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Earnings Call Transcript: Aleafia Health, Inc. (ALEAF) CEO Tricia Symmes on Q4 2021 Results - Earnings Call Transcript

Feb. 15, 2022 2:14 PM ETAleafia Health Inc. (ALEAF)

https://seekingalpha.com/article/4487180-aleafia-health-inc-aleaf-ceo-tricia-symmes-on-q4-2021-results-earnings-call-transcript?mailingid=26720407&messageid=2800&serial=26720407.322&utm_campaign=rta-stock-article&utm_medium=email&utm_source=seeking_alpha&utm_term=26720407.322

Aleafia Health, Inc. (OTCQX:ALEAF) Q4 2021 Earnings Conference Call February 15, 2021 9:30 AM ET

Company Participants

Tricia Symmes - CEO

Matt Sale - CFO

Conference Call Participants

Rahul Sarugaser - Raymond James

Operator

Good day, ladies and gentlemen and welcome to the Aleafia Health 2021 Fourth Quarter and Twelve Months Results Conference Call. This morning Aleafia Health filed on SEDAR its financial statements and associated Management Discussion &Analysis for the 3 and 12 months ended December 31, 2021.

All comments to be made on this call today should be taken with reference to and are qualified in their entirety by those documents. Today's call includes estimates and other forward-looking information from which our actual results could differ. Please review the cautionary language in today's press release regarding various factors, assumptions and risks that could cause our actual results to differ.

Furthermore, during this call, we will refer to certain non-IFRS financial measures including branded cannabis net revenue, adjusted gross margin and adjusted EBITDA. These measures do not have any standardized meaning under IFRS, and our approach to calculating these measures may differ from that of other issuers and so these measures may not be directly comparable. Please see this quarter's MD&A for more information about these measures.

I would now pass the call over to our Aleafia Health’s CEO, Tricia Symmes.

Tricia Symmes

Thank you, Howard, and welcome fellow shareholders. I am very excited about Aleafia’s future and an exciting year ahead of us. The prospects for our company are the best they have ever been and we look forward to continuing to show shareholders and investors what great things we can do in this industry.

Our mission is very direct, to improve peoples’ lives and that is what will see us realize our personal and business ambitions. Embracing this mission is now more important than ever. First off, I would like to thank Geoff Benic, our former CEO for the last 3.5 years for his leadership, passion, and mentorship to Aleafia Health. He put together a phenomenal team, got Aleafia off the ground and where we are today and we wish him well in his next challenge.

Now, let’s talk about the company as it is today. The core strategic objectives that will drive Aleafia Health to sustained profitability, reflect a pivot to focus on branded cannabis revenue. In 2021, we transformed our business evolving from a wholesale producer to a branded cannabis company and that is a major change.

Today, you’ll hear the words sticky and hyper growth. Two concepts that are driving us forward. Sticky of course means that sales will occur over and over as customers will be using our products again and again. It occurs in the medical cannabis segment where the revenue is recurring at attractive gross profit margins. And hyper growth characterizes our trajectory in both the adult-use sales channel and the opportunity we see in select international markets.

Now let’s talk about Aleafia’s transformation and what has this meant to our Q4 and 12 months results. Our revenue is driven by three strategic pillars, an exciting CPG branded adult-use portfolio, generating $24 million runrate net revenue. Leadership in medical cannabis with its $10 million runrate net revenue and burgeoning international sales where we are well positioned in three countries, Germany, the UK and Australia and have developed partnerships with key established European supply distributors.

We consider international sales to be an important opportunity and have already delivered products overseas. More to come on that. Another highlight is that we are targeting the second half of 2022 to achieve breakeven adjusted EBITDA profitability. To do this, we are improving adult-use margins through portfolio optimization and we are reallocating the company’s headcount strategically to optimize talent and maximize revenue velocity.

I can tell you today that we are poised to achieve a top 10 market share position in 2022, driven by leadership in the broad ranging adult-use value cannabis category. Our very appealing Divvy value brand is consistently among the top search brands at the Ontario cannabis store. Our five cannabis brands span the spectrum from premium and craft flower to the value category where we enjoy significant leadership.

Since Q4 2020, 37 new SKUs have been launched as we are aggressively pursuing and gaining market share in the three largest categories, dried flower, pre-roll and vape. We are pleased to report that Aleafia delivered a top three change in market share rankings out of 40 Canadian licensed producers from Q1 2021 when we launched our Sunday Market House of Brands to Q4 2021.

Here is what the results tell us. In 2021, the total net cannabis net revenue of $36.1 million represented a highly diversified sales mix with our two hyper growth segments in adult-use and medical cannabis achieving 80% of net revenue, a complete turnaround from 2020 where bulk wholesale products represented 67% of net revenue. This is a complete change.

We are moving away from lower margin bulk wholesale sales where the relationship with the consumer is distant. Our focus now is to understand and deliver what the consumer demands.

To look at it another way, for the 12 months period ending December 31, 2021, branded cannabis net revenue advanced 96% to $28.7 million from $14.6 million in 2020. For Q4 2021 it increased 60% to $8.3 million from $5.2 million in Q4 2020. We are in the top three of Canadian LPs in market share rank increase to number 15 in Q4 2021, up from number 30 in Q1 2021. There was also a 37% rise in Q4 2021 retail sales pull through relative to Q3 2021.

Aleafia is now a branded products company and we are very proud of our Sunday Market House of Brands. It has achieved 396% growth year-over-year and it is anchored around Divvy, the everyday brand focused on quality, high margin and high velocity categories including, dried flower, pre-roll, vapes and select cannabis derivative products.

We delivered top 10 Q4 2021 retail sales increase relative to Q3 with a 37% sales growth. The company’s adult-use market share increased from 0.3 in Q1 2021 to 2.0 in Q4 2021. Adult-use net revenue increased a very impressive 396% to $16 million, compared to $3.2 million in 2020 and increased 326% to $6 million in Q4 2021, compared to $1.4 million in Q4 2020.

So this growth was led by expansion of our flower and pre-roll retail sales, which each grew by 1000% during the last quarters. Our Divvy value brand, a top search brand on OCS.ca reached the tenth percentile in Ontario for its vapes and its oils, our one of the top SKUs in the province.

Our market share is on a dramatic upward trend rising 27% Q4 versus Q3 2021 and achieving 15 positions from 30 at the end of Q1 2021 when the Sunday Market House of Brands was launched to 15 at Q4 2021. In the second half of 2021, there was approximately a three times increase in gross adult-use sales over the first half of 2021.

This momentum has continued into 2022 as you can see our market share rank continues to rise. Over this period, the company delivered strong retail pull-through at each of the three major categories with flower retail sales climbing approximately 1400%, pre-roll increasing approximately 1000% and vape retail sales increasing approximately 200%.

Aleafia is a significant player in the medical cannabis market through our flagship emblem brands and there too revenue is climbing to its sticky and recurring revenue base with strong gross margins. Medical cannabis net revenue increased 33% to $10.6 million in 2021, compared to $8.0 million in 2020, driven by strong script growth and new strategic clinic and benefit provider partnerships that see the benefit in joining the Aleafia medical ecosystem.

Script count increased 17% year-over-year, while the market declined at minus 23%. We had double-digit growth in medical cannabis sales despite the overall market decline. Third-party clinics now represent just about 55% of gross medical revenue and four new unionized employers were added in 2021. Key wins include a 22% increase in Unifor patients in Q4 over Q3, a 67% increase in prescriptions from veteran patients in Q4 2021 over Q3 2021, and a 2000% increase in Quebec scripts in Q4 2021 over Q3 2021.

The medical channel represents a highly scalable sticky recurring revenue base. Through Unifor and our new strategic partnerships, we are poised to accelerate new patient uptake and continue to pursue those patients who reimbursed for their medical cannabis. We are seeing strong fundamentals relative to our competitors with year-over-year script count up 17% from 32,191 in 2020 to 37,779 in 2021and an active patient base, which grew 13% from 17,400 in 2020 to 19,700 in 2021.

One of the important drivers of our competitive advantage is in producing large format dried flower SKUs in Port Perry, one of the only successful outdoor cultivation facilities in Canada. As one of the first operational, large-scale legal outdoor growth in Canadian cannabis history, it launched in 2019 and was an industry disruptor that enabled Aleafia’s strategic pivot as we began to produce large-scale harvest of THC dried flower.

Dry flower and pre-rolls represent more than half of the total adult-use market and we are a high quality and low cost producer of dried flower. A record-breaking outdoor harvest in 2021 puts us in a strong position to supply our burgeoning adult-use sales channel. Thanks to the expertise of the team there, we produced high potency flowers that averaged 22% THC, and reached up to 27% THC, the kind of level consumers are looking for.

We are seeing the market of both such as an addition to potency consumers are paying increasingly more attention to terpenes which ran from 2.7 to 5.7 in 2021, compared to a maximum 3.3 in 2020. The harvest this year is exponentially higher quality than 2020. In high potency flower we cultivated approximately 500 kilos in 2020, versus 11,650 kilos in 2021, all of which is the highest grade flower already being sold at retail under the Divvy brand.

I will now turn the presentation over to Matt Sale, our CFO and he will tell you more about some of Aleafia’s important metrics. Matt?

Matt Sale

Thank you, Tricia. Good morning. It’s great to speak with you all today. In this quarter and the 12 month period, there are many deciding moments that point toward the kind of company Aleafia is rapidly becoming. Our product mix has shifted almost completely to branded cannabis adult-use and medical products from lower margin bulk wholesale products.

Net branded cannabis revenue increased 96% over 2020 to $28.7 million and now represents 80% of our total net revenue. This is a complete turnaround from 2020 where bulk wholesale products represented 57% of total net revenue. This was driven in part by the redirection of high potency flower from our outdoor harvest in Q4 to the adult-use sales channel where it will supply higher revenue per gram products in the first half of 2022.

We have diversified our sales mix with higher quality, direct-to-the consumer, adult-use and medical sales which delivered stronger growth and net realizable margin. They are more stable, provide greater visibility into future revenue and pave the way for sustainable long-term top-line growth. This change leads the emergence of Aleafia as a leading consumer package goods or CPG company with multiple brands.

We call this our House Of Brands and believe they will win consumer loyalty enabling a sticky, quality revenue stream for Aleafia as evidenced by the success of Divvy. With branded cannabis net revenue now representing 80% of our total, we believe this is a significantly more diversified revenue base, while delivering higher growth and net realizable margin.

Now let me unpack some of the key growth drivers in our adult-use business. We generated 1.7 million of net cannabis revenue in Q1 2021, $3.2 million in Q2 2021 and $5 million in Q3, and $8.3 million in the most recently completed Q4 2021 period representing a healthy 19% quarter-over-quarter increase and a 1237% compounded annual growth rate since Q3 2020.

While the Q3 and Q4 increases have been strong, the net cannabis revenue could actually have been meaningfully higher as consumer demand evidenced by purchase orders from the provincial supply boards exceeded our ability to fulfill them as we experienced operational inefficiencies in our Grimsby Ontario indoor growth facility.

Adult-use cannabis, including flower, pre-rolls and vapes is our single largest sales channel with a highest growth rate and is exactly where we want to be. In the second half of 2021 there was an approximate three times increase in the adult-use retail sales pull-through of our products over the first half of 2021 based on Highflyer data.

Catalysts for this growth included accelerated retail penetration, our portfolio optimization, and expanding our cultivation capacity with a continued focus on high value flower at an attractive price point. Our outdoor harvest positions us well to continue ramping adult-use net revenue as this high potency flower can be redirected into the large format pre-rolled category.

We are already seeing robust purchase order activity in the first six weeks of this quarter positioning us well to continue our quarter-over-quarter growth trajectory. As you may recall, Aleafia began its journey in cannabis in the medical sales channels with the acquisition of Emblem and in 2021, we built on that success with the expansion of our medical ecosystem.

This channel is an important one for Aleafia. Our medical business is growing and we are optimistic about its future. Our net revenue over the last eight quarters has increased from $1.4 million in Q1 2020 to $2.2 million in the most recently completed Q4 2021 period representing a CAGR of 30%. We are encouraged to continue this quarter and at numerous favorable tailwinds and initiatives to drive this, we are focused on growing our active patient base. Under our exclusive Unifor partnership, we onboarded four unionized employers in the second half of 2021 and see lots of runway.

With each new employer onboarded, we refine our process to expedite the onboarding our new future new employers. Additionally, we are targeting expanding clinic partnerships by 20% with numerous new potential clinic partnerships in our pipeline with attractive underlying active patient bases. We are focused on serving high value patients that have higher average ordering values or AOVs and order frequency.

As an example, we see certain veteran patients that exhibit AOVs that are 2.7 times that of our non-veteran patient base and order twice as frequently. We are relentlessly focused on better serving our patients and are undertaking a complete restructuring to integrate our physical clinics, our virtual clinic, and third-party clinic platforms and believe this will drive operational efficiencies, reduce our SG&A profile and unlock future revenue growth.

Our medical ecosystem is positioned to continue leading the industry with research education for clinic partners and our active patient base to ensure they all continue engaging with our ecosystem. Reducing adjusted SG&A expenses are a key driver to profitability for us. Adjusted SG&A declined 35% from $11.2 million in Q4 2020 to $7.1 million in the most recently completed Q4 2021 period.

We implemented several initiatives throughout 2021 to reduce our cost profile and make our infrastructure scalable to sustain significantly higher revenue volumes. We implemented an internal direct sales force to sell into both the adult-use and medical channels. We put in place an operational management team at each of our three production facilities who are capable and prepared of managing significantly higher ordering throughput.

We developed a suite of corporate shared services including information technology, finance, human resources and legal, which are now leveraged across all our sales channels. Further, we saw a significant non-recurring cost in the first half of 2021 related to our House of Brands build out which are now largely complete.

The company reviewed its inventory and fixed assets and identified certain slow moving assets primarily related to the bulk wholesale sales channel. As a result of the company’s focus on branded consumer products, the company recorded a $19.6 million inventory provision. Additionally, the company recorded a $28.8 million impairment of property plants and equipment due to changes in marketing conditions for these assets.

Although we have made great progress in 2021 reducing our quarterly adjusted [Indiscernible] by 35% over the last four quarters, while branded net revenue grew 60% over that same time period, we have further initiatives actively underway to reduce costs and enhance profitability. We have a renewed focus on cost discipline to accelerate the pathway to adjusted EBITDA breakeven profitability. We are focused on enhancing gross profit margins.

Total adjusted gross profit margin before fair value adjustments and inventory provision was 27% in Q4 2021, compared to 50% in Q4 2020, primarily due to the company’s focus on branded cannabis products that deliver higher overall net margin per gram. We are undergoing a SKU optimization to align our portfolio and best selling product formats to optimize our margin profile.

Moreover, we believe the market can bear moderate, strategic price increases while still achieving an attractive value proposition for our products. We are optimizing our operating expense profile to further extract cost and drive towards profitability. In that regard, we’ve reviewed our sales channels to embrace those that deliver the highest net realizable margin per gram of flower sold and we methodically reviewed Aleafia’s cost structure to optimize our talent and resources towards those channels.

The company completed a strategic restructuring plan in the second half of 2021 which saw significant headcount reductions. In Q4 alone, the headcount reduction continuing into early January 2022 represents $1.9 million in annualized savings. We are integrating our physical, virtual and third-party clinic medical channels, which is expected to further optimize our cost profile and facilitate new patient onboarding and servicing on an ongoing basis.

In 2021, we delivered $36.1 million in total net revenue and currently our runrate to net revenue is approximately $41.9 million. This is based on approximately $24 million in adult-use, $10 million in medical, and international and $8 million in bulk wholesale net revenue. We have a multipronged growth strategy to scale, distributing $53 million and $63 million in net revenue in fiscal year 2023.

The core pillars to achieve this are, attaining a top 10 market share position in the overall Canadian adult-use market by focusing on quality, high margin, and high velocity sales categories; expanding our leadership position in medical by onboarding additional third-party clinics and accelerating market uptake under our exclusive Unifor partnership; building on existing partnerships to unlock the key European market and continue driving expanded international sales.

To help finance these ambitious growth targets, the company completed two financings in the second half of 2021 including a $10 million senior secured term credit facility in August, and a new $19 million credit facility in December. The new credit facility consists of a $12 million term loan and a revolving receivables facility up to $7 million.

The revolving receivables facility remains undrawn providing the company with liquidity to fund working capital investments required to continue rapidly scaling our adult-use sales. The company is also actively engaging with holders of our listed unsecured convertible debentures maturing on June of 202 with a view to effecting changes in key terms that are equitable to both the holders and the company and provide a sustainable foundation for the company’s continued growth.

We believe these fiscal year 2023 targets for net revenue, adjusted gross profit margin, adjusted SG&A, and adjusted EBITDA are achievable based on the strategies we have outlined here today.

Tricia over to you.

Tricia Symmes

Thank you, Matt. As demonstrated, we have launched a multipronged growth strategy across three high value pillars to achieve these estimated growth projections. The pillars are, adult-use, in which our goal is to attain top 10 market share in the overall Canadian adult-use market; medical, where we will onboard additional third-party clinics and accelerate market uptake under the exclusive Unifor partnership; international, where our goal is to build on existing partnerships to unlock the key European market.

I became CEO on February 7th of this year. Previously, I was the company’s Chief Commercial Officer. My background is in building and rebuilding companies and taking them to the next level of growth and profitability. A big part of our mission is engaging with the consumer and to accomplish that, we’ve attracted a very lean top executive sales and marketing team with an internal sales force that truly understands the CPG marketplace and what consumers want.

Our team is focused on the need to drive value, to secure loyal customers, and drive and maintain market share. Aleafia’s success will be based on understanding the consumer and providing a value proposition that others have not capitalized on and this is why we are achieving hyper growth.

In 2022, we intend to be leaders in our three pillars, adults, medical and international. We are very optimistic and we would like you to share in this optimism. For Aleafia Health the best is yet to come.

Thank you for being here today and listening to this presentation. We will now take questions.

Question-And-Answer Session

Operator

[Operator Instructions] Our first question or comment comes from the line of Rahul Sarugaser from Raymond James. Your line is open.

Rahul Sarugaser

Morning, Tricia and Matt. Thanks so much for taking my questions today. So, congratulations on the large percentage growth that you’ve seen, particularly in the adult-use throughout in the medical channel. So, I guess, my first question is, while those splendid increases are, I would say, on a dollar basis, it’s not, it took to the middle of the pack. And given that market share really is determinant of success in the Canadian market and that Aleafia sitting at around, maybe plus or minus 1.5% to the adult-use and become relevant we need to be at least 1.3% to potentially 5%, how do you plan on – so how does your roadmap drive you towards that sort of relevant market share?

Tricia Symmes

Well, thank you, very much for your question. I think your points are very valid. I would provide a few answers to help clarify. So first of all on the adult-use of the business, I think what’s important to know is that we only entered into the adult-use of the business in the second half of 202. And really this is going to be the first full year that we will see sustainable runrates with the Divvy health – with the Sunday Market House of brands and with Divvy. Our projection this year will help take us north of that 3% market share that you shared on and really what that’s going to be driven by is, obviously the superior and strong brands that we are containing in the value category, but also with us going into larger formats that we discussed in terms of the flower, we know the product and other segments such as these in which those products were not previously launched in the first part of this year.

We’ll also start to see a more of a sustained runrate of these products as we did have some supply challenges in the last part of 2021 where we had actually greater demand for our products than we were able to pull through. We are now starting to see significant improvements in our greenhouse and we are also seeing significant improvements in operational efficiency.

And we really believe that we’ve built a brand that consumers want. It’s really focused around, obviously, high quality product that obviously offering as a value that is sustainable for consumers and strain that we maintaining that sticky revenue. So the adult portion of our business will continue to be a very strong growth driver as we start to realize those consistent runrates and increase exponential growth quarter-over-quarter.

We are also looking at strategic price adjustments within our portfolio. As you know, it’s very important for us to establish the brand first and create a loyal consumer following and as we start to move into some of those higher categories that obviously can generate more improved margins for us and increase the brand strategically just will have a very important effect on the overall adult-use portfolio.

I think the second most important part of our continued growth to generate, obviously, higher market share value the company will be in the medical side of the business. We have an exclusive partnership with Unifor where, as you pointed out there are some good growth improvements in Q3 and Q4. But unfortunately, due to COVID and the challenges that many companies have experienced there, it was very difficult to be present in front of potential patients to be able to onboard them as quickly as possible. We have actually seen excellent growth in new players onboarding with us that will be ratifying those agreements and fee insurance coverage. And we’ve also just acquired the retiree base which represents a significant increase in new medical patients that will have access to over $2,500 per year in reimbursed medical benefits of cannabis. So that will continue to be a very important pivotal part of our growth as the medical part of the business is sticky and recurring revenue and obviously at higher margins.

And then the last portion which is obviously one that we are extremely excited about is the international side of the business. Again it’s a key differentiator for us to help move and improve our market share overall in the Canadian market is that these are at much higher margins and a higher price point. We’ve already established excellent partnerships in the end of 2020. We have leveraged our first shipments in two European markets and we already have a strong base of PO’s export comments that will capitalize on as we move into 2022.

So, it’s really the three pillars that will help to take us to that next level and get us into the top 10 LP status that we just discussed on this call.

Rahul Sarugaser

Great. Thanks for the additional color. So, to drill down then on the medical side specifically and in terms of the Unifor contracts, which is because we cover the healthcare space more broadly, certainly seeing the difficult for sales folks irrespective of where the healthcare industry get into talk to, whether it’s doctors or patients? But now that that’s opening up hopefully, that certainly should benefit your sales team. So, how should we be thinking about that channel starting to provide material and durable revenues and what should we be thinking in terms of the timeline for that?

Tricia Symmes

Yes. Excellent, excellent question. So the medical cannabis pillar of our business, as you mentioned is a key strategic future growth driver. And it’s based kind of on a multi-pronged strategy. The first is, a strong and growing patient base. So we did recognized this in 2021 and we are one of the only medical companies to be able to continue to increase patient base and show growth versus an overall decline in the industry which is largely driven by a lot of consumers moving towards the adult segment. We believe that it’s important to continue to grow this side, it’s a sticky revenue base and it’s also one in which we have a lot of control with our own virtual clinic pipeline. That’s an important transition that we made this year outside of the brick and mortar to be able to seek patients virtually and make sure that access was easier for these patients that will continue to onboard new patients , which you know it’s one of the important points of this is onboarding patients that then continuing to be able to repeat their prescriptions. The other focus for us in the medical side which we are seeing tremendous growth in Q4 over Q4 was based on our third-party partnerships and we’ve taken a strategic look at how we can have exclusive partnership with Unifor over this 300,000 members that more importantly how we can onboard those potential patients at a more rapid level as we commented this COVID period. And that we’ve also looked specifically at other third-party benefit providers, partnerships in both the Quebec market and with veterans that are all a recurring revenue base that will help to strategically grow our medical platform and ensure that this becomes a critical pillar of ours.

I think the other thing that I would mention is, despite the challenges that many of us experienced during this COVID period, we were still able to onboard four new employers. And that only represents less than 5% of the total opportunity with that Unifor base as these agreements begin to become ratified as we have opportunities to be in front of these potential patients in person through education and onboarding and as we start to tap into the retiree group, which just received their reimbursement at the end of January this year. This will help to see substantial increase in growth in our medical platform and we really believe that this will be a catalyst for moving us into that higher insurance covered area for medical patients, which is really income for pharmaceuticals is the most important thing that you have a platform where patients can have reimbursement for their therapy and that is one that can be continuous recurrent and sticky. So this is part of our strategy on the medical side to help inflate and accelerate our growth.

Rahul Sarugaser

Great. Thank you for that and we’ll certainly look forward to seeing growth there. And if you – and just one last question just around margins, given that historically margins were quite dynamic given especially outdoor indoor growth, the mix between wholesale and close to different channels. So, how should we be thinking about margins so that in medium-term as they sort of settle out and as you start to focus on these three primary channels that you highlight?

Matt Sale

Thanks for the questions. I think directionally where Q4 was is a good starting point to think about our margin profile that I will say with the change in sales mix towards branded cannabis products away from wholesale. The biggest benefit we see is in margin per gram sold. So, it’s as a post is looking at eight percentage, wholesale directionally has had quite a bit of volatility over time with some quarters quite higher and in Q3 in particular it was quite a bit lower. Our adult-use portfolio and our medical portfolio, I think will each deliver margins in and around the kind of 30s to 40s with medical I think at the higher end of that and adult at the lower end of that. And depending on our sales mix, it will move around. The guidance we are putting out for fiscal 2023 is to achieve between 32.5 and 37.5.

Rahul Sarugaser

Thanks. That’s actually very helpful. I appreciate you lining those numbers. And thank for taking our questions. I will get back in the queue.

Tricia Symmes

Thank you.

Operator

Thank you. Our next question or comment comes from the line of [Indiscernible] from Research Capital. Your line is open.

Unidentified Analyst

Hey guys. Thank you for taking our questions. My first question was, I was wondering how we should think about the relationship with wholesale going forward?

Matt Sale

Yes. Thanks for the question. So, wholesale, it historically was a very important part of our revenue mix and 2020 represented two-thirds of total net revenue. As we have now launched our House of Brands and are focused on branded cannabis products we see it having a – overall a lower percentage of our total net revenue. I will say it is still a – it can be an important sales channel, particularly for spec or lower quality flower that we are able to maximize the net realizable margin on our entire harvest. But I think going forward, really our focus is you should expect to see a majority of our revenue based on branded cannabis products.

Unidentified Analyst

Okay. Awesome. Thank you. I was also wondering if there will be any seasonality impacts on revenue in Q1?

Matt Sale

Yes, from a seasonality perspective, I think our medical business is the – it has some ebbs and flows, particularly in the summer months, inability or less focus on getting prescriptions refilled. But generally is a sticky recurring type revenue base. So, each quarter is pretty consistent over the period saw that least volatility. Our adult-use business, I think we are having just – strong growth in Q4 growing over 19%. We see that same momentum continuing in Q1of this year and throughout fiscal 2023. I think in the first half of this year, we have the benefit of our outdoor harvest which only comes down once a year. So that will really benefit the first half momentum more so than the second half momentum. And then on international, and wholesale, I’ll say, wholesale is less – we were less able to predict seasonality. I think it’s much more opportunistic and – than the other three sales channels. That – hopefully, that’s helpful to you. Operator, next question?

Operator

Sir I am showing no additional questions in the queue at this time.

Tricia Symmes

Well, thank you very much for spending this morning with us and we look forward to continuing to update on our journey as we move through this next exciting period. Thank you very much.

Matt Sale

Thank you.

Operator

Ladies and gentlemen, thank you for participating in today’s conference. This concludes the program. You may now disconnect everyone.