Endeavor

2021 Endeavor Catalyst Annual Report

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5 8 SPOTLIGHT: The Digital Evolution of Healthcare Which pandemic-era behaviors will remain in a post-pandemic world? A May 2021 McKinsey survey suggests that our newly-adopted digital behaviors, in particular the use of digital health and wellness tools, are sticky: over half of respondents said they plan to continue using teletherapy services post-pandemic, and just under 80% said they planned to continue using wellness apps. Both activities saw some of the highest user base growth rates (40%+) from their pre- pandemic baseline. The fact that COVID has exacerbated behavioral health conditions globally is well- understood but, the numbers are staggering: in January 2021, 41% of US adults reported symptoms of anxiety and/or depressive disorder, a four-fold increase from 2019. Stretching urgently to meet this demand is a growing industry of digital behavioral health solutions, ranging from light-touch meditation apps to intensive teletherapy and addiction treatment programs. Therapy, like much of healthcare, shifted hastily to various digital formats at the start of the pandemic — first by necessity, then reinforced by both policy change and patient preference. From the start of the pandemic, clinicians and healthtech entrepreneurs alike have wondered: how real is this tidal wave of new telehealth patients, and are they here to stay? While it may be years, or even decades, before telehealth adoption reaches the same heights as Spring 2020, continued traction and overwhelmingly positive consumer sentiment suggest that patient and provider exposure to virtual care (many for the first time) will have a profound impact on the trajectory of telehealth adoption, and early indications suggest that teletherapy may be stickier and more popular with patients than telehealth more broadly. Increased adoption and evidence of staying power, as well as a rapidly-expanding addressable market are driving a surge in digital behavioral health funding. According to Pitchbook and Rock Health, US-based digital health companies raised $14.1B in venture funding in 2020, of which digital health startups focused on behavioral health raised a record $2.4B. Furthermore, deal count (67) and average deal size ($36M) for digital behavioral health in 2020 were 1.5x and 1.2x greater, respectively, than their prior peak in 2018. Even as the digital behavioral health space shatters fundraising records and crowns a new class

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