UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-K
(Mark
One)
☒
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the fiscal year ended December 31 , 2024
or
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the Transition Period from __________________________ to __________________________
Commission
file number 001-39785
LIFEMD,
INC.
(Exact
name of registrant as specified in its charter)
Delaware
76-0238453
State
or other jurisdiction
(I.R.S.
Employer
of
incorporation or organization
Identification
No.)
236
Fifth Avenue , Suite 400
New
York , New York
10001
(Address
of principal executive offices)
(Zip
Code)
(866)
351-5907
(Registrant’s
telephone number, including area code)
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class
Trading
symbol(s)
Name
of exchange on which registered
Common
Stock, par value $.01 per share
LFMD
The
Nasdaq Global Market
8.875%
Series A Cumulative Perpetual Preferred Stock, par value $0.0001 per share
LFMDP
The
Nasdaq Global Market
Securities
registered pursuant to Section 12(g) of the Act:
None
(Title
of class)
Indicate
by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate
by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Indicate
by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). Yes ☒ No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”
“smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large
accelerated filer ☐
Accelerated
filer ☒
Non-accelerated
filer ☐
Smaller
reporting company ☒
Emerging
growth company ☐
If
an emerging growth company, indicate by checkmark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate
by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness
of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered
public accounting firm that prepared or issued its audit report. ☒
Indicate
by check mark whether the financial statements included in the filing reflects a correction of an error to previously issued financial
statements: Yes ☐ No ☐
Indicate
by check mark whether any of those error corrections are restatements requiring a recovery analysis of incentive-based compensation under
the registrant’s clawback policies: Yes ☐ No ☐
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
The
aggregate market value of the common stock held by non-affiliates of the registrant as of June 28, 2024 was $ 242,784,078 as computed
by reference to the closing price of such common stock on such date.
The
registrant had 44,583,688 shares
of common stock outstanding as of March 7, 2025.
DOCUMENTS
INCORPORATED BY REFERENCE
Portions
of the 2025 definitive proxy statement for the Registrant’s Annual Meeting of Stockholders, to be filed within 120 days of our
fiscal year end (December 31, 2024) are incorporated by reference into Part III of this Form 10-K.
LIFEMD,
INC.
2024
FORM 10-K ANNUAL REPORT
TABLE
OF CONTENTS
Page
PART I
ITEM 1. BUSINESS
4
ITEM 1A. RISK FACTORS
12
ITEM 1B. UNRESOLVED STAFF COMMENTS
30
ITEM 1C. CYBERSECURITY
30
ITEM 2. PROPERTIES
31
ITEM 3. LEGAL PROCEEDINGS
31
ITEM 4. MINE SAFETY DISCLOSURES
31
PART II
ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS, AND ISSUER PURCHASES OF EQUITY SECURITIES
32
ITEM 6. RESERVED
32
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
32
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
37
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
37
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
38
ITEM 9A. CONTROLS AND PROCEDURES
38
ITEM 9B. OTHER INFORMATION
39
ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
39
PART III
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
40
ITEM 11. EXECUTIVE COMPENSATION
40
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
40
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
40
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
40
PART IV
ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES
41
ITEM 16. FORM 10-K SUMMARY
43
SIGNATURES
44
2
FORWARD-LOOKING
STATEMENTS
CAUTIONARY
STATEMENT FOR PURPOSES OF THE “SAFE HARBOR” PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995
The
following discussion should be read in conjunction with the financial statements and related notes contained elsewhere in this Annual
Report on Form 10-K. Certain statements made in this discussion are “forward-looking statements” within the meaning of 27A
of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934,
as amended (the “Exchange Act”). These statements are based upon beliefs of, and information currently available to, the
Company’s management as well as estimates and assumptions made by the Company’s management. Readers are cautioned not to
place undue reliance on these forward-looking statements, which are only predictions and speak only as of the date hereof. When used
herein, the words “anticipate,” “believe,” “estimate,” “expect,” “forecast,”
“future,” “intend,” “plan,” “predict,” “project,” “target,” “potential,”
“will,” “would,” “could,” “should,” “continue” or the negative of these terms
and similar expressions as they relate to the Company or the Company’s management identify forward-looking statements. Such statements
reflect the current view of the Company with respect to future events and are subject to risks, uncertainties, assumptions, and other
factors, including the risks relating to the Company’s business, industry, and the Company’s operations and results of operations.
Should one or more of these risks or uncertainties materialize, or should the underlying assumptions prove incorrect, actual results
may differ materially from those anticipated, believed, estimated, expected, intended, or planned.
Although
the Company believes that the expectations reflected in the forward-looking statements are reasonable, the Company cannot guarantee future
results, levels of activity, performance, or achievements. Except as required by applicable law, including the securities laws of the
United States, the Company does not intend to update any of the forward-looking statements to conform these statements to actual results.
Risk
Factor Summary, risk factors include, by way of example and without limitation:
●
changes
in the market acceptance of our products;
●
the
impact of competitive products and pricing;
●
our
ability to successfully commercialize our products on a large enough scale to generate profitable operations;
●
our
ability to maintain and develop relationships with customers and suppliers;
●
our
ability to respond to new technological developments quickly and effectively, including applications and risks of artificial intelligence
(“AI”);
●
our
ability to prevent, detect and remediate cybersecurity incidents;
●
our
ability to protect our trade secrets or other proprietary rights, operate without infringing upon the proprietary rights of others
and prevent others from infringing on our proprietary rights;
●
our
ability to successfully acquire, develop or commercialize new products and equipment;
●
our
ability to collaborate successfully with other businesses and to integrate acquired businesses or new brands;
●
supply
chain constraints or difficulties;
●
current
and potential material weaknesses in our internal control over financial reporting;
●
our
need to raise additional funds in the future;
●
our
ability to successfully recruit and retain qualified personnel;
●
the
impact of industry regulation, including regulation of compounded medications, insurance claims, privacy and digital healthcare;
●
general
economic and business conditions, including inflation, slower growth or recession;
●
changes
in the political or regulatory conditions in the markets in which we operate; and
●
business
interruptions resulting from geo-political actions, including war, and terrorism or disease outbreaks.
Although
we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels
of activity, or performance. Readers are urged to carefully review and consider the various disclosures made by us in this report and
in our other reports filed with the Securities and Exchange Commission (“SEC”), including the risk factors identified in
Item 1A of this report. We undertake no obligation to update or revise forward-looking statements to reflect changed assumptions, the
occurrence of unanticipated events or changes in the future operating results over time except as required by law. We believe that our
assumptions are based upon reasonable data derived from and known about our business and operations. No assurances are made that actual
results of operations or the results of our future activities will not differ materially from our assumptions.
Our
consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”).
These accounting principles require us to make certain estimates, judgments, and assumptions. We believe that the estimates, judgments,
and assumptions upon which we rely are reasonable based upon information available to us at the time that these estimates, judgments
and assumptions are made. These estimates, judgments and assumptions can affect the reported amounts of assets and liabilities as of
the date of the consolidated financial statements as well as the reported amounts of revenues and expenses during the periods presented.
Our consolidated financial statements would be affected to the extent there are material differences between these estimates and actual
results. The following discussion should be read in conjunction with our financial statements and notes thereto appearing elsewhere in
this report.
As
used in this Annual Report on Form 10-K and unless otherwise indicated, the terms “Company,” “we,” “us,”
and “our” refer to LifeMD, Inc. (formerly known as Conversion Labs, Inc.), LifeMD Pharmacy Holdings LLC, an affiliated limited
liability company, (“LifeMD Pharmacy”) and our majority-owned subsidiary WorkSimpli Software LLC (formerly known as LegalSimpli
Software, LLC), a Puerto Rico limited liability company (“WorkSimpli”). The affiliated network of medical Professional Corporations
and medical Professional Associations administratively led by LifeMD Southern Patient Medical Care, P.C., (“LifeMD PC”) is
the Company’s variable interest entity in which we hold a controlling financial interest. Unless otherwise specified, all dollar
amounts are expressed in United States dollars.
3
PART
I
ITEM
1. BUSINESS
Business
Overview
We
are a direct-to-patient telehealth company providing a high-quality, cost-effective, and convenient way to access comprehensive,
virtual and in-home healthcare. We believe the traditional model of visiting a doctor’s office, traveling to a retail
pharmacy, and returning for follow-up care or prescription refills is complex, inefficient, and costly which discourages many
individuals from seeking much-needed medical care. LifeMD is improving the delivery of the healthcare experience through telehealth
with our proprietary technology platform, affiliated and dedicated provider network, broad and expanding treatment capabilities, and
the unique ability to nurture patient relationships.
The
LifeMD telehealth platform integrates best-in-class capabilities including a 50-state medical group, a nationwide pharmacy network,
a wholly-owned affiliated commercial pharmacy, nationwide laboratory and diagnostic testing capabilities, a fully integrated
electronic medical records (“EMR”) system and a patient care and service call center. These capabilities are
integrated by an industry-leading, proprietary telehealth technology that supports a broad range of primary care, chronic disease
and lifestyle healthcare needs. Currently, LifeMD treats approximately 275,000 active patient subscribers across a range of their
medical needs including primary care, men’s sexual health, weight management, sleep, hair loss and hormonal therapy by
providing telehealth clinical services and prescription and over-the-counter (“OTC”) treatments, as medically
appropriate. Our virtual primary care services are primarily offered on a subscription basis. Since inception, we have helped
approximately 1,118,000 customers and patients by providing them with greater access to high-quality, convenient, and affordable
care.
Our
mission is to empower people to live healthier lives by increasing access to high-quality and affordable virtual and in-home healthcare.
We believe our success has been, and will continue to be, attributable to an amazing patient experience, made possible by attracting
and retaining the highest-quality providers in the country, and our vertically integrated care platform. As we continue to pursue
long-term growth, we plan to continue to introduce new telehealth product and service offerings that complement our already expansive
treatment areas. During April 2023, we launched a highly successful and differentiated GLP-1 Weight Management offering driven by our
existing primary care capabilities. The program had more than 75,000 patient subscribers as of December 31, 2024. Patients receive a
range of weight loss services including prescriptions for GLP-1 medications (as medically appropriate) lab work, general primary
care and holistic healthcare and coaching. The GLP-1 medically supported weight loss market is rapidly growing and is projected to increase
from over $13 billion to over $100 billion by 2030, according to J.P. Morgan Research.
Our
telehealth revenue increased 61% for the year ended December 31, 2024 as compared to the year ended December 31, 2023. Total revenue
from recurring subscriptions is approximately 92%. In addition to our telehealth business, we own 73.32% of WorkSimpli, which operates
PDFSimpli, a rapidly growing software as a service platform for converting, signing, editing, and sharing PDF documents. WorkSimpli revenue
from recurring subscriptions is 100%.
Our
Platform and Business Strategy
We
are a patient-centric telehealth company dedicated to delivering seamless end-to-end virtual healthcare directly to consumers and
through select enterprise (“B2B”) partnerships. Our mission is facilitated by our robust technology platform that is
purpose-built to seamlessly connect the various touchpoints involved in delivering complex care, including scheduling for a national
provider network, an EMR, secure synchronous and asynchronous communication, prescriptions, pharmacy and laboratory integrations,
and more. Our platform enables us to deliver modern personalized health experiences and offerings through our websites and mobile
applications, spanning customer discovery, purchase and connection with licensed providers, to pharmacy and OTC order fulfilment,
through ongoing care. We believe that our seamless approach significantly reduces the complication, cost and time burden of
healthcare, therefore incentivizing consumers to stick with our brands.
Our
offerings are sold to consumers on a primarily subscription basis, thus creating a relationship-driven patient experience to bolster
retention rates and recurring revenue. Our offerings range from prescription medication and OTC products fulfilled on a recurring
basis, to primary care and weight management clinical services delivered by a team of dedicated medical providers. In
general, our offerings seek to serve a patient throughout the lifecycle of their urgent, chronic, and lifestyle healthcare needs. As
appropriate, prescription medications and OTC products are filled by our in-house mail order pharmacy or third-party pharmacy
fulfilment partners, and are shipped directly to patients. The number of patients and customers we serve across the nation
continues to increase at a robust pace, with approximately 1,118,000 individuals having purchased our products and services to
date.
Our
platform also includes a robust customer relationship management (“CRM”) system, and performance marketing platform that
enables us to acquire and retain new patients and customers at scale by driving brand visibility through strategic media placements,
influencer partnerships, and direct response advertising methods across highly visible marketing channels ( i.e ., national TV,
streaming TV, streaming audio, YouTube, podcasts, Out of Home, print, magazines, online search, social media, and digital).
We
leverage our telehealth technology platform and services across the two core areas described below:
4
Direct-to-Patient
Telehealth Brands
We
leverage our telehealth platform’s affiliated provider network, pharmacy, and EMR capabilities across our direct-to-patient
telehealth brands. Our core telehealth brands LifeMD and Rex MD target largely unaddressed or underserved healthcare
needs and are leading destinations in their respective treatment verticals of virtual primary care and men’s health.
○
LifeMD is
a telehealth brand that offers access to virtual primary care and telehealth services, offering comprehensive healthcare solutions
across more than 200 conditions. This brand provides patients with access to affiliated high-quality providers for their urgent
care and chronic care needs. LifeMD’s offering is a mobile-first full-service destination that provides seamless access to
comprehensive virtual medical care including on-demand consultations and treatment, prescription medications, diagnostics and
imaging, wellness coaching, integration with in-home tools and more. This offering is also supported by partnerships that provide
our patients with benefits such as substantial discounts on lab work and a prescription discount card. LifeMD has served approximately 225,000 customers and patients to date.
In April 2023, we launched our rapidly growing GLP-1 Weight Management
Program providing primary care, metabolic coaching, lab work and prescription services (as appropriate) to patients seeking to access
a medically supported weight loss solution. Since inception, our Weight Management Program has grown exponentially to over 75,000 patient
subscribers as of December 31, 2024, remaining at the forefront of the rapidly growing GLP-1 weight loss market, with our highly differentiated
and comprehensive offering. In September 2024, we expanded our Weight Management Program with a personalized, non-GLP-1 treatment plan
consisting of three oral medications – metformin, bupropion, and topiramate - which is expected to grow the program’s addressable
market.
As part of its commitment to increasing access to branded
prescription GLP-1 medications, we have developed an electronic benefits verification program that allows patients to check pharmacy
benefits verification upon enrolling in a LifeMD virtual care program. Secondly, we have partnered with an AI-powered platform that
optimizes prior authorization submissions and appeals to improve approval rates for patients. Thirdly, we are establishing direct
integrations with branded manufacturers who are also committed to lower cost offerings. These enhancements are designed to minimize
delays in care, reduce barriers to accessing brand-name medications, and ensure that a broader range of patients can benefit from
LifeMD’s offerings.
More generally, our focus has been, and remains on, providing the
best comprehensive care and therapy for our patients. In June 2024, LifeMD began accepting commercial insurance following an
extensive buildout of technology, compliance, and revenue cycle management capabilities to support the scaling of this offering
effectively and compliantly. The phased expansion includes a goal of broad nationwide coverage by the end of 2025. Additionally,
Medicare enrollment is expected in the first half of 2025.
○
Rex MD is a men’s telehealth platform brand that offers access to virtual medical treatment for a variety of men’s health needs, including erectile dysfunction, premature ejaculation and hair loss. After treatment from an affiliated licensed physician, if appropriate, one of our partner pharmacies will dispense and ship prescription medications and OTC products directly to the customer.
Since Rex
MD’s initial launch, it has expanded into additional indications including weight management and testosterone replacement
therapy (“HRT”). Specifically, the HRT program was a clinically important and sought after component of building a
comprehensive men’s health offering, as over time, men with hypogonadism can develop erectile dysfunction, among other
conditions. Additionally, obese men are more likely to have low testosterone levels, with an expansion in waist size notably
increasing the odds of conditions associated with low testosterone, an audience we are increasingly engaging with as part of our
Weight Management Program. Supported by these strategic synergies, Rex MD has served approximately 607,000 customers and patients to
date.
○
ShapiroMD is a legacy brand offering access to virtual
medical treatment, prescription medications, patented doctor formulated OTC products, topical compounded medications, and Food and
Drug Administration (“FDA”) approved medical devices treating male and female hair loss through our telehealth platform.
ShapiroMD is a leading destination for hair loss treatment across the United States (“U.S.”) and has served approximately
265,000 customers and patients to date.
To support our telehealth brands, in November 2024 we announced the opening
of a state-of-the-art wholly-owned affiliated commercial pharmacy, marking an important milestone in creating a fully integrated, end-to-end
telehealth platform. This 22,500-square-foot facility, located in Lancaster, PA and designed to fill up to 5,000 daily prescriptions,
allows us to offer patients a more cohesive care journey for relevant conditions from initial consultation to prescription fulfillment
within a single integrated ecosystem. The integration of pharmacy services directly within the LifeMD platform is also expected to yield
substantial financial benefits, with a projected $5 million in annualized expense savings. As of the first quarter of 2025, the pharmacy
is licensed in 49 states and shipping up to 20,000 orders per month. While today the LifeMD Pharmacy is solely focused on prescription
shipments for our lifestyle healthcare businesses, we are in the process of building out non-sterile (oral and topical) compounding capabilities during the first half of 2025. This will be a huge advancement for LifeMD and will enable us to service the needs of patients efficiently
in a growing list of clinical areas we expect to launch in 2025 and beyond.
B2B
Telehealth Partnerships
Organizations
selling healthcare products face a challenging commercial landscape. Increased competition, shrinking market sizes, and challenges reaching
patients via the traditional brick-and-mortar physician offices are forcing pharmaceutical, medical device, and diagnostic companies to
rethink their commercial strategies and increase their focus on digital patient awareness and engagement initiatives. It is estimated
that spending on digital solutions to facilitate greater access to end markets accounts for one-third of the collective $30 billion commercial
spend by these companies in the U.S. We believe LifeMD’s unique telehealth technology platform and virtual care expertise is well-positioned
to address the unmet needs of healthcare product companies as they relate to digital patient awareness, access to care, adherence, and
compliance. To date, LifeMD has executed the following enterprise commercial agreements providing access to our industry leading telehealth
platform capabilities.
○
In
May 2024, LifeMD executed a partnership agreement with Withings, Inc. (“Withings”) designed to revolutionize weight management
patient care by providing LifeMD’s GLP-1 weight-loss patients with Withings advanced in-home health monitoring devices, including
the Body Pro 2 scale and the BPM Connect Pro blood pressure monitor. With these devices, LifeMD is setting a new standard in virtual
care by providing clinicians with near real-time and actionable patient data that can drive compliance, enhance clinical decision-making,
encourage preventive healthcare and, most importantly, improve long-term outcomes.
○
In May 2024, LifeMD launched a partnership with Ash Wellness, a leading
at-home, self-collection laboratory health testing platform. Ash Wellness offers a network of over ten Clinical Laboratory Improvement
Amendments (“CLIA”) and College of American Pathologists (“CAP”) certified labs, supporting over one hundred biomarkers
and multiple collection methods. Application program interface and a fully white labeled experience supports a streamlined and convenient
patient experience. Initially introduced as part of our Weight Management Program to monitor and qualify patients for treatment, LifeMD
plans to use at-home collection testing across various clinical care scenarios, giving patients greater control over their health and
making remote healthcare more inclusive.
○
On
December 11, 2023, the Company entered into a collaboration with Medifast, Inc. through and with certain of its wholly-owned subsidiaries
(“Medifast”). Medifast utilizes the Company’s virtual care technology platform to provide its clients access
to a clinically supported weight management program, including GLP-1 medications. Pursuant to certain agreements between
the parties, Medifast has agreed to pay to the Company the amount of $10 million to support the collaboration, funding enhancements
to the Company platform, operations and supporting infrastructure, of which $5 million was paid at the closing on December 12, 2023,
$2.5 million was paid during the three months ended March 31, 2024, and the remaining $2.5 million was paid during the three months
ended June 30, 2024 (the “Medifast Collaboration”).
In
addition, in connection with the Medifast Collaboration, the Company entered into a stock purchase agreement and registration rights
agreement with Medifast’s wholly-owned subsidiary, Jason Pharmaceuticals, Inc., whereby the Company issued 1,224,425 shares
of its common stock in a private placement (the “Medifast Private Placement”) at a purchase price of $8.1671 per share,
for aggregate proceeds of approximately $10 million. The Company granted Jason Pharmaceuticals the right, for a period contemporaneous
with the ongoing collaboration, to appoint one non-voting observer to the Board of Directors of the Company, entitled to attend Board
meetings.
○
In September 2023, LifeMD executed a partnership agreement with ASCEND
Therapeutics, LLC (“ASCEND”), a subsidiary of Besins Healthcare, and a specialty pharmaceutical company concentrating on women’s
health, to provide integrated telehealth services to improve access to EstroGel®. Under the terms of the agreement, LifeMD receives
fees related to certain corporate services provided to ASCEND while having our telehealth services featured on the www.estrogel.com website.
5
Majority
Owned Subsidiary: WorkSimpli
WorkSimpli
is a leading provider of workplace and document services for consumers, gig workers, and small businesses. WorkSimpli operates the following
brands: (1) PDFSimpli, an online software as a service platform that allows users to create, edit, convert, sign, and share PDF documents,
(2) ResumeBuild, a leading provider of digital resume and cover letter services, (3) SignSimpli, a digital signature platform and (4)
LegalSimpli, a provider of legal forms for consumers and small businesses. We acquired WorkSimpli through the purchase of 51% of the
membership interests of WorkSimpli Software LLC, a Puerto Rico limited liability company, which operates a marketing-driven software
solutions business. On January 22, 2021, LifeMD consummated a transaction and increased its ownership of WorkSimpli to 85.6%. Effective
September 30, 2022, two option agreements were exercised which further restructured the ownership of WorkSimpli. As a result, the Company’s
ownership interest in WorkSimpli decreased to 73.6%. Effective March 31, 2023, the Company redeemed 500 membership interest units in
WorkSimpli and, as a result, the Company’s ownership interest in WorkSimpli increased to 74.1%. Effective June 30, 2023, an option
agreement was exercised which further restructured the ownership of WorkSimpli. As a result, the Company’s ownership interest in
WorkSimpli decreased to 73.3%.
WorkSimpli
was ranked in the top 25,000 websites globally, with more than 78 million registrants. Since its launch, WorkSimpli has converted or
edited over 414 terabytes of documents for customers from the legal, financial, real estate, and academic sectors. WorkSimpli had approximately
164,000 active subscriptions as of December 31, 2024.
Our
Customers
Our
customer base includes men and women seeking virtual medical care for weight loss, sexual health, hormone replacement therapy, hair
loss, and other conditions. No single customer accounted for more than 10% of net sales for the years ended December 31, 2024 and
2023.
Our
Growth Strategy
We
have achieved rapid growth since our transformation into a healthcare focused company in 2018, with a compounded annual growth rate
in revenue of 76% since 2020 and revenue growth of 39% in 2024 as compared to 2023. We believe this validates our significant
long-term investments in developing our human capital, technology, brand awareness, omni-channel marketing, and operations
infrastructure. We will continue to make wise investments in differentiated telehealth service offerings and in initiatives that
will enhance the experience our patients have with our platform.
As
a result of this focused investment in the customer experience, including allocation of additional resources and expertise, we
expect customer repurchase rates and overall customer retention to strengthen. While we are proud of our accomplishments to date, we
believe the most exciting opportunities for our growth story are ahead of us, and we intend to focus in the following example areas
to help us achieve this growth.
○
Behavioral Health: This strategic move broadens LifeMD’s service offerings to include teletherapy, psychiatry, and medication management for common mental health conditions. According to the National Institute of Mental Health, approximately 59.3 million U.S. adults, or one in five, were living with a mental illness in 2022. However, only 50.6% received mental health treatment. Our goal is to remove barriers to mental health services by expanding insurance coverage across both commercial and government payers.
○
Women’s Health: In recent years, we have witnessed increasing awareness and recognition of women’s healthcare needs, paving the way for a more holistic approach to women’s health. As we shape our strategy, we are engaging with renowned specialists in their field, including a focus on menopause and osteoporosis. We feel LifeMD is uniquely positioned to provide continuous support throughout a woman’s lifespan with our holistic, personalized and accessible care philosophy.
Other areas of focus include re-launching our virtual primary care program
as LifeMD+, providing patients with access to low cost, high-value primary and urgent care. This offering will include synchronous and
asynchronous 24/7 general wellness, prescription management and urgent care for patient subscribers and will be available on both a cash
pay and insurance basis.
Competition
The
markets we serve are large and highly competitive. Numerous online brands compete with us for customers throughout the U.S. and
internationally in virtual primary care, weight loss, men’s and women’s health, and hair loss. We also compete with
traditional mass merchandisers, drug store chains, and independent pharmacies. Key to retaining and growing our position in the
market is taking a patient-centric approach to telehealth, with a strong emphasis on the quality of care we deliver to our patients.
Our human capital and know-how, proprietary technology platform, and unique product offerings represent meaningful strengths that we
believe will enable us to maintain and grow our market-leading position in the U.S.
6
Our
key competitive strengths include:
○
An
affiliated 50-state medical group dedicated to the ongoing healthcare needs of our patients, the majority of which are staffed with full-time providers committed
to LifeMD’s long-term vision and success.
○
Industry-leading telehealth technology platform capable of supporting the delivery of complex primary care and the treatment of a broad
range of chronic conditions.
○
A
wholly-owned affiliated commercial pharmacy and fulfillment center capable of supporting highly curated personalized experiences,
including customized product offerings that combine prescription and wellness products to meet our patients’
needs.
○
Flexible patient payment options, including increasing commercial and Medicare
insurance capabilities for pharmacy and medical benefits.
○
An
in-house patient service and call center dedicated to providing patient care and customer support to our rapidly growing subscriber
base.
○
Robust
CRM, patient acquisition, and retention capabilities supported by real-time data analytics leveraging best-in-class technologies including
AI.
○
A
compliance-first mindset, ensuring patients have access to their clinical data through a full scale EMR system while ensuring we adhere
to strict compliance standards.
High-Quality
Care
Our
telehealth platform is designed to give patients more control over their healthcare spending, greater convenience in how and when they
pursue or receive care, and better outcomes as hurdles to healthcare services are removed for the care or medications they need. We are
committed to delivering exceptional care that is convenient and affordable. This is achieved through our provider network, including
affiliated, full-time doctors and nurse practitioners, in addition to an internal patient care center launched in November 2020 and staffed
by LifeMD employees. The patient care center includes approximately 126 employees and is led by an experienced operations and customer
experience team. We believe the hands-on capabilities of the patient care center, supported by our technology platform, will continue
to drive high levels of patient satisfaction like we have today.
Technology
Platform
Our
telehealth technology platform is continually optimized as we scale up to serve more patients, and this flexible infrastructure can be
repurposed for a variety of existing or future telehealth offerings. Further, this platform allows for rapid development and the scale
up of new telehealth offerings as we identify attractive opportunities. Additional key capabilities of this platform include proprietary
staffing algorithms for case-load balancing, full CRM functionality, integration with an affiliated 50-state physician network, national
third-party pharmacy network, fully integrated EMR system, synchronous and asynchronous communications, AI-enabled support, and more.
Intellectual
Property
We
regard our trademarks, copyrights, domain names, trade dress, trade secrets, proprietary technologies, and similar intellectual property
as important to our success, and we rely on trademark and copyright law, trade-secret protection and confidentiality, patents, and/or
license agreements with our employees, customers, partners and others to protect our proprietary rights. We have licensed in the past,
and expect that we may license in the future, certain proprietary rights, technologies or copyrighted materials from third- parties,
and we rely on those third-parties to defend their proprietary rights, copyrights, and technologies.
From
time-to-time, we register our principal brand names in the U.S. and certain foreign countries. Our material trademarks include ShapiroMD
Hair Growth Experts ® and Cleared ® . Trademark applications have been filed and are being prosecuted for
RexMD, LifeMD and NavaMD. The steps we take to protect our proprietary rights in our brand names may not be adequate to prevent the misappropriation
of our brand names in the U.S. or abroad. Existing trademark laws afford only limited practical protection for our product lines. The
laws and the level of enforcement of such laws in certain foreign countries where we market our products often do not protect our proprietary
rights in our products to the same extent as the laws of the U.S.
We
have two U.S. patents relating to our Shapiro MD products’ method for treatment of hair loss with a combination of natural ingredients
with one granted on March 24, 2015 and the other on January 3, 2017. In order to protect the confidentiality of our intellectual property,
including trade secrets, know-how and other proprietary technical and business information, it is our policy to limit access to such
information to those who require access in order to perform their functions and to enter into agreements with employees, consultants,
and vendors to contractually protect such information.
Manufacturing
and Supply Chain
We
use third parties to manufacture and package our OTC products according to the formulas and packaging guidelines we dictate. In order
to minimize costs, we may elect to purchase raw or bulk materials directly from our suppliers and have them shipped to our manufacturers
so that we may incur only tableting, encapsulating, and/or packaging costs and avoid the additional costs associated with purchasing
the finished product.
7
Government Regulation
FDA
and Federal Trade Commission (“FTC”)
Our
business is heavily regulated by the FDA and the FTC.
FDA
potential restrictions on compounding of GLP-1s, including removal of tirzepatide (marketed as Mounjaro® and Zepbound®) and/or
semaglutide (marketed as Ozempic® and Wegovy®) from the drug shortage list, have the potential to disrupt patient treatment continuity,
by limiting our ability to provide personalized treatment plans that meet individual patient needs, and could adversely impact our financial
results. While our Weight Management Program provides eligible patients access to branded GLP-1 therapies, the program also enables access
to compounded versions of GLP-1s through relationships with third-party pharmacies for qualifying patients who are unable to access or
utilize branded therapies for a variety of reasons, including lack of insurance coverage, affordability concerns, and unique patient
needs. Potential compounding restrictions may lead to decreased patient satisfaction, increased attrition rates, and potential legal
challenges if patients are unable to access needed medications in a timely manner. Additionally, the inability to offer compounded options
may drive patients who do not have insurance coverage, or who are unwilling to pay out-of-pocket, for branded GLP-1 medications to seek
other medications and/or alternatives outside of telehealth, adversely impacting the growth and viability of the business.
The
regulatory landscape applicable to GLP-1s continues to rapidly evolve in ways that may be adverse to our business. The FDA removed
tirzepatide from its shortage list in October 2024, and then reconsidered that decision less than two weeks later, after a
compounding industry group filed a lawsuit against the FDA. The FDA ultimately reaffirmed its decision to remove tirzepatide from
its shortage list in December 2024, but the lawsuit is ongoing as of February 24, 2025. Additionally, all doses of semaglutide
branded under Ozempic and Wegovy became listed as available on the FDA’s shortage list as of October 30, 2024 and on February
21, 2025, the FDA resolved the semaglutide shortage. These developments could limit our ability to continue providing access to
compounded drug products containing semaglutide or tirzepatide as an Active Pharmaceutical Ingredient. While the FDA does not limit
compounding to drug shortages, and we believe there are paths for compounding pharmacies to continue offering access to certain
compounded GLP-1s after the shortage ends consistent with the statutory exemptions from the new drug approval requirements, we
cannot guarantee that we will be able to continue enabling access to these compounded products in the same manner, to the same
extent, or at all, due to a variety of factors outside our control, including supply chain, intellectual property, regulatory and
resource allocation matters. Further, in 2024, the manufacturers of certain FDA-approved GLP-1 products requested that the FDA add
semaglutide and tirzepatide to its “Demonstrable Difficulties for Compounding List”. The FDA has never finalized the
Demonstrable Difficulties for Compounding List for any drug products, but if the FDA were to add semaglutide or tirzepatide to, and
finalize, the list, we could no longer enable access to these compounded products on our platform.
The
FDA enforces the Federal Food, Drug and Cosmetic Act (the “FDCA”) and Dietary Supplement Health and Education Act (“DSHEA”)
as they pertain to foods, food ingredients, cosmetics and dietary supplement production and marketing. Dietary supplements are regulated
as a category of food, not as drugs. We are not required to obtain FDA pre-market approval to sell our dietary supplement products in
the U.S. under current laws. Our OTC hair loss products are regulated as cosmetics under the FDCA.
The
FDA imposes Good Manufacturing Practice (“GMP”) guidelines to ensure that prescription drugs and dietary supplements are
produced in a quality manner, do not contain contaminants or impurities, and are accurately labeled. GMP guidelines include requirements
for establishing quality control procedures, designing, and constructing manufacturing plants, testing ingredients and finished products,
record keeping, and handling of consumer product complaints. The FDA has broad authority to enforce the provisions of federal law applicable
to prescription drugs, dietary supplements and cosmetics, including the power to monitor claims made in product labeling, to seize adulterated
or misbranded products or unapproved new drugs, to request product recall, and to issue warning letters. FDA also may refer cases to
the Department of Justice to enjoin further manufacture or sale of a product, to issue warning letters, and to institute criminal proceedings.
Advertising
and product claims regarding the efficacy of products are also regulated by the FTC. The FTC regulates the advertising of dietary supplements,
cosmetics and other health-related products to ensure that any advertising is truthful and not misleading, and that an advertiser maintains
adequate substantiation for all product claims. FTC-launched enforcement actions may result in consent decrees, cease and desist orders,
judicial injunctions and the payment of fines with respect to advertising claims that are found to be unsubstantiated.
Under
current U.S. regulations, our products must comply with certain labeling requirements enforced by the FDA and FTC, but otherwise generally
are not required to receive regulatory approval prior to introduction into the U.S. market. We believe we are in compliance with all
material government regulations applicable to our products.
In
addition to the foregoing, our operations and those of our partners are subject to federal, state and local government laws and regulations,
including those relating to the practice of medicine, telehealth and the prescribing of prescription medications. We believe we are in
substantial compliance with all material governmental regulations applicable to our operations.
8
Data
Privacy and Security Laws
The
data we collect and process is an integral part of our products and services, allowing us to ensure our prices are accurate and relevant,
and reach and advertise to consumers with savings information. We collect and may use personal information to help run our business (including
for analytical and marketing purposes) and to communicate and otherwise reach our consumers. In some instances, we may use third party
service providers to assist us in the above.
We
endeavor to treat our consumers’ data with respect and maintain consumer trust. We provide consumers options designed to allow
them to control the use and disclosure of their data, such as allowing consumers to opt out of any marketing requests, opt out of the
use of marketing cookies, pixels and technologies on our platform, and request deletion of their data.
Since
we receive, use, transmit, disclose and store personal information, including health-related information, we are subject to numerous
state and federal laws and regulations that address privacy, data protection and the collection, storing, sharing, use, transfer, disclosure
and protection of certain types of data. Such regulations include the CAN-SPAM Act, the Telephone Consumer Protection Act of 1991, the
criminal healthcare fraud provisions of the federal Health Insurance Portability and Accountability Act of 1996, as amended by the Health
Information Technology for Economic and Clinical Health Act, (“HITECH”), and their implementing regulations, which we collectively
refer to as HIPAA, Section 5(a) of the Federal Trade Commission Act, and the California Consumer Privacy Act (“CCPA”). The
CCPA requires, among other things, covered companies to provide certain disclosures to California consumers and afford such consumers
abilities to opt-out of certain sales or sharing of personal information. Comprehensive state privacy laws have been adopted in nineteen
other states, with more privacy and data security laws currently proposed in more than half of the states in the U.S. and various federal
legislative drafts in the U.S. Congress. Many new state privacy laws diverge from the CCPA, increasing the complexity of risk by requiring
companies to comply with unique state by state obligations.
Several
states have also adopted or proposed consumer health data privacy legislation. For example, the Washington State My Health My Data Act
(“MHMDA”), which took effect on March 31, 2024, creates new obligations with respect to companies’ processing consumer
health data not subject to HIPAA that limits, and in some cases, requires consumers to provide opt-in consent to the collection, processing,
and sharing consumer health information for certain purposes. The existence of myriad comprehensive privacy laws and consumer health
data privacy laws in different states in the country will make our compliance obligations more complex and costly and may increase the
likelihood that we may be subject to enforcement actions, litigation, or otherwise incur liability for noncompliance, and may limit our
ability to process data for certain purposes. Aspects of these comprehensive privacy laws and consumer health data privacy laws and regulations,
as well as their enforcement, remain unclear, and we may be required to modify our practices in an effort to comply with them.
Additionally,
the FTC, and many state attorneys general are interpreting existing federal and state consumer protection laws to impose evolving standards
for the online collection, use, dissemination and security of health-related and other personal information. Courts may also adopt the
standards for fair information practices promulgated by the FTC, which concern consumer notice, choice, security and access. Consumer
protection laws require us to publish statements that describe how we handle personal information and choices individuals may have about
the way we handle their personal information. If such information that we publish is considered untrue, we may be subject to government
claims of unfair or deceptive trade practices, which could lead to significant liabilities and consequences. Furthermore, according to
the FTC violating consumers’ privacy rights or failing to take appropriate steps to keep consumers’ personal information
secure may constitute unfair acts or practices in or affecting commerce in violation of Section 5(a) of the FTC Act.
HIPAA
imposes on entities within its jurisdiction, among other things, certain standards relating to the privacy, security, transmission and
breach reporting of individually identifiable health information. Entities that are found to be in violation of HIPAA as the result of
a breach of unsecured protected health information, a complaint about privacy practices or an audit by U.S. Department of Health and
Human Services (“HHS”), may be subject to significant civil, criminal and administrative fines and penalties and/or additional
reporting and oversight obligations if required to enter into a resolution agreement and corrective action plan with HHS to settle allegations
of HIPAA non-compliance.
Artificial
Intelligence Laws
We
may leverage artificial intelligence (“AI”) in certain aspects of our business operations. Some states have adopted legislation
governing various aspects of AI systems, such as disclosures regarding the contents of training data, the use and application of AI systems,
and the use of AI systems for high risk application. Such laws, like the Colorado AI Act (“CAIA”) which comes into effect
on February 1, 2026, apply to the use of AI in high risk applications, including certain health care services. The CAIA requires developers
and deployers of AI systems to satisfy numerous obligations, including without limitation the completion of annual impact assessments,
the provision of consumer facing disclosures, and taking measures to prevent or report instances of algorithmic discrimination. Governmental
authorities may investigate and take actions addressing allegations of noncompliance with these laws. Additional AI laws are currently
proposed in a handful of other states in the U.S., with various federal legislative drafts in the U.S. Congress.
Healthcare
Fraud and Abuse Laws
We
may be subject to a number of federal and state healthcare regulatory laws that restrict business practices in the healthcare industry.
These laws include, but are not limited to, federal and state anti-kickback, false claims, and other healthcare fraud and abuse laws.
9
The
U.S. federal Anti-Kickback Statute prohibits, among other things, any person or entity from knowingly and willfully offering, paying,
soliciting, receiving or providing any remuneration, directly or indirectly, overtly or covertly, to induce or in return for purchasing,
leasing, ordering, or arranging for or recommending the purchase, lease, or order of any good, facility, item or service reimbursable,
in whole or in part, under Medicare, Medicaid or other federal healthcare programs. A person or entity does not need to have actual knowledge
of the statute or specific intent to violate it in order to have committed a violation. The majority of states also have anti-kickback
laws, which establish similar prohibitions, and in some cases may apply to items or services reimbursed by any third-party payor, including
commercial insurers and self-pay patients.
The
federal false claims laws, including the civil False Claims Act, prohibit, among other things, any person or entity from knowingly presenting,
or causing to be presented, a false, fictitious, or fraudulent claim for payment to, or approval by, the federal government, knowingly
making, using, or causing to be made or used a false record or statement material to a false or fraudulent claim to the federal government,
or knowingly making a false statement to avoid, decrease, or conceal an obligation to pay money to the U.S. federal government. A claim
includes “any request or demand” for money or property presented to the U.S. government. Actions under the civil False Claims
Act may be brought by the Attorney General or as a qui tam action by a private individual in the name of the government. Moreover, a
claim including items or services resulting from a violation of the U.S. federal Anti-Kickback Statute constitutes a false or fraudulent
claim for purposes of the federal civil False Claims Act.
In
addition, the civil monetary penalties statute, subject to certain exceptions, prohibits, among other things, the offer or transfer of
remuneration, including waivers of copayments and deductible amounts (or any part thereof), to a Medicare or state healthcare program
beneficiary if the person knows or should know it is likely to influence the beneficiary’s selection of a particular provider,
practitioner, or supplier of services reimbursable by Medicare or a state healthcare program.
The
federal Health Insurance Portability and Accountability Act of 1996 created additional federal criminal statutes that prohibit, among
other actions, knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit program, including
private third party payors, knowingly and willfully embezzling or stealing from a healthcare benefit program, willfully obstructing a
criminal investigation of a healthcare offense, and knowingly and willfully falsifying, concealing or covering up a material fact or
making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits,
items or services. Similar to the U.S. federal Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the
statute or specific intent to violate it in order to have committed a violation.
Violations
of fraud and abuse laws, including federal and state anti-kickback and false claims laws, may be punishable by criminal and civil sanctions,
including fines and civil monetary penalties, the possibility of exclusion from federal healthcare programs (including Medicare and Medicaid),
disgorgement and corporate integrity agreements, which impose, among other things, rigorous operational and monitoring requirements on
companies. Similar sanctions and penalties, as well as imprisonment, also can be imposed upon executive officers and employees of such
companies.
State
Licensing Requirements
Certain
states have enacted laws regulating companies that offer and market discount medical plans, including prescription drug plans, subscription
membership programs, or discount cards, such as our prescription offering. These state laws are intended to protect consumers from fraudulent,
unfair, or deceptive marketing, sales and enrollment practices by such plans. It is possible that other states may enact new requirements
or interpret existing requirements to include our programs. Failure to obtain the required licenses, certifications or registrations
to offer and market these subscription discount programs may result in civil penalties, receipt of cease-and-desist orders, or a restructuring
of our operations.
State
Corporate Practice of Medicine and Fee Splitting Laws
With
respect to our telehealth platform, we contract with our physician-owned professional corporation, LifeMD PC, to deliver our telehealth
offerings to its patients in the U.S. We entered into a management services agreement with LifeMD PC pursuant to which we provide them
with billing, scheduling and a wide range of other services, and they pay us for those services. In addition, our platform enables consumers
to opt in to use our prescription offering and/or fill their prescriptions through a third-party mail-order pharmacy. These relationships
are subject to various state laws, which are intended to prevent unlicensed persons from interfering with or influencing the physician’s
professional judgment and prohibiting the sharing of professional services income with non-professional or business interests. These
laws vary from state to state and are subject to broad interpretation and enforcement by state regulators. A determination of non-compliance
could lead to adverse judicial or administrative action against us and/or our providers, civil or criminal penalties, receipt of cease-and-desist
orders from state regulators, loss of provider licenses, or a restructuring of our arrangements with our affiliated professional entities.
10
Human
Capital
As
of December 31, 2024, we employed 336 employees, of which 304 were full-time, 3 was part-time, and 29 were temporary employees. Of our
total employees, 126 were based at our patient care center in Greenville, SC. We use the services of consultants and third-party service
providers, where needed. None of our employees are represented by a union or covered by a collective bargaining agreement. We have not
experienced any work stoppages, and we consider our relationship with our employees to be good.
We
expect headcount to continue to grow in the future, especially as we continue to focus on recruiting employees in technical functions,
in various functions related to our operations as a publicly traded company, and to support our continued growth. We pride ourselves
on hiring people who not only have the skills required to perform their respective roles, but also share in the Company’s mission.
To
attract and retain key personnel, we use various measures, including an equity incentive program for key executive officers and other
employees. We also provide comprehensive benefits, including health insurance for employees and dependents, 401(k) match for employees
and unlimited paid time off for exempt employees. In managing our business, we strive to develop and implement policies and programs
that support our business goals, maintain competitiveness, promote shared fiscal responsibility among the Company and our employees,
strategically align talent within our organization and reward performance, while also managing the costs of such policies and programs.
Our employees are supported with training to ensure compliance with our policies. We adhere to our business code of conduct, which sets
forth a commitment to our stakeholders, including our employees, to operate with integrity and mutual respect.
Corporate
History
LifeMD,
Inc. was formed in the State of Delaware on May 24, 1994, under our prior name, Immudyne, Inc. We changed our name to Conversion Labs,
Inc. on June 22, 2018 and then subsequently, on February 19, 2021, we changed our name to LifeMD, Inc. Further, in connection with changing
our name, we changed our trading symbol to LFMD.
Available
Information
Our
Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and other reports and amendments to these reports
that we file with or furnish to the SEC at their website, www.sec.gov, are also available free of charge at our website, https://ir.lifemd.com/,
as soon as reasonably practicable after we electronically file these reports with, or furnish these reports to the SEC. The content of
this website is not part of this Annual Report.
Any
of these reports or documents may also be obtained by writing to: Investor Relations; c/o LifeMD, Inc., 236 Fifth Avenue, Suite 400,
New York, NY 10001.
11
ITEM
1A. RISK FACTORS
An
investment in our securities involves a high degree of risk. You should consider carefully all of the risks described below, together
with the other information contained in this report, before making a decision to invest in our securities. If any of the following events
occur, our business, financial condition and operating results may be materially adversely affected. In that event, the trading price
of our securities could decline, and you could lose all or part of your investment.
Risks
Related to our Business and Industry
We
have generated net losses, we anticipate increasing expenses in the future, we have not yet achieved profitability, and we may not be
able to achieve or maintain profitability.
We
have incurred net losses on an annual basis since our inception. We incurred net losses of $18.7 million and $17.8 million in the years
ended December 31, 2024 and 2023, respectively. We expect our costs will increase in the foreseeable future and we expect our losses
will continue as we expect to invest significant additional funds towards growing our platform, growing our provider network, enhancing
our pharmacy fulfillment system, and operating as a public company and as we continue to invest in increasing our customer base, hiring
additional employees, and developing new products and technological capabilities to enhance our customers’ experience on our platform.
These efforts may prove more expensive than we currently anticipate, and we may not succeed in increasing our revenue sufficiently to
offset these higher expenses. To date, we have financed our operations principally from the sale of our equity, revenue from our platform,
and the incurrence of indebtedness.
We
may not generate positive cash flows from operations or achieve profitability in any given period, and our limited operating history
may make it difficult to evaluate our current business and our future prospects. We cannot assure you that we will be able to achieve
profitability, on either a quarterly or annual basis, or that profitability, if achieved, will be sustained. Our ability to meet our
long-term business objectives likely will be dependent upon establishing increased cash flow from operations or securing other sources
of financing. If our losses continue, however, our liquidity may be severely impaired, our stock price may fall, and our stockholders
may lose all or a significant portion of their investment.
We
have encountered and will continue to encounter risks and difficulties frequently experienced by growing companies in rapidly changing
and highly regulated industries, including increasing expenses as we continue to grow our business. If we are not able to achieve or
maintain positive cash flow in the long term, we may require additional financing, which may not be available on favorable terms or at
all and/or which would be dilutive to our stockholders. If we are unable to successfully address these risks and challenges as we encounter
them, our business, results of operations, and financial condition would be adversely affected.
Our
limited operating history and evolving business make it difficult to evaluate our current business and future prospects and increases
the risk of your investment.
Our
limited operating history and evolving business make it difficult to evaluate our current business and future prospects and plan for
our future growth. We began offering direct to consumer products and services in 2016. Since that time, our business has expanded and
we have increased the ways that we can address customer needs. We have encountered and will continue to encounter significant risks and
uncertainties frequently experienced by new and growing companies in rapidly changing and heavily regulated industries, such as attracting
new customers and healthcare providers (sometimes referred to herein as “providers”), to our platform, retaining our customers
and encouraging them to utilize new offerings we make available, increasing the number of conditions that can be treated by providers
through our platform, competition from other companies, whether online healthcare providers or traditional healthcare providers, hiring,
integrating, training and retaining skilled personnel, verifying the identity of customers and credentials of providers serving our customers,
developing new solutions, determining prices for our solutions, unforeseen expenses, challenges in forecasting accuracy, and new or adverse
regulatory developments affecting the use of telehealth, pharmaceutical products, or other aspects of the healthcare industry. If our
assumptions regarding these and other similar risks and uncertainties that relate to our business, which we use to plan our business,
are incorrect or change as we gain more experience operating our platform or expand into the treatment of new conditions, or if we do
not address these challenges successfully, our operating and financial results could differ materially from our expectations and our
business could suffer. Similar risks apply to our subsidiary cloud-based software as a service business that is exposed to many of the
risks typically experienced by a new and growing company including ability to attract new customers, entrance of competitors, and other
risk factors.
The
telehealth market is immature and volatile, and if it does not develop, if it develops more slowly than we expect, if it encounters negative
publicity, or if our solution does not drive customer engagement, the growth of our business will be harmed.
With
respect to our telehealth services, the telehealth market is relatively new and unproven, and it is uncertain whether it will achieve
and sustain high levels of demand, consumer acceptance and market adoption. The COVID-19 pandemic increased utilization of telehealth
services, but it is uncertain whether such increase in demand will continue. Our success will depend to a substantial extent on the willingness
of our customers to use, and to increase the frequency and extent of their utilization of, our telehealth platform, as well as on our
ability to continue to grow our existing business and expand into new indications. Negative publicity concerning our platform or brands,
or the telehealth market as a whole, could limit market acceptance of our offerings. If our customers do not perceive the benefits of
our telehealth products and services, or if our products do not drive customer retention, then our market may not develop, or it may
develop more slowly than we expect. Similarly, individual and healthcare industry concerns, negative publicity regarding patient confidentiality
and privacy in the context of telehealth, and resistance from third party payors could limit market acceptance of our healthcare services.
If any of these events occurs, it could have a material adverse effect on our business, financial condition, and results of operations.
12
If
we are unable to expand the scope of our offerings, including the number and type of products and services that we offer, the number
and quality of healthcare providers serving our customers, and the number and types of conditions capable of being treated through our
platform, our business, financial condition, and results of operations may be materially and adversely affected.
We
provide customers with access to non-prescription products, telehealth-based medical consultations with providers, and applicable pharmaceutical
products prescribed by the providers for specific medical conditions. In order for our business to continue growing and expanding, we
need to continue expanding the scope of products and services we offer our customers, including telehealth consultations and prescription
and non-prescription medication for additional conditions. The introduction of new products, services, or technologies by market participants,
including us, can quickly make existing products and services offered by us obsolete and unmarketable. Additionally, changes in laws
and regulations (or enforcement thereof) could impact the usefulness of our platform and could necessitate changes or modifications to
our platform or offerings to accommodate such changes. We invest substantial resources in researching and developing new offerings and
enhancing our solutions by incorporating additional features, improving functionality, and adding other improvements to meet our customers’
evolving demands. The success of any enhancements or improvements to our services or any new offerings depends on a number of factors,
including timely completion, competitive pricing, adequate quality testing, integration with new and existing technologies, and overall
market acceptance. We may not succeed in developing, marketing, and delivering on a timely and cost-effective basis enhancements or improvements
to our services or any new offerings that respond to continued changes in market demands or new customer requirements, and any enhancements
or improvements to our services or any new offerings may not achieve market acceptance. Since developing enhancements to our services
and the launch of new offerings can be complex, the timetable for the release of new offerings and enhancements to our existing services
is difficult to predict, and we may not launch new offerings and updates as rapidly as our current or prospective customers require or
expect. Any new offerings or service enhancements that we develop may not be introduced in a timely or cost-effective manner, may contain
errors or defects, or may not achieve the broad market acceptance necessary to generate sufficient revenue. Moreover, even if we introduce
new offerings, we may experience a decline in revenue of our existing offerings that is not offset by revenue from the new offerings.
In addition, we may lose existing customers who choose a competitor’s products and services. This could result in a temporary or
permanent revenue shortfall and adversely affect our business.
We
may use AI in our business, and challenges with properly managing its use could result in reputational harm, competitive harm, and legal
liability, and adversely affect our results of operations.
We
may use technologies such as generative AI to help us develop and market new products. Our competitors or other third parties may incorporate
AI into their products and offerings more quickly or more successfully than us, which could impair our ability to compete effectively
and adversely affect our results of operations. Additionally, AI may generate content that is not relevant or useful to our users and
can subject us to risks related to inaccurate content, discrimination, intellectual property infringement or misappropriation, data privacy
and cybersecurity breaches, among others. If the content, analyses, or recommendations that AI applications assist in producing are or
are alleged to be inaccurate, deficient, or biased, our business, financial condition and results of operations may be adversely affected.
The use of AI applications has resulted in, and may in the future result in, cybersecurity incidents that implicate the personal medical
and genetic data of patients analyzed within such applications. Any such cybersecurity incidents related to our use of AI applications
to analyze personal data could adversely affect our reputation and results of operations. AI also presents emerging ethical issues and
if our use of AI becomes controversial, we may experience brand or reputational harm, competitive harm, or legal liability. The rapid
evolution of AI, including potential government regulation of AI and its various uses, will require significant resources to help us
implement AI ethically in order to minimize unintended, harmful impact.
If
we are unable to successfully market to new customers and retain existing customers, or if evolving privacy, healthcare, or other laws
prevent or limit our marketing activities, our business, financial condition, and results of operations could be harmed.
We
generate revenue from our platform by selling non-prescription health and personal care products directly to consumers and offering consumers
access to telehealth consultations with providers and certain prescription medications that may be prescribed by the providers in connection
with the telehealth consultations. Unless we are able to acquire new customers, and retain existing customers, our business, financial
condition, and results of operations may be harmed.
In
order to acquire new customers and patients, and to incentivize existing customers and patients to purchase more of our offerings, we
use social media platforms, search engine marketing, emails, text messages, our patient care center, influencers, and many other online
and offline marketing strategies to reach new customers and patients. State and federal laws and regulations governing the privacy and
security of personal information, including healthcare data, are evolving rapidly and could impact our ability to identify and market
to potential and existing customers. Similarly, certain federal and state laws regulate, and in some cases limit, the use of discounts,
promotions, and other marketing strategies in the healthcare industry. If federal, state, or local laws governing our marketing activities
become more restrictive or are interpreted by governmental authorities to prohibit or limit these activities, our ability to attract
new customers and retain customers would be affected and our business could be materially harmed. In addition, any failure, or perceived
failure, by us, to comply with any federal, state, or local laws or regulations governing our marketing activities could adversely affect
our reputation, brand, and business, and may result in claims, proceedings, or actions against us by governmental entities, consumers,
suppliers, or others, or other liabilities or may require us to change our operations and/or cease using certain marketing strategies.
13
Changes
to social networking or advertising platforms’ terms of use, terms of service, or traffic algorithms that limit promotional communications,
impose restrictions that would limit our ability or our customers’ ability to send communications through their platforms, disruptions,
or downtime experienced by these platforms or reductions in the use of or engagement with social networking or advertising platforms
by customers and potential customers could also harm our business. As laws and regulations rapidly evolve to govern the use of these
channels, the failure by us, our employees, or third parties acting at our direction to abide by applicable laws and regulations in the
use of these channels could adversely affect our reputation or subject us to fines or other penalties. In addition, our employees or
third parties acting at our direction may knowingly or inadvertently make use of social media in ways that could lead to the loss or
infringement of intellectual property, as well as the public disclosure of proprietary, confidential or sensitive personal information
of our business, employees, consumers, or others. Any such inappropriate use of social media, emails and text messages could also cause
reputational damage and adversely affect our business.
Our
revenue growth depends on consumers’ willingness to adopt our products, and the failure of our offerings to achieve and maintain
market acceptance could result in us achieving revenue below our expectations, which could cause our business, financial condition, and
results of operation to be materially and adversely affected.
Our
growth is highly dependent upon the adoption by consumers of our products, and we are subject to a risk of any reduced demand for our
products. If the market for our products does not gain broad market acceptance or develops more slowly than we expect, our business,
prospects, financial condition and operating results will be harmed.
Our
current business strategy is highly dependent on our platform and offerings achieving and maintaining market acceptance. Market acceptance
and adoption of our model and the products and services we make available depend on educating potential customers who may find our services
and these products and services useful, as well as potential partners, suppliers, and providers, as to the distinct features, ease-of-use,
positive lifestyle impact, cost savings, and other perceived benefits of our offerings as compared to those of competitors. If we are
not successful in demonstrating to existing and potential customers the benefits of our services, our revenue may decline or we may fail
to increase our revenue in line with our forecasts.
Our
business model and the services and products we make available may be perceived by potential customers, providers, suppliers, and partners
to be less trustworthy or effective than traditional medical care or competitive telehealth options, and people may be unwilling to change
their current health regimens or adopt our offerings. Consumers who have healthcare insurance coverage may not wish to use the platform
to access healthcare services or products for which insurance reimbursement is not available. Moreover, we believe that providers can
be slow to change their treatment practices or approaches because of perceived liability risks or distrust of departures from traditional
practice. Accordingly, we may face resistance to our offerings from brick-and-mortar providers until there is overwhelming evidence to
convince them to alter their current approach.
Our
business is subject to changes in medication pricing and is significantly impacted by pricing structures negotiated by industry participants.
The
prescription prices that we present through our platform are based in large part upon pricing structures negotiated by industry participants.
We do not control the pricing strategies of drug manufacturers, wholesalers and pharmacies, each of which is motivated by independent
considerations and drivers that are outside our control and has the ability to set or significantly impact market prices for different
prescription medications. While we have contractual and non-contractual relationships with certain industry participants, such as pharmacies
and drug manufacturers, these and other industry participants often negotiate complex and multi-party pricing structures, and we have
no control over these participants and the policies and strategies that they implement in negotiating these pricing structures. Medication
pricing is also impacted by health insurance companies and the extent to which a health insurance plan provides for, among other things,
covered medications, preferred tiers for different medications and high or low deductibles.
Our
ability to generate revenue are directly affected by the pricing structures in place amongst these industry participants, and changes
in medication pricing and in the general pricing structures that are in place could have an adverse effect on our business, financial
condition and results of operations. For example, changes in insurance plan coverage for specific medications could reduce demand for
and/or our ability to offer competitive discounts for certain medications, any of which could have an adverse effect on our ability to
generate revenue and business.
14
The
market for our model and services is new, rapidly evolving, and increasingly competitive, as the healthcare industry in the U.S. is undergoing
significant structural change and consolidation, which makes it difficult to forecast demand for our solutions.
Negative
publicity concerning telehealth generally, our offerings, customer success on our platform, or our market as a whole could limit market
acceptance of our business model and services. If our customers do not perceive the benefits of our offerings, or if our offerings do
not drive customer use and enrollment, then our market and our customer base may not continue to develop, or they may develop more slowly
than we expect. Our success depends in part on the willingness of providers and healthcare organizations to partner with us, increase
their use of telehealth, and our ability to demonstrate the value of our technology to providers, as well as our existing and potential
customers. If providers, healthcare organizations or regulators work in opposition to us or if we are unable to reduce healthcare costs
or drive positive health outcomes for our customers, then the market for our services may not continue to develop, or it might develop
more slowly than we expect. Similarly, negative publicity regarding customer confidentiality and privacy in the context of telehealth
could limit market acceptance of our business model and services. Additionally, the majority of our revenue is driven by products and
services offered through our platform on a subscription basis, and the adoption of subscription business models is still relatively new,
especially in the healthcare industry. If customers do not shift to subscription business models and subscription health management tools
do not achieve widespread adoption, or if there is a reduction in demand for subscription products and services or subscription health
management tools, our business, financial condition, and results of operations could be adversely affected.
Competitive
platforms or other technological breakthroughs for the monitoring, treatment, or prevention of medical conditions may adversely affect
demand for our offerings.
Our
ability to achieve our strategic objectives will depend, among other things, on our ability to enable fast and efficient telehealth consultations,
maintain comprehensive and affordable offerings, and deliver an accessible and reliable platform that is more appealing and user-friendly
than available alternatives. Our competitors, as well as a number of other companies and providers, within and outside the healthcare
industry, are pursuing new devices, delivery technologies, sensing technologies, procedures, treatments, drugs, and other therapies for
the monitoring and treatment of medical conditions. Any technological breakthroughs in monitoring, treatment, or prevention of medical
conditions that we could not similarly leverage could reduce the potential market for our offerings, which could significantly reduce
our revenue and our potential to grow certain aspects of our business.
The
introduction by competitors of solutions or offerings that are or claim to be superior to our platform or offerings may create market
confusion, which may make it difficult for potential customers to differentiate between the benefits of our offerings and competitive
solutions. In addition, the entry of multiple new products may lead some of our competitors to employ pricing strategies that could adversely
affect the pricing of products and services we make available. If a competitor develops a product or business that competes with, or
is perceived to be superior to our offerings, or if a competitor employs strategies that place downward pressure on pricing within our
industry, our revenue may decline significantly or may not increase in line with our forecasts, either of which could adversely affect
our business, financial condition, and results of operations.
We
operate in highly competitive markets and face competition from large, well-established healthcare providers and more traditional retailers
and pharmaceutical providers with significant resources, and, as a result, we may not be able to compete effectively.
The
markets for healthcare are intensely competitive, subject to rapid change and significantly affected by new product and technological
introductions and other market activities of industry participants. We compete directly not only with other established telehealth providers
but also traditional drug manufacturers and healthcare providers, pharmacies, and large retailers that sell non-prescription products,
including, for example, nutritional supplements, vitamins, and hair care treatments. Our current competitors include traditional drug
manufacturers healthcare providers expanding into the telehealth market, incumbent telehealth providers, as well as new entrants into
our market that are focused on direct-to-consumer healthcare. Our competitors include enterprise-focused companies who may enter the
direct-to-consumer healthcare industry, as well as direct-to-consumer healthcare providers. Many of our current and potential competitors
may have greater name and brand recognition, longer operating histories, significantly greater resources than we do, and may be able
to offer products and services similar to those offered on our platform at more attractive prices than we can. Further, our current or
potential competitors may be acquired by third parties with greater available resources, which has recently occurred in our industry.
As a result, our competitors may be able to respond more quickly and effectively than we can to new or changing opportunities, technologies,
standards, or customer requirements and may have the ability to initiate or withstand substantial price competition. In addition, our
competitors have established, and may in the future establish, cooperative relationships with vendors of complementary products, technologies,
or services to increase the availability of their solutions in the marketplace.
New
competitors or alliances may emerge that have greater market share, a larger customer base, more widely adopted proprietary technologies,
greater marketing expertise, and greater financial resources, which could put us at a competitive disadvantage. For example, some state
and federal regulatory authorities lowered certain barriers to the practice of telehealth in order to make remote healthcare services
more accessible in response to the COVID-19 pandemic. Although it is unclear whether these regulatory changes will be permanent or that
they will have a long-term impact on the adoption of telehealth services by the general public or legislative and regulatory authorities,
these changes may result in greater competition for our business. The lower barriers to entry may allow various new competitors to enter
the market more quickly and cost effectively than before the COVID-19 pandemic. Additionally, we believe that the COVID-19 pandemic has
introduced many new users to telehealth and further reinforced its benefits to potential competitors. We believe this may drive additional
industry consolidation or collaboration involving competitors that may create competitors with greater resources and access to potential
customers. In addition, traditional healthcare providers may evaluate and eventually pursue telehealth options that can be paired with
their in-person capabilities. These industry changes could better position our competitors to serve certain segments of our current or
future markets, which could create additional price pressure. In light of these factors, even if our offerings are more effective than
those of our competitors, current or potential customers may accept competitive solutions in lieu of purchasing from us. If we are unable
to successfully compete with existing and potential competitors, our business, financial condition, and results of operations could be
adversely affected.
15
We
have experienced rapid growth in recent periods and expect to continue to invest in our growth for the foreseeable future. If we fail
to manage our growth effectively, we may be unable to execute our business plan, maintain high levels of service, or adequately address
competitive challenges.
We
have recently experienced a period of rapid growth in our headcount and operations. Our revenue grew from $153.0 million for the year
ended December 31, 2023 to $212.0 million for the year ended December 31, 2024. Our number of full-time employees has increased significantly
over the last few years, from 56 employees as of December 31, 2020 to 304 employees as of December 31, 2024. We anticipate that we will
continue to significantly expand our operations and headcount in the near term as we continue to scale domestically. We also anticipate
entering the international market to meet perceived demand for our offerings. We are continually executing a number of growth initiatives,
strategies and operating plans designed to enhance our business. The anticipated benefits from these efforts are based on several assumptions
that may prove to be inaccurate. Moreover, we may not be able to successfully complete these growth initiatives, strategies and operating
plans and realize all of the benefits, including growth targets and cost savings, that we expect to achieve, or it may be more costly
to do so than we anticipate.
This
growth has placed, and future growth will place, a significant strain on our management, administrative, operational, and financial infrastructure.
Our success will depend in part on our ability to manage this growth effectively and execute our business plan. To manage the expected
growth of our operations and personnel, we will need to continue to improve our operational, financial, and management controls, and
our reporting systems and procedures, and we will need to ensure that we maintain high levels of patient care and support. Failure to
effectively manage growth and execute our business plan could result in difficulty or delays in increasing the size of our customer base,
declines in quality of patient care, support, or satisfaction, increases in costs, difficulties in introducing new products or features,
or other operational difficulties, and any of these difficulties could adversely affect our business performance and results of operations.
We
face risk that may arise from acquisitions, investments and collaborations, which could result in operating difficulties, dilution, and
other harmful consequences that may adversely impact our business, financial condition, and results of operations. Additionally, if we
are not able to identify and successfully consummate these transactions, our results of operations and prospects could be harmed.
We
may continue to pursue inorganic methods of growth, including strategic acquisitions and mergers and collaborations, to add complementary
or strategic companies, products, solutions, technologies, or revenue. These transactions could be material to our results of operations
and financial condition. We also expect to continue to evaluate and enter into discussions regarding a wide array of potential strategic
transactions. The identification of suitable acquisition candidates and strategic partners can be difficult, time-consuming, and costly,
and we may not be able to complete acquisitions on favorable terms, if at all. The process of integrating an acquired company, business,
or technology, or partnering with another company, may create unforeseen operating difficulties and expenditures.
Acquisitions
and collaborations could also result in expenditures of significant cash, dilutive issuances of our equity securities, the incurrence
of debt, restrictions on our business, contingent liabilities, amortization expenses, or write-offs of goodwill, any of which could harm
our financial condition. In addition, any transactions we announce could be viewed negatively by customers, providers, partners, suppliers,
or investors. Additionally, competition within our industry for acquisitions of business, technologies, and assets, and for collaborations,
may become intense. Even if we are able to identify an acquisition or collaboration that we would like to consummate, we may not be able
to complete the transaction on commercially reasonable terms or the target may be acquired by, or partner with, another company. We may
enter into negotiations for transactions that are not ultimately consummated. Those negotiations could result in diversion of management
time and significant out-of-pocket costs. If we fail to evaluate and execute transactions successfully, we may not be able to realize
the benefits of these transactions, and our results of operations could be harmed. If we are unable to successfully address any of these
risks, our business, financial condition, or results of operations could be harmed.
Economic
uncertainty or downturns, particularly as it impacts particular industries, could adversely affect our business and results of operations.
In
recent years, the U.S. and other significant markets have experienced inflationary pressures and cyclical downturns, and worldwide economic
conditions remain uncertain. Economic uncertainty and associated macroeconomic conditions make it extremely difficult for our partners,
suppliers, and us to accurately forecast and plan future business activities and could cause our customers to slow spending on our offerings
and could limit the ability of our pharmacy partners to purchase sufficient quantities of pharmaceutical products from suppliers, which
could adversely affect our ability to fulfill customer orders and attract new providers.
Inflationary
pressures may lead to increases in the cost of our products, freight, overhead costs or wage rates and may adversely affect our operating
results. Sustained inflationary pressures may have an adverse effect on our ability to maintain current levels of gross profit if we
are unable to offset such higher costs through price increases.
A
significant downturn in the domestic or global economy may cause our customers to pause, delay, or cancel spending on our platform or
seek to lower their costs by exploring alternative providers or our competitors. To the extent purchases of our offerings are perceived
by customers and potential customers as discretionary, our revenue may be disproportionately affected by delays or reductions in general
healthcare spending. Also, competitors may respond to challenging market conditions by lowering prices and attempting to lure away our
customers.
16
Tariffs
and economic policies adopted by the U.S. and foreign governments can pose a significant risk to our business by increasing costs of
raw materials and other inputs for medications, disrupting supply chains and making it harder to get ingredients and other supplies,
and limiting product availability, which can lead to higher prices for our customers as well as reduced sales and profits for the Company.
We
cannot predict the timing, strength, or duration of any economic disruption or any subsequent recovery generally, or in any particular
industry. If the conditions in the general economy and the markets in which we operate worsen from present levels, our business, financial
condition, and results of operations could be materially adversely affected.
Our
business depends on continued and unimpeded access to the internet and mobile networks.
Our
ability to deliver our internet-based and mobile-application based services depends on the development and maintenance of the infrastructure
of the internet by third parties. This includes maintenance of a reliable network backbone with the necessary speed, data capacity, bandwidth
capacity, and security. Our services are designed to operate without interruption. However, we may experience future interruptions and
delays in services and availability from time to time. In the event of a catastrophic event with respect to one or more of our systems
or those of our service providers, we may experience an extended period of system unavailability, which could negatively impact our relationship
with customers, providers, partners, and suppliers.
We
also rely on software licensed from third parties in order to offer our services. These licenses are generally commercially available
on varying terms. However, it is possible that this software may not continue to be available on commercially reasonable terms, or at
all. Any loss of the right to use any of this software could result in delays in the provisioning of our services until equivalent technology
is either developed by us, or, if available, is identified, obtained and integrated. Furthermore, our use of additional or alternative
third-party software would require us to enter into license agreements with third parties, and integration of our software with new third-party
software may require significant work and require substantial investment of our time and resources. Also, any undetected errors or defects
in third-party software could prevent the deployment or impair the functionality of our software, delay new updates or enhancements to
our solution, result in a failure of our solution, and injure our reputation. The occurrence of any of the foregoing events could have
an adverse impact on our business, financial condition, and results of operations.
Any
disruption of service at Amazon Web Services, partner pharmacies or other third-party service providers could interrupt access to our
platform or delay our customers’ ability to seek treatment.
We
currently host our platform, serve our customers, and support our operations in the U.S. using Amazon Web Services (“AWS”),
a provider of cloud infrastructure services, as well as through partner pharmacies and other third-party service providers, including
shipping providers and contract manufacturers. We do not have control over the operations of the facilities of partner pharmacies, AWS,
or other third-party service providers. Such facilities are vulnerable to damage or interruption from earthquakes, hurricanes, floods,
fires, cyber security attacks, terrorist attacks, power losses, telecommunications failures, and similar events. The occurrence of a
natural disaster or an act of terrorism, a decision to close the facilities without adequate notice, or other unanticipated problems
could result in lengthy interruptions in our ability to generate revenue through customer purchases on the platform. The facilities also
could be subject to break-ins, computer viruses, sabotage, intentional acts of vandalism, and other misconduct. Our platform’s
continuing and uninterrupted performance is critical to our success. Because our platform is used by our customers to engage with providers
who can diagnose, manage, and treat medical conditions, and pharmacies who can fulfill and ship prescription medication, it is critical
that our platform be accessible without interruption or degradation of performance. Customers may become dissatisfied by any system failure
that interrupts our ability to provide our platform or access to the products and services offered through our platform to them. Outages
and partner pharmacy closures could lead to claims of damages from our customers, providers, partners, suppliers, and others. We may
not be able to easily switch our AWS operations to another cloud provider if there are disruptions or interference with our use of AWS.
Sustained or repeated system failures could reduce the attractiveness of our offerings to customers and result in contract terminations,
thereby reducing revenue. Moreover, negative publicity arising from these types of disruptions could damage our reputation and may adversely
impact use of our platform. We may not carry sufficient business interruption insurance to compensate us for losses that may occur as
a result of any events that cause interruptions in our platform. Thus, any such disruptions could have an adverse effect on our business
and results of operations.
None
of our partner pharmacies, shipping providers, contract manufacturers, nor AWS have an obligation to renew their agreements with us on
commercially reasonable terms, or at all. If we are unable to renew our agreements with these third-party service providers on commercially
reasonable terms, if our agreements with these providers are prematurely terminated, we may experience costs or downtime in connection
with the transfer to, or the addition of, such new providers. If these third-party service providers were to increase the cost of their
services, we may have to increase the price of our offerings, and our results of operations may be adversely impacted.
We
depend on a number of other companies to perform functions critical to our ability to operate our platform, generate revenue from customers,
and to perform many of the related functions.
We
depend on LifeMD PC and their providers to deliver quality healthcare consultations and services through our platform. Through our platform,
providers are able to prescribe medication fulfilled by a partner pharmacy. Any interruption in the availability of a sufficient number
of providers or supply from our partner pharmacies could materially and adversely affect our ability to satisfy our customers and ensure
they receive consultation services and any medication that they have been prescribed. If we were to lose our relationship with LifeMD
PC, we cannot guarantee that we will be able to ensure access to a sufficient network of providers. Similarly, if we were to lose our
relationship with one of our partner pharmacies in the near term, we cannot guarantee that we will be able to find, diligence, and engage
with a replacement partner in a timely manner. Our ability to service customer requirements could be materially impaired or interrupted
in the event that our relationship with LifeMD PC or partner pharmacy is terminated. We also depend on cloud infrastructure providers,
payment processors, suppliers of non-prescription products and packaging, and various others that allow our platform to function effectively
and serve the needs of our customers. Difficulties with our significant partners and suppliers, regardless of the reason, could have
a material adverse effect on our business.
17
Our
payments system depends on third party service providers and is subject to evolving laws and regulations.
We
have engaged third-party service providers to perform underlying card processing and currency exchange. If these service providers do
not perform adequately or if our relationships with these service providers were to terminate, our ability to accept orders through the
platform could be adversely affected and our business could be harmed. In addition, if these service providers increase the fees they
charge us, our operating expenses could increase and if we respond by increasing the fees we charge to our customers, we could lose some
of our customers.
The
laws and regulations related to payments are complex and vary across different jurisdictions in the U.S. and globally. As a result, we
are required to spend significant time and effort to comply with those laws and regulations. Any failure or claim of our failure to comply,
or any failure by our third-party service providers to comply, could cost us substantial resources, could result in liabilities, or could
force us to stop offering third-party payment systems. As we expand the availability of payments via third parties or offer new payment
methods to our customers in the future, we may become subject to additional regulations and compliance requirements.
Further,
through our agreement with our third-party credit card processor, we are indirectly subject to payment card association operating rules,
and certification requirements, including the Payment Card Industry Data Security Standard. We are also subject to rules governing electronic
funds transfers. Any change in these rules and requirements could make it difficult or impossible for us to comply. Any such difficulties
or failures with respect to the payment systems we utilize may have an adverse effect on our business.
We
depend on our talent to grow and operate our business, and if we are unable to hire, integrate, develop, motivate, and retain our personnel,
we may not be able to grow effectively.
Our
success depends in large part on our ability to attract and retain high-quality management in marketing, engineering, operations, healthcare,
regulatory, legal, finance and support functions. Competition for qualified employees is intense in our industry, and the loss of even
a few qualified employees, or an inability to attract, retain and motivate additional highly skilled employees required for the planned
expansion of our business could harm our results of operations and impair our ability to grow. To attract and retain key personnel, we
use various measures, including an equity incentive program for key executive officers and other employees. These measures may not be
enough to attract and retain the personnel we require to operate our business effectively. We permit most of our employees to work remotely
should their particular positions allow. While we believe that most of our operations can be performed remotely, there is no guarantee
that we will be as effective while working remotely because our team is dispersed and many employees may have additional personal needs
to attend to or distractions in their remote work environment. To the extent our current or future remote work policies result in decreased
productivity, harm our company culture, or otherwise negatively affect our business, our financial condition and results of operations
could be adversely affected.
We
are at risk that the non-prescription inventory that we store may become damaged, facility disruption may also harm our business.
We
hold non-prescription inventory at some of our facilities. A natural disaster, fire, power interruption, work stoppage or other calamity
at this facility would significantly disrupt our ability to deliver our products and operate our business. If any material amount of
our facility, machinery, or inventory were damaged or unusable, we would be unable to meet our obligations to customers and wholesale
partners, which could materially adversely affect our business, financial condition, and results of operations.
We
rely significantly on revenue from customers purchasing subscription-based prescription products and may not be successful in expanding
our offerings.
To
date the majority of our revenue has been, and we expect it to continue to be, derived from customers who purchase subscription-based
prescription products through the platform. In our subscription arrangements, customers select a cadence at which they wish to receive
product shipments. These customers generate a substantial majority of our revenue. The introduction of competing offerings with lower
prices for consumers, fluctuations in prescription prices, changes in consumer purchasing habits, including an increase in the use of
mail-order prescriptions, changes in the regulatory landscape, and other factors could result in changes to our contracts or a decline
in our revenue, which may have an adverse effect on our business, financial condition, and results of operations. Because we derive a
vast majority of our revenue from customers who purchase subscription-based prescription products, any material decline in the use of
such offerings could have a pronounced impact on our future revenue and results of operations, particularly if we are unable to expand
our offerings overall.
18
In
the past we have, and in the future we may, actively employ social media and patient care center activities as part of our marketing
strategy, which could give rise to regulatory violations, liability, breaches of data security, or reputational damage.
Despite
our efforts to monitor evolving social media communication guidelines and comply with applicable laws and regulations, there is risk
that the use of social media by us, our employees or our customers to communicate about our products or business may cause us to be found
in violation of applicable requirements, including requirements of regulatory bodies such as the FDA and the Federal Trade Commission.
For example, adverse events, product complaints, off-label usage by physicians, unapproved marketing, or other unintended messages could
require an active response from us, which may not be completed in a timely manner and could result in regulatory action by a governing
body. In addition, our employees may knowingly or inadvertently make use of social media in ways that may not comply with our social
media policy or other legal or contractual requirements, which may give rise to liability, lead to the loss of trade secrets or other
intellectual property, or result in public exposure of personal information of our employees, clinical trial patients, customers, and
others. Furthermore, negative posts or comments about us or our products in social media could seriously damage our reputation, brand
image, and goodwill.
Any
significant interruptions in the operations of our patient care center could cause us to lose sales and disrupt our ability to process
orders and deliver our solutions in a timely manner.
We
rely on our patient care center to sell our products, respond to customer service and technical support requests, and process orders.
Any significant interruption in the operation of these facilities, including an interruption caused by our failure to successfully expand
or upgrade our systems or to manage these expansions or upgrades, could reduce our ability to receive and process orders and provide
products and services, which could result in lost and cancelled sales and damage to our brand and reputation.
As
we grow, we will need more capacity from our existing patient care center. If our patient care center operators do not convert inquiries
into sales at expected rates, our ability to generate revenue could be impaired. Training and retaining qualified patient care center
operators is challenging, and if we do not adequately train our patient care center personnel, they may convert inquiries into sales
at an acceptable rate.
If
our security measures fail or are breached and unauthorized access to a consumer’s data is obtained, our services may be perceived
as insecure, we may incur significant liabilities, our reputation may be harmed, and we could lose sales and customers.
Our
services involve the storage and transmission of customers’ and our vendors’ proprietary information, sensitive or confidential
data, including valuable intellectual property and personal information of employees, consumers, customers, and others, as well as the
personal information (including health information and other sensitive information as defined under applicable laws) of our customers.
Because of the extreme sensitivity of the information we store and transmit, the security features of our computer, network, and communications
systems infrastructure are critical to the success of our business. A breach or failure of our security measures could result from a
variety of circumstances and events, including third-party action, employee negligence or error, malfeasance, computer viruses, cyber-attacks
by computer hackers, failures during the process of upgrading or replacing software and databases, power outages, hardware failures,
telecommunication failures, user errors, or catastrophic events. Information security risks have generally increased in recent years
because of the proliferation of new technologies and the increased sophistication and activities of perpetrators of cyber-attacks. As
cyber threats continue to evolve, we may be required to expend additional resources to further enhance our information security measures
and/or to investigate and remediate any information security vulnerabilities. If our security measures fail or are breached, it could
result in unauthorized persons accessing sensitive consumer or partner data (including personal information), a loss of or damage to
our data, an inability to access data sources, or process data or provide our services to our customers. Such failures or breaches of
our security measures, or our inability to effectively resolve such failures or breaches in a timely manner, could severely damage our
reputation, adversely affect customers, vendors, or investor confidence in us, and reduce the demand for our services from existing and
potential customers. In addition, we could face litigation, damages for contract breach, monetary penalties, or regulatory actions for
violation of applicable laws or regulations, and incur significant costs for remedial measures to prevent future occurrences and mitigate
past violations. Although we maintain insurance covering certain security and privacy damages and claim expenses, we may not carry insurance
or maintain coverage sufficient to compensate for all liability and in any event, insurance coverage would not address the reputational
damage that could result from a security incident.
We
may experience cyber-security and other breach incidents that remain undetected for an extended period. Because techniques used to obtain
unauthorized access or to sabotage systems change frequently and generally are not recognized until launched, we may be unable to anticipate
these techniques or to implement adequate preventive measures. If an actual or perceived breach of our security occurs, or if we are
unable to effectively resolve such breaches in a timely manner, the market perception of the effectiveness of our security measures could
be harmed and we could lose sales, customers, and vendors which could have a material adverse effect on our business, operations, and
financial results.
19
Risks
Related to Governmental Regulation
We
may be subject to claims that we are engaged in the corporate practice of medicine or that our contractual arrangements with our affiliated
medical group constitutes unlawful fee splitting.
We
have contracted with physician-owned professional corporations (“P.C.’s”) or professional associations (“P.A.’s”)
to facilitate the delivery of telehealth services to their patients. We have entered into a management services agreement with our affiliated
medical group pursuant to which we provide these P.C.’s and P.A.’s with a comprehensive set of non-clinical management and
administrative services. The affiliated medical group is solely responsible for practicing medicine and all clinical decision-making
and will pay us for our management services from the fees collected directly from patients or from insurance sources. This relationship
is subject to various state laws that prohibit fee splitting or the practice of medicine by lay entities or persons. Corporate practice
of medicine laws and enforcement varies by state. In some states, decisions and activities such as contracting with third party payors,
setting rates and the hiring and management of non-clinical personnel may implicate the restrictions on the corporate practice of medicine.
In
addition, corporate practice of medicine restrictions are subject to broad powers of interpretation and enforcement by state regulators.
Some of these requirements may apply to us even if we do not have a physical presence in a state, solely because we provide management
services to a provider licensed in the state or facilitate the provision of telehealth to a resident of the state. State medical practice
boards, other regulatory authorities, or other parties, including the physicians or other providers in our affiliated medical group or
with whom we otherwise contract, may assert that, despite these arrangements, we are engaged in the corporate practice of medicine or
that our contractual arrangements with our affiliated medical group constitutes unlawful fee splitting. In this event, failure to comply
could lead to adverse judicial or administrative action against us and/or our affiliated providers, civil or criminal penalties, receipt
of cease-and-desist orders from state regulators, loss of provider licenses, the need to make changes to the terms of engagement with
providers that interfere with our business and other materially adverse consequences.
In
the U.S., we conduct business in a heavily regulated industry, and if we fail to comply with these laws and government regulations, we
could incur penalties or be required to make significant changes to our operations or experience adverse publicity, which could have
a material adverse effect on our business, financial condition, and results of operations.
The
U.S. healthcare industry is heavily regulated and closely scrutinized by federal, state and local governments. Comprehensive statutes
and regulations govern the manner in which we provide and bill for services and collect reimbursement from governmental programs and
private payors; our contractual relationships with LifeMD PC, other third-party providers, vendors, and customers; our marketing activities;
and other aspects of our operations. Of particular importance are:
Federal
False Claims Act and Civil Monetary Penalties Law
There
are multiple federal laws covering the submission of inaccurate or fraudulent claims for reimbursement and errors or misrepresentations
on cost reports by hospitals and other health care providers. The coding, billing and reporting obligations of Medicare providers are
extensive, complex and highly technical. In some cases, errors and omissions by billing and reporting personnel may result in liability
under one of the federal False Claims Act or similar laws, exposing a health care provider to civil and criminal monetary penalties,
as well as exclusion from participation in the Medicare and Medicaid programs.
The
federal False Claims Act prohibits (1) knowingly submitting a false or fraudulent claim for payment to the United States; (2) knowingly
making, using or causing to be made or used a false record or statement to obtain payment from the United States; or (3) engaging in
a conspiracy to defraud the federal government by getting a false or fraudulent claim allowed or paid. This statute is violated if a
person acts with actual knowledge, or in deliberate ignorance or reckless disregard of the falsity of the claim. Penalties under the
False Claims Act include fines (subject to annual escalations based on the Consumer Price Index) per violation, plus treble damages,
potentially resulting in penalties aggregating millions of dollars for ongoing claims submission errors. Anyone who knowingly makes a
false statement or representation in any claim to the Medicare or Medicaid programs may be subject to criminal penalties, including fines
and imprisonment.
The
False Claims Act includes “whistleblower” provisions under which a person who believes that someone is violating the False
Claims Act can file a sealed complaint against the alleged violator in the name of the United States government. The nature of the allegations
is not revealed to the target during the time the United States Justice Department investigates the complaint and determines whether
to join in the suit. If the Justice Department decides not to join in the suit, the original whistleblower nonetheless can proceed. If
the case is successful, the whistleblower is entitled to between 15% and 30% of the proceeds of any fines or damages paid. Although the
False Claims Act has been in effect for many years, in recent years there has been a significant increase in the number of whistleblower
allegations filed under the False Claims Act, a large number of which involve the health care and pharmaceutical industries. In 2009,
former President Obama signed into law the Fraud Enforcement Recovery Act which authorized increased funding for fraud investigation
and prosecution, and expanded the scope of the False Claims Act to impose liability for false claims with more remote connections to
the federal government.
In
addition, the Civil Monetary Penalties Law under the Social Security Act (the “CMP Law”) provides for the imposition of civil
money penalties against an entity that engages in activities including, but not limited to, (a) knowingly presenting or causing to be
presented, a claim for services not provided as claimed or which is otherwise false or fraudulent in any way; (b) knowingly giving or
causing to be given false or misleading information reasonably expected to influence the decision to discharge a patient; (c) offering
or giving remuneration to any beneficiary of a federal health care program likely to influence the receipt of reimbursable items or services;
(d) arranging for reimbursable services with an entity which is excluded from participation from a federal health care program; (e) knowingly
or willfully soliciting or receiving remuneration for a referral of a federal health care program beneficiary; (f) using a payment intended
for a federal health care program beneficiary for another use; (g) the practice or pattern of presenting a claim for an item or service
on a reimbursement code that the person knows or should know will result in greater payment than appropriate, i.e., upcoding; and (h)
engaging in a practice of submitting claims for payment for medically unnecessary services. Penalties under the CMP Law include fines
per item or service claimed under Medicare, Medicaid, or any other federal health care program by an excluded individual or additional
fines for a violation of the anti-kickback statute. Penalties are subject to annual escalation based on the Consumer Price Index.
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The
threats of large monetary penalties and exclusion from participation in Medicare, Medicaid and other federal health care programs, and
the significant costs of mounting a defense, create serious pressures on providers who are targets of false claims actions or investigations
to settle. Therefore, an action under the False Claims Act or the CMP Law could have an adverse financial impact on LifeMD and its affiliates,
regardless of the merits of the case. Additionally, on June 1, 2023, the Supreme Court in United States ex rel. Schutte v. SuperValu
Inc. unanimously held that liability under the False Claims Act depends upon a defendant’s subjective belief (rather than what
an objectively reasonable person may have known or believed). As a result, any False Claims Act litigation related to LifeMD will be
more complex and will likely incur higher administrative costs.
Stark
The
federal Ethics in Patient Referrals Act (known as the “Stark Law”) prohibits a physician who has a financial relationship,
or whose immediate family member has a financial relationship, with an entity that provides certain designated health services from referring
Medicare or Medicaid patients to that entity for the provision of such designated health services, with limited exceptions. The Stark
Law designated health services include outpatient prescription drugs and clinical laboratory services. The Stark Law also prohibits an
entity that receives a prohibited referral from filing a claim or billing for the services arising out of that prohibited referral. Unlike
the Anti-Kickback Law, the Stark Law is not an intent based statute. No wrongful intent or culpable conduct is required for violation
of the Stark Law. When a financial relationship exists between an entity and a physician, the arrangement must meet the necessary elements
of a Stark Law exception in order for a referral to be made for designated health services to that entity and for that entity to bill
for those designated health services generated by the referral. Sanctions under the Stark law include denial and refund of payments,
civil monetary penalties for each claim for a service arising out of the prohibited referral, a civil penalty against parties that enter
into a scheme to circumvent the Stark Law’s prohibition, and exclusions from the Medicare and Medicaid programs. Civil monetary
penalties are subject to annual escalations based on the Consumer Price Index. Also, because the Stark law is a Medicare payment rule,
claims prohibited by the Stark law may also be the predicate for liability under the False Claims Act. Although the Stark Law is a federal
prohibition, a number of states have passed similar statutes pursuant to which similar types of prohibitions are made applicable to all
other health plans or third-party payors.
Because
of the complexity of the Stark Law and the evolving nature of quality improvement and cost-reduction efforts, there can be no assurances
that LifeMD and its affiliates will not be found to have violated the Stark Law or the state law equivalent. If such violation were found
to have occurred, any sanctions imposed could have a material adverse effect upon the future operations and financial condition of LifeMD
and its affiliates. Additionally, amendments to regulations promulgated under the Stark Law may require LifeMD to amend or terminate
certain arrangements with physicians to comply with new regulatory requirements.
Anti-Kickback
The
federal Medicare/Medicaid Anti-Fraud and Abuse Amendments to the Social Security Act (known as the “Anti-Kickback Law”) prohibit
the knowing and willful offer, payment or receipt of remuneration in exchange for or as an inducement to make or influence a referral
of a patient, or furnishing of any goods or services that may be reimbursed under federal health benefit programs. The scope of the Anti-Kickback
Law is very broad, and it potentially implicates many practices and arrangements common in the health care industry, including space
and equipment leases, personal services contracts, purchase of physician practices, joint ventures, and relationships with vendors. Violation
of the Anti-Kickback Law is a felony and may result in imprisonment of up to ten years, statutory fines per violation, and exclusion
from the federal health care programs, as well as other state healthcare programs. In addition, civil monetary penalties may include
fines for each act (subject to annual escalations based on the Consumer Price Index), damages of not more than three times the remuneration
offered, paid, solicited, or received, and/or exclusion from participation in Medicare and Medicaid, and may be imposed on individuals
or entities that commit acts prohibited by the Anti-Kickback Law. The Patient Protection and Affordable Care Act amended the intent requirement
to provide that a person need not have actual knowledge of the Anti-Kickback law or specific intent to commit a kickback violation, to
violate the statute. In addition to the federal Anti-Kickback Statute, many states have anti-kickback and/or fee-splitting statutes designed
to prohibit inducements or improper remuneration for the referral of patients.
Federal
statutory exceptions and “safe harbor” regulations describe certain arrangements that will not be deemed to violate the Anti-Kickback
Law. However, the exceptions and safe harbors are narrow and do not cover a wide range of economic relationships that many physicians
and other health care providers historically have considered to be legitimate business arrangements not prohibited by the Anti-Kickback
Law. Because the exceptions and safe harbor regulations do not purport to describe comprehensively all lawful or unlawful economic arrangements
or other relationships between health care providers and referral sources, it is uncertain whether physicians and other health care providers
that have these arrangements or relationships may need to alter them in order to ensure compliance with the Anti-Kickback Law. Failure
to comply with an exception or safe harbor does not mean an arrangement necessarily violates the Anti-Kickback Law. However, failure
to do so may increase the likelihood of a regulatory challenge or the potential for investigation.
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Because
the safe harbor exceptions are narrowly drawn and the case law interpreting the Anti-Kickback Law is sparse, there can be no assurances
that LifeMD or its affiliates will not be found to be in violation of the Anti-Kickback Law. If such a violation were found, any sanctions
imposed could have a material adverse effect upon the future operations and financial condition of LifeMD and its affiliates. In addition,
the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes
a false or fraudulent claim for purposes of the False Claims Act.
Fraud
Provisions of HIPAA
The
criminal healthcare fraud provisions of HIPAA, and related rules that prohibit knowingly and willfully executing a scheme or artifice
to defraud any healthcare benefit program or falsifying, concealing, or covering up a material fact or making any material false, fictitious
or fraudulent statement in connection with the delivery of or payment for healthcare benefits, items, or services. Similar to the federal
Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the statute or specific intent to violate it to have
committed a violation.
Because
of the breadth of these laws and the narrowness of the statutory exceptions and safe harbors available, it is possible that some of our
business activities could be subject to challenge under one or more of such laws. Achieving and sustaining compliance with these laws
may prove costly. Failure to comply with these laws and other laws can result in civil and criminal penalties such as fines, damages,
overpayment, recoupment, imprisonment. The risk of our being found in violation of these laws and regulations is increased by the fact
that many of them have not been fully interpreted by the regulatory authorities or the courts, and their provisions are sometimes open
to a variety of interpretations. Our failure to accurately anticipate the application of these laws and regulations to our business or
any other failure to comply with regulatory requirements could create liability for us and negatively affect our business. Any action
against us for violation of these laws or regulations, even if we successfully defend against it, could cause us to incur significant
legal expenses, divert our management’s attention from the operation of our business and result in adverse publicity.
Dealing
with investigations can be time- and resource-consuming and can divert management’s attention from the business. Any such investigation
or settlement could increase our costs or otherwise have an adverse effect on our business. In addition, because of the potential for
large monetary exposure under the federal False Claims Act, which provides for treble damages and penalties of $5,000 to $10,000 per
false claim or statement, which is further adjusted for inflation, healthcare providers often resolve allegations without admissions
of liability for significant and material amounts to avoid the uncertainty of treble damages that may be awarded in litigation proceedings.
Such settlements often contain additional compliance and reporting requirements as part of a consent decree, settlement agreement, or
corporate integrity agreement. Given the significant size of actual and potential settlements, it is expected that the government will
continue to devote substantial resources to investigating healthcare providers’ compliance with the healthcare reimbursement rules
and fraud and abuse laws. The laws, regulations, and standards governing the provision of healthcare services may change significantly
in the future. We cannot assure you that any new or changed healthcare laws, regulations, or standards will not materially adversely
affect our business. We cannot assure you that a review of our business by judicial, law enforcement, regulatory, or accreditation authorities
will not result in a determination that could adversely affect our operations.
State
legislative and regulatory changes specific to the area of telehealth law may present the LifeMD PC any remaining third-party medical
groups and independent physicians on our platform with additional requirements and state compliance costs, which may create additional
operational complexity and increase costs.
LifeMD
PC’s third-party medical groups’, and independent physicians’ ability to provide telehealth services to patients in
a particular jurisdiction is dependent upon the laws that govern the provision of remote care, the practice of medicine, and healthcare
delivery in general in that jurisdiction. Laws and regulations governing the provision of telehealth services are evolving at a rapid
pace and are subject to changing political, regulatory, and other influences. Some states’ regulatory agencies or medical boards
may have established rules or interpreted existing rules in a manner that limits or restricts providers’ ability to provide telehealth
services or for physicians to supervise nurse practitioners and physician assistants remotely. Additionally, there may be limitations
placed on the modality through which telehealth services are delivered. For example, some states specifically require synchronous (or
“live”) communications and restrict or exclude the use of asynchronous telehealth modalities, which is also known as “store-and-forward”
telehealth. However, other states do not distinguish between synchronous and asynchronous telehealth services. Because this is a developing
area of law and regulation, we continually monitor compliance in every jurisdiction in which we operate. However, we cannot be assured
that third-party medical groups’, or independent providers’ activities and arrangements, if challenged, will be found to
be in compliance with the law or that a new or existing law will not be implemented, enforced, or changed in a manner that is unfavorable
to our business model. We cannot predict the regulatory landscape for those jurisdictions in which we operate and any significant changes
in law, policies, or standards, or the interpretation or enforcement thereof, could occur with little or no notice. The majority of the
consultations provided through our platform are asynchronous consultations for customers located in jurisdictions that permit the use
of asynchronous telehealth. If there is a change in laws or regulations related to our business, or the interpretation or enforcement
thereof, that adversely affects our structure or operations, including greater restrictions on the use of asynchronous telehealth or
remote supervision of nurse practitioners or physician assistants, it could have a material adverse effect on our business, financial
condition, and results of operations.
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Changes
in public policy that mandate or enhance healthcare coverage could have a material adverse effect on our business, operations, and/or
results of operations.
Our
mission is to make healthcare accessible, affordable, and convenient for everyone. It is reasonably possible that our business operations
and results of operations could be materially adversely affected by public policy changes at the federal, state, or local level, which
include mandatory or enhanced healthcare coverage. Such changes may present us with new marketing and other challenges, which may, for
example, cause use of our products and services to decrease or make doing business in particular states less attractive. If we fail to
adequately respond to such changes, including by implementing effective operational and strategic initiatives, or do not do so as effectively
as our competitors, our business, operations, and results of operations may be materially adversely affected.
We
cannot predict the enactment or content of new legislation and regulations or changes to existing laws or regulations or their enforcement,
interpretation or application, or the effect they will have on our business or results of operations, which could be materially adverse.
Even if we could predict such matters, we may not be able to reduce or eliminate the potential adverse impact of public policy changes
that could fundamentally change the dynamics of our industry.
Changes
in insurance and healthcare laws, as well as the potential for further healthcare reform legislation and regulation, have created uncertainty
in the healthcare industry and could materially affect our business, financial condition, and result of operations.
The
Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act, each enacted in March 2010,
generally known as the “Health Care Reform Law,” significantly expanded health insurance coverage to uninsured Americans
and changed the way healthcare is financed by both governmental and private payers. Since then, the Health Care Reform Law has prompted
legislative efforts to significantly modify or repeal the Health Care Reform Law, which may impact how the federal government responds
to lawsuits challenging the Health Care Reform Law. We cannot predict what further reform proposals, if any, will be adopted, when they
may be adopted, or what impact they may have on our business. If we are required to comply with the Health Care Reform Law and fail to
comply or are unable to effectively manage such risks and uncertainties, our financial condition and results of operations could be adversely
affected. Further, Federal budget proposals and/or approvals impacting funding for government health care programs, such as Medicare
and Medicaid, could result in adverse impacts to health care services pricing strategies across the health care industry.
The
products we sell and our third-party suppliers are subject to FDA regulations and other state and local requirements, and if we or our
third party suppliers fail to comply with federal, state, and local requirements, our ability to fulfill customers’ orders through
our platform could be impaired.
The
products available through our platform, and the third-party suppliers and manufacturers of these products, are subject to extensive
regulation by the FDA and state and local authorities, including pharmaceuticals, OTC drugs, OTC devices, cosmetics, and dietary supplements.
These authorities can enforce regulations related to methods and documentation of the testing, production, compounding, control, quality
assurance, labeling, packaging, sterilization, storage, and shipping of products. Government regulations specific to pharmaceuticals
are wide ranging and govern, among other things: the ability to bring a pharmaceutical to market, the conditions under which it can be
sold, the conditions under which it must be manufactured, and permissible claims that may be made for such product. Failure to meet—or
significant changes to—any federal, state, or local requirements attendant to the sales and marketing of a regulated product could
result in enforcement actions, impede our ability to provide access to affected products, and have a material adverse effect on our business,
financial condition and results of operations.
FDA
potential restrictions on compounding of GLP-1s, including removal of tirzepatide (marketed as Mounjaro® and Zepbound®) and/or
semaglutide (marketed as Ozempic® and Wegovy®) from the drug shortage list, have the potential to disrupt patient treatment
continuity, by limiting our ability to provide personalized treatment plans that meet individual patient needs, and could adversely impact
our financial results. For additional discussion of the regulatory landscape applicable to GLP-1s, see “Government Regulation”
under Part I, Item 1. “Description of Business”.
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In
addition, the Trump administration issued an executive order on February 11, 2025, called “Implementing the President’s ‘Department
of Government Efficiency’ Workforce Optimization Initiative.” This Workforce Optimization Initiative may significantly reduce
the size of the federal government workforce, including FDA workforce. This initiative could result in fewer FDA staff available to review
and approve new drug products. It is possible that the Workforce Optimization Initiative could significantly lengthen the time it takes
to obtain FDA approval of a new medical device or drug product, which could inhibit our ability to offer access to new products.
We
may be subject to fines, penalties, and injunctions if we are determined to be promoting the use of products for unapproved uses.
Certain
of the products available through our platform require approval by the FDA and are subject to the limitations placed by FDA on the approved
uses in the product prescribing information. While providers are legally permitted to prescribe medications for off-label uses, and although
we believe our product promotion is conducted in material compliance with FDA and other regulations, if the FDA determines that our product
promotion constitutes promotion of an unapproved use of an approved product or of an unapproved product, the FDA could request that we
modify our product promotion or subject us to regulatory and/or legal enforcement actions, including the issuance of a warning letter,
injunction, seizure, civil fine, and criminal penalties. It is also possible that other federal, state, or foreign enforcement authorities
might take action if they consider the product promotion to constitute promotion of an unapproved use of an approved product or of an
unapproved product, which could result in significant fines or penalties under other statutes, such as laws prohibiting false claims
for reimbursement.
The
information that we provide to healthcare providers, customers, and our partners could be inaccurate or incomplete, which could harm
our business, financial condition, and results of operations.
We
collect and transmit healthcare-related information to and from our customers, providers, and partner pharmacies in connection with the
telehealth consultations conducted by the providers and prescription medication fulfillment by our partner pharmacies. If the data that
we provide to our customers, providers, or partner pharmacies are incorrect or incomplete or if we make mistakes in the capture or input
of these data, our reputation may suffer and we could be subject to claims of liability for resulting damages. While we maintain insurance
coverage, this coverage may prove to be inadequate or could cease to be available to us on acceptable terms, if at all. Even unsuccessful
claims could result in substantial costs and the diversion of management resources. A claim brought against us that is uninsured or under-insured
could harm our business, financial condition, and results of operations.
Our
use, disclosure, and other processing of personally identifiable information, including health information, is subject to federal, state,
and foreign privacy and security regulations, and our failure to comply with those regulations or to adequately secure the information
we hold could result in significant liability or reputational harm and, in turn, a material adverse effect on our customers, providers,
and revenue.
Numerous
state and federal laws and regulations govern the collection, dissemination, use, privacy, confidentiality, security, availability, integrity,
and other processing of health information and other types of personal data or personally identifiable information (“PII”).
In particular:
HIPAA
Congress
enacted The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) as part of a broad health care reform effort.
Among other things, HIPAA established a program administered jointly by the Secretary of HHS and the United States Attorney General designed
to coordinate federal, state and local law enforcement programs to control fraud and abuse in connection with the federal health care
programs. In addition, Congress greatly increased funding for health care fraud enforcement activity, enabling the OIG to substantially
expand its investigative staff and authorizing the Federal Bureau of Investigation to quadruple the number of agents assigned to health
care fraud. The result has been a dramatic increase in the number of civil, criminal and administrative prosecutions for alleged violations
of the laws relating to payment under the federal health care programs, including the Anti-Kickback Law and the False Claims Act. This
expanded enforcement activity, together with the whistleblower provisions of the False Claims Act, has significantly increased the likelihood
that health care providers, including LifeMD and its affiliates, could face inquiries or investigations concerning compliance with the
many laws governing claims for payment and cost reporting under the federal health care programs.
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In
addition to the expanded enforcement activity noted above, the “Administrative Simplification” provisions of HIPAA mandate
the use of uniform standard electronic formats for certain administrative and financial health care transactions, the adoption of minimum
security standards for individually identifiable health information maintained or transmitted electronically, and compliance with privacy
standards adopted to protect the confidentiality of personal health information. The Administrative Simplification provisions apply to
health care providers, health plans, and health care clearinghouses, and their agents and subcontractors referred to as Business Associates
(collectively “Covered Entities”). Use and disclosure of certain broadly defined protected health information is prohibited
unless expressly permitted under the provisions of HIPAA and related regulations or authorized by the patient. HIPAA’s privacy
and security provisions extend not only to patient medical records but also to a wide variety of health care clinical and financial settings
where patient privacy restrictions often impose new communication, operational accounting and billing restrictions. These restrictions
add costs and create potentially unanticipated sources of legal liability.
On
January 25, 2013, HHS issued comprehensive modifications to the existing HIPAA regulations to implement the requirements of the HITECH
Act (see below for more on the HITECH Act), commonly known as the “HIPAA Omnibus Rule.” The HIPAA Omnibus Rule became effective
on March 26, 2013, and covered entities were required to be in compliance by September 23, 2013 (though certain requirements have a longer
timeframe), Key aspects of the HIPAA Omnibus Rule include but are not limited to: (i) a new standard for what constitutes a breach of
protected health information, (ii) establishing four levels of culpability with respect to civil monetary penalties assessed for HIPAA
violations, (iii) direct liability of business associates for certain violations of HIPAA, (iv) modifications to the rules governing
research, (v) stricter requirements regarding non-exempt marketing practices, (vi) modification and re-distribution of notices of privacy
practices, and (vii) stricter requirements regarding the protection of genetic information.
OCR
has substantially increased enforcement of HIPAA compliance in recent years. This includes, but is not limited to, a steady increase
in the number of settlements with substantial financial penalties with governmental authorities as a result of breaches. If OCR conducts
an investigation (whether as a result of an audit or reporting of such a breach), OCR could impose significant fines and penalties and
could also require LifeMD and its affiliates to enter into a corrective action plan. There are also costs and risks associated with vendors
and contractors and it is possible that LifeMD and its affiliates could be responsible for HIPAA violations or breaches of their vendors
and contractors. In addition, as data breaches continue to have greater exposure both inside and outside of the health care industry,
and awareness of such breaches continues, private litigation is expected to increase. As a result, no assurances can be given that LifeMD
and its affiliates will not be faced with potential private litigation in the event of a data breach.
HITECH
Act
The
American Recovery and Reinvestment Act of 2009 (“ARRA”), which includes the Health Information Technology for Economic and
Clinical Health Act (“HITECH Act”), appropriated approximately $20 billion for the development and implementation of health
information technology (“HIT”) standards and the adoption of electronic health care records. The HIT infrastructure is intended
to improve health care quality, reduce health care costs and facilitate access to necessary information. Among other things, the HITECH
Act provides financial incentives (through the Medicaid and Medicare programs) as well as loans and grants to encourage practitioners
and providers to engage in “meaningful use” of electronic health record (“EHR”) technology. Health care providers
demonstrate their meaningful use of EHR technology by meeting objectives specified by CMS for using HIT and by reporting on specified
clinical quality measures. Medicare payments are significantly reduced for physicians who have not satisfied the performance and reporting
criteria for demonstrating meaningful use.
ARRA
also significantly expanded the HIPAA privacy and security provisions applicable to Covered Entities and their business associates. The
law provides that individuals be notified when there is a breach of their unsecured electronic personal health information, increases
civil monetary and criminal penalties for HIPAA violations, and authorizes the state attorneys general to enforce its provisions. Each
Covered Entity must report any breach involving over 500 individuals in a state to HHS and the local media. All other breaches must be
reported annually to HHS. The financial costs of continuing compliance with HIPAA and the Administrative Simplification regulations are
substantial and will increase as a result of the ARRA amendments. The HITECH Act also limits a Covered Entity’s discretion in determining
what health care information about a person may be properly disclosed under the HIPAA privacy regulations.
In
addition, numerous other federal, state, and foreign laws and regulations protect the confidentiality, privacy, availability, integrity
and security of health information and other types of PII, including without limitation the California Confidentiality of Medical Information
Act and Washington State’s MHMDA. These laws and regulations in many cases are more restrictive than, and may not be preempted
by, HIPAA and its implementing rules. These laws and regulations are often uncertain, contradictory, and subject to changed or differing
interpretations, and we expect new laws, rules and regulations regarding privacy, data protection, and information security to be proposed
and enacted in the future. This complex, dynamic legal landscape regarding privacy, data protection, and information security creates
significant compliance issues for us, the LifeMD PC and the providers and potentially exposes us to additional expense, adverse publicity,
and liability. While we have implemented data privacy and security measures in an effort to comply with applicable laws and regulations
relating to privacy and data protection, some health information and other PII or confidential information is transmitted to us by third
parties, who may not implement adequate security and privacy measures, and it is possible that laws, rules, and regulations relating
to privacy, data protection, or information security may be interpreted and applied in a manner that is inconsistent with our practices
or those of third parties who transmit health information and other PII or confidential information to us. If we or these third parties
are found to have violated such laws, rules or regulations, it could result in government-imposed fines, orders requiring that we or
these third parties change our or their practices, or criminal charges, which could adversely affect our business. Complying with these
various laws and regulations could cause us to incur substantial costs or require us to change our business practices, systems, and compliance
procedures in a manner adverse to our business.
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We
also publish statements to our customers through our privacy policy consent to telehealth, and terms and conditions, that describe how
we handle health information or other PII. If federal or state regulatory authorities or private litigants consider any portion of these
statements to be untrue, we may be subject to claims of deceptive practices. Similarly, the failure to adequately secure personal information
may be deemed an unfair trade practice under state and federal consumer protection laws and may violate consumer privacy laws. In each
case, violations of these laws could lead to significant liabilities and consequences, including, without limitation, costs of responding
to investigations, defending against litigation, settling claims, and complying with regulatory or court orders. Any of the foregoing
consequences could seriously harm our business and our financial results. Furthermore, the costs of compliance with, and other burdens
imposed by, the laws, regulations and policies that are applicable to us may limit customers’ use and adoption of, and reduce the
overall demand for, our platform. Any of the foregoing consequences could have a material adverse impact on our business and our financial
results.
Public
scrutiny of internet privacy and security issues may result in increased regulation and different industry standards, which could deter
or prevent us from providing services to our customers, thereby harming our business.
The
regulatory framework for privacy and security issues worldwide is evolving and is likely to remain in flux for the foreseeable future.
Various government and consumer agencies have also called for new regulation and changes in industry practices and multiple U.S. states
have passed comprehensive consumer privacy laws and consumer health privacy laws over the last three years. Practices regarding the registration,
collection, processing, storage, sharing, disclosure, use, and security of personal and other information by companies offering an online
service like our platform have recently come under increased public and regulatory scrutiny.
For
example, the CCPA and nineteen other state consumer privacy laws require, among other things, covered companies to provide certain disclosures
to consumers and afford such consumers new abilities to opt-out or sharing of personal information and limit the use of sensitive information,
including health information. Similar legislation has been proposed or adopted in other states. Furthermore, state consumer health data
privacy laws including Washington State’s MHMDA creates new data processing requirements specifically for consumer health data
that is not subject to HIPAA, limiting how organizations may use a wide range of consumers’ health-related data, and requiring
changes to how impacted organizations obtain consent and authorization to collect, process, and share such information. Aspects of the
CCPA, the MHMDA, other comprehensive privacy laws, consumer health data privacy laws, and regulations, as well as their enforcement,
remain unclear, and we may be required to modify our internal compliance and data-use practices in an effort to comply with them.
Our
business, including our ability to operate and to expand internationally, could be adversely affected if legislation or regulations are
adopted, interpreted, or implemented in a manner that is inconsistent with our current business practices and that require changes to
these practices, the design of our websites, mobile applications, solutions, features, or our privacy policies. In particular, the success
of our business has been, and we expect will continue to be, driven by our ability to responsibly gather and use data from data subjects.
Therefore, our business could be harmed by any significant change to applicable laws, regulations, or industry standards or practices
regarding the storage, use, or disclosure of data our customers or providers share with us, or regarding the manner in which the express
or implied consent of customers or providers for such collection, analysis, and disclosure is obtained. Such changes may require us to
modify our platform, possibly in a material manner, and may limit our ability to develop new offerings, functionality, or features.
Our
use of AI systems may be subject to emerging AI laws and regulations, and our failure to comply with those laws and regulations could
result in significant liability or reputational harm and, in turn, a material adverse effect on our customers, providers, and revenue.
The
regulatory framework for AI is evolving and is likely to remain in flux for the foreseeable future. In the last year, various government
and consumer agencies have called for new regulation and changes in industry practices, while Colorado and other states have passed or
are considering laws applicable to the development or use of AI systems. The development and adoption of these new laws may create significant
compliance burdens or inhibit our ability to develop products and services that incorporate AI or do so in a cost-effective manner. Our
business, including our ability to operate and to expand internationally, could be adversely affected if AI laws or regulations are adopted,
interpreted, or implemented in a manner that is inconsistent with our current business practices and that require changes to these practices,
the design of our websites, mobile applications, solutions, or other features. Our use of AI may also result in a risk of investigations
or fines relating to noncompliance with these laws or require us to modify our solution or require us to stop offering certain features,
all of which could negatively impact our acquisition of customers and revenue growth.
Additionally,
public perception around the use of AI and AI enabled products and services remains highly volatile. Negative perception or a lack of
adoption of our AI-enabled products or services may impair our ability to capitalize on our investments in AI, require us to modify our
platform in a way that limits our ability to expand our platform or do so in a cost-effective manner, or otherwise impair our reputation
and future business prospects.
26
Risks
Related to Intellectual Property and Litigation
Failure
to protect or enforce our intellectual property rights could harm our business and results of operations.
Our
intellectual property includes a combination of patent, copyright, service mark, trademark, and trade secret laws, as well as confidentiality
procedures and contractual restrictions, to establish and protect our proprietary rights, all of which provide only limited protection.
We cannot assure you that any patents will issue with respect to any currently pending patent applications, in a manner that gives us
the protection that we seek, if at all, or that any future patents issued to us will not be challenged, invalidated, or circumvented.
Our currently issued patents and any patents that we may issue in the future, with respect to pending or future patent applications,
may not provide sufficient broad protection or they may not prove to be enforceable in actions against alleged infringers. Also, we cannot
assure you that any future service mark registrations will be issued with respect to pending or future applications or that any registered
service marks will be enforceable or provide adequate protection of our proprietary rights.
In
addition, from time to time we make our technology and other intellectual property available to others under license agreements, including
open source license agreements and trademark licenses under agreements with our partners for the purpose of co-branding or co-marketing
our products or services. We endeavor to enter into agreements with our employees and contractors and agreements with parties with whom
we do business in order to limit access to and disclosure of our proprietary information. We cannot be certain that the steps we have
taken will prevent unauthorized use of our technology or the reverse engineering of our technology. Moreover, others may independently
develop technologies that are competitive to ours or infringe our intellectual property.
We
strive to protect our intellectual property rights by relying on federal, state, and common law rights and other rights provided under
foreign laws. These laws are subject to change at any time and could further restrict our ability to protect or enforce our intellectual
property rights. In addition, the existing laws of certain foreign countries in which we operate may not protect our intellectual property
rights to the same extent as do the laws of the U.S. The enforcement of our intellectual property rights also depends on our legal actions
against these infringers being successful, but we cannot be sure these actions will be successful, even when our rights have been infringed.
Furthermore, effective patent, trademark, service mark, copyright, and trade secret protection may not be available in every country
in which our services are available over the Internet. We may, over time, increase our investment in protecting innovations through investments
in filings, registrations, or similar steps to protect our intellectual property, and these processes are expensive and time-consuming.
We
may be in the future subject to claims that we violated intellectual property rights of others, which are extremely costly to defend
and could require us to pay significant damages and limit our ability to operate.
Companies
in our industry, and other intellectual property rights holders seeking to profit from royalties in connection with grants of licenses,
own large numbers of patents, copyrights, trademarks, and trade secrets and frequently enter into litigation based on allegations of
infringement or other violations of intellectual property rights. Our future success depends in part on not infringing upon the intellectual
property rights of others. We have in the past and may in the future receive notices that claim we have misappropriated, infringed, or
otherwise misused other parties’ intellectual property rights. We may be unaware of the intellectual property rights of others
that may cover some or all of our technology. Because patent applications can take years to issue and are often afforded confidentiality
for some period of time, there may currently be pending applications, unknown to us, that later result in issued patents that could cover
our technology.
Any
intellectual property claim against us or parties indemnified by us, regardless of merit, could be time consuming and expensive to settle
or litigate and could divert our management’s attention and other resources. These claims also could subject us to significant
liability for damages and could result in our having to stop using technology, content, branding, or business methods found to be in
violation of another party’s rights. We might be required or may opt to seek a license for rights to intellectual property held
by others, which may not be available on commercially reasonable terms, or at all. Even if a license is available, we could be required
to pay significant royalties, which would increase our operating expenses. We may also be required to develop alternative non-infringing
technology, content, branding or business methods, which could require significant effort and expense, be infeasible, or make us less
competitive in the market. Such disputes could also disrupt our business, which would adversely impact our customer satisfaction and
ability to attract customers. Some of our competitors may be able to sustain the costs of complex patent litigation more effectively
than we can because they have substantially greater resources. If we cannot license or develop technology, content, branding, or business
methods for any allegedly infringing aspect of our business, we may be unable to compete effectively. Additionally, we may be obligated
to indemnify our customers in connection with litigation and to obtain licenses or refund subscription fees, which could further exhaust
our resources. In the case of infringement or misappropriation caused by technology that we obtain from third parties, any indemnification
or other contractual protections we obtain from such third parties, if any, may be insufficient to cover the liabilities we incur as
a result of such infringement or misappropriation. Any of these results could harm our results of operations.
We
are subject to legal proceedings and litigation, including intellectual property disputes, which are costly to defend and could materially
harm our business and results of operations.
From
time to time, we are party to lawsuits and legal proceedings in the normal course of business. These matters are often expensive and
disruptive to normal business operations. We may face allegations, lawsuits, and regulatory inquiries, audits, and investigations regarding
data privacy, security, labor and employment, consumer protection, practice of medicine, and intellectual property infringement, including
claims related to privacy, patents, publicity, trademarks, copyrights, and other rights. A portion of the technologies we use incorporates
open source software, and we may face claims claiming ownership of open source software or patents related to that software, rights to
our intellectual property or breach of open source license terms, including a demand to release material portions of our source code
or otherwise seeking to enforce the terms of the applicable open source license. We may also face allegations or litigation related to
our acquisitions, securities issuances, or business practices, including public disclosures about our business. Litigation and regulatory
proceedings, and particularly the healthcare regulatory and class action matters we could face, may be protracted and expensive, and
the results are difficult to predict. Certain of these matters may include speculative claims for substantial or indeterminate amounts
of damages and include claims for injunctive relief. Additionally, our litigation costs could be significant. Adverse outcomes with respect
to litigation or any of these legal proceedings may result in significant settlement costs or judgments, penalties and fines, or require
us to modify our solution or require us to stop offering certain features, all of which could negatively impact our acquisition of customers
and revenue growth. We may also become subject to periodic audits, which could likely increase our regulatory compliance costs and may
require us to change our business practices, which could negatively impact our revenue growth. Managing legal proceedings, litigation
and audits, even if we achieve favorable outcomes, is time-consuming and diverts management’s attention from our business.
27
The
results of regulatory proceedings, litigation, claims, and audits cannot be predicted with certainty, and determining reserves for pending
litigation and other legal, regulatory, and audit matters requires significant judgment. There can be no assurance that our expectations
will prove correct, and even if these matters are resolved in our favor or without significant cash settlements, these matters, and the
time and resources necessary to litigate or resolve them, could harm our reputation, business, financial condition and results of operations.
If
we incur product liability claims, such claims could increase our costs; adversely affect our reputation, business, and results of operations;
and we may not be able to maintain or obtain insurance.
Our
business involves LifeMD PC’s medical providers performing medical consultations and, if warranted, prescribing medication to our
customers. This activity, as well as the sale of other products on our platform, exposes us to the risk of negligence and product liability
claims.
Some
of our products are designed for human consumption and use, and we face liability claims if the use of our products is alleged to have
resulted in injury or death claims that may be made by customers, third-party service providers, or manufacturers of products and services
we make available. To date, we have not (i) conducted any product recalls, (ii) received any product liability claims from third parties,
or (iii) received any reports from an end consumer of any adverse effect resulting from our products. A product recall or liability claim
against us could result in increased costs and could adversely affect our reputation with our customers, which, in turn, could have an
adverse effect on our business, financial condition, and results of operations. While we do maintain product liability insurance coverage,
this insurance is subject to deductibles and coverage limitations, and we cannot be sure that we will be able to maintain insurance coverage
at acceptable costs or in a sufficient amount, that our insurer will not disclaim coverage as to a future claim or that a product liability
claim would not otherwise adversely affect our business, financial condition and results of operations. The cost of any product liability
litigation or other proceeding, even if resolved in our favor, could be substantial, could divert management attention, and may result
in adverse publicity or result in reduced acceptance of our platform and offerings. These liabilities could prevent or interfere with
our growth and expansion efforts. Uncertainties resulting from the initiation and continuation of product liability litigation or other
proceedings could have an adverse effect on our ability to compete in the marketplace.
We
rely on data center providers, Internet infrastructure, bandwidth providers, third-party computer hardware and software, other third
parties and our own systems for providing services to our customers and vendors, and any failure or interruption in the services provided
by these third parties or our own systems could expose us to litigation and negatively impact our relationships with customers, adversely
affecting our brand and our business.
While
we control and have access to our servers, we do not control the operation of these facilities. The cloud vendor and the owners of our
data center facilities have no obligation to renew their agreements with us on commercially reasonable terms, or at all. If we are unable
to renew these agreements on commercially reasonable terms, or if one of our cloud vendors or data center operators is acquired, we may
be required to transfer our servers and other infrastructure to a new vendor or a new data center facility, and we may incur significant
costs and possible service interruption in connection with doing so. Problems faced by our cloud vendors or third-party data center locations
with the telecommunications network providers with whom we or they contract or with the systems by which our telecommunications providers
allocate capacity among their customers, including us, could adversely affect the experience of our customers. Our cloud vendors or third-party
data center operators could decide to close their facilities without adequate notice. In addition, any financial difficulties, such as
bankruptcy faced by our cloud vendors or third-party data centers operators or any of the service providers with whom we or they contract
may have negative effects on our business, the nature and extent of which are difficult to predict.
Additionally,
if our cloud or data centers vendors are unable to keep up with our growing needs for capacity, this could have an adverse effect on
our business. For example, a rapid expansion of our business could affect the service levels at our cloud vendors or data centers or
cause such cloud systems or data centers and systems to fail. Any changes in third-party service levels at our cloud vendors or data
centers or any disruptions or other performance problems with our solution could adversely affect our reputation and may damage our customers’
stored files or result in lengthy interruptions in our services. Interruptions in our services may reduce our revenue, cause us to issue
refunds to customers for prepaid and unused subscriptions, subject us to potential liability, or adversely affect client renewal rates.
In
addition, our ability to deliver our Internet-based services depends on the development and maintenance of the infrastructure of the
Internet by third parties. This includes maintenance of a reliable network backbone with the necessary speed, data capacity, bandwidth
capacity, and security. Our services are designed to operate without interruption in accordance with our service level commitments. However,
we have experienced and expect that we may experience future interruptions and delays in services and availability from time to time.
In the event of a catastrophic event with respect to one or more of our systems, we may experience an extended period of system unavailability,
which could negatively impact our relationship with customers.
28
We
exercise limited control over third-party vendors, which increases our vulnerability to problems with technology and information services
they provide. Interruptions in our network access and services may in connection with third-party technology and information services
reduce our revenue, cause us to issue refunds to customers for prepaid and unused subscription services, subject us to potential liability,
or adversely affect client renewal rates. Although we maintain a security and privacy damages insurance policy, the coverage under our
policies may not be adequate to compensate us for all losses that may occur related to the services provided by our third-party vendors.
In addition, we may not be able to continue to obtain adequate insurance coverage at an acceptable cost, if at all.
Risks
Related to Our Financial Reporting, Results of Operations and Capital Requirements
Our
results of operations, as well as our key metrics, may fluctuate on a quarterly and annual basis, which may result in us failing to meet
the expectations of industry and securities analysts or our investors.
Our
results of operations have in the past and could in the future vary significantly from quarter-to-quarter and year-to-year and may fail
to match the expectations of securities analysts because of a variety of factors, many of which are outside of our control and, as a
result, should not be relied upon as an indicator of future performance. As a result, we may not be able to accurately forecast our results
of operations and growth rate. Any of these events, and risk factors discussed in this annual report, could cause the market price of
our common stock to fluctuate.
The
impact of one or more of the foregoing and other factors may cause our results of operations to vary significantly. As such, we believe
that quarter-to-quarter comparisons of our results of operations may not be meaningful and should not be relied upon as an indication
of future performance.
Our
substantial leverage could adversely affect our ability to raise additional capital to fund our operations, limit our ability to react
to changes in the economy or our industry, expose us to interest rate risk to the extent of our variable rate debt and prevent us from
meeting our obligations.
As
of December 31, 2024, the Company had total liabilities of $76.5 million. As of December 31, 2024, we had availability of $53.3 million
under the ATM Sales Agreement (as defined below) and $150 million available under the 2024 Shelf (as defined below), after giving effect
to letters of credit and borrowing base limitations. We and our subsidiaries have the ability to incur additional indebtedness in the
future, subject to the restrictions contained in our credit facilities and the indentures governing our outstanding notes. If new indebtedness
is added to our current debt levels, interest rates and the related risks that we now face could intensify. Our ability to make scheduled
payments on or to refinance our debt obligations depends on our financial condition and operating performance, which are subject to prevailing
economic and competitive conditions, and to certain financial, business and other factors beyond our control. We cannot assure you we
will maintain a level of cash flows from operating activities sufficient to permit us to pay the principal, premium, if any, and interest
on our indebtedness.
We
have identified material weaknesses in our internal control over financial reporting.
The
Sarbanes-Oxley Act requires, among other things, that we maintain effective internal control over financial reporting and effective disclosure
controls and procedures. In particular, under Section 404 of the Sarbanes-Oxley Act, we are required to perform system and process evaluation
and testing on the effectiveness of our internal control over financial reporting, and our independent registered public accounting firm
is required to report on the effectiveness of our internal control over financial reporting. In performing this evaluation and testing,
both our management and our independent registered public accounting firm concluded that our internal control over financial reporting
is not effective as of December 31, 2024 because of material weaknesses and our independent registered public accounting firm expressed
an adverse opinion on the effectiveness of our internal control over financial reporting as of December 31, 2024. See Part II, Item 9A.,
“Controls and Procedures”. We are, however, addressing this issue and remediating our material weaknesses. Correcting this
issue, and thereafter our continued compliance with Section 404 will require that we incur substantial accounting expense and expend
significant management efforts. Moreover, if we are not able to correct our internal control issues and comply with the requirements
of Section 404 in a timely manner, or if we or our independent registered public accounting firm continues to identify deficiencies in
our internal controls over financial reporting that are deemed to be material weaknesses, the market price of our stock could decline,
and we could be subject to sanctions or investigations by the SEC or other regulatory authorities, which would require additional financial
and management resources. It could adversely affect our ability to report our financial condition and results of operations in a timely
and accurate manner, which could negatively affect investor confidence in our company, and, as a result, the value of our common stock
could be adversely affected.
29
Risks
Related to Investments in our Securities
There
can be no assurance that we can continue to pay dividends on our preferred stock. We currently do not intend to pay dividends on our
common stock. As a result, your only opportunity to achieve a return on your investment is if the price of our common stock appreciates.
The
declaration, amount and timing of dividends on our securities are subject to capital availability and determinations by our Board of
Directors that cash dividends are in the best interest of our stockholders and are in compliance with all respective laws and our agreements
applicable to the declaration and payment of cash dividends. Our ability to pay dividends will depend upon, among other factors, our
cash flows from operations, our available capital and potential future capital requirements for strategic transactions, including acquisitions,
debt service requirements, share repurchases and investing in our existing markets as well as our results of operations, financial condition
and other factors beyond our control that our Board of Directors may deem relevant. A reduction in or suspension or elimination of our
dividend payments could have a negative effect on our stock price.
We
pay cumulative cash dividends on the Series A Preferred Stock, when and as declared by our Board of Directors. If we do not pay dividends
on any outstanding shares of Series A Preferred Stock for six or more quarterly dividend periods (whether or not declared or consecutive),
holders of Series A Preferred Stock will be entitled to elect two additional directors to our Board of Directors to serve until all unpaid
dividends have been fully paid or declared and set apart for payment. We currently do not expect to declare or pay dividends on our common
stock. In addition, in the future we may enter into agreements that prohibit or restrict our ability to declare or pay dividends on our
common stock. As a result, your only opportunity to achieve a return on your investment will be if the market price of our common stock
appreciates and you sell your shares at a profit.
Your
ownership interest may be diluted by the future issuance of additional shares of our common stock or preferred stock.
We
are in a capital intensive business and we may not have sufficient funds to finance the growth of our business or to support our projected
capital expenditures. As a result, we will require additional funds from future equity or debt financings, including sales of preferred
shares or convertible debt, to complete the development of new projects and pay the general and administrative costs of our business.
We may in the future issue our previously authorized and unissued securities, resulting in the dilution of the ownership interests of
holders of our common stock and preferred stock. We are currently authorized to issue 100,000,000 shares of common stock and 5,000,000
shares of preferred stock. Additionally, the Board of Directors may subsequently approve increases in authorized common stock and preferred
stock. The potential issuance of such additional shares of common or preferred stock or convertible debt may create downward pressure
on the trading price of our already outstanding common stock and preferred stock. We may also issue additional shares of common stock
or other securities that are convertible into or exercisable for common stock in future public offerings or private placements for capital
raising purposes or for other business purposes. The future issuance of a substantial number of common shares or preferred shares, or
the perception that such issuance could occur, could adversely affect the prevailing market price of our already outstanding common stock
and preferred stock. A decline in the price of our common shares or preferred shares could make it more difficult to raise funds through
future offerings of our preferred shares, common shares or securities convertible into common shares.
We
have significant numbers of warrants and stock options outstanding, and incentive awards outstanding under our Third Amended and Restated
2020 Equity and Incentive Plan. To the extent that any of the outstanding warrants and options described above are exercised, dilution,
to the interests of our stockholders may occur. For the life of such warrants and options, the holders will have the opportunity to profit
from a rise in the price of the common stock with a resulting dilution in the interest of the other holders of common stock. The existence
of such warrants and options may adversely affect the market price of our common stock and the terms on which we can obtain additional
financing, and the holders of such warrants and options can be expected to exercise them at a time when we would, in all likelihood,
be able to obtain additional capital by an offering of our unissued capital stock on terms more favorable to us than those provided by
such warrants and options.
ITEM
1B. UNRESOLVED STAFF COMMENTS
None.
ITEM
1C. CYBERSECURITY
In
the ordinary course of our business, we receive, process, use, store, and share digitally large amounts of data, including user data
as well as confidential, sensitive, proprietary, and personal information. Maintaining the integrity and availability of our information
technology systems and this information, as well as appropriate limitations on access and confidentiality of such information, is important
to our operations and business strategy. To this end, we have implemented a program designed to assess, identify, and manage risks from
potential unauthorized occurrences on or through our information technology systems that may result in adverse effects on the confidentiality,
integrity, and availability of these systems and the data residing in them.
The
program is managed and monitored by a dedicated security team, which is led by our Vice President of Information Security and includes
mechanisms, controls, technologies, systems, policies and other processes designed to prevent or mitigate data loss, theft, misuse, or
other security incidents or vulnerabilities affecting the systems and data residing in them. Cybersecurity incidents are escalated to
management when they meet pre-defined severity and impact criteria and to the Board of Directors for major events. Mitigation and remediation
are monitored by tracking progress, providing regular updates, and measuring key metrics. The Company continues to formalize its cybersecurity
policies and procedures.
30
Our
Vice President of Information Security, who reports directly to the Chief Technology Officer and has over 20 years of experience working
in information technology and information security, including more than two years at the Company, together with our Compliance Team,
are responsible for assessing and managing cybersecurity risks. We consider cybersecurity, along with other significant risks that we
face, within our overall enterprise risk management framework. In the last fiscal year, we have not identified any prior cybersecurity
incidents that have materially affected us or is reasonably likely to do so, but we face certain ongoing risks from cybersecurity threats
that, if realized, are reasonably likely to materially affect us. Additional information on cybersecurity risks we face is discussed
in Part I, Item 1A, “Risk Factors,” under the heading “Risks Related to Our Business and Industry.”
The
Board of Directors has oversight for the most significant risks facing us and for our processes to identify, prioritize, assess, manage,
and mitigate those risks. The Board of Directors receives regular updates on cybersecurity and information technology matters and related
risk exposures from members of the senior leadership team .
ITEM
2. PROPERTIES
The
Company leases office space domestically under operating leases including: (1) the Company’s headquarters in New York, New York
for which the lease expires in 2028, (2) a marketing and sales center in Huntington Beach, California for which the lease expires in
2027, (3) a patient care center in Greenville, South Carolina for which the lease expires in 2031, with an additional five year option
to extend, for which the Company expects to utilize, (4) warehouse and fulfillment centers in Columbia, Pennsylvania and Lancaster, Pennsylvania
for which the leases expired in 2024 and (5) a warehouse and pharmacy operations center in Lancaster, Pennsylvania for which the lease
expires in 2029, with an additional five year option to extend, for which the Company expects to utilize. WorkSimpli leases two office
spaces in Puerto Rico for which the leases expire in 2026.
Leased
premises range from approximately 1,000 to 23,000 square feet with monthly rents ranging from approximately $1,800 per month to approximately
$60,000 per month.
We
believe that our existing facilities are adequate for current and presently foreseeable operations. In general, our properties are well
maintained and are being utilized for their intended purposes. Additional space may be required as we expand our business activities.
We do not foresee any significant difficulties in obtaining additional facilities if deemed necessary.
ITEM
3. LEGAL PROCEEDINGS
We
may become involved in various lawsuits and legal proceedings arising in the ordinary course of business. Litigation is subject to inherent
uncertainties and an adverse result in these or other matters may arise from time to time that may have an adverse effect on our business,
financial conditions or operating results. Future litigation may be necessary to defend ourselves and our customers by determining the
scope, enforceability and validity of third-party proprietary rights or to establish our proprietary rights. For additional information
on pending legal proceedings see Note 10—Commitments and Contingencies to our consolidated financial statements included in this
report.
ITEM
4. MINE SAFETY DISCLOSURES
Not
applicable.
31
PART
II
ITEM
5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS, AND ISSUER PURCHASES OF EQUITY SECURITIES
Market
Information
The
common shares of LifeMD are traded on the Nasdaq Global Market under the symbol to “LFMD”.
Approximate
Number of Equity Security Holders
As
of March 7, 2025, there were approximately 300 holders of record of our common stock, and the last reported sale price of our common
stock on the Nasdaq Global Market on March 10, 2025 was $4.27. A significant number of shares of our common stock are held in either
nominee name or street name brokerage accounts, and consequently, we are unable to determine the total number of beneficial owners of
our stock.
Dividend
Policy
We
have not paid and do not expect to declare or pay any cash dividends on our common stock in the foreseeable future. We currently expect
to retain all future earnings for use in the operation and expansion of our business. The declaration and payment of any cash dividends
in the future will be determined by our Board of Directors, in its discretion, and will depend on a number of factors, including our
earnings, capital requirements, overall financial condition, and contractual restrictions, if any.
Recent
Sales of Unregistered Securities
Other
than any sales that were already disclosed under a Current Report on Form 8-K or a Quarterly report on Form 10-Q during the year ended
December 31, 2024, there have been no sales of unregistered securities by the Company as of such date.
ITEM
6. RESERVED
ITEM
7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The
following Management’s Discussion and Analysis of Financial Condition and Results of Operations is intended to provide information
necessary to understand our audited consolidated financial statements for the period ended December 31, 2024 and highlight certain other
information which, in the opinion of management, will enhance a reader’s understanding of our financial condition, changes in financial
condition and results of operations. In particular, the discussion is intended to provide an analysis of significant trends and material
changes in our financial position and the operating results of our business during the fiscal year ended December 31, 2024, as compared
to the fiscal year ended December 31, 2023. This discussion should be read in conjunction with our consolidated financial statements
for the two-year period ended December 31, 2024 and related notes included elsewhere in this Annual Report on Form 10-K. These historical
financial statements may not be indicative of our future performance. This Management’s Discussion and Analysis of Financial Condition
and Results of Operations contains numerous forward-looking statements, all of which are based on our current expectations and could
be affected by the uncertainties and risks described throughout this filing, particularly in “Item 1A. Risk Factors.”
Overview
LifeMD,
Inc. is a direct-to-patient telehealth company with a portfolio of health and wellness brands. Our subscriptions and products are marketed
and sold directly to consumers through advertisements on Facebook, Google, Amazon, and other social media and e-commerce platforms. Secondarily,
we also sell our products through third party partner channels. We market branded and generic prescription drugs that are then sold and
shipped online directly to consumers in all 50 states and the District of Columbia and Puerto Rico. We have also established a 50-state
medical group that provides virtual consultations to our patients. Since inception, we have treated approximately 1,118,000 customers
and patients nationwide. We operate our business using a proprietary telehealth technology platform that facilitates a compliant relationship
between the patient, provider, us and pharmacy.
Our
portfolio of brands are included within two operating segments: Telehealth and WorkSimpli. We believe our current segments and brands
within our segments complement one another and position us well for future growth.
32
Developments
in 2024
Key
developments in our business during 2024 are described below:
Vertically
Integrated Pharmacy
In November 2024, we announced the opening of a state-of-the-art wholly-owned
affiliated commercial pharmacy, marking an important milestone in creating a fully integrated, end-to-end telehealth platform. This 22,500-square-foot
facility, located in Lancaster, PA and designed to fill up to 5,000 daily prescriptions, allows us to offer patients a more cohesive care
journey for relevant conditions from initial consultation to prescription fulfillment within a single integrated ecosystem. The launch
of the LifeMD Pharmacy enhances the Company’s vertically integrated telehealth platform, which now includes a proprietary virtual-first
care technology platform, a 50-state affiliated medical group, a U.S.-based patient care center, and a vertically integrated pharmacy.
Activity through the LifeMD Pharmacy was immaterial for the year ended December 31, 2024.
Commercial
Health Insurance
In
June 2024, the Company launched the acceptance of private health insurance for its virtual primary care services, including weight management
for medically qualified patients. Initially available in select states, the Company plans to continue enrollments with private payors
to facilitate access to medically necessary services, ultimately having broad coverage options across all 50 states. As part of its early
2025 roadmap, the Company expects to begin accepting Medicare.
Regulatory
Landscape
The
Food and Drug Administration (“FDA”) potential restrictions on compounding of GLP-1s, including removal of tirzepatide (marketed
as Mounjaro® and Zepbound®) and/or semaglutide (marketed as Ozempic® and Wegovy®) from the drug shortage list, have
the potential to disrupt patient treatment continuity, by limiting our ability to provide personalized treatment plans that meet individual
patient needs, and could adversely impact our financial results. For additional discussion of the regulatory landscape applicable to GLP-1s,
see “Government Regulation” under Part I, Item 1. “Description of Business”.
33
Results
of Operations
Comparison
of the Year Ended December 31, 2024 to the Year Ended December 31, 2023
Our
financial results for the year ended December 31, 2024 are summarized as follows in comparison to the year ended December 31, 2023:
December 31, 2024
December 31, 2023
$
% of Sales
$
% of Sales
Telehealth revenue, net
$ 158,438,631
74.58 %
$ 98,152,919
64.34 %
WorkSimpli revenue, net
54,015,207
25.42 %
54,394,087
35.66 %
Total revenue, net
212,453,838
100.00 %
152,547,006
100.00 %
Cost of telehealth revenue
21,440,799
10.09 %
17,480,533
11.46 %
Cost of WorkSimpli revenue
2,627,680
1.24 %
1,419,931
0.93 %
Total cost of revenue
24,068,479
11.33 %
18,900,464
12.39 %
Gross profit
188,385,359
88.67 %
133,646,542
87.61 %
Selling and marketing expenses
103,020,025
48.49 %
76,451,466
50.12 %
General and administrative expenses
72,662,021
34.20 %
51,694,232
33.89 %
Customer service expenses
10,217,654
4.81 %
7,632,283
5.00 %
Development costs
9,512,308
4.48 %
6,060,513
3.97 %
Other operating expenses
9,118,032
4.29 %
6,297,321
4.13 %
Total expenses
204,530,040
96.27 %
148,135,815
97.11 %
Operating loss
(16,144,681 )
(7.60 )%
(14,489,273 )
(9.50 )%
Interest expense, net
(2,181,817 )
(1.03 )%
(2,596,586 )
(1.70 )%
Loss on debt extinguishment
-
- %
(325,198 )
(0.21 ))%
Loss from operations before income taxes
(18,326,498 )
(8.63 )%
(17,411,057 )
(11.41 )%
Income tax provision
(402,000 )
(0.19 )%
(428,000 )
(0.28 )%
Net loss
(18,728,498 )
(8.82 )%
(17,839,057 )
(11.69 )%
Net income attributable to non-controlling interest
153,234
0.07 %
2,756,935
1.81 %
Net loss attributable to LifeMD, Inc.
(18,881,732 )
(8.89 )%
(20,595,992 )
(13.50 )%
Preferred stock dividends
(3,106,250 )
(1.46 )%
(3,106,250 )
(2.04 )%
Net loss attributable to common stockholders
$ (21,987,982 )
(10.35 )%
$ (23,702,242 )
(15.54 )%
Total
revenue, net. Revenues for the year ended December 31, 2024 were approximately $212.4 million, an increase of 39% compared to approximately
$152.5 million for the year ended December 31, 2023. The increase in revenues was attributable to the increase in telehealth revenue
of 61% slightly offset by the decrease in WorkSimpli revenue of 1%. Telehealth revenue accounts for 75% of total revenue and has increased
during the year ended December 31, 2024 due to an increase in online sales demand primarily for LifeMD virtual primary care which experienced
an increase in revenue of approximately $65.7 million during the year ended December 31, 2024 compared to the year ended December 31,
2023. WorkSimpli revenue accounts for 25% of total revenue and has decreased year over year due to lower demand.
Total
cost of revenue. Total cost of revenue consists of (1) the cost of telehealth revenues, which primarily include product costs, pharmacy
fulfillment costs, physician consult fees, and shipping costs directly attributable to our prescription and OTC products and (2) the
cost of WorkSimpli revenue consisting primarily of information technology fees related to providing the services made available on our
online platform. Total cost of revenue increased by approximately 27% to approximately $24.1 million for the year ended December 31,
2024 compared to approximately $18.9 million for the year ended December 31, 2023. The combined cost of revenue increase was due to increased
telehealth sales volume during the year ended December 31, 2024 when compared to the year ended December 31, 2023. Telehealth costs decreased
to 14% of associated telehealth revenues during the year ended December 31, 2024, from 18% of associated telehealth revenues during the
year ended December 31, 2023 primarily due to improved pricing. WorkSimpli costs increased to 5% of associated WorkSimpli revenues during
the year ended December 31, 2024, from 3% of associated WorkSimpli revenues during the year ended December 31, 2023.
Gross
profit. Gross profit increased by approximately 41% to approximately $188.4 million for the year ended December 31, 2024 compared to
approximately $133.6 million for the year ended December 31, 2023. Gross profit as a percentage of revenues was 89% for the year ended
December 31, 2024 compared to 88% for the year ended December 31, 2023. Gross profit as a percentage of revenues for telehealth was 86%
for the year ended December 31, 2024 compared to 82% for the year ended December 31, 2023, and for WorkSimpli was 95% for the year ended
December 31, 2024 compared to 97% for the year ended December 31, 2023. The increase in sales volume for LifeMD virtual primary care
and improved pricing have contributed to the increase in gross profit.
Total
expenses. Operating expenses for the year ended December 31, 2024 were approximately $204.5 million, as compared to approximately $148.1
million for the year ended December 31, 2023. This represents an increase of 38%, or $56.4 million. The increase is primarily attributable
to:
(i)
Selling
and marketing expenses: This mainly consists of online marketing and advertising expenses. During the year ended December 31, 2024,
the Company had an increase of approximately $26.6 million, or 35%, in selling and marketing costs resulting from additional sales
and marketing initiatives to drive the current period’s sales growth primarily for LifeMD virtual primary care. This ramp up
is expected to both increase and maintain sustained revenue growth in future years, based on the Company’s recurring revenue
subscription-based sales model.
(ii)
General
and administrative expenses: This category mainly consists of stock-based compensation expense, merchant processing fees, payroll
expenses for corporate employees, taxes and licenses, amortization expense and legal and professional fees. During the year ended
December 31, 2024, the Company had an increase of approximately $21.0 million in general and administrative expenses, primarily related
to increases in compensation costs of $12.2 million, legal and professional fees of $4.9 million and merchant processing fees of
$3.8 million. During the year ended December 31, 2024, stock-based compensation was $12.2 million, with the majority related to stock
compensation expense attributable to restricted stock awards, as compared to stock-based compensation expense of $12.5 million for
the year ended December 31, 2023.
34
(iii)
Customer
service expenses: This consists of rent, insurance, payroll and benefit expenses related to the Company’s patient care center
in South Carolina. During the year ended December 31, 2024, the Company had an increase of approximately $2.6 million, or 34%, primarily
related to increases in infrastructure costs and compensation costs due to increased headcount to support the Company’s growth.
(iv)
Development
costs: This mainly relates to third-party technology services for developing and maintaining our online platforms and information
technology services for our online products. During the year ended December 31, 2024, the Company had an increase of approximately
$3.5 million, or 57%, primarily resulting from technology platform improvements and amortization expenses.
(v)
Other
operating expenses: This consists of rent and lease expense, insurance, office supplies and software subscriptions, royalty expense
and bank charges. During the year ended December 31, 2024, the Company had an increase of approximately $2.8 million, or 45%, primarily
related to increases software subscriptions.
Interest
expense, net. Interest expense, net consists of interest expense on the Avenue Facility and notes payable, partially offset by interest
income on the Company’s cash account balances for the year ended December 31, 2024 and interest expensed related to the Avenue
Facility, notes payable and the Series B Preferred Stock for the year ended December 31, 2023. Interest expense decreased by approximately
$415 thousand during the year ended December 31, 2024 as compared to the year ended December 31, 2023 primarily due to an increase in
interest income on the Company’s cash account balances.
Loss
on debt extinguishment. The Company recorded a $325 thousand loss on debt extinguishment related to the repayment of the CRG Financial
loan during the year ended December 31, 2023 due to a prepayment penalty and various fees associated with the CRG Financial loan.
Working
Capital
December 31, 2024
December 31, 2023
Current assets
$ 48,733,089
$ 42,604,267
Current liabilities
60,255,145
34,781,724
Working capital
$ (11,522,056 )
$ 7,822,543
Working
capital decreased by approximately $19.3 million during the year ended December 31, 2024. The increase in current assets is primarily
attributable to an increase in accounts receivable of approximately $2.9 million, an increase in cash of approximately $1.9 million,
and an increase in other current assets of approximately $1.7 million. Current liabilities increased by approximately $25.5 million,
which was primarily attributable to an increase in accounts payable and accrued expenses of $11.8 million as a result of the Company
extending payables and credit terms with vendors, an increase in the current portion of long-term debt of $8.4 million, and an increase
in deferred revenue of approximately $5.7 million due to increased recurring telehealth subscription revenue.
Liquidity
and Capital Resources
Year Ended December 31,
2024
2023
Net cash provided by operating activities
$ 17,513,190
$ 8,820,232
Net cash used in investing activities
(11,536,318 )
(8,733,284 )
Net cash (used in) provided by financing activities
(4,118,673 )
29,100,820
Net increase in cash
1,858,199
29,187,768
Net
cash provided by operating activities was approximately $17.5 million for the year ended December 31, 2024, as compared with approximately
$8.8 million for the year ended December 31, 2023. Significant factors contributing to net cash provided by operating activities during
the year ended December 31, 2024, include $12.2 million in non-cash stock-based compensation charges, $9.9 million in non-cash depreciation
and amortization, a net increase in accounts payable and accrued expenses of $12.4 million, and an increase in deferred revenue of $5.7
million. These factors were partially offset by the Company’s net loss of $18.7 million for the year ended December 31, 2024. The
significant factors contributing to net cash provided by operating activities during the year ended December 31, 2023, include the decrease
in the Company’s net loss of $27.2 million to $17.8 million for the year ended December 31, 2023, as compared with $45.0 million
for the year ended December 31, 2022. Other significant factors contributing to net cash provided by operating activities during the
year ended December 31, 2023, include $12.5 million in non-cash stock-based compensation charges, $6.9 million in non-cash depreciation
and amortization, a net increase in accounts payable, accrued expenses and other operating activities of $5.1 million, an increase in
deferred revenue of $3.3 million and a $325 thousand loss on debt extinguishment.
Net
cash used in investing activities for the year ended December 31, 2024 was approximately $11.5 million, as compared with $8.7 million
for the year ended December 31, 2023. Net cash used in investing activities for the year ended December 31, 2024 was primarily due to
cash paid for capitalized software costs of approximately $10.0 million, and cash paid for the purchase of equipment of approximately
$1.5 million. Net cash used in investing activities for the year ended December 31, 2023 was primarily due to cash paid for capitalized
software costs of approximately $8.4 million, cash paid for the purchase of equipment of $204 thousand and cash paid for the purchase
of intangible assets of approximately $149 thousand.
35
Net
cash used in financing activities for the year ended December 31, 2024 was approximately $4.1 million as compared with net cash provided
by financing activities of approximately $29.1 million for the year ended December 31, 2023. Significant factors contributing to net
cash used in financing activities during the year ended December 31, 2024, include preferred stock dividends of approximately $3.1 million,
distributions to non-controlling interest of approximately $774 thousand, and repayments of notes payable of approximately $328 thousand.
During the year ended December 31, 2023, net cash provided by financing activities consisted of: (1) $19.5 million in net proceeds received
from the Avenue Facility, (2) $10.0 million in proceeds received from the Medifast Private Placement, (3) $6.2 million in net proceeds
received from the sale of common stock under the ATM Sales Agreement (as defined below), (4) $2.3 million in proceeds received from notes
payable and (5) $95 thousand in proceeds received from the exercise of stock options. These factors contributing to net cash provided
by financing activities were partially offset by repayments of notes payable of approximately $5.1 million net of a $325 thousand loss
on debt extinguishment on the CRG Financial loan, preferred stock dividends of approximately $3.1 million, contingent consideration payments
made related to the ResumeBuild brand acquisition of approximately $313 thousand, net payments made related to adjustments in the membership
interest units of WorkSimpli of approximately $306 thousand, and distributions to non-controlling interest of $144 thousand.
Liquidity
and Capital Resources Outlook
To
date, the Company has been funding operations primarily through the sales of its products, issuance of common and preferred stock, and
through loans and advances. The Company’s continued operations are dependent upon obtaining an increase in its sale volumes and
obtaining funding from third-party sources or the issuance of additional shares of common stock. Our primary short-term and long-term
requirements for liquidity and capital are for customer acquisitions, funding business acquisitions and investments we may make from
time to time, working capital including our noncancelable operating lease obligations, long-term debt obligations, capital expenditures
and general corporate purposes. For more information on our operating lease obligations, see Note 9—Leases to our consolidated
financial statements included in this report. There can be no assurances that we will be successful in increasing revenues, improving
operational efficiencies, or that financing will be available or, if available, that such financing will be available under favorable
terms.
On
December 11, 2023, the Company entered into a collaboration with Medifast, Inc. through and with certain of its wholly-owned subsidiaries
(“Medifast”). Pursuant to certain agreements between the parties, Medifast has agreed to pay to the Company the amount of
$10 million to support the collaboration, funding enhancements to the Company platform, operations and supporting infrastructure, of
which $5 million was paid at the closing on December 12, 2023, $2.5 million was paid during the three months ended March 31, 2024, and
the remaining $2.5 million was paid during the three months ended June 30, 2024 (the “Medifast Collaboration”).
In
addition, in connection with the Medifast Collaboration, the Company entered into a stock purchase agreement and registration rights
agreement with Medifast’s wholly-owned subsidiary, Jason Pharmaceuticals, Inc., whereby the Company issued 1,224,425 shares of
its common stock in a private placement (the “Medifast Private Placement”) at a purchase price of $8.1671 per share, for
aggregate proceeds of approximately $10 million.
On
March 21, 2023, the Company entered into and closed on a loan and security agreement (the “Avenue Credit Agreement”), and
a supplement to the Credit Agreement (the “Avenue Supplement”), with Avenue Venture Opportunities Fund II, L.P. and Avenue
Venture Opportunities Fund, L.P. (collectively, “Avenue”). The Avenue Credit Agreement provides for a convertible senior
secured credit facility of up to an aggregate amount of $40 million, comprised of the following: (1) $15 million in term loans funded
at closing, (2) $5 million of additional committed term loans which the Company received on September 26, 2023 under the First Amendment
to the Avenue Credit Agreement (the “Avenue First Amendment”) and (3) $20 million of additional uncommitted term loans, collectively
referred to as the “Avenue Facility”. The Avenue Facility matures on October 1, 2026. The Company issued Avenue warrants
to purchase $1.2 million of the Company’s common stock at an exercise price of $1.24, subject to adjustments. In addition, Avenue
may convert up to $2 million of the $15 million in term loans funded at closing into shares of the Company’s common stock at any
time while the loans are outstanding, at a price per share equal to $1.49. Proceeds from the Avenue Facility were used to repay the Company’s
outstanding notes payable balances with CRG Financial and are expected to be used for general corporate purposes.
On
November 15, 2023, Avenue converted $1 million of the principal amount of the outstanding term loans into shares of the Company’s
common stock. This resulted in 672,042 shares of common stock issued to Avenue. Additionally on November 15, 2023, Avenue exercised 96,773
of the Avenue Warrants on a cashless basis resulting in 79,330 shares of the Company’s common stock issued. As of December 31,
2024, there was $19.0 million outstanding under the Avenue Facility.
The
Company entered into an At Market Issuance Sales Agreement (the “ATM Sales Agreement”) with B. Riley Securities, Inc. and
Cantor Fitzgerald & Co. relating to the sale of its common stock. In accordance with the terms of the ATM Sales Agreement, the Company
may, but is not obligated to, offer and sell, from time to time, shares of common stock, through or to the Agents, acting as agent or
principal. Sales of common stock, if any, will be made by any method permitted that is deemed an “at the market offering”
as defined in Rule 415 under the Securities Act. On June 7, 2024, the Company filed a shelf registration statement on Form S-3 under
the Securities Act, which was declared effective on July 18, 2024 (the “2024 Shelf”). Under the 2024 Shelf at the time of
effectiveness, the Company had the ability to raise up to $150.0 million by selling common stock, preferred stock, debt securities, warrants,
and units including $53.3 million of its common stock under the ATM Sales Agreement. As of December 31, 2024, the Company had $53.3 million
available under the ATM Sales Agreement, which is part of the $150.0 million available under the 2024 Shelf.
36
As
of March 7, 2025, the Company has a current cash balance of approximately $27.2 million. The Company reviewed its forecasted operating
results and sources and uses of cash used in management’s assessment, which included the available financing and consideration
of positive and negative evidence impacting management’s forecasts, market, and industry factors. Positive indicators that lead
to the Company’s expectation that it will have sufficient cash over the next 12 months following the date of this report include:
(1) the Company’s continued strengthening of its revenues and improvement of operational efficiencies across the business, (2)
the expected improvement in its cash burn rate over the next 12 months and positive operating cash flows during the year ended December
31, 2024, (3) cash on hand of $35.0 million as of December 31, 2024, (4) $53.3 million available under the ATM Sales Agreement, which
is part of the $150.0 million available under the 2024 Shelf, (5) management’s ability to curtail expenses, if necessary, and (6)
the overall market value of the telehealth industry, which the Company believes will continue to drive interest in the Company as already
evidenced by the Medifast Collaboration and Medifast Private Placement noted above.
Critical
Accounting Estimates
We
prepare our consolidated financial statements in accordance with U.S. generally accepted accounting principles, which require our management
to make estimates that affect the reported amounts of assets, liabilities and disclosures of contingent assets and liabilities at the
balance sheet dates, as well as the reported amounts of revenues and expenses during the reporting periods. To the extent that there
are material differences between these estimates and actual results, our financial condition or results of operations would be affected.
We base our estimates on our own historical experience and other assumptions that we believe are reasonable after taking into account
our circumstances and expectations for the future based on available information. We evaluate these estimates on an ongoing basis.
We
consider an accounting estimate to be critical if: (i) the accounting estimate requires us to make assumptions about matters that were
highly uncertain at the time the accounting estimate was made, and (ii) changes in the estimate that are reasonably likely to occur from
period to period or use of different estimates that we reasonably could have used in the current period, would have a material impact
on our financial condition or results of operations. There are items within our financial statements that require estimation but are
not deemed critical, as defined above.
Our
significant accounting policies are more fully described in Note 2— Basis of Presentation and Summary of Significant Accounting
Policies to our consolidated financial statements included in this report. We believe that these accounting policies are critical for
one to fully understand and evaluate our financial condition and results of operations.
Recently
Adopted Accounting Pronouncements
In
November 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-07,
Segment Reporting (Topic 280) . The amendments in this update improve reportable segment disclosure requirements, primarily through
enhanced disclosures about significant segment expenses. ASU 2023-07 became effective for the Company’s annual period beginning
on January 1, 2024 and interim periods beginning after January 1, 2025. The Company adopted this guidance in the fourth quarter of 2024.
Refer to Note 13-Segment Data for additional information.
Other
Recent Accounting Pronouncements
In
December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures , to improve its
income tax disclosure requirements. Under ASU 2023-09, entities must annually: (1) disclose specific categories in the rate
reconciliation and (2) provide additional information for reconciling items that meet a quantitative threshold. This amendments in
this update are effective for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact that ASU
2023-09 will have to its consolidated financial statements and related disclosures.
In
November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures
(Subtopic 220-40) to improve the disclosures about a public business entity’s expenses and provide more detailed information
about the types of expenses included in certain expense captions in the consolidated financial statements. The amendments in this update
are effective for annual reporting periods beginning after December 15, 2026, and interim reporting periods beginning after December
15, 2027. Early adoption is permitted and the amendments in this update should be applied either prospectively or retrospectively. The
Company is evaluating the impact this guidance will have on the disclosures in the consolidated financial statements.
ITEM
7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
ITEM
8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The
information called for by Item 8 is included following the “Index to Financial Statements” on page F-1 contained in this
Annual Report on Form 10-K.
37
ITEM
9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.
ITEM
9A. CONTROLS AND PROCEDURES
Evaluation
of Disclosure Controls and Procedures
We
maintain disclosure controls and procedures (as that term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) that are
designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized,
and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated
to our management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding
required disclosures. In designing disclosure controls and procedures, our management necessarily was required to apply its judgment
in evaluating the cost-benefit relationship of possible disclosure controls and procedures. The design of any disclosure controls and
procedures also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any
design will succeed in achieving its stated goals under all potential future conditions. Any controls and procedures, no matter how well
designed and operated, can provide only reasonable, not absolute, assurance of achieving the desired control objectives.
Our
management, with the participation of our chief executive officer and chief financial officer, has evaluated the effectiveness of the
design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation
and subject to the foregoing, our chief executive officer and chief financial officer concluded that, our disclosure controls and procedures
were not effective due to the material weaknesses in internal control over financial reporting described below.
Management’s
Annual Report on Internal Control Over Financial Reporting
Management
of our Company and its consolidated subsidiaries is responsible for establishing and maintaining adequate internal control over financial
reporting. The Company’s internal control over financial reporting is a process designed under the supervision of its chief executive
and chief financial officers and effected by the Company’s Board of Directors, management, and other personnel, to provide reasonable
assurance regarding the reliability of financial reporting and the preparation of its consolidated financial statements for external
reporting purposes in accordance with U.S. generally accepted accounting principles.
Because
of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. In addition, projections
of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in
conditions or that the degree of compliance with the policies or procedures may deteriorate.
Material
Weakness in Internal Control over Financial Reporting
Management
assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2024, based on the framework
established in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations (“COSO”)
of the Treadway Commission. Based on this assessment, management has determined that the Company’s internal control over financial
reporting was not effective.
A
material weakness, as defined in the standards established by the Sarbanes-Oxley Act of 2002 (the “Sarbanes-Oxley Act”),
is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility
that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
As
previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, we identified material weaknesses
in our internal control over financial reporting related to: (i) our information technology general controls (“ITGCs”), particularly
in the areas of user access and change management within our information systems and review of key third-party service provider Systems
and Organizational Controls (“SOC”) reports and (ii) business process controls related to Information Produced by the Entity
(“IPE”) and system generated IPE and insufficient evidence of formal review and approval procedures of key information utilized
in the performance of the control.
During
the year ended December 31, 2024, management implemented remediation measures to address these material weaknesses, including
enhancements to our ITGC controls, additional monitoring procedures, enhancements to our IPE and evidence of formal review and
approval procedures, and further training.
While
we believe these enhancements have strengthened our internal controls and addressed the root cause of the material weaknesses, the effectiveness
of these newly implemented controls has not been tested to conclude that the material weaknesses have
been remediated.
38
Management’s
Plan to Remediate the Material Weakness
To
remediate the identified material weaknesses, our management, together with our third-party consulting firm, and with oversight from our audit committee, implemented a remediation
plan. The Company has taken the following remediation steps during the year ended December 31, 2024:
(i)
formalized
accounting and financial reporting policies and procedures including entity-level controls and segregation of duties review and analysis;
(ii)
documented
and maintained evidence of the completeness and accuracy of manually generated IPE and system generated IPE;
(iii)
enhanced
documentation and evidence of review of controls; and
(iv)
formalized
user access and change management reviews as well as SOC report reviews for in-scope third-party systems.
Management continues to execute
these measures consistently to ensure that control deficiencies contributing to the material weaknesses are remediated, such that these
controls are operating effectively over a sufficient period. The remediation, once determined to be fully operating effectively, is expected
to result in the remediation of the identified material weaknesses in internal controls over financial reporting. We are committed to
maintaining a strong internal control environment and believe that these remediation efforts will represent significant improvements in
our control environment. Our management will continue to monitor and evaluate the relevance of our risk-based approach and the effectiveness
of our internal controls and procedures over financial reporting on an ongoing basis and is committed to taking further action and implementing
additional enhancements or improvements, as necessary.
These
material weaknesses did not result in a misstatement of the Company’s financial statements; however, they could have resulted in
misstatements of interim or annual consolidated financial statements and disclosures that would result in a material misstatement that
would not be prevented or detected.
Attestation
Report of Independent Registered Public Accounting Firm
Marcum,
LLP, the independent registered public accounting firm that audited our financial statements included in this Form 10-K, has issued an
attestation report on our internal control over financial reporting, which is included in Part II, Item 8 of this Form 10-K.
Changes
in Internal Control over Financial Reporting
As
discussed above, we are implementing certain measures to remediate the material weaknesses identified in the design and operation of
our internal control over financial reporting. Other than those measures, there have been no changes in our internal control over financial
reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal year ended December 31, 2024 that materially
affected our internal control over financial reporting as of that date.
ITEM
9B. OTHER INFORMATION
None .
ITEM
9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not
applicable.
39
PART
III
ITEM
10. DIRECTORS, EXECUTIVE OFFICERS, AND CORPORATE GOVERNANCE
Information
regarding directors standing for election at our 2025 Annual Meeting of Stockholders is incorporated by reference to the information
under the caption “Proposal 1: Election of Directors,” in the proxy statement to be filed within 120 days of our fiscal year
end (the “Proxy Statement”).
Information
regarding our Audit Committee and Audit Committee financial experts is incorporated by reference to the information under the caption
“Corporate Governance – Board Committees” in the Proxy Statement.
Information
regarding our executive officers is incorporated by reference to the information under the caption “Corporate Governance –
Executive Officers” in the Proxy Statement.
Information
regarding our Code of Ethics is incorporated by reference to the information under the caption “Corporate Governance – Code
of Ethics” in the Proxy Statement.
Information
regarding delinquent Section 16 reports filed in 2024 is incorporated by reference to the information under the caption “Corporate
Governance – Delinquent Section 16 Reports” in the Proxy Statement.
Information
regarding our Insider Trading Policy is incorporated by reference to the information under the caption “Insider Trading Policy”
in the Proxy Statement.
ITEM
11. EXECUTIVE COMPENSATION
Information
required by this item is incorporated by reference to the information under the captions “Executive Compensation” and “Director
Compensation” in the Proxy Statement.
ITEM
12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
Information
regarding security ownership of certain beneficial owners and management is incorporated by reference to the information under the caption
“Security Ownership of Certain Beneficial Owners and Management” in the Proxy Statement.
Information
regarding our equity compensation plans is incorporated by reference to the information under the caption “Equity Compensation
Plan Information” in the Proxy Statement.
ITEM
13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
Information
regarding director independence is incorporated by reference to the information under the caption “Corporate Governance –
Determination of Director Independence” in the Proxy Statement.
Information
regarding related transactions is incorporated by reference to the information under the caption “Certain Relationships and Related
Transactions” in the Proxy Statement.
ITEM
14. PRINCIPAL ACCOUNTANT FEES AND SERVICES
Information
required by this item is incorporated by reference to the information under the caption “Audit Related Matters” in the Proxy
Statement.
40
PART
IV
ITEM
15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
The
following exhibits are included as part of this Annual Report.
Incorporated
by Reference
Exhibit
Number
Exhibit
Description
Form
Exhibit
Filing
Date/Period
End Date
2.1
Stock Purchase Agreement, dated as of January 11, 2022, by and among Cleared Technologies, PBC, identified stockholders, and LifeMD, Inc.
8-K
2.1
1/12/2022
2.2
Amendment to Stock Purchase Agreement, dated as of February 4, 2023, by and among Cleared Technologies, PBC, identified stockholders, and LifeMD, Inc.
8-K
2.1
2/10/2023
2.3
Asset Purchase Agreement, dated as of January 13, 2022, by and between WorkSimpli Software LLC and East Fusion FZCO
8-K
2.1
2/22/2022
2.4
Promissory Note dated as of October 19, 2021, issued by WorkSimpli Software LLC to LifeMD, Inc.
8-K
2.2
2/22/2022
2.5
First Addendum, dated as of February 14, 2022, to Promissory Note, issued by WorkSimpli Software LLC to LifeMD, Inc.
8-K
2.3
2/22/2022
2.6
Equity Purchase Guarantee Agreement, dated as of February 14, 2022, by and among Fitzpatrick Consulting LLC, Sean Fitzpatrick and LifeMD, Inc.
8-K
2.4
2/22/2022
2.7
Stock Option Pledge Agreement, dated as of February 12, 2022, by and between Fitzpatrick Consulting LLC and LifeMD, Inc.
8-K
2.5
2/22/2022
2.8
Amendment to Stock Purchase Agreement, dated as of February 4, 2023
8-K
2.1
2/10/2023
3.1
Certificate of Incorporation, As Amended
10-K
3.1
3/22/2023
3.2
Bylaws of Immudyne, Inc., effective April 9, 2018
S-1
3.3
10/18/2012
4.1
Form of Convertible Note
8-K
4.1
8/19/2019
4.2
Form of Warrant
8-K
4.2
8/19/2019
4.3
Form of Convertible Redeemable Promissory Note
8-K
4.1
5/27/2020
4.4
Form of PA Warrant
8-K
4.1
11/4/2020
4.5
Form of Non-Qualified Option Agreement (Non-Employee Director Awards)
8-K
4.2
1/14/2021
4.6
Form of Non-Qualified Option Agreement (Employee Awards)
8-K
4.3
1/14/2021
4.7
Form of Restricted Stock Award Agreement
8-K
4.4
1/14/2021
4.8
Description of Securities
10-K
4.9
3/7/2022
4.9
Form of Debenture
8-K
4.1
6/3/2021
4.10
Form of Warrant
8-K
4.2
6/3/2021
4.11
Form of Senior Indenture
S-3
4.5
6/8/2021
4.12
Form of Subordinated Indenture
S-3
4.6
6/8/2021
10.1 #
Employment Agreement by and between the Company and Mr. Sean Fitzpatrick, dated July 23, 2018
8-K
10.2
10/29/2018
10.2 #
Employment Agreement by and between the Company and Mr. Stefan Galluppi, dated March 18, 2019
10-Q
10.10
8/14/2019
10.3
#
First Amendment to Employment Agreement by and between Stefan Galluppi and Conversion Labs, Inc., dated April 1, 2020
S-8
4.11
1/13/2025
10.4
#
Second Amendment to Employment Agreement by and between Stefan Galluppi and LifeMD, Inc., dated November 15, 2021
S-8
4.12
1/13/2025
10.5
#
Third Amendment to Employment Agreement by and between Stefan Galluppi and LifeMD, Inc., dated December 28, 2021
S-8
4.13
1/13/2025
10.6
#
Fourth Amendment to Employment Agreement by and between Stefan Galluppi and LifeMD, Inc., dated October 12, 2023
S-8
4.14
1/13/2025
10.7
Membership Interest Purchase Agreement by and between the Company, Conversion Labs PR LLC, Taggart International Trust and American Nutra Tech LLC, dated April 25, 2019
8-K
10.1
7/31/2019
10.8
Second Amended and Restated Limited Liability Company Operating Agreement of Conversion Labs PR
8-K
10.2
7/31/2019
10.9
Operating Agreement of Conversion Labs RX, LLC
8-K
10.1
6/7/2019
41
10.10 #
Fitzpatrick Amendment by and between the Company and Mr. Sean Fitzpatrick
8-K
10.1
1/24/2020
10.11 #
Employment Agreement, dated July 26, 2018, between the Company and Mr. Nicholas Alvarez
8-K
10.2
1/24/2020
10.12
Consulting Agreement by and between the Company and Auxo Technology Labs
10-Q
10.8
5/19/2020
10.13
Secured Convertible Promissory Note, dated July 27, 2020
8-K
10.1
7/28/2020
10.14
Form Securities Purchase Agreement
8-K
10.1
8/31/2020
10.15
Form of Warrant
8-K
10.2
8/31/2020
10.16
Form of Registration Rights Agreement
8-K
10.3
8/31/2020
10.17
Form of Consulting Agreement
8-K
10.4
8/31/2020
10.18
Form of Warrant Purchase Agreement
8-K
10.5
8/31/2020
10.19
Form of Consulting Warrant
8-K
10.6
8/31/2020
10.20
Form of Purchased Warrant
8-K
10.7
8/31/2020
10.21
First Amendment to Consulting Agreement, dated September 29, 2020, between Blue Horizon Consulting, LLC and Conversion Labs, Inc.
8-K
10.1
9/30/2020
10.22
Form of Securities Purchase Agreement
8-K
10.1
11/4/2020
10.23
Form of Registration Rights Agreement
8-K
10.2
11/4/2020
10.24
Form of Lock-Up Agreement
8-K
10.3
11/4/2020
10.25 #
Employment Agreement, dated November 20, 2020 by and between Conversion Labs, Inc. and Eric H. Yecies
8-K
10.1
11/25/2020
10.26 #
Amended and Restated Employment Agreement, dated December 8, 2020, by and between Conversion Labs, Inc. and Nicholas Alvarez
8-K
10.1
12/11/2020
10.27 #
Employment Agreement, dated January 11, 2021, by and between the Company and Anthony Puopolo
8-K
10.1
1/14/2021
10.28
Form of CVLB PR Exchange Agreement
8-K
10.1
1/26/2021
10.29
Form of CVLB PR MIPA
8-K
10.2
1/26/2021
10.30
Form of Founding Members MIPA
8-K
10.3
1/26/2021
10.31
Amendment to LSS Operating Agreement
8-K/A
10.4
1/28/2021
10.32 #
Employment Agreement, dated February 4, 2021, by and between the Company and Marc Benathen
8-K
10.1
2/10/2021
10.33
Form of Securities Purchase Agreement
8-K
10.1
2/12/2021
10.34
Form of Registration Rights Agreement
8-K
10.2
2/12/2021
10.35
Form of Securities Purchase Agreement, dated June 1, 2021, by and between the Company and the Purchasers
8-K
10.1
6/3/2021
10.36
Form of Registration Rights Agreement
8-K
10.2
6/3/2021
10.37
Form of Company Security Agreement
8-K
10.3
6/3/2021
10.38
Form of Guarantor Security Agreement
8-K
10.4
6/3/2021
10.39
Form of Guaranty Agreement
8-K
10.5
6/3/2021
10.40
Form of Intellectual Property Security Agreement
8-K
10.6
6/3/2021
10.41 #
First Amendment to the Amended and Restated Employment Agreement between Nicholas Alvarez and LifeMD, Inc., dated July 19, 2021
8-K
10.1
7/22/2021
10.42 #
Fourth Renewed Director Agreement, dated December 2, 2024, by and between LifeMD, Inc. and Roberto Simon
S-8
4.34
1/13/2025
10.43 #*
Fourth Renewed Director Agreement, dated December 2, 2024, by and between LifeMD, Inc. and John Strawn
10.44 #*
Third Renewed Director Agreement, dated December 6, 2024, by and between LifeMD, Inc. and Dr. Joseph V. DiTrolio
10.45 #
First Amendment dated January 27, 2022 to the Employment Agreement between Marc Benathen and LifeMD, Inc.
8-K
10.1
2/2/2022
10.46 #
First Amendment dated January 27, 2022 to the Employment Agreement between Eric Yecies and LifeMD, Inc.
8-K
10.2
2/2/2022
10.47 #
First Amendment dated February 4, 2022 to the Employment Agreement between Maria Stan and LifeMD, Inc.
8-K
10.1
2/7/2022
10.48 #
Employment Agreement dated March 15, 2021 between Maria Stan and LifeMD, Inc.
8-K
10.2
2/7/2022
10.49 #
Second Amendment to Employment Agreement, dated November 7, 2023, between Maria Stan and LifeMD, Inc.
S-8
4.24
1/13/2025
10.50 #
Employment Agreement between Jessica Friedeman and LifeMD, Inc. dated January 3, 2023
10-K
10.82
3/22/2023
42
10.51 #
Director Agreement, dated February 9, 2023, between LifeMD, Inc. and Joan LaRovere
8-K
10.1
2/10/2023
10.52 #
First Amendment to the Director Agreement, dated January 20, 2024, between Dr. Joan LaRovere and LifeMD, Inc.
S-8
4.43
1/13/2025
10.53 #
Second Amendment to the Director Agreement, dated December 20, 2024, between Dr. Joan LaRovere and LifeMD, Inc.
S-8
4.44
1/13/2025
10.54
Loan and Security Agreement among LifeMD, Inc., Avenue Venture Opportunities Fund II, L.P. and Avenue Venture Opportunities Fund, L.P., dated March 21, 2023
8-K
10.1
3/23/2023
10.55
Supplement to Loan and Security Agreement among LifeMD, Inc., Avenue Venture Opportunities Fund II, L.P. and Avenue Venture Opportunities Fund, L.P., dated March 21, 2023
8-K
10.2
3/23/2023
10.56
Form of Warrant issued to Avenue Venture Opportunities
8-K
10.3
3/23/2023
10.57
Form of Promissory Note issued to Avenue Venture Opportunities
8-K
10.4
3/23/2023
10.58 #
Second Amendment dated June 15, 2023 to the Employment Agreement between Eric Yecies and LifeMD, Inc.
8-K
10.3
6/20/2023
10.59 #
Director Agreement, dated June 20, 2023 between LifeMD, Inc. and William J. Febbo
8-K
10.1
6/22/2023
10.60 #
Consulting Services Agreement, dated May 30, 2023, between LifeMD, Inc. and William J. Febbo
8-K
10.4
6/22/2023
10.61
First Amendment dated September 26, 2023 to the Credit Agreement among Avenue Venture Opportunities Fund II, L.P., Avenue Venture Opportunities Fund, L.P. and LifeMD, Inc.
10-Q
1.1
11/8/2023
10.62 #
Second Amendment dated July 11, 2023 to the Employment Agreement between Marc Benathen and LifeMD, Inc.
8-K
10.3
7/14/2023
10.63 #
Amended and Restated First Amendment dated July 26, 2023 to the Amended and Restated Employment Agreement between Nicholas Alvarez and LifeMD, Inc.
10-Q
10.3
11/8/2023
10.64 #
Employment Agreement dated April 1, 2022 between Justin Schreiber and LifeMD, Inc.
8-K
10.1
11/14/2023
10.65 #
First Amendment dated November 13, 2023 to the Employment Agreement between Justin Schreiber and LifeMD, Inc. (incorporated by reference to Exhibit 10.108 to the Form 10-K filed with the SEC on March 11, 2024)
8-K
10.2
11/14/2023
10.66 #
Second Amendment dated December 24, 2024 to the Employment Agreement between Justin Schreiber and LifeMD, Inc.
8-K
10.1
12/31/2024
10.67 #
Separation Agreement dated March 9, 2024 between Brad Roberts and LifeMD, Inc.
10-K
10.110
3/11/2024
10.68 #*
Employment Agreement, dated December 13, 2021, between Dennis Wijnker and LifeMD, Inc.
10.69 #
Director Agreement, dated April 26, 2024, between LifeMD, Inc. and Calum MacRae
8-K
10.1
5/02/2024
10.70 #
Third Amended and Restated 2020 Equity and Incentive Plan
8-K
10.1
6/18/2024
10.71
Warehouse Lease Agreement, dated February 20, 2024, by and between Running Pump Business Center, LLC and LifeMD, Inc.
10-Q
10.1
11/07/2024
10.72
First Amendment to Warehouse Lease Agreement, dated February 20, 2024, by and between Running Pump Business Center, LLC and LifeMD, Inc.
10-Q
10.2
11/07/2024
10.73
Second Amendment to Warehouse Lease Agreement, dated February 20, 2024, by and between Running Pump Business Center, LLC and LifeMD Pharmacy Services, LLC
10-Q
10.3
11/07/2024
10.74
First Amendment to Office Lease Agreement, dated May 6, 2024, by and between 236 Fifth Leasehold, LLC and LifeMD, Inc.
10-Q
10.4
11/07/2024
10.75
201 Brookfield Parkway Lease Agreement, dated September 17, 2024, by and between Front Street - Brookfield, LLC and LifeMD, Inc.
10-Q
10.5
11/07/2024
10.76 #
First Amendment to the Employment Agreement, dated August 18, 2024, between Dennis Wijnker and LifeMD, Inc.
S-8
4.30
1/13/2025
10.77 #
Stock Option Agreement, dated April 20, 2011, between ImmuDyne, Inc. and John R. Strawn
S-8
4.17
3/15/2024
10.78 #
Stock Option Agreement, dated April 20, 2011, between ImmuDyne, Inc. and John R. Strawn
S-8
4.18
3/15/2024
10.79
#*
Employment Agreement, dated June 20, 2023, between LifeMD, Inc. and Shane Biffar
19*
LifeMD, Inc. Insider Trading Policy
21.1*
List of Subsidiaries
23.1*
Independent Registered Public Accounting Firm’s Consent
24.1*
Powers of Attorney (included on signature page)
31.1*
Rule 13a-14(a) / 15d-14(a) Certification of Chief Executive Officer.
31.2*
Rule 13a-14(a) / 15d-14(a) Certification of Chief Financial Officer.
32.1**
Section 1350 Certification of Chief Executive Officer.
32.2**
Section 1350 Certification of Chief Financial Officer.
97
Policy Relating to Recovery of Erroneously Awarded Compensation
10-K
97
3/11/2024
101.INS*
Inline
XBRL Instance Document
101.SCH*
Inline
XBRL Taxonomy Extension Schema Document
101.CAL*
Inline
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*
Inline
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*
Inline
XBRL Taxonomy Extension Label Linkbase Document
101.PRE*
Inline
XBRL Taxonomy Extension Presentation Linkbase Document
104*
Cover
Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101.INS)
#
Indicates management contract or compensatory plan, contract or arrangement.
*
Filed herewith.
**Furnished
herewith
ITEM
16. FORM 10-K SUMMARY
Not
applicable.
43
SIGNATURES
Pursuant
to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed
on its behalf by the undersigned, thereunto duly authorized.
LIFEMD,
INC.
By:
/s/
Justin Schreiber
Justin
Schreiber
Chief
Executive Officer and Chairman of the Board of Directors
Date:
March
11, 2025
POWERS
OF ATTORNEY
KNOW
ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Justin Schreiber, Marc Benathen,
Maria Stan, Eric Yecies and each of them severally, his or her true and lawful attorney in fact with power of substitution and resubstitution
to sign in his or her name, place and stead, in any and all capacities, to do any and all things and execute any and all instruments
that such attorney may deem necessary or advisable under the Securities Exchange Act of 1934 and any rules, regulations and requirements
of the U.S. Securities and Exchange Commission in connection with this Annual Report on Form 10-K and any and all amendments hereto,
as fully for all intents and purposes as he or she might or could do in person, and hereby ratifies and confirms all said attorneys in
fact and agents, each acting alone, and his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
Pursuant
to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the
registrant and in the capacities and on the dates indicated.
By:
/s/
Justin Schreiber
Justin
Schreiber
Chief
Executive Officer and Chairman of the Board of Directors
(principal
executive officer)
Date:
March
11, 2025
By:
/s/
Marc Benathen
Marc
Benathen
Chief
Financial Officer
(principal
financial officer)
Date:
March
11, 2025
By:
/s/
Maria Stan
Maria
Stan
Chief
Accounting Officer and Controller
(principal
accounting officer)
Date:
March
11, 2025
By:
/s/
Roberto Simon
Roberto
Simon
Director
Date:
March
11, 2025
By:
/s/
John Strawn
John
Strawn
Director
Date:
March
11, 2025
By:
/s/
Joseph DiTrolio
Joseph
DiTrolio, M.D.
Director
Date:
March
11, 2025
By:
/s/
Joan LaRovere
Joan
LaRovere, M.D.
Director
Date:
March
11, 2025
By:
/s/
Will Febbo
Will
Febbo
Director
Date:
March
11, 2025
By:
/s/
Calum MacRae
Calum
MacRae
Director
Date:
March
11, 2025
44
ITEM
8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
LIFEMD,
INC.
CONSOLIDATED
FINANCIAL STATEMENTS AS OF DECEMBER 31, 2024
TABLE
OF CONTENTS
Page
REPORTS OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
(Marcum
LLP PCAOB ID No. 688 )
F-2
CONSOLIDATED
FINANCIAL STATEMENTS:
Consolidated Balance Sheets
F-4
Consolidated Statements of Operations
F-5
Consolidated Statements of Changes in Stockholders’ (Deficit) Equity
F-6
Consolidated Statements of Cash Flows
F-7
Notes to Consolidated Financial Statements
F-8
to F-31
F- 1
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To
the Stockholders and Board of Directors of
LifeMD,
Inc.
Opinion
on the Financial Statements
We
have audited the accompanying consolidated balance sheets of LifeMD, Inc. (the “Company”) as of December 31, 2024 and
2023, the related consolidated statements of operations, changes in stockholders’ (deficit) equity and cash flows for each of
the two years in the period ended December 31, 2024, and the related notes (collectively referred to as the “consolidated
financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the
financial position of the Company as of December 31, 2024 and 2023, and the results of its operations and its cash flows for each of
the two years in the period ended December 31, 2024, in conformity with accounting principles generally accepted in the United
States of America.
We
also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (“PCAOB”),
the Company’s internal control over financial reporting as of December 31, 2024, based on the criteria established in Internal
Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in 2013 and our
report dated March 11, 2025 , expressed an adverse opinion on the effectiveness of the Company’s internal control over financial
reporting because of the existence of material weaknesses.
Basis
for Opinion
These
consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion
on the Company’s consolidated financial statements based on our audit s . We are a public accounting firm registered with
the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We
conducted our audit s in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit s
to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due
to error or fraud. Our audit s included performing procedures to assess the risks of material misstatement of the consolidated
financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included
examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audit s
also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall
presentation of the consolidated financial statements. We believe that our audit s provide a reasonable basis for our opinion.
Critical
Audit Matters
Critical
audit matters are matters arising from the current period audit of the consolidated financial statements that were communicated or required
to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the consolidated financial
statements and (2) involved our especially challenging, subjective, or complex judgments. We determined that there are no critical audit
matters.
/s/
Marcum llp
Marcum
llp
We
have served as the Company’s auditor since 2020.
Marlton,
New Jersey
March
11, 2025
F- 2
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
ON
INTERNAL CONTROL OVER FINANCIAL REPORTING
To
the Stockholders and Board of Directors of
LifeMD,
Inc.
Adverse
Opinion on Internal Control over Financial Reporting
We
have audited LifeMD, Inc.’s (the “Company”) internal control over financial reporting as of December 31, 2024, based
on criteria established in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of
the Treadway Commission. In our opinion, because of the effect of the material weakness es described in the following paragraph
on the achievement of the objectives of the control criteria, the Company has not maintained effective internal control over financial
reporting as of December 31, 2024, based on criteria established in Internal Control-Integrated Framework (2013) issued by the
Committee of Sponsoring Organizations of the Treadway Commission.
A
material weakness is a control deficiency, or combination of deficiencies, in internal control over financial reporting, such that there
is a reasonable possibility that a material misstatement of the Company’s annual or interim financial statements will not be prevented
or detected on a timely basis. The following material weakness es have been identified and included in Management’s Annual
Report on Internal Control Over Financial Reporting:
● The
Company had ineffective design, implementation and operation of controls over user
access to ensure appropriate restrictions that would adequately prevent users from gaining
inappropriate access to the financially relevant systems. Automated process-level and manual
controls that are dependent upon the information derived from such financially relevant systems
were also determined to be ineffective as a result of such deficiency.
● The
Company had ineffective implementation and operation of controls over program change
management and vendor management controls to ensure:
1) IT
program and data changes affecting the Company’s financial IT applications and underlying
accounting records, are identified, tested, authorized, and implemented appropriately to
validate that data produced by its relevant IT system(s) were complete and accurate. Automated
process-level and manual controls that are dependent upon the information derived from such
financially relevant systems were also determined to be ineffective as a result of such deficiency; and
2) Key
third party service provider SOC reports were obtained and reviewed.
● Business
process controls across the entity’s financial reporting processes had ineffective design and/or implementation and operation
of controls to properly address the risk of material misstatement, including:
1) Controls
with insufficient audit evidence to verify the completeness and accuracy of manually generated
IPE (Information Produced by the Entity) and system generated IPE; and
2) Controls
with insufficient audit evidence of formal review and approval procedures of key information
utilized in the performance of the control.
These
material weaknesses were considered in determining the nature, timing and extent of audit tests applied in our audit of the fiscal
December 31, 2024 consolidated financial statements, and this report does not affect our report dated March 11, 2025 on those consolidated
financial statements.
We
have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States)
(“PCAOB”), the consolidated balance sheets as of December 31, 2024 and 2023, and the related consolidated statements of
operations, changes in stockholders’ (deficit) equity, and cash flows for each of the two years in the period ended December
31, 2024, and the related notes of the Company and our report dated March 11, 2025 expressed an unqualified opinion on those
consolidated financial statements.
Basis
for Opinion
The
Company’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment
of the effectiveness of internal control over financial reporting, included in the accompanying Item 9A - Management Annual Report on
Internal Control Over Financial Reporting”. Our responsibility is to express an opinion on the Company’s internal control
over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent
with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities
and Exchange Commission and the PCAOB.
We
conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit
of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing
the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based
on the assessed risk. Our audit also included performing such other procedures as we considered necessary in the circumstances. We believe
that our audit provides a reasonable basis for our opinion.
Definition
and Limitations of Internal Control over Financial Reporting
A
company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability
of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting
principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the
maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the
company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in
accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance
with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection
of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because
of the inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of
any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions,
or that degree of compliance with the policies or procedures may deteriorate.
/s/ Marcum llp
Marcum
llp
We
have served as the Company’s auditor since 2020.
Marlton,
New Jersey
March
11, 2025
F- 3
LIFEMD,
INC.
CONSOLIDATED
BALANCE SHEETS
December 31, 2024
December 31, 2023
ASSETS
Current Assets
Cash
$ 35,004,924
$ 33,146,725
Accounts receivable, net
8,217,813
5,277,250
Product deposit
40,763
485,850
Inventory, net
2,797,358
2,759,932
Other current assets
2,672,231
934,510
Total Current Assets
48,733,089
42,604,267
Non-current Assets
Equipment, net
1,479,184
476,303
Right of use assets
6,400,596
594,897
Capitalized software, net
13,816,501
11,795,979
Intangible assets, net
2,030,656
3,009,263
Total Non-current Assets
23,726,937
15,876,442
Total Assets
$ 72,460,026
$ 58,480,709
LIABILITIES, MEZZANINE EQUITY AND STOCKHOLDERS’ (DEFICIT) EQUITY
Current Liabilities
Accounts payable
$ 16,009,484
$ 11,084,855
Accrued expenses
20,811,763
13,937,494
Notes payable, net
-
327,597
Current operating lease liabilities
508,537
603,180
Current portion of long-term debt
8,444,444
-
Deferred revenue
14,480,917
8,828,598
Total Current Liabilities
60,255,145
34,781,724
Long-term Liabilities
Long-term debt, net
9,885,057
17,927,727
Noncurrent operating lease liabilities
6,265,192
73,849
Contingent consideration
100,000
131,250
Total Liabilities
76,505,394
52,914,550
Commitments and contingencies (Note 10)
-
-
Mezzanine Equity
Preferred Stock, $ 0.0001 par value; 5,000,000 shares authorized Series B Convertible Preferred Stock, $ 0.0001 par value; 5,000 shares authorized, zero shares issued and outstanding, liquidation value, $ 0 per share as of December 31, 2024 and 2023
-
-
Stockholders’ (Deficit) Equity
Series A Preferred Stock, $ 0.0001 par value; 1,610,000 shares authorized, 1,400,000 shares issued and outstanding, liquidation value approximately, $ 25.55 per share as of December 31, 2024 and 2023
140
140
Common Stock, $ 0.01 par value; 100,000,000 shares authorized, 42,293,907 and 38,358,641 shares issued, 42,190,867 and 38,255,601 outstanding as of December 31, 2024 and 2023, respectively
422,939
383,586
Additional paid-in capital
230,508,339
217,550,583
Accumulated deficit
( 236,253,218 )
( 214,265,236 )
Treasury stock, 103,040 shares, at cost, as of December 31, 2024 and 2023
( 163,701 )
( 163,701 )
Total LifeMD, Inc. Stockholders’ (Deficit) Equity
( 5,485,501 )
3,505,372
Non-controlling interest
1,440,133
2,060,787
Total Stockholders’ (Deficit) Equity
( 4,045,368 )
5,566,159
Total Liabilities, Mezzanine Equity and Stockholders’ (Deficit) Equity
$ 72,460,026
$ 58,480,709
The
accompanying notes are an integral part of these consolidated financial statements.
F- 4
LIFEMD,
INC.
CONSOLIDATED
STATEMENTS OF OPERATIONS
2024
2023
Year Ended December 31,
2024
2023
Revenues
Telehealth revenue, net
$ 158,438,631
$ 98,152,919
WorkSimpli revenue, net
54,015,207
54,394,087
Total revenues, net
212,453,838
152,547,006
Cost of revenues
Cost of telehealth revenue
21,440,799
17,480,533
Cost of WorkSimpli revenue
2,627,680
1,419,931
Total cost of revenues
24,068,479
18,900,464
Gross profit
188,385,359
133,646,542
Expenses
Selling and marketing expenses
103,020,025
76,451,466
General and administrative expenses
72,662,021
51,694,232
Customer service expenses
10,217,654
7,632,283
Development costs
9,512,308
6,060,513
Other operating expenses
9,118,032
6,297,321
Total expenses
204,530,040
148,135,815
Operating loss
( 16,144,681 )
( 14,489,273 )
Interest expense, net
( 2,181,817 )
( 2,596,586 )
Loss on debt extinguishment
-
( 325,198 )
Loss from operations before income taxes
( 18,326,498 )
( 17,411,057 )
Income tax provision
( 402,000 )
( 428,000 )
Net loss
( 18,728,498 )
( 17,839,057 )
Net income attributable to non-controlling interest
153,234
2,756,935
Net loss attributable to LifeMD, Inc.
( 18,881,732 )
( 20,595,992 )
Preferred stock dividends
( 3,106,250 )
( 3,106,250 )
Net loss attributable to LifeMD, Inc. common stockholders
$ ( 21,987,982 )
$ ( 23,702,242 )
Basic loss per share attributable to LifeMD, Inc. common stockholders
$ ( 0.53 )
$ ( 0.70 )
Diluted loss per share attributable to LifeMD, Inc. common stockholders
$ ( 0.53 )
$ ( 0.70 )
Weighted average number of common shares outstanding:
Basic
41,196,292
33,905,155
Diluted
41,196,292
33,905,155
The
accompanying notes are an integral part of these consolidated financial statements.
F- 5
LIFEMD,
INC.
CONSOLIDATED
STATEMENTS OF CHANGES IN STOCKHOLDERS’ (DEFICIT) EQUITY
Shares
Amount
Shares
Amount
Capital
Deficit
Stock
Total
Interest
Total
LifeMD,
Inc.
Series
A Preferred
Stock
Common
Stock
Additional
Paid-in
Accumulated
Treasury
Non-controlling
Shares
Amount
Shares
Amount
Capital
Deficit
Stock
Total
Interest
Total
Balance,
December 31, 2022
1,400,000
$ 140
31,552,775
$ 315,528
$ 179,015,250
$ ( 190,562,994 )
$ ( 163,701 )
$ ( 11,395,777 )
$ ( 475,548 )
$ ( 11,871,325 )
Stock
compensation expense
-
-
978,500
9,785
12,479,558
-
-
12,489,343
-
12,489,343
Cashless
exercise of stock options
-
-
74,372
744
( 744 )
-
-
-
-
-
Cashless
exercise of warrants
-
-
79,330
793
( 793 )
-
-
-
-
-
Exercise
of stock options
-
-
37,500
375
94,125
-
-
94,500
-
94,500
Stock
issued for noncontingent consideration payments
-
-
1,068,926
10,689
2,557,311
-
-
2,568,000
-
2,568,000
Stock
issued for legal settlement
-
-
100,000
1,000
531,000
-
-
532,000
-
532,000
Warrants
issued with debt instrument
-
-
-
-
873,100
-
-
873,100
-
873,100
Sale
of common stock under ATM, net
-
-
1,009,907
10,099
6,192,560
-
-
6,202,659
-
6,202,659
Stock
issued for debt conversion
-
-
672,042
6,720
993,280
-
-
1,000,000
-
1,000,000
Common
stock issued to Medifast
-
-
1,224,425
12,244
9,987,756
-
-
10,000,000
-
10,000,000
Series
B Preferred Stock conversion
-
-
1,560,864
15,609
5,057,205
-
-
5,072,814
-
5,072,814
Series
A Preferred Stock dividends
-
-
-
-
-
( 3,106,250 )
-
( 3,106,250 )
-
( 3,106,250 )
Distributions
to non-controlling interest
-
-
-
-
-
-
-
-
( 144,000 )
( 144,000 )
Adjustment
of membership interest in WorkSimpli
-
-
-
-
( 229,025 )
-
-
( 229,025 )
( 76,600 )
( 305,625 )
Net
(loss) income
-
-
-
-
-
( 20,595,992 )
-
( 20,595,992 )
2,756,935
( 17,839,057 )
Balance,
December 31, 2023
1,400,000
$ 140
38,358,641
$ 383,586
$ 217,550,583
$ ( 214,265,236 )
$ ( 163,701 )
$ 3,505,372
$ 2,060,787
$ 5,566,159
Balance
1,400,000
$ 140
38,358,641
$ 383,586
$ 217,550,583
$ ( 214,265,236 )
$ ( 163,701 )
$ 3,505,372
$ 2,060,787
$ 5,566,159
Stock
compensation expense
-
-
1,609,960
16,100
12,218,697
-
-
12,234,797
-
12,234,797
Stock
issued for noncontingent consideration payment
-
-
95,821
958
641,042
-
-
642,000
-
642,000
Exercise
of stock options
-
-
86,250
863
119,449
-
-
120,312
-
120,312
Cashless
exercise of warrants
-
-
1,630,458
16,305
( 16,305 )
-
-
-
-
-
Cashless
exercise of stock options
-
-
512,777
5,127
( 5,127 )
-
-
-
-
-
Series
A Preferred Stock dividends
-
-
-
-
-
( 3,106,250 )
-
( 3,106,250 )
-
( 3,106,250 )
Distributions
to non-controlling interest
-
-
-
-
-
-
-
-
( 773,888 )
( 773,888 )
Net
(loss) income
-
-
-
-
-
( 18,881,732 )
-
( 18,881,732 )
153,234
( 18,728,498 )
Balance,
December 31, 2024
1,400,000
$ 140
42,293,907
$ 422,939
$ 230,508,339
$ ( 236,253,218 )
$ ( 163,701 )
$ ( 5,485,501 )
$ 1,440,133
$ ( 4,045,368 )
Balance
1,400,000
$ 140
42,293,907
$ 422,939
$ 230,508,339
$ ( 236,253,218 )
$ ( 163,701 )
$ ( 5,485,501 )
$ 1,440,133
$ ( 4,045,368 )
The
accompanying notes are an integral part of these consolidated financial statements.
F- 6
LIFEMD,
INC.
CONSOLIDATED
STATEMENTS OF CASH FLOWS
2024
2023
Year Ended December 31,
2024
2023
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss
$ ( 18,728,498 )
$ ( 17,839,057 )
Adjustments to reconcile net loss to net cash provided by operating activities:
Amortization of debt discount
401,775
333,939
Amortization of capitalized software
8,021,141
5,424,810
Amortization of intangibles
982,405
971,464
Accretion of consideration payable
13,644
167,221
Depreciation of fixed assets
487,976
203,952
Write-down of inventory
675,669
537,685
Loss on debt extinguishment
-
325,198
Noncash operating lease expense
776,080
766,280
Stock issued for legal settlement
-
532,000
Stock compensation expense
12,234,797
12,489,343
Changes in Assets and Liabilities
Accounts receivable
( 2,940,563 )
( 2,442,500 )
Product deposit
445,087
( 358,585 )
Inventory
( 713,095 )
405,746
Other current assets
( 1,737,721 )
( 247,488 )
Operating lease liabilities
( 485,079 )
( 808,368 )
Deferred revenue
5,652,319
3,281,092
Accounts payable
4,924,629
978,062
Accrued expenses
7,502,624
4,678,757
Other operating activity
-
( 579,319 )
Net cash provided by operating activities
17,513,190
8,820,232
CASH FLOWS FROM INVESTING ACTIVITIES
Cash paid for capitalized software costs
( 10,041,663 )
( 8,380,602 )
Purchase of equipment
( 1,490,857 )
( 203,814 )
Purchase of intangible assets
( 3,798 )
( 148,868 )
Net cash used in investing activities
( 11,536,318 )
( 8,733,284 )
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from long-term debt, net
-
19,466,887
Cash proceeds from common stock issued to Medifast
-
10,000,000
Proceeds from notes payable
-
2,347,691
Sale of common stock under ATM, net
-
6,202,659
Repayment of notes payable, net of prepayment penalty
( 327,597 )
( 5,142,542 )
Cash proceeds from exercise of options
120,312
94,500
Preferred stock dividends
( 3,106,250 )
( 3,106,250 )
Contingent consideration payments for ResumeBuild acquisition
( 31,250 )
( 312,500 )
Net payments for membership interest in WorkSimpli
-
( 305,625 )
Distributions to non-controlling interest
( 773,888 )
( 144,000 )
Net cash (used in) provided by financing activities
( 4,118,673 )
29,100,820
Net increase in cash
1,858,199
29,187,768
Cash at beginning of year
33,146,725
3,958,957
Cash at end of year
$ 35,004,924
$ 33,146,725
Cash paid for interest
Cash paid during the period for interest
$ 2,528,042
$ 2,148,454
Non-cash investing and financing activities
Cashless exercise of options
$ 5,127
$ 744
Cashless exercise of warrants
$ 16,305
$ 793
Stock issued for noncontingent consideration payments
$ 642,000
$ 2,568,000
Stock issued for debt conversion
$ -
$ 1,000,000
Series B Preferred Stock conversion
-
5,072,814
Warrants issued for debt instruments
$ -
$ 873,100
Right of use assets
$ 6,581,779
$ 155,168
Operating lease liabilities
$ 6,581,779
$ 155,168
The
accompanying notes are an integral part of these consolidated financial statements.
F- 7
LIFEMD,
INC.
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
FOR
THE YEARS ENDED DECEMBER 31, 2024 AND 2023
NOTE
1 – NATURE OF THE ORGANIZATION AND BUSINESS
Corporate
History
LifeMD,
Inc. was formed in the State of Delaware on May 24, 1994, under its prior name, Immudyne, Inc. The Company changed its name to Conversion
Labs, Inc. on June 22, 2018 and then subsequently, on February 22, 2021, it changed its name to LifeMD, Inc. Effective February 22, 2021,
the trading symbol for the Company’s common stock, par value $ 0.01 per share on The Nasdaq Stock Market LLC changed from “CVLB”
to “LFMD”.
On
April 1, 2016, the original operating agreement of Immudyne PR LLC (“Immudyne PR”), a joint venture to market the Company’s
skincare products, was amended and restated and the Company increased its ownership and voting interest in Immudyne PR to 78.2 %. Concurrent
with the name change of the parent company to Conversion Labs, Inc., Immudyne PR was renamed to Conversion Labs PR LLC (“Conversion
Labs PR”). On April 25, 2019, the operating agreement of Conversion Labs PR was amended and restated in its entirety to increase
the Company’s ownership and voting interest in Conversion Labs PR to 100 %. On February 22, 2021, concurrent with the name of the
parent company to LifeMD, Inc., Conversion Labs PR was renamed to LifeMD PR, LLC.
In
June 2018, the Company closed the strategic acquisition of 51 % of LegalSimpli Software, LLC, which operates a software as a service application
for converting, editing, signing, and sharing PDF documents called PDFSimpli. In addition to LegalSimpli Software, LLC’s growth
business model, this acquisition added deep search engine optimization and search engine marketing expertise to the Company. On July
15, 2021, LegalSimpli Software, LLC, changed its name to WorkSimpli Software LLC, (“WorkSimpli”). Effective January 22, 2021,
the Company consummated a transaction to restructure the ownership of WorkSimpli and concurrently increased its ownership interest in
WorkSimpli to 85.6 %. Effective September 30, 2022, two option agreements were exercised which further restructured the ownership of WorkSimpli.
As a result, the Company’s ownership interest in WorkSimpli decreased to 73.6 %. Effective December 15, 2022, LifeMD PR, LLC merged
into WorkSimpli, with WorkSimpli being the surviving entity.
Effective
March 31, 2023, the Company redeemed 500 membership interest units in WorkSimpli and, as a result, the Company’s ownership interest
in WorkSimpli increased to 74.1 %. Effective June 30, 2023, an option agreement was exercised which further restructured the ownership
of WorkSimpli. As a result, the Company’s ownership interest in WorkSimpli decreased to 73.3 %. See Note 8 for additional information.
On
January 18, 2022, the Company acquired Cleared Technologies, PBC, a Delaware public benefit corporation (“Cleared”), a nationwide
allergy telehealth platform that provides personalized treatments for allergy, asthma, and immunology (See Note 3).
Nature
of Business
The
Company is a direct-to-patient telehealth company providing a high-quality, cost-effective, and convenient way to access
comprehensive, virtual and in-home healthcare. The Company believes the traditional model of visiting a doctor’s office,
traveling to a retail pharmacy, and returning for follow-up care or prescription refills is complex, inefficient, and costly, which
discourages many individuals from seeking medical care. The Company is improving the delivery of the healthcare experience through
telehealth with our proprietary technology platform, affiliated and dedicated provider network, broad and expanding treatment
capabilities, and the unique ability to nurture patient relationships. Direct-to-patient telehealth technology companies, like the
Company, connect consumers to affiliated, licensed, healthcare professionals for care across numerous indications, including virtual
medical care, weight loss, sexual health, hormone replacement therapy, hair loss and other conditions.
The
Company’s telehealth platform helps patients access their licensed providers for diagnoses, virtual care, and prescription medications,
often delivered on a recurring basis. In addition to its telehealth prescription offerings, the Company sells over-the-counter (“OTC”)
products. All products are available on a subscription or membership basis, where a patient can subscribe to receive regular shipments
of prescribed medications or products. This creates convenience and often discounted pricing opportunities for patients and recurring
revenue streams for the Company.
F- 8
With
its first brand, ShapiroMD, the Company has built a full line of proprietary OTC products for male and female hair loss including
Food and Drug Administration (“FDA”) approved OTC minoxidil and an FDA-cleared medical device and a personalized
telehealth platform offering that gives consumers access to virtual medical treatment from their providers and, when appropriate, a
full line of oral and topical prescription medications for hair loss. The Company’s men’s brand, RexMD, currently offers
access to virtual medical treatment for a variety of men’s health needs, including erectile dysfunction, premature ejaculation and hair loss.
In
the first quarter of 2022, the Company launched our virtual primary care offering under the LifeMD brand, LifeMD Primary Care. This
offering provides patients with access to a affiliated high-quality providers for their urgent care and chronic
care needs.
In April 2023, we launched our rapidly growing GLP-1 Weight Management
Program providing primary care, metabolic coaching, lab work, and prescription services (as appropriate) to patients seeking to access
a medically supported weight loss solution. In September 2024, we expanded our Weight Management Program with a personalized, non-GLP-1
treatment plan consisting of three oral medications – metformin, bupropion, and topiramate.
Business
and Subsidiary History
In
June 2018, the Company closed the strategic acquisition of 51 % of WorkSimpli. As a result of various ownership restructurings, the Company’s
ownership interest in WorkSimpli is 73.3 % as of December 31, 2024. See Note 8 for additional information.
On
January 18, 2022, the Company acquired Cleared, a nationwide allergy telehealth platform that provides personalized treatments for allergy,
asthma, and immunology. Under the terms of the agreement, the Company acquired all outstanding shares of Cleared at closing in exchange
for a $ 460 thousand upfront cash payment, and two non-contingent milestone payments for a total of $ 3.46 million ($ 1.73 million each
on or before the first and second anniversaries of the closing date). The Company purchased a convertible note from a strategic pharmaceutical
investor for $ 507 thousand which was converted upon closing of the Cleared acquisition. The Company also agreed to a performance-based
earnout based on Cleared’s future net sales, payable in cash or shares at the Company’s discretion. On February 4, 2023,
the Company entered into the First Amendment (the “Cleared First Amendment”) to the Stock Purchase Agreement, dated January
11, 2022, between the Company and the sellers of Cleared (the “Cleared Stock Purchase Agreement”). The Cleared Stock Purchase
Agreement was amended to, among other things: (i) reduce the total purchase price by $ 250 thousand to a total of $ 3.67 million; (ii)
change the timing of the payment of the purchase price to $ 460 thousand paid at closing (which has already been paid by the Company),
with the remaining amount to be paid in five quarterly installments beginning on or before February 6, 2023 and ending January 15, 2024;
(iii) remove all “earn-out” payments payable by the Company to the sellers; and (iv) remove certain representations and warranties
of the Company and sellers in connection with the transaction (See Note 3). The Company issued the following shares of common stock to
the sellers of Cleared under the Cleared First Amendment: (1) 337,895 shares on February 6, 2023, (2) 455,319 shares on April 17, 2023,
(3) 158,129 shares on July 17, 2023, (4) 117,583 shares on October 17, 2023 and (5) 95,821 shares on January 16, 2024.
In
February 2022, WorkSimpli closed on an Asset Purchase Agreement (the “ResumeBuild APA”) with East Fusion FZCO, a Dubai, UAE
corporation (the “Seller”), whereby WorkSimpli acquired substantially all of the assets associated with the Seller’s
business, offering subscription-based resume building software through software as a service online platforms (the “Acquisition”).
WorkSimpli paid $ 4.0 million to the Seller upon closing. The Seller is also entitled to a minimum of $ 500 thousand to be paid out in
quarterly payments equal to the greater of 15 % of net profits (as defined in the ResumeBuild APA) or approximately $ 63 thousand, for
a two-year period ending on the two-year anniversary of the closing of the Acquisition. As of December 31, 2024, WorkSimpli has paid
the Seller $ 500 thousand in accordance with the ResumeBuild APA. WorkSimpli borrowed the purchase price from the Company pursuant to
a promissory note with the obligation secured by an equity purchase guarantee agreement and a stock option pledge agreement from Fitzpatrick
Consulting, LLC and its sole member Sean Fitzpatrick, who is Co-Founder and President of WorkSimpli (See Note 3). As of December 31,
2024, there is no remaining balance outstanding related to the promissory note.
Unless
otherwise indicated, the terms “LifeMD,” “Company,” “we,” “us,” and “our”
refer to LifeMD, Inc. (formerly known as Conversion Labs, Inc.), LifeMD Pharmacy Holdings LLC, an affiliated limited liability company,
(“LifeMD Pharmacy”) and our majority-owned subsidiary, WorkSimpli. The affiliated network of medical Professional Corporations
and medical Professional Associations administratively led by LifeMD Southern Patient Medical Care, P.C., (“LifeMD PC”) is
the Company’s affiliated, variable interest entity in which we hold a controlling financial interest. Unless otherwise specified,
all dollar amounts are expressed in United States dollars.
Liquidity
Evaluation
As
of December 31, 2024, the Company has an accumulated deficit approximating $ 236.3 million and has experienced significant losses
from its operations. The Company is showing significant positive revenue trends and expects its burn rate of cash to continue to
improve and to maintain positive operating cash flows for the next 12 months following the date of this report. To date, the Company
has been funding operations primarily through the sales of its products, issuance of common and preferred stock, and through loans
and advances. The Company’s continued operations are dependent upon obtaining an increase in its sale volumes or the issuance
of additional shares of common stock. There can be no assurances that we will be successful in increasing revenues and improving
operational efficiencies.
F- 9
On
March 21, 2023, the Company entered into and closed on a loan and security agreement (the “Avenue Credit Agreement”), and
a supplement to the Credit Agreement (the “Avenue Supplement”), with Avenue Venture Opportunities Fund II, L.P. and Avenue
Venture Opportunities Fund, L.P. (collectively, “Avenue”). The Avenue Credit Agreement provides for a convertible senior
secured credit facility of up to an aggregate amount of $ 40 million, comprised of the following: (1) $ 15 million in term loans funded
at closing, (2) $ 5 million of additional committed term loans which the Company received on September 26, 2023 under the First Amendment
to the Avenue Credit Agreement (the “Avenue First Amendment”) and (3) $ 20 million of additional uncommitted term loans, collectively
referred to as the “Avenue Facility”. The Company issued Avenue warrants to purchase $ 1.2 million of the Company’s
common stock at an exercise price of $ 1.24 , subject to adjustments (the “Avenue Warrants”). In addition, Avenue may convert
up to $ 2 million of the $ 15 million in term loans funded at closing into shares of the Company’s common stock at any time while
the loans are outstanding, at a price per share equal to $ 1.49 . Proceeds from the Avenue Facility were used to repay the Company’s
outstanding notes payable balances with CRG Financial and are expected to be used for general corporate purposes. The Company is subject
to certain affirmative and negative covenants under the Avenue Facility, including the requirement, beginning on the closing date, to
maintain at least $5 million of unrestricted cash to be tested at the end of each month, and beginning on the period ended September
30, 2023, and at the end of each quarter thereafter, a trailing six-month cash flow, subject to certain adjustments as provided by the
Avenue Credit Agreement, of at least $2 million. As of December 31, 2024, there was $ 19.0 million outstanding under the Avenue Facility,
and the Company was in compliance with the Avenue Facility covenants. Loans under the Avenue Facility accrue interest at a variable rate
per annum equal to the greater of (i) the sum of 4.75% plus the Prime Rate (as defined in the Avenue Supplement) and (ii) 12.50%. Payments
are interest only for up to 24 months and then fully amortized thereafter. The Avenue Facility matures on October 1, 2026 . The Company
may prepay the loans, subject to a prepayment penalty of 1.00 % to 3.00 % of the principal amount prepaid, depending on the timing of the
prepayment.
On
December 11, 2023, the Company entered into a collaboration with Medifast, Inc. through and with certain of its wholly-owned subsidiaries
(“Medifast”). Pursuant to certain agreements between the parties, Medifast has agreed to pay to the Company the amount of
$ 10 million to support the collaboration, funding enhancements to the Company platform, operations and supporting infrastructure, of
which $ 5 million was paid at the closing on December 12, 2023, $ 2.5 million was paid during the three months ended March 31, 2024, and
the remaining $ 2.5 million was paid during the three months ended June 30, 2024 (the “Medifast Collaboration”).
In
addition, in connection with the Medifast Collaboration, the Company entered into a stock purchase agreement and registration rights
agreement with Medifast’s wholly-owned subsidiary, Jason Pharmaceuticals, Inc., whereby the Company issued 1,224,425 shares of
its common stock in a private placement (the “Medifast Private Placement”) at a purchase price of $ 8.1671 per share, for
aggregate proceeds of approximately $ 10 million.
The
Company entered into an At Market Issuance Sales Agreement (the “ATM Sales Agreement”) with B. Riley Securities, Inc. and
Cantor Fitzgerald & Co. relating to the sale of its common stock. In accordance with the terms of the ATM Sales Agreement, the Company
may, but is not obligated to, offer and sell, from time to time, shares of common stock, through or to the Agents, acting as agent or
principal. Sales of common stock, if any, will be made by any method permitted that is deemed an “at the market offering”
as defined in Rule 415 under the Securities Act. On June 7, 2024, the Company filed a shelf registration statement on Form S-3 under
the Securities Act, which was declared effective on July 18, 2024 (the “2024 Shelf”). Under the 2024 Shelf at the time of
effectiveness, the Company had the ability to raise up to $ 150.0 million by selling common stock, preferred stock, debt securities, warrants,
and units including $ 53.3 million of its common stock under the ATM Sales Agreement. As of December 31, 2024, the Company had $ 53.3 million
available under the ATM Sales Agreement, which is part of the $ 150.0 million available under the 2024 Shelf.
As
of March 7, 2025, the Company has a current cash balance of approximately $ 27.2 million.
The Company reviewed its forecasted operating results and sources and uses of cash used in management’s assessment, which
included the available financing and consideration of positive and negative evidence impacting management’s forecasts, market,
and industry factors. Positive indicators that lead to the Company’s expectation that it will have sufficient cash over the
next 12 months following the date of this report include: (1) the Company’s continued strengthening of its revenues and
improvement of operational efficiencies across the business, (2) the expected improvement in its cash burn rate over the next 12
months and positive operating cash flows during the year ended December 31, 2024, (3) cash on hand of $ 35.0 million
as of December 31, 2024, (4) $ 53.3 million
available under the ATM Sales Agreement, which is part of the $ 150.0 million
available under the 2024 Shelf, (5) management’s ability to curtail expenses, if necessary, and (6) the overall market value
of the telehealth industry, which the Company believes will continue to drive interest in the Company as already evidenced by the
Medifast Collaboration and Medifast Private Placement noted above.
F- 10
NOTE
2 – BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Principles
of Consolidation
The
Company evaluates the need to consolidate affiliates based on standards set forth in Accounting Standards Codification (“ASC”)
810, Consolidation.
The
consolidated financial statements include the accounts of the Company, LifeMD Pharmacy, its majority owned subsidiary, WorkSimpli, and
LifeMD PC, the Company’s affiliated, variable interest entity in which we hold a controlling financial interest. Effective March
31, 2023, the Company redeemed 500 membership interest units in WorkSimpli and, as a result, the Company’s ownership interest in
WorkSimpli increased to 74.1 %. Effective June 30, 2023, an option agreement was exercised which further restructured the ownership of
WorkSimpli. As a result, the Company’s ownership interest in WorkSimpli decreased to 73.3 %. See Note 8 for additional information.
All
significant intercompany transactions and balances have been eliminated in consolidation.
Cash
The
Company maintains deposits in financial institutions that may, at times, exceed amounts guaranteed by the Federal Deposit Insurance
Corporation. These
balances could be impacted if one or more of the financial institutions in which we deposit monies fails or is subject to other
adverse conditions in the financial or credit markets. We have never experienced any losses related to these
balances.
Variable
Interest Entities
In
accordance with ASC 810, Consolidation, the Company determines whether any legal entity in which the Company becomes involved is a variable
interest entity (a “VIE”) and subject to consolidation. This determination is based on whether an entity has sufficient equity
at risk to finance their activities without additional subordinated financial support from other parties or whose equity investors lack
any of the characteristics of a controlling financial interest and whether the interest will absorb portions of a VIE’s expected
losses or receive portions of its expected residual returns and are contractual, ownership, or pecuniary in nature and that change with
changes in the fair value of the entity’s net assets. A reporting entity is the primary beneficiary of a VIE and must consolidate
it when that party has a variable interest, or combination of variable interests, that provides it with a controlling financial interest.
A party is deemed to have a controlling financial interest if it meets both of the power and losses/benefits criteria. The power criterion
is the ability to direct the activities of the VIE that most significantly impact its economic performance. The losses/benefits criterion
is the obligation to absorb losses from, or right to receive benefits from, the VIE that could potentially be significant to the VIE.
The
Company determined that the LifeMD PC entity, the Company’s affiliated network of medical Professional Corporations and medical
Professional Associations administratively led by LifeMD Southern Patient Medical Care, P.C., is a VIE and subject to consolidation.
LifeMD PC and the Company do not have any stockholders in common. LifeMD PC is owned by licensed physicians, and the Company maintains
a managed service agreement with LifeMD PC whereby we provide all non-clinical services to LifeMD PC. The Company determined that it
is the primary beneficiary of LifeMD PC and must consolidate, as we have both the power to direct the activities of LifeMD PC that most
significantly impact the economic performance of the entity and we have the obligation to absorb the losses. As a result, the Company
presents the financial position, results of operations, and cash flows of LifeMD PC as part of the consolidated financial statements
of the Company. There is no non-controlling interest upon consolidation of LifeMD PC.
Total net loss for LifeMD PC
was approximately $ 13.8
million and $ 5.4 million for the years ended December 31, 2024 and 2023, respectively. Total assets and liabilities for the LifeMD
PC were approximately $ 6 thousand and $ 378 thousand, respectively, as of December 31, 2024 and $ 0 and $ 72 thousand, respectively, as
of December 31, 2023.
Use
of Estimates
The
Company prepares its consolidated financial statements in conformity with accounting principles generally accepted in the United States
of America which requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at
the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could
differ from those estimates.
F- 11
Revenue
Recognition
The
Company records revenue under the adoption of ASC 606, Revenue from Contracts with Customers, by analyzing exchanges with its customers
using a five-step analysis:
1.
Identify
the contract
2.
Identify
performance obligations
3.
Determine
the transaction price
4.
Allocate
the transaction price
5.
Recognize
revenue
For
the Company’s product-based contracts with customers, the Company has determined that there is one performance obligation, which
is the delivery of the product; this performance obligation is transferred at a discrete point in time. The Company generally records
sales of finished products once the customer places and pays for the order, with the product being simultaneously shipped by a third-party
fulfillment service provider. In all cases, delivery is considered to have occurred when the customer obtains control, which is usually
commensurate upon shipment of the product. In the case where product is not simultaneously shipped when the customer places and pays
for the order, recognition of revenue is deferred until time of shipment. In the case of its product-based contracts, the Company provides
a subscription sensitive service based on the recurring shipment of products. The Company records the related revenue at the time it
fulfills the shipment obligation to the customer.
For
its product-based contracts with customers, the Company records an estimate for provisions of discounts, returns, allowances, customer
rebates, and other adjustments for its product shipments and are reflected as contra revenues in arriving at reported net revenues. The
Company’s discounts and customer rebates are known at the time of sale; correspondingly, the Company reduces gross product sales
for such discounts and customer rebates. The Company estimates customer returns and allowances based on information derived from historical
transaction detail and accounts for such provisions, as contra revenue, during the same period in which the related revenues are earned.
The Company has determined that the population of its product-based contracts with customers are homogenous, supporting the ability to
record estimates for returns and allowances to be applied to the entire product-based portfolio population.
For
its telehealth contracts with customers, the Company offers one-time and subscription-based access to the Company’s telehealth platform.
The Company offers monthly and multi-month subscriptions dependent upon the subscriber’s enrollment selection. The Company has
determined that there is one performance obligation that is delivered over time, as the Company allows the subscriber to access the telehealth
platform for the time period of the subscription purchased. The majority of the Company’s subscriptions are recognized over time
using the input method in which revenue is recognized on the basis of efforts or inputs toward satisfying a performance obligation relative
to the total expected inputs to satisfy the performance obligation. The Company uses time elapsed as the input. The measure used provides
a faithful depiction of the transfer of goods or services to the subscribers. The Company records the revenue over the customer’s
subscription period for monthly and multi-month subscribers. The Company also offers bundled arrangements in which a subscriber receives
subscription-based access to the Company’s telehealth platform as well as prescribed medication. The Company has determined that
there are two performance obligations related to these bundles: (i) one performance obligation for the subscription-based service that
is delivered over time and (ii) one performance obligation for the prescribed medication that is delivered as of a point in time. For
contracts with multiple performance obligations, the transaction price is allocated to each performance obligation based on a relative
stand-alone selling price basis. The stand-alone selling price is based on the prices at which the Company separately sells the products
and services. Revenue related to contracts with multiple performance obligations is not material for the year ended December 31, 2024.
Additionally,
to fulfill its promise to customers for contracts that include the sale of prescription products, the Company maintains relationships
with certain third-party pharmacies, which are licensed mail order pharmacies providing prescription fulfillment to the Company’s
customers. The third-party pharmacies fill prescription orders for customers who have received a prescription from a LifeMD PC provider.
The Company may account for prescription product revenue as the principal or agent in the arrangement with its customers depending on
the agreement with the related third-party pharmacy. The following factors are evaluated to determine if the Company acts as principal
or agent in the arrangement: (i) whether the Company has sole discretion in determining which pharmacy fills a customer’s prescription;
(ii) whether the Company obtains control of the product; (iii) whether the Company is primarily responsible to the customer for the satisfactory
fulfillment and acceptability of the order; (iv) whether the Company is responsible for refunds of the prescription medication after
transfer of control to the customer; and (v) whether the Company sets all listed prices for the prescription products. Based on evaluation
of these factors, the Company accounts for prescription product revenue as the agent in the arrangement with its largest third-party
pharmacy provider.
Customer
discounts, returns and rebates on telehealth revenues approximated $ 3.7 million and $ 2.1 million, respectively, during the years ended
December 31, 2024 and 2023.
F- 12
The
Company, through its majority-owned subsidiary WorkSimpli, offers a subscription-based service providing a suite of software applications
to its subscribers, principally on a monthly subscription basis. The software suite allows the subscriber/user to convert almost any
type of document to another electronic form of editable document, providing ease of editing. For these subscription-based contracts with
customers, the Company offers an initial 14-day trial period which is billed at $ 1.95 , followed by a monthly subscription, or a multi-month
subscription to the Company’s software suite dependent on the subscriber’s enrollment selection. The Company has determined
that there is one product and one performance obligation that is delivered over time, as the Company allows the subscriber to access
the suite of services for the time period of the subscription purchased. The Company allows the customer to cancel at any point during
the billing cycle, in which case the customer’s subscription will not be renewed for the following month or year depending on the
original subscription. The Company records the revenue over the customer’s subscription period for monthly and multi-month subscribers
or at the end of the initial 14-day service period for customers who purchased the initial subscription. The Company offers a discount
for the monthly or multi-month subscriptions being purchased, which is deducted at the time of payment at the initiation of the contract
term; therefore the contract price is fixed and determinable at the contract initiation. Monthly and multi-month subscriptions for the
service are recorded net of the Company’s known discount rates. Customer discounts and allowances on WorkSimpli revenues approximated
$ 3.6 million and $ 3.3 million, respectively, during the years ended December 31, 2024 and 2023.
As
noted above, on December 11, 2023, the Company entered into the Medifast Collaboration. Pursuant to certain agreements between the parties,
Medifast agreed to pay to the Company the amount of $ 10 million to support the collaboration, funding enhancements to the Company platform,
operations and supporting infrastructure, of which $ 5 million was paid at the closing on December 12, 2023, $ 2.5 million was paid during
the three months ended March 31, 2024, and the remaining $ 2.5 million was paid during the three months ended June 30, 2024. The Company
determined the transaction price totalled $ 10 million, which was fully collected as of December 31, 2024. The Company has allocated the
total $ 10 million initial transaction price to three distinct performance obligations. As the Company completed its first performance
obligation related to this agreement, the $ 5 million payment was fully recognized during the year ended December 31, 2023. The Company
recognized approximately $ 2 million related to the second performance obligation during the three months ended March 31, 2024, and approximately
$ 3 million related to the second and third performance obligations during the three months ended June 30, 2024.
For
the years ended December 31, 2024 and 2023, the Company had the following disaggregated revenue:
SCHEDULE OF DISAGGREGATED REVENUE
Year Ended December 31,
2024
%
2023
%
Telehealth product revenue
$ 83,423,428
40 %
$ 88,886,664
58 %
Telehealth subscription revenue
70,015,203
33 %
4,266,255
3 %
WorkSimpli revenue
54,015,207
25 %
54,394,087
36 %
Medifast collaboration revenue
5,000,000
2 %
5,000,000
3 %
Total net revenue
$ 212,453,838
100 %
$ 152,547,006
100 %
Deferred
Revenues
The
Company records deferred revenues when cash payments are received or due in advance of its performance. As of December 31, 2024 and 2023,
the Company has accrued contract liabilities, as deferred revenue, of approximately $ 14.5 million and $ 8.8 million, respectively, which
represent the following: (1) $ 10.1 million and $ 4.2 million as of December 31, 2024 and 2023, respectively, related to obligations on
telehealth in-process monthly or yearly contracts with customers, (2) $ 1.9 million and $ 2.1 million as of December 31, 2024 and 2023,
respectively, related to obligations for telehealth products which the customer has not yet obtained control due to non-shipment of the
product and (3) $ 2.5 million and $ 2.5 million as of December 31, 2024 and 2023, respectively, related to obligations on WorkSimpli in-process
monthly or multi-month contracts with customers.
Deferred
revenue increased by $ 5.7
million to $ 14.5
million as of December 31, 2024 compared to $ 8.8
million as of December 31, 2023. The increase is primarily due to the increase in telehealth monthly and multi-month subscription
revenue the year ended December 31, 2024 compared to the year ended December 31, 2023. The amount of revenue recognized during the
year ended December 31, 2024, that was included in the deferred revenue balance as of December 31, 2023, was $ 7.6
million.
The
Company expects to recognize all of the deferred revenue related to future performance obligations that are unsatisfied or partially
unsatisfied as of December 31, 2024 as revenue by December 31, 2025.
F- 13
The
following table summarizes deferred revenue activities for the periods presented:
SCHEDULE OF CONTRACT WITH CUSTOMER LIABILITY
2024
2023
Year Ended December 31,
2024
2023
Beginning of period
$ 8,828,598
$ 5,547,506
Additions
214,304,407
58,319,435
Revenue recognized
( 208,652,088 )
( 55,038,343 )
End of period
$ 14,480,917
$ 8,828,598
Leases
The
Company determines if an arrangement is a lease at inception. Operating lease right-of-use (“ROU”) assets are included in
right-of-use assets on the consolidated balance sheets. The current and long-term components of operating lease liabilities are included
in the current operating lease liabilities and noncurrent operating lease liabilities, respectively, on the consolidated balance sheets.
Operating
lease ROU assets and operating lease liabilities are recognized based on the present value of the future minimum lease payments over
the lease term. As most of the Company’s leases do not provide an implicit rate, the Company uses an incremental borrowing rate
based on the information available at the commencement date in determining the present value of future payments. Certain leases may include
options to extend or terminate the lease. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease
term. Leases with an initial term of 12 months or less are not recorded in the balance sheet.
Accounts
Receivable, net
Accounts
receivable principally consist of amounts due from third-party merchant processors, who process our subscription revenues; the merchant
accounts balance receivable represents the charges processed by the merchants that have not yet been deposited with the Company. The
unsettled merchant receivable amount normally represents processed sale transactions from the final one to three days of the month, with
collections being made by the Company within the first week of the following month. Management determines the need, if any, for an allowance
for future credits to be granted to customers, by regularly evaluating aggregate customer refund activity, coupled with the consideration
and current economic conditions in its evaluation of an allowance for future refunds and chargebacks. As of December 31, 2024 and 2023,
the reserve for sales returns and allowances was approximately $ 894 thousand and $ 528 thousand, respectively. For all periods presented,
as noted above, the sales returns and allowances were recorded in accrued expenses on the consolidated balance sheets.
The
Company’s accounts receivable balances are as follows for each of the periods presented:
SCHEDULE
OF ACCOUNTS RECEIVABLE
2024
2023
Year Ended December 31,
2024
2023
Beginning of period
$ 5,277,250
$ 2,834,750
End of period
$ 8,217,813
$ 5,277,250
Inventory
As
of December 31, 2024 and 2023, inventory primarily consisted of finished goods, raw materials and packaging related to the Company’s
OTC products included in the telehealth revenue section of the table above. Inventory is maintained at the Company’s third-party
warehouse location in Wyoming and at various Amazon fulfillment centers. The Company also maintains inventory at a company owned warehouse
in Pennsylvania.
Inventory
is valued at the lower of cost or net realizable value with cost determined on an average cost basis. Management compares the cost of
inventory with the net realizable value and an allowance is made for writing down inventory to net realizable, if lower. As of December
31, 2024 and 2023, the Company recorded an inventory reserve of $ 263 thousand and $ 356 thousand, respectively.
As
of December 31, 2024 and 2023, the Company’s inventory consisted of the following:
SUMMARY OF INVENTORY
2024
2023
December 31,
2024
2023
Finished goods
$ 1,554,600
$ 1,898,784
Raw materials and packaging components
1,506,078
1,216,833
Inventory reserve
( 263,320 )
( 355,685 )
Total inventory, net
$ 2,797,358
$ 2,759,932
F- 14
Product
Deposit
Many
of our vendors require deposits when a purchase order is placed for goods or fulfillment services. These deposits typically range from
10 % to 33 % of the total purchased amount. Our vendors include a credit memo within their final invoice, recognizing the deposit amount
previously paid. As of December 31, 2024 and 2023, the Company has approximately $ 41 thousand and $ 486 thousand, respectively, of product
deposits with multiple vendors for the purchase of raw materials or finished goods. The Company’s history of product deposits with
its inventory vendors, creates an implicit purchase commitment equaling the total expected product acceptance cost in excess of the product
deposit. As of December 31, 2024, the Company approximates its implicit purchase commitments to be approximately $ 479 thousand, of which
the vast majority are with two vendors that manufacture the Company’s finished goods inventory for its RexMD product line.
Capitalized
Software Costs
The
Company capitalizes certain internal payroll costs and third-party costs related to internally developed software and amortizes these
costs using the straight-line method over the estimated useful life of the software, generally three years. The Company does not sell
internally developed software other than through the use of subscription service. Certain development costs not meeting the criteria
for capitalization, in accordance with ASC 350-40, Internal-Use Software, are expensed as incurred. As of December 31, 2024 and 2023,
the Company capitalized a net amount of $ 13.8 million and $ 11.8 million, respectively, related to internally developed software costs
which are amortized over the useful life and included in development costs on our consolidated statement of operations.
Intangible
Assets
Intangible
assets are comprised of: (1) the ResumeBuild brand, (2) a customer relationship asset, (3) the Cleared trade name, (4) Cleared developed
technology, (5) a purchased license and (6) four purchased domain names. Intangible assets are amortized over their estimated lives using
the straight-line method. Costs incurred to renew or extend the term of recognized intangible assets are capitalized and amortized over
the useful life of the asset which typically range from one year to ten years .
Impairment
of Long-Lived Assets
Long-lived
assets include equipment and capitalized software. Long-lived assets are reviewed for impairment whenever events or changes in circumstances
indicate that the carrying amount of an asset may not be recoverable. If such assets are considered to be impaired, an impairment is
recognized as the amount by which the carrying amount of the assets exceeds the estimated fair values of the assets. As of December 31,
2024 and 2023, the Company determined that no events or changes in circumstances existed that would indicate any impairment of its long-lived
assets.
Income
Taxes
The
Company files corporate federal, state, and local tax returns. WorkSimpli files a tax return in Puerto Rico. The Company records current
and deferred taxes in accordance with ASC 740, Accounting for Income Taxes. This ASC requires recognition of deferred tax assets and
liabilities for temporary differences between tax basis of assets and liabilities and the amounts at which they are carried in the financial
statements, based upon the enacted rates in effect for the year in which the differences are expected to reverse. The Company establishes
a valuation allowance when necessary to reduce deferred tax assets to the amount expected to be realized. The Company periodically assesses
the value of its deferred tax asset, a majority of which has been generated by a history of net operating losses and management determines
the necessity for a valuation allowance. ASC 740 also provides a recognition threshold and measurement attribute for the financial statement
recognition of a tax position taken or expected to be taken in a tax return. Using this guidance, a company may recognize the tax benefit
from an uncertain tax position in its financial statements only if it is more likely-than-not (i.e., a likelihood of more than 50%) that
the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The Company’s
tax returns for all years since December 31, 2021, remain open to audit by all related taxing authorities.
Stock-Based
Compensation
The
Company follows the provisions of ASC 718, Share-Based Payment. Under this guidance compensation cost generally is recognized at fair
value on the date of the grant and amortized over the respective vesting or service period. The fair value of options at the date of
grant is estimated using the Black-Scholes option pricing model. The expected option life is derived from assumed exercise rates based
upon historical exercise patterns and represents the period of time that options granted are expected to be outstanding. The expected
volatility is based upon historical volatility of the Company’s common shares using daily price observations over an observation
period that approximates the expected life of the options. The risk-free interest rate approximates the U.S. Treasury yield curve rate
in effect at the time of grant for periods similar to the expected option life. Due to limited history of forfeitures, the Company has
elected to account for forfeitures as they occur.
F- 15
Earnings
(Loss) Per Share
Basic
earnings (loss) per common share (“EPS”) is based on the weighted average number of shares outstanding during each period
presented. Shares of unissued vested restricted stock units (“RSUs”) and restricted stock awards (“RSAs”) are
included in our calculation of basic weighted average shares outstanding. Convertible securities, warrants and options to purchase common
stock are included as common stock equivalents only when dilutive. Potential common stock equivalents are excluded from dilutive earnings
per share when the effects would be antidilutive.
The
Company follows the provisions of ASC 260, Diluted Earnings per Share. In computing diluted EPS, basic EPS is adjusted for the assumed
issuance of all potentially dilutive securities. The dilutive effect of call options, warrants and share-based payment awards is calculated
using the “treasury stock method,” which assumes that the “proceeds” from the exercise of these instruments are
used to purchase common shares at the average market price for the period. The dilutive effect of traditional convertible debt and preferred
stock is calculated using the “if-converted method.” Under the if-converted method, securities are assumed to be converted
at the beginning of the period, and the resulting common shares are included in the denominator of the diluted EPS calculation for the
entire period being presented.
The
following table summarizes the number of shares of common stock issuable pursuant to our convertible securities that were excluded from
the diluted per share calculation because the effect of including these potential shares was antidilutive even though the exercise price
could be less than the average market price of the common shares:
SCHEDULE OF POTENTIALLY DILUTIVE SECURITIES
2024
2023
Year Ended December 31,
2024
2023
RSUs and RSAs
3,157,706
3,556,375
Stock options
1,288,000
2,336,222
Warrants
1,743,730
4,730,607
Convertible long-term debt
671,141
671,141
Potentially dilutive securities
6,860,577
11,294,345
Segment
Data
Our
portfolio of brands are included within two operating segments: Telehealth and WorkSimpli. We believe our current segments and brands
within our segments complement one another and position us well for future growth. The Company’s Chief Executive Officer is the
chief operating decision maker (“CODM”) and is responsible for reviewing segment operating results to make determinations
about resources to be allocated and to assess performance. Other factors, including type of business, revenue recognition and operating
results are reviewed in determining the Company’s operating segments.
Fair
Value of Financial Instruments
The
fair value of a financial instrument is based on the price that would be received to sell an asset or paid to transfer a liability in
an orderly transaction between market participants at the measurement date. Assets and liabilities subject to ongoing fair value measurement
are categorized and disclosed into one of the three categories depending on observable or unobservable inputs employed in the measurement.
Hierarchical levels, which are directly related to the amount of subjectivity associated with the inputs to the valuation of these assets
or liabilities, are as follows:
1.
Level
1: Inputs that are unadjusted, quoted prices in active markets for identical assets or liabilities at the measurement date.
2.
Level
2: Inputs (other than quoted prices included in Level 1) that are either directly or indirectly observable for the asset or liability
through correlation with market data at the measurement date and for the duration of the instrument’s anticipated life.
3.
Level
3: Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets
or liabilities and that reflect management’s best estimate of what market participants would use in pricing the asset or liability
at the measurement date.
In
some circumstances, the inputs used to measure fair value might be categorized within different levels of the fair value hierarchy. In
those instances, the fair value measurement is categorized in its entirety in the fair value hierarchy based on the lowest level input
that is significant to the fair value measurement.
The
carrying value of the Company’s financial instruments, including cash, accounts receivable, accounts payable, accrued expenses,
and the face amount of notes payable and long-term debt approximate fair value for all periods presented.
F- 16
Concentrations
of Risk
The
Company monitors its positions with, and the credit quality of, the financial institutions with which it invests. The Company, at times,
maintains balances in various operating accounts in excess of federally insured limits. We are dependent on certain third-party manufacturers
and pharmacies, although we believe that other contract manufacturers or third-party pharmacies could be quickly secured if any of our
current manufacturers or pharmacies cease to perform adequately. As of December 31, 2024, we utilized five (5) suppliers for fulfillment
services. As of December 31, 2023, we utilized three (3) suppliers for fulfillment services, nine (9) suppliers for manufacturing finished
goods, seven (7) suppliers for packaging, bottling, and labeling, and five (5) suppliers for prescription medications.
Recently
Adopted Accounting Pronouncements
In
November 2023, the Financial Accounting Standards Board (“FASB”) issued ASU 2023-07, Segment Reporting (Topic 280). The amendments
in this update improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses.
ASU 2023-07 became effective for the Company’s annual period beginning on January 1, 2024 and interim periods beginning after January
1, 2025. The Company adopted this guidance in the fourth quarter of 2024. Refer to Note 13 for additional information.
Other
Recent Accounting Pronouncements
In
December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, to improve
its income tax disclosure requirements. Under ASU 2023-09, entities must annually: (1) disclose specific categories in the rate reconciliation
and (2) provide additional information for reconciling items that meet a quantitative threshold. The amendments in this update are effective for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact that ASU 2023-09 will have to its consolidated financial
statements and related disclosures.
In
November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures
(Subtopic 220-40) to improve the disclosures about a public business entity’s expenses and provide more detailed information
about the types of expenses included in certain expense captions in the consolidated financial statements. The amendments in this update
are effective for annual reporting periods beginning after December 15, 2026, and interim reporting periods beginning after December
15, 2027. Early adoption is permitted and the amendments in this update should be applied either prospectively or retrospectively. The
Company is evaluating the impact this guidance will have on the disclosures in the consolidated financial statements.
All
other accounting standards updates that have been issued or proposed by the FASB that do not require adoption until a future date are
not expected to have a material impact on the consolidated financial statements upon adoption.
NOTE
3 – ACQUISITIONS
On
January 18, 2022, the Company completed the acquisition of Cleared. The Company accounted for the transaction using the acquisition method
in accordance with ASC 805, Business Combinations , with the purchase price being allocated to tangible and identifiable intangible
assets acquired and liabilities assumed based on their respective estimated fair values on the acquisition date. Fair values were determined
using income approaches. The results of Cleared are included within the consolidated financial statements commencing on the acquisition
date.
On
February 4, 2023, the Company entered into the Cleared First Amendment. The Cleared Stock Purchase Agreement was amended to, among other
things: (i) reduce the total purchase price by $ 250 thousand to a total of $ 3.67 million; (ii) change the timing of the payment of the
purchase price to $ 460 thousand paid at closing (which has already been paid by the Company), with the remaining amount to be paid in
five quarterly installments beginning on or before February 6, 2023 and ending January 15, 2024; (iii) remove all “earn-out”
payments payable by the Company to the sellers; and (iv) remove certain representations and warranties of the Company and sellers in
connection with the transaction. The Company issued the following shares of common stock to the sellers of Cleared under the Cleared
First Amendment: (1) 337,895 shares on February 6, 2023, (2) 455,319 shares on April 17, 2023, (3) 158,129 shares on July 17, 2023, (4)
117,583 shares on October 17, 2023 and (5) 95,821 shares on January 16, 2024.
In
February 2022, WorkSimpli closed on the ResumeBuild APA to purchase the related intangible assets associated with the ResumeBuild brand,
a subscription-based resume building software. The acquisition further adds to the capabilities of the WorkSimpli software as a service
application. The purchase price was $ 4.5 million, including cash paid upfront of $ 4.0 million and contingent consideration of $ 500 thousand.
In accordance with ASC 805, Business Combinations, the Company accounted for the ResumeBuild APA as an acquisition of assets as substantially
all the fair value of the gross assets acquired is concentrated in a group of similar assets. The Company has elected to group the complementary
intangible assets acquired as a single brand intangible asset. Additionally, the Seller is entitled to quarterly payments equal to the
greater of 15 % of net profits (as defined in the ResumeBuild APA) or approximately $ 63 thousand, for a two-year period ending on the
two-year anniversary of the closing of the Acquisition. As of December 31, 2024, WorkSimpli has paid the Seller $ 500 thousand in accordance
with the ResumeBuild APA. The Company estimated the fair value of the contingent consideration using the income approach.
F- 17
NOTE
4 – INTANGIBLE ASSETS
As
of December 31, 2024 and 2023, the Company has the following amounts related to amortizable intangible assets:
SCHEDULE
OF INTANGIBLE ASSETS
2024
2023
Life
December 31,
Amortizable
2024
2023
Life
Amortizable Intangible Assets:
ResumeBuild brand
$ 4,500,000
$ 4,500,000
5 years
Customer relationship asset
1,006,840
1,006,840
3 years
Cleared trade name
133,339
133,339
5 years
Cleared developed technology
12,920
12,920
1 year
Purchased licenses
200,000
200,000
10 years
Website domain names
175,397
171,599
3 years
Amortizable
intangible assets
175,397
171,599
3 years
Less: accumulated amortization
( 3,997,840 )
( 3,015,435 )
Total net amortizable intangible assets
$ 2,030,656
$ 3,009,263
The
aggregate amortization expense of the Company’s intangible assets was $ 982 thousand and $ 971 thousand for the years ended December
31, 2024 and 2023, respectively. Total amortization expense for 2025 is $ 978 thousand, $ 940 thousand for 2026, and approximately $ 113
thousand for 2027.
NOTE
5 – ACCRUED EXPENSES
As
of December 31, 2024 and 2023, the Company has the following amounts related to accrued expenses:
SCHEDULE
OF ACCRUED EXPENSES
2024
2023
December 31,
2024
2023
Accrued selling and marketing expenses
$ 9,149,967
$ 5,198,123
Accrued compensation
5,106,989
3,003,007
Sales tax payable
2,267,447
2,501,035
Accrued dividends payable
776,563
776,563
Purchase price payable
-
641,042
Other accrued expenses
3,510,797
1,817,724
Total accrued expenses
$ 20,811,763
$ 13,937,494
NOTE
6 – NOTES PAYABLE
Working
Capital Loans
During
the year ended December 31, 2023, the Company financed a $ 348 thousand prepaid insurance policy under a 10-month financing agreement
with Arthur J. Gallagher Risk Management Services, LLC. The terms of the agreement include finance fees in the amount of $ 13 thousand.
As of December 31, 2024 and December 31, 2023, the outstanding balance was $ 0 and $ 217 thousand, respectively, and is included in notes
payable, net, on the accompanying consolidated balance sheet.
In
October 2022, the Company received proceeds of $ 976 thousand under a 12-month working capital loan with Amazon. The terms of the loan
include interest in the amount of $ 62 thousand. As of December 31, 2024 and 2023, the outstanding balance was $ 0 and $ 111 thousand, respectively,
and is included in notes payable, net, on the accompanying consolidated balance sheet.
Total
interest expense on notes payable amounted to $ 7 thousand and $ 256 thousand for the years ended December 31, 2024 and 2023, respectively.
F- 18
NOTE
7 – LONG-TERM DEBT
Avenue
Capital Credit Facility
As
noted in Note 1 above, on March 21, 2023, the Company entered into the Avenue Credit Agreement and the Avenue Supplement. The Avenue
Credit Agreement provides for a convertible senior secured credit facility of up to an aggregate amount of $ 40
million, comprised of the following: (1) $ 15
million in term loans funded at closing, (2) $ 5
million of additional committed term loans received on September 26, 2023 in conjunction with the Avenue First Amendment and (3)
$ 20
million of additional uncommitted term loans, collectively referred to as the “Avenue Facility”. The Company issued
Avenue Warrants to purchase $ 1.2
million of the Company’s common stock at an exercise price of $ 1.24 ,
subject to adjustments. The Avenue Warrants have a term of five years. The relative fair value of the Avenue Warrants upon closing
was $ 873
thousand. In addition, Avenue may convert up to $ 2
million of the $ 15
million in term loans funded at closing into shares of the Company’s common stock at any time while the loans are outstanding,
at a price per share equal to $ 1.49 .
As of December 31, 2024, there is $ 1
million in term loans remaining to be converted. The relative fair value of the Avenue Warrants was recorded to debt discount and is
included as a reduction to long-term debt on the consolidated balance sheet as of December 31, 2024. The
Company incurred other fees associated with the Avenue Facility including: (1) a $300 thousand financing fee, (2) a $200 thousand
upfront commitment fee of 1% of the total $20 million in committed capital and (3) $27 thousand in legal fees. The total debt
discount recorded of $1.4 million will be amortized over a forty-two-month period. Total amortization of debt discount was
$ 402
thousand and $ 334
thousand for the years ended December 31, 2024 and 2023, respectively. The balance of debt discount was approximately $ 670 thousand
as of December 31, 2024. The Company received gross proceeds of $ 15.0
million at closing (net proceeds of $ 12.3
million after repayment of the $ 2
million outstanding CRG loan balance and various fees).
The
Avenue Facility matures on October 1, 2026 and interest is based on the greater of: (1) the Prime Rate (as defined in the Supplement)
plus 4.75% and (2) 12.5%. As of December 31, 2024, the interest rate was 12.5%. Interest only payments were extended until May 2025.
The Company may prepay the loans, subject to a prepayment penalty of 1.00 % to 3.00 % of the principal amount prepaid, depending on the
timing of the prepayment. Proceeds from the Avenue Facility were used to repay the Company’s outstanding notes payable balances
with CRG Financial and are expected to be utilized for general corporate purposes.
As
of December 31, 2024, the Company will pay $ 8.4 million in 2025 and $ 10.6 million in 2026 in principal payments under the Avenue Facility.
The
Company is subject to certain affirmative and negative covenants under the Avenue Facility, including the requirement, beginning on the
closing date, to maintain at least $ 5 million of unrestricted cash to be tested at the end of each month, and beginning on the period
ended September 30, 2023, and at the end of each quarter thereafter, a trailing six-month cash flow, subject to certain adjustments as
provided by the Avenue Credit Agreement, of at least $ 2 million.
On
November 15, 2023, Avenue converted $ 1 million of the principal amount of the outstanding term loans into shares of the Company’s
common stock. This resulted in 672,042 shares of common stock issued to Avenue. Additionally on November 15, 2023, Avenue exercised 96,773
of the Avenue Warrants on a cashless basis resulting in 79,330 shares of the Company’s common stock issued. As
of December 31, 2024, there was $ 19.0 million outstanding under the Avenue Facility and the Company was in compliance with the Avenue
Facility covenants.
Total
interest expense on long-term debt, inclusive of amortization of debt discounts, amounted to $ 2.7 million and $ 2.0 million for the years
ended December 31, 2024 and 2023, respectively.
NOTE
8 – STOCKHOLDERS’ (DEFICIT) EQUITY
The
Company has authorized the issuance of up to 100,000,000 shares of common stock, $ 0.01 par value, and 5,000,000 shares of preferred stock,
$ 0.0001 par value, of which 5,000 shares are designated as Series B Convertible Preferred Stock, 1,610,000 are designated as Series A
Preferred Stock and 3,385,000 shares of preferred stock remain undesignated.
The
Company entered into the ATM Sales Agreement whereby the Company may offer and sell, from time to time, shares of common stock. On June
7, 2024, the Company filed the 2024 Shelf. Under the 2024 Shelf at the time of effectiveness, the Company had the ability to raise up
to $ 150.0 million by selling common stock, preferred stock, debt securities, warrants, and units including $ 53.3 million of its common
stock under the ATM Sales Agreement. As of December 31, 2024, the Company had $ 53.3 million available under the ATM Sales Agreement,
which is part of the $ 150.0 million available under the 2024 Shelf.
Series
A Preferred Stock
In
September 2021, the Company entered into the Preferred Underwriting Agreement with B.Riley. Pursuant to the Preferred Underwriting Agreement,
the Company agreed to sell 1,400,000 shares of its Series A Preferred Stock under the Preferred Stock Offering.
F- 19
The
Series A Preferred Stock ranks senior to the Company’s common stock with respect to the payment of dividends and liquidation rights.
The Company will pay cumulative distributions on the Series A Preferred Stock, from the date of original issuance, in the amount of $ 2.21875
per share each year, which is equivalent to 8.875 % of the $ 25.00 liquidation preference per share. Dividends on the Series A Preferred
Stock will be payable quarterly in arrears, on or about the 15th day of January, April, July and October of each year. The first dividend
on the Series A Preferred Stock sold in this offering was declared on December 23, 2021 to holders of record as of January 4, 2022 and
was paid on January 14, 2022.
Dividends
declared and paid on the Series A Preferred Stock during the year ended December 31, 2024 are as follows: (1) quarterly dividend declared
on March 26, 2024 to holders of record as of April 5, 2024, which was paid on April 15, 2024, (2) quarterly dividend declared on June
25, 2024 to holders of record as of July 5, 2024 which was paid on July 15, 2024, (3) quarterly dividend declared on September 24, 2024
to holders of record as of October 4, 2024 which was paid on October 15, 2024, and (4) quarterly dividend declared on December 24, 2024
to holders of record as of January 3, 2025 and was paid on January 15, 2025.
Dividends
declared and paid on the Series A Preferred Stock during the year ended December 31, 2023 are as follows: (1) quarterly dividend declared
on March 28, 2023 to holders of record as of April 7, 2023 and was paid on April 17, 2023, (2) quarterly dividend declared on June 27,
2023 to holders of record as of July 7, 2023 and was paid on July 17, 2023, (3) quarterly dividend declared on September 26, 2023 to
holders of record as of October 6, 2023 and was paid on October 16, 2023 and (4) quarterly dividend declared on December 26, 2023 to
holders of record as of January 5, 2024 and was paid on January 15, 2024.
Holders
of the Series A Preferred Stock have no voting rights except in the case of certain dividend nonpayments. If dividends on the Series
A Preferred Stock are in arrears, whether or not declared, for six or more quarterly periods, whether or not these quarterly periods
are consecutive, holders of Series A Preferred Stock and holders of all other classes or series of parity preferred stock with which
the holders of Series A Preferred Stock are entitled to vote together as a single class will be entitled to vote, at a special meeting
called by the holders of record of at least 10 % of any series of preferred stock as to which dividends are so in arrears or at the next
annual meeting of stockholders, for the election of two additional directors to serve on our Board until all dividend arrearages have
been paid. If and when all accumulated dividends on the Series A Preferred Stock for all past dividend periods shall have been paid in
full, holders of shares of Series A Preferred Stock shall be divested of the voting rights set forth above.
The
Series A Preferred Stock is perpetual and has no maturity date. No outstanding shares of Series A Preferred Stock have been redeemed.
However, the Series A Preferred Stock will be redeemable at our option, in whole or in part, at the following redemption prices, plus
any accrued and unpaid dividends up to, but not including, the date of redemption: 1) on and after October 15, 2022 and prior to October
15, 2023, at a redemption price equal to $ 25.75 per share, 2) on and after October 15, 2023 and prior to October 15, 2024, at a redemption
price equal to $ 25.50 per share, 3) on and after October 15, 2024 and prior to and prior to October 15, 2025 at a redemption price equal
to $ 25.25 per share and 4) on and after October 15, 2025 at a redemption price equal to $ 25.00 per share. In addition, upon the occurrence
of a delisting event or change of control, we may, subject to certain conditions, at our option, redeem the Series A Preferred Stock,
in whole or in part within 90 days after the first date on which such delisting event occurred or within 120 days after the first date
on which such change of control occurred, as applicable, by paying $ 25.00 per share, plus any accumulated and unpaid dividends up to,
but not including, the redemption date.
Upon
the occurrence of a delisting event or a change of control, each holder of Series A Preferred Stock will have the right unless we have
provided or provide notice of our election to redeem the Series A Preferred Stock, to convert some or all of the shares of Series A Preferred
Stock held by such holder into a number of shares of our common stock (or equivalent value of alternative consideration) per share of
Series A Preferred Stock, or the “Common Stock Conversion Consideration”. In the case of a delisting event or change of control,
pursuant to which shares of common stock shall be converted into cash, securities or other property or assets (the “Alternative
Form Consideration”), a holder of shares of Series A Preferred Stock shall receive upon conversion of such shares of Series A Preferred
Stock the kind and amount of Alternative Form Consideration which such holder would have owned or been entitled to receive upon the delisting
event or change of control, had such holder held a number of shares of common stock equal to the Common Stock Conversion Consideration
immediately prior to the effective time of the delisting event or change of control.
F- 20
Series
B Convertible Preferred Stock
On
August 27, 2020, the Secretary of State of the State of Delaware delivered confirmation of the effective filing of the Company’s
Certificate of Designations of the Series B Convertible Preferred Stock, which established 5,000 shares of the Company’s Series
B Preferred Stock, having such designations, rights and preferences as set forth therein (the “Series B Designations”). The
holders of Series B Preferred Stock rank senior to the Common Stock with respect to payment of dividends and rights upon liquidation
and will vote together with the holders of the Common Stock on an as-converted basis, subject to beneficial ownership limitations, on
each matter submitted to a vote of holders of Common Stock (whether at a meeting of stockholders or by written consent). In addition,
as further described in the Series B Designations, if at least 30% of the number of shares of Series B Preferred Stock are outstanding,
the Company will not take certain corporate actions without the affirmative vote at a meeting (or the written consent with or without
a meeting) of the purchasers holding a majority of the shares of Series B Preferred Stock then outstanding.
Options
and Warrants
During
the year ended December 31, 2024,
the Company issued an aggregate of 512,777 shares of common stock related to the cashless exercise of options.
During
the year ended December 31, 2024,
the Company issued an aggregate of 1,630,458 shares of common stock related to the cashless exercise of warrants.
During
the year ended December 31, 2024,
the Company issued an aggregate of 86,250 shares of common stock related to the exercise of options for total proceeds of approximately
$ 120 thousand.
During
the year ended December 31, 2023, the Company issued an aggregate of 74,372 shares of common stock related to the cashless exercise of
options.
During
the year ended December 31, 2023, the Company issued an aggregate of 37,500 shares of common stock related to the exercise of options
for total proceeds of $ 94,500 .
During
the year ended December 31, 2023, the Company issued an aggregate of 79,330 shares of common stock related to the cashless exercise of
warrants.
Common
Stock
Common
Stock Transactions During the Year Ended December 31, 2024
During
the year ended December 31, 2024, the Company issued an aggregate of 1,609,960 shares of common stock for service, including vested restricted
stock.
On
February 4, 2023, the Company entered into the Cleared First Amendment between the Company and the sellers of Cleared. The Cleared Stock
Purchase Agreement was amended to, among other things change the timing of the payment of the purchase price to $ 460 thousand paid at
closing (which has already been paid by the Company), with the remaining amount to be paid in five quarterly installments beginning on
or before February 6, 2023 and ending January 15, 2024. The Company issued the following shares of common stock to the sellers of Cleared
under the Cleared First Amendment: (1) 337,895 shares on February 6, 2023, (2) 455,319 shares on April 17, 2023, (3) 158,129 shares on
July 17, 2023, (4) 117,583 shares on October 17, 2023 and (5) 95,821 shares on January 16, 2024. The fair value of the stock issuance
under the Cleared First Amendment during the year ended December 31, 2024 was $ 642 thousand.
Common
Stock Transactions During the Year Ended December 31, 2023
During
the year ended December 31, 2023, the Company issued an aggregate of 978,500 shares of common stock for service, including vested restricted
stock.
On
February 4, 2023, the Company entered into the Cleared First Amendment between the Company and the sellers of Cleared. The Cleared Stock
Purchase Agreement was amended to, among other things change the timing of the payment of the purchase price to $ 460 thousand paid at
closing (which has already been paid by the Company), with the remaining amount to be paid in five quarterly installments beginning on
or before February 6, 2023 and ending January 15, 2024. The Company issued the following shares of common stock to the sellers of Cleared
under the Cleared First Amendment during the year ended December 31, 2023: (1) 337,895 shares on February 6, 2023, (2) 455,319 shares
on April 17, 2023, (3) 158,129 shares on July 17, 2023 and (4) 117,583 shares on October 17, 2023. The fair value of the stock issuances
under the Cleared First Amendment during the year ended December 31, 2023 was $ 2.6 million.
During
the year ended December 31, 2023, the Company sold 1,009,907 shares of common stock under the ATM Sales Agreement and net proceeds received
were $ 6.2 million.
During
the year ended December 31, 2023, the Company issued 100,000 shares of common stock related to the settlement of the Harborside Advisors
LLC v. LifeMD, Inc., Case No. 21-cv-10593, and the Specialty Medical Drugstore, LLC D/B/A GoGoMeds v. LifeMD, Inc., Case No.
21-cv-10599, matters. The shares issued were valued based on the closing price of the Company’s stock, or $ 5.32 , on the date of
settlement, July 10, 2023.
F- 21
On
July 10, 2023, and August 14, 2023, PA001 Holdings, the holder of the Company’s Series B Preferred Stock, elected to convert 2,275
and 1,225 shares, respectively, of the Company’s Series B Preferred Stock into common stock, at a price of $ 3.25 per share of Series
B Preferred Stock, pursuant to the terms of the PA001 Securities Purchase Agreement. The conversion was calculated based on the original
issuance price of the Series B Preferred Stock plus all accrued dividends to date or approximately $ 5.1 million. The conversion resulted
in 1,010,170 and 550,694 shares of the Company’s common stock issued to PA001 Holdings, on July 12, 2023 and August 15, 2023, respectively.
On
March 21, 2023, in connection with the Company’s closing of the Avenue Credit Agreement, the Company issued Avenue Warrants to
purchase $ 1.2 million of the Company’s common stock at an exercise price of $ 1.24 , subject to adjustments. In addition, Avenue
may convert up to $ 2 million of the $ 15 million in term loans funded at closing into shares of the Company’s common stock at any
time while the loans are outstanding, at a price per share equal to $ 1.49 . On November 15, 2023, Avenue converted $ 1 million of the principal
amount of the outstanding term loans into shares of the Company’s common stock. This resulted in 672,042 shares of common stock
issued to Avenue. Additionally on November 15, 2023, Avenue exercised 96,773 of the Avenue Warrants on a cashless basis, resulting in
79,330 shares of the Company’s common stock issued.
On
December 11, 2023, in connection with the Medifast Collaboration, the Company entered into a stock purchase agreement with Medifast’s
wholly-owned subsidiary, Jason Pharmaceuticals, Inc., whereby the Company issued 1,224,425 shares of its common stock, in a private placement
at a purchase price of $ 8.1671 per share, for aggregate proceeds of approximately $ 10 million.
WorkSimpli
Software Restructuring Transaction (“WSS Restructuring”)
Effective
January 22, 2021 (the “WSS Effective Date”), the Company consummated the WSS Restructuring. To effect the WSS Restructuring,
the Company’s wholly-owned subsidiary at the time, Conversion Labs PR (or subsequently “LifeMD PR”), entered into a
series of membership interest exchange agreements, pursuant to which, Conversion Labs PR exchanged a promissory note, dated May 8, 2019
with an outstanding balance of $ 376 thousand (the “CVLB PR Note”), issued by WSS in favor of Conversion Labs PR, for 37,531
newly issued membership interests of WSS (the “Exchange”). Upon consummation of the Exchange the CVLB PR Note was extinguished.
Concurrently, in furtherance of the WSS Restructuring, Conversion Labs PR entered into certain Membership Interest Purchase Agreements
whereby Conversion Labs PR purchased membership interests of WSS. Following the consummation of the WSS Restructuring, Conversion Labs
PR increased its ownership of WSS from 51 % to approximately 85.58 % on a fully diluted basis.
Additionally,
Conversion Labs PR entered into option agreements with Sean Fitzpatrick (the “Fitzpatrick Option Agreement”) and Varun Pathak
(the “Pathak Option Agreement” together with Fitzpatrick Option Agreement the “Option Agreements”), pursuant
to which Conversion Labs PR granted options to purchase membership interest units of WSS. On September 30, 2022, Sean Fitzpatrick and
Varun Pathak exercised their options to purchase 10,300 and 2,100 membership interest units, respectively, of WorkSimpli for an exercise
price of $ 1.00 per membership interest unit under the Option Agreements.
WorkSimpli
Software Capitalization Update
Effective
March 31, 2023, the Company redeemed 500 membership interest units in WorkSimpli. Following the retirement, the Company’s ownership
interest in WorkSimpli increased to 74.1 %. On June 30, 2023, WorkSimpli’s Chief Operating Officer, exercised her option agreement
(the “WorkSimpli COO Option Agreement”) to purchase 889 membership interest units of WorkSimpli for an exercise price of
$ 1.00 per membership interest unit. Following the exercise of the WorkSimpli COO Option Agreement, the Company decreased its ownership
interest in WorkSimpli from 74.1 % to 73.3 %.
Non-controlling
Interest
Net
income attributed to non-controlling interest amounted to $ 153 thousand and $ 2.8 million for the years ended December 31, 2024 and 2023,
respectively. During the years ended December 31, 2024 and 2023, the Company paid distributions to non-controlling shareholders of $ 774
thousand and $ 144 thousand, respectively.
On
March 31, 2024, WorkSimpli declared a cash distribution in the amount of $ 11.20 per membership interest unit to all unit holders of record
as of March 31, 2024 and was paid on April 10, 2024. On July 1, 2024, WorkSimpli declared a cash distribution in the amount of $ 9.05
per membership interest unit to all unit holders of record as of June 30, 2024 and was paid on July 1, 2024. On November 15, 2024, WorkSimpli
declared a cash distribution in the amount of $ 5.66 per membership interest unit to all unit holders of record as of November 1, 2024
and was paid on November 18, 2024. The total of these distributions was $ 630 thousand and is included in distributions to non-controlling
interest within the statement of stockholders’ deficit for the year ended December 31, 2024.
F- 22
On
June 30, 2023, WorkSimpli declared a cash distribution in the amount of $ 22.40 per membership interest unit to all unit holders of record
as of June 30, 2023 and was paid on July 3, 2023 . On July 31, 2023, WorkSimpli declared a cash distribution in the amount of $ 11.20 per
membership interest unit to all unit holders of record as of July 28, 2023 and was paid on August 1, 2023 . On August 31, 2023, WorkSimpli
declared a cash distribution in the amount of $ 16.80 per membership interest unit to all unit holders of record as of August 30, 2023
and was paid on September 1, 2023. On September 30, 2023, WorkSimpli declared a cash distribution in the amount of $ 14.00 per membership
interest unit to all unit holders of record as of September 30, 2023 and was paid on October 5, 2023 . On October 31, 2023, WorkSimpli
declared a cash distribution in the amount of $ 11.20 per membership interest unit to all unit holders of record as of October 31, 2023
and was paid on November 8, 2023 . On December 31, 2023, WorkSimpli declared a cash distribution in the amount of $ 13.44 per membership
interest unit to all unit holders of record as of January 5, 2024 and was paid on January 5, 2024 . The total of these distributions was
$ 2.1 million and is included in within general and administrative expenses for the year ended December 31, 2023.
Stock
Options
2020
Equity Incentive Plan (the “2020 Plan”)
On
January 8, 2021, the Company approved the Company’s 2020 Equity and Incentive Plan (the “2020 Plan”). Approval of the
2020 Plan was included as Proposal 1 in the Company’s definitive proxy statement for its Special Meeting of Stockholders filed
with the Securities and Exchange Commission on December 7, 2020. The 2020 Plan is administered by the Compensation Committee of the Board
of Directors (the “Board”) and initially provided for the issuance of up to 1,500,000 shares of Common Stock. The number
of shares of Common Stock available for issuance under the 2020 Plan automatically increases by 150,000 shares of Common Stock on January
1st of each year, for a period of not more than ten years, commencing on January 1, 2021 and ending on (and including) January 1, 2030.
Awards under the 2020 Plan can be granted in the form of stock options, non-qualified and incentive options, stock appreciation rights,
restricted stock, and restricted stock units.
On
June 24, 2021, at the Annual Meeting of Stockholders, the stockholders of the Company approved the amendment to the 2020 Plan to increase
the maximum number of shares of the Company’s common stock available for issuance under the 2020 Plan by 1,500,000 shares. On June
16, 2022, at the Annual Meeting of Stockholders, the stockholders of the Company approved the second amendment and restatement of the
2020 Plan, which amended the 2020 Plan to increase the maximum number of shares of the Company’s common stock available for issuance
under the 2020 Plan by 1,500,000 shares. On June 14, 2024, at the Annual Meeting of Stockholders, the stockholders of the Company approved
the third amendment and restatement to the 2020 Plan (the “Amended 2020 Plan”), which further amended the 2020 Plan by increasing
the maximum number of shares of the Company’s common stock available for issuance under the Amended 2020 Plan by 3,000,000 shares.
As
of December 31, 2024, the Amended 2020 Plan provided for the issuance of up to 8,100,000 shares of Common Stock. Remaining authorization
under the Amended 2020 Plan was 1,940,844 shares as of December 31, 2024.
The
forms of award agreements to be used in connection with awards made under the Amended 2020 Plan to the Company’s executive officers
and non-employee directors are:
●
Form
of Non-Qualified Option Agreement (Non-Employee Director Awards)
●
Form
of Non-Qualified Option Agreement (Employee Awards); and
●
Form
of Restricted Stock Award Agreement.
F- 23
Previously,
the Company had granted service-based stock options and performance-based stock options separate from the Amended 2020 plan. The following
is a summary of outstanding options activity under our Amended 2020 Plan:
SCHEDULE
OF OPTION ACTIVITY
Options
Outstanding
Number of
Shares
Exercise Price
per Share
Weighted
Average
Remaining
Contractual
Life
Weighted
Average
Exercise Price
per Share
Balance, December 31, 2022
1,784,587
$
2.30 – 21.02
6.95 years
$ 9.54
Granted
109,500
1.84 – 7.44
3.86 years
3.50
Exercised
( 37,500 )
2.52
2.70 years
2.52
Cancelled/Forfeited/Expired
( 1,129,698 )
2.30 – 21.02
6.62 years
10.12
Balance at December 31, 2023
726,889
$
1.84 – 13.74
4.93 years
$ 8.08
Granted
-
-
-
-
Exercised
( 172,222 )
6.00 – 7.50
5.86 years
6.44
Cancelled/Forfeited/Expired
( 39,000 )
7.44 – 13.74
5.74 years
12.77
Balance at December 31, 2024
515,667
$
1.84 – 13.74
4.81 years
$ 8.28
Exercisable at December 31, 2023
604,758
$
1.84 – 13.74
6.23 years
$ 8.44
Exercisable at December 31, 2024
504,787
$
1.84 – 13.74
4.84 years
$ 8.39
Total
compensation expense under the Amended 2020 Plan options above was $ 1.2 million and $ 4.5 million for the years ended December 31, 2024
and 2023, respectively, with unamortized expense remaining of $ 30 thousand as of December 31, 2024. During the year ended December 31,
2024, 172,222 options were exercised on a cashless basis, which resulted in 62,781 shares issued. As of December 31, 2024, the aggregate
intrinsic value of vested service-based options outstanding was $ 200 thousand.
The
following is a summary of outstanding service-based options activity (prior to the establishment of the Amended 2020 Plan above):
SCHEDULE
OF OPTION ACTIVITY
Options
Outstanding
Number of
Shares
Exercise Price
per Share
Weighted
Average
Remaining
Contractual
Life
Weighted
Average
Exercise Price
per Share
Balance, December 31, 2022
1,439,333
$ 1.00 – 19.61
5.63 years
$ 6.11
Granted
140,000
1.00 – 2.00
1.94 years
1.71
Exercised
( 120,000 )
1.00 – 1.50
4.34 years
1.33
Cancelled/Forfeited/Expired
( 335,000 )
1.25 – 19.61
3.90 years
14.09
Balance at December 31, 2023
1,124,333
$ 1.00 – 11.98
4.60 years
$ 3.69
Granted
-
-
-
-
Exercised
( 232,000 )
1.00 – 6.25
2.55 years
2.19
Cancelled/Forfeited/Expired
( 210,000 )
1.40 – 7.73
2.78 years
2.73
Balance at December 31, 2024
682,333
$ 1.00 – 11.98
4.24 years
$ 4.06
Exercisable December 31, 2023
1,090,083
$ 1.00 – 11.98
4.62 years
$ 3.66
Exercisable at December 31, 2024
682,333
$ 1.00 – 11.98
4.24 years
$ 4.06
Total
compensation expense under the above service-based option plan was $ 291 thousand and $ 1.7 million for the years ended December 31, 2024
and 2023, respectively, with no unamortized expense remaining as of December 31, 2024. Of the total service-based options exercised during
the year ended December 31, 2024, 170,750 options were exercised on a cashless basis, which resulted in 134,302 shares issued and 61,250
options were exercised for cash. As of December 31, 2024, aggregate intrinsic value of vested service-based options outstanding was $ 1.1
million.
F- 24
The
following is a summary of outstanding performance-based options activity:
SCHEDULE
OF OPTION ACTIVITY
Options
Outstanding
Number of
Shares
Exercise
Price
per Share
Weighted
Average
Remaining
Contractual
Life
Weighted
Average
Exercise Price
per Share
Balance
at December 31, 2022
535,000
$
1.25
– 2.50
4.59
years
$
1.60
Granted
-
-
-
-
Exercised
-
-
-
-
Cancelled/Forfeited/Expired
( 50,000
)
2.00
-
2.00
Balance
at December 31, 2023
485,000
$
1.25
– 2.50
4.13
years
$
1.56
Granted
-
-
-
-
Exercised
( 395,000
)
1.50
– 2.00
3.31
years
1.53
Cancelled/Forfeited/Expired
-
-
-
-
Balance
at December 31, 2024
90,000
$
1.25
– 2.50
2.30
years
$
1.69
Exercisable
December 31, 2023
420,000
$
1.50
– 2.50
4.20
years
$
1.56
Exercisable
at December 31, 2024
25,000
$
1.75
– 2.50
1.40
years
$
2.05
No
compensation expense was recognized on the performance-based options above for the years ended December 31, 2024 and 2023. As of December
31, 2024, aggregate intrinsic value of vested performance options outstanding was $ 73 thousand. Of the total performance-based options
exercised during the year ended December 31, 2024, 370,000 options were exercised on a cashless basis, which resulted in 315,694 shares
issued and 25,000 options were exercised for cash.
RSUs
and RSAs (under our Amended 2020 Plan)
The
following is a summary of outstanding RSUs and RSAs activity under our Amended 2020 Plan:
SCHEDULE
OF RESTRICTED STOCK UNIT ACTIVITY
RSUs and RSAs Outstanding
Number of Shares
Balance at December 31, 2022
1,028,250
Granted
3,625,750
Vested
( 674,625 )
Forfeited
( 785,000 )
Balance at December 31, 2023
3,194,375
Granted
1,759,767
Vested
( 1,454,198 )
Forfeited
( 450,000 )
Balance at December 31, 2024
3,049,944
The
total fair value of the 1,759,767 RSUs and RSAs granted was $ 12.3 million which was determined using the fair value of the quoted market
price on the date of grant. Total compensation expense under the above Amended 2020 Plan RSUs and RSAs was $ 9.9 million and $ 5.4 million
for the years ended December 31, 2024 and 2023, respectively, with unamortized expense remaining of $ 7.1 million as of December 31, 2024.
During the year ended December 31, 2024, 1,454,198 RSUs and RSAs vested, of which 1,359,960 RSUs and RSAs were issued.
RSUs
and RSAs (outside of our Amended 2020 Plan)
The
following is a summary of outstanding RSUs and RSAs activity (outside of our Amended 2020 Plan):
SCHEDULE
OF RESTRICTED STOCK UNIT ACTIVITY
RSUs and RSAs Outstanding
Number
of Shares
Balance at December 31, 2022
715,000
Granted
725,000
Vested
( 390,000 )
Cancelled/Forfeited
( 500,000 )
Balance at December 31, 2023
550,000
Granted
-
Vested
( 250,000 )
Balance at December 31, 2024
300,000
F- 25
Total
compensation expense for RSUs and RSAs outside of the Amended 2020 Plan was $ 809 thousand and $ 885 thousand for the years ended December
31, 2024 and 2023, respectively, with no unamortized expense remaining as of December 31, 2024. During the year ended December 31, 2024,
250,000 RSUs and RSAs vested, of which 250,000 RSUs and RSAs were issued.
Warrants
The
following is a summary of outstanding and exercisable warrant activity:
SCHEDULE
OF WARRANT OUTSTANDING AND EXERCISABLE
Warrants
Outstanding
Number of
Shares
Exercise Price
per Share
Weighted
Average
Remaining
Contractual
Life
Weighted
Average
Exercise Price
per Share
Balance at December 31, 2022
3,859,638
$
1.40 – 12.00
4.89 years
$ 5.60
Granted
967,742
1.24
4.22 years
1.24
Exercised
( 96,773 )
1.24
4.22 years
1.24
Cancelled/Forfeited/Expired
-
Balance at December 31, 2023
4,730,607
$
1.24 – 12.00
3.95 years
$ 4.81
Granted
-
-
-
-
Exercised
( 2,986,877 )
1.40 – 5.75
3.13 years
4.90
Cancelled/Forfeited/Expired
-
-
-
-
Balance at December 31, 2024
1,743,730
$
1.24 – 12.00
2.66 years
$ 4.65
Exercisable December 31, 2023
4,730,607
$
1.24 – 12.00
3.95 years
$ 4.80
Exercisable December 31, 2024
1,743,730
$
1.24 – 12.00
2.66 years
$ 4.63
Total
compensation expense for warrants granted prior to the year ended December 31, 2023 was $ 0 and $ 18 thousand for the years ended December
31, 2024 and 2023, respectively, with no unamortized expense remaining as of December 31, 2024. No stock-based compensation expense on
the warrants granted during the year ended December 31, 2023 was recorded as the warrants are amortized through debt discount (see Note
7). During the year ended December 31, 2024, 2,986,877 warrants were exercised on a cashless basis, which resulted in 1,630,458 shares
issued. As of December 31, 2024, aggregate intrinsic value of vested warrants outstanding was $ 4.1 million.
Stock-based
Compensation
The
total stock-based compensation expense related to common stock issued for services, service-based stock options, performance-based stock
options, warrants and RSUs, and RSAs amounted to $ 12.2 million and $ 12.5 million for the years ended December 31, 2024 and 2023, respectively.
Such amounts are included in general and administrative expenses in the consolidated statements of operations. Unamortized expense remaining
related to service-based stock options, performance-based stock options, warrants, RSUs, and RSAs was $ 7.1 million as of December 31,
2024, which is expected to be recognized through 2027.
NOTE
9 – LEASES
The
Company leases office space domestically under operating leases including: (1) the Company’s headquarters in New York, New York
for which the lease expires in 2028, (2) a marketing and sales center in Huntington Beach, California for which the lease expires in
2027, (3) a patient care center in Greenville, South Carolina for which the lease expires in 2031, with an additional five year option
to extend, for which the Company expects to utilize, (4) warehouse and fulfillment centers in Columbia, Pennsylvania and Lancaster, Pennsylvania
for which the leases expired in 2024 and (5) a warehouse and pharmacy operations center in Lancaster, Pennsylvania for which the lease
expires in 2029, with an additional five year option to extend, for which the Company expects to utilize. WorkSimpli leases two office
spaces in Puerto Rico for which the leases expire in 2026.
F- 26
The
following is a summary of the Company’s operating right-of-use assets and operating lease liabilities as of December 31, 2024:
SCHEDULE
OF OPERATING RIGHT OF USE OF ASSETS
Right-of-use assets
$ 6,400,596
Current operating lease liabilities
$ 508,537
Noncurrent operating lease liabilities
$ 6,265,192
The
table below reconciles the undiscounted future minimum lease payments under the above noted operating leases to the total operating lease
liabilities recognized on the consolidated balance sheet as of December 31, 2024:
SCHEDULE
OF MATURITY OF OPERATING LEASE LIABILITIES
Fiscal year 2025
$ 1,109,302
Fiscal year 2026
1,339,435
Fiscal year 2027
1,231,623
Fiscal year 2028
931,879
Fiscal year 2029
772,833
Thereafter
5,676,825
Less: imputed interest
( 4,288,168 )
Present value of operating lease liabilities
$ 6,773,729
Operating
lease expenses were $ 1.2 million and $ 861 thousand for the years ended December 31, 2024 and 2023, respectively, and were included in
other operating expenses in our consolidated statement of operations.
Supplemental
cash flow information related to operating lease liabilities consisted of the following:
SCHEDULE
OF CASH FLOW INFORMATION RELATED TO OPERATING LEASE LIABILITIES
December 31,
2024
2023
Cash paid for operating lease liabilities
$ 831,260
$ 897,883
Weighted average remaining lease term in years
10.39
2.18
Weighted average discount rate
10.96 %
7.17 %
We
have elected to apply the short-term lease exception to the warehouse and fulfillment center spaces we leased in Columbia, Pennsylvania
and Lancaster, Pennsylvania for which the leases expired in 2024. These leases had a term of less than 12 months and were not recognized
on the balance sheet, but rather expensed on a straight-line basis over the lease term. Straight-line lease payments are approximately
$ 2 thousand and $ 3 thousand per month, for Columbia, Pennsylvania and Lancaster, Pennsylvania, respectively. Additionally, the Company
utilizes office space in Puerto Rico on a month-to-month basis incurring rental expense of approximately $ 3 thousand per month.
NOTE
10 - COMMITMENTS AND CONTINGENCIES
Royalty
Agreements
During
2016, Conversion Labs PR entered into a sole and exclusive license, royalty and advisory agreement with Pilaris Laboratories, LLC (“Pilaris”)
relating to Pilaris’ PilarisMax shampoo formulation and conditioner. The term of the agreement will be the life of the US Patent
held by Pilaris, ten years . As consideration for granting Conversion Labs PR this license, Pilaris will receive on quarterly basis, 10 %
of the net income collected by the licensed products based on the following formula: Net Income = total income – cost of goods
sold – advertising and operating expenses directly related to the marketing of the licensed products. As of December 31, 2024 and
2023, approximately $ 0 and $ 5 thousand, respectively, was included in accrued expenses in regard to this agreement. The Company paid
Pilaris approximately $ 5 thousand and $ 138 thousand during the years ended December 31, 2024 and 2023, respectively, in regard to this
agreement.
During
2018, the Company entered into a license agreement (the “Alphabet Agreement”) with M.ALPHABET, LLC (“Alphabet”),
pursuant to which Alphabet agreed to license its PURPUREX business which consists of methods and compositions developed by Alphabet for
the treatment of purpura, bruising, post-procedural bruising, and traumatic bruising (the “Product Line”). Pursuant to the
license granted under the Alphabet Agreement, Conversion Labs PR obtains an exclusive license to incorporate (i) any intellectual property
rights related to the Product Line and (ii) all designs, drawings, formulas, chemical compositions and specifications used or useable
in the Product Line into one or more products manufactured, sold, and/or distributed by Alphabet for the treatment of purpura, bruising,
post-procedural bruising and traumatic bruising and for all other fields of use or purposes (the “Licensed Product(s)”),
and to make, have made, advertise, promote, market, sell, import, export, use, offer to sell, and distribute the Licensed Product(s)
throughout the world with the exception of China, Hong Kong, Japan, and Australia (the “License”). The Company shall pay
Alphabet a royalty equal to 13% of Gross Receipts (as defined in the Agreement) realized from the sales of Licensed Products. No amounts
were earned or owed as of December 31, 2024.
F- 27
Upon
execution of the Alphabet Agreement, Alphabet was granted a 10 -year stock option to purchase 20,000 shares of the Company’s common
stock at an exercise price of $ 2.50 . Further, if Licensed Products have gross receipts of $ 7.5 million in any calendar year, the Company
will grant Alphabet an option to purchase 20,000 shares of the Company’s common stock at an exercise price of $ 2.50 ; (ii) if Licensed
Products have gross receipts of $ 10.0 million in any calendar year, the Company will grant Alphabet an additional option to purchase
20,000 shares of the Company’s common stock at an exercise price of $ 2.50 and (iii) if Licensed Products have gross receipts of
$ 20.0 million in any calendar year, the Company will grant Alphabet an option to purchase 40,000 shares of the Company’s common
stock at an exercise price of $ 3.75 . The likelihood of meeting these performance goals for the licensed products are remote and, therefore,
the Company has not recognized any compensation.
Purchase
Commitments
Many
of the Company’s vendors require product deposits when a purchase order is placed for goods or fulfillment services related to
inventory requirements. The Company’s history of product deposits with its inventory vendors, creates an implicit purchase commitment
equaling the total expected product acceptance cost in excess of the product deposit. As of December 31, 2024, the Company approximates
its implicit purchase commitments to be approximately $ 479 thousand.
Legal
Matters
In
the normal course of business operations, the Company may become involved in various legal matters. As of December 31, 2024, other than
as set forth below, the Company’s management does not believe that there are any potential legal matters that could have an adverse
effect on the Company’s consolidated financial position.
On
August 23, 2023, a purported putative class action complaint captioned Marden v. LifeMD, Inc., Case No. 23-cv-07469, was filed in the
United States District Court for the Southern District of New York (the “Marden Complaint”) against the Company’s RexMD
brand. The Marden Complaint alleges, inter alia, unauthorized disclosure of certain information of class members to third parties. On
November 21, 2023, the plaintiffs amended the Marden Complaint. On March 4, 2024, the Company moved to dismiss the Marden Complaint,
and that motion is pending. On July 12, 2024, the parties attended a mediation. On November 1, 2024, the plaintiffs filed a notice of
voluntary dismissal of the Southern District of New York case. On November 25, 2024, the plaintiffs refiled the case via a new complaint
captioned W.M.F. & Matthew Marden v. LifeMD, Inc., Case No. A-24-906800-C, in the District Court of Clark County, Nevada. The results
of legal proceedings are inherently uncertain, and the best estimate of cost is reflected in the Company’s financial results.
On
September 5, 2023, the Internal Revenue Service (the “IRS”) issued a notice of deficiency to the Company in which the IRS
asserted an income tax deficiency of approximately $ 1.9 million for the Company’s tax year ending December 31, 2019. The Company
timely filed a petition in the United States Tax Court disputing all of the proposed tax deficiency. The case was subsequently transferred
to the Appeals Division of the IRS. Upon review of the amended return, IRS Appeals agreed to accept the amended return as filed, which
resolves all of the issues asserted in the notice of deficiency. The Company is in the process of finalizing the steps with the IRS to
agree upon a decision document that will be filed by the Tax Court and will resolve all issues in the case in the Company’s favor.
NOTE
11 – RELATED PARTY TRANSACTIONS
WorkSimpli
Software
During
the years ended December 31, 2024 and 2023, the Company utilized CloudBoson Technologies Pvt. Ltd. (“CloudBoson”), formerly
LegalSubmit Pvt. Ltd. (“LegalSubmit”), a company owned by WorkSimpli’s Chief Software Engineer, to provide software
development services. The Company paid CloudBoson a total of $ 3.6 million and $ 2.5 million during the years ended December 31, 2024 and
2023, respectively, for these services. The Company owed CloudBoson $ 56 thousand and $ 226 thousand as of December 31, 2024 and 2023,
respectively.
Legal
Services
During
the years ended December 31, 2024 and 2023, the Company utilized King & Spalding LLP (“King & Spalding”), a large
international law firm, for which an immediate family member of Robert Jindal, one of the Company’s former directors, is the Company’s
relationship partner, to provide legal services. The Company paid King & Spalding a total of approximately $ 830 thousand and $ 12
thousand during the years ended December 31, 2024 and 2023, respectively. The Company owed King & Spalding $ 0 as of December 31,
2024 and $ 48 thousand as of December 31, 2023.
F- 28
Director
Consulting Agreements
On
May 30, 2023, Will Febbo, a member of the Board of the Company, entered into a consulting services agreement with the Company, pursuant
to which he provides certain investor relations and strategic business development services, in consideration for 375,000 restricted
shares of the Company’s common stock, which vested in quarterly installments from August 30, 2023 through November 30, 2024. The
Company issued 250,000 restricted shares of common stock, with a fair value of $ 525 thousand, related to this agreement during the year
ended December 31, 2024.
On
June 14, 2023, Robert Jindal, a former member of the Board of the Company, entered into a consulting services agreement (the “Jindal
Consulting Agreement”) with the Company, pursuant to which Mr. Jindal provides certain investor relations and strategic business
development services, in consideration for 225,000 restricted shares of the Company’s common stock, which vested in six-month installments
from June 14, 2023 through December 31, 2024. The Company issued 112,500 restricted shares of common stock, with a fair value of $ 335
thousand, related to the Jindal Consulting Agreement during the year ended December 31, 2024. On July 17, 2024, Mr. Jindal entered into
the First Amendment to the Jindal Consulting Services Agreement with the Company (the “Jindal First Amendment”), pursuant
to which the Company issued 24,835 restricted shares of common stock, with a fair value of $ 168 thousand, all of which vested on September
14, 2024.
On
June 14, 2023, Naveen Bhatia, a former member of the Board of the Company, entered into a consulting services agreement with the Company,
pursuant to which Mr. Bhatia provides certain investor relations and strategic business development services, in consideration for 225,000
restricted shares of the Company’s common stock, which vested in six-month installments from June 14, 2023 through December 31,
2024. The Company issued 56,250 restricted shares of common stock, with a fair value of $ 168 thousand, related to this agreement during
the year ended December 31, 2024.
Amended
Employment Agreement
Effective
May 1, 2024, Brian Schreiber, Logistics & Fulfillment Advisor, and a relative of the Company’s Chief Executive Officer, entered
into an amended employment agreement. Mr. Schreiber’s compensation package was adjusted to reflect the increased scope of his responsibilities.
The compensation adjustment, approved by the Compensation Committee of the Board, includes a base salary increase to $ 240 thousand.
Patient
Care Director
Stacey
Roberts, spouse of former Chief Operating Officer, Brad Roberts, was previously employed by the Company as Patient Care Director. The
Company paid Ms. Roberts a total of approximately $ 85 thousand and $ 117 thousand during the years ended December 31, 2024 and 2023, respectively.
NOTE
12 – INCOME TAXES
As
of December 31, 2024, the Company has approximately $ 102.8 million of operating loss carryforwards for federal income tax reporting purposes
that may be applied against future taxable income. All remaining net operating loss carryforwards were generated after 2017 and can be
carried forward indefinitely. The net operating loss carryforwards could be subject to limitation in any given year in the event of a
change in ownership as defined by Internal Revenue Code Section 382.
The
valuation allowance overall increased by approximately $ 4.8 million and $ 5.4 million during the years ended December 31, 2024 and 2023,
respectively. The Company has fully reserved the deferred tax asset resulting from available net operating loss carryforwards.
F- 29
The
income tax provision charged to continuing operations for the years ended December 31, 2024 and 2023 was as follows:
SCHEDULE
OF INCOME TAX PROVISION CHARGES
December 31,
2024
2023
Current:
U.S. federal
$ 144,000
$ -
State and local
196,000
111,000
Foreign
62,000
317,000
Total
402,000
428,000
Deferred:
U.S. federal
-
-
State and local
-
-
Foreign
-
-
Total
-
-
Provision for income taxes
$ 402,000
$ 428,000
The
provision for income taxes differs from the expected amount of income tax benefit determined by applying the U.S. federal income tax rate of 21% to pretax income (loss) for the years ended December 31, 2024 and 2023 as follows:
SCHEDULE
OF PROVISION DIFFERS FROM THE AMOUNT OF INCOME TAX
December 31,
2024
2023
Computed “expected” tax benefit
$ ( 3,848,000 )
$ ( 1,951,000 )
Increase (decrease) in income taxes resulting from:
State taxes
( 397,000 )
( 440,000 )
Permanent differences
56,000
71,000
Apportionment of Puerto Rico income
( 13,000 )
( 133,000 )
Nondeductible expenses
-
-
GILTI, net of 250 deduction
69,000
1,855,000
Dividends received deduction
-
( 1,224,000 )
Change in valuation allowance
4,846,000
5,361,000
Rate differential
( 108,000 )
( 2,125,000 )
Deferred true up
( 358,000 )
( 515,000
)
Other
155,000
( 471,000 )
Provision for income taxes
$ 402,000
$ 428,000
Net
deferred tax liabilities consist of the following components as of December 31, 2024 and 2023:
SCHEDULE
OF NET DEFERRED TAX LIABILITIES
2024
2023
December 31,
2024
2023
Deferred tax assets:
Stock-based compensation
17,981,000
15,100,000
Sec 174 – software development
915,000
298,000
Accrued compensation
976,000
521,000
Operating lease liabilities
1,569,000
145,000
Business interest limitation
1,324,000
1,044,000
Other
1,026,000
957,000
Net operating loss carryforwards
23,634,000
23,057,000
Total
Deferred tax assets
47,425,000
41,122,000
Deferred tax liabilities:
Right of use assets
( 1,478,000 )
( 125,000
)
Depreciation
( 181,000
)
( 77,000 )
Total
deferred tax liabilities
( 1,659,000
)
( 202,000
)
Less valuation allowance
( 45,766,000 )
( 40,920,000 )
Deferred
tax assets, Net
$ -
$ -
NOTE
13 – SEGMENT DATA
Our
portfolio of brands are included within two operating segments: Telehealth and WorkSimpli. Our CODM, is our Chief Executive Officer.
The CODM uses segment operating income or loss to determine segment profitability in order to assess performance and allocate resources
for the Company’s operating segments based on monitoring of budgeted versus actual results.
F- 30
Relevant
segment data as of December 31, 2024 and December 31, 2023 is as follows:
SCHEDULE OF RELEVANT SEGMENT DATA
Telehealth
WorkSimpli
Consolidated
Year Ended December 31, 2024
Telehealth
WorkSimpli
Consolidated
Revenue, net
$ 158,438,631
$ 54,015,207
$ 212,453,838
Cost of revenue
21,440,799
2,627,680
24,068,479
Gross profit
136,997,832
51,387,527
188,385,359
Significant Segment Expenses:
Selling and marketing expenses
70,102,961
32,917,064
103,020,025
Payroll expenses
30,486,701
3,015,136
33,501,837
Merchant processing fees
7,188,539
3,245,429
10,433,968
Other general and administrative expenses
27,582,905
8,264,986
35,847,891
Other segment items (1)
18,424,159
3,302,160
21,726,319
Segment operating (loss) income
$ ( 16,787,433 )
$ 642,752
$ ( 16,144,681 )
Interest expense, net
( 2,175,405 )
( 6,412 )
( 2,181,817 )
Loss on debt extinguishment
( 325,198 )
-
( 325,198 )
(Loss) income from operations before income taxes
$ ( 18,962,838 )
$ 636,340
$ ( 18,326,498 )
Telehealth
WorkSimpli
Consolidated
Year Ended December 31, 2023
Telehealth
WorkSimpli
Consolidated
Revenue, net
$ 98,152,919
$ 54,394,087
$ 152,547,006
Cost of revenue
17,480,533
1,419,931
18,900,464
Gross profit
80,672,386
52,974,156
133,646,542
Significant Segment Expenses:
Selling and marketing expenses
48,589,567
27,861,899
76,451,466
Payroll expenses
19,370,268
1,986,775
21,357,043
Merchant processing fees
3,054,336
3,551,247
6,605,583
Other general and administrative expenses
18,140,721
6,491,433
24,632,154
Other segment items (1)
16,778,515
2,311,054
19,089,569
Segment operating (loss) income
$ ( 25,261,021 )
$ 10,771,748
$ ( 14,489,273 )
Interest expense, net
( 2,591,416 )
( 5,170 )
( 2,596,586 )
Loss on debt extinguishment
( 325,198 )
-
( 325,198 )
(Loss) income from operations before income taxes
$ ( 28,177,635 )
$ 10,766,578
$ ( 17,411,057 )
(1)
Other
segment items include stock-based compensation and depreciation and amortization. Stock-based compensation expense for our Telehealth
segment was $ 12.2 million and $ 12.5 million for the years ended December 31, 2024 and 2023, respectively. Depreciation and amortization
for our Telehealth segment was $ 6.2 million and $ 4.3 million for the years ended December 31, 2024 and 2023, respectively, and for
our WorkSimpli segment was $ 3.3 million and $ 2.3 million, respectively.
2024
2023
December 31,
Total Assets
2024
2023
Telehealth
$ 62,340,390
$ 48,126,006
WorkSimpli
10,119,636
10,354,703
Consolidated
$ 72,460,026
$ 58,480,709
Total Assets
$ 72,460,026
$ 58,480,709
Total
expenditures for purchases of capitalized software, equipment, and intangible assets, which are reported on the Company’s consolidated
statements of cash flows totaled $ 8.2 million and $ 5.4 million for our Telehealth segment during the years ended December 31, 2024 and
2023, respectively, and $ 3.3 million and $ 3.3 million for our WorkSimpli segment during the years ended December 31, 2024 and 2023, respectively.
International net revenues totaled
$ 14.9 million and $ 14.0 million for the years ended December 31, 2024 and 2023, respectively, and relate to our WorkSimpli segment.
NOTE
14 – SUBSEQUENT EVENTS
Stock
Issued for Service
In
January and February 2025, the Company issued 831,238 shares of common stock related to vested RSUs and RSAs with a total fair value
of $ 4.1 million.
Cashless
Exercise of Stock Options
In
February 2025, the Company issued an aggregate of 56,139 shares of common stock related to the cashless exercise of 95,000 stock options.
LillyDirect
Pharmacy Agreement
On
March 6, 2025, the Company announced its integration with LillyDirect’s (“Lilly”) pharmacy provider, Gifthealth, to
offer streamlined access of single-dose vials of Lilly’s prescription obesity treatment Zepbound® (tirzepatide) to the
Company’s eligible patients.
F- 31
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.