Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations
Forward-Looking Statements
This Quarterly Report on Form 10-Q contains statements
that relate to future events and expectations and, as such, constitute forward-looking statements, within the meaning of the Private Securities
Litigation Reform Act of 1995. Certain statements, other than purely historical information, including estimates, projections, statements
relating to our strategies, outlook, business and financial prospects, business plans, objectives, and expected operating results, and
the assumptions upon which those statements are based, are “forward-looking statements.” 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.
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. Forward-looking statements are not guarantees of future performance. Although OptimizeRx believes that the
expectations reflected in any forward-looking statements are based on reasonable assumptions, these expectations may not be attained and
it is possible that actual results may differ materially from those indicated by these forward-looking statements due to a variety of
risks, uncertainties and changes in circumstances, many of which are beyond OptimizeRx’s control.
Forward-looking statements are subject to risks
and uncertainties. Actual results could differ materially from those expressed in or implied by such forward-looking statements due to
a variety of factors, including: disruptions to our business or the business of our customers due to the global pandemic; the inability
to support our technology and scale our operations successfully, developing and implementing new and updated applications, features and
services for our portals may be more difficult and expensive and take longer than expected; dependence on a concentrated group of customers;
inability to maintain contracts with electronic prescription platforms, agreements with electronic prescription platforms and electronic
health record systems being subject to audit; inability to attract and retain customers; inability to comply with laws and regulations
that affect the healthcare industry; competition; developments in the healthcare industry; inability to manage growth; inability to identify
suitable acquisition candidates, complete acquisitions or integrate acquisitions successfully; inability to attract and retain key employees;
economic, political, regulatory and other risks arising from our international operations; inability to protect our intellectual property;
cybersecurity incidents; reduction in the performance, reliability and availability of our network infrastructure; lack of a consistent
active trading market for our common stock; and volatility in the market price of our common stock.
The risks and uncertainties included here are
not exhaustive. 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, including our Annual Report on Form 10-K for the year ended December 31, 2021.
Moreover, we operate in a rapidly changing and competitive environment. New risk factors emerge from time to time, and it is not possible
for management to predict all such risk factors.
Further, it is not possible to assess the effect
of all risk factors on our businesses or the extent to which any factor, or combination of factors, may cause actual results to differ
materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not place undue
reliance on forward-looking statements as a prediction of actual results. In addition, we disclaim any obligation to update any forward-looking
statements to reflect events or circumstances that occur after the date of this report.
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Overview
OptimizeRx Corporation is a digital health technology
company incorporated in the State of Nevada. We enable care-focused engagement between life sciences organizations, healthcare providers,
and patients at critical junctures throughout the patient care journey. Connecting over 60% of U.S. healthcare providers and millions
of their patients through an intelligent technology platform embedded within a proprietary point-of-care network, OptimizeRx helps patients
start and stay on their medications.
COVID-19
The COVID-19 pandemic has continued to create unprecedented challenges
in the healthcare industry which has increased the demand for unique solutions ranging from access to accurate and timely information
to increasing the accessibility of medications and care management. The COVID-19 pandemic did not have a material net impact on our financial
statements during the first and second quarters of 2022. We continue to monitor the impact of COVID-19 on our operations and key stakeholders.
The Company cannot reasonably predict the ultimate impact of the COVID-19 pandemic, including the extent of any impact on our business,
results of operations and financial condition, which will depend on, among other things, the duration and spread of the pandemic, the
impact of governmental regulations that have been, and may continue to be, imposed in response to the pandemic, the effectiveness of actions
taken to contain or mitigate the outbreak, the acceptance, safety and efficacy of vaccines, and global economic conditions.
Company Highlights through July 2022
1. Generated sales of $14.0 million for the quarter ended June 30,
2022, a 2.59% increase over the same period in 2021.
2. Generated sales of $27.7 million for the six months ended June 30,
2022, a 11.49% increase over the same period in 2021.
3. Achieved positive cash flow from operations of $4.4 million for the
six months ended June 30, 2022.
4. Acquired the EvinceMed platform and related assets.
5. Introduced new key performance indicators to increase transparency
and provide investors additional ways to chart our ability to execute against our “land and expand” strategy.
6. Published Company’s first Environmental, Social and Governance
(ESG) Report.
Key Performance Indicators
We developed a number of key performance indicators
in the first quarter of the year and intend to monitor these going forward, to evaluate our business, measure our performance, identify
trends affecting our business and make strategic decisions.
Average revenue per top 20 pharmaceutical manufacturer.
Average revenue per top 20 pharmaceutical manufacturer is calculated
by taking the total revenue the Company recognized through pharmaceutical manufacturers listed in Fierce Pharma’s “The top
20 pharma companies by 2020 revenue” over the last twelve months, divided by the total number of the aforementioned pharmaceutical
manufacturers that our solutions helped support over that time period. The Company uses this metric to monitor its progress in “landing
and expanding” with key customers within its largest customer vertical and believes it also provides investors with a transparent
way to chart our progress in penetrating this important customer segment.
Rolling
Twelve Months Ended
June 30,
2022
2021
Average revenue per top 20 pharmaceutical manufacturer
$ 2,389,969
$ 2,361,254
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Percent of top 20 pharmaceutical manufacturers
that are customers. Percent of top 20 pharmaceutical manufacturers that are customers is calculated by taking the number of revenue
generating customers that are pharmaceutical manufacturers listed in Fierce Pharma’s “The top 20 pharma companies by 2020
revenue” over the last 12 months, which is then divided by 20—which is the number of pharmaceutical manufacturers included
in the aforementioned list. The Company uses this metric to monitor its progress in penetrating key customers within its largest customer
vertical and believes it also provides investors with a transparent way to chart our progress in penetrating this important customer segment.
The increase from twelve months ended June 30, 2021 to the twelve months ended June 30, 2022 reflects continued penetration
into this core customer base and reflects two new top 20 pharma customers in the twelve months ended June 30, 2022.
Rolling
Twelve Months Ended
June 30,
2022
2021
Percent of top 20 pharmaceutical manufacturers that are customers
95 %
85 %
Percent of total revenue attributable to top
20 pharmaceutical manufacturers. Percent of total revenue attributable to top 20 pharmaceutical manufacturers
is calculated by taking the total revenue the Company recognized through pharmaceutical manufacturers listed in Fierce Pharma’s
“The top 20 pharma companies by 2020 revenue” over the last twelve months, divided by our consolidated revenue over the same
period. The Company uses this metric to monitor its progress in “landing and expanding” with key customers within its largest
customer vertical and believes it also provides investors with a transparent way to chart our progress in penetrating this important customer
segment.
Rolling
Twelve Months Ended
June 30,
2022
2021
Percent of total revenue attributable to top 20 pharmaceutical manufacturers
71 %
77 %
Net revenue retention. Net revenue retention
is a comparison of revenue generated from all customers in the previous twelve-month period to total revenue generated from the same customers
in the following twelve-month period (i.e., excludes new customer relationships for the most recent twelve-month period). The Company
uses this metric to monitor its ability to improve its penetration with existing customers and believes it also provides investors with
a metric to chart our ability to increase our year-over-year penetration and revenue with existing customers. The retention rate in the
twelve months ended June 30, 2021 was higher as a result of unplanned disruption to the industry caused by the Covid-19 pandemic.
Our customers shifted funds previously designated for in-person events to digital marketing throughout the initial quarters of the pandemic.
By the middle of 2021, while the pandemic continued, there was less disruption and customers shift towards digital solutions became more
normalized.
Rolling
Twelve Months Ended
June 30,
2022
2021
Net revenue retention
113 %
170 %
Revenue per average full-time employee.
We define revenue per average full-time employee as total revenue over the last twelve months divided by the average number of employees
over the last twelve months (i.e., the average between the number of FTEs at the end of the reported period and the number of FTEs at
the end of the same period of the prior year). The Company uses this metric to monitor the productivity of its workforce and its ability
to scale efficiently over time and believes the metric provides investors with a way to chart our productivity and scalability. Our revenue
rate per employee has remained consistently strong in comparing year over year data.
Rolling
Twelve Months Ended
June 30,
2022
2021
Revenue per average full-time employee
$ 661,319
$ 668,395
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Results of Operations for the Three and Six Months Ended June 30,
2022 and 2021
Revenues
Our total revenue for the three months
ended June 30, 2022 was approximately $14.0 million, an increase of 2.6% over the approximately $13.6 million from the same period in
2021. Our total revenue for the six months ended June 30, 2022 was approximately $27.7 million, an increase of 11.5% over the approximately
$24.9 million from the same period in 2021. The increased revenue resulted from increases in sales of our access solutions.
We expect that our revenues will grow for the
balance of 2022 as a result of the new clients we secured in the first half of the year as well as those we expect to pick up for the
remainder of the year. In addition, we believe that the foundations we laid in the first half of the year, will result in steady growth
for the second half of the year.
Cost of Revenues
The cost of revenue decreased from $5.6 million
to $5.0 million primarily as a result of the solution and channel mix, in the quarter ended June 30, 2022, as compared to the same
period in 2021. The cost of revenue for the six month period ended June 30, 2022 decreased from $10.7 million to $10.6 million, as
compared to the same period in 2021. This improvement was a result of solution mix, both as it relates to solutions and the partners through
which the messages are delivered and increases in the type of services we provide that are not subject to revenue share. Additional discussion
is included in the gross margin section below.
For the Three Months Ended
June 30,
For the Six Months Ended
June 30,
2022
2021
2022
2021
Cost of Revenues %
35.7 %
41.0 %
38.3 %
43.0 %
Gross Margin %
64.3 %
59.0 %
61.7 %
57.0 %
Gross Margin
As reflected in the table above, our gross margin,
which is the difference between our revenues and our cost of revenues, increased for the quarter ended June 30, 2022, compared with
the prior year, as a result of solution mix. In general, there has been an increase in the percentage of activity flowing through our
lower cost channels compared with a year ago. Additionally, revenue increases in our access solutions 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 remain relatively
constant for the balance of the year.
Operating Expenses
Operating expenses increased from approximately $7.7 million for the
three months ended June 30, 2021 to approximately $12.9 million for the same period in 2022, an increase of approximately 67%. Operating
expenses increased from approximately $14.5 million for the six months ended June 30, 2021 to approximately $24.8 million for the same
period in 2022, an increase of approximately 71%. This increase in expense is due to investment in, and expansion of, our workforce to
enable future growth. Stock based compensation, a noncash expense, had the greatest increase over prior year and is discussed in greater
detail below.
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The detail of expenditures by major category is reflected in the table
below.
Three Months Ended June 30,
Six Months Ended June 30,
2022
2021
2022
2021
Salaries, Wages, & Benefits
$ 4,981,549
$ 3,906,796
$ 10,287,416
$ 7,487,612
Stock-Based Compensation
4,025,323
897,038
7,199,421
1,604,191
Contractors and Consultants
583,458
486,577
1,010,084
785,963
Travel
206,478
48,925
317,996
58,755
Board Compensation
99,625
61,250
161,500
122,500
Professional Fees
434,780
448,598
923,707
769,818
Investor Relations
50,701
51,019
101,422
97,306
Advertising and Promotion
340,628
255,680
576,268
384,565
Technology Infrastructure Costs
602,917
256,291
1,212,546
469,570
Integration Incentives
443,889
244,600
869,444
563,158
Data
89,586
257,484
268,295
545,396
Office, Facility, and Other
461,428
262,320
783,498
524,480
Depreciation and Amortization
578,117
527,958
1,049,656
1,054,138
Total Operating Expense
$ 12,898,479
$ 7,704,536
$ 24,761,253
$ 14,467,452
The increase in operating expense related to salaries, wages, and benefits
and other human resource related costs is due to the expansion of our team to support additional growth. We expect our compensation expense
for the remaining two quarters of 2022 to only be marginally higher to the expenses recognized for the period ended June 30, 2022.
Since June 30, 2021, we have added to our staff in several key areas, including product development, sales, and IT, and the addition
of our Chief Financial Officer/Chief Operations Officer. During the past 12 months we hired 26 net additional employees.
Stock-based compensation increased by $3.1 million
from $0.9 million for the three months ended June 30, 2021 to $4.0 million for the same period in 2022 and by $5.6 million from $1.6 million
for the six months ended June 30, 2021 to $7.2 million for the same period in 2022. Stock based compensation is awarded to all full-time
employees upon their start date as well as to certain key employees to encourage high performance. In the fourth quarter of 2021, we issued
a significant market-based grant with a requisite service period of less than 3 years. The expense for the market-based award is amortized
over the expected service period. The impact on year to date expense is $3.0 million.
Contractors and consultants increased compared
to the same period in prior year as we have incurred consulting costs associated with building a scalable infrastructure and increased
development work for customers and channels.
Travel expenses increased significantly as a result
of relaxed travel restrictions related to the Covid-19 pandemic.
Professional fees increased 20% for the six month period over prior
year primarily as a result of fees related to management’s assessment of internal controls and external audit fees due to Sarbanes-Oxley.
Previously we were exempt from the Sarbanes-Oxley Act Section 404B requirement. For the three month period ended June 30, 2022, professional
fees were consistent with the same period in 2021.
Our advertising and promotion increased over the same period prior
year as we continue to invest in growth initiatives. The increase is also partially attributed to attendance at and sponsorships of in-person
conferences in the first half of 2022 compared to virtual conferences from the first half of 2021 when travel and in-person events were
still restricted.
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.
Integration incentives, which represent payments
to partners for access and/or exclusivity, increased because of new agreements signed in the second half of 2021. 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.
Data costs decreased from the same period in the prior year as we have
continued to evaluate our data vendors and partner with the most effective and relevant providers.
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All other variances in the table above are the
result of normal fluctuations in activity.
We expect our operating expenses in the second half of 2022 to be marginally
higher than that of the six month period ending June 30, 2022.
Net Income (Loss)
We had a net loss of approximately $3.9 million
for the three months ended June 30, 2022, as compared to net income of approximately $0.4 million during the same period in 2021.
We had a net loss of approximately $7.6 million for the six months ended June 30, 2022, as compared to a net loss of approximately
$0.3 million during the same period in 2021. The reasons and specific components associated with the change are discussed above. Overall,
the net loss resulted from significant investments made in our people and technology infrastructure. The net loss reflected in the 2022
periods were effected by significant noncash expenses of $4.7 million and $8.3 million for the three and six month periods, respectively.
Liquidity and Capital Resources
As of June 30, 2022, we had total current
assets of approximately $110.4 million, compared with current liabilities of approximately $6.4 million, resulting in working capital
of approximately $104.0 million and a current ratio of approximately 17.1 to 1. This represents an increase from our working capital of
approximately $105.7 million and current ratio of 12.3 to 1 at December 31, 2021.
Our operating activities provided $4.4 million
during the six months ended June 30, 2022, compared with $1.9 million in the same period in 2021. We had a net loss of $7.6 million
for the six month period ended June 30, 2022, but non-cash expenses of $8.3 million and working capital generated by the collection
of receivables offset the loss. The cash provided in the 2021 period was the result of our net loss increased by non-cash expenses, partially
offset by working capital used in the reduction of liabilities.
We had proceeds from financing activities of approximately $0.5 million
during the six months ended June 30, 2022. We collected $0.8 million related to the exercise of stock options during the period, partially
offset by $0.3 million used to repurchase 12,868 shares of common stock. For the same period in 2021, 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
proceeds in 2021 were partially offset by the payment of $1.6 million in earnout payments from a previous acquisition.
We believe that funds generated from operations,
together with existing cash, will be sufficient to finance our current operations and planned growth for the next twelve (12) months.
In addition, we believe we can generate the cash needed to operate beyond the next 12 months from operations. However, we may seek additional
debt or equity financing to supplement cash from operations to fund acquisitions or strategic partner relationships, make capital expenditures,
and satisfy working capital needs. We currently have an effective shelf registration statement, which allows us to issue, in unlimited amounts, securities, including
common stock, preferred stock, debt securities, warrants, and units.
Critical Accounting Policies
We prepare our consolidated financial statements
in conformity with accounting principles generally accepted in the United States. The preparation of these financial statements requires
the use of estimates, judgments and assumptions that affect the reported amounts of assets and liabilities at the date of the financial
statements and reported amounts of revenues and expenses during the periods presented. Actual results could differ from those estimates
and assumptions. Our significant accounting policies are described in Note 2 to the Consolidated Financial Statements in the Annual Report
on Form 10-K for the year ended December 31, 2021 (2021 Annual Report on Form 10-K). The accounting policies we used in preparing
these financial statements are substantially consistent with those we applied in our 2021 Annual Report on Form 10-K. Our critical accounting
policies are described in Management’s Discussion and Analysis included in the 2021 Annual Report on Form 10-K.
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 15, 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.
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Not Yet Adopted
ASU Topic 2021-08, Business Combinations (Topic
805), Accounting for Contract Assets and Contract Liabilities from Contracts with Customers , which requires contract assets and contract
liabilities acquired in a business combination to be recognized and measured by the acquirer on the acquisition date in accordance with
ASC 606, Revenue from Contracts with Customers, as if it had originated the contracts. The standard is effective for the Company’s
fiscal year beginning January 1, 2023, with early adoption permitted. The Company is currently evaluating the effect of this pronouncement
on its Consolidated Financial Statements, but it is not expected to have a material impact.
Off Balance Sheet Arrangements
As of June 30, 2022, there were no off-balance sheet arrangements.
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