Item 2. Management’s Discussion and Analysis
ITEM
2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Note
Regarding Forward-Looking Statements
The
following discussion should be read in conjunction with the financial statements and related notes contained elsewhere in this Quarterly
Report on Form 10-Q. 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.
Our
unaudited condensed consolidated financial statements are prepared in accordance with accounting principles generally accepted in the
United States (“U.S. 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 unaudited condensed consolidated financial statements as well as the reported
amounts of revenues and expenses during the periods presented. Our unaudited condensed 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.
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.
27
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”). 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.
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 297,000 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 1,261,000 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.
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. In April 2025, the
Company expanded acceptance of insurance to Medicare beneficiaries for qualifying care. Initially available to more than 21 million Medicare
Part B beneficiaries in 26 states, the Company expects to expand access to medically necessary services for more than 60 million Medicare
beneficiaries nationwide, with access to qualifying services across 49 states anticipated by the end of the second quarter of 2025.
Our
telehealth revenue increased 48% for the six months ended June 30, 2025 as compared to the six months ended June 30, 2024. Total revenue
from recurring subscriptions is approximately 94%. In addition to our telehealth business, we own 73.3% of WorkSimpli, which operates
PDFSimpli, a 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 system, 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.
28
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:
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 over 316,000 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 approximately 84,000 patient subscribers as of June 30, 2025, 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 aims 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.
○
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. Rex MD has served approximately 659,000 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 more than 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.
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.
29
During
the six months ended June 30, 2025, LifeMD executed 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. LifeMD also announced plans to offer a simplified pathway for cash-pay patients to access all
FDA-approved dose strengths of Wegovy® directly within LifeMD’s virtual care platform.
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. As a result of a series of restructuring transactions, the
Company’s ownership interest in WorkSimpli is 73.3%. WorkSimpli had approximately 149,500 active subscriptions as of June 30, 2025.
Results
of Operations
Comparison
of the Three Months Ended June 30, 2025 to the Three Months Ended June 30, 2024
Our
financial results for the three months ended June 30, 2025 are summarized as follows in comparison to the three months ended June 30,
2024:
June 30, 2025
June 30, 2024
% of
% of
$
Sales
$
Sales
Telehealth revenue, net
$ 48,563,672
78.05 %
$ 37,432,309
73.89 %
WorkSimpli revenue, net
13,654,513
21.95 %
13,229,536
26.11 %
Total revenue, net
62,218,185
100 %
50,661,845
100 %
Cost of telehealth revenue
6,838,703
10.99 %
4,553,843
8.99 %
Cost of WorkSimpli revenue
592,201
0.95 %
471,072
0.93 %
Total cost of revenue
7,430,904
11.94 %
5,024,915
9.92 %
Gross profit
54,787,281
88.06 %
45,636,930
90.08 %
Selling and marketing expenses
29,125,097
46.81 %
26,378,928
52.07 %
General and administrative expenses
17,565,187
28.23 %
18,521,385
36.56 %
Customer service expenses
3,230,735
5.19 %
2,733,418
5.40 %
Other operating expenses
3,028,762
4.87 %
1,906,175
3.76 %
Development costs
2,744,272
4.41 %
2,402,590
4.74 %
Total expenses
55,694,053
89.51 %
51,942,496
102.53 %
Operating loss
(906,772 )
(1.45 )%
(6,305,566 )
(12.45 )%
Interest expense, net
(663,027 )
(1.07 )%
(531,468 )
(1.05 )%
Net loss
(1,569,799 )
(2.52 )%
(6,837,034 )
(13.50 )%
Net income attributable to non-controlling interest
505,075
0.81 %
38,606
0.07 %
Net loss attributable to LifeMD, Inc.
(2,074,874 )
(3.33 )%
(6,875,640 )
(13.57 )%
Preferred stock dividends
(776,562 )
(1.25 )%
(776,562 )
(1.53 )%
Net loss attributable to LifeMD, Inc. common stockholders
$ (2,851,436 )
(4.58 )%
$ (7,652,202 )
(15.10 )%
Total
revenue, net. Revenues for the three months ended June 30, 2025 were approximately $62.2 million, an increase of 23% compared to approximately
$50.7 million for the three months ended June 30, 2024. The increase in revenues was attributable to the increase in telehealth revenue
of 30%. Telehealth revenue accounts for 78% of total revenue and has increased during the three months ended June 30, 2025 due to an
increase in telehealth subscription revenue, primarily for LifeMD primary care which experienced an increase of approximately $15.3 million
during the three months ended June 30, 2025 compared to the three months ended June 30, 2024, partially offset by a decline in telehealth
product revenue of approximately $1.1 million during the three months ended June 30, 2025 compared to the three months ended June 30,
2024, primarily due to a reduction in online sales demand. WorkSimpli revenue accounts for 22% of total revenue and has increased by
approximately $425 thousand, or 3%, for the three months ended June 30, 2025 compared to the three months ended June 30, 2024, primarily
due to an increase in online sales demand.
30
Total
cost of revenue. Total cost of revenue consists of the cost of (1) telehealth revenues, which primarily include product costs, pharmacy
fulfilment costs, physician consult fees, and shipping costs directly attributable to our prescription and OTC products and (2) 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 48% to approximately $7.4 million for the three months ended June 30, 2025 compared
to approximately $5.0 million for the three months ended June 30, 2024. The combined cost of revenue increase was due to increased sales
volume during the three months ended June 30, 2025 when compared to the three months ended June 30, 2024. Telehealth costs increased
to 14% of associated telehealth revenues experienced during the three months ended June 30, 2025, from 12% of associated telehealth revenues
during the three months ended June 30, 2024. WorkSimpli costs were 4% of associated WorkSimpli revenues for the three months ended June
30, 2025 and for the three months ended June 30, 2024.
Gross
profit. Gross profit increased by approximately 20% to approximately $54.8 million for the three months ended June 30, 2025 compared
to approximately $45.6 million for the three months ended June 30, 2024. Gross profit as a percentage of revenues was approximately 88%
for the three months ended June 30, 2025 as compared to approximately 90% for the three months ended June 30, 2024. Gross profit as a
percentage of revenues for telehealth was 86% for the three months ended June 30, 2025 compared to 88% for the three months ended June
30, 2024, and for WorkSimpli was 96% for the three months ended June 30, 2025 and for the three months ended June 30, 2024. The increase
in sales volume and demand for LifeMD primary care partially offset by an increase in shipping and physician consult fees, contributed
to the increase in gross profit. The increase in shipping and physician consult fees also contributed to the decrease in gross profit
as a percentage of telehealth revenue.
Total
expenses. Operating expenses for the three months ended June 30, 2025 were approximately $55.7 million, as compared to approximately
$51.9 million for the three months ended June 30, 2024. This represents an increase of 7%, or approximately $3.7 million. The increase
is primarily attributable to:
(i)
Selling
and marketing expenses: This mainly consists of online marketing and advertising expenses. During the three months ended June 30,
2025, the Company had an increase of approximately $2.7 million, or 10% 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)
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 three months ended June 30, 2025, the Company had an increase of approximately $497 thousand, or 18%,
primarily related to increases in infrastructure costs and compensation costs due to increased headcount to support the Company’s
growth.
(iii)
Other
operating expenses: This consists of rent and lease expense, insurance, office supplies and software subscriptions, royalty expense
and bank charges. During the three months ended June 30, 2025, the Company had an increase of approximately $1.1 million, or 59%,
primarily related to increases in software subscriptions.
(iv)
Development
costs: This mainly relates to third-party technology services for developing and maintaining our online platforms. During the three
months ended June 30, 2025, the Company had an increase of approximately $342 thousand, or 14%, primarily resulting from technology
platform improvements and amortization expenses.
The
increases in operating expenses were partially offset by a decrease in 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 three months ended June 30, 2025, the Company had a decrease of approximately $956
thousand in general and administrative expenses, primarily related to the decrease in stock-based compensation expense of $2.1 million,
partially offset by an increase in legal and professional fees of $965 thousand.
Interest
expense, net. Interest expense, net consists of interest expense related to the Avenue Facility, partially offset by interest income
on the Company’s cash account balances for the three months ended June 30, 2025 and interest expense related to the Avenue Facility
and notes payable, partially offset by interest income on the Company’s cash account balances for the three months ended June 30,
2024. Interest expense increased by approximately $132 thousand during the three months ended June 30, 2025 as compared to the three
months ended June 30, 2024, primarily due to an increase in interest expensed on the Avenue Facility during the three months ended June
30, 2025.
31
Comparison
of the Six Months Ended June 30, 2025 to the Six Months Ended June 30, 2024
Our
financial results for the six months ended June 30, 2025 are summarized as follows in comparison to the six months ended June 30, 2024:
June 30, 2025
June 30, 2024
% of
% of
$
Sales
$
Sales
Telehealth revenue, net
$ 101,020,153
78.97 %
$ 68,273,711
72.01 %
WorkSimpli revenue, net
26,895,788
21.03 %
26,532,398
27.99 %
Total revenue, net
127,915,941
100 %
94,806,109
100 %
Cost of telehealth revenue
14,975,164
11.71 %
8,748,438
9.23 %
Cost of WorkSimpli revenue
1,099,456
0.86 %
876,654
0.92 %
Total cost of revenue
16,074,620
12.57 %
9,625,092
10.15 %
Gross profit
111,841,321
87.43 %
85,181,017
89.85 %
Selling and marketing expenses
58,319,158
45.59 %
50,552,808
53.32 %
General and administrative expenses
34,620,856
27.07 %
33,827,117
35.68 %
Customer service expenses
6,302,229
4.93 %
4,581,459
4.83 %
Other operating expenses
5,543,520
4.33 %
4,206,622
4.44 %
Development costs
5,419,406
4.23 %
4,489,822
4.74 %
Total expenses
110,205,169
86.15 %
97,657,828
103.01 %
Operating income (loss)
1,636,152
1.28 %
(12,476,811 )
(13.16 )%
Interest expense, net
(1,289,302 )
(1.01 )%
(1,009,146 )
(1.06 )%
Net income (loss)
346,850
0.27 %
(13,485,957 )
(14.22 )%
Net income attributable to non-controlling interest
1,036,920
0.81 %
158,038
0.17 %
Net loss attributable to LifeMD, Inc.
(690,070 )
(0.54 )%
(13,643,995 )
(14.39 )%
Preferred stock dividends
(1,553,125 )
(1.21 )%
(1,553,125 )
(1.64 )%
Net loss attributable to LifeMD, Inc. common stockholders
$ (2,243,195 )
(1.75 )%
$ (15,197,120 )
(16.03 )%
Total
revenue, net. Revenues for the six months ended June 30, 2025 were approximately $127.9 million, an increase of 35% compared to approximately
$94.8 million for the six months ended June 30, 2024. The increase in revenues was attributable to the increase in telehealth revenue
of 48%. Telehealth revenue accounts for 79% of total revenue and has increased during the six months ended June 30, 2025 due to an increase
in telehealth subscription revenue, primarily for LifeMD primary care which experienced an increase of approximately $37.8 million during
the six months ended June 30, 2025 compared to the six months ended June 30, 2024, partially offset by a decline in telehealth product
revenue of approximately $25 thousand during the six months ended June 30, 2025 compared to the six months ended June 30, 2024, primarily
due to a reduction in online sales demand. WorkSimpli revenue accounts for 21% of total revenue and has increased by approximately $363
thousand, or 1%, for the six months ended June 30, 2025 compared to the six months ended June 30, 2024, primarily due to an increase
in online sales demand.
Total
cost of revenue. Total cost of revenue consists of the cost of (1) telehealth revenues, which primarily include product costs, pharmacy
fulfilment costs, physician consult fees, and shipping costs directly attributable to our prescription and OTC products and (2) 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 67% to approximately $16.1 million for the six months ended June 30, 2025 compared to
approximately $9.6 million for the six months ended June 30, 2024. The combined cost of revenue increase was due to increased sales volume
during the six months ended June 30, 2025 when compared to the six months ended June 30, 2024. Telehealth costs increased to 15% of associated
telehealth revenues experienced during the six months ended June 30, 2025, from 13% of associated telehealth revenues during the six
months ended June 30, 2024. WorkSimpli costs increased to 4% of associated WorkSimpli revenues for the six months ended June 30, 2025
as compared to 3% of associated WorkSimpli revenues for the six months ended June 30, 2024.
Gross
profit. Gross profit increased by approximately 31% to approximately $111.8 million for the six months ended June 30, 2025 compared to
approximately $85.2 million for the six months ended June 30, 2024. Gross profit as a percentage of revenues was approximately 87% for
the six months ended June 30, 2025 as compared to approximately 90% for the six months ended June 30, 2024. Gross profit as a percentage
of revenues for telehealth was 85% for the six months ended June 30, 2025 compared to 87% for the six months ended June 30, 2024, and
for WorkSimpli was 96% for the six months ended June 30, 2025 compared to 97% for the six months ended June 30, 2024. The increase in
sales volume and demand for LifeMD primary care partially offset by an increase in shipping and physician consult fees have contributed
to the increase in gross profit. The increase in shipping and physician consult fees for the six months ended June 30, 2025 as well as
the Medifast Collaboration revenue recognized during the six months ended June 30, 2024 contributed to the decrease in gross profit as
a percentage of telehealth revenue.
32
Total
expenses. Operating expenses for the six months ended June 30, 2025 were approximately $110.2 million, as compared to approximately $97.7
million for the six months ended June 30, 2024. This represents an increase of 13%, or approximately $12.5 million. The increase is primarily
attributable to:
(i)
Selling
and marketing expenses: This mainly consists of online marketing and advertising expenses. During the six months ended June 30, 2025,
the Company had an increase of approximately $7.8 million, or 15% 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 six months
ended June 30, 2025, the Company had an increase of approximately $794 thousand in general and administrative expenses, primarily
related to increases in compensation costs of $1.3 million, merchant processing fees of $1.1 million and legal and professional fees
of $965 thousand, partially offset by the decrease in stock-based compensation expense of $2.1 million.
(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 six months ended June 30, 2025, the Company had an increase of approximately $1.7 million, or 38%,
primarily related to increases in infrastructure costs and compensation costs due to increased headcount to support the Company’s
growth.
(iv)
Other
operating expenses: This consists of rent and lease expense, insurance, office supplies and software subscriptions, royalty expense
and bank charges. During the six months ended June 30, 2025, the Company had an increase of approximately $1.3 million, or 32%, primarily
related to increases in software subscriptions.
(v)
Development
costs: This mainly relates to third-party technology services for developing and maintaining our online platforms. During the six
months ended June 30, 2025, the Company had an increase of approximately $930 thousand, or 21%, primarily resulting from technology
platform improvements and amortization expenses.
Interest
expense, net. Interest expense, net consists of interest expense related to the Avenue Facility, partially offset by interest income
on the Company’s cash account balances for the six months ended June 30, 2025 and interest expense related to the Avenue Facility
and notes payable, partially offset by interest income on the Company’s cash account balances for the six months ended June 30,
2024. Interest expense increased by approximately $280 thousand during the six months ended June 30, 2025 as compared to the six months
ended June 30, 2024, primarily due to an increase in interest expensed on the Avenue Facility during the six months ended June 30, 2025.
Working
Capital
June 30, 2025
December 31, 2024
Current assets
$ 49,025,763
$ 48,733,089
Current liabilities
63,532,158
60,255,145
Working capital
$ (14,506,395 )
$ (11,522,056 )
Working
capital decreased by approximately $3.0 million during the six months ended June 30, 2025. The increase in current assets is primarily
attributable to an increase in cash of approximately $1.2 million and an increase in inventory of approximately $454 thousand, partially
offset by a decrease in accounts receivable of $888 thousand and a decrease other current assets of approximately $707 thousand. Current
liabilities increased by approximately $3.3 million, which was primarily attributable to an increase in current portion of long-term
debt of approximately $3.5 million and an increase in accounts payable and accrued expenses of approximately $2.4 million, partially
offset by a decrease in deferred revenue of approximately $2.7 million.
33
Liquidity
and Capital Resources
Six Months Ended June 30,
2025
2024
Net cash provided by operating activities
$ 11,707,834
$ 9,741,922
Net cash used in investing activities
(6,566,921 )
(5,322,293 )
Net cash used in financing activities
(3,917,532 )
(1,863,139 )
Net increase in cash
1,223,381
2,556,490
Net
cash provided by operating activities was approximately $11.7 million for the six months ended June 30, 2025, as compared with approximately
$9.7 million for the six months ended June 30, 2024. The significant factors contributing to the net cash provided by operating activities
during the six months ended June 30, 2025, include: (1) $5.7 million in non-cash depreciation and amortization, (2) $4.6 million in non-cash
stock-based compensation charges, (3) the Company’s net income of $347 thousand, (4) an increase in accounts payable and accrued
expenses of $2.4 million and (5) an increase in accounts receivable of $888 thousand, partially offset by a decrease in deferred revenue
of $2.7 million. The significant factors contributing to the net cash provided by operating activities during the six months ended June
30, 2024, include: (1) $6.7 million in non-cash stock-based compensation charges, (2) an increase in deferred revenue of $6.3 million,
(3) an increase in accounts payable and accrued expenses of $5.4 million and (4) $4.6 million in non-cash depreciation and amortization.
These increases were partially offset by the Company’s net loss of $13.5 million for the six months ended June 30, 2024.
Net
cash used in investing activities for the six months ended June 30, 2025 was approximately $6.6 million, as compared with approximately
$5.3 million for the six months ended June 30, 2024. Net cash used in investing activities for the six months ended June 30, 2025, was
due to cash paid for capitalized software costs of approximately $5.6 million, and cash paid for the purchase of equipment of approximately
$918 thousand. Net cash used in investing activities for the six months ended June 30, 2024, was primarily due to cash paid for capitalized
software costs of approximately $4.5 million, and cash paid for the purchase of equipment of approximately $818 thousand.
Net
cash used in financing activities for the six months ended June 30, 2025 was approximately $3.9 million as compared with approximately
$1.9 million for the six months ended June 30, 2024. Net cash used in financing activities for the six months ended June 30, 2025, consisted
of: (1) principal repayments on the Avenue Credit Agreement as defined below of approximately $2.1 million, (2) preferred stock dividends
of $1.6 million, and (3) distributions to non-controlling interest of $312 thousand. Net cash used in financing activities for the six
months ended June 30, 2024, consisted of: (1) preferred stock dividends of $1.6 million, (2) repayments of notes payable of approximately
$315 thousand, (3) distributions to non-controlling interest of $72 thousand, and (4) the final contingent consideration payment made
related to the ResumeBuild acquisition of approximately $31 thousand, partially offset by proceeds from the exercise of options of approximately
$108 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 unaudited condensed
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
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, of which $660 thousand
has been exercised. In addition, Avenue has converted $2 million of the $15 million in term loans funded at closing into shares of the
Company’s common stock, 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 August 5, 2025, the Company paid the remaining $14.0 million in outstanding principal payments on the Avenue Facility
and the prepayment penalty as noted in the Avenue Credit Agreement. As of August 5, 2025, there are no remaining principal payments on
the Avenue Facility.
34
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
May 29, 2025, 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 May 29, 2025, Avenue exercised 435,484 of the
Avenue Warrants on a cashless basis resulting in 388,650 shares of the Company’s common stock issued. As of June 30, 2025, there
was $15.9 million in principal 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 June 30, 2025, 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. Refer to Note 13-Subsequent
Events for sales of common stock under the ATM Sales Agreement subsequent to June 30, 2025.
As
of August 4, 2025, the Company has a current cash balance of approximately $36.5 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, reduction in losses 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
six months ended June 30, 2025, (3) cash on hand of $36.2 million as of June 30, 2025, (4) $44.6 million available under the ATM Sales
Agreement as of August 4, 2025, 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 evidenced by the collaboration with Medifast, Inc. during the year ended December 31, 2024.
Critical
Accounting Estimates
We
prepare our unaudited condensed 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 unaudited condensed consolidated financial statements included in this report.
Recent
Accounting Pronouncements
In
December 2023, the Financial Accounting Standards Board (“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.
35
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.
Item
3. Quantitative and Qualitative Disclosures about Market Risk
As
a smaller reporting company, we are not required to provide the information required by this Item.
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