12 unchanged sentences
market price of our Class A common stock could decline and you could lose part or all of your investment.
−Removed: Risks Related to Our Limited Operating History and Recent Growth Rates
+Added: Risks Related to Our Limited Operating History and Historical Growth Rates
Our limited operating history and our evolving business make it difficult to evaluate our future prospects and the
41 unchanged sentences
be adversely affected.
−Removed: Our recent growth rates may not be sustainable or indicative of future growth.
+Added: Our historical growth rates may not be sustainable or indicative of future growth.
Our historical rate of growth may not be sustainable or indicative of our future rate of growth.
1 unchanged sentence
prescription transactions revenue will be impacted by recent and future retail pharmacy store closures, and that subscription
−Removed: revenue may decrease, while pharma manufacturer solutions revenue may continue to grow as a percentage of total
−Removed: revenue in the near to medium term.
−Removed: We believe that our ability to improve or maintain revenue and margins and obtain
−Removed: profitability, will depend upon, among other factors, our ability to address the challenges, risks and difficulties described
−Removed: elsewhere in this Part I, Item 1A, “Risk Factors” and the extent to which our various offerings grow, organically and through
−Removed: acquisitions, and contribute to our results of operations.
−Removed: We cannot provide assurance that we will be able to successfully
−Removed: manage any such challenges or risks to our future growth.
−Removed: In addition, our base of consumers may not continue to grow or
−Removed: may decline due to a variety of risks, including increased competition, changes in the dynamics among industry participants
−Removed: and us, changes in the regulatory landscape and the maturation of our business.
−Removed: Any of these factors could cause our
−Removed: revenue growth to decline and may adversely affect our margins and profitability.
−Removed: Failure to grow our revenue or improve
−Removed: margins would have a material adverse effect on our business, financial condition and results of operations.
−Removed: You should not
−Removed: rely on our historical rate of revenue growth for any prior quarterly or annual period as an indication of our future
+Added: revenue may decrease, while pharma direct revenue may continue to grow as a percentage of total revenue in the near to
+Added: We believe that our ability to improve or maintain revenue and margins and sustain profitability, will depend
+Added: upon, among other factors, our ability to address the challenges, risks and difficulties described elsewhere in this Part I, Item
+Added: 1A, “Risk Factors” and the extent to which our various offerings grow, organically and through acquisitions, and contribute to
+Added: our results of operations.
+Added: We cannot provide assurance that we will be able to successfully manage any such challenges or
+Added: risks to our future growth.
+Added: In addition, our base of consumers may not continue to grow or may decline due to a variety of
+Added: risks, including increased competition, changes in the dynamics among industry participants and us, changes in the
+Added: regulatory landscape and the maturation of our business.
+Added: Any of these factors could cause our revenue growth to decline
+Added: and may adversely affect our margins and profitability.
+Added: Failure to grow our revenue or improve margins would have a
+Added: material adverse effect on our business, financial condition and results of operations.
+Added: You should not rely on our historical
+Added: rate of revenue growth for any prior quarterly or annual period as an indication of our future performance.
Our results of operations vary and may fluctuate significantly from period-to-period.
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cold and flu trends.
−Removed: We may experience stronger demand for our pharma manufacturer solutions offering during the fourth
−Removed: quarter of each year, which coincides with pharma manufacturers' annual budgetary spending patterns.
−Removed: Additionally, a
−Removed: majority of our pharma manufacturer solutions revenue in any given quarter is derived from contracts entered into with our
−Removed: customers during previous quarters.
−Removed: Consequently, a decline in new or renewed contracts in any one quarter may not be
−Removed: fully reflected in our revenue for that quarter.
−Removed: The changing retail pharmacy landscape, as well as the grocer issue and the
−Removed: impact of COVID-19 may have masked some of these trends in recent periods and may continue to impact these trends in
−Removed: As an extension of the changing retail pharmacy landscape, we have seen and continue to expect heightened
−Removed: renegotiations between pharmacies and PBMs as a result of the pharmacies' increased focus on rationalizing their
−Removed: spending, which in turn has had and may continue to have an adverse impact on our prescription transactions revenue.
−Removed: cumulative effects of such factors could result in large fluctuations and unpredictability in our quarterly and annual results of
−Removed: As a result, comparing our results of operations on a period-to-period basis may not be meaningful and investors
−Removed: should not rely on our past results as an indication of our future performance.
+Added: We may experience stronger demand for our pharma direct offering during the fourth quarter of each
+Added: year, which coincides with pharma manufacturers' annual budgetary spending patterns.
+Added: Additionally, a majority of our
+Added: pharma direct revenue in any given quarter is derived from contracts entered into with our customers during previous
+Added: Consequently, a decline in new or renewed contracts in any one quarter may not be fully reflected in our revenue
+Added: for that quarter.
+Added: PBM-pharmacy issues such as actions taken by a grocery chain in 2022 that impacted acceptance of
+Added: discounted pricing for a subset of prescription drugs from PBMs and whose pricing we promote on our platform (the "grocer
+Added: issue"), including changes in the retail landscape, as well as macroeconomic events may have masked some of these
+Added: trends in recent periods and may continue to impact these trends in the future.
+Added: For example, we expect that the closure of
+Added: Rite Aid stores, which is reflective of the changing retail pharmacy landscape, will adversely impact our revenues in the year
+Added: ending December 31, 2026.
+Added: As an extension of the changing retail pharmacy landscape, we have seen and continue to
+Added: expect heightened renegotiations between pharmacies and PBMs as a result of the pharmacies' increased focus on
+Added: rationalizing their spending, which in turn has had and may continue to have an adverse impact on our prescription
+Added: transactions revenue.
+Added: The cumulative effects of such factors could result in large fluctuations and unpredictability in our
+Added: quarterly and annual results of operations.
+Added: As a result, comparing our results of operations on a period-to-period basis may
+Added: not be meaningful and investors should not rely on our past results as an indication of our future performance.
This variability and unpredictability could also result in our failing to meet the expectations of industry or financial
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consumers or increase consumer engagement, our business, financial condition, and results of operations will be adversely
−Removed: We rely significantly on our prescription transactions offering and may not be successful in expanding our
−Removed: offerings within our markets, particularly the U.S.
−Removed: prescriptions market, or to other segments of the healthcare
+Added: We rely significantly on our prescription transactions offering and may not be successful in expanding or
+Added: maintaining our offerings within our markets, particularly the U.S.
+Added: prescriptions market, or to other segments of the
+Added: healthcare industry.
To date, the majority of our revenue has been derived from our prescription transactions offering.
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of mail delivery prescriptions, changes in our relationships with industry participants and our various partners, changes in the
−Removed: regulatory landscape, and other factors could result in changes to our contracts or a decline in our total revenu e, which have
−Removed: had and ma y continue to have an adverse effect on our business, financial condition and results of operations.
+Added: regulatory landscape, and other factors could result in changes to our contracts or a decline in our total revenue, which have
+Added: had and may continue to have an adverse effect on our business, financial condition, and results of operations.
derive a majority of our revenue from our prescription transactions offering, any material decline in the use of such offering
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revenue and results of operations, particularly if we are unable to expand our offerings overall.
−Removed: We seek to expand our offerings within the prescriptions market and the pharma manufacturer solutions market in the
−Removed: United States, and we are actively investing in these growth areas.
−Removed: We also continue to focus on the optimization of our
−Removed: existing partnerships and have entered into, and may in the future enter into, new or revised agreements with industry
−Removed: participants, and have also terminated, and may in the future terminate, existing arrangements with industry participants.
−Removed: However, expanding our offerings, entering into new markets and entering into new partnerships requires substantial
−Removed: additional resources, and our ability to succeed is not certain.
−Removed: During and following periods of active investment in such
−Removed: offerings, markets, relationships and partnerships, we may experience a decrease in profitability or margins, particularly if
−Removed: the area of investment generates lower margins than our other offerings.
−Removed: As we attempt to expand our offerings and optimize
−Removed: our partnerships, we may need to take additional steps, such as hiring additional personnel, partnering with new third parties
−Removed: and incurring considerable research and development expenses, in order to pursue such expansion and optimization
−Removed: successfully.
−Removed: Any such expansion and/or optimization would be subject to additional uncertainties and would likely be subject
−Removed: to additional laws and regulations.
−Removed: As a result, we may not be successful in future efforts to expand into or achieve
−Removed: profitability from new markets, new business models or strategies, new partnerships or new offering types, and our ability to
−Removed: generate revenue from our current offerings and continue our existing business may be negatively affected.
−Removed: expansion does not enhance our ability to maintain or grow revenue or recover any associated development costs, our
−Removed: business, financial condition and results of operations could be adversely affected.
+Added: For example, in the first half
+Added: of 2025, we observed that one of our PBM partners began offering other third-party discount cards on their platform.
+Added: increased the direct competition we faced at the point-of-sale and had an adverse impact on our prescription transactions
+Added: We seek to expand our offerings within the prescriptions market and the pharma direct market in the United States, and
+Added: we are actively investing in these growth areas.
+Added: We also continue to focus on the optimization of our existing partnerships
+Added: and have entered into, and may in the future enter into, new or revised agreements with industry participants, and have also
+Added: terminated, and may in the future terminate, existing arrangements with industry participants.
+Added: However, expanding our
+Added: offerings, entering into new markets and entering into new partnerships requires substantial additional resources, and our
+Added: ability to succeed is not certain.
+Added: During and following periods of active investment in such offerings, markets, relationships
+Added: and partnerships, we may experience a decrease in profitability or margins, particularly if the area of investment generates
+Added: lower margins than our other offerings.
+Added: As we attempt to expand our offerings and optimize our partnerships, we may need
+Added: to take additional steps, such as hiring additional personnel, partnering with new third parties and incurring considerable
+Added: research and development expenses, in order to pursue such expansion and optimization successfully.
+Added: Any such expansion
+Added: and/or optimization would be subject to additional uncertainties and would likely be subject to additional laws and
+Added: As a result, we may not be successful in future efforts to expand into or achieve profitability from new markets,
+Added: new business models or strategies, new partnerships or new offering types, and our ability to generate revenue from our
+Added: current offerings and continue our existing business may be negatively affected.
+Added: If any such expansion does not enhance
+Added: our ability to maintain or grow revenue or recover any associated development costs, our business, financial condition, and
+Added: results of operations could be adversely affected.
Our business is subject to changes in medication pricing and is significantly impacted by pricing structures
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some of our contracts with certain of our partners contain provisions related to discount pricing, we do not control the overall
−Removed: pricing strategies of pharma manufacturers, wholesalers, PBMs and pharmacies, each of which is motivated by independent
−Removed: considerations and drivers that are outside our control and has the ability to set or significantly impact market prices for
−Removed: different prescription medications.
−Removed: While we have contractual and non-contractual relationships with certain industry
−Removed: participants, such as pharmacies, PBMs and pharma manufacturers, these and other industry participants often negotiate
−Removed: complex and multi-party pricing structures, and we have no control over these participants and the policies and strategies
−Removed: that they implement in negotiating these multi-party pricing structures.
−Removed: For example, the grocer issue had a material adverse
−Removed: impact on our results of operations for the years ended December 31, 2023 and 2022 and while the impact has attenuated
−Removed: in 2024, we expect that it will continue to have a sustained adverse impact in future periods.
+Added: pricing strategies of pharma manufacturers, wholesalers, PBMs, and pharmacies, each of which is motivated by
+Added: independent considerations and drivers that are outside our control and has the ability to set or significantly impact market
+Added: prices for different prescription medications.
+Added: While we have contractual and non-contractual relationships with certain
+Added: industry participants, such as pharmacies, PBMs, and pharma manufacturers, these and other industry participants often
+Added: negotiate complex and multi-party pricing structures, and we have no control over these participants and the policies and
+Added: strategies that they implement in negotiating these multi-party pricing structures .
+Added: For example, as an extension of the
+Added: changing retail pharmacy landscape in recent years, we have seen and continue to expect heightened renegotiations
+Added: between pharmacies and PBMs, including changes in retailer reimbursement models, as a result of the pharmacies'
+Added: increased focus on rationalizing their spending.
Pharma manufacturers generally direct medication pricing by setting medication list prices and offering rebates and
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medications, any of which could have an adverse effect on our ability to generate revenue and business.
−Removed: changes in the fee and pricing structures among industry participants, whether due to regulatory requirements, competitive
−Removed: pressures or otherwise, that reduce or adversely impact fees generated by PBMs or directly by us through partner
−Removed: pharmacies would have an adverse effect on our ability to generate revenue and business.
−Removed: Due in part to existing pricing
−Removed: structures, we generate a smaller portion of our revenue through contracts with pharma manufacturers and other
−Removed: intermediaries.
−Removed: Changes in the roles of industry participants and in general pricing structures, increased regulatory scrutiny
−Removed: and action against industry participants, as well as price competition among industry participants, could have an adverse
−Removed: impact on our business.
+Added: changes in the fee and pricing structures among industry participants, whether due to regulatory requirements, executive
+Added: actions, tariffs, competitive pressures, or otherwise, that reduce or adversely impact fees generated by PBMs or directly by
+Added: us through partner pharmacies would have an adverse effect on our ability to generate revenue and business.
+Added: Due in part to
+Added: existing pricing structures, we generate a smaller portion of our revenue through contracts with pharma manufacturers and
+Added: other intermediaries.
+Added: Changes in the roles of industry participants and in general pricing structures, increased regulatory
+Added: scrutiny and action against industry participants, as well as price competition among industry participants, could have an
+Added: adverse impact on our business.
For example, integration of PBMs and pharmacy providers could result in pricing structures
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platform and, as a result, we generate a significant portion of our revenue from contracts with a limited number of PBMs.
−Removed: work with dozens of PBMs that maintain cash networks and prices, and the number of PBMs we work with has significantly
−Removed: increased over time, limiting the extent to which any one PBM contributes to our overall revenue;
−Removed: however, we may not
−Removed: expand beyond our existing PBM partners and the number of our PBM partners may even decline.
−Removed: Revenue from each PBM
−Removed: fluctuates from period to period as the discounts and prices available through our platform change, and different PBMs
−Removed: experience increases and decreases in the volume of transactions processed through their respective networks.
−Removed: some of our contracts contain exclusivity provision s, which could limit our ability to negotiate pricing terms as market prices
−Removed: Our three largest PBM customers accounted for 27% of our revenue in 2024 , 32% of our revenue in 2023 and
−Removed: 31% of our revenue in 2022 .
−Removed: In 2024 , no single PBM customer accounted f or more than 10% of our revenue .
−Removed: 2022 , one PBM customer accounted for more than 10% of our revenue .
−Removed: The loss of any of these large PBM customers may
−Removed: negatively impact the breadth of the pricing that we are able to offer consumers.
+Added: work with dozens of PBMs that maintain cash networks and prices, and the number of PBMs we work with has increased
+Added: over time, limiting the extent to which any one PBM contributes to our overall revenue;
+Added: however, we may not expand beyond
+Added: our existing PBM partners and the number of our PBM partners may even decline.
+Added: Revenue from each PBM fluctuates from
+Added: period to period as the discounts and prices available through our platform change, and different PBMs experience
+Added: increases and decreases in the volume of transactions processed through their respective networks.
+Added: Further, some of our
+Added: contracts contain exclusivity provisions, which could limit our ability to negotiate pricing terms as market prices fluctuate.
+Added: three largest PBM customers accounted for 22% of our revenue in 2025 , 27% of our revenue in 2024 , and 32% of our
+Added: revenue in 2023 .
+Added: In 2025 and 2024 , no single PBM customer accounted for more than 10% of our revenue .
+Added: In 2023 , one
+Added: PBM customer accounted for more than 10% of our revenue.
+Added: The loss of any of these large PBM customers may negatively
+Added: impact the breadth of the pricing that we are able to offer consumers.
Most of our PBM contracts provide for monthly payments from PBMs.
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Changes that limit or otherwise negatively impact our ability to
−Removed: receive fees from these partners would have an adverse effect on our business, financial condition and results of operations.
−Removed: Consolidation of PBMs or the loss of a PBM could negatively impact the discounts and prices that we present through our
−Removed: platform and may result in less competitive discounts and prices on our platform.
+Added: receive fees from these partners would have an adverse effect on our business, financial condition, and results of
+Added: Consolidation of PBMs or the loss of a PBM could negatively impact the discounts and prices that we present
+Added: through our platform and may result in less competitive discounts and prices on our platform.
Our consumers use GoodRx codes at the point of purchase at nearby pharmacies .
−Removed: These codes can be used at over
−Removed: 70,000 pharmacies in the United States.
−Removed: prescriptions market is dominated by a limited number of national and
−Removed: regional pharmacy chains, such as CVS, Kroger, Walmart and Walgreens.
−Removed: These pharmacy chains represent a significant
−Removed: portion of overall prescription medication transactions in the United States.
−Removed: Similarly, a significant portion of our discounted
−Removed: prices are used at a limited number of pharmacy chains and, as a result, a significant portion of our revenue is derived from
−Removed: transactions processed at a limited number of pharmacy chains.
−Removed: We have entered, and may in the future enter, into direct
−Removed: contractual arrangements with pharmacies, which we refer to as our partner pharmacies, to offer discount prices to
−Removed: consumers at such pharmacies.
−Removed: Further, if counterparties and vendors we use to process prescriptions were to stop
−Removed: providing services to us on acceptable terms, we may be unable to procure alternative services from other counterparties or
−Removed: vendors in a timely and efficient manner and on similar acceptable terms.
−Removed: Accordingly, we may incur significant costs to
−Removed: resolve any such disruptions in services, which could have a material adverse effect on our business.
−Removed: In the last year, many pharmacy chains announced plans to close thousands of retail pharmacy locations in the near
−Removed: We derive a significant portion of our revenue from transactions processed at pharmacy chains.
−Removed: If our consumers are
−Removed: unable to access retail pharmacies, they may seek other options to fill their prescriptions, such as through mail delivery
−Removed: services, or choose not to fill or refill existing prescriptions, which may adversely impact our revenues.
−Removed: We do not generate a
−Removed: significant percentage of revenue from mail delivery service.
−Removed: To the extent consumer preferences change, including as a
−Removed: result of public health concerns or due to retail pharmacy closures, we may not be able to accommodate sufficient demand
−Removed: for mail delivery service which may have an adverse effect on our business, financial condition and results of operations.
+Added: prescriptions market is
+Added: dominated by a limited number of national and regional pharmacy chains, such as CVS, Kroger, Walmart and Walgreens.
+Added: These pharmacy chains represent a significant portion of overall prescription medication transactions in the United States.
+Added: Similarly, a significant portion of our discounted prices are used at a limited number of pharmacy chains and, as a result, a
+Added: significant portion of our revenue is derived from transactions processed at a limited number of pharmacy chains.
+Added: entered, and may in the future enter, into direct contractual arrangements with pharmacies, which we refer to as our partner
+Added: pharmacies, to offer discount prices to consumers at such pharmacies.
+Added: Further, if counterparties and vendors we use to
+Added: process prescriptions were to stop providing services to us on acceptable terms, we may be unable to procure alternative
+Added: services from other counterparties or vendors in a timely and efficient manner and on similar acceptable terms.
+Added: we may incur significant costs to resolve any such disruptions in services, which could have a material adverse effect on our
+Added: In recent years, many pharmacy chains have announced plans to close thousands of retail pharmacy locations and
+Added: thousands of retail pharmacy locations have closed .
+Added: We derive a significant portion of our revenue from transactions
+Added: processed at pharmacy chains.
+Added: If our consumers are unable to access retail pharmacies, they may seek other options to fill
+Added: their prescriptions, such as through mail delivery services, or choose not to fill or refill existing prescriptions, which may
+Added: adversely impact our revenues.
+Added: We do not generate a significant percentage of revenue from mail delivery service .
+Added: extent consumer preferences change, including as a result of public health concerns or due to retail pharmacy closures, we
+Added: may not be able to accommodate sufficient demand for mail delivery service which may have an adverse effect on our
+Added: business, financial condition, and results of operations.
The impact of the changing retail pharmacy landscape is currently unknown, but may adversely affect our business,
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a direct contractual arrangement with us, terminates such contractual arrangement, our business may be negatively
−Removed: For example, a grocery chain took actions late in the first quarter of 2022 that impacted acceptance of discounted
−Removed: pricing for a subset of prescription drugs from PBMs and whose pricing we promote on our platform.
−Removed: This had a material
−Removed: adverse impact on our results of operations and we expect that it will continue to have a sustained adverse impact in future
+Added: For example, a grocery chain took actions in 2022 that impacted acceptance of discounted pricing for a subset of
+Added: prescription drugs from PBMs and whose pricing we promote on our platform.
+Added: This had a material adverse impact on our
+Added: results of operations .
Such actions could be exacerbated by further consolidation of PBMs or pharmacy chains.
−Removed: If such changes,
−Removed: individually or in the aggregate, are material, they would have an adverse effect on our business, results of operations and
−Removed: financial condition.
−Removed: If there is a decline in revenue generated from any of the PBMs or pharmacies we contract with, as a
−Removed: result of consolidation of PBMs or pharmacy chains, pricing competition among industry participants or otherwise, if we are
−Removed: unable to maintain or grow our relationships with PBMs and pharmacies or if we lose one or more of the PBMs or partner
−Removed: pharmacies we contract with and cannot replace such PBM or partner pharmacy in a timely manner or at all, there would be
−Removed: an adverse effect on our business, financial condition and results of operations.
+Added: changes, individually or in the aggregate, are material, they would have an adverse effect on our business, results of
+Added: operations and financial condition.
+Added: If there is a decline in revenue generated from any of the PBMs or pharmacies we
+Added: contract with, as a result of consolidation of PBMs or pharmacy chains, pricing competition among industry participants or
+Added: otherwise, if we are unable to maintain or grow our relationships with PBMs and pharmacies or if we lose one or more of the
+Added: PBMs or partner pharmacies we contract with and cannot replace such PBM or partner pharmacy in a timely manner or at
+Added: all, there would be an adverse effect on our business, financial condition, and results of operations.
We operate in a very competitive industry and we may fail to effectively differentiate our offerings and services
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existing consumers.
−Removed: prescriptions market, pharma manufacturer solutions market and telehealth market are highly competitive and
−Removed: subject to ongoing innovation and development.
−Removed: Our ability to remain competitive is dependent upon our ability to appeal to
−Removed: consumers and attract and acquire new consumers to our platform, including through our apps.
−Removed: Our ability to remain
−Removed: competitive is also dependent upon our ability to retain existing consumers and encourage them to continue to use our
−Removed: platform as a tool for purchasing healthcare products and services.
−Removed: We operate in a highly competitive environment and in
−Removed: an industry that is subject to significant market pressures brought about by consumer demands, a limited number of major
−Removed: PBMs and pharmacy operators, fluctuations in medication pricing, legislative and regulatory activity, significant changes in
−Removed: demand and interest in telehealth and other market factors.
+Added: prescriptions market, pharma direct market and telehealth market are highly competitive and subject to
+Added: ongoing innovation and development.
+Added: Our ability to remain competitive is dependent upon our ability to appeal to consumers
+Added: and attract and acquire new consumers to our platform, including through our apps.
+Added: Our ability to remain competitive is also
+Added: dependent upon our ability to retain existing consumers and encourage them to continue to use our platform as a tool for
+Added: purchasing healthcare products and services.
+Added: We operate in a highly competitive environment and in an industry that is
+Added: subject to significant market pressures brought about by consumer demands, a limited number of major PBMs and
+Added: pharmacy operators, fluctuations in medication pricing, legislative and regulatory activity, significant changes in demand and
+Added: interest in telehealth, and other market factors.
We compete with companies that provide savings on prescriptions, as well as companies that offer advertising and
8 unchanged sentences
industry participants, any of which could impact our ability to attract and retain consumers.
−Removed: Our pharma manufacturer
−Removed: solutions offering competes for advertising and market access budget allocation against traditional direct to consumer and
−Removed: other platforms on which pharmaceutical manufacturers can reach consumers, such as through physicians, health-related
−Removed: apps and websites, television advertisements and services supporting patient access.
−Removed: We also face competition in the
−Removed: telehealth market from a range of companies, including providers of telehealth services that are larger than us, and which
−Removed: usually provide telehealth services on behalf of employers and insurance plans.
−Removed: A competitor’s offerings, reputation and
−Removed: marketing strategies can have a substantial impact on its ability to attract and retain consumers, and we may face
−Removed: competition from existing or new market entrants with greater resources and better offerings, pricing, reputations and market
−Removed: strategies, which would have a negative impact on our business.
−Removed: Any such competitor may be better able to respond quickly
−Removed: to new technologies, develop deeper relationships with consumers and industry participants, including pharmacies, PBMs
−Removed: and telehealth providers, or offer more competitive discounts or pricing.
−Removed: While we negotiate protective terms related to our
−Removed: discounted prices, our intellectual property and our consumers, in our contracts with PBMs and partner pharmacies, such
−Removed: contracts are not exclusive and PBMs as well as our partner pharmacies can work with others in the industry to drive volume
−Removed: to their networks.
−Removed: For example, our contracts include provisions that, among others, restrict the ability of PBMs and our
−Removed: partner pharmacies to compete with us and solicit our consumers.
+Added: Our pharma direct offering
+Added: competes for advertising and market access budget allocation against traditional direct to consumer and other platforms on
+Added: which pharmaceutical manufacturers can reach consumers, such as through physicians, health-related apps and websites,
+Added: television advertisements, and services supporting patient access.
+Added: We also face competition in the telehealth market from a
+Added: range of companies, including providers of telehealth services that are larger than us, and which usually provide telehealth
+Added: services on behalf of employers and insurance plans.
+Added: A competitor’s offerings, reputation, and marketing strategies can have
+Added: a substantial impact on its ability to attract and retain consumers, and we may face competition from existing or new market
+Added: entrants with greater resources and better offerings, pricing, reputations, and market strategies, which would have a
+Added: negative impact on our business.
+Added: Any such competitor may be better able to respond quickly to new technologies, develop
+Added: deeper relationships with consumers and industry participants, including pharmacies, PBMs, and telehealth providers, or
+Added: offer more competitive discounts or pricing.
+Added: While we negotiate protective terms related to our discounted prices, our
+Added: intellectual property and our consumers, in our contracts with PBMs and partner pharmacies, such contracts are not
+Added: exclusive and PBMs as well as our partner pharmacies can work with others in the industry to drive volume to their
+Added: For example, our contracts include provisions that, among others, restrict the ability of PBMs and our partner
+Added: pharmacies to compete with us and solicit our consumers.
We aim to differentiate our business through scale and by
15 unchanged sentences
prescriptions
−Removed: market and pharma manufacturer solutions market, and is subject to significant uncertainty and is based on assumptions
−Removed: that may not prove to be accurate.
−Removed: In particular, we calculated the TAM for our prescription opportunity based on data from
−Removed: the Centers for Medicare & Medicaid Services regarding the expected size of U.S.
−Removed: prescription expenditures in 2024 and
−Removed: 2025 , plus our estimated value of prescriptions that are written but not filled, which we estimate to range between 20% to
−Removed: 30% of the overall prescription opportunity.
−Removed: These estimates are based on third-party reports and are subject to significant
−Removed: assumptions and estimates.
−Removed: Additionally, we calculated the TAM for our pharma manufacturer solutions opportunity based
−Removed: on internal data regarding the amount of advertising and marketing spending by U.S.
−Removed: pharma manufacturers relating to
−Removed: prescription drugs in 2022 .
−Removed: These estimates, as well as the estimates and forecasts elsewhere in this Annual Report on
−Removed: Form 10-K relating to the size and expected growth of the markets in which we operate, may change or prove to be
−Removed: While we believe the information on which we base our TAM is generally reliable, such information is inherently
−Removed: In addition, our expectations, assumptions and estimates of future opportunities are necessarily subject to a high
−Removed: degree of uncertainty and risk due to a variety of factors, including those described herein.
−Removed: If third-party or internally
−Removed: generated data prove to be inaccurate or we make errors in our assumptions based on that data, our future growth
−Removed: opportunities may be affected.
−Removed: Additionally, our TAM for our prescription transactions offering includes medications for which
−Removed: we are currently not able to offer savings on the prices paid by non-insured and insured consumers and for which we may
−Removed: not be able to provide savings on in the future.
−Removed: If our TAM, or the size of any of the various markets in which we operate,
−Removed: proves to be inaccurate, our future growth opportunities may be limited and there could be a material adverse effect on our
−Removed: prospects, business, financial condition and results of operations.
+Added: market and pharma direct market, and is subject to significant uncertainty and is based on assumptions that may not prove
+Added: to be accurate.
+Added: In particular, we calculated the TAM for our prescription opportunity based on data from the Centers for
+Added: Medicare & Medicaid Services regarding the expected size of U.S.
+Added: prescription expenditur es in 2024 and 2025, plus our
+Added: estimated value of prescriptions that are written but not filled, which we estimate to range between 20% to 30% of the overall
+Added: prescription opportunity.
+Added: These estimates are based on third-party reports and are subject to significant assumptions and
+Added: Additionally, we calculated the TAM for our pharma direct opportunity based on internal data regarding the
+Added: amount of advertising and marketing spending by U.S.
+Added: pharma manufacturers relating to prescription drugs in 2022.
+Added: estimates, as well as the estimates and forecasts elsewhere in this Annual Report on Form 10-K relating to the size and
+Added: expected growth of the markets in which we operate, may change or prove to be inaccurate.
+Added: While we believe the
+Added: information on which we base our TAM is generally reliable, such information is inherently imprecise.
+Added: In addition, our
+Added: expectations, assumptions and estimates of future opportunities are necessarily subject to a high degree of uncertainty and
+Added: risk due to a variety of factors, including those described herein.
+Added: If third-party or internally generated data prove to be
+Added: inaccurate or we make errors in our assumptions based on that data, our future growth opportunities may be affected.
+Added: Additionally, our TAM for our prescription transactions offering includes medications for which we are currently not able to
+Added: offer savings on the prices paid by non-insured and insured consumers and for which we may not be able to provide savings
+Added: on in the future.
+Added: If our TAM, or the size of any of the various markets in which we operate, proves to be inaccurate, our future
+Added: growth opportunities may be limited and there could be a material adverse effect on our prospects, business, financial
+Added: condition and results of operations.
We calculate certain operational metrics using internal systems and tools and do not independently verify such
25 unchanged sentences
financial results could be adversely affected.
−Removed: Our telehealth offering is dependent on our ability to maintain our relationship with our telehealth provider network,
−Removed: including our affiliated professional entities, and the ability of such entities to recruit qualified telehealth providers.
−Removed: The success of our telehealth offering depends in part on our continued ability to maintain our relationship with our
−Removed: telehealth provider network, including our affiliated physician-owned professional entities that we contract with to deliver our
−Removed: telehealth offering, and the ability of our affiliated professional entities to recruit qualified telehealth providers.
−Removed: significant competition in the telehealth market for qualified telehealth providers, and if our affiliated professional entities are
−Removed: unable to recruit or retain an adequate number of physicians and other healthcare professionals, whether directly or
−Removed: indirectly through staffing providers, such as Wheel, which provides a network of healthcare providers to our affiliated
−Removed: professional entities, it could negatively impact our telehealth offering.
−Removed: Moreover, if one or more of our relationships with
−Removed: these affiliated professional entities were to end, it could have a material adverse effect on our business, financial condition
−Removed: and results of operations and/or cause us to cease our telehealth offering.
+Added: Our telehealth related products and services are dependent on our ability to maintain our relationship with our
+Added: telehealth provider network, including our affiliated professional entities, and the ability of such entities to recruit
+Added: qualified telehealth providers.
+Added: The success of our telehealth related products and services depend in part on our continued ability to maintain our
+Added: relationship with our telehealth provider network, including our affiliated physician-owned professional entities that we
+Added: contract with to deliver our telehealth offering, and the ability of our affili ated professional entities to recruit qualified
+Added: telehealth providers.
+Added: There is significant competition in the telehealth market for qualified telehealth providers, and if our
+Added: affiliated professional entities are unable to recruit or retain an adequate number of physicians and other healthcare
+Added: professionals, whether directly or indirectly through staffing providers, such as Wheel, which provides a network of
+Added: healthcare providers to our affiliated professional entities, it could negatively impact our telehealth offering.
+Added: Moreover, if one
+Added: or more of our relationships with these affiliated professional entities were to end, it could have a material adverse effect on
+Added: our business, financial condition and results of operations and/or cause us to cease our telehealth related products and
Negative media coverage could adversely affect our business.
24 unchanged sentences
may be impeded and our business, financial condition, and results of operations would be adversely affected.
−Removed: maintain a sufficient offering of discounted prices on our platform, new consumers and existing consumers may perceive our
−Removed: platform as less relevant, consumer traffic to our platform could decline and, as a result, new consumers and existing
−Removed: consumers may decrease their use of our platform or subscription offerings, which would affect our contracts with certain
−Removed: partners included or otherwise involved with our platform and have a material adverse effect on our business, financial
−Removed: condition and results of operations.
+Added: in the first half of 2025, we observed that one of our PBM partners began offering other third-party discount cards on their
+Added: This increased the direct competition we faced at the point-of-sale and had an adverse impact on our prescription
+Added: transactions revenue.
+Added: If we cannot maintain a sufficient offering of discounted prices on our platform, new consumers and
+Added: existing consumers may perceive our platform as less relevant, consumer traffic to our platform could decline and, as a
+Added: result, new consumers and existing consumers may decrease their use of our platform or subscription offerings, which
+Added: would affect our contracts with certain partners included or otherwise involved with our platform and have a material adverse
+Added: effect on our business, financial condition, and results of operations.
We may be unable to maintain a positive perception regarding our platform or maintain and enhance our brand.
26 unchanged sentences
Our compliance with Section 404 requires that we incur substantial costs and expend significant management efforts.
−Removed: We have engaged outside consultants who function in the capacity of an internal audit group, and we plan to continue to hire
+Added: We have engaged outside consultants who function in the capacity of an internal audit group, and we may engage with
additional consultants, accounting and financial staff with appropriate public company experience and technical accounting
23 unchanged sentences
our direction to abide by applicable laws and regulations in the use of these channels could adversely affect our reputation
−Removed: or subject us to fines or other penalties.
−Removed: In addition, our employees or third parties acting at our direction may knowingly or
−Removed: inadvertently make use of social media in ways that could lead to the loss or infringement of intellectual property, as well as
−Removed: the public disclosure of proprietary, confidential or sensitive personal information of our business, employees, consumers or
−Removed: Any such inappropriate use of social media, emails and text messages could also cause reputational damage and
−Removed: adversely affect our business.
+Added: or subject us to litigation, fines, or other damages or penalties.
+Added: In addition, our employees or third parties acting at our
+Added: direction may knowingly or inadvertently make use of social media in ways that could lead to the loss or infringement of
+Added: intellectual property, as well as the public disclosure of proprietary, confidential, or personal information (including sensitive
+Added: or health-related information) ("Confidential Information") of our business, employees, consumers or others.
+Added: inappropriate use of social media, emails, and text messages could also cause reputational damage and adversely affect
+Added: our business.
Our consumers may engage with us online through our social media pages, including, for example, our presence on
3 unchanged sentences
social media pages at any time and may have a disproportionately adverse impact on our brand, reputation, or business.
−Removed: harm may be immediate without affording us an opportunity for redress or correction and could have a material adverse
+Added: The harm may be immediate without affording us an opportunity for redress or correction and could have a material adverse
effect on our business, financial condition, results of operations, and prospects.
46 unchanged sentences
dependent on information technology systems and infrastructure (“IT Systems”) to operate our business.
−Removed: In the ordinary
−Removed: course of our business, we collect, store and transmit large amounts of confidential information, including intellectual
−Removed: property, proprietary business information and personal information.
−Removed: It is critical that we do so in a secure manner to
−Removed: maintain the confidentiality and integrity of such confidential information.
−Removed: We have established physical, electronic and
−Removed: organizational measures to safeguard and secure our systems to prevent a data compromise, and rely on commercially
−Removed: available systems, software, tools, and monitoring to provide security for our IT Systems and the processing, transmission
−Removed: and storage of digital information.
−Removed: We have also outsourced elements of our IT Systems and data storage systems, and as a
−Removed: result a number of third-party vendors may or could have access to our confidential information.
−Removed: Despite the implementation of preventative and detective security controls, such IT Systems are vulnerable to damage
−Removed: or interruption from a variety of sources, including telecommunications or network failures or interruptions, system
−Removed: malfunction, natural disasters, malicious human acts, terrorism and war.
−Removed: Such IT Systems, including our servers, are
−Removed: additionally vulnerable to physical or electronic break-ins, security breaches from inadvertent or intentional actions by our
−Removed: employees, third-party service providers, contractors, consultants, business partners, and/or other third parties, or from
−Removed: cyber-attacks by malicious third parties (including the deployment of harmful malware, ransomware, denial-of-service
−Removed: attacks, social engineering, and other means to affect service reliability and threaten the confidentiality, integrity, and
−Removed: availability of information).
−Removed: As we continue to embrace both hybrid and remote working, we may face increased
−Removed: cybersecurity risks due to our reliance on internet technology and the number of our employees who are working remotely,
−Removed: which may create additional opportunities for cybercriminals to exploit vulnerabilities.
−Removed: We may not be able to anticipate all
−Removed: types of security threats, and we may not be able to implement preventive measures effective against all such security
−Removed: The techniques used by cyber criminals change frequently, may not be recognized until launched, and can originate
−Removed: from a wide variety of sources, including outside groups such as external service providers, organized crime affiliates,
−Removed: terrorist organizations, or hostile foreign governments or agencies.
−Removed: Even if identified, we may be unable to adequately
−Removed: investigate or remediate incidents or breaches due to attackers increasingly using tools and techniques that are designed to
−Removed: circumvent controls, to avoid detection, and to remove or obfuscate forensic evidence.
−Removed: In addition, the prevalent use of
−Removed: mobile devices that access confidential information increases the risk of data security breaches, which could lead to the loss
−Removed: of confidential information or other intellectual property.
−Removed: We can provide no assurance that our current IT Systems, or those of the third parties upon which we rely, are fully
−Removed: protected against cybersecurity threats.
−Removed: We and certain of our service providers from time to time have been and are subject
−Removed: to cyberattacks and/or security incidents.
−Removed: Additionally, such cyberattacks and security incidents have and may remain
−Removed: undetected for an extended period of time.
−Removed: Even when a security incident is detected, the full extent of a breach, if any, may
−Removed: not be determined immediately.
−Removed: The costs to us to mitigate network security problems, bugs, viruses, worms, malicious
−Removed: software programs and security vulnerabilities could be significant, and while we have implemented security measures to
−Removed: protect our data security and IT Systems, our efforts to address these problems may not be successful.
−Removed: These problems,
−Removed: whether related to our IT Systems and/or those of third parties upon which we rely, have resulted in, and may in the future,
−Removed: result in, unexpected interruptions, delays, cessation of service and other harm to our business.
−Removed: While we do not believe that
−Removed: we have experienced a significant system failure, accident or security breach to date that has had a material effect on us,
−Removed: including our operations, business strategy, results of operations or financial condition, if such an event were to occur and
−Removed: cause sustained material interruptions in our operations, it could result in a material disruption of our offerings to consumers.
−Removed: Moreover, we and our third-party vendors collect, store and transmit sensitive data, including health-related information,
−Removed: personally identifiable information, intellectual property and proprietary business information in the ordinary course of our
−Removed: If a computer security breach affects our systems or results in the unauthorized release of personally identifiable
−Removed: information, our reputation could be materially damaged.
−Removed: In addition, such breaches have required, and may in the future
−Removed: require, notification to governmental agencies, the media or individuals pursuant to various federal and state privacy and
−Removed: security laws, if applicable, including HIPAA as well as regulations promulgated by the FTC and state breach notification
−Removed: Such breaches and allegations of such breaches expose us to risks of loss and/or litigation and potential liability, which
−Removed: could materially adversely affect our business, results of operations and financial condition.
−Removed: There can be no assurance that
−Removed: our cybersecurity risk management program and processes, including our policies, controls or procedures, will be fully
−Removed: complied with or effective in protecting our systems and information.
+Added: Additionally, in the
+Added: ordinary course of our business, we collect, store, and transmit large amounts of Confidential Information.
+Added: It is critical that we
+Added: do so in a secure manner to maintain the confidentiality and integrity of such Confidential Information.
+Added: We have established
+Added: certain physical, technical, and organizational measures designed to safeguard and secure our IT Systems and Confidential
+Added: Information, and also rely on commercially available systems, software, tools, and monitoring to provide security for our IT
+Added: Systems and the processing, transmission, and storage of Confidential Information.
+Added: We have also outsourced elements of
+Added: our IT Systems and data storage systems, and as a result a number of third-party vendors may or could have access to our
+Added: Confidential Information.
+Added: Despite the implementation of certain preventative and detective security controls, such IT Systems are vulnerable to
+Added: damage or interruption from a variety of sources, including telecommunications or network failures or interruptions, system
+Added: malfunction, misconfigurations, natural disasters, malicious human acts, terrorism, and war.
+Added: Such IT Systems, including our
+Added: servers, are additionally vulnerable to physical or electronic break-ins, security breaches from inadvertent or intentional
+Added: actions by our employees, third-party service providers, contractors, consultants, business partners, and/or other third
+Added: parties, or from cyber-attacks by malicious third parties, such as opportunistic hackers and hacktivists (including the
+Added: deployment of harmful malware, ransomware, denial-of-service attacks, social engineering, and other means to affect
+Added: service reliability and threaten the confidentiality, integrity, and availability of information).
+Added: As we continue to embrace both
+Added: hybrid and remote working, we may face increased cybersecurity risks due to our reliance on internet technology and the
+Added: number of our employees who are working remotely, which may create additional opportunities for cybercriminals to exploit
+Added: vulnerabilities.
+Added: We may not be able to anticipate all types of security threats, and we may not be able to implement
+Added: preventive measures that are effective against all such security threats.
+Added: The techniques used by cyber criminals change
+Added: frequently, including through the use of AI, may not be recognized until launched, and can originate from a wide variety of
+Added: sources, including outside groups such as external service providers, organized crime affiliates, terrorist organizations, or
+Added: hostile foreign governments or agencies.
+Added: Even if identified, we may be unable to adequately investigate or remediate
+Added: incidents or breaches due to attackers increasingly using tools and techniques that are designed to circumvent controls, to
+Added: avoid detection, and to remove or obfuscate forensic evidence.
+Added: In addition, the prevalent use of mobile devices that access
+Added: Confidential Information increases the risk of data security breaches, which could lead to the loss of Confidential
+Added: Moreover, any integration of AI in our or any third party's operations, products or services is expected to pose
+Added: new or unknown cybersecurity risks and challenges.
+Added: We can provide no assurance that our current IT Systems, or those of the third parties upon which we rely, or
+Added: Confidential Information, are fully protected against cybersecurity threats.
+Added: We and certain of our service providers from time
+Added: to time have been and are subject to cyberattacks and/or security incidents.
+Added: Additionally, such cyberattacks and security
+Added: incidents have and may remain undetected for an extended period of time.
+Added: Even when a security incident is detected, the full
+Added: extent of a breach, if any, may not be determined immediately.
+Added: The costs to us to mitigate network security problems, bugs,
+Added: viruses, worms, malicious software programs, and security vulnerabilities could be significant, and while we have
+Added: implemented certain security measures to protect our Confidential Information and IT Systems, our efforts to address these
+Added: problems may not be successful.
+Added: These problems, whether related to our IT Systems and/or those of third parties upon
+Added: which we rely, have resulted in, and may in the future, result in, unexpected interruptions, delays, cessation of service and
+Added: other harm to our business.
+Added: While we do not believe that we have experienced a significant system failure, accident or
+Added: security breach to date that has had a material effect on us, including our operations, business strategy, results of
+Added: operations, or financial condition, if such an event were to occur and cause sustained material interruptions in our
+Added: operations, it could result in a material disruption of our offerings to consumers.
+Added: Moreover, we and our third-party vendors
+Added: collect, store, and transmit Confidential Information in the ordinary course of our business.
+Added: If a computer security breach
+Added: affects our systems or results in the unauthorized release of such Confidential Information, our reputation could be materially
+Added: In addition, such breaches have required, and may in the future require, notification to governmental agencies,
+Added: the media, or individuals pursuant to various federal and state privacy and security laws, as applicable, including HIPAA as
+Added: well as regulations promulgated by the FTC and state breach notification laws.
+Added: Such breaches and allegations of such
+Added: breaches expose us to risks of loss and/or litigation and potential liability, which could materially adversely affect our
+Added: business, results of operations, and financial condition.
+Added: There can be no assurance that our cybersecurity risk management
+Added: program and processes, including our policies, controls, or procedures, will be fully complied with or effective in protecting
+Added: our systems and information.
If our or our third-party vendors’ security measures fail or are breached, it could result in unauthorized access to
−Removed: confidential and proprietary business information, intellectual property, sensitive consumer data (including health-related
−Removed: information) or other personally identifiable information of our consumers, employees, partners or contractors, a loss of or
−Removed: damage to our data, or an inability to access data sources, process data or provide our services.
−Removed: Such failures or breaches
−Removed: of our or our third-party vendors’ security measures, or our or our third-party vendors’ inability to effectively resolve such
−Removed: failures or breaches in a timely manner, could severely damage our reputation, adversely impact consumer, partner, or
−Removed: investor confidence in us, and reduce the demand for our solutions and services.
−Removed: In addition, we could face litigation,
−Removed: significant damages for contract breach or other breaches of law, significant monetary penalties, or regulatory actions for
−Removed: violation of applicable laws or regulations, and incur significant costs for remedial measures to prevent future occurrences
−Removed: and mitigate past violations.
−Removed: The costs related to significant security breaches or disruptions could be material and exceed
−Removed: the limits of the cybersecurity insurance we maintain against such risks.
−Removed: If the IT Systems of our third-party vendors become
−Removed: subject to disruptions or security breaches, we may have insufficient recourse against such third parties and we may have to
−Removed: expend significant resources to mitigate the impact of such an event, and to develop and implement protections to prevent
−Removed: future events of this nature from occurring.
−Removed: Any disruption or loss to IT Systems on which critical aspects of our operations
−Removed: depend could have an adverse effect on our business.
+Added: Confidential Information of our consumers, employees, partners, or contractors, a loss of or damage to our Confidential
+Added: Information, or an inability to access data sources, process data or provide our services.
+Added: Such failures or breaches of our or
+Added: our third-party vendors’ security measures, or our or our third-party vendors’ inability to effectively resolve such failures or
+Added: breaches in a timely manner, could severely damage our reputation, adversely impact consumer, partner, or investor
+Added: confidence in us, and reduce the demand for our solutions and services.
+Added: In addition, we could face litigation (including class
+Added: action), significant damages for contract breach or other breaches of law, significant monetary penalties, or regulatory
+Added: actions for violation of applicable laws or regulations, and incur significant costs for remedial measures to prevent future
+Added: occurrences and mitigate past violations.
+Added: In addition, such breaches have required, and may require in the future,
+Added: notification to governmental agencies, the media, or individuals pursuant to various federal and state privacy and security
+Added: laws, as applicable, including HIPAA as well as regulations promulgated by the FTC and state breach notification laws.
+Added: costs related to significant security breaches or disruptions could be material and exceed the limits of the cybersecurity
+Added: insurance we maintain against such risks.
+Added: If the IT Systems of our third-party vendors become subject to disruptions or
+Added: security breaches, we may have insufficient recourse against such third parties and we may have to expend significant
+Added: resources to mitigate the impact of such an event, and to develop and implement protections to prevent future events of this
+Added: nature from occurring.
+Added: Any disruption or loss to IT Systems or Confidential Information on which critical aspects of our
+Added: operations depend could have an adverse effect on our business.
We use and may expand our use of AI and machine learning in our business and challenges with properly
10 unchanged sentences
condition, and results of operations may be adversely affected.
−Removed: Generally, the use of AI and machine learning applications
−Removed: has in the past resulted in, and may in the future result in, cybersecurity incidents that implicate the personal data of end
−Removed: users of such applications.
−Removed: Any such cybersecurity incidents related to our use of AI and machine learning applications could
−Removed: adversely affect our reputation and results of operations.
−Removed: AI and machine learning also present emerging ethical issues and
−Removed: if our use of AI and/or machine learning becomes controversial, we may experience brand or reputational harm, competitive
−Removed: harm or legal liability.
−Removed: For example, va rious parties are leveraging existing laws to advocate for liability based on certain AI-
−Removed: related actions, including instances of discriminatory, tortious, or other undesired outcomes, and policymakers are adopting
−Removed: or considering the adoption of additional laws, regulations, or other actions with respect to AI.
−Removed: The rapid evolution of AI and
−Removed: machine learning, including potential government regulation thereof, could require us to devote significant resources to
−Removed: develop, test and maintain our implementation of such technology in order to minimize unintended, harmful impact.
+Added: Any cybersecurity incidents related to our use of AI and
+Added: machine learning applications could adversely affect our reputation and results of operations.
+Added: AI and machine learning also
+Added: present emerging ethical issues and if our use of AI and/or machine learning becomes controversial, we may experience
+Added: brand or reputational harm, competitive, harm or legal liability.
+Added: For example, various parties are leveraging existing laws to
+Added: advocate for liability based on certain AI-related actions, including instances of discriminatory, tortious, or other undesired
+Added: outcomes, and policymakers are adopting or considering the adoption of additional laws, regulations, or other actions with
+Added: respect to AI.
+Added: The rapid evolution of AI and machine learning, including potential government regulation thereof, could
+Added: require us to devote significant resources to develop, test, and maintain our implementation of such technology in order to
+Added: minimize unintended, harmful impact.
The regulatory framework for AI technologies is also rapidly evolving as many federal, state, and foreign government
25 unchanged sentences
March 13, 2024, Utah passed the Utah AI Policy Act, which took effect in May 2024, imposing certain disclosure
−Removed: requirements on the use of AI, and on May 17, 2024, Colorado enacted the Colorado AI Act, which will take effect in
−Removed: February 2026.
−Removed: Further, the California Privacy Protection Agency is currently in the process of finalizing regulations under
−Removed: the CCPA regarding the use of automated decision-making.
−Removed: Such additional regulations may impact our ability to develop,
−Removed: use and commercialize AI technologies in the future.
−Removed: It is possible that further new laws and regulations will be adopted in the U nited States, or t hat existing laws and
+Added: requirements on the use of AI, and on May 17, 2024, Colorado enacted the Colorado AI Act, which will take effect in June
+Added: 2026, and imposes various obligations on high-risk uses of AI.
+Added: Further, the California Privacy Protection Agency has finalized
+Added: regulations under the CCPA regarding the use of automated decision-making.
+Added: Such additional regulations may impact our
+Added: ability to develop, use and commercialize AI technologies in the future.
+Added: It is possible that further new laws and regulations will be adopted in the United States, or that existing laws and
regulations, including competition and antitrust laws, may be interpreted in ways that would limit our ability to use AI
6 unchanged sentences
technologies).
−Removed: S uch an increa se in operating expenses, as well as any actual or perceived failure to comply with such laws
+Added: Such an increase in operating expenses, as well as any actual or perceived failure to comply with such laws
and regulations, could adversely affect our business, financial condition, and results of operations.
89 unchanged sentences
financial condition and results of operations .
−Removed: We rely on a variety of marketing techniques, including email and social media marketing and postal mailings, and we
−Removed: are subject to various laws, regulations and regulatory interpretations that govern such marketing and advertising practices.
−Removed: A variety of federal and state laws, regulations and regulatory interpretations govern the collection, use, retention, sharing
−Removed: and security of consumer data, particularly in the context of online advertising, which we rely upon to attract new consumers.
−Removed: Laws, regulations and regulatory interpretations relating to privacy, data protection, marketing and advertising, and
−Removed: consumer protection are evolving and subject to potentially differing interpretations, particularly as they involve classes of
−Removed: data deemed to be sensitive.
−Removed: These requirements may be interpreted and applied in a manner that varies from one
−Removed: jurisdiction to another and/or may conflict with other law, regulations and regulatory interpretations.
−Removed: As a result, our practices
−Removed: may not have complied or may not comply in the future with all such laws, regulations, requirements and obligations.
−Removed: failure, or perceived failure, by us or any of our third-party partners, data centers, or service providers to comply with privacy
−Removed: policies or federal or state privacy or consumer protection-related laws, regulations, regulatory interpretations, industry self-
−Removed: regulatory principles, industry standards or codes of conduct, regulatory guidance, orders to which we may be subject, or
−Removed: other legal obligations relating to privacy or consumer protection, could adversely affect our reputation, brand and business,
−Removed: and may result in claims, proceedings or actions against us by governmental entities, consumers, suppliers or others.
−Removed: proceedings may result in financial liabilities or may require us to change our operations, including ceasing the use or
−Removed: sharing of certain data sets, or modifying marketing and other user engagement programs and plans.
−Removed: Any such claims,
−Removed: proceedings or actions could hurt our reputation, brand and business, force us to incur significant expenses in defense of
−Removed: such proceedings or actions, distract our management, increase our costs of doing business, result in a loss of consumers,
−Removed: suppliers, and contracts with PBMs and others and result in the imposition of monetary penalties.
−Removed: We are also contractually
−Removed: required to indemnify and hold harmless certain third parties from the costs or consequences of non-compliance with any
−Removed: laws, regulations, regulatory interpretations, or other legal obligations relating to privacy or consumer protection or any
−Removed: inadvertent or unauthorized use or disclosure of data that we store or handle as part of operating our business.
+Added: In connection with running our business, we receive, store, use and otherwise process information that relates to
+Added: individuals and/or constitutes “personal data,” “protected health information,” “consumer health data,” “personal information,”
+Added: “personally identifiable information,” or similar terms under applicable data privacy laws (collectively, “Personal Information”).
+Added: We are therefore subject to laws, regulations and other requirements relating to the privacy, security and handling of
+Added: Personal Information
+Added: Laws, regulations, and other requirements relating to Personal Information, (including privacy, data protection,
+Added: marketing and advertising, and consumer protection) are evolving and subject to potentially differing interpretations,
+Added: particularly as they involve classes of data deemed to be sensitive.
+Added: These requirements may be interpreted and applied in a
+Added: manner that varies from one jurisdiction to another and/or may conflict with other law, regulations, and regulatory
+Added: interpretations.
+Added: As a result, our practices may not have complied or may not comply in the future with all such laws,
+Added: regulations, requirements, and obligations.
+Added: Any failure, or perceived failure, by us or any of our third-party partners, data
+Added: centers, or service providers to comply with privacy policies or federal or state privacy or consumer protection-related laws,
+Added: regulations, regulatory interpretations, industry self-regulatory principles, industry standards or codes of conduct, regulatory
+Added: guidance, orders to which we may be subject, or other legal obligations relating to Personal Information, could adversely
+Added: affect our reputation, brand, and business, and may result in claims, proceedings or actions against us by governmental
+Added: entities, consumers, suppliers, or others.
+Added: These proceedings may result in financial liabilities or may require us to change
+Added: our operations, including ceasing the use or sharing of certain data sets, or modifying marketing and other user engagement
+Added: programs and plans.
+Added: Any such claims, proceedings or actions could hurt our reputation, brand and business, force us to
+Added: incur significant expenses in defense of such proceedings or actions, distract our management, increase our costs of doing
+Added: business, result in a loss of consumers, suppliers, and contracts with PBMs and others and result in the imposition of
+Added: monetary penalties.
+Added: We are also contractually required to indemnify and hold harmless certain third parties from the costs or
+Added: consequences of non-compliance with any laws, regulations, regulatory interpretations, or other legal obligations relating to
+Added: Personal Information or any inadvertent or unauthorized use or disclosure of Personal Information or other data that we
+Added: store or handle as part of operating our business.
Federal and state governmental authorities continue to evaluate the privacy implications inherent in the use of third-
16 unchanged sentences
protection of health-related and other Personal Information.
−Removed: Such laws and regulations will be subject to interpretation by
+Added: Such laws and regulations are subject to interpretation by
various courts and other governmental authorities, thus creating potentially complex compliance issues for us and our future
9 unchanged sentences
Additional compliance investment and potential business process changes may be
−Removed: Washington state’s My Health My Data Act (“MHMDA”) was also signed into law in April 2023 and imposes additional
−Removed: obligations and limitations regarding data.
−Removed: The MHMDA differs from other state privacy laws because of its broad definition
−Removed: of health information and a broad private right of action.
−Removed: Other states have passed their own data privacy and security laws,
−Removed: and such laws are also continuing to be proposed at the state and federal level.
−Removed: Other states may be considering similar
−Removed: laws to the MHMDA.
−Removed: Historically, laws with private rights of action have resulted in numerous class action suits under federal
−Removed: and state laws resulting in multi-million-dollar settlements to the plaintiffs.
−Removed: We have been, and in the future may be, subject
−Removed: to such litigation, which could be costly and time-consuming to defend.
−Removed: Private litigants may claim that the notices and
−Removed: disclosures we provide, form of consents we obtain or our general privacy practices are not adequate or violate applicable
−Removed: This may in the future result in civil claims against us.
+Added: Washington state’s My Health My Data Act (“MHMDA”) went into effect in March 2024 and imposes additional
+Added: obligations and limitations regarding health-related Personal Information.
+Added: The MHMDA differs from other state privacy laws
+Added: because of its broad definition of consumer health data and a broad private right of action.
+Added: Other states have passed their
+Added: own data privacy and security laws, and such laws are also continuing to be proposed at the state and federal level.
+Added: states have enacted and may be considering similar laws to the MHMDA.
+Added: Historically, laws with private rights of action have
+Added: resulted in numerous class action suits under federal and state laws resulting in multi-million-dollar settlements to the
+Added: We have been, and in the future may be, subject to such litigation.
+Added: We may be subject to claims that the notices
+Added: and disclosures we provide, form of consents we obtain or our general privacy practices are not adequate or violate
+Added: applicable law.
+Added: This may in the future result in civil claims against us, and these claims could be costly and time consuming
Additionally, the interpretations of existing federal and state consumer protection laws relating to online collection, use,
−Removed: dissemination, and security of health related and other personal information adopted by the FTC state attorneys general,
+Added: dissemination, and security of health related and other P ersonal Information adopted by the FTC state attorneys general,
private plaintiffs, and courts have evolved, and may continue to evolve, over time.
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against entities that make deceptive statements about privacy and data sharing in privacy policies, fail to limit third-party use
−Removed: of personal health information, fail to implement policies to protect personal health information or engage in other unfair
−Removed: practices that harm customers or that may violate Section 5(a) of the FTC Act.
−Removed: According to the FTC, violating consumers’
−Removed: privacy rights or failing to take appropriate steps to keep consumers’ personal information secure may constitute unfair acts
−Removed: or practices in or affecting commerce and thus violate Section 5(a) of the FTC Act.
−Removed: It may also violate one or more FTC-
−Removed: enforced rules.
−Removed: The FTC expects a company’s data security measures to be reasonable and appropriate in light of the
−Removed: sensitivity and volume of consumer information it holds, the size and complexity of its business, and the cost of available
−Removed: tools to improve security and reduce vulnerabilities.
−Removed: Individually identifiable health information is considered sensitive data
−Removed: that merits stronger safeguards.
−Removed: The FTC and many state Attorneys General also continue to enforce federal and state
−Removed: consumer protection laws against companies for online collection, use, dissemination and security practices that appear to
−Removed: be unfair or deceptive.
−Removed: These consumer protection laws are increasingly being applied by the FTC and state Attorneys
−Removed: General to regulate the collection, use, storage and disclosure of personal or personally identifiable information, through
−Removed: websites or otherwise, and to regulate the presentation of website content.
−Removed: In February 2023, we reached a negotiated
−Removed: settlement with the FTC with respect to an investigation of our privacy and security practices which included a monetary
−Removed: settlement amount of $1.5 million and agreements to effect or maintain, as applicable, certain changes to our business
−Removed: practices, policies and compliance requirements.
−Removed: As a result of regulatory enforcement proceedings and inquiries, we have been, and may in the future be, subject to
−Removed: related litigation, settlements or enforcement actions that have included or could include monetary penalties and/or
−Removed: compliance requirements that (1) impose significant and material costs, (2) require us to make modifications to our data
−Removed: practices and our marketing programs, (3) result in negative publicity, or (4) have a negative impact on consumer demand
−Removed: for our products and services, or on our commercial or industry relationships.
−Removed: Relatedly, there has also been, and may in the
−Removed: future also be, significant and material resource burdens on us, requirements that certain aspects of our operations to be
−Removed: overseen by an independent monitor, and/or limitations or the elimination of our ability to use certain targeting marketing
−Removed: strategies or work with certain third-party vendors.
−Removed: Even an unsuccessful challenge of our privacy practices by our
−Removed: consumers, regulatory authorities or other third parties could result in negative publicity and could require a costly response
−Removed: from and defense by us.
−Removed: Any of these events could adversely affect our ability to operate our business and our financial
+Added: of Personal Information, fail to implement policies to protect Personal Information or engage in other unfair practices that
+Added: harm customers or that may violate Section 5(a) of the FTC Act.
+Added: According to the FTC, violating consumers’ privacy rights or
+Added: failing to take appropriate steps to keep consumers’ Personal Information secure may constitute unfair acts or practices in or
+Added: affecting commerce and thus violate Section 5(a) of the FTC Act.
+Added: The FTC expects a company’s data security measures to
+Added: be reasonable and appropriate in light of the sensitivity and volume of Personal Information it holds, the size and complexity
+Added: of its business, and the cost of available tools to improve security and reduce vulnerabilities.
+Added: Individually identifiable health
+Added: information is considered sensitive data that merits stronger safeguards.
+Added: The FTC and many state Attorneys General also
+Added: continue to enforce federal and state consumer protection laws against companies for online collection, use, dissemination
+Added: and security practices that appear to be unfair or deceptive.
+Added: These consumer protection laws are increasingly being applied
+Added: by the FTC and state Attorneys General to regulate the collection, use, storage and disclosure of personal or Personal
+Added: Information, through websites or otherwise, and to regulate the presentation of website content.
+Added: For example , as of
+Added: December 31, 2025, we estimated a probable loss of $30.5 million relating to an ongoing settlement negotiation in the
+Added: Northern District of California with respect to a class-action lawsuit involving our privacy and information sharing practices.
+Added: Additionally, we rely on a variety of marketing techniques, including email and social media marketing and postal
+Added: mailings, and we are subject to various laws, regulations, and regulatory interpretations that govern such marketing and
+Added: advertising practices (such as the CAN-SPAM Act).
+Added: A variety of federal and state laws, regulations and regulatory
+Added: interpretations govern the collection, use, retention, sharing and security of Personal Information, particularly in the context
+Added: of online advertising, which we rely upon to attract new consumers.
In addition, HIPAA, which applies to parts of our business, imposes on entities within its jurisdiction, among other things,
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In addition, to the extent we or our other contractors or agents receive or obtain individually identifiable health
−Removed: information from patients, healthcare professionals, pharmacies, or other individuals or entities, we could be subject to
−Removed: criminal penalties if we mishandle individually identifiable health information in a manner that is not authorized or permitted
+Added: information from patients, healthcare providers, pharmacies, or other individuals or entities, we could be subject to criminal
+Added: penalties if we mishandle individually identifiable health information in a manner that is not authorized or permitted by
Claims that we have violated individuals’ privacy rights or breached our contractual obligations, even if we are not
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conducted its business, including state licensing of pharmacies and pharmacists.
−Removed: Although we work to comply with applicable laws, regulations and standards, our contractual obligations and other legal
−Removed: obligations, these requirements are evolving and may be modified, interpreted and applied in an inconsistent manner from
−Removed: one jurisdiction to another, and may conflict with one another or other legal obligations with which we must comply.
−Removed: failure or perceived failure by us or our employees, representatives, contractors, consultants, collaborators, or other third
−Removed: parties to comply with such requirements or adequately address privacy and security concerns, even if unfounded, could
−Removed: result in additional cost and liability to us, damage our reputation, and adversely affect our business and results of
+Added: As a result of regulatory enforcement proceedings and inquiries, we have been, and may in the future be, subject to
+Added: related litigation, settlements, or enforcement actions that have included or could include monetary penalties and/or
+Added: compliance requirements that (1) impose significant and material costs, (2) require us to make modifications to our data
+Added: practices and our marketing programs, (3) result in negative publicity, or (4) have a negative impact on consumer demand
+Added: for our products and services, or on our commercial or industry relationships.
+Added: Relatedly, there has also been, and may in the
+Added: future also be, significant and material resource burdens on us, requirements that certain aspects of our operations to be
+Added: overseen by an independent monitor, and/or limitations or the elimination of our ability to use certain targeting marketing
+Added: strategies or work with certain third-party vendors.
+Added: Even an unsuccessful challenge of our privacy practices by our
+Added: consumers, regulatory authorities or other third parties could result in negative publicity and could require a costly response
+Added: from and defense by us.
+Added: Any of these events could adversely affect our ability to operate our business and our financial
We may be unable to realize expected benefits from our restructuring and cost reduction efforts and our business
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margins and profitability.
−Removed: T hese types of restructuring and cost reduction activities are complex and may result in unintended
+Added: These types of restructuring and cost reduction activities are complex and may result in unintended
consequences and costs, such as unforeseen delays in the implementation of our strategic initiatives, business and
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carryforwards and other pre-change tax attributes to offset its post-change income may be limited.
−Removed: As of December 31,
−Removed: 2022, we completed a study to assess whether an ownership change under Section 382 of the Code had occurred, or
−Removed: whether there had been multiple ownership changes since our formation.
+Added: We completed a study to
+Added: assess whether an ownership change under Section 382 of the Code had occurred, or whether there had been multiple
+Added: ownership changes since our formation date through December 31, 2025.
We determined that a Section 382 ownership
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other key personnel.
−Removed: In addition, our future success depends on our continuing ability to attract, develop, motivate and retain
−Removed: highly qualified and skilled employees.
+Added: In addition, our future success depends on our continuing ability to attract, develop, motivate, and
+Added: retain highly qualified and skilled employees.
Competition for such personnel is extremely intense.
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Any inability to successfully
−Removed: transition e xecutive or senior management roles could adversely impact our business.
+Added: transition executive or senior management roles could adversely impact our business.
All of our employees are at-will employees, meaning that they may terminate their employment relationship with us at
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motivating existing employees, our business, financial condition, and results of operations may be materially adversely
−Removed: A pandemic, epidemic or outbreak of an infectious disease in the United States has adversely impacted and could
−Removed: in the future adversely impact our business.
+Added: A pandemic, epidemic, or outbreak of an infectious disease in the United States, has and could in the future
+Added: adversely impact our business.
Any pandemic, endemic, or other infectious disease may adversely affect our business, results of operations, and
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knowledge and control.
−Removed: While the potential economic impact brought by and the duration of any pandemic, epidemic or outbreak of an infectious
−Removed: disease, including COVID-19, may be difficult to assess or predict, the widespread COVID-19 pandemic has resulted in, and
−Removed: may continue to result in, significant disruption of global financial markets, reducing our ability to access capital or to do so
−Removed: on favorable terms, which could in the future negatively affect our liquidity.
−Removed: The impact of any pandemic, epidemic, or
−Removed: outbreak of an infectious disease on the needs, expectations, and spending patterns of our consumers could impact our
−Removed: ability to maintain or grow our business and, as a result, our operating and financial results could be adversely affected.
+Added: While the potential economic impact brought by and the duration of any pandemic, epidemic, or outbreak of an
+Added: infectious disease, including COVID-19, may be difficult to assess or predict, the widespread COVID-19 pandemic has
+Added: resulted in, and may continue to result in, significant disruption of global financial markets, reducing our ability to access
+Added: capital or to do so on favorable terms, which could in the future negatively affect our liquidity.
+Added: The impact of any pandemic,
+Added: epidemic, or outbreak of an infectious disease on the needs, expectations, and spending patterns of our consumers could
+Added: impact our ability to maintain or grow our business and, as a result, our operating and financial results could be adversely
To the extent a pandemic, epidemic, or outbreak of an infectious disease, including COVID-19, adversely affects our
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spending or buying habits could materially and adversely affect our customers, our consumers, and demand for our
−Removed: Volatility in the financial markets has also had and may continue to have a negative impact on consumer spending
−Removed: In addition, negative national or global economic conditions have adversely affected the PBMs, partner pharmacies
−Removed: and pharma manufacturers we contract with and their associated industry participants, financial performance, liquidity and
+Added: Volatility in the financial markets and deterioration in economic conditions, increasing inflation or increasing
+Added: unemployment levels have also had and may continue to have a negative impact on consumer spending patterns.
+Added: and uncertainty can, among other things, reduce or shift spending away from medical treatments, procedures and doctors’
+Added: office visits.
+Added: In addition, negative national or global economic conditions have adversely affected the PBMs, partner pharmacies and
+Added: pharma manufacturers we contract with and their associated industry participants, financial performance, liquidity and
access to capital, and may continue to impact them.
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better terms, which could impact the competitiveness of the discounted prices we are able to offer our consumers.
−Removed: these factors may be exacerbated by global financial conditions and other geopolitical factors, which could harm our
−Removed: business, financial condition and results of operations.
+Added: barriers, duties, tariffs, executive actions, and retaliatory measures by the U.S.
+Added: and other governments may impact the
+Added: pharma manufacturers we contract with by increasing their costs of business, which could cause them to decrease their
+Added: marketing spend on our offerings.
+Added: All of these factors may be exacerbated by global financial conditions and other
+Added: geopolitical factors, which could harm our business, financial condition and results of operations.
Economic factors such as increased insurance and healthcare costs, commodity prices, tariffs, shipping costs, inflation,
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financial condition and results of operations.
−Removed: Additionally, global public health crises, natural disasters, such as earthquakes
−Removed: and wildfires, and other adverse weather and climate conditions, political crises, such as terrorist attacks, war and other
−Removed: political instability or other unexpected events, could disrupt our operations, internet or mobile networks or the operations of
−Removed: PBMs and their pharmacy networks.
−Removed: For example, our corporate headquarters and other facilities are located in California,
−Removed: which in the past has experienced both severe earthquakes and wildfires.
−Removed: Certain of these events may become more
−Removed: frequent or intense as a result of climate change or other environmental or social pressures.
−Removed: For more information, see our
−Removed: risk factor titled “We are subject to a series of risks related to climate change.” If any of these events occurs, our business
−Removed: could be adversely affected.
+Added: Additionally, global public health crises, natural disasters, such as earthquakes and wildfires, and other adverse weather
+Added: and climate conditions, political crises, such as terrorist attacks, war, and other political instability, or other unexpected
+Added: events, could disrupt our operations, internet or mobile networks or the operations of PBMs and their pharmacy networks.
+Added: For example, our corporate headquarters and other facilities are located in California, which in the past has experienced
+Added: both severe earthquakes and wildfires.
+Added: Certain of these events may become more frequent or intense as a result of climate
+Added: change or other environmental or social pressures.
+Added: For more information, see our risk factor titled “ We are subject to a
+Added: series of risks related to climate change .” If any of these events occurs, our business could be adversely affected.
We may seek to grow our business through acquisitions of, or investments in, new or complementary businesses,
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general, complement our current offerings or expand the breadth of our markets.
−Removed: For example, in January 2025, we acquired
−Removed: substantially all of the assets and assembled workforce of the prescription savings business of Vivid Clear Rx, Inc.
−Removed: ability to successfully grow through these types of strategic transactions depends upon our ability to identify, negotiate,
−Removed: complete and integrate suitable target businesses, technologies and products and to obtain any necessary financing, and is
−Removed: subject to numerous risks, including:
+Added: Our ability to successfully grow through
+Added: these types of strategic transactions depends upon our ability to identify, negotiate, complete and integrate suitable target
+Added: businesses, technologies and products and to obtain any necessary financing, and is subject to numerous risks, including:
• failure to identify acquisition, investment, or other strategic alliance opportunities that we deem suitable or
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of operations.
+Added: From time to time, we may pursue dispositions or other strategic transactions.
+Added: Dispositions and other strategic
+Added: transactions may not have the anticipated impact on our business, may negatively impact revenues and may make it difficult
+Added: to generate cash flows to meet our cash requirements.
If we are unable to identify suitable acquisitions or strategic relationships, or if we are unable to integrate any acquired
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As of December 31, 2025 , we had $495.0 million of principal amounts outstanding under a term loan that requires
−Removed: quarterly principal payments beginning with the quarter ended March 31, 2025, with any remaining unpaid principal and any
−Removed: accrued and unpaid interest due upon maturity in July 2029.
−Removed: We also have a revolving credit facility and as of December 31,
−Removed: 2024 , we had no borrowings outstanding under our revolving credit facility (see Note 12 to our audited consolidated financial
−Removed: statements included elsewhere in this Annual Report on Form 10-K for additional information).
−Removed: Our current and additional
−Removed: debt arrangements that we expect to enter into in the future may limit our ability to, among other things:
+Added: quarterly principal payments with any remaining unpaid principal and any accrued and unpaid interest due upon maturity in
+Added: We also have a revolving credit facility and as of December 31, 2025 , we had no borrowings outstanding under
+Added: our revolving credit facility (see Note 12 to our audited consolidated financial statements included elsewhere in this Annual
+Added: Report on Form 10-K for additional information).
+Added: Our current and additional debt arrangements that we expect to enter into
+Added: in the future may limit our ability to, among other things:
• incur or guarantee additional debt;
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We are subject to the standard terms and conditions
−Removed: that these providers have for application developers, which govern the content, promotion, distribution and operation of apps
−Removed: on their platforms or marketplaces, and which the providers can change unilaterally on short or no notice.
+Added: that these providers have for application developers, which govern the content, promotion, distribution, and operation of
+Added: apps on their platforms or marketplaces, and which the providers can change unilaterally on short or no notice.
would be harmed if the providers discontinue or limit our access to their platforms or marketplaces;
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technologies and other privacy matters could have a material adverse effect on our ability to generate revenues,
−Removed: and could adversely affect our ability to collect proprietary data on consumer behavior.
+Added: could adversely affect our ability to collect proprietary data on consumer behavior, and could result in material
+Added: financial penalties.
Consumers may become increasingly resistant to the collection, use and sharing of information online, including
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tracking technologies in general and our practices specifically could adversely impact our business.
−Removed: Consumers can currently opt out of the placement or use of most cookies for online advertising purposes by either
−Removed: deleting or disabling cookies on their browsers, visiting websites that allow consumers to place an opt-out cookie on their
−Removed: browsers, which instructs participating entities not to use certain data about consumers’ online activity for the delivery of
−Removed: targeted advertising, or by downloading browser plug-ins and other tools that can be set to:
−Removed: identify cookies and other
−Removed: tracking technologies used on websites;
−Removed: prevent websites from placing third-party cookies and other tracking technologies
−Removed: on the consumer’s browser;
−Removed: or block the delivery of online advertisements on apps and websites.
+Added: Consumers can currently opt out of the placement or use of most cookies for online advertising purposes in various
+Added: ways, including:
+Added: (i) by submitting opt-out requests under privacy laws, (ii) deleting or disabling cookies on their browsers, (iii)
+Added: visiting websites that allow consumers to place an opt-out cookie on their browsers, which instructs participating entities not
+Added: to use certain data about consumers’ online activity for the delivery of targeted advertising, or (iv) by downloading browser
+Added: plug-ins and other tools that can be set to:
+Added: identify cookies and other tracking technologies used on websites;
+Added: websites from placing third-party cookies and other tracking technologies on the consumer’s browser;
+Added: or block the delivery
+Added: of online advertisements on apps and websites.
Various software tools and applications have been developed that can block advertisements from a consumer’s screen
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would be adversely affected.
+Added: Additionally, if we fail to honor consumer requests to opt-out of tracking technologies where
+Added: required by law, we could be the subject of litigation, investigations, or enforcement actions, which could result in material
+Added: financial penalties, injunctive relief, and reputational damage.
We are subject to a series of risks related to climate change .
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regarding the environmental impacts of our business.
−Removed: For example, various regulators, including the SEC and the State of
−Removed: California, have adopted or are considering adopting requirements to provide significantly expanded climate-related
−Removed: disclosures which we anticipate will require us to incur significant costs related to compliance and impose increased
−Removed: oversight obligations on our management and Board.
−Removed: Such requirements are not uniform across jurisdictions, which can
−Removed: increase the complexity and cost of compliance, and increase the risk of enforcement or litigation relating to our disclosures.
−Removed: The expectations of various stakeholders, including customers and employees, regarding such matters likewise continues to
−Removed: For more information, see our risk factor titled “The increasing focus on ESG initiatives could increase our costs,
−Removed: harm our reputation and adversely impact our financial results.” Changing market dynamics, global and domestic policy
−Removed: developments, and the increasing frequency and impact of meteorological phenomena have the potential to disrupt our
−Removed: business, the business of our suppliers and/or customers, or otherwise adversely impact our business, financial condition, or
−Removed: results of operations.
−Removed: The increasing focus on ESG initiatives could increase our costs, harm our reputation and adversely impact our
−Removed: financial results.
−Removed: There has been increasing public focus by various stakeholders, including but not limited to investors, environmental
−Removed: activists, the media and governmental and nongovernmental organizations, on a variety of ESG and other sustainability
−Removed: Such increased scrutiny may result in increased costs, changes in demands for certain products, enhanced
+Added: For example, various regulators, including the State of California, have
+Added: adopted or are considering adopting requirements for disclosures or other actions regarding climate change, which are
+Added: expected to result in additional costs and attention from our management and Board.
+Added: Such requirements are not uniform
+Added: across jurisdictions, which can increase the complexity and cost of compliance, and increase the risk of enforcement or
+Added: litigation relating to our disclosures.
+Added: The expectations of various stakeholders, including customers and employees,
+Added: regarding such matters likewise continues to evolve.
+Added: For more information, see our risk factor titled “ ESG initiatives could
+Added: increase our costs, harm our reputation, and adversely impact our financial results .” Changing market dynamics, global and
+Added: domestic policy developments, and the increasing frequency and impact of meteorological phenomena have the potential to
+Added: disrupt our business, the business of our suppliers and/or customers, or otherwise adversely impact our business, financial
+Added: condition, or results of operations.
+Added: ESG initiatives could increase our costs, harm our reputation, and adversely impact our financial results .
+Added: Certain stakeholders, including but not limited to investors, environmental activists, the media, and governmental and
+Added: nongovernmental organizations, have focused on issues such as climate change, human capital, and other ESG or
+Added: sustainability matters.
+Added: Such scrutiny may result in increased costs, changes in demands for certain products, enhanced
compliance or disclosure obligations, or other adverse impacts on our business, financial condition, or results of operations.
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However, such initiatives can be costly, face unforeseen complications, and may not ultimately have the desired
−Removed: For exam ple, iden tification, assessment, management, and disclosure of such matters is complex and can require
+Added: For example, identification, assessment, management, and disclosure of such matters is complex and can require
substantial discretion.
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cannot guarantee that our approach will align with the preferences or interpretations of any particular stakeholder.
−Removed: satisfy such evolving expectations may have various adverse impacts on our business, including reputational damage and/
−Removed: or legal action, which we cannot always predict.
−Removed: Furthermore, certain market participants, including major institutional investors and capital providers, use third-party
−Removed: benchmarks or scores to measure our ESG practices in making investment or voting decisions.
−Removed: Unfavorable ESG ratings
−Removed: could adversely impact investor sentiment towards us or our industry, which could negatively impact our share price as well
−Removed: as our access to and cost of capital.
−Removed: To the extent ESG matters negatively impact our reputation, it may also impede our
−Removed: ability to compete as effectively to attract and retain employees, customers, or business partners, which may adversely
−Removed: impact our operations.
−Removed: We experience pressure to make commitments relating to sustainability matters that affect us, including the design and
−Removed: implementation of specific risk mitigation strategic initiatives relating to sustainability and we may not agree that such
−Removed: initiatives will be appropriate for our business, whether due to costs or other concerns.
−Removed: Simultaneously, certain other parties
−Removed: are seeking to reduce companies’ efforts on ESG matters.
−Removed: Both advocates and opponents to certain ESG matters are
−Removed: increasingly resorting to a range of activism forms, including media campaigns and litigation, to advance their perspectives.
−Removed: To the extent we are subject to such activism, it may require us to incur costs or otherwise adversely impact our business.
−Removed: Moreover, such competing expectations increase the complexity of us navigating various ESG risks, and we may not do so
−Removed: successfully, either now or as such expectations continue to evolve, which may result in various adverse impacts to our
−Removed: brand, operation s , stakeholder relations, or other aspects of our business.
−Removed: As ESG best practices, reporting standards and
−Removed: regulatory requirements continue to develop, we may incur increasing costs to comply and/or respond.
−Removed: Such ESG matters
−Removed: may also impact our suppliers, business partners customers, or other stakeholders, which may compound or cause new
−Removed: impacts on our business, financial condition, or results of operations.
+Added: various stakeholders have different, and at times conflicting, expectations regarding such matters .
+Added: This includes efforts by
+Added: policymakers both to mandate and prohibit consideration of certain ESG matters .
+Added: Both advocates and opponents to certain ESG matters are increasingly resorting to a range of activism forms, including
+Added: media campaigns and litigation, to advance their perspectives.
+Added: To the extent we are subject to such activism, it may require
+Added: us to incur costs or otherwise adversely impact our business.
+Added: Moreover, such competing expectations increase the
+Added: complexity of us navigating various ESG risks, and we may not do so successfully, either now or as such expectations
+Added: continue to evolve, which may result in various adverse impacts to our brand, operations, stakeholder relations, or other
+Added: aspects of our business.
+Added: For example, failure to satisfy such evolving expectations (including any new legal requirements or
+Added: evolving expectations of existing laws) may result in reputational harm, loss of customers or content providers, regulatory or
+Added: investor engagement, or other adverse impacts to our business.
+Added: As ESG best practices, reporting standards and regulatory
+Added: requirements continue to develop, we may incur increasing costs to comply and/or respond.
+Added: Such ESG matters may also
+Added: impact our suppliers, business partners customers, or other stakeholders, which may compound or cause new impacts on
+Added: our business, financial condition, or results of operations.
Risks Related to Intellectual Property
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If we fail to meaningfully establish, maintain,
−Removed: protect and enforce our intellectual property and proprietary rights, our business, financial condition and results of operations
−Removed: could be adversely affected.
−Removed: We may be sued by third parties for infringement, misappropriation, dilution or other violation of their intellectual
+Added: protect, and enforce our intellectual property and proprietary rights, our business, financial condition, and results of
+Added: operations could be adversely affected.
+Added: We may be sued by third parties for infringement, misappropriation, dilution, or other violations of their intellectual
property or proprietary rights.
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We pursue the registration of our patentable technology, domain names, trademarks, and service marks in the United
−Removed: We also strive to protect our intellectual property rights by relying on federal, state and common law rights, as well as
−Removed: contractual restrictions.
−Removed: We typically enter into confidentiality and invention assignment agreements with our employees and
−Removed: contractors, and confidentiality agreements with parties with whom we conduct business in order to limit access to, and
+Added: We also strive to protect our intellectual property rights by relying on federal, state, and common law rights, as well
+Added: as contractual restrictions.
+Added: We typically enter into confidentiality and invention assignment agreements with our employees
+Added: and contractors, and confidentiality agreements with parties with whom we conduct business in order to limit access to, and
disclosure and use of, our proprietary information.
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infringing, misappropriating, or otherwise violating our intellectual property rights.
−Removed: Third parties from time to time copy content
−Removed: or other intellectual property or technology from our solutions without authorization and seek to use it for their own benefit.
−Removed: We generally seek to address such unauthorized copying or use, but we have not always been successful in stopping all
−Removed: unauthorized use of our content or other intellectual property or technology, and may not be successful in doing so in the
−Removed: Further, we may not have been and may not be able to detect unauthorized use of our technology or intellectual
−Removed: property, or to take appropriate steps to enforce our intellectual property rights.
−Removed: Any inability to meaningfully enforce our
−Removed: intellectual property rights could harm our ability to compete and reduce demand for our solutions and services.
−Removed: competitors may also independently develop similar technology.
+Added: Third parties from time to time copy
+Added: content or other intellectual property or technology from our solutions without authorization and seek to use it for their own
+Added: We generally seek to address such unauthorized copying or use, but we have not always been successful in
+Added: stopping all unauthorized use of our content or other intellectual property or technology, and may not be successful in doing
+Added: so in the future.
+Added: Further, we may not have been and may not be able to detect unauthorized use of our technology or
+Added: intellectual property, or to take appropriate steps to enforce our intellectual property rights.
+Added: Any inability to meaningfully
+Added: enforce our intellectual property rights could harm our ability to compete and reduce demand for our solutions and services.
+Added: Our competitors may also independently develop similar technology.
Effective patent, trademark, copyright, and trade secret
181 unchanged sentences
constrain our business and financial arrangements and relationships with pharmacies, PBMs, pharma manufacturers,
−Removed: marketing partners, healthcare professionals and consumers, and include, but are not limited to, the following:
+Added: marketing partners, healthcare providers, and consumers, and include, but are not limited to, the following:
federal Anti-Kickback Statute, which prohibits, among other things, persons or entities from knowingly
73 unchanged sentences
healthcare programs.
−Removed: We provide pricing information and discounted prices for all FDA-approved medications, including products that are
−Removed: regulated under federal and state law as controlled substances.
−Removed: Controlled substances are subject to more onerous
−Removed: regulatory requirements than other pharmaceutical products and have received increasing legal scrutiny in recent years,
−Removed: which will likely continue into the future.
−Removed: Regulatory or legal developments that have the effect of lowering the sales of
−Removed: controlled substances may have a negative impact on our business.
−Removed: Our telehealth offering offered to consumers is subject to various state laws and regulations governing the
+Added: We provide pricing information and discounted prices for all medications approved by the Food and Drug Administration
+Added: ("FDA"), including products that are regulated under federal and state law as controlled substances.
+Added: Controlled substances
+Added: are subject to more onerous regulatory requirements than other pharmaceutical products and have received increasing legal
+Added: scrutiny in recent years, which will likely continue into the future.
+Added: Regulatory or legal developments that have the effect of
+Added: lowering the sales of controlled substances may have a negative impact on our business.
+Added: Our telehealth related products and services are subject to various state laws and regulations governing the
provision of telehealth services .
−Removed: Our ability to provide our telehealth offering is primarily regulated at the state level.
−Removed: State laws and regulations address,
−Removed: among other things, provider licensure requirements, the minimum modality required to provide telehealth services (i.e., the
−Removed: minimum interaction required between a telehealth provider and patient), the types of healthcare services that may be
−Removed: provided via telehealth, the types of practitioners that may provide such services, patient consent requirements and specific
−Removed: rules applicable to prescribing medications.
−Removed: These state laws and regulations are subject to changing political, regulatory
−Removed: and other influences.
−Removed: Some state licensing boards have established rules or interpreted existing rules in a manner that limits
−Removed: or restricts our ability to conduct or optimize our business.
−Removed: Our telehealth offering grants patients the ability to access our affiliated physician-owned professional entities' network
−Removed: of clinicians to see a licensed healthcare provider for advice, diagnosis and treatment of routine health conditions on a
−Removed: remote basis.
−Removed: Due to the nature of this service and the provision of medical care and treatment by a licensed healthcare
−Removed: professional, we, our affiliated professional entities and any affiliated healthcare providers are and may in the future be
−Removed: subject to complaints, inquiries and compliance orders by national and state licensing boards.
−Removed: Such complaints, inquiries or
−Removed: compliance orders may result in disciplinary actions taken by these licensing boards against the licensed healthcare provider
−Removed: who provides services through our telehealth offering, which could include suspension, restriction or revocation of the
−Removed: healthcare provider’s license, probation, required continuing education courses, monetary fines, administrative actions and
−Removed: other conditions.
−Removed: Regardless of outcome, these complaints, inquiries or compliance orders could have an adverse impact on
−Removed: our telehealth offering and our platform generally due to defense and settlement costs, diversion of management resources,
−Removed: negative publicity, reputational harm and other factors.
+Added: Our ability to provide our telehealth related products and services is primarily regulated at the state level.
+Added: State laws and
+Added: regulations address, among other things, provider licensure requirements, the minimum modality required to provide
+Added: telehealth services (i.e., the minimum interaction required between a telehealth provider and patient), the types of healthcare
+Added: services that may be provided via telehealth, the types of practitioners that may provide such services, patient consent
+Added: requirements, and specific rules applicable to prescribing medications.
+Added: These state laws and regulations are subject to
+Added: changing political, regulatory, and other influences.
+Added: Some state licensing boards have established rules or interpreted
+Added: existing rules in a manner that limits or restricts our ability to conduct or optimize our business.
+Added: Our telehealth related products and services grant patients the ability to access our affiliated physician-owned
+Added: professional entities' network of clinicians to see a licensed healthcare provider for advice, diagnosis, and treatment of
+Added: routine health conditions on a remote basis.
+Added: Due to the nature of these products and services and the provision of medical
+Added: care and treatment by a licensed healthcare professional, we, our affiliated professional entities and any affiliated healthcare
+Added: providers are and may in the future be subject to complaints, inquiries, and compliance orders by national and state
+Added: licensing boards.
+Added: Such complaints, inquiries, or compliance orders may result in disciplinary actions taken by these licensing
+Added: boards against the licensed healthcare provider who provides services through our telehealth related products and services,
+Added: which could include suspension, restriction, or revocation of the healthcare provider’s license, probation, required continuing
+Added: education courses, monetary fines, administrative actions.
+Added: and other conditions.
+Added: Regardless of outcome, these complaints,
+Added: inquiries, or compliance orders could have an adverse impact on our telehealth related products and services and our
+Added: platform generally due to defense and settlement costs, diversion of management resources, negative publicity, reputational
+Added: harm, and other factors.
Due to the uncertain regulatory environment, certain states may determine that we or our affiliated professional entities
1 unchanged sentence
currently conduct business.
−Removed: In the event that we must remedy such violations, we may be required to modify our offerings in
−Removed: such states in a manner that undermines our offerings or business, we may become subject to fines or other penalties or, if
−Removed: we determine that the requirements to operate in compliance in such states are overly burdensome, we may elect to
−Removed: terminate our operations in such states.
−Removed: In each case, our business, financial condition and results of operations could be
−Removed: materially adversely affected.
−Removed: Our telehealth offering and relationships with our affiliated physician-owned professional entities may implicate
−Removed: laws governing the practice of medicine and fee-splitting.
−Removed: Our telehealth offering (where telehealth services are rendered by healthcare providers employed by or contracted with
−Removed: our affiliated professional entities, including through staffing providers, such as Wheel) may implicate certain state laws in
−Removed: the United States that generally prohibit non-physician entities from practicing medicine, exercising control over physicians
−Removed: or engaging in certain practices such as fee-splitting with physicians.
−Removed: Although we believe that we have structured our
−Removed: arrangements to ensure that the healthcare professionals maintain exclusive authority regarding the delivery of medical care
−Removed: and prescription of medications when clinically appropriate, there can be no assurance that these laws will be interpreted in
−Removed: a manner consistent with our practices or that other laws or regulations will not be enacted in the future that could have a
−Removed: material and adverse effect on our business, financial condition and results of operations.
−Removed: Regulatory authorities, state
−Removed: licensing boards, state attorneys general and other parties, including our affiliated professional entities, may assert that,
−Removed: despite the management service agreement and other arrangements through which we operate, we are engaged in the
−Removed: prohibited corporate practice of medicine, and/or that our arrangements with our affiliated professional entities constitute
−Removed: unlawful fee-splitting.
−Removed: If a state’s prohibition on the corporate practice of medicine or fee-splitting law is interpreted in a
−Removed: manner that is inconsistent with our practices, we would be required to restructure or terminate our relationship with our
−Removed: affiliated professional entities to bring its activities into compliance with such laws.
−Removed: A determination of non-compliance, or the
−Removed: termination of or failure to successfully restructure these relationships could result in disciplinary action, penalties, damages,
−Removed: fines, and/or a loss of revenue, any of which could have a material and adverse effect on our business, financial condition
−Removed: and results of operations.
−Removed: State corporate practice of medicine doctrines and fee-splitting prohibitions also often impose
−Removed: penalties on healthcare professionals for aiding the corporate practice of medicine, which could discourage physicians and
−Removed: other healthcare professionals from participating in our network of providers.
+Added: In the event that we must remedy such violations, we may be required to modify our products
+Added: and services in such states in a manner that undermines our products and services or business, we may become subject to
+Added: fines or other penalties or, if we determine that the requirements to operate in compliance in such states are overly
+Added: burdensome, we may elect to terminate our operations in such states.
+Added: In each case, our business, financial condition, and
+Added: results of operations could be materially adversely affected.
+Added: Our telehealth related products and services and relationships with our affiliated physician-owned professional
+Added: entities may implicate laws governing the practice of medicine and fee-splitting .
+Added: Our telehealth related products and services (where telehealth services are rendered by healthcare providers employed
+Added: by or contracted with our affiliated professional entities, including through staffing providers, such as Wheel) may implicate
+Added: certain state laws in the United States that generally prohibit non-physician entities from practicing medicine, exercising
+Added: control over physicians or engaging in certain practices such as fee-splitting with physicians.
+Added: Although we believe that we
+Added: have structured our arrangements to ensure that the healthcare professionals maintain exclusive authority regarding the
+Added: delivery of medical care and prescription of medications when clinically appropriate, there can be no assurance that these
+Added: laws will be interpreted in a manner consistent with our practices or that other laws or regulations will not be enacted in the
+Added: future that could have a material and adverse effect on our business, financial condition, and results of operations.
+Added: Regulatory authorities, state licensing boards, state attorneys general, and other parties, including our affiliated professional
+Added: entities, may assert that, despite the management service agreement and other arrangements through which we operate,
+Added: we are engaged in the prohibited corporate practice of medicine, and/or that our arrangements with our affiliated
+Added: professional entities constitute unlawful fee-splitting.
+Added: If a state’s prohibition on the corporate practice of medicine or fee-
+Added: splitting law is interpreted in a manner that is inconsistent with our practices, we would be required to restructure or
+Added: terminate our relationship with our affiliated professional entities to bring its activities into compliance with such laws.
+Added: determination of non-compliance, or the termination of or failure to successfully restructure these relationships could result in
+Added: disciplinary action, penalties, damages, fines, and/or a loss of revenue, any of which could have a material and adverse
+Added: effect on our business, financial condition, and results of operations.
+Added: State corporate practice of medicine doctrines and fee-
+Added: splitting prohibitions also often impose penalties on healthcare professionals for aiding the corporate practice of medicine,
+Added: which could discourage physicians and other healthcare professionals from participating in our network of providers.
The impact of healthcare reform legislation and other proposed or future changes impacting the healthcare
3 unchanged sentences
The healthcare industry is subject to changing political, regulatory and other influences.
−Removed: The Affordable Care Act (the
−Removed: “ACA”), enacted in March 2010, made major changes in how healthcare is delivered and reimbursed, and increased access
−Removed: to health insurance benefits to the uninsured and underinsured population of the United States.
−Removed: The ACA, among other
−Removed: things, increased the number of individuals with Medicaid and private insurance coverage, implemented reimbursement
−Removed: policies that tie payment to quality, facilitated the creation of accountable care organizations that may use capitation and
−Removed: other alternative payment methodologies, strengthened enforcement of fraud and abuse laws and encouraged the use of
−Removed: information technology .
−Removed: New and changing laws, regulations, executive orders and other governmental actions, particularly from the new
−Removed: presidential administration, may also create uncertainty about how laws and regulations will be interpreted and applied.
−Removed: Such changes can adversely affect our business by increasing our costs, reducing spending by our customers, limiting the
−Removed: Company’s ability to pursue or offer new offerings, and requiring changes to our business.
−Removed: New and changing laws,
−Removed: regulations, and executive orders can also create uncertainty about how such laws and regulations will be interpreted and
−Removed: Regulatory changes and other actions that materially adversely affect our business may be announced with little or
−Removed: no advance notice and we may not be able to effectively mitigate all adverse impacts from such measures.
−Removed: interpretations of such legal obligations can expose us to significant fines, government investigations, litigation and
−Removed: reputational harm.
−Removed: If we are found to have violated laws, regulations, or executive orders, it could materially adversely affect
−Removed: our business, reputation, results of operations and financial condition.
+Added: The ACA, enacted in 2010,
+Added: made major changes in how healthcare is delivered and reimbursed, and increased access to health insurance benefits to
+Added: the uninsured and underinsured population of the United States.
+Added: The ACA, among other things, increased the number of
+Added: individuals with Medicaid and private insurance coverage, implemented reimbursement policies that tie payment to quality,
+Added: facilitated the creation of accountable care organizations that may use capitation and other alternative payment
+Added: methodologies, strengthened enforcement of fraud and abuse laws and encouraged the use of information technology.
+Added: New and changing laws, regulations, executive orders, and other governmental actions, particularly from the Trump
+Added: administration, may also create uncertainty about how laws and regulations will be interpreted and applied.
+Added: can adversely affect our business by increasing our costs, reducing spending by our customers, limiting the Company’s
+Added: ability to pursue or offer new offerings, and requiring changes to our business.
+Added: Regulatory changes and other actions that
+Added: materially adversely affect our business may be announced with little or no advance notice and we may not be able to
+Added: effectively mitigate all adverse impacts from such measures.
+Added: Differing interpretations of such legal obligations can expose us
+Added: to significant fines, government investigations, litigation, and reputational harm.
+Added: If we are found to have violated laws,
+Added: regulations, or executive orders, it could materially adversely affect our business, reputation, results of operations, and
+Added: financial condition.
In addition, recently there has been heightened governmental scrutiny of the manner in which pharma manufacturers
4 unchanged sentences
manufacturer patient programs.
−Removed: Most significantly, in August 2022, former President Biden signed the Inflation Reduction Act
−Removed: of 2022 (the “IRA”) into law.
−Removed: This statute marks the most significant action by Congress with respect to the pharmaceutical
−Removed: industry since adoption of the ACA in 2010.
−Removed: Among other things, the IRA requires manufacturers of certain drugs to engage
−Removed: in price negotiations with Medicare, with prices that can be negotiated subject to a cap;
−Removed: imposes rebates under Medicare
−Removed: Part B and Medicare Part D to penalize price increases that outpace inflation (first due in 2023);
−Removed: redesigns the Medicare Part
−Removed: D benefit (beginning in 2024);
−Removed: and replaces the Part D coverage gap discount program with a new manufacturer discounting
−Removed: program (beginning in 2025).
−Removed: The Centers for Medicare & Medicaid Services has published the negotiated prices for the
−Removed: initial ten drugs, which will first be effective in 2026, and has published the list of the subsequent 15 drugs that will be subject
−Removed: to negotiation.
−Removed: The IRA permits the Secretary of the Department of Health and Human Services to implement many of these
−Removed: provisions through guidance, as opposed to regulation, for the initial years.
−Removed: HHS has and will continue to issue and update
−Removed: guidance as these programs are implemented, although the drug price negotiation program is currently subject to legal
−Removed: In addition, the IRA delayed the final rule removing safe harbor protection for price reductions given by
−Removed: pharmaceutical manufacturers to plan sponsors under Part D, either directly or through PBMs, unless the price reduction is
−Removed: required by law, until 2032.
−Removed: The impact of the IRA on our business and the pharmaceutical industry cannot yet be fully
−Removed: determined, but is likely to be significant .
+Added: For example, the Inflation Reduction Act (the “IRA”) was enacted in 2022.
+Added: marks the most significant action by Congress with respect to the pharmaceutical industry since adoption of the ACA in
+Added: Among other things, the IRA requires manufacturers of certain drugs to engage in price negotiations with Medicare,
+Added: with prices that can be negotiated subject to a cap, imposes rebates under Medicare Part B and Medicare Part D to penalize
+Added: price increases that outpace inflation (first became due in 2023), redesigns the Medicare Part D benefit (beginning in 2024),
+Added: and replaces the Part D coverage gap discount program with a new discounting program (which began on January 1, 2025).
+Added: The IRA permits the HHS to implement many of these provisions through guidance, as opposed to regulation, for the initial
+Added: CMS published the negotiated prices for the initial ten drugs, which went into effect in 2026, and for the subsequent
+Added: 15 drugs, which will first be effective in 2027, as well as the next set of 15 drugs that will be subject to price negotiations .
+Added: Each year thereafter, more Part B and Part D products will become subject to the HHS price negotiation program.
+Added: issued and is expected to continue to issue guidance implementing the IRA, although the negotiation program is currently
+Added: subject to legal challenges.
+Added: In addition, the IRA delayed the final rule removing safe harbor protection for price reductions
+Added: given by pharmaceutical manufacturers to plan sponsors under Part D, either directly or through PBMs, unless the price
+Added: reduction is required by law, until 2032.
+Added: While the impact of the IRA on us and the pharmaceutical industry cannot yet be
+Added: fully determined, it is likely to be significant.
+Added: In July 2025, the OBBBA was enacted, which imposes significant reductions in the funding of the Medicaid program and
+Added: restrictions for certain groups to access the ACA Marketplace.
+Added: These changes are expected to decrease the number of
+Added: persons enrolled in Medicaid and reduce the services covered by Medicaid, and may result in an increase in the number of
+Added: individuals who are unable to access health insurance benefits and medical care, which could adversely affect their ability to
+Added: receive prescriptions and certain prescribed medications.
+Added: The impact of the OBBBA on our business and the pharmaceutical
+Added: industry cannot yet be fully determined, but is likely to be significant.
+Added: M ore recently, the current presidential administration has proposed significant tariffs on pharmaceutical manufacturers
+Added: that do not adopt pricing policies such as most favored nation pricing, which would tie the price for drugs in the U.S.
+Added: lowest price in a group of other countries.
+Added: In response, multiple manufacturers have entered into confidential pricing
+Added: agreements with the federal government, and as part of these agreements, have announced their participation in a new
+Added: government sponsored direct-to-consumer platform, TrumpRx, which was launched in February 2026 and designed to offer
+Added: consumers discounts on their products and some specialty brands.
+Added: A ny potential positive or negative impact on our
+Added: business, offerings or results of operations, are unclear at this time but may be significan t .
+Added: On the other hand, the Trump
+Added: administration is pursuing traditional regulatory pathways to impose drug pricing policies and published two proposed
+Added: regulations in December 2025, referred to as Globe and Guard.
+Added: If finalized, these regulations would implement mandatory
+Added: payment models under which manufacturers of eligible drugs would be required to pay rebates to the federal government on
+Added: a portion of the units of their drugs that are reimbursed by Medicare, with the rebate amount based on Most-Favored-Nation
+Added: While the impact of the Globe and Guard proposed regulations, if finalized, cannot yet be determined, it is likely to
+Added: be significant.
+Added: Even regulatory proposals or executive actions that are ultimately deemed unlawful could negatively impact
+Added: pharmaceutical sector and our business.
+Added: Our ability to realize the benefits of opportunities that we elect to pursue, such as initiatives related to TrumpRx, may be
+Added: limited, and we may be unable to fully achieve related business goals.
+Added: At the same time, ongoing changes and shifts in
+Added: healthcare policy, or changes in applicable legal standards, may reduce or even eliminate these opportunitie s.
+Added: any returns on our investment in developing these opportunities are uncertain and the failure to achieve related business
+Added: goals may adversely affect our financial condition and results of operations.
Congress has and is likely to continue to scrutinize key participants in the healthcare industry, including PBMs.
number of bills have been introduced in Congress that would further regulate PBMs and impose additional requirements.
−Removed: T he FTC has issued statements about PBMs and conducted a study of PBMs that resulted in two published reports, which
+Added: The FTC has issued statements about PBMs and conducted a study of PBMs that resulted in two published reports, which
could motivate further actions by Congress with respect to PBM regulation.
Any findings in the report may motivate further
−Removed: actions by Congress with respect to PBM regulatio n .
+Added: actions by Congress with respect to PBM regulation.
In September 2024, the FTC filed an administrative complaint against
the three largest PBMs and their affiliated group purchasing organizations alleging that the PBMs engaged in anti-
−Removed: competitive and unfair practices that increased costs for insulin medicati on.
−Removed: I t is unclear what the results of this matter will
−Removed: be, and what impact this will have on the PBM industry and our business, financial condition and results of operations.
−Removed: information regarding certain antitrust litigation initiated against us regarding our relationship with PBMs, see Note 13 to our
−Removed: audited consolidated financial statements included elsewhere in this Annual Report on Form 10-K and our risk factor titled
−Removed: “We are, and may become in the future, subject to various legal proceedings and claims that arise in or outside the ordinary
−Removed: course of business, which may require significant management time and attention, result in significant legal expenses and
−Removed: may result in unfavorable outcomes, which may have a material adverse effect on our business, operating results and
−Removed: financial condition, and negatively affect the price of our Class A common stock.”
+Added: competitive and unfair practices that increased costs for insulin medication.
+Added: As part of a proposed settlement in one of these
+Added: actions, the PBM has agreed to fundamental changes in its business practices.
+Added: It is unclear what the results of the remaining
+Added: matters will be, and what impact the announced settlement and the outcome of the remaining matters will have on the PBM
+Added: industry and our business, financial condition, and results of operations.
+Added: See our risk factor titled “ We are, and may become
+Added: in the future, subject to various legal proceedings and claims that arise in or outside the ordinary course of business, which
+Added: may require significant management time and attention, result in significant legal expenses and may result in unfavorable
+Added: outcomes, which may have a material adverse effect on our business, operating results and financial condition, and
+Added: negatively affect the price of our Class A common stock .”
Individual states in the United States have also increasingly passed legislation and implemented regulations designed
5 unchanged sentences
Some states have enacted legislation creating so-called prescription drug
−Removed: affordability boards, which ultimately may attempt to impose price limits on certain drugs in these states.
−Removed: In addition, the
−Removed: Supreme Court held in December 2020 in Rutledge v.
−Removed: Pharmaceutical Care Management that ERISA, a federal statute, did
−Removed: not preempt an Arkansas state law that regulates PBM reimbursements to network pharmacies and other standards for
+Added: affordability boards, and at least one state is using its board to impose price limits on certain drugs in the state.
+Added: the Supreme Court held in December 2020 in Rutledge v.
+Added: Pharmaceutical Care Management that ERISA, a federal statute,
+Added: did not preempt an Arkansas state law that regulates PBM reimbursements to network pharmacies and other standards for
PBMs’ reimbursements to network pharmacies.
5 unchanged sentences
expense constraints on us or our industry partners that could adversely affect our partnerships or our operations.
+Added: Our offerings also provide consumers access to compounded injectable semaglutide, a glucagon-like peptide-1 receptor
+Added: agonist ("GLP-1").
+Added: GLP-1s are subject to elevated consumer demand, foreign, federal and state-specific regulatory
+Added: limitations, limited manufacturing capacity and potential supply chain disruptions, all of which could affect our ability to
+Added: provide continuing access to such GLP-1s.
+Added: Increasing consumer demand could further increase prices and/or constrain
+Added: The evolving regulatory landscape has also impacted our ability to continue offering access to such products.
+Added: example, in the United States, all doses of semaglutide branded under Ozempic and Wegovy became listed as available on
+Added: the FDA’s shortage list as of October 30, 2024.
+Added: On February 21, 2025, the FDA resolved the semaglutide shortage, and on
+Added: May 22, 2025, the FDA’s period of enforcement discretion following resolution of the shortage concluded with respect to
+Added: 503B outsourcing facilities.
+Added: Resolution of the shortage has constrained and is expected to continue to constrain our ability to
+Added: continue providing access to compounded semaglutide on our platform.
+Added: The regulatory landscape applicable to GLP-1s
+Added: continues to rapidly evolve.
+Added: If regulatory or market conditions change, or we are unable to meet our customers’ demand for
+Added: our offerings, or if they do not otherwise meet customer expectations, our brand, reputation and results of operations could
+Added: be adversely affected.
We expect that additional state and federal healthcare reform measures will be adopted in the future, any of which could
33 unchanged sentences
In addition, we have agreed to nominate to our Board individuals designated by Silver Lake, Francisco
−Removed: Partners, Spectrum and Idea Men, LLC in accordance with our stockholders agreement.
−Removed: Silver Lake, Francisco Partners,
−Removed: Spectrum and Idea Men, LLC each retain the right to designate directors for so long as they beneficially own at least 5% of
−Removed: the aggregate number of shares of common stock outstanding.
−Removed: Even when the parties to our stockholders agreement cease
−Removed: to own shares of our stock representing a majority of the total voting power, for so long as the parties to our stockholders
−Removed: agreement continue to own a significant percentage of our stock, particularly our Class B common stock, they will still be
−Removed: able to significantly influence or effectively control the composition of our Board and the approval of actions requiring
−Removed: stockholder approval through their voting power.
−Removed: Accordingly, for such period of time, the parties to our stockholders
−Removed: agreement will have significant influence with respect to our management, business plans and policies.
−Removed: In particular, for so
−Removed: long as the parties to our stockholders agreement continue to own a significant percentage of our stock, particularly our
−Removed: Class B common stock, the parties to our stockholders agreement may be able to cause or prevent a change of control of
−Removed: our company or a change in the composition of our Board, and could preclude any unsolicited acquisition of our company.
−Removed: The concentration of ownership could deprive investors of an opportunity to receive a premium for their shares of Class A
−Removed: common stock as part of a sale of our company and ultimately might affect the market price of our Class A common stock.
+Added: Partners, and Idea Men, LLC in accordance with our stockholders agreement.
+Added: Silver Lake, Francisco Partners, and Idea
+Added: Men, LLC each retain the right to designate directors for so long as they beneficially own at least 5% of the aggregate
+Added: number of shares of common stock outstanding.
+Added: Even when the parties to our stockholders agreement cease to own shares
+Added: of our stock representing a majority of the total voting power, for so long as the parties to our stockholders agreement
+Added: continue to own a significant percentage of our stock, particularly our Class B common stock, they will still be able to
+Added: significantly influence or effectively control the composition of our Board and the approval of actions requiring stockholder
+Added: approval through their voting power.
+Added: Accordingly, for such period of time, the parties to our stockholders agreement will have
+Added: significant influence with respect to our management, business plans, and policies.
+Added: In particular, for so long as the parties to
+Added: our stockholders agreement continue to own a significant percentage of our stock, particularly our Class B common stock,
+Added: the parties to our stockholders agreement may be able to cause or prevent a change of control of our company or a change
+Added: in the composition of our Board, and could preclude any unsolicited acquisition of our company.
+Added: The concentration of
+Added: ownership could deprive investors of an opportunity to receive a premium for their shares of Class A common stock as part
+Added: of a sale of our company and ultimately might affect the market price of our Class A common stock.
Further, our amended and restated certificate of incorporation provides that the doctrine of “corporate opportunity” will
26 unchanged sentences
administrative or legal proceedings that may arise in the course of our operations can involve substantial costs, including the
−Removed: costs associated with investigation, litigation and possible settlement, judgment, penalty or fine, as well as injunctive relief or
−Removed: other remedies that could adversely impact our operations.
+Added: costs associated with investigation, litigation, and possible settlement, judgment, penalty or fine, as well as injunctive relief
+Added: or other remedies that could adversely impact our operations.
In addition, lawsuits and other legal proceedings may be time
14 unchanged sentences
current or future litigation could have a material adverse effect on our business, operating results, or financial condition.
−Removed: if the plaintiffs’ claims are not successful, current or future litigation could result in substantial costs and significantly and
−Removed: adversely impact our reputation and divert management’s attention and resources, which could have a material adverse
+Added: Even if the plaintiffs’ claims are not successful, current or future litigation could result in substantial costs and significantly
+Added: and adversely impact our reputation and divert management’s attention and resources, which could have a material adverse
effect on our business, operating results and financial condition, and negatively affect the price of our Class A common
1 unchanged sentence
See Note 13 to our audited
−Removed: consolidated financial statements included elsewhere in this Annual Report on Form 10-K fo r additional i nformation.
+Added: consolidated financial statements included elsewhere in this Annual Report on Form 10-K for additional information.
We are a “controlled company” under the corporate governance rules of The Nasdaq Stock Market and, as a result,
−Removed: qualify for, and intend to rely on, exemptions from certain corporate governance requirements.
−Removed: You will not have
−Removed: the same protections afforded to stockholders of companies that are subject to such requirements.
−Removed: As of December 31, 2024 , certain affiliates of Silver Lake, Francisco Partners, Spectrum and Idea Men, LLC own
−Removed: approximately 94.8% of the combined voting power of our Class A and Class B common stock and are parties, among
−Removed: others, to a stockholders agreement.
−Removed: As a result, we are a “controlled company” within the meaning of the corporate
−Removed: governance standards of The Nasdaq Stock Market rules.
−Removed: Under these rules, a listed company of which more than 50% of
−Removed: the voting power is held by an individual, group or another company is a “controlled company” and may elect not to comply
−Removed: with certain corporate governance requirements, including:
+Added: qualify for, and rely on, exemptions from certain corporate governance requirements.
+Added: You do not have the same
+Added: protections afforded to stockholders of companies that are subject to such requirements.
+Added: As of December 31, 2025 , certain affiliates of Silver Lake, Francisco Partners, and Idea Men, LLC own approximately
+Added: 93.8% of the combined voting power of our Class A and Class B common stock and are parties, among others , to a
+Added: stockholders agreement.
+Added: As a result, we are a “controlled company” within the meaning of the corporate governance
+Added: standards of The Nasdaq Stock Market rules.
+Added: Under these rules, a listed company of which more than 50% of the voting
+Added: power is held by an individual, group, or another company is a “controlled company” and may elect not to comply with
+Added: certain corporate governance requirements, including:
• the requirement that a majority of its board of directors consist of independent directors;
21 unchanged sentences
• our dual class common stock structure, which provides certain affiliates of Silver Lake, Francisco Partners,
−Removed: Spectrum, Idea Men, LLC and our Co-Founders, individually or together, with the ability to significantly
−Removed: influence the outcome of matters requiring stockholder approval, even if they own significantly less than a
−Removed: majority of the shares of our outstanding Class A common stock and Class B common stock;
+Added: Idea Men, LLC, and our Co-Founders, individually or together, with the ability to significantly influence the
+Added: outcome of matters requiring stockholder approval, even if they own significantly less than a majority of the
+Added: shares of our outstanding Class A common stock and Class B common stock;
• our staggered Board;
40 unchanged sentences
SLP Geology Aggregator, L.P.,
−Removed: Francisco Partners IV, L.P., Francisco Partners IV-A, L.P., Spectrum Equity VII, L.P., Spectrum VII Investment Managers’
−Removed: Fund, L.P., Spectrum VII Co-Investment Fund, L.P.
−Removed: and Idea Men, LLC or their affiliates and any director or stockholder who
−Removed: is not employed by us or our subsidiaries, therefore, have no duty to communicate or present corporate opportunities to us,
−Removed: and have the right to either hold any corporate opportunity for their (and their affiliates’) own account and benefit or to
−Removed: recommend, assign or otherwise transfer such corporate opportunity to persons other than us, including to any director or
−Removed: stockholder who is not employed by us or our subsidiaries.
−Removed: As a result, certain of our stockholders, directors and their
−Removed: respective affiliates are not prohibited from operating or investing in competing businesses.
+Added: Francisco Partners IV, L.P., Francisco Partners IV-A, L.P.
+Added: and Idea Men, LLC or their affiliates and any director or
+Added: stockholder who is not employed by us or our subsidiaries, therefore, have no duty to communicate or present corporate
+Added: opportunities to us, and have the right to either hold any corporate opportunity for their (and their affiliates’) own account and
+Added: benefit or to recommend, assign or otherwise transfer such corporate opportunity to persons other than us, including to any
+Added: director or stockholder who is not employed by us or our subsidiaries.
+Added: As a result, certain of our stockholders, directors, and
+Added: their respective affiliates are not prohibited from operating or investing in competing businesses.
We, therefore, may find
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Accordingly, we may lose a
−Removed: corporate opportunity or suffer competitive harm, which could negatively impact our business, operating results and financial
+Added: corporate opportunity or suffer competitive harm, which could negatively impact our business, operating results, and
+Added: financial condition.
Our amended and restated certificate of incorporation provides that the Court of Chancery of the State of Delaware
70 unchanged sentences
taxing jurisdiction or our ownership or capital structures.
−Removed: For example, the Inflation Reduction Act of 2022, enacted in August
−Removed: 2022, imposes a minimum tax on certain corporations with book income of at least $1 billion (subject to certain adjustments)
−Removed: and an excise tax on certain stock buybacks and similar corporate actions.
+Added: For example, the IRA, enacted in August 2022, imposes a minimum
+Added: tax on certain corporations with book income of at least $1 billion (subject to certain adjustments) and an excise tax on
+Added: certain stock buybacks and similar corporate actions.
We may need additional capital in the future, which may not be available to us on favorable terms, or at all, and may
54 unchanged sentences
issuing patents or patents issuing with more limited scope.
−Removed: Similarly, over the last several years, Congress has considered
−Removed: expanding the test for patent definiteness under Section 112(f) of the Patent Act in a way that could result in a diminished
−Removed: value for issued patents.
−Removed: While proposed changes to that law in 2019 were not enacted, Congress could consider
−Removed: reintroducing these proposed changes in connection with its current exploration into amending the Section 101 law.
−Removed: There are also legislative discussions regarding the changing of rules relating to post-grant review of patents through
−Removed: IPR or covered business method (“CBM”) review.
−Removed: For example, current case law holds that the Patent Trial and Appeal
−Removed: Board (“PTAB”) has the sole authority to determine whether to institute an IPR or CBM, and such decision is unreviewable
−Removed: Efforts to amend the law to allow appellate review of PTAB institution decisions could result in an increase of
−Removed: institution as a result of such appellate review, and a corresponding increase in invalidation through these processes.
+Added: Similarly, several years ago, Congress considered expanding the
+Added: test for patent definiteness under Section 112(f) of the Patent Act in a way that could result in a diminished value for issued
+Added: While proposed changes to that law were not enacted, Congress could consider reintroducing these proposed
+Added: changes in connection with its current exploration into amending the Section 101 law.
+Added: There also have been legislative discussions regarding the changing of rules relating to post-grant review of patents
+Added: through IPR or covered business method (“CBM”) review.
+Added: For example, current case law holds that the Patent Trial and
+Added: Appeal Board (“PTAB”) has the sole authority to determine whether to institute an IPR or CBM, and such decision is
+Added: unreviewable on appeal.
+Added: Efforts to amend the law to allow appellate review of PTAB institution decisions could result in an
+Added: increase of institution as a result of such appellate review, and a corresponding increase in invalidation through these
Because of a lower evidentiary standard in PTAB proceedings compared to the evidentiary standard in U.S.
−Removed: federal courts
−Removed: necessary to invalidate a patent claim, a third party could potentially provide evidence in a PTAB proceeding sufficient for the
−Removed: PTAB to hold a claim invalid even though the same evidence would be insufficient to invalidate the claim if first presented in
−Removed: a district court action.
−Removed: Accordingly, a third party may attempt to use the PTAB procedures to invalidate our patent claims that
−Removed: would not have been invalidated if first challenged by the third party as a defendant in a district court action, and legislative
−Removed: attempts to make it easier to appeal successful patent-holder results could diminish the value of patents.
+Added: federal courts necessary to invalidate a patent claim, a third party could potentially provide evidence in a PTAB proceeding
+Added: sufficient for the PTAB to hold a claim invalid even though the same evidence would be insufficient to invalidate the claim if
+Added: first presented in a district court action.
+Added: Accordingly, a third party may attempt to use the PTAB procedures to invalidate our
+Added: patent claims that would not have been invalidated if first challenged by the third party as a defendant in a district court
+Added: action, and legislative attempts to make it easier to appeal successful patent-holder results could diminish the value of
+Added: Further, the Trump Administration has been issuing rules to try to make it more difficult to challenge patents through
+Added: the IPR process at the PTAB.
+Added: While this would improve our rights as a patent holder, it would make it more difficult to
+Added: challenge patents of others if we were to decide to do so.
In addition, the patent position of companies engaged in the development and commercialization of software and
124 unchanged sentences
• sales of large blocks of our Class A common stock, including sales by certain affiliates of Silver Lake,
−Removed: Francisco Partners, Spectrum, Idea Men, LLC, our Co-Founders or our executive officers and directors;
+Added: Francisco Partners, Idea Men, LLC, our Co-Founders, or our executive officers and directors;
• lawsuits threatened or filed against us;
16 unchanged sentences
Any similar litigation against
−Removed: us could result in substantial costs, divert management’s attention and resources, and harm our business, financial condition
−Removed: and results of operations.
+Added: us could result in substantial costs, divert management’s attention and resources, and harm our business, financial
+Added: condition, and results of operations.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.