Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations
Forward-Looking Statements
Certain statements, other than purely historical information, including
estimates, projections, statements relating to our business plans, objectives, and expected operating results, and the assumptions upon
which those statements are based, are “forward-looking statements” within the meaning of the Private Securities Litigation
Reform Act of 1995, Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These
forward-looking statements generally are identified by the words “believes,” “project,” “expects,”
“anticipates,” “estimates,” “intends,” “strategy,” “plan,” “may,”
“will,” “would,” “will be,” “will continue,” “will likely result,” and similar
expressions. We intend such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements
contained in the Private Securities Litigation Reform Act of 1995, and are including this statement for purposes of complying with those
safe-harbor provisions. Forward-looking statements are based on current expectations and assumptions that are subject to risks
and uncertainties which may cause actual results to differ materially from the forward-looking statements. Our ability to predict results
or the actual effect of future plans or strategies is inherently uncertain. Factors which could have a material adverse effect
on our operations and future prospects on a consolidated basis include, but are not limited to: changes in economic conditions, legislative/regulatory
changes, availability of capital, interest rates, competition, and generally accepted accounting principles. These risks and uncertainties
should also be considered in evaluating forward-looking statements and undue reliance should not be placed on such statements. We
undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events
or otherwise. Further information concerning our business, including additional factors that could materially affect our financial
results, is included herein and in our other filings with the SEC.
Overview
COVID-19
The full extent of the impact of the COVID-19 pandemic on our business,
operations and financial results will depend on numerous evolving factors that we may not be able to accurately predict at the present
time. In an effort to contain COVID-19 or slow its spread, governments around the world have enacted various measures, including orders
to close all businesses not deemed “essential,” isolate residents to their homes or places of residence, and practice social
distancing when engaging in essential activities. We anticipate that these actions and the global health crisis caused by COVID-19 will
negatively impact business activity across the globe. While we have not observed any noticeable impact on our revenue related to these
conditions in the recently completed fiscal year or quarter, or through the date of this filing, we cannot estimate the impact COVID-19
will have in the future if business and consumer activity decelerates across the globe.
In March 2020, we enacted precautionary measures to protect the health
and safety of our employees and partners. These measures include closing all offices, having employees work from home, and eliminating
virtually all travel. While having employees work from home may have a negative impact on efficiency and may result in negligible increases
in costs, it does not impact our ability to execute on our contracts or deliver our core services. We opened our offices on a voluntary
basis in June 2021 and we relaxed certain travel restrictions at the same time. Our customers provide essential services in the healthcare
industry and we believe that our digital communication technology is more important than ever in this environment. However, our revenue
often comes from advertising or marketing budgets, and in a sustained economic downturn, those categories of spending may be cut.
We will continue to actively monitor the situation and may take further
actions that alter our business operations as may be required by federal, state, local or foreign authorities, or that we determine are
in the best interests of our employees, customers, partners and stockholders. It is not clear what the potential effects any such alterations
or modifications may have on our business, including the effects on our customers, partners, or vendors, or on our financial results.
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Company Highlights through July 2021
1.
Generated sales of $13.6 million for the quarter ended June 30, 2021, a 55% increase over the same period in 2020.
2.
Generated sales of $24.9 million for the six months ended June 30, 2021, a 52% increase over the same period in 2020.
3.
Achieved positive cash flow from operations of $1.9 million for the six months ended June 30, 2021.
4.
Launched our new Real World Evidence (“RWE”) messaging solution and generated revenue in Q2 from two leading brands.
5.
Raised an additional $70.7 million of capital in a public offering.
6.
Enhanced our leadership team by adding a General Counsel and Chief Compliance Officer as well as elevated the Chief Technology Officer to report directly to the CEO.
7.
Committed to an inclusion and diversity pledge.
8.
Enhanced our patient engagement commercial team to further scale that portion of the business.
Consolidated our technology centers of excellence in Zagreb, Croatia.
9.
Completed all integration work for previous two acquisitions and paid last earnout payment related to acquisitions.
10.
Maintained a no travel, virtual operational plan with a particular focus on training, open communication, and great work culture.
Results of Operations for the Three and Six Months Ended June 30,
2021 and 2020
Revenues
Our total revenue reported for the three months ended June 30, 2021
was approximately $13.6 million, an increase of 55% over the approximately $8.8 million from the same period in 2020. Our total revenue
for the six months ended June 30, 2021 was approximately $24.9 million, an increase of 52% over the approximately $16.4 million from the
same period in 2020. The increased revenue resulted from increases in sales in all our messaging products.
Cost of Revenues
Our cost of revenue percentage, comprised primarily of revenue share
expense, decreased slightly as a percentage of revenue in the quarter ended June 30, 2021, as compared to the same period in 2020, while
for the six month period ended June 30, 2021, it increased as a percentage of revenue. These changes were the result of solution mix,
both as it relates to solutions itself and the partners through which the solutions are delivered. Additional discussion is included in
the gross margin section below.
Three Months Ended
June 30
Six Months Ended
June 30
2021
2020
2021
2020
Cost of Revenues %
41.0 %
41.4 %
43.0 %
42.0 %
Gross Margin %
59.0 %
58.6 %
57.0 %
58.0 %
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Gross Margin
As reflected in the table above, our gross margin increased slightly
in the quarter ended June 30, 2021 compared with the prior year, but decreased slightly for the six month period then ended. This is the
result of solution mix. In general, there has been an increase in the percentage of activity flowing through our higher cost channels
compared with a year ago. In the second quarter, this was offset by the launch of our RWE solution. Our RWE solution includes a much higher
percentage of program design, which carries a higher margin than the delivery of the actual messages. We expect our gross margin to improve
on a quarter over quarter basis for the balance of the year as our RWE solution expands and we continue to launch new solutions that have
higher margins.
Operating Expenses
Operating expenses increased from approximately $6.2 million for the
three months ended June 30, 2020 to approximately $7.7 million for the same period in 2021. Operating expenses increased from approximately
$12.8 million for the six months ended June 30, 2020 to approximately $14.5 million for the same period in 2021. Overall, this increase
results from our efforts to expand our product line and build out our organization to establish a strong base for current and future growth.
Our expenses increased at a substantially lower rate than our revenues as a result of the operating leverage of our model. The detail
of expenditures by major category is reflected in the table below.
Three Months Ended
June 30,
Six Months Ended
June 30,
2021
2020
2021
2020
Salaries, Wages, & Benefits
$ 3,906,796
$ 3,176,460
$ 7,487,612
$ 6,382,597
Stock-Based Compensation
897,038
780,670
1,604,191
1,635,183
Contractors and Consultants
486,577
560,991
785,963
1,022,236
Travel
48,925
13,111
58,755
287,622
Board Compensation
61,250
51,375
122,500
102,750
Professional Fees
448,598
186,834
769,818
672,304
Investor Relations
51,019
28,677
97,306
48,127
Advertising and Promotion
255,680
154,166
384,565
289,068
Technology Infrastructure Costs
256,291
218,079
469,570
399,791
Integration and Exclusivity Costs
244,600
207,973
563,158
415,946
Data Costs
257,484
72,942
545,396
124,554
Office, Facility, and Other
262,320
227,955
524,480
381,477
Depreciation and Amortization
527,958
520,794
1,054,138
1,040,463
Total Operating Expense
$ 7,704,536
$ 6,200,027
$ 14,467,452
$ 12,802,118
The increase in operating expenses related to salaries, wages, and
benefits and other human resource related costs is due to the expansion of our team to support additional growth. This increase is partly
offset by the decrease in contractors and consultants, as we have brought functions in house that were previously performed by outsiders.
We expect salaries, wages, and benefits to continue to increase on
a quarter over quarter basis for the balance of the year due to the full impact of new hires already in place, as well as new hires in
the pipeline.
Travel expense is down significantly on a year to date basis as a result
of travel restrictions due to the pandemic. We expect travel expense to increase significantly starting in the third quarter of the year
due to relaxed travel restrictions and pent up demand for meetings and visits.
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Professional fees increased significantly in the second quarter of
2021 compared with the prior year. With the assistance of an outside legal firm, we undertook a comprehensive governance review of our
bylaws, board charters, equity compensation plan, and overall corporate policies. This review resulted in approximately $300,000 of expense
in the second quarter. In the six month period ended June 30, 2021, this was partially offset by reduced audit fees as a result of our
change in auditors, as well as a change in SEC rules that eliminated the need for a third-party opinion on our internal controls. We would
expect professional fees to decrease from the second quarter level for the balance of the year.
Investor relations expense increased due to the expansion of our communication
efforts to reach retail investors and expand our shareholder base.
Technology infrastructure costs increased due to continued investment
in our operating systems to facilitate new products as well as the implementation of additional software products to increase efficiency
and information dissemination.
Data costs increased as we have purchased more data, primarily to
aid in our selling effort and allow customers to target their messages more appropriately, thereby increasing our ability to charge
premium prices for more highly targeted messages.
Integration and exclusivity costs represent payments to partners for access and/or
exclusivity and increased because of new agreements signed after the first quarter of 2020. These payments are usually made in lump
sums and expensed over the term of the contracts. These expenses are an important part of our ability to expand our network.
Our office, facility and other expense increased primarily because
of increased activity. The largest single increase related to hiring expenses associated with expanding our team, both for new additions
so far, as well as new hires scheduled for the future, including recruiter fees in some instances.
All other variances in the table above are the result of normal fluctuations
in activity.
We expect our overall operating expenses to increase on a quarterly
basis for the balance of the year as we further implement our business plan and expand our operations to grow the business in a very dynamic
and active marketplace. However, we have established a strong team as a base to support growth and we are seeing the results of the investment
in our team last year in our strong revenue growth this year. We do not expect human resource costs to increase as quickly as revenues,
however we do expect to continue to add people to accelerate our growth and invest in future growth.
Net Income (Loss)
We had net income of $0.4 million for the three months ended June 30,
2021, as compared to a net loss of $1.1 million during the same period in 2020. We had a loss of approximately $0.3 million for the six
months ended June 30, 2021, as compared to net loss of approximately $3.3 million during the same period in 2020. The reasons and specific
components associated with the change are discussed above. Overall, the net income for second quarter of 2021 and decreased loss for the
six month period resulted from the increased margin generated by our higher revenues, partially offset by the increased operating expenses.
Liquidity and Capital Resources
As of June 30, 2021, we had total current assets of $105.0 million,
compared with current liabilities of $6.7 million, resulting in working capital of approximately $98.3 million and a current ratio of
15.7 to 1. This represents an increase from our working capital of approximately $23 million and current ratio of 3 to 1 at December 31,
2020.
Our operating activities provided approximately $1.9 in cash flow during
the six months ended June 30, 2021, compared with cash used of approximately $3.6 million in the same period in 2020. The cash provided
in the 2021 period was the result of our net loss increased by noncash expenses, partially offset by working capital used in the reduction
of liabilities. The cash used in the 2020 period was primarily the result of increased investment in working capital; in particular, we
made a $2.0 million prepayment to a partner that was expensed over the balance of the year.
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We used insignificant amounts in investing activities in both the six
months ended June 30, 2021 and 2020. These investments related to purchases of equipment as well as investments related to the expansion
of our network capabilities in our patient engagement solution.
Our financing activities provided $71.8 million in the six months ended
June 30, 2021, compared with cash used of approximately $1.1 million in the same period in 2020. We raised $70.7 million in a public offering
of our common stock as well as generated $2.7 million from the issuance of shares related to the exercise of stock options. These were
partially offset by the payment of $1.6 in earnout payments from a previous acquisition. We have no remaining earnout payments due in
the future. Financing activities used approximately $1.3 million related to earnout payments from a previous acquisition, offset by $0.3
million from the issuance of shares related to the exercise of stock options.
We do not anticipate the need to raise additional capital in the short
or long term for operating purposes or to fund our growth plans. We are focused on growing our revenue, channel and partner network. However,
as a company in a market that is active with merger and acquisition activity, we may have opportunities, such as for acquisitions or strategic
partner relationships, which may require additional capital. We will assess these opportunities as they arise with the view of maximizing
shareholder value.
Critical Accounting Policies
In December 2001, the SEC requested that all registrants list their
most “critical accounting polices” in the Management Discussion and Analysis. The SEC indicated that a “critical accounting
policy” is one which is both important to the portrayal of a company’s financial condition and results, and requires management’s
most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are
inherently uncertain. Our accounting policies are discussed in the footnotes to our financial statements included in our annual report
on Form 10-K for the year ended December 31, 2020; however, we consider our critical accounting policies to be those related to determining
the amount of revenue to be billed, the timing of revenue recognition, calculation of revenue share expense, stock-based compensation,
capitalization and related amortization of intangible assets, impairment of assets, and the fair value of liabilities.
Recently Issued Accounting Pronouncements
In December 2019, the FASB issued ASU No. 2019-12, Income Taxes
(Topic 740): Simplifying the Accounting for Income Taxes . ASU 2019-12 is intended to improve consistent application and simplify the
accounting for income taxes. ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and clarifies and amends existing
guidance. ASU 2019-12 was effective for annual and interim reporting periods beginning after December 12, 2020, with early adoption permitted.
The adoption of this standard did not have a material effect on our financial position, results of operations, or cash flows.
Off Balance Sheet Arrangements
As of June 30, 2021, there were no off-balance sheet arrangements.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
We are not required to provide the information required by this Item.
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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.