−Removed: Management’s Discussion and Analysis of Financial
−Removed: Condition and Results of Operations
−Removed: Forward-Looking Statements
−Removed: Certain statements, other than purely historical information, including
−Removed: estimates, projections, statements relating to our business plans, objectives, and expected operating results, and the assumptions upon
−Removed: which those statements are based, are “forward-looking statements” within the meaning of the Private Securities Litigation
−Removed: Reform Act of 1995, Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934.
−Removed: forward-looking statements generally are identified by the words “believes,” “project,” “expects,”
−Removed: “anticipates,” “estimates,” “intends,” “strategy,” “plan,” “may,”
−Removed: “will,” “would,” “will be,” “will continue,” “will likely result,” and similar
−Removed: We intend such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements
−Removed: contained in the Private Securities Litigation Reform Act of 1995, and are including this statement for purposes of complying with those
−Removed: safe-harbor provisions.
−Removed: Forward-looking statements are based on current expectations and assumptions that are subject to risks
−Removed: and uncertainties which may cause actual results to differ materially from the forward-looking statements.
−Removed: Our ability to predict results
−Removed: or the actual effect of future plans or strategies is inherently uncertain.
−Removed: Factors which could have a material adverse effect
−Removed: on our operations and future prospects on a consolidated basis include, but are not limited to:
−Removed: changes in economic conditions, legislative/regulatory
−Removed: changes, availability of capital, interest rates, competition, and generally accepted accounting principles.
−Removed: These risks and uncertainties
−Removed: should also be considered in evaluating forward-looking statements and undue reliance should not be placed on such statements.
−Removed: undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events
−Removed: or otherwise.
−Removed: Further information concerning our business, including additional factors that could materially affect our financial
−Removed: results, is included herein and in our other filings with the SEC.
−Removed: The full extent of the impact of the COVID-19 pandemic on our business,
−Removed: operations and financial results will depend on numerous evolving factors that we may not be able to accurately predict at the present
−Removed: In an effort to contain COVID-19 or slow its spread, governments around the world have enacted various measures, including orders
−Removed: to close all businesses not deemed “essential,” isolate residents to their homes or places of residence, and practice social
−Removed: distancing when engaging in essential activities.
−Removed: We anticipate that these actions and the global health crisis caused by COVID-19 will
−Removed: negatively impact business activity across the globe.
−Removed: While we have not observed any noticeable impact on our revenue related to these
−Removed: conditions in the recently completed fiscal year or quarter, or through the date of this filing, we cannot estimate the impact COVID-19
−Removed: will have in the future if business and consumer activity decelerates across the globe.
−Removed: In March 2020, we enacted precautionary measures to protect the health
−Removed: and safety of our employees and partners.
−Removed: These measures include closing all offices, having employees work from home, and eliminating
−Removed: virtually all travel.
−Removed: While having employees work from home may have a negative impact on efficiency and may result in negligible increases
−Removed: in costs, it does not impact our ability to execute on our contracts or deliver our core services.
−Removed: We opened our offices on a voluntary
−Removed: basis in June 2021 and we relaxed certain travel restrictions at the same time.
−Removed: Our customers provide essential services in the healthcare
−Removed: industry and we believe that our digital communication technology is more important than ever in this environment.
−Removed: However, our revenue
−Removed: often comes from advertising or marketing budgets, and in a sustained economic downturn, those categories of spending may be cut.
−Removed: We will continue to actively monitor the situation and may take further
−Removed: actions that alter our business operations as may be required by federal, state, local or foreign authorities, or that we determine are
−Removed: in the best interests of our employees, customers, partners and stockholders.
−Removed: It is not clear what the potential effects any such alterations
−Removed: or modifications may have on our business, including the effects on our customers, partners, or vendors, or on our financial results.
−Removed: Company Highlights through July 2021
−Removed: Generated sales of $13.6 million for the quarter ended June 30, 2021, a 55% increase over the same period in 2020.
−Removed: Generated sales of $24.9 million for the six months ended June 30, 2021, a 52% increase over the same period in 2020.
−Removed: Achieved positive cash flow from operations of $1.9 million for the six months ended June 30, 2021.
−Removed: Launched our new Real World Evidence (“RWE”) messaging solution and generated revenue in Q2 from two leading brands.
−Removed: Raised an additional $70.7 million of capital in a public offering.
−Removed: 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.
−Removed: Committed to an inclusion and diversity pledge.
−Removed: Enhanced our patient engagement commercial team to further scale that portion of the business.
−Removed: Consolidated our technology centers of excellence in Zagreb, Croatia.
−Removed: Completed all integration work for previous two acquisitions and paid last earnout payment related to acquisitions.
−Removed: Maintained a no travel, virtual operational plan with a particular focus on training, open communication, and great work culture.
−Removed: Results of Operations for the Three and Six Months Ended June 30,
−Removed: 2021 and 2020
−Removed: Our total revenue reported for the three months ended June 30, 2021
+Added: Management’s Discussion and Analysis of Financial Condition and Results of Operations
+Added: Forward-Looking
+Added: statements, other than purely historical information, including estimates, projections, statements relating to our business plans, objectives,
+Added: and expected operating results, and the assumptions upon which those statements are based, are “forward-looking statements”
+Added: within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933 and Section 21E
+Added: of the Securities Exchange Act of 1934.
+Added: These forward-looking statements generally are identified by the words “believes,”
+Added: “project,” “expects,” “anticipates,” “estimates,” “intends,” “strategy,”
+Added: “plan,” “may,” “will,” “would,” “will be,” “will continue,” “will
+Added: likely result,” and similar expressions.
+Added: We intend such forward-looking statements to be covered by the safe-harbor
+Added: provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and are including this statement
+Added: for purposes of complying with those safe-harbor provisions.
+Added: Forward-looking statements are based on current expectations
+Added: and assumptions that are subject to risks and uncertainties which may cause actual results to differ materially from the forward-looking
+Added: Our ability to predict results or the actual effect of future plans or strategies is inherently uncertain.
+Added: which could have a material adverse effect on our operations and future prospects on a consolidated basis include, but are not limited
+Added: changes in economic conditions, legislative/regulatory changes, availability of capital, interest rates, competition, and generally
+Added: accepted accounting principles.
+Added: These risks and uncertainties should also be considered in evaluating forward-looking statements and
+Added: undue reliance should not be placed on such statements.
+Added: We undertake no obligation to update or revise publicly any forward-looking
+Added: statements, whether as a result of new information, future events or otherwise.
+Added: Further information concerning our business,
+Added: including additional factors that could materially affect our financial results, is included herein and in our other filings with the
+Added: full extent of the impact of the COVID-19 pandemic on our business, operations and financial results will depend on numerous evolving
+Added: factors that we may not be able to accurately predict at the present time.
+Added: continue to abide by federal, state, and local safety regulations, including having unvaccinated employees work from home, and providing
+Added: protective measures for our vaccinated employees who choose to work in our offices, including hygiene best practices as recommended by
+Added: the Centers for Disease Control and local authorities.
+Added: Our customers provide essential services in the healthcare industry and we believe
+Added: that our digital communication technology is more important than ever in this environment.
+Added: However, our revenue often comes from advertising
+Added: or marketing budgets, and in a sustained economic downturn, those categories of spending may be cut.
+Added: will continue to closely monitor the updates regarding the spread of COVID-19 and its variants, the distribution of vaccines developed
+Added: to combat COVID-19, and applicable vaccine mandates, and we will adjust our business operations according to guidelines from federal,
+Added: state, local or foreign authorities.
+Added: In light of the foregoing, we may take actions that alter our business operations, or that we determine
+Added: are in the best interests of our employees, customers, partners and stockholders.
+Added: Highlights through October 2021
+Added: Generated sales of $16.1 million
+Added: for the quarter ended September 30, 2021, a 53% increase over the same period in 2020.
+Added: Generated sales of $41.0 million
+Added: for the nine months ended September 30, 2021, a 52% increase over the same period in 2020.
+Added: Achieved positive cash flow
+Added: from operations of $2.1 million for the nine months ended September 30, 2021.
+Added: Completed all integration
+Added: work for previous two acquisitions and paid last earnout payment related to acquisitions in the quarter ended March 31, 2021.
+Added: Raised an additional $70.7
+Added: million of capital in a public offering during the quarter ended March 31, 2021.
+Added: Enhanced our leadership team
+Added: by adding a new Chief Operating Officer and Chief Financial Officer in October 2021.
+Added: Expanded our pipeline for
+Added: our new Real World Evidence (“RWE”) messaging solution that we launched in Q2.
+Added: We continued to execute on our omnichannel strategy
+Added: by partnering with Demandbase, which leverages the combination of institutional and in-workflow behavioral data at the point-of-care,
+Added: and now expands our platform to personalize support and engagement of providers and patients at all care points along the patient
+Added: journey and enables our customers to tailor account-based engagement experiences.
+Added: We implemented Therapy
+Added: Initiation Workflow solution which allows life sciences companies to simplify therapy initiation by presenting healthcare providers
+Added: with a fully electronic option to synchronize enrollment, benefits verification, prior authorization, and patient support onboarding.
+Added: This new solution continues to expand the breadth of our platform beyond digital communications by enabling patients to obtain the
+Added: therapies they need through life sciences’ support which is facilitated through our Therapy Initiation and Persistence Platform .
+Added: of Operations for the Three and Nine Months Ended September 30, 2021 and 2020
+Added: Our total revenue reported for the three months ended September 30, 2021
was approximately $16.1 million, an increase of 53% over the approximately $10.5 million from the same period in 2020.
Our total revenue
−Removed: 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
−Removed: same period in 2020.
−Removed: The increased revenue resulted from increases in sales in all our messaging products.
−Removed: Cost of Revenues
−Removed: Our cost of revenue percentage, comprised primarily of revenue share
−Removed: expense, decreased slightly as a percentage of revenue in the quarter ended June 30, 2021, as compared to the same period in 2020, while
−Removed: for the six month period ended June 30, 2021, it increased as a percentage of revenue.
−Removed: These changes were the result of solution mix,
−Removed: both as it relates to solutions itself and the partners through which the solutions are delivered.
−Removed: Additional discussion is included in
−Removed: the gross margin section below.
−Removed: Three Months Ended
−Removed: Six Months Ended
+Added: for the nine months ended September 30, 2021 was approximately $41.0 million, an increase of 52% over the approximately $26.9 million
+Added: from the same period in 2020.
+Added: The increased revenue resulted from increases in sales throughout our solutions.
+Added: cost of revenue, comprised primarily of revenue share expense, increased slightly as a percentage of revenue in the quarter and nine
+Added: months ended September 30, 2021, as compared to the same periods in 2020.
+Added: These changes were the result of solution mix, both as it relates
+Added: to solutions itself and the partners through which the solutions are delivered.
+Added: Additional discussion is included in the gross margin
+Added: section below.
Cost of Revenues %
Gross Margin %
−Removed: As reflected in the table above, our gross margin increased slightly
−Removed: in the quarter ended June 30, 2021 compared with the prior year, but decreased slightly for the six month period then ended.
−Removed: result of solution mix.
−Removed: In general, there has been an increase in the percentage of activity flowing through our higher cost channels
−Removed: compared with a year ago.
−Removed: In the second quarter, this was offset by the launch of our RWE solution.
−Removed: Our RWE solution includes a much higher
−Removed: percentage of program design, which carries a higher margin than the delivery of the actual messages.
−Removed: We expect our gross margin to improve
−Removed: 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
−Removed: higher margins.
−Removed: Operating Expenses
−Removed: Operating expenses increased from approximately $6.2 million for the
−Removed: three months ended June 30, 2020 to approximately $7.7 million for the same period in 2021.
−Removed: Operating expenses increased from approximately
−Removed: $12.8 million for the six months ended June 30, 2020 to approximately $14.5 million for the same period in 2021.
−Removed: Overall, this increase
−Removed: results from our efforts to expand our product line and build out our organization to establish a strong base for current and future growth.
−Removed: Our expenses increased at a substantially lower rate than our revenues as a result of the operating leverage of our model.
−Removed: of expenditures by major category is reflected in the table below.
−Removed: Three Months Ended
−Removed: Six Months Ended
−Removed: Salaries, Wages, & Benefits
+Added: reflected in the table above, our gross margin decreased slightly in both the three and nine months ended September 30, 2021 compared
+Added: with the prior year.
+Added: This is the result of solution mix.
+Added: In general, there has been an increase in the percentage of activity flowing
+Added: through our higher cost channels compared with a year ago.
+Added: This was offset by the launch of our RWE solution.
+Added: Our RWE solution includes
+Added: a much higher percentage of program design, which carries a higher margin than the delivery of the actual messages.
+Added: We expect our gross
+Added: margin to remain relatively constant for the balance of the year.
+Added: expenses increased from approximately $6.2 million for the three months ended September 30, 2020 to approximately $9.0 million for the
+Added: same period in 2021.
+Added: Operating expenses increased from approximately $19.0 million for the nine months ended September 30, 2020 to approximately
+Added: $23.5 million for the same period in 2021.
+Added: Overall, this increase results from our efforts to expand our product line and build out our
+Added: organization to establish a strong base for current and future growth.
+Added: Our expenses increased at a lower rate than our revenues as a
+Added: result of the operating leverage of our model.
+Added: The detail of expenditures by major category is reflected in the table below.
+Added: September 30,
+Added: September 30,
+Added: Salaries, Wages,
Stock-Based Compensation
4 unchanged sentences
Advertising and Promotion
−Removed: Technology Infrastructure Costs
−Removed: Integration and Exclusivity Costs
+Added: Technology Infrastructure
+Added: Integration and Exclusivity
Office, Facility, and Other
−Removed: Depreciation and Amortization
−Removed: Total Operating Expense
−Removed: The increase in operating expenses related to salaries, wages, and
−Removed: benefits and other human resource related costs is due to the expansion of our team to support additional growth.
−Removed: This increase is partly
−Removed: offset by the decrease in contractors and consultants, as we have brought functions in house that were previously performed by outsiders.
−Removed: We expect salaries, wages, and benefits to continue to increase on
−Removed: 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
−Removed: the pipeline.
−Removed: Travel expense is down significantly on a year to date basis as a result
−Removed: of travel restrictions due to the pandemic.
−Removed: We expect travel expense to increase significantly starting in the third quarter of the year
−Removed: due to relaxed travel restrictions and pent up demand for meetings and visits.
−Removed: Professional fees increased significantly in the second quarter of
−Removed: 2021 compared with the prior year.
−Removed: With the assistance of an outside legal firm, we undertook a comprehensive governance review of our
−Removed: bylaws, board charters, equity compensation plan, and overall corporate policies.
−Removed: This review resulted in approximately $300,000 of expense
−Removed: in the second quarter.
−Removed: In the six month period ended June 30, 2021, this was partially offset by reduced audit fees as a result of our
−Removed: change in auditors, as well as a change in SEC rules that eliminated the need for a third-party opinion on our internal controls.
−Removed: expect professional fees to decrease from the second quarter level for the balance of the year.
−Removed: Investor relations expense increased due to the expansion of our communication
−Removed: efforts to reach retail investors and expand our shareholder base.
−Removed: Technology infrastructure costs increased due to continued investment
−Removed: in our operating systems to facilitate new products as well as the implementation of additional software products to increase efficiency
−Removed: and information dissemination.
−Removed: Data costs increased as we have purchased more data, primarily to
−Removed: aid in our selling effort and allow customers to target their messages more appropriately, thereby increasing our ability to charge
−Removed: premium prices for more highly targeted messages.
−Removed: Integration and exclusivity costs represent payments to partners for access and/or
−Removed: exclusivity and increased because of new agreements signed after the first quarter of 2020.
−Removed: These payments are usually made in lump
−Removed: sums and expensed over the term of the contracts.
−Removed: These expenses are an important part of our ability to expand our network.
−Removed: Our office, facility and other expense increased primarily because
−Removed: of increased activity.
−Removed: The largest single increase related to hiring expenses associated with expanding our team, both for new additions
−Removed: so far, as well as new hires scheduled for the future, including recruiter fees in some instances.
−Removed: All other variances in the table above are the result of normal fluctuations
−Removed: We expect our overall operating expenses to increase on a quarterly
−Removed: 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
−Removed: and active marketplace.
−Removed: However, we have established a strong team as a base to support growth and we are seeing the results of the investment
−Removed: in our team last year in our strong revenue growth this year.
−Removed: We do not expect human resource costs to increase as quickly as revenues,
−Removed: however we do expect to continue to add people to accelerate our growth and invest in future growth.
−Removed: Net Income (Loss)
−Removed: We had net income of $0.4 million for the three months ended June 30,
−Removed: 2021, as compared to a net loss of $1.1 million during the same period in 2020.
−Removed: We had a loss of approximately $0.3 million for the six
−Removed: months ended June 30, 2021, as compared to net loss of approximately $3.3 million during the same period in 2020.
−Removed: The reasons and specific
−Removed: components associated with the change are discussed above.
−Removed: Overall, the net income for second quarter of 2021 and decreased loss for the
−Removed: six month period resulted from the increased margin generated by our higher revenues, partially offset by the increased operating expenses.
−Removed: Liquidity and Capital Resources
−Removed: As of June 30, 2021, we had total current assets of $105.0 million,
−Removed: compared with current liabilities of $6.7 million, resulting in working capital of approximately $98.3 million and a current ratio of
−Removed: This represents an increase from our working capital of approximately $23 million and current ratio of 3 to 1 at December 31,
−Removed: Our operating activities provided approximately $1.9 in cash flow during
−Removed: the six months ended June 30, 2021, compared with cash used of approximately $3.6 million in the same period in 2020.
−Removed: The cash provided
−Removed: in the 2021 period was the result of our net loss increased by noncash expenses, partially offset by working capital used in the reduction
−Removed: of liabilities.
−Removed: The cash used in the 2020 period was primarily the result of increased investment in working capital;
−Removed: in particular, we
−Removed: made a $2.0 million prepayment to a partner that was expensed over the balance of the year.
−Removed: We used insignificant amounts in investing activities in both the six
−Removed: months ended June 30, 2021 and 2020.
−Removed: These investments related to purchases of equipment as well as investments related to the expansion
−Removed: of our network capabilities in our patient engagement solution.
−Removed: Our financing activities provided $71.8 million in the six months ended
−Removed: June 30, 2021, compared with cash used of approximately $1.1 million in the same period in 2020.
−Removed: We raised $70.7 million in a public offering
−Removed: of our common stock as well as generated $2.7 million from the issuance of shares related to the exercise of stock options.
−Removed: partially offset by the payment of $1.6 in earnout payments from a previous acquisition.
−Removed: We have no remaining earnout payments due in
−Removed: Financing activities used approximately $1.3 million related to earnout payments from a previous acquisition, offset by $0.3
−Removed: million from the issuance of shares related to the exercise of stock options.
−Removed: We do not anticipate the need to raise additional capital in the short
−Removed: or long term for operating purposes or to fund our growth plans.
−Removed: We are focused on growing our revenue, channel and partner network.
−Removed: as a company in a market that is active with merger and acquisition activity, we may have opportunities, such as for acquisitions or strategic
−Removed: partner relationships, which may require additional capital.
−Removed: We will assess these opportunities as they arise with the view of maximizing
−Removed: shareholder value.
−Removed: Critical Accounting Policies
−Removed: In December 2001, the SEC requested that all registrants list their
−Removed: most “critical accounting polices” in the Management Discussion and Analysis.
−Removed: The SEC indicated that a “critical accounting
−Removed: policy” is one which is both important to the portrayal of a company’s financial condition and results, and requires management’s
−Removed: most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are
−Removed: inherently uncertain.
−Removed: Our accounting policies are discussed in the footnotes to our financial statements included in our annual report
−Removed: on Form 10-K for the year ended December 31, 2020;
−Removed: however, we consider our critical accounting policies to be those related to determining
−Removed: the amount of revenue to be billed, the timing of revenue recognition, calculation of revenue share expense, stock-based compensation,
−Removed: capitalization and related amortization of intangible assets, impairment of assets, and the fair value of liabilities.
−Removed: Recently Issued Accounting Pronouncements
−Removed: In December 2019, the FASB issued ASU No.
−Removed: 2019-12, Income Taxes
+Added: and Amortization
+Added: Operating Expense
+Added: increase in operating expenses related to salaries, wages, and benefits and other human resource related costs is due to the expansion
+Added: of our team to support additional growth.
+Added: Through the end of September, we have hired 32 new people this year, largely in areas focused
+Added: on increasing revenue.
+Added: This increase is partly offset by the decrease in contractors and consultants, as we have brought functions in
+Added: house that were previously outsourced.
+Added: expect salaries, wages, and benefits to continue to increase in the fourth quarter due to the full impact of new hires already in place,
+Added: as well as new hires in the pipeline.
+Added: expense remains down on a year to date basis as a result of pandemic-related travel restrictions, We reopened travel at the end of the
+Added: second quarter and incurred significantly more travel expenses in the quarter ended September 30, 2021 than in the prior year due relaxed
+Added: travel restrictions.
+Added: Professional fees increased in both the three and nine months ended
+Added: September 30, 2021 compared with the prior year.
+Added: With the assistance of an outside legal firm, we undertook a comprehensive governance
+Added: review of our bylaws, board charters, equity compensation plan, and overall corporate policies to enhance and improve our overall governance.
+Added: This review accounts for the majority of the year to date increase.
+Added: In addition, due to the increase in our market cap, our outside auditors
+Added: are now required to render an opinion on our internal controls.
+Added: Our expenditures on professional fees in connection with the preparation
+Added: for and work related to that audit in 2021 increased in the quarter ended September 30, 2021.
+Added: We would expect professional fees to remain
+Added: at a similar level for the balance of the year.
+Added: relations expense increased due to the expansion of our communication efforts to reach retail investors and expand our shareholder base.
+Added: infrastructure costs increased due to continued investment in our operating systems to facilitate new products as well as the implementation
+Added: of additional software products to increase efficiency and information dissemination.
+Added: costs increased as we have purchased more data, primarily to aid in our selling effort and allow customers to target their messages more
+Added: appropriately, thereby increasing our ability to charge premium prices for more highly targeted messages.
+Added: and exclusivity costs represent payments to partners for access and/or exclusivity and increased because of new agreements signed.
+Added: payments are usually made in lump sums and expensed over the term of the contracts.
+Added: These expenses are an important part of our ability
+Added: to expand our network.
+Added: Our office, facility and other expenses increased primarily because
+Added: of the addition of new employees, including recruiter fees, as well as the reopening of our offices.
+Added: other variances in the table above are the result of fluctuations in the ordinary course of business.
+Added: expect our overall operating expenses to increase on a quarterly basis for the balance of the year as we further implement our business
+Added: We do not expect human resource costs to increase as quickly as revenues, however we do expect to hire additional employees to
+Added: support and accelerate our anticipated growth.
+Added: Income (Loss)
+Added: had net income of $.04 million for the three months ended September 30, 2021, as compared to a net loss of $0.3 million during the same
+Added: period in 2020.
+Added: We had a loss of approximately $0.2 million for the nine months ended September 30, 2021, as compared to net loss of
+Added: approximately $3.6 million during the same period in 2020.
+Added: The reasons and specific components associated with the change are discussed
+Added: Overall, the net income for three months ended September 30, 2021 and decreased loss for the nine month period ended September
+Added: 30, 2021 resulted from the increased margin generated by our higher revenues, partially offset by the increased operating expenses.
+Added: and Capital Resources
+Added: of September 30, 2021, we had total current assets of $108.4 million, compared with current liabilities of $7.6 million, resulting in
+Added: working capital of approximately $100.8 million and a current ratio of 14.8 to 1.
+Added: This represents an increase from our working capital
+Added: of approximately $23 million and current ratio of 3 to 1 at December 31, 2020.
+Added: operating activities provided approximately $2.1 million in cash flow during the nine months ended September 30, 2021, compared with
+Added: cash used of approximately $3.7 million in the same period in 2020.
+Added: The cash provided in the 2021 period was the result of our net loss
+Added: increased by noncash expenses, which resulted in positive cash flow.
+Added: This was partially offset by working capital used in the reduction
+Added: of liabilities and to support growth in accounts receivable due to our increased revenue levels.
+Added: The cash used in the 2020 period was
+Added: primarily the result of increased investment in working capital;
+Added: in particular, we made a $2.0 million prepayment to a partner that was
+Added: expensed over the balance of the year.
+Added: used insignificant amounts in investing activities in both the nine months ended September 30, 2021 and 2020.
+Added: These investments related
+Added: to purchases of equipment as well as investments related to the expansion of our network capabilities in our adherence solution.
+Added: financing activities provided $72.9 million in the nine months ended September 30, 2021, compared with cash used of approximately $3.1
+Added: million in the same period in 2020.
+Added: We raised $70.7 million in a public offering of our common stock as well as generated $3.8 million
+Added: from the issuance of shares related to the exercise of stock options.
+Added: These were partially offset by the payment of $1.6 million in earnout
+Added: payments from a previous acquisition.
+Added: We have no remaining earnout payments due in the future.
+Added: In the 2020 period, financing activities
+Added: used approximately $4.4 million related to earnout payments from a previous acquisition, offset by $1.3 million from the issuance of
+Added: shares related to the exercise of stock options.
+Added: main source of liquidity has historically been from the issuance of common stock.
+Added: We do not anticipate the need to raise additional capital
+Added: in the short or long term for operating purposes or to fund our growth plans.
+Added: We are focused on growing our revenue, channel and partner
+Added: However, as a company in a market that is active with merger and acquisition activity, we may have opportunities, such as for
+Added: acquisitions or strategic partner relationships, which may require additional capital.
+Added: We will assess these opportunities as they arise
+Added: with the view of maximizing shareholder value.
+Added: Party Transaction
+Added: Lang, one of our Board Members, is the CEO of Eversana, a leading global provider of services to the life sciences industry.
+Added: is similar to other customers we generate revenue from, such as agencies or resellers.
+Added: In 2021 we have recognized revenue of $150,000
+Added: from Eversana and have open contracts as of September 30, 2021 that will result in an additional $160,000.
+Added: These contracts were sourced
+Added: by Eversana on behalf of life science customers of theirs.
+Added: The contracts are at market rates and were generated in the normal course
+Added: Accounting Policies
+Added: December 2001, the SEC requested that all registrants list their most “critical accounting polices” in the Management Discussion
+Added: and Analysis.
+Added: The SEC indicated that a “critical accounting policy” is one which is both important to the portrayal of a
+Added: company’s financial condition and results, and requires management’s most difficult, subjective or complex judgments, often
+Added: as a result of the need to make estimates about the effect of matters that are inherently uncertain.
+Added: There have been no material changes
+Added: to our critical accounting policies as described in the footnotes to our financial statements included in our annual report on Form 10-K
+Added: for the year ended December 31, 2020;
+Added: however, we consider our critical accounting policies to be those related to determining the amount
+Added: of revenue to be billed, the timing of revenue recognition, calculation of revenue share expense, stock-based compensation, capitalization
+Added: and related amortization of intangible assets, impairment of assets, and the fair value of liabilities.
+Added: Issued Accounting Pronouncements
+Added: December 2019, the FASB issued ASU No.
+Added: 2019-12, Income Taxes (Topic 740):
Simplifying the Accounting for Income Taxes .
−Removed: ASU 2019-12 is intended to improve consistent application and simplify the
−Removed: accounting for income taxes.
−Removed: ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and clarifies and amends existing
−Removed: ASU 2019-12 was effective for annual and interim reporting periods beginning after December 12, 2020, with early adoption permitted.
−Removed: The adoption of this standard did not have a material effect on our financial position, results of operations, or cash flows.
−Removed: Off Balance Sheet Arrangements
−Removed: As of June 30, 2021, there were no off-balance sheet arrangements.
+Added: is intended to improve consistent application and simplify the accounting for income taxes.
+Added: ASU 2019-12 removes certain exceptions to
+Added: the general principles in Topic 740 and clarifies and amends existing guidance.
+Added: ASU 2019-12 was effective for annual and interim reporting
+Added: periods beginning after December 12, 2020, with early adoption permitted.
+Added: The adoption of this standard did not have a material effect
+Added: on our financial position, results of operations, or cash flows.
+Added: Balance Sheet Arrangements
+Added: of September 30, 2021, there were no off-balance sheet arrangements.
Quantitative and Qualitative Disclosures about Market Risk
−Removed: We are not required to provide the information required by this Item.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.