Item 1A. Risk Factors
Item 1A: Risk Factors
The following items update the risk factors previously
reported in PART 1, ITEM 1A, “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2021
Developments in the rapidly changing healthcare
industry could adversely affect our business.
Most of our revenue is derived from pharmaceutical
manufacturers and could be affected by changes affecting the broader healthcare industry, including decreased spending in the industry
overall. General reductions in expenditures by healthcare industry participants could result from, among other things:
General reductions in expenditures by healthcare
industry participants could result from, among other things:
– Government regulation or private
initiatives that affect the manner in which healthcare industry participants interact with
consumers and the general public;
– Government
regulation prohibiting the use of coupons by patients covered by federally funded health
insurance programs;
– Consolidation of healthcare industry
participants;
– Reductions in governmental funding
for healthcare; and
– Adverse changes in general business
or economic conditions affecting healthcare industry participants.
Even if general expenditures by industry participants
remain the same or increase, developments in the healthcare industry may result in reduced spending in some or all of the specific market
segments that we serve now or may serve in the future. For example, use of our solutions and services could be affected by:
– A decrease in the number of new
drugs or medical devices coming to market; and
– A
decrease in marketing expenditures by pharmaceutical or medical device companies.
The healthcare industry has changed significantly
in recent years, and we expect that significant changes will continue to occur. However, the timing and impact of developments in the
healthcare industry are difficult to predict. We cannot assure you that the demand for our solutions and services will continue to exist
at current levels or that we will have adequate technical, financial and marketing resources to react to changes in the healthcare industry.
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If we are unable to maintain our contracts
with electronic prescription platforms, our business will suffer.
We are reliant upon our contracts with leading
electronic prescribing (“ERx”) platforms and electronic health record (“EHR”) systems to generate our revenues
received from customers. Such arrangements subject us to a number of risks, including the following:
– Our ERx and EHR partners may experience
financial, regulatory or operational difficulties, which may impair their ability to focus
on and fulfill their contract obligations to us;
– Legal disputes or disagreements,
including the ownership of intellectual property, may occur with one or more of our ERx or
EHR partners and may lead to lengthy and expensive litigation or arbitration;
– Significant changes in an ERx or
EHR partner’s business strategy may adversely affect a partner’s willingness
or ability to satisfy obligations under any such arrangement; and
– The failure of an ERx or EHR partner
to provide accurate and complete financial information to us or to maintain adequate and
effective internal control over its financial reporting may negatively affect our ability
to meet our financial reporting obligations as required by the SEC; and
– An ERx or EHR partner could terminate
the partnership arrangement, which could negatively impact our ability to sell our solutions
and achieve revenues.
We will need to maintain these relationships
as well as diversify them. The inability to do so could adversely impact our business. We generated 53.9% and 52.7% of our revenue through
our largest partner in 2021 and 2020, respectively.
You should carefully consider the factors discussed
in PART I, ITEM 1A, “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2021 and the above
risk factors, each of which could materially affect our business, financial condition or future results. Such risks are not the only
risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially
adversely affect our business, financial condition and/or operating results.
Inflation and other adverse economic conditions may adversely
effect our business, results of operations and financial condition.
Recently, inflation has increased throughout the U.S. economy. In an
inflationary environment, we may experience increases in the prices of labor and other costs of doing business. Additionally, cost increases
may outpace our expectations, causing us to use our cash and other liquid assets faster than forecasted. If we are unable to successfully
manage the effects of inflation, our business, operating results, cash flows and financial condition may be adversely affected.
The occurrence or perception of an economic slowdown or recession,
or of a further increase in inflation, may have a negative impact on the global economy and may reduce customer demand for our products
and services. In addition, macroeconomic effects such as increases in interest rates and other measures taken by central banks and other
policy makers could have a negative effect on overall economic activity that could reduce our customers’ demand for our products
and serves. Adverse changes in demand could impact our business, collection of accounts receivable and our expected cash flow generation,
which may adversely impact our financial condition and results of operations.
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