NASDAQ:DRIO DarioHealth Q3 2023 Earnings Report $0.72 +0.00 (+0.28%) Closing price 05/23/2025 04:00 PM EasternExtended Trading$0.72 0.00 (-0.14%) As of 05/23/2025 05:24 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. ProfileEarnings HistoryForecast DarioHealth EPS ResultsActual EPS-$0.49Consensus EPS -$0.50Beat/MissBeat by +$0.01One Year Ago EPSN/ADarioHealth Revenue ResultsActual Revenue$3.52 millionExpected Revenue$4.13 millionBeat/MissMissed by -$610.00 thousandYoY Revenue GrowthN/ADarioHealth Announcement DetailsQuarterQ3 2023Date11/2/2023TimeN/AConference Call DateThursday, November 2, 2023Conference Call Time8:30AM ETConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by DarioHealth Q3 2023 Earnings Call TranscriptProvided by QuartrNovember 2, 2023 ShareLink copied to clipboard.There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the DarioHealth Third Quarter 2023 Results Conference Call. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. As a reminder, this conference is being recorded. Thank you. Operator00:00:25It is now my pleasure to introduce your host, Glenn Garment. Please go ahead. Speaker 100:00:31Thank you, operator, Good morning, everybody. Thank you for joining us today for a discussion of DarioHealth's Q3 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'll open the call for Q and A. Speaker 100:00:49An audio recording and webcast replay for today's 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 November 2, 2023. This morning, we issued a press release announcing our financial results for the Q3 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 100:01:27Such 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 Q3 2023 Quarterly Report on Form 10 Q. Additional information concerning factors that could cause results to differ materially from our forward looking statements are described in greater detail in 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 100:02:19Management 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 comparable 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 200:02:42Thank you, Glenn, and thanks to all of Speaker 300:02:44you for joining our call this morning. Q3 financial results are continuation of our multi year strategy and evolution of our financial profile. We continue to look forward with added conviction in our advancements in the digital health space. As we communicated in our recent Investor Day, our revenue streams can be viewed as 3 fold. First is our historical direct to consumer or B2C business. Speaker 300:03:152nd is the recurring revenue from health plans and employers For commercial B2B2C. And the 3rd revenue stream that we call commercial strategics, which comes from partners like Sanofi and is Milestone driven. In the Q1, our B2C business continued pace to achieve the expected $8,000,000 to $9,000,000 in yearly revenue, while remaining cash natural or slightly positive. We expect this trend to continue into 2024. On the commercial strategic side, Our commercial strategic revenue remain on track for annual run rate of approximately $6,300,000 a year. Speaker 300:04:00The current quarter resulted only with $200,000 recorded in revenues, which negatively affect Revenue compared to the previous quarter and the Q1 of 2022. We want to reiterate that DAS Partnership revenues Should be viewed on a yearly basis and not 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 rate of $6,000,000 to $8,000,000 a year. The fundamentals of our core B2B2C commercial ARR business that comes from recurring revenue from employers and health plans Continue to grow. Speaker 300:04:44In the Q3, the revenue from this channel grew by 22.7% compared to the Q1 of 2022 and up 57% for the 9 months ended compared to the same period in 2022 and totaled $3,900,000 in 20.23 compared to $2,500,000 in 2022. Our current total signed contract estimated value is over $60,000,000 a year, which will be recognized as ARR in the B2B2C channel as we continue to penetrate member populations. We believe that our annual revenue growth target On hybrid to 170 percent in the B2B2C business channel can be achieved and expected to see faster revenue ramp up when we enter into 2024. To reach this target, we use metrics surrounding historical enrollment rates and other data from members and clients we have. This revenue stream shows an adjusted gross margins above 70%, which will continue to drive overall gross margins higher as the B2B2C business channel becomes a larger percentage of our business. Speaker 300:06:02Looking forward, the growth of this B2B2C ARR channel should accelerate because of the following three building blocks. 1st, implementing signed contracts. We estimate that we have a $60,000,000 in ARR in contract value. 2nd is the Landon Expand approach, an opportunity to expand existing clients either by adding new chronic conditions all expanding to additional population. The third is our partnership strategy that gives us potential access For 87,000,000 members, securing just 1% of this population is about $17,000,000 in ARR. Speaker 300:06:45So that's a very loud potential. I would like to touch base on our strategic relationships and I'll start with Sanofi. We continue to see significant financial and people resources dedicated to Dario by Sanofi in marketing the solution and conducting the recent clinical studies. The results from 3 real world clinical studies done by Sanofi and 3rd party hired by Sanofi were published this year. The study showed impressive results on the clinical side. Speaker 300:07:19Hemoglobin A1c improved between 1 to 2.3 points and also from a cost perspective with an average annual savings of more than $5,000 per member per year for users that are operating on the Dario platform. This is an impressive result and useful metrics to deliver to payers and partners. On Aetna, The highly anticipated launch of the Dario Power Behavioral Health platform is on track to January 2024 and we have insights into 5 employers That will enroll to the platform starting January 2024. We also expanded our relationship with Aetna and Rick We'll provide more details about it in a few minutes. We believe that the partnership is only getting stronger and the size of the opportunity is getting larger than what we originally anticipated. Speaker 300:08:14Another large opportunity for us is the GLP-one revolution. We are happy to say that through the development we made with Sanofi, we launched a product offering that defined the value platform as a solution For users on GLP-one and other weight loss drugs, according to published FDA statements, the drug needs to be supported by proper behavioral change. This includes onboarding and off boarding the drug as well as managing nutrition and exercise while taking it. This is exactly the type of behavioral management that our solution address. Our product is already fundamentally a complement to this new market opportunity. Speaker 300:08:54Another potential area that we are exploring within the GLP-one opportunity is the system in navigating the allocation of the drug to the right patients. Given its price implications to Helplent, we see a need for data driven assistance in making sure that the drug is prescribed to the right people at the right time. Let's take a deep dive into the rest of the financial results. One important metric is the gross margins. We see our pro form a gross margins of 48.8 percent for the Q3 of 2023, A slight decrease from 51.5 percent of the revenue in the Q2 of 2022. Speaker 300:09:40Gross margins in the B2B2C channel have remained consistent at around 70%, which is our target rate. Margins will continue to improve towards 70% level in the longer term as the B2B2C continue to grow. Looking at the operating expenses and operating loss, we are seeing an operating leverage of the infrastructure that we have built and the real economic advantage of the multi condition approach. Our operating expenses on the non GAAP basis for the 9 months ended September 30, 2023 are down to $32,300,000 From $39,300,000 for the 9 months ended September 30, 2022. We expect An additional 16% reduction in our operating expenses in 2024 as we continue to consolidate Automate and Scale. Speaker 300:10:42Operating loss excluding stock based compensation, amortization of acquisition related expenses and depreciation of the Q3 of 2023 was approximately $9,000,000 compared to $8,400,000,000 for the Q3 of 2022 And $7,500,000 in the Q2 of 2023. For the 9 months ended September 2023, our non GAAP operating losses was $23,800,000 compared to approximately $30,000,000 for the 9 months ended September 2022. This was due to decrease in operating expenses. We expect to continue the OpEx reduction as well as the net loss reduction as our financial profile continue to take form. We expect our non GAAP operating expenses to decrease about 10% to 15% during 2024 And our non GAAP operating loss to decrease between 20% to 30% in 2024. Speaker 300:11:48We have a strong cash position of $44,000,000 which provide estimate runway during 2025. We believe that we will become cash flow positive at about $80,000,000 in ARR, A goal that we see better reason as we continue to improve our financial performance. With that, I want to hand it over to Speaker 400:12:10Thanks, Erez. As Erez mentioned, in the Q3, our B2C business continued on pace to achieve $8,000,000 to $9,000,000 in revenue, while remaining breakeven to slightly profitable. And we continued to see growth in our core business line, recurring revenue from health plans and self insured employers in the Q3. Our strategic revenue was lower in the Q3 than in the Q3 of 2022 and lower than we had originally anticipated for the quarter. The majority of this was due to the timing of the milestones delivered as a result of Sanofi internal changes. Speaker 400:12:45These internal changes do not impact the annual revenue or the overall relationship with Sanofi as Erez mentioned. As we discussed last quarter, our Aetna behavioral health platform has moved to their commercial division and we are pleased to report that they are on track to have members on platform with identified starting in January of 2024. As a reminder, we earn revenue from this platform on a per employee per month basis for all employees who have access to the platform, which means revenue will commence in January. We expect that the population on the platform will continue to grow over several quarters Post launch, as Aetna continues to sell the platform through to their self insured employer customers. I am also pleased to report that we had a significant win with Aetna in 3rd quarter as we were selected to replace 1 of their existing vendors in providing digital cognitive behavioral therapy. Speaker 400:13:39This represents a separate win and additional revenue that will commence during the Q1 of 2024. In addition to the significant ARR revenue this will add We have continued to see growth from both MedOne and the large regional Blues plan that we recently launched. And as previously discussed, we expect to see a growth of members from these two accounts throughout the remainder of 2023 and more substantially into 2024. In addition, in the Q3, we expanded the conditions for the regional Blues plan from hypertension to also now include diabetes, which we expect to launch in the Q1 of 2024. The launch of diabetes combined with the increased promotion of the program in For and 2024 by the health plan and our partner Solera are expected to result in significant growth in this account with approximately 3,000,000 members. Speaker 400:14:42In addition, Med One has now made Dario offering part of their standard product for new customers launching in 2024. This should further accelerate the penetration of this account. Combined, these customers will ramp over the next several quarters adding to our ARR growth through 2023 and accelerating into 2024. We continue to deliver for our customers. In a recent customer satisfaction study, 96 Our customers were satisfied or very satisfied. Speaker 400:15:11This has translated to a steady increase in reference customers, which are important for accelerating growth. In addition, several of our existing customers are in the process of expanding, including 2 of our health plans, either in terms of the size of the population with access to Dario or the lines of business. The majority of these expansions will commence in the Q1 of 2024 with the rest expected in the Q2 of 2024. In the Q3, we saw a slowdown in self insured employer decision making due mostly to macroeconomic conditions resulting in several opportunities shifting to next year. In spite of this, we are pleased to be adding at least 15 self insured employers and health plans to the platform in the Q1 of 2024, which we anticipate will result in a significant increase in ARR in the Q1. Speaker 400:16:03And these additions do not include several health plans and employers that we anticipate adding in 2024 to our partnerships, including at least 1 national health plan. We haven't seen a strong pipeline and activity through our partnerships, which enable the easy button contracting, integrating and implementation for customers. Partnerships will continue to be a significant part of our go to market strategy. In summary, we will continue to see growth of the key B2B health plan and self insured employer business in the Q4 and substantial growth in our core business in 2024. We have created a growing base of B2B2C health plan and self insured employer revenue that will carry into 2024 with strong retention. Speaker 400:16:46Med 1 and the large regional Blues plan will continue to increase revenue in 2024 as we continue to bring those customers' numbers on the platform. Importantly, our partners are increasing the promotion of these programs to their members and in the case of MedOne making Dario part of their standard offering rather than an opt in. Several of our customers are expanding, including multiple health plan customers by adding additional populations, conditions or lines of business, which will be contributing to revenue in the 1st and second quarters of 2024. We anticipate adding at least 15 additional employer and health plan customers on the platform in the first The Aetna platform will launch in the Q1 2024 with several identified customers And our newly expanded business with Aetna, which builds on a per employee per month basis, will launch in the Q1 of 2024 as well. We have established several quality partnerships and those partners are starting to generate Vario customers from growing pipelines that we anticipate will contribute significantly to revenue in 2024, including 1 to 2 national health plans. Speaker 400:17:51With that, I would like to turn it back over to Erez. Speaker 300:17:55Thanks, Ulrich. As we look back to the strategic changes we have made in the company in the last few years, such as moving from single to multi chronic conditions and from direct to consumer to B2BDC. We see how massively impactful they were to our growth and advancement of our business across the China. From product perspective, as we explained in our Investor Day a couple of weeks ago, our platform is best in class with clinical proof of efficacy that has been validated by ReWalk Data as well as our partners. Our core business is functioning very well and the financial profile of the company is continuing to improve. Speaker 300:18:41We are very happy with development of the top partners like Aetna and Sanofi and continue to see them and progress to be stronger. We remain dedicated to keeping the investing educated on the progress of the business across the multiple channels we have defined. To recap here, Commercial strategic revenue will be measured on an annual basis as it is milestone driven. We expect to see This staying in line with our estimation of $6,000,000 to $8,000,000 a year. Peerability, employers and health plan Is recurring and should grow as we continue to implement our signed accounts, we expect to see this revenue channel grow between 100% to 170% annually. Speaker 300:19:29On the B2C side, we are going to be stable on breakeven cash flow or cash flow positive with $8,000,000 to $9,000,000 per year. In 2024, we expect to see OpEx reduced by additional 10% to 15% non GAAP and net loss reduced by additional 20% to 30% non GAAP. All this proves as evidence of continued improvement of our financial profile on a consistent going forward basis. Thanks everyone. And I would like to open it now for Q and A. Operator00:20:10Thank you. Ladies and gentlemen, we will now begin the question and answer and your questions will be pulled in the order they are received. Your first question comes from Charles Rhyee, TD Cowen. Charles, please go ahead. Speaker 500:20:50Yes. Thanks for taking the questions. Erez and Rick, Maybe just give a sense on sort of how the strategic partnerships are going and obviously we didn't Get as much contribution this quarter, Speaker 300:21:05maybe a Speaker 500:21:05little bit more about the Sanofi relationship and how that's progressing. And then secondly, in light of this and sort of the pace that we're expecting with Aetna next year and sort of your expectations on Some of the new customers that could come on board, how should we be thinking about next year's revenues? Speaker 200:21:27I'll start with Sanofi and Rick can talk about Aetna and I also can talk about Aetna. When we think about the relationship with Sanofi, I mean, we had we are looking into Few types of revenues. We have development services. We have elements that related to clinical publication and data. And one of the things that we were showing and reiterating in Speaker 300:21:51our Investor Day is all the achievements that we had in the Speaker 200:21:51last year, So, Dae, with all the achievements that we had in the last year with this kind of relationships, we had 3 different clinical publications That was done on top of our LIBOR data that we collected over the year and we had like one of the top clinical guys from Sanofi on the stage talking about it. That's a long way to say that the relationship are very good. We are making progress in terms of Achieving objectives on the clinical aspects to the development services aspects, just to remind you, we developed together The behavioral change capabilities that related to the GLP-one, which is also something that was done together with Sanofi. On the development side, we are also doing well. And also on the commercial side, we are working together to get clients and actually MadeONE is one of the clients that we work together with Sanofi in order to achieve and we think that we're going to get another A few clients, including health plans that is coming from the relationship with Sanofi. Speaker 200:22:57So looking back, we signed on this agreement on March 1 last year. Looking back on all three streams, the clinical, the development services and the commercial, there is a satisfaction from both sides. I think that the challenging part is the way that we anticipate how This $30,000,000 deal is recognized and delivered because it's very milestone based. And it's very hard for us To communicate with the market when we're going to recognize what part of the revenue and I think this is what created the challenge. And one of the things that I was trying to be very, very clear On the script, on the earnings call itself is that the relationship are moving to the right direction and We believe we can also take it to the next level beyond the $30,000,000 This is something that we said before And we think that the relationship are stronger than ever. Speaker 200:23:57Rick, you want to say something about Aetna and the launch? Speaker 400:24:02Sure. Speaker 600:24:02So I mean, I think our relationship with Aetna continues to be very strong. They are, As we mentioned, they have now identified customers that on the platform, the Mine Companion platform, which is the private label version, they're selling through their customers. And they've brought us more and more to be involved in the commercialization effort of that. So that continues to deepen. Plus, as I mentioned, we won another piece of business, which was actually taken from Teladoc and that's going to launch in January. Speaker 600:24:38So our understanding from them is they're looking to continue to consolidate vendors And we've benefited from that. I think that, that speaks to the relationship. I think there will be other opportunities over the next 12 months with them also to be able to So I think the relationship is strong. It's showing up in terms of the business that we're increasing with. Speaker 200:25:00And in terms of the revenue, Charles, I want to make sure that I'm addressing that part of the question and how you should look into revenues toward next year and the year after. We think that the B2C strategy is to keep it because it generates the data that we need and it helps us to They create the sandbox in order to improve the platform. And this one, we are keeping on cash flow Neutral or a bit positive or slightly positive, and this is in the ranges of $8,000,000 to $9,000,000 a year. The other part, which is the strategic and we recognize this year some strategic that is coming from Aetna And also Sanofi. So these are the 2 revenues that we had under the strategic. Speaker 200:25:47And next year, we think that we have a range of somewhere between 6 $8,000,000 for that part can be even more. Sanofi is kind of guaranteed To some extent and it just depends on how it's going to be recognized between the quarters. So that's another part. We also work On other relationships that related to pharma and companies that related to clinical and data, and we believe that we're going to have More clients contributing to this revenue channel, what we are calling commercial strategic. And the third part, which is the most important part, 17% growth. Speaker 200:26:38This is very hard to predict, but the more we are implementing, It becomes more predictable and we are aware to the challenge that investors have and analysts have In anticipating how the ramp up is going to look like on a quarterly base, and that's a challenge that we are trying to address. Also with our partners, with Sanofi, and we'll try to get it as steady as possible. But The business is a bit complicated, but it's ramping up. So we are confident that We are in the right path to create a growth which is more significant as we move forward. Speaker 500:27:26Sorry, just to clarify though. So if we look at the services revenue, which is I'm assuming mostly is all the B2B2C, And we know we don't have really any strategic like Sanofi related revenue in it. If we look at sort of If we kind of annualize that number, is that the number we should be growing, the 100%, I think you said 170% as we think about next year? And then obviously, we have a steady state in terms of consumer on the B2C and then obviously some contribution from strategics? Speaker 200:28:03No, not exactly. I said that on the B2C, it's between $8,000,000 to $9,000,000 which is the cash flow positive, Okay. That's number 1. Number 2, the strategic, I provided a range of $6,000,000 to $8,000,000 or more. That's the range that is the strategic. Speaker 200:28:20This year, we had strategic that are coming from both Sanofi and Aetna, And this is something that was total, including Q3, it was $6,500,000 for this year and we have another quarter. So, so far year to date, it was $6,500,000 but looking into next year, we are still looking into a range of between $6,000,000 to $8,000,000 or more. And now the last one, the ARR that at the moment is in the run rate of $5,000,000 to $5,500,000 this one Should go between 100% to 160%, which is the that's the core business. That's the membership. That's the ARR that is coming from employers and health plans. Speaker 200:29:04We are counting under this bucket, the Aetna on the membership, what we are going to launch in January. But Aetna that's related to building the platform, Investing into the platform in a way that it can be integrated with the rest of their platform, we were considering this revenue as a strategic revenue Because we did specific customizations for them and we got somewhere around $3,500,000 so far. But next year, once we are getting the platform to production And we're going to generate per member per month on a monthly basis. This one will be considered under the B2B to C ARR, Which is the portion that is growing 100% to 170% year over year. Is that clear? Speaker 500:29:46Yes. Okay. I got it. Yes, yes, I'm with you. All right. Speaker 500:29:48Thanks. Appreciate it. Operator00:29:51Thank you. Thank you. Your next question comes from Rahul Racket, LifeSci. Rahul, please go ahead. Speaker 700:30:03Hey, guys. I know you touched on this kind of a little bit just Now, but I was wondering if you could just try a little more detail on the milestones that were delayed this quarter and maybe just help us understand what it will take to get those milestones completed And to obtain the associated revenues, is it something that can be done and seen and pushed off to Q4? Or is it something that It might take a little while longer to see those revenues come in. Speaker 200:30:26Yes. Overall, when we introduce this deal To the investors community, we're always talking about $30,000,000 deal. It should be delivered over 4 to 5 years. In Q2, the agreement was adjusted in order to enable also acceleration of this $30,000,000 deployment And eventually, the overall spend of this $30,000,000 is between Data and clinical publication, the other part related to market access and another part related to development services. Speaker 300:31:07I think Speaker 200:31:07that the most kind of bumpy and less predictable part is How we are making progress from an operations standpoint with the development services that we want to do. So for example, this year we developed The medication cabinet and other elements that will support GLP-one and all these kind of Things depend on the internal operation within Sanofi and also us in terms of defining the requirements and defining When these kind of things can and need to be delivered and there are a lot of things that are internally Discuss inside Sanofi on how they want to get this kind of features and development delivered. The best way to think about it is to think and I think that we also talked about it on the Investor Day a couple of weeks ago. I think the best way to look at it is to think about it on a yearly base and look into like $6,000,000 to $8,000,000 on a yearly base average, and that's how we are trying to impose all these specific milestones. What we'll try to do next year is to try to have it as flat as possible or as balanced as possible, so it would be less fluctuated and then It's going to be easier to predict and to model. Speaker 200:32:38And that's a conversation that we'll try to do with Sanofi in order to get it that way. And that's going to be our objective. The damage that we feel that we are experiencing from this And lumpiness of these revenues is a publicly traded company where the typical investor want to see gradual growth every quarter. It creates a lot of damage and noise in the market and we are spending a lot of time explaining it. But the reality is that It's very milestone driven and that's the nature of the beast. Speaker 200:33:12So our way to address it is to educate the market Like I'm doing now, Investor Day like I did 2 weeks ago. I also try to collaborate with Sanofi in order to make it more Balanced across the different quarters, and that's what we'll try to do. You need to we need to remember that there are things that are happening In the world, I mean Sanofi had some changes in the business in the last few quarters. So things are not related directly to us. And we feel that some of the changes that are happening even should benefit us. Speaker 200:33:50But this is something that is creating Changes in internal planning and we have seen also this kind of changes inside Aetna that delayed the launch We were supposed to have on July 1. It's important to say that fundamentally, the relationship with Sanofi and with Ensna Are becoming more strong, okay? So I got a lot of phone calls from investors that We're looking into the performance of the stock and they felt that something is happening with this relationship. That's the time to say that the relationships are getting stronger. We are confident in Speaker 300:34:30the launch that we're going Speaker 200:34:31to have January next year. And we are confident in the relationship with Sanofi That will execute on the existing deal and even expand into additional deals in the future. Speaker 600:34:45And that is Speaker 700:34:48Yes, please go ahead. Speaker 600:34:49Just to add a little just specificity in terms of the changes. So the Sanofi deal is just 3 pieces commercial data and the development piece and there was changes In the personnel on the development piece, the people that are doing the data and studies and doing the commercial have not changed or not materially changed. And so there's been a period where the folks the new folks have been getting up to speed and that slowed down Some of the things that would be normally happening in this quarter related to development. So it will stretch out that makes that stretch out a little bit, But they'll still happen. It's just in terms of it took a little longer for them to get up to speed and for us to coordinate those activities as it relates Speaker 700:35:38Got it. Okay. That's really helpful. I appreciate the color from you as well, Erez. I guess, As in the process of trying to get people to better understand what goes into these milestone revenues, it also just might be helpful to under To get some color from you guys on how dependent these milestones are upon each other. Speaker 700:35:57If we see Certain milestones get pushed off in 1 quarter. Does that mean that it's going to shift everything back in subsequent quarters and things are going to get lumpier and Maybe shift back into 2024 as well or across those three aspects, the commercial data development, Are they all within the milestones within each of those channels, are they dependent on each other or can they Be achieved independently. Speaker 400:36:27So the commercial Speaker 600:36:29and the data side are not milestone driven. So the commercial is really just Their market access team is selling the Dario solution through to their end customers, which are going to be health plans and PBMs as we SOVMED 1 come out and they continue to make some actually really good progress with some of the other PBMs, which I think is a Significant opportunity on the data side, that's continuing to function. They're continuing to do and finalize the 2 studies that they did. Those Two studies are in publication at this point and there's follow on analyses, etcetera, that were being done. So those are not interrelated with each other. Speaker 600:37:08And if you think about the development pieces as sort of being your standard cycle of Coming up with what we want to do, agreeing on that, coming up with the specific specifications for it, Having that approved on an overall basis and doing the development associated it, that's delivering pieces within there is what those milestones are. And we don't expect that there was I mean, I don't see those like stacking up or getting different and becoming lumpier. It's just the question of When exactly does something get approved, when it shifts from 1 quarter to another, it moves the milestone from 1 quarter to another. Speaker 700:37:51Got it. That's helpful. I appreciate that. Thanks. Operator00:37:54Thank you. There are no further questions at this time. Please proceed. Speaker 200:38:02Thanks everyone for joining our call this morning. Have a good day. Operator00:38:08Thank you. Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.Read morePowered by Key Takeaways B2C channel hit its $8–9 M annual revenue target and remains cash-neutral, B2B2C ARR grew 22.7% year-over-year to $3.9 M (57% YTD) with over $60 M in contract value, and milestone-based “commercial strategics” expect $6–8 M annually despite only $0.2 M in Q3. Under a $30 M multi-year Sanofi deal, three real-world studies showed 1–2.3-point A1c reductions and >$5 K average annual savings per member, while the Aetna Dario Power Behavioral Health platform launches January 2024 with five employers and includes a new digital CBT contract win. Dario’s platform complements the GLP-1 revolution by enabling critical behavioral-change support (on/off-boarding, nutrition, exercise) and is exploring data-driven drug allocation to steer high-cost therapies to the right patients. Q3 pro-forma gross margins were 48.8% (with B2B2C at ~70%), 9M non-GAAP OpEx fell 18% to $32.3 M, 2024 expects a further 10–15% OpEx reduction and 20–30% net-loss cut, and $44 M cash runway supports a path to cash-flow positivity at ~$80 M ARR. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallDarioHealth Q3 202300:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) DarioHealth Earnings HeadlinesDarioHealth (NASDAQ:DRIO) Coverage Initiated by Analysts at Litchfield Hills ResearchMay 21 at 4:15 AM | americanbankingnews.comLitchfield Hills Initiates Coverage of DarioHealth (DRIO) with Buy RecommendationMay 20, 2025 | msn.comBanks aren’t ready for this altcoin—are you?While everyone's distracted by Bitcoin's moves, a stealth revolution is underway. One altcoin is quietly positioning itself to overthrow the entire banking system.May 24, 2025 | Crypto 101 Media (Ad)Earnings call transcript: DarioHealth Q1 2025 sees EPS beat, stock dipsMay 16, 2025 | uk.investing.comDarioHealth Corp. (DRIO) Q1 2025 Earnings Call TranscriptMay 16, 2025 | seekingalpha.comDarioHealth Corp. (NASDAQ:DRIO) Q1 2025 Earnings Call TranscriptMay 16, 2025 | msn.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. 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There are 8 speakers on the call. Operator00:00:00Greetings, and welcome to the DarioHealth Third Quarter 2023 Results Conference Call. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. As a reminder, this conference is being recorded. Thank you. Operator00:00:25It is now my pleasure to introduce your host, Glenn Garment. Please go ahead. Speaker 100:00:31Thank you, operator, Good morning, everybody. Thank you for joining us today for a discussion of DarioHealth's Q3 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'll open the call for Q and A. Speaker 100:00:49An audio recording and webcast replay for today's 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 November 2, 2023. This morning, we issued a press release announcing our financial results for the Q3 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 100:01:27Such 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 Q3 2023 Quarterly Report on Form 10 Q. Additional information concerning factors that could cause results to differ materially from our forward looking statements are described in greater detail in 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 100:02:19Management 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 comparable 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 200:02:42Thank you, Glenn, and thanks to all of Speaker 300:02:44you for joining our call this morning. Q3 financial results are continuation of our multi year strategy and evolution of our financial profile. We continue to look forward with added conviction in our advancements in the digital health space. As we communicated in our recent Investor Day, our revenue streams can be viewed as 3 fold. First is our historical direct to consumer or B2C business. Speaker 300:03:152nd is the recurring revenue from health plans and employers For commercial B2B2C. And the 3rd revenue stream that we call commercial strategics, which comes from partners like Sanofi and is Milestone driven. In the Q1, our B2C business continued pace to achieve the expected $8,000,000 to $9,000,000 in yearly revenue, while remaining cash natural or slightly positive. We expect this trend to continue into 2024. On the commercial strategic side, Our commercial strategic revenue remain on track for annual run rate of approximately $6,300,000 a year. Speaker 300:04:00The current quarter resulted only with $200,000 recorded in revenues, which negatively affect Revenue compared to the previous quarter and the Q1 of 2022. We want to reiterate that DAS Partnership revenues Should be viewed on a yearly basis and not 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 rate of $6,000,000 to $8,000,000 a year. The fundamentals of our core B2B2C commercial ARR business that comes from recurring revenue from employers and health plans Continue to grow. Speaker 300:04:44In the Q3, the revenue from this channel grew by 22.7% compared to the Q1 of 2022 and up 57% for the 9 months ended compared to the same period in 2022 and totaled $3,900,000 in 20.23 compared to $2,500,000 in 2022. Our current total signed contract estimated value is over $60,000,000 a year, which will be recognized as ARR in the B2B2C channel as we continue to penetrate member populations. We believe that our annual revenue growth target On hybrid to 170 percent in the B2B2C business channel can be achieved and expected to see faster revenue ramp up when we enter into 2024. To reach this target, we use metrics surrounding historical enrollment rates and other data from members and clients we have. This revenue stream shows an adjusted gross margins above 70%, which will continue to drive overall gross margins higher as the B2B2C business channel becomes a larger percentage of our business. Speaker 300:06:02Looking forward, the growth of this B2B2C ARR channel should accelerate because of the following three building blocks. 1st, implementing signed contracts. We estimate that we have a $60,000,000 in ARR in contract value. 2nd is the Landon Expand approach, an opportunity to expand existing clients either by adding new chronic conditions all expanding to additional population. The third is our partnership strategy that gives us potential access For 87,000,000 members, securing just 1% of this population is about $17,000,000 in ARR. Speaker 300:06:45So that's a very loud potential. I would like to touch base on our strategic relationships and I'll start with Sanofi. We continue to see significant financial and people resources dedicated to Dario by Sanofi in marketing the solution and conducting the recent clinical studies. The results from 3 real world clinical studies done by Sanofi and 3rd party hired by Sanofi were published this year. The study showed impressive results on the clinical side. Speaker 300:07:19Hemoglobin A1c improved between 1 to 2.3 points and also from a cost perspective with an average annual savings of more than $5,000 per member per year for users that are operating on the Dario platform. This is an impressive result and useful metrics to deliver to payers and partners. On Aetna, The highly anticipated launch of the Dario Power Behavioral Health platform is on track to January 2024 and we have insights into 5 employers That will enroll to the platform starting January 2024. We also expanded our relationship with Aetna and Rick We'll provide more details about it in a few minutes. We believe that the partnership is only getting stronger and the size of the opportunity is getting larger than what we originally anticipated. Speaker 300:08:14Another large opportunity for us is the GLP-one revolution. We are happy to say that through the development we made with Sanofi, we launched a product offering that defined the value platform as a solution For users on GLP-one and other weight loss drugs, according to published FDA statements, the drug needs to be supported by proper behavioral change. This includes onboarding and off boarding the drug as well as managing nutrition and exercise while taking it. This is exactly the type of behavioral management that our solution address. Our product is already fundamentally a complement to this new market opportunity. Speaker 300:08:54Another potential area that we are exploring within the GLP-one opportunity is the system in navigating the allocation of the drug to the right patients. Given its price implications to Helplent, we see a need for data driven assistance in making sure that the drug is prescribed to the right people at the right time. Let's take a deep dive into the rest of the financial results. One important metric is the gross margins. We see our pro form a gross margins of 48.8 percent for the Q3 of 2023, A slight decrease from 51.5 percent of the revenue in the Q2 of 2022. Speaker 300:09:40Gross margins in the B2B2C channel have remained consistent at around 70%, which is our target rate. Margins will continue to improve towards 70% level in the longer term as the B2B2C continue to grow. Looking at the operating expenses and operating loss, we are seeing an operating leverage of the infrastructure that we have built and the real economic advantage of the multi condition approach. Our operating expenses on the non GAAP basis for the 9 months ended September 30, 2023 are down to $32,300,000 From $39,300,000 for the 9 months ended September 30, 2022. We expect An additional 16% reduction in our operating expenses in 2024 as we continue to consolidate Automate and Scale. Speaker 300:10:42Operating loss excluding stock based compensation, amortization of acquisition related expenses and depreciation of the Q3 of 2023 was approximately $9,000,000 compared to $8,400,000,000 for the Q3 of 2022 And $7,500,000 in the Q2 of 2023. For the 9 months ended September 2023, our non GAAP operating losses was $23,800,000 compared to approximately $30,000,000 for the 9 months ended September 2022. This was due to decrease in operating expenses. We expect to continue the OpEx reduction as well as the net loss reduction as our financial profile continue to take form. We expect our non GAAP operating expenses to decrease about 10% to 15% during 2024 And our non GAAP operating loss to decrease between 20% to 30% in 2024. Speaker 300:11:48We have a strong cash position of $44,000,000 which provide estimate runway during 2025. We believe that we will become cash flow positive at about $80,000,000 in ARR, A goal that we see better reason as we continue to improve our financial performance. With that, I want to hand it over to Speaker 400:12:10Thanks, Erez. As Erez mentioned, in the Q3, our B2C business continued on pace to achieve $8,000,000 to $9,000,000 in revenue, while remaining breakeven to slightly profitable. And we continued to see growth in our core business line, recurring revenue from health plans and self insured employers in the Q3. Our strategic revenue was lower in the Q3 than in the Q3 of 2022 and lower than we had originally anticipated for the quarter. The majority of this was due to the timing of the milestones delivered as a result of Sanofi internal changes. Speaker 400:12:45These internal changes do not impact the annual revenue or the overall relationship with Sanofi as Erez mentioned. As we discussed last quarter, our Aetna behavioral health platform has moved to their commercial division and we are pleased to report that they are on track to have members on platform with identified starting in January of 2024. As a reminder, we earn revenue from this platform on a per employee per month basis for all employees who have access to the platform, which means revenue will commence in January. We expect that the population on the platform will continue to grow over several quarters Post launch, as Aetna continues to sell the platform through to their self insured employer customers. I am also pleased to report that we had a significant win with Aetna in 3rd quarter as we were selected to replace 1 of their existing vendors in providing digital cognitive behavioral therapy. Speaker 400:13:39This represents a separate win and additional revenue that will commence during the Q1 of 2024. In addition to the significant ARR revenue this will add We have continued to see growth from both MedOne and the large regional Blues plan that we recently launched. And as previously discussed, we expect to see a growth of members from these two accounts throughout the remainder of 2023 and more substantially into 2024. In addition, in the Q3, we expanded the conditions for the regional Blues plan from hypertension to also now include diabetes, which we expect to launch in the Q1 of 2024. The launch of diabetes combined with the increased promotion of the program in For and 2024 by the health plan and our partner Solera are expected to result in significant growth in this account with approximately 3,000,000 members. Speaker 400:14:42In addition, Med One has now made Dario offering part of their standard product for new customers launching in 2024. This should further accelerate the penetration of this account. Combined, these customers will ramp over the next several quarters adding to our ARR growth through 2023 and accelerating into 2024. We continue to deliver for our customers. In a recent customer satisfaction study, 96 Our customers were satisfied or very satisfied. Speaker 400:15:11This has translated to a steady increase in reference customers, which are important for accelerating growth. In addition, several of our existing customers are in the process of expanding, including 2 of our health plans, either in terms of the size of the population with access to Dario or the lines of business. The majority of these expansions will commence in the Q1 of 2024 with the rest expected in the Q2 of 2024. In the Q3, we saw a slowdown in self insured employer decision making due mostly to macroeconomic conditions resulting in several opportunities shifting to next year. In spite of this, we are pleased to be adding at least 15 self insured employers and health plans to the platform in the Q1 of 2024, which we anticipate will result in a significant increase in ARR in the Q1. Speaker 400:16:03And these additions do not include several health plans and employers that we anticipate adding in 2024 to our partnerships, including at least 1 national health plan. We haven't seen a strong pipeline and activity through our partnerships, which enable the easy button contracting, integrating and implementation for customers. Partnerships will continue to be a significant part of our go to market strategy. In summary, we will continue to see growth of the key B2B health plan and self insured employer business in the Q4 and substantial growth in our core business in 2024. We have created a growing base of B2B2C health plan and self insured employer revenue that will carry into 2024 with strong retention. Speaker 400:16:46Med 1 and the large regional Blues plan will continue to increase revenue in 2024 as we continue to bring those customers' numbers on the platform. Importantly, our partners are increasing the promotion of these programs to their members and in the case of MedOne making Dario part of their standard offering rather than an opt in. Several of our customers are expanding, including multiple health plan customers by adding additional populations, conditions or lines of business, which will be contributing to revenue in the 1st and second quarters of 2024. We anticipate adding at least 15 additional employer and health plan customers on the platform in the first The Aetna platform will launch in the Q1 2024 with several identified customers And our newly expanded business with Aetna, which builds on a per employee per month basis, will launch in the Q1 of 2024 as well. We have established several quality partnerships and those partners are starting to generate Vario customers from growing pipelines that we anticipate will contribute significantly to revenue in 2024, including 1 to 2 national health plans. Speaker 400:17:51With that, I would like to turn it back over to Erez. Speaker 300:17:55Thanks, Ulrich. As we look back to the strategic changes we have made in the company in the last few years, such as moving from single to multi chronic conditions and from direct to consumer to B2BDC. We see how massively impactful they were to our growth and advancement of our business across the China. From product perspective, as we explained in our Investor Day a couple of weeks ago, our platform is best in class with clinical proof of efficacy that has been validated by ReWalk Data as well as our partners. Our core business is functioning very well and the financial profile of the company is continuing to improve. Speaker 300:18:41We are very happy with development of the top partners like Aetna and Sanofi and continue to see them and progress to be stronger. We remain dedicated to keeping the investing educated on the progress of the business across the multiple channels we have defined. To recap here, Commercial strategic revenue will be measured on an annual basis as it is milestone driven. We expect to see This staying in line with our estimation of $6,000,000 to $8,000,000 a year. Peerability, employers and health plan Is recurring and should grow as we continue to implement our signed accounts, we expect to see this revenue channel grow between 100% to 170% annually. Speaker 300:19:29On the B2C side, we are going to be stable on breakeven cash flow or cash flow positive with $8,000,000 to $9,000,000 per year. In 2024, we expect to see OpEx reduced by additional 10% to 15% non GAAP and net loss reduced by additional 20% to 30% non GAAP. All this proves as evidence of continued improvement of our financial profile on a consistent going forward basis. Thanks everyone. And I would like to open it now for Q and A. Operator00:20:10Thank you. Ladies and gentlemen, we will now begin the question and answer and your questions will be pulled in the order they are received. Your first question comes from Charles Rhyee, TD Cowen. Charles, please go ahead. Speaker 500:20:50Yes. Thanks for taking the questions. Erez and Rick, Maybe just give a sense on sort of how the strategic partnerships are going and obviously we didn't Get as much contribution this quarter, Speaker 300:21:05maybe a Speaker 500:21:05little bit more about the Sanofi relationship and how that's progressing. And then secondly, in light of this and sort of the pace that we're expecting with Aetna next year and sort of your expectations on Some of the new customers that could come on board, how should we be thinking about next year's revenues? Speaker 200:21:27I'll start with Sanofi and Rick can talk about Aetna and I also can talk about Aetna. When we think about the relationship with Sanofi, I mean, we had we are looking into Few types of revenues. We have development services. We have elements that related to clinical publication and data. And one of the things that we were showing and reiterating in Speaker 300:21:51our Investor Day is all the achievements that we had in the Speaker 200:21:51last year, So, Dae, with all the achievements that we had in the last year with this kind of relationships, we had 3 different clinical publications That was done on top of our LIBOR data that we collected over the year and we had like one of the top clinical guys from Sanofi on the stage talking about it. That's a long way to say that the relationship are very good. We are making progress in terms of Achieving objectives on the clinical aspects to the development services aspects, just to remind you, we developed together The behavioral change capabilities that related to the GLP-one, which is also something that was done together with Sanofi. On the development side, we are also doing well. And also on the commercial side, we are working together to get clients and actually MadeONE is one of the clients that we work together with Sanofi in order to achieve and we think that we're going to get another A few clients, including health plans that is coming from the relationship with Sanofi. Speaker 200:22:57So looking back, we signed on this agreement on March 1 last year. Looking back on all three streams, the clinical, the development services and the commercial, there is a satisfaction from both sides. I think that the challenging part is the way that we anticipate how This $30,000,000 deal is recognized and delivered because it's very milestone based. And it's very hard for us To communicate with the market when we're going to recognize what part of the revenue and I think this is what created the challenge. And one of the things that I was trying to be very, very clear On the script, on the earnings call itself is that the relationship are moving to the right direction and We believe we can also take it to the next level beyond the $30,000,000 This is something that we said before And we think that the relationship are stronger than ever. Speaker 200:23:57Rick, you want to say something about Aetna and the launch? Speaker 400:24:02Sure. Speaker 600:24:02So I mean, I think our relationship with Aetna continues to be very strong. They are, As we mentioned, they have now identified customers that on the platform, the Mine Companion platform, which is the private label version, they're selling through their customers. And they've brought us more and more to be involved in the commercialization effort of that. So that continues to deepen. Plus, as I mentioned, we won another piece of business, which was actually taken from Teladoc and that's going to launch in January. Speaker 600:24:38So our understanding from them is they're looking to continue to consolidate vendors And we've benefited from that. I think that, that speaks to the relationship. I think there will be other opportunities over the next 12 months with them also to be able to So I think the relationship is strong. It's showing up in terms of the business that we're increasing with. Speaker 200:25:00And in terms of the revenue, Charles, I want to make sure that I'm addressing that part of the question and how you should look into revenues toward next year and the year after. We think that the B2C strategy is to keep it because it generates the data that we need and it helps us to They create the sandbox in order to improve the platform. And this one, we are keeping on cash flow Neutral or a bit positive or slightly positive, and this is in the ranges of $8,000,000 to $9,000,000 a year. The other part, which is the strategic and we recognize this year some strategic that is coming from Aetna And also Sanofi. So these are the 2 revenues that we had under the strategic. Speaker 200:25:47And next year, we think that we have a range of somewhere between 6 $8,000,000 for that part can be even more. Sanofi is kind of guaranteed To some extent and it just depends on how it's going to be recognized between the quarters. So that's another part. We also work On other relationships that related to pharma and companies that related to clinical and data, and we believe that we're going to have More clients contributing to this revenue channel, what we are calling commercial strategic. And the third part, which is the most important part, 17% growth. Speaker 200:26:38This is very hard to predict, but the more we are implementing, It becomes more predictable and we are aware to the challenge that investors have and analysts have In anticipating how the ramp up is going to look like on a quarterly base, and that's a challenge that we are trying to address. Also with our partners, with Sanofi, and we'll try to get it as steady as possible. But The business is a bit complicated, but it's ramping up. So we are confident that We are in the right path to create a growth which is more significant as we move forward. Speaker 500:27:26Sorry, just to clarify though. So if we look at the services revenue, which is I'm assuming mostly is all the B2B2C, And we know we don't have really any strategic like Sanofi related revenue in it. If we look at sort of If we kind of annualize that number, is that the number we should be growing, the 100%, I think you said 170% as we think about next year? And then obviously, we have a steady state in terms of consumer on the B2C and then obviously some contribution from strategics? Speaker 200:28:03No, not exactly. I said that on the B2C, it's between $8,000,000 to $9,000,000 which is the cash flow positive, Okay. That's number 1. Number 2, the strategic, I provided a range of $6,000,000 to $8,000,000 or more. That's the range that is the strategic. Speaker 200:28:20This year, we had strategic that are coming from both Sanofi and Aetna, And this is something that was total, including Q3, it was $6,500,000 for this year and we have another quarter. So, so far year to date, it was $6,500,000 but looking into next year, we are still looking into a range of between $6,000,000 to $8,000,000 or more. And now the last one, the ARR that at the moment is in the run rate of $5,000,000 to $5,500,000 this one Should go between 100% to 160%, which is the that's the core business. That's the membership. That's the ARR that is coming from employers and health plans. Speaker 200:29:04We are counting under this bucket, the Aetna on the membership, what we are going to launch in January. But Aetna that's related to building the platform, Investing into the platform in a way that it can be integrated with the rest of their platform, we were considering this revenue as a strategic revenue Because we did specific customizations for them and we got somewhere around $3,500,000 so far. But next year, once we are getting the platform to production And we're going to generate per member per month on a monthly basis. This one will be considered under the B2B to C ARR, Which is the portion that is growing 100% to 170% year over year. Is that clear? Speaker 500:29:46Yes. Okay. I got it. Yes, yes, I'm with you. All right. Speaker 500:29:48Thanks. Appreciate it. Operator00:29:51Thank you. Thank you. Your next question comes from Rahul Racket, LifeSci. Rahul, please go ahead. Speaker 700:30:03Hey, guys. I know you touched on this kind of a little bit just Now, but I was wondering if you could just try a little more detail on the milestones that were delayed this quarter and maybe just help us understand what it will take to get those milestones completed And to obtain the associated revenues, is it something that can be done and seen and pushed off to Q4? Or is it something that It might take a little while longer to see those revenues come in. Speaker 200:30:26Yes. Overall, when we introduce this deal To the investors community, we're always talking about $30,000,000 deal. It should be delivered over 4 to 5 years. In Q2, the agreement was adjusted in order to enable also acceleration of this $30,000,000 deployment And eventually, the overall spend of this $30,000,000 is between Data and clinical publication, the other part related to market access and another part related to development services. Speaker 300:31:07I think Speaker 200:31:07that the most kind of bumpy and less predictable part is How we are making progress from an operations standpoint with the development services that we want to do. So for example, this year we developed The medication cabinet and other elements that will support GLP-one and all these kind of Things depend on the internal operation within Sanofi and also us in terms of defining the requirements and defining When these kind of things can and need to be delivered and there are a lot of things that are internally Discuss inside Sanofi on how they want to get this kind of features and development delivered. The best way to think about it is to think and I think that we also talked about it on the Investor Day a couple of weeks ago. I think the best way to look at it is to think about it on a yearly base and look into like $6,000,000 to $8,000,000 on a yearly base average, and that's how we are trying to impose all these specific milestones. What we'll try to do next year is to try to have it as flat as possible or as balanced as possible, so it would be less fluctuated and then It's going to be easier to predict and to model. Speaker 200:32:38And that's a conversation that we'll try to do with Sanofi in order to get it that way. And that's going to be our objective. The damage that we feel that we are experiencing from this And lumpiness of these revenues is a publicly traded company where the typical investor want to see gradual growth every quarter. It creates a lot of damage and noise in the market and we are spending a lot of time explaining it. But the reality is that It's very milestone driven and that's the nature of the beast. Speaker 200:33:12So our way to address it is to educate the market Like I'm doing now, Investor Day like I did 2 weeks ago. I also try to collaborate with Sanofi in order to make it more Balanced across the different quarters, and that's what we'll try to do. You need to we need to remember that there are things that are happening In the world, I mean Sanofi had some changes in the business in the last few quarters. So things are not related directly to us. And we feel that some of the changes that are happening even should benefit us. Speaker 200:33:50But this is something that is creating Changes in internal planning and we have seen also this kind of changes inside Aetna that delayed the launch We were supposed to have on July 1. It's important to say that fundamentally, the relationship with Sanofi and with Ensna Are becoming more strong, okay? So I got a lot of phone calls from investors that We're looking into the performance of the stock and they felt that something is happening with this relationship. That's the time to say that the relationships are getting stronger. We are confident in Speaker 300:34:30the launch that we're going Speaker 200:34:31to have January next year. And we are confident in the relationship with Sanofi That will execute on the existing deal and even expand into additional deals in the future. Speaker 600:34:45And that is Speaker 700:34:48Yes, please go ahead. Speaker 600:34:49Just to add a little just specificity in terms of the changes. So the Sanofi deal is just 3 pieces commercial data and the development piece and there was changes In the personnel on the development piece, the people that are doing the data and studies and doing the commercial have not changed or not materially changed. And so there's been a period where the folks the new folks have been getting up to speed and that slowed down Some of the things that would be normally happening in this quarter related to development. So it will stretch out that makes that stretch out a little bit, But they'll still happen. It's just in terms of it took a little longer for them to get up to speed and for us to coordinate those activities as it relates Speaker 700:35:38Got it. Okay. That's really helpful. I appreciate the color from you as well, Erez. I guess, As in the process of trying to get people to better understand what goes into these milestone revenues, it also just might be helpful to under To get some color from you guys on how dependent these milestones are upon each other. Speaker 700:35:57If we see Certain milestones get pushed off in 1 quarter. Does that mean that it's going to shift everything back in subsequent quarters and things are going to get lumpier and Maybe shift back into 2024 as well or across those three aspects, the commercial data development, Are they all within the milestones within each of those channels, are they dependent on each other or can they Be achieved independently. Speaker 400:36:27So the commercial Speaker 600:36:29and the data side are not milestone driven. So the commercial is really just Their market access team is selling the Dario solution through to their end customers, which are going to be health plans and PBMs as we SOVMED 1 come out and they continue to make some actually really good progress with some of the other PBMs, which I think is a Significant opportunity on the data side, that's continuing to function. They're continuing to do and finalize the 2 studies that they did. Those Two studies are in publication at this point and there's follow on analyses, etcetera, that were being done. So those are not interrelated with each other. Speaker 600:37:08And if you think about the development pieces as sort of being your standard cycle of Coming up with what we want to do, agreeing on that, coming up with the specific specifications for it, Having that approved on an overall basis and doing the development associated it, that's delivering pieces within there is what those milestones are. And we don't expect that there was I mean, I don't see those like stacking up or getting different and becoming lumpier. It's just the question of When exactly does something get approved, when it shifts from 1 quarter to another, it moves the milestone from 1 quarter to another. Speaker 700:37:51Got it. That's helpful. I appreciate that. Thanks. Operator00:37:54Thank you. There are no further questions at this time. Please proceed. Speaker 200:38:02Thanks everyone for joining our call this morning. Have a good day. Operator00:38:08Thank you. Ladies and gentlemen, this concludes your conference call for today. We thank you for participating and ask that you please disconnect your lines.Read morePowered by