the acquisition. And like Dario, Twil has several large opportunities in the pipeline for 2024 2025. Twil also has significant relationships with pharmaceutical companies that we believe will enhance the strategies that we have been pursuing with B2B strategic as well as platform licensing opportunities. Speaker 300:13:52We expect this to result in more opportunities to leverage our combined platform, including relationships already in the pipeline that we expect to come to fruition in 2024. In summary, between the standalone and combined opportunities, we expect to increase B2B2C revenues in the Q1 of 2024 and we see the ability to dramatically accelerate our revenue in 2024 and 2025 across our B2B2C and strategic B2B channels. With that, I would like to turn it back over to Erez. Speaker 200:14:25Thank you, Rick. As we look back on the strategic changes we have made to the company in the past few years, such as moving from single to multi condition and from B2C to B2B2C, we see how impactful they were on the financial profile and path to growth and to profitability. The expansion of our product offering, especially post WIL has delivered the most comprehensive platform in the industry, validated by clinical results among the members as well as billions of deeply analyzed data points. Our plan of expanding our B2B2C core business has been progressing with a good pace and will accelerate more in 2024. With real, this channel of this recurring revenue becomes even larger and will be larger than the other two channels combined when we are looking on the full 2024 revenues. Speaker 200:15:19This will be the main driver for the acceleration to profitability at $62,000,000 in revenue. Today Dario has a massive client base and book of business including 3 out of the top 8 national health plans such as Cigna, Elavance and Aetna as well as the big name national employers such as Amazon, Google, Microsoft and key pharma companies such as Enofi, Merck and Eli Lilly. And we are very encouraged by the interest of Dario and Quill clients to expand their contracts into the full offering of the acquisition. The domestic jump start we are starting 2024 with, we believe that our path to profitability is clear and direct and we plan to continue our upward trajectory for this goal on a quarterly basis. With that, I want to hand over the call to the operator for a Q and A session. Operator00:16:19Thank Our first question comes from the line of Charles Rhyee of TD Cowen. Please go ahead. Your line is open. Speaker 400:16:49Hi, this is Adam on for Charles. Thanks for taking my questions. It's great to see many new customers launching the platform already in 2024, both on the white label Aetna solution and the core Dario platform. At the Investor Day, you talked about how the average cost for Maritos for could be meaningfully larger in terms of employees versus the average customer size in 2023. So it's good to hear in her prepared remarks that the average size employer in the pipeline is 200% larger versus the existing book of business. Speaker 400:17:16Can you talk about from the new customers that launched so far in 2024, what the average customer is like that Dario is winning, both in terms of the number of employees and so their size and as well as prior experience with digital health, such as are these competitive links? Speaker 300:17:35Yes. So thanks for the question I think that really what I mentioned in the remarks as well the fact that what you see in the business is really a step function of that. So I would say that the average size of customer is what we would call large middle market to smaller enterprise size customers would be the average, although there are some that are sprinkling in there that are bigger in 2023 and we see, as I mentioned, a big step up of that in 2024. And most of those are employers. I don't think there's really a standard in terms of type of business, etcetera. Speaker 300:18:20We have had good traction actually in labor as well as in transportation companies. So what one may think of not necessarily as traditional, high technology adopting companies, we're actually seeing good traction. I think that that really speaks to the fact that diabetes, hypertension and prediabetes are sort of universal concepts and that those are challenging employers across the spectrum. Geographically, they're also fairly well distributed across the U. S. Speaker 300:18:52So there's not really a typical industry or type of customer I think from that perspective. Speaker 400:19:00That's very helpful. Thank you. And another question on adjusted OpEx. It looked like it decreased sequentially in the Q4 driven by what looks like lower digital marketing expense. Can you talk about what drove this lower digital marketing expense, whether the function of CAC trends or something else in the quarter? Speaker 400:19:15And a follow-up to that would be the Twill. Can you remind us how you're thinking about OpEx trending in 2024 for the combined entity? Speaker 200:19:24Yes. So strategy that we had in the transformation from B2C to B2B, we deliberately or intentionally decided to slow down the B2C to improve our financial profile. So you clearly can see in the last 6 quarters that we are quarter by quarter reduced the OpEx, improved the gross margins, while taking the B2C down. And the way that we think about the B2C is that it's on an average of $2,000,000 a quarter, dollars 8,000,000 a year. That's the cash flow positive point. Speaker 200:20:06And I think that relatively between Q3 to Q4, we have seen more or less the same number. So we don't see a real decline on the B2C. That's the stable run rate looking into this kind of channel. Regarding Twil, generally speaking, Twil are not generating a B2C revenue. So this is only a Dario channel. Speaker 200:20:34Twil do generate what we are calling B2B2C, which means employers and health plans, which is our second channel. And the 3rd channel that Tario have is strategic that is coming mainly from pharma. And on that channel, Quill is also active. So the way to look into the evolution into 2024, 2025 with Twil, I think that the 2nd channel, which is the B2BDC, hence, employers and health plans that drives ARR annual recurring revenue and monthly recurring revenue, that's going to be the majority of the revenue of the company in 2024 and going to account for more than 50 percent of the revenues of the company, which is something that will also contribute to the continuous improvement in the gross margins that will improve potentially to more than 80% on an integrated base. And this channel is going to be the main driver that will help us push the company to the cash flow positive point that we are targeting for the second half of twenty twenty five according to our plans. Speaker 400:21:43That's very helpful. Thank you. And last question for us is how should we think about growth expectations for 2024 whether to the standalone business? Is it still right to think about 100% to 170% B2B2C revenue growth? And for the integrated business with Twill, what's the right way to think about the outlook for potential growth for B2B2C in 2024? Speaker 200:22:03So on the B2C, we disclosed that we're going to keep it stable in the ranges of $8,000,000 On a standalone base, Dario was talking about 100% for the 2nd channel. On an integrated base, given the revenue is much larger, we're not going to see this level of growth on the B2B2C. It's going to be less than 100% on an integrated base for Dario and Twil. And for the integrated base for Navios and Twil. And for the 3rd channel, which is the strategic, we expect that the company will be able to close more deals because we already see interest on the integrated platform. Speaker 200:22:44And we got very concrete discussions with few clients. So the average of $6,000,000 to $8,000,000 have the potential to grow between 2024 to 2025. So overall, we do think that we're going to see a growth for the second and the third channels B2B2C and the strategic on an integrated wave of barrier and fuel. Speaker 400:23:13That's very helpful. Thank you, guys. Speaker 200:23:16Thank you, guys. Operator00:23:18Thank you. And we had another question come through. That's from the line of David Grossman at Stifel. Please go ahead. Your line is open. Operator00:23:41Thank Speaker 500:23:44you. Eric, maybe first just to follow-up on that last comment about the strategic piece of business. So $6,000,000 to $8,000,000 run rate, is that a good number to use for 2024 and then growth in 2025? Or will you expect growth in 2024 as well? Speaker 200:24:10I think that in 2024, there is some potential to grow. I think that the majority of the growth is going to come in 2025. We are in the concrete discussions that started even before some of them started even before the acquisition was announced with few clients that were over the wall. But I think that this is things that will take time in terms of getting to get signed. And I would anticipate that the majority of the impact will happen in 2025 and not in 2024, Although the chances to have something in 2024 exist. Speaker 200:24:50Got it. Speaker 500:24:53And in terms of Edna, I assume that the ramp, the new piece of business that you won as well as the new clients that you're onboarding will show up in the enterprise segment, right, the 2nd segment of your business. Is that accurate? And if so, can you give us a sense of what kind of visibility you have right now based on the business in hand with Aetna? Speaker 200:25:20Yes. You are correct. First of all, it's counted into the 2nd channel, the B2B2C, hence, employers and health plans, specifically Aetna enrolling new employers into the platform. And the more employers they enroll, the more revenue we have. At the moment, we have like in the ranges of like 10 employers that went on the platform and this is something that is keep moving forward into Q2 and Q3. Speaker 200:25:51So this is something that will gradually go up and the visibility that we have is ongoing activities that we are having between our sales team and Aetna in order to introduce the platform to more and more employers. It's not like a full sales cycle like when we are selling directly to employers. This is something that is relatively faster and the platform is getting adopted. But we don't have a visibility like a specific target of 40 or 50 or 60 employers by this quarter or another quarter. And this is why we are relatively thinking about the growth in a conservative way, although the network that Aetna have is very, very wide and the win rate and the ability to get more clients is much faster than Dario on a standalone base. Speaker 200:26:47So we're very positive about the potential growth here. Speaker 500:26:52Right. And for Sorry, just to add Speaker 300:26:57one thing. The new piece of business that we won that will launch in the Q2 is an existing piece of business. So all 5,000,000 of those members will come in the second quarter. Speaker 500:27:07In 2Q, Rick, is that what you said? Speaker 300:27:10Yes, beginning of Q2. Speaker 500:27:14Got it. And then, sorry if I missed this or it was in the release, but did you mention just how large Twil was in the quarter and for the year in 2023 in terms of revenue? Speaker 200:27:32Yes. This is something that we disclosed in the press release. So I think that between Dario and Twil together, the pro form a for 2023 is $37,000,000 to $38,000,000 not audited yet. And that's the disclaimer that we put. We are working on the audits of PWAIL and in the next quarter, it's going to be published. Speaker 200:27:56But on a non audited way, we are looking into $17,000,000 to $18,000,000 that is coming from Twil, from which between $14,000,000 to $15,000,000 is related to the 2nd channel, Employers and Health Plans and another $3,000,000 to 4,000,000 that came from pharma. All the numbers are for 2023 obviously. Speaker 500:28:19Right. Got it. And just on Twil, maybe you can just help us understand, as you look at their existing book of business, they do obviously have a really strategic presence in the Medicaid kind of segment of the market. How should we think about the sales cycle in terms of selling metabolic into that base? Speaker 300:28:52Sorry, David, selling metabolic into which base? Kind of Speaker 500:28:58Into the Medicaid base, like how should we think about the timing of your ability to do that? Is it more given Medicaid awards happen more on an annual basis? Is that something that can be added before that? Or is it really getting into that particular segment? Is that something that's more of a 25% kind of outcome than a 24% outcome? Speaker 300:29:22No. I mean, one of the good news, bad news about selling into health plans when they bear the risk, which would be managed Medicaid, managed Medicare or Medicare Advantage or even on the commercial to some extent, right, they have to have the business. So, you know, to some extent, right, they have to have the business. So if they're looking to add new business, that won't we won't be able to start until they add that business, or if they need renewals, etcetera, that may impact the timing of it. But what we've seen so far is our Medicaid businesses all launched, if you will, sort of mid cycle on those kinds of things. Speaker 300:30:08We do have one of our Medicaid current customers that is in a rebid process at the moment. But even in that particular case that relates to part of their Medicaid business and they are in the process of expanding even in light of that. So it can happen essentially any time. It's just what we're expecting is that we're going to see expansions of Medicaid that will increase our 2024 population under management and therefore revenue. But we also have with one of those plans they're looking 2025 expansion into other lines of business as well. Speaker 300:30:46So that was the comment about 2024 2025. Speaker 500:30:51Rick, does metabolic is the utilization rate of metabolic in the Medicaid base, is it different than the corporate average or is it similar? Speaker 300:31:03There's actually wide variation in the customers that we have, but I would say on average, if you average both of them together, it's a little bit below. One of them is entirely consistent, maybe even a little higher than our commercial book of business and the other one is lower. I believe that relates to the population that we started in with the one that's lower and I believe that will come up. We started in a more challenging segment of that population. Speaker 500:31:32Got it. And just last, Erez, if just thinking about the cash burn in 2024, can you give us a sense of just how you're planning on the cadence of the cash burn given that we're closing the acquisition and I'm sure there's some work that has to be done in conjunction with that. How would you like us to think about again, the cadence of the cash burn over the course of the year? Speaker 200:32:02Yes. Sure. So first of all, I'll try with on a stand alone base. Dario on a stand alone base reduced the OpEx by more than 30% year over year. And if you look into the OpEx of Q4, we had another 11% reduction comparing to the previous quarter. Speaker 200:32:19So Dario is clearly in a path to keep the OpEx down and the OpEx on a standalone base between 2023 to 2024 is going to go down just for Dario by 10% to 15%. That's number 1. Tweel, we're going through a similar kind of path in 2022, 2023. So we are getting into this 2024 in an OpEx that is already reduced. On top of that, on a combined base, because the 2 companies are operating in a very, very similar way. Speaker 200:33:11The objective of the businesses and everything is being done in a digital way. So if you look on the org structure and the operation, it's very, very, very similar. And a lot of the analysis that we did prior to the acquisition and also in the last 4 weeks after the acquisition, we are very, very, very positive that we are having tons of synergies that will create additional efficiency of 30% in the next couple of years from which we think we can get at least 20% in the 1st year, which means that on an integrated base, we're going to see an OpEx that is lower by at least 20% for this year of 2024. If you apply the revenues, the potential growth and the improved gross margins, and we think that for the core business, it's going to be above 80% because that will revenue provide more than 90% gross margins. I think that the overall loss of the company on the operation side is going to be down by at least 30% comparing to the Dario on a standalone base in 2023. Speaker 200:34:27So you're looking into somewhere like $22,000,000 to 20 $4,000,000 a year loss and that's something that we are having as an objective. And the year after, as I said, we believe that with reduced OpEx and growth in the revenues, we're going to go to cash flow positive or very close to cash flow positive. That's the objective. From a cash perspective, we ended the year with $37,000,000 We raised $22,400,000 that we announced alongside with the deal. We paid $10,000,000 cash on the acquisition of Twil, and we ended up with, call it, $50,000,000 approximately $50,000,000 cash. Speaker 200:35:09So we think that we are in a good spot and we think that we are designing the right financial profile in order to manage the risk of cash burn and the ability to growth in a very responsible way. Speaker 500:35:25All right. That's very helpful. Thank you very much. Operator00:35:29Thanks, David. Thank you. And our next question comes from the line of Chuck Bedolla at LifeSci Advisors. Please go ahead. Your line is open. Speaker 500:35:42Thank you, operator, and good morning. Can you tell us more about the main benefits of the Toolkit navigation technology? Speaker 200:35:55Yes. We'll hand this question to Ofer Leidner, the founder of Twil, that is part of Altium. Speaker 600:36:03Yes. Thanks, Jack, for the question. So I think the main benefit of our care navigation solution is mostly that it shifts the relationship with the user on a very fundamental basis from transactional relationship, what do you need and how can you find it into something we like to call longitudinal relationship. We're creating a top of final engagement that's really helping users feel confident and safe in that environment and knowing that they can manage their health journey with us during episodes and in between those episodes. What we've built into that layer of engagement is several proven modalities such as peer to peer support, intelligent personalized content feed, doctors that are supporting users and helping them with answering questions and helping them navigate deeper into the care. Speaker 600:37:04And from there, we simply take them into the self care solution, coaches or any other care that they need deeper into their journey. What we've done in this care navigation kind of environment is essentially removed all barriers to access. You don't need to log in to your benefit portal. You can log in and access it for free, which by the way for employers, it's a huge challenge when it comes to families and dependents. As a matter of fact, this platform is an open platform. Speaker 600:37:38So what we created though ultimately is a total population solution that engages people top of funnel, understand very uniquely their journey, where they are and what they need that drives them deeper into the support that they need. What we're doing ultimately is driving people from engaging top of funnel and further pushing them downstream. And we know that more people when you engage with more people on the top funnel, you can actually engage more people that need support in chronic conditions. As we mentioned before, in our database, about 36% of the users that have touched our platform top of funnel have chronic conditions, many of which have metabolic conditions. So ultimately, to summarize, we're moving with this solution from longitudinal relationship to we're moving to longitudinal versus transactional. Speaker 600:38:41We're using better data and engagement to lead more people towards activations into the conditions. Speaker 500:38:51All right. Thank you. Very helpful. And know it's still very early, but can you speak more to any feedback or progress you've made on the 12 cross selling efforts? Speaker 600:39:02Yes. So I'm happy to address that. As you heard from Rick, we are practically integrated on the commercial side of the house. We went to all of our large clients and introduced the new capabilities. And I would say, we have received very positive feedback with concrete discussions about how we can bring more services. Speaker 600:39:29For me, I would summarize this to say that thesis behind the combined entity and the multiplatform condition is moving from theory to execution right now, and that's where our focus in and what we're going to be focusing over the next few quarters. Speaker 400:39:48Okay. Thank you. And lastly, Speaker 500:39:52what are some of the integration milestones that you're looking for in the short and medium term with 12? Speaker 700:40:00Yes. This is Torben with Kiki. Maybe I'll take this. So we've been working diligently on the integration on multiple levels since the announcement of the acquisition and obviously earlier than that. As Ofer mentioned, the first milestone that we targeted and have achieved is the commercial team of Dario that took over the entire set of products from Twil in market on multiple levels. Speaker 700:40:25They are selling the entire portfolio of products. And as we said, the vision is a comprehensive set of services in digital health that allows an employer or health plan or pharma company to get access to all these digital tools with one relationship. The second component is selling the Beaba Health standalone product suite of 12, which is undergoing right now. And thirdly, we are going to, I would say, launch this combined vision that have been outlined by both Twilcare but there's a high prevalence of them in the mental health level at full care that we'll provide. So that synergy would be available in the middle of the second half, but we're actively selling it already. Speaker 700:41:22Secondly, on the organizational level, we have integrated our executive leadership teams, the senior leadership teams and are now executing on delivering on the financial profile and the cost optimizations that we've been presenting to the market. This is a couple of milestones ahead of us in order to extract those in a best possible way. And lastly, there's a couple of data, AI and ML, I would say, achievements that we're not announcing yet, but we're deeply delivering obviously in digital solutions and the ability of the state of the art technologies to drive our KPIs up. So that gives a bit more color. Operator00:42:14Thank you. And there are currently no further questions in the queue. So I'll hand the floor back to Erez Raphael, CEO of Dario for the closing comments. Speaker 200:42:23Thank you. I would like to thank everyone for joining our call today and the interest in DarioHealth. Have a good day. Thank you. Operator00:42:34This now concludes the conference. Thank you all very much for attending. You may now disconnect your lines.Read morePowered by