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Augmedix(AUGX) - 2023 Q4 - Annual Report

Product and Technology - Augmedix's technology aims to automate medical note creation, combining AI technologies such as speech-to-text, natural language processing, and large language models[29]. - Augmedix's open ecosystem of digital health solutions provides real-time point-of-care notifications and transforms unstructured data into structured data for health systems[26]. - The technology platform is HIPAA compliant, utilizing AI technologies such as speech-to-text and natural language processing to facilitate medical note creation[71]. - The integration of AI/ML into the technology platform aims to improve note-taking efficiency and accuracy through automated suggestions[120]. - The company has built EHR adapters for integration with major EHR providers, including Epic, Cerner, Meditech, and iKnowMed, which account for 80% of physicians served[77][88]. - The company is developing direct integration with major EHR systems to enhance operational efficiency and inform machine learning models[128]. - The company maintains a database of de-identified data to train AI models, enhancing product automation and efficiency[78]. Market and Customer Base - The company serves nearly 1.1 million physicians in the U.S., effectively covering almost every specialty with their expanded product portfolio[36]. - The anticipated market penetration for Augmedix Live is expected to cater to approximately 5-10% of the U.S. clinician market, while Augmedix Go could serve up to 85%[37]. - The total addressable market in the United States is approximately $8.0 billion annually, with existing enterprise customers representing about 20% of this market, equating to $1.6 billion[38]. - Approximately 85% of the physicians served are from large health systems, with one client accounting for 27% of clinicians in service[88]. - The company is exploring products for nurses and other healthcare professionals to further expand its total addressable market[40]. Financial Performance - For the year ended December 31, 2023, Augmedix, Inc. reported revenues of $44.855 million, an increase of 45% compared to $30.933 million in 2022[363]. - The gross profit for 2023 was $21.526 million, representing a gross margin of approximately 48%[363]. - The net loss for 2023 was $19.171 million, a decrease from a net loss of $24.449 million in 2022, indicating improved financial performance[363]. - The total cash, cash equivalents, and restricted cash increased to $46.342 million as of December 31, 2023, compared to $21.988 million at the end of 2022, representing a 110% increase[370]. - The accumulated deficit as of December 31, 2023, was $144.962 million, reflecting the ongoing financial challenges faced by the company[373]. - The company expects to continue incurring losses and negative cash flows primarily due to ongoing research, development, and marketing efforts[376]. Operational Efficiency - The company estimates that up to one-third of a doctor's day is consumed by interactions with electronic health record systems, which their solutions aim to alleviate[34]. - Clinicians spend approximately one-third of their day on non-revenue generating documentation activities, which the company's products aim to reduce, potentially saving up to three hours per day[41]. - The company's products can increase productivity by up to 20% and improve clinician satisfaction with work-life balance by 49%[43]. - The Augmedix Live service allows MDSs to assist clinicians in real-time, significantly improving work-life balance and productivity, as evidenced by case studies showing clinicians seeing 15% more patients[91][95]. - Time spent on charting reduced from 2-3 hours to just 30-45 minutes daily, allowing for better work-life balance[103]. Competition and Market Challenges - The company faces competition from larger firms and new entrants utilizing large language models, which may impact growth and customer retention[16]. - The COVID-19 pandemic accelerated the adoption of remote documentation solutions, highlighting the limitations of in-person scribing[28]. Employee and Operational Structure - The company employed a total of 1,430 full-time employees across the United States, India, and Bangladesh as of December 31, 2023[135]. - The MDS training program takes approximately three months, ensuring high-quality service delivery across various specialties[81]. - The company has implemented safeguards to comply with HIPAA and other regulations, ensuring the protection of patient health information[114]. Sales and Marketing - The company signed a marketing partnership with Google in 2022, leading to the acquisition of two new health systems, including one of the ten largest in the US[119]. - Augmedix's direct sales force focuses on acquiring new health systems and generating transactional sales, with a typical implementation window of 30-45 days[117]. - The company aims to expand its sales team following a November 2023 equity raise to target new health systems and large physician groups[64]. Intellectual Property and Compliance - Augmedix has a patent portfolio consisting of one patent and two pending applications in the United States, indicating ongoing investment in intellectual property[130]. - The company has obtained trademark protection for its brand in the United States and India, enhancing its market presence[131]. - The company aims to pursue additional intellectual property protection as deemed beneficial and cost-effective[132].