UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

FORM 10-Q

 

Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

For the quarterly period ended June 30, 2024

 

Transition Report pursuant to 13 or 15(d) of the Securities Exchange Act of 1934

 

For the transition period from __________ to __________

 

Commission File Number: 001-38543

 

OptimizeRx Corporation

(Exact name of registrant as specified in its charter)

 

Nevada

  26-1265381

(State or other jurisdiction of

incorporation or organization)

 

(IRS Employer

Identification No.)

 

260 Charles Street, Suite 302

Waltham, MA 02453

(Address of principal executive offices)

 

248-651-6568

(Registrant’s telephone number, including area code)

 

 

(Former name, former address and former fiscal year, if changed since last report)

 

Securities registered under Section 12(b) of the Exchange Act:

 

Title of each class

  Trading Symbol(s)   Name of each exchange on which registered
Common Stock, par value $0.001   OPRX   Nasdaq Capital Market

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

 

Large accelerated filer Accelerated filer
  Non-accelerated filer Smaller reporting company
      Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No

 

State the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: 18,321,886 common shares as of August 9, 2024.

 

 

 

 

 

 

TABLE OF CONTENTS

 

 

Page
     
  PART I – FINANCIAL INFORMATION  
     
Item 1: Financial Statements (unaudited) 1
Item 2: Management’s Discussion and Analysis of Financial Condition and Results of Operations 17
Item 3: Quantitative and Qualitative Disclosures About Market Risk 24
Item 4: Controls and Procedures 24
  PART II – OTHER INFORMATION  
     
Item 1: Legal Proceedings 25
Item 1A: Risk Factors 25
Item 2: Unregistered Sales of Equity Securities and Use of Proceeds 25
Item 3: Defaults Upon Senior Securities 25
Item 4: Mine Safety Disclosure 25
Item 5: Other Information 25
Item 6: Exhibits 25

 

i

 

 

PART I - FINANCIAL INFORMATION

 

Item 1. Financial Statements

 

Our condensed consolidated financial statements included in this Form 10-Q are as follows:

 

2

Condensed Consolidated Balance Sheets as of June 30, 2024 (unaudited) and December 31, 2023 (unaudited);
3 Condensed Consolidated Statements of Operations for the three and six  months ended June 30, 2024 and 2023 (unaudited);
4 Condensed Consolidated Statements of Changes in Stockholders’ Equity for the three and six  months June 30, 2024 and 2023 (unaudited);
6 Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2024 and 2023 (unaudited);
7 Notes to Condensed Consolidated Financial Statements (unaudited).

 

1

 

 

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data, unaudited)

 

   June 30,
2024
   December 31,
2023
 
ASSETS        
Current assets        
Cash and cash equivalents  $14,959   $13,852 
Accounts receivable, net of allowance for credit losses of $371 and $480 at June 30, 2024 and December 31, 2023, respectively   24,521    36,253 
Taxes receivable   1,842    1,036 
Prepaid expenses and other   4,647    3,190 
Total current assets   45,969    54,331 
Property and equipment, net   171    149 
Other assets          
Goodwill   78,357    78,357 
Other intangibles, net   14,470    15,198 
Tradename and customer relationships, net   33,003    34,198 
Operating lease right of use assets, net   472    573 
Security deposits and other assets   434    568 
Total other assets   126,736    128,894 
TOTAL ASSETS  $172,876   $183,374 
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities          
Current portion of long-term debt  $3,300   $2,000 
Accounts payable – trade   2,980    2,227 
Accrued expenses   5,310    7,706 
Revenue share payable   2,094    5,506 
Taxes payable   
    49 
Current portion of lease liabilities   219    222 
Deferred revenue   1,053    172 
Total current liabilities   14,956    17,882 
Non-current liabilities          
Long-term debt, net   32,296    34,231 
Lease liabilities, net of current portion   271    371 
Deferred tax liabilities, net   4,337    4,337 
Total liabilities   51,860    56,821 
Commitments and contingencies (See note 11)   
 
    
 
 
Stockholders’ equity          
Preferred stock, $0.001 par value, 10,000,000 shares authorized, none issued and outstanding at June 30, 2024 or December 31, 2023   
    
 
Common stock, $0.001 par value, 166,666,667 shares authorized, 20,061,907 and 19,899,679 shares issued at June 30, 2024 and December 31, 2023, respectively   20    20 
Treasury stock, $0.001 par value, 1,741,397  shares held at June 30, 2024 and December 31, 2023   (2)   (2)
Additional paid-in-capital   196,164    190,793 
Accumulated deficit   (75,166)   (64,258)
Total stockholders’ equity   121,016    126,553 
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY  $172,876   $183,374 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

2

 

 

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except share and per share data, unaudited)

 

   For the Three Months Ended
June 30,
   For the Six Months Ended
June 30,
 
   2024   2023   2024   2023 
                 
Net revenue  $18,812   $13,818   $38,502   $26,821 
Cost of revenues, exclusive of depreciation and amortization presented separately below   7,108    5,993    14,595    11,563 
Gross profit   11,704    7,825    23,907    15,258 
                     
Operating expenses                    
General and administrative expenses   14,380    12,209    30,545    26,208 
Depreciation and amortization   1,073    465    2,140    929 
Total operating expenses   15,453    12,674    32,685    27,137 
Loss from operations   (3,749)   (4,849)   (8,778)   (11,879)
Other income (expense)                    
Interest expense   (1,528)   
    (3,074)   
 
Other income   75    
    75    
 
Interest income   106    721    125    1,386 
Total other income (expense), net   (1,347)   721    (2,874)   1,386 
Loss before provision for income taxes   (5,096)   (4,128)   (11,652)   (10,493)
Benefit (expense) from income taxes   1,088    (33)   744    (66)
Net loss  $(4,008)  $(4,161)  $(10,908)  $(10,559)
Weighted average number of shares outstanding – basic   18,257,879    16,992,100    18,213,992    17,043,493 
Weighted average number of shares outstanding – diluted   18,257,879    16,992,100    18,213,992    17,043,493 
Loss per share – basic  $(0.22)  $(0.24)  $(0.60)  $(0.62)
Loss per share – diluted  $(0.22)  $(0.24)  $(0.60)  $(0.62)

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3

 

 

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2024

(in thousands, except share data, unaudited)

 

    Common Stock    Treasury Stock    Additional Paid in    Accumulated      
    Shares    Amount    Shares    Amount    Capital    Deficit    Total 
Balance January 1, 2024   19,899,679   $20    (1,741,397)  $(2)  $190,793   $(64,258)  $126,553 
                                    
Stock based compensation expense                                   
Options       
        
    1,353    
    1,353 
Restricted stock       
        
    1,671    
    1,671 
Issuance of common stock                                   
For options exercised       
        
    
    
    
 
For restricted stock units vested   22,200    
    
    
    (140)   
    (140)
Net loss       
        
    
    (6,900)   (6,900)
                                    
Balance March 31, 2024   19,921,879   $20    (1,741,397)  $(2)  $193,677   $(71,158)  $122,537 
                                    
Stock based compensation expense                                   
Options       
        
    1,149    
    1,149 
Restricted stock       
        
    1,753    
    1,753 
Issuance of common stock                                   
For options exercised       
        
    
    
    
 
For restricted stock units vested   140,028    
    
    
    (415)   
    (415)
Net loss       
        
    
    (4,008)   (4,008)
                                    
Balance June 30, 2024   20,061,907   $20    (1,741,397)  $(2)  $196,164   $(75,166)  $121,016 

 

4

 

 

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

FOR THE THREE SIX MONTHS ENDED JUNE 30, 2023

(in thousands, except share data, unaudited)

 

    Common Stock    Treasury Stock    Additional Paid in    Accumulated      
    Shares    Amount    Shares    Amount    Capital    Deficit    Total 
Balance January 1, 2023   18,288,571   $18    (1,214,398)  $(1)  $172,786   $(46,692)  $126,111 
                                    
Stock based compensation expense                                   
Options       
        
    1,467    
    1,467 
Restricted stock       
        
    2,914    
    2,914 
Issuance of common stock                                   
For options exercised   9,668    
    
    
    40    
    40 
For restricted stock units vested   33,272    
    
    
    (171)   
    (171)
Net loss       
        
    
    (6,398)   (6,398)
                                    
Balance March 31, 2023   18,331,511   $18    (1,214,398)  $(1)  $177,036   $(53,090)  $123,963 
                                    
Stock based compensation expense                                   
Options       
        
    1,655    
    1,655 
Restricted stock       
        
    1,848    
    1,848 
Issuance of common stock                                   
For options exercised   10,000    
    
    
    105    
    105 
For restricted stock units vested   35,260    
    
    
    (73)   
    (73)
Repurchase of common stock             (526,999)   (1)   (7,522)        (7,522)
Net loss       
        
    
    (4,161)   (4,161)
                                    
Balance June 30, 2023   18,376,771   $18    (1,741,397)  $(2)  $173,049   $(57,251)  $115,815 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5

 

 

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands, unaudited)

 

   For the Six Months Ended
June 30,
 
   2024   2023 
OPERATING ACTIVITIES:        
Net loss  $(10,908)  $(10,559)
Adjustments to reconcile net loss to net cash provided by (used in) provided by operating activities:          
Depreciation and amortization   2,140    929 
Stock-based compensation   5,926    7,884 
Bad debt expense   132    239 
Amortization of debt issuance costs   365    
 
Changes in:          
Accounts receivable   11,600    3,635 
Prepaid expenses and other assets   (1,457)   (1,772)
Accounts payable   752    (732)
Revenue share payable   (3,412)   (1,269)
Accrued expenses and other liabilities   (2,264)   (1,097)
Taxes payable   (855)   
 
Deferred revenue   881    287 
NET CASH  PROVIDED BY (USED IN) OPERATING ACTIVITIES   2,900    (2,455)
           
INVESTING ACTIVITIES:          
Purchase of property and equipment   (77)   (49)
Purchases of held-to-maturity investments   
    (109,501)
Redemptions of held-to-maturity investments   
    112,501 
Acquisition of intangible assets, including intellectual property rights   
    (3)
Capitalized software development costs   (161)   (1,274)
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES   (238)   1,674 
           
FINANCING ACTIVITIES:          
Cash paid for employee withholding taxes related to the vesting of restricted stock units   (555)   (244)
Proceeds from exercise of stock options   
    145 
Repurchase of common stock   
    (7,522)
Repayment of long-term debt   (1,000)   
 
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES   (1,555)   (7,621)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS   1,107    (8,402)
CASH AND CASH EQUIVALENTS - BEGINNING OF PERIOD   13,852    18,210 
CASH AND CASH EQUIVALENTS - END OF PERIOD  $14,959   $9,808 
           
SUPPLEMENTAL CASH FLOW INFORMATION:          
Cash paid for interest  $2,710   $
 
Cash paid for income taxes  $110   $
 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

6

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

 

The accompanying condensed consolidated financial statements include OptimizeRx Corporation and its wholly owned subsidiaries (collectively, the “Company”, “we”, “our”, or “us”).

 

We are a digital health technology company enabling care-focused engagement between life sciences organizations, healthcare providers, and patients at critical junctures throughout the patient care journey. Connecting over two million U.S. healthcare providers and millions of their patients through an intelligent technology platform embedded within a proprietary point-of-care network, as well as mass digital communications channels, OptimizeRx helps life sciences organizations engage and support their customers. We operate a single reporting segment and, accordingly, the consolidated statements of profit or loss provide this information and it is not presented separately here.

 

The condensed consolidated financial statements for the three and six months ended June 30, 2024 and 2023 have been prepared by us without audit pursuant to the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). In the opinion of management, all adjustments necessary to present fairly our financial position at June 30, 2024, and our results of operations, changes in stockholders’ equity, and cash flows for the six months ended June 30, 2024 and 2023, have been made. Those adjustments consist of normal and recurring adjustments. The condensed consolidated balance sheet as of December 31, 2023, has been derived from the audited consolidated condensed balance sheet as of that date.

 

Certain information and note disclosures, including a detailed discussion about the Company’s significant accounting policies, normally included in our annual consolidated financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. These condensed consolidated financial statements should be read in conjunction with a reading of the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, as filed with the SEC on April 15, 2024 (“Form 10-K”).

 

The results of operations for the three and six months ended June 30, 2024, are not necessarily indicative of the results to be expected for the full year.

 

On October 24, 2023, the Company acquired 100% of the issued and outstanding preferred and common stock of Healthy Offers, Inc., a Nevada corporation d/b/a Medicx Health (“Medicx Health”) - See Part II, Item 8. Financials Statements and Supplementary Data; Note 3 - Acquisitions in our Form 10-K for additional information regarding this transaction.

 

The following presents the pro forma consolidated statement of operations as if Medicx Health had been included in the consolidated results of the Company for the three and six months ended June 30, 2023:

 

   Three Months Ended   Six Months Ended 
Pro-forma consolidated statement of operations  June 30, 
Revenue  $22,408   $43,439 
Net loss   (6,076)   (14,708)

 

These amounts have been calculated after applying the Company’s accounting policies, adjusting Medicx Health results to reflect the additional amortization that would have been charged assuming the fair value adjustments to intangible assets had been applied on January 1, 2023, interest expense associated with the term loan and elimination of interest income on short-term investments that were used to fund the acquisition,

 

During the year ended December 31, 2023, the Company disposed of its non-core Access business - See Part II, Item 8. Financials Statements and Supplementary Data; Note 7 - Goodwill and Intangible Assets in our Form 10-K for additional information regarding this transaction. A pro forma statement of operations for the three and six months ended June 30, 2024, is not presented for this transaction as the pro forma impacts were not material to the Company’s consolidated results.

 

7

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

Revenue presented in the pro forma financial consolidated statement of operations data above includes $1,213 and $3,080, respectively related to the Access and other non-core solutions for which no revenue was recorded in the three and six months ended June 30, 2024, (see also the discussion under Net Revenues in Results of Operations for the three and six months ended June 30, 2024 in Part I, Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations).

 

Change in Accounting Estimate

 

In accordance with its policy, the Company periodically reviews the stand-alone selling prices of its performance obligations under ASC 606 for use in allocating the contract prices. As a result, effective April 1, 2024, the Company updated the methodology for determining the value of program design and consulting services from the residual method to using an adjusted market assessment approach. The effect of this change in estimate was immaterial to the results for the three and six months ended June 30, 2024, but may become material in future periods.

 

Fair Value of Financial Instruments

 

Fair value is defined as the price that would be received upon the sale of an asset or paid upon the transfer of a liability in an orderly transaction between market participants at the measurement date and in the principal or most advantageous market for that asset or liability. The fair value should be calculated based on assumptions that market participants would use in pricing the asset or liability, not on assumptions specific to the entity. In addition, the fair value of liabilities should include consideration of non-performance risk including our own credit risk.

 

In addition to defining fair value, the disclosure requirements around fair value establish a fair value hierarchy for valuation inputs, which is expanded. The hierarchy prioritizes the inputs into three levels based on the extent to which inputs used in measuring fair value are observable in the market. Each fair value measurement is reported in one of the three levels, which is determined by the lowest level input that is significant to the fair value measurement in its entirety. These levels are:

 

Level 1 – Inputs are based upon unadjusted quoted prices for identical instruments traded in active markets.

 

Level 2 – Inputs are based upon significant observable inputs other than quoted prices included in Level 1, such as quoted prices for identical or similar instruments in markets that are not active, and model-based valuation techniques for which all significant assumptions are observable in the market or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

 

Level 3 – Inputs are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques that include option pricing models, discounted cash flow models, and similar techniques. The Company’s stock options and warrants are valued using Level 3 inputs.

 

The Company’s carrying amounts of financial instruments, including cash and cash equivalents, accounts receivable, accounts payable, and other current liabilities, approximate their fair values due to their short maturities.

 

NOTE 2 – NEW ACCOUNTING PRONOUNCEMENTS

 

In November 2023, the FASB issued ASU No. 2023-07 (“ASU 2023-07”), Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. ASU 2023-07 requires annual and interim disclosures that are expected to improve reportable segment disclosures, primarily through enhanced disclosures about significant segment expenses. The provisions of ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-07.

 

In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. This update also includes certain other amendments to improve the effectiveness of income tax disclosures. The provisions of ASU 2023-09 are effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-09.

 

8

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

NOTE 3 – CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

 

Cash equivalents include items almost as liquid as cash comprised of investments in AAA rated money market funds that invest in first-tier only securities, which primarily include domestic commercial paper and securities issued or guaranteed by the U.S. government or its agencies. We account for marketable equity securities in accordance with ASC 321-10, “Investments - Equity Securities”, as the shares have a readily determinable fair value quoted on the national stock exchange and are classified within Level 1 of the fair value hierarchy. At June 30, 2024 and December 31, 2023, we have recorded $8.1 million and none, respectively, of money market funds at cost.

 

NOTE 4 – CAPITALIZED SOFTWARE COSTS

 

The Company capitalizes certain development costs incurred in connection with software development for internal-use software platforms used in operations and for providing services to our customers. Costs incurred in the preliminary stages of development are expensed as incurred. Once software has reached the development stage, internal and external costs, if direct, are capitalized until the software is substantially complete and ready for its intended use. Capitalization ceases upon completion of all substantial testing. The Company also capitalizes costs related to specific upgrades and enhancements when it is probable the expenditures will result in additional functionality. Capitalized internal use software development costs are included in intangible assets and are amortized on a straight-line basis over the estimated useful life of the software platforms and are included in depreciation and amortization within operating expenses in the consolidated statements of operations. Amortization of capitalized internal use software expense for the three and six months ended June 30, 2024 and 2023 was $71 and $141 and $48 and $95, respectively. The Company accumulates capitalizable costs related to current projects in a construction in process (“CIP”) software account, the balance of which was $393 and $696 at June 30, 2024 and December 31, 2023, respectively.

 

NOTE 5 – REVENUES

 

Under ASC 606, Revenue from Contracts with Customers (“ASC Topic 606”), we record revenue when earned, rather than when billed. From time to time, we may record revenue based on our revenue recognition policies in advance of being able to invoice the customer, or we may invoice the customer prior to being able to recognize the revenue. Included in accounts receivable are unbilled amounts of $4,134 and $3,288 at June 30, 2024, and December 31, 2023, respectively. Amounts billed in advance of revenue recognition are presented as deferred revenue on the condensed consolidated balance sheets.

 

Revenues are primarily generated from content delivery activities in which the Company delivers financial, clinical, or brand messaging through a distribution network of ePrescribers and electronic health record technology providers (channel partners), directly to consumers, or from reselling services that complement the business. This content delivery for a customer is referred to as a program. Unless otherwise specified, revenue is recognized based on the selling price to customers.The Company’s contracts are generally less than one year and the primary performance obligation is delivery of messages, or content, but the contract may contain additional services. Additional services may include program design, which is the design of the content delivery program, set up, and reporting.

 

We consider set up and reporting services to be complimentary to the primary performance obligation and recognized through performance of the delivery of content. We consider program design and related consulting services to be performance obligations separate from the delivery of messages. Revenue is recognized at the point in time when the work product is delivered to the customer. The net contract balance for contracts in progress at June 30, 2024 and December 31, 2023, was $26,766 and $2,021, respectively. The outstanding performance obligations are expected to be satisfied during the year ended December 31, 2024.

 

In certain circumstances, the Company will offer sales rebates to customers based on spend volume. Rebates are typically contracted based on a quarterly or annual spend amount based on a volume threshold or tiered model. At the beginning of the year, the rebate percentage is estimated based on input from the sales team and analysis of prior year sales. Thereafter, the open contract balance for the customer is assessed quarterly to ensure the estimated rebate percentage being used for the rebate accrual remains reasonable. The estimated amount of variable consideration will be included in the transaction price only to the extent that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved. For the year ended 2023 and during the first half of 2024, there were two contracts with customers that included a rebate clause.

 

9

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

As the content is distributed through the platform and network of channel partners (a transaction), these transactions are recorded, and revenue is recognized over time as the distributions occur. Revenue for transactions can be realized based on a price per message, a price per redemption, as a flat fee occurring over a period of time, or upon completion of the program, depending on the client contract. The Company recognizes setup fees that are required for integrating client offerings and campaigns into the rule-based content delivery system and network over the life of the initial program, based either on time, or units delivered, depending upon which is most appropriate in the specific situation. Should a program be cancelled before completion, the balance of set up revenue is recognized at the time of cancellation, as set up fees are nonrefundable. Additionally, the Company also recognizes revenue for providing program performance reporting and maintenance. This reporting revenue is recognized over time as the messages are delivered. Program design, which is the design of the content delivery program, and related consulting services are recognized as services are performed.

In some instances, we also resell messaging solutions that are available through channel partners that are complementary to the core business and client base. These partner specific solutions are frequently similar to our own solutions and revenue recognition for these programs is the same as described above. In instances where we sell solutions on a commission basis, net revenue is recognized based on the commission-based revenue split that we receive. In instances where we resell these messaging solutions and have all financial risk and significant operation input and risk, we record the revenue based on

the gross amount sold and the amount paid to the channel partner as a cost of sales.


The Company has several signed contracts with customers for the distribution of messaging, or other services, which include payment in advance. The payments are not recorded as revenue until the revenue is earned under its revenue recognition policy. Deferred revenue was $1,053 and $172 as of June 30, 2024 and December 31, 2023, respectively. The contracts are all short term in nature and all revenue is expected to be recognized within 12 months, or less. The following is a summary of activity for the deferred revenue account for the six months ended June 30:

   2024   2023 
Balance January 1  $172   $164 
Revenue recognized   (3,228)   (2,444)
Amount collected   3,961    3,015 
Balance March 31  $905   $735 
Revenue recognized   (1,853)   (3,171)
Amount collected   2,002    2,887 
Balance June 30  $1,054   $451 

 

10

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

Disaggregation of Revenue

 

Consistent with ASC Topic 606, we have disaggregated our revenue by timing of revenue recognition. The majority of our revenue is recognized over time as solutions are provided. A small portion of our revenue related to program development, solution architect design, and other solutions is recognized at a point in time upon delivery to customers. A break down is set forth in the table below.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Revenue recognized over time  $17,769   $13,034   $34,694   $25,606 
Revenue recognized at a point in time   1,043    784    3,809    1,215 
Total Revenue  $18,812   $13,818   $38,502   $26,821 

 

Accounts receivable are reported at realizable value, net of allowances for credit losses, which is estimated and recorded in the period the related revenue is recorded. The Company does not seek collateral to secure its accounts receivable and amounts billed are generally due within a short period of time based on terms and conditions normal for our industry. The Company has a standardized approach to estimate and review the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues, which may impact the collectability of these receivables or reserve estimates. If current or expected future economic trends, events, or changes in circumstances indicate that specific receivable balances may be impaired, further consideration is given to the collectability of those balances and the allowance is adjusted accordingly. Past-due receivable balances are written off when the Company’s collection efforts have been exhausted.

 

The following is a summary of changes in the allowance for credit losses for the six months ended June 30,:

 

   2024   2023 
Balance at January 1,  $239   $352 
Bad debt expense   132    128 
Write-offs        
Balance at March 31,  $371   $480 
Bad debt expense       111 
Write-offs        
Balance at June 30,  $371   $591 

 

11

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

NOTE 6 – LONG-TERM DEBT

 

Long-term debt, net comprised the following at June 30, 2024 and December 31, 2023:

   June 30,
2024
   December 31,
2023
 
Term loan, due in 2027  $37,290   $38,290 
Less: current portion   (3,300)   (2,000)
Less: unamortized issuance costs   (1,694)   (2,059)
Long-term debt, net  $32,296   $34,231 

 

As of June 30, 2024, the Term loan bears interest at 14.1%, with an effective rate of 16.2%, including the impact of the amortization of debt issuance costs of $182 and $365 for the three and six months ended June 30, 2024, respectively.

 

The Company was in full compliance with the financial covenants associated with the Term loan.

 

The Term Loan is repayable in quarterly installments, beginning December 31, 2023, equivalent to 1.25% or $500,000, of the original principal amount, with the outstanding unpaid principal and all accrued but unpaid interest due and payable on the earlier of (i) the fourth anniversary of the closing date of the Term Loan or (ii) the date on which the Term Loan is declared due and payable pursuant to the terms of the Financing.

 

In addition, the Company is required to make a mandatory prepayment on March 31, of each year, commencing with 2025, equivalent to Excess Cash Flow multiplied by a percentage factor of 25%, if the leverage ratio is 3.60 to 1.00 or less, 50% if the leverage ratio is greater than 3.60 to 1 or less than or equal; to 4.10 to 1.00 and 75%, if the leverage ratio is greater than 4.10 to 1.00. Excess Cash Flow is defined in the Financing as Consolidated EBITDA for the previous fiscal year less scheduled principal and interest payments, capital expenditure, cash taxes and any cash expenses/gains added back to net income in the calculation of Consolidated EBITDA, adjusted for any increase/decrease in working capital during the fiscal year.

 

Repayments due under the terms of the Term loan, including an estimate of the amount associated with the Excess Cash Flow calculation discussed above, for the remainder of the current and in each of the next three fiscal years are as follows:

 

As of June 30, 2024

    
     
2024 (remainder)  $1,000 
2025   3,300 
2026   2,000 
2027   30,990 
   $37,290 

 

12

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

NOTE 7 – LEASES

 

We had operating leases with terms greater than 12 months for office space in four multi-tenant facilities, which are recorded as Operating lease right-of-use assets and Operating lease liabilities.

 

For the three and six months ended June 30, 2024 and 2023, the Company’s lease cost consists of the following components, each of which is included in operating expenses within the Company’s condensed consolidated statements of operations:

 

   Three months ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Operating lease cost  $62   $25   $124   $49 
Short-term lease cost   
    
    1    8 
Total lease cost  $62   $25   $125   $57 

 

The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

 

As of June 30, 2024

    
     
2024 (remainder)  $132 
2025   186 
2026   113 
2027   65 
2028   45 
Thereafter   
 
Total   541 
Less: discount   52 
Total lease liabilities  $489 

 

The weighted average remaining lease term at June 30, 2024 for the operating lease is 2.8 years, and the weighted average discount rate used in calculating the operating lease asset and liability is 6.85%. Cash paid for amounts included in the measurement of lease liabilities was $109 and $45 for the six months ended June 30, 2024 and 2023, respectively. For the six months ended June 30, 2024 and 2023, payments on lease obligations were $127 and $49, respectively, and amortization on the right of use assets was $113 and $49, respectively.

 

13

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

NOTE 8 – STOCKHOLDERS’ EQUITY

 

Preferred Stock

 

The Company had 10,000,000 shares of preferred stock, $0.001 par value per share, authorized as of June 30, 2024. No shares were issued or outstanding in either 2024 or 2023.

 

Common Stock

 

The Company had 166,666,667 shares of common stock, $0.001 par value per share, authorized as of June 30, 2024. There were 18,320,510 and 18,158,282 shares of common stock outstanding, net of shares held in treasury of 1,741,397 and 1,741,397 at June 30, 2024 and December 31, 2023, respectively.

 

During each of the quarters ended March 31, 2024 and June 30, 2024, no shares of our common stock were issued, and no proceeds were received in connection with the exercise of options under our 2013 Incentive Plan and our 2021 Equity Incentive Plan.

 

During the quarters ended March 31, 2024 and June 30, 2024, 22,200 and 140,028 shares of common stock, respectively, were issued in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. Some of the participants utilized a net withhold settlement method, in which shares were surrendered to cover payroll withholding taxes. Of the shares issued to participants during the six months ended June 30, 2024, a total of 48,281 shares, valued at $555,007, were surrendered and subsequently cancelled.

 

During the quarters ended March 31, 2023 and June 30, 2023, the Company issued 9,668 and 10,000 shares of our common stock and received proceeds of $40 and $105, respectively, in connection with the exercise of options under our 2013 Incentive Plan.

 

During the quarters ended March 31, 2023 and June 30, 2023, the Company issued 33,272 and 35,260 shares of common stock in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. 23,217 shares valued at $244 were surrendered in connection with the net withhold settlement method, and were subsequently cancelled.

 

Treasury Stock

 

During the quarter ended March 31, 2023, the Board authorized a share repurchase program, under which the Company could repurchase up to $15.0 million of its outstanding common stock. This stock repurchase authorization expired on March 12, 2024.

 

During the quarter and six months ended June 30, 2024 the Company did not repurchase any of its outstanding shares of common stock. During the quarter and six months ended June 30, 2023 the Company repurchased 526,999 shares of common stock under this program for a total of $7,522, including commissions paid on repurchases. These shares were recorded as treasury shares using the par value method.

 

NOTE 9 – STOCK BASED COMPENSATION

 

On June 5, 2024, at the 2024 Annual Meeting of Stockholders, the Company’s stockholders approved an amendment to the 2021 Equity Incentive Plan to increase the number of shares of common stock available for awards under the 2021 Equity Incentive Plan by 1,950,000 shares for a total of 4,450,000 shares.

 

14

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

Stock Options

 

The compensation expense related to options for the six months ended June 30, 2024 and 2023 was $2,502 and $3,122, respectively. The fair value of these instruments was calculated using the Black-Scholes option pricing model. There is $5,031 of remaining expense related to unvested options to be recognized in the future over a weighted average period of 1.57 years. The total intrinsic value of outstanding options at June 30, 2024 was $214.

 

During 2022, the Company granted certain performance based stock options, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 in expense related to these options recorded during the three and six months ended June 30, 2024.

 

Restricted Stock Units

 

The Company recorded $3,424 and $4,762 in compensation expense related to restricted stock units for the six months ended June 30, 2024 and 2023, respectively. A total of $8,337 remains to be recognized at June 30, 2024 over a weighted average period of 1.52 years.

 

During 2022, the Company granted certain performance based restricted stock units, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 in expense related to these restricted stock units recorded during the three and six months ended June 30, 2024.

 

The director’s compensation program calls for the grant of restricted stock units with a one year vesting period. There was $402 and $352 included in the compensation expense discussed above related to director’s compensation for the periods ended June 30, 2024 and 2023, respectively.

 

NOTE 10 – LOSS PER SHARE

 

Basic earnings per share (“EPS”) is computed by dividing net income (loss) by the weighted average number of common shares outstanding during the period.

 

The number of shares related to options and restricted stock units included in diluted EPS is based on the “Treasury Stock Method” prescribed in ASC 260-10, Earnings per Share. This method assumes the theoretical repurchase of shares using proceeds of the respective stock options exercised, and for restricted stock units, the amount of compensation cost attributed to future services which have not yet been recognized, and the amount of current and deferred tax benefit, if any, that would be credited to additional paid in capital upon the vesting of the restricted stock units, at a price equal to the issuer’s average stock price during the related earnings period. Accordingly, the number of shares that could be included in the calculation of EPS in respect of the stock options and restricted stock units is dependent on this average stock price and will increase as the average stock price increases.

 

The following table sets forth the computation of basic and diluted net loss per share.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Numerator                
Net loss  $(4,008)  $(4,161)  $(10,908)  $(10,559)
                     
Denominator                    
Weighted average shares outstanding used in computing net loss per share                    
Basic   18,257,879    16,992,100    18,213,992    17,043,493 
Effect of dilutive stock options, warrants, and stock grants   
    
    
    
 
Diluted   18,257,879    16,992,100    18,213,992    17,043,493 
                     
Net loss per share                    
Basic  $(0.22)  $(0.24)  $(0.60)  $(0.62)
Diluted  $(0.22)  $(0.24)  $(0.60)  $(0.62)

 

15

 

 

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

 

The number of common shares potentially issuable upon the exercise of certain options and the vesting of certain restricted stock units that were excluded from the diluted loss per common share calculation are reflected in the table below.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
Weighted average number of shares for the periods ended  2024   2023   2024   2023 
Options   7,233    19,824    6,618    24,923 
Unvested restricted stock unit awards   93,431    24,922    81,514    24,922 
Total   100,664    44,746    88,132    49,845 

 

NOTE 11 – COMMITMENTS AND CONTINGENT LIABILITIES

 

Litigation

 

From time to time, the Company may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to any material legal or administrative proceedings, and we are not aware of any pending or threatened material legal or administrative proceedings against us.

 

Commitments

 

From time to time, the Company enters into arrangements with partners to acquire minimum amounts of media, data or messaging capabilities. As of June 30, 2024, the Company had commitments for future minimum payments of $18.5 million that will be reflected in cost of revenues during the years from 2024 through 2028. Minimum payments are due in the remainder of 2024 and fiscal 2025, 2026, 2027 and 2028 in the amounts of $3.9 million, $8.5 million, $3.6 million, $2.4 million and $0.1 million, respectively.

 

NOTE 12 – INCOME TAXES

 

The Company reported a benefit from income taxes of $1,088 and $744 for the three and six months ended June 30, 2024, representing an effective tax rate of 21.4% and 6.4%. The effective tax rate for the three and six months ended June 30, 2024 reflects the impact of certain permanent items, projected increases in our valuation allowance during the year and discrete items for the quarter related to stock based compensation.

 

There was no provision for or benefit from taxes in the three and six months ended June 30, 2023, as we carried a full valuation allowance against our net deferred tax assets due to our history of losses.

 

As discussed in our annual report on Form 10-K for the year ended December 31, 2023, we had net operating loss carry-forwards for federal income tax purposes of approximately $16.7 million as of December 31, 2023.

 

NOTE 13 – SUBSEQUENT EVENTS

 

NONE

 

16

 

 

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: our history of losses, seasonal trends in the pharmaceutical brand marketing industry; the inability to support our technology and scale our operations successfully, developing and implementing new and updated applications, features and services for our solutions may be more difficult and expensive and take longer than expected; the inability to offer high-quality customer support for our solutions; 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 targets, complete acquisitions, or integrate acquisitions successfully; acquisition activities may disrupt ongoing business and may involve increased expenses; inability to realize the financial and strategic goals contemplated at the time of a transaction; inability to realize any synergies or other anticipated benefits of an acquisition or that such synergies or benefits may take longer than anticipated to be realized; risk that the integration with an acquired entity may be more costly or difficult than expected; impairment charges for goodwill or other intangible assets may be increased as we shift our focus away from our non-core businesses; inability to comply with the restrictions in our credit agreement; inability to generate sufficient cash to service debt and fund other obligations; inability to attract and retain senior management and other 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; increases in costs due to inflation and other adverse economic conditions; decreases in customer demand due to macroeconomic factors; lack of a consistent active trading market for our common stock; volatility in the market price of our common stock; and the failure to remediate the identified material weakness or any other material weaknesses identified in the future.

 

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, 2023. 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.

 

17

 

 

Overview

 

We are a digital health technology company enabling care-focused engagement between life sciences organizations, healthcare providers, and patients at critical junctures throughout the patient care journey. Connecting over two million U.S. healthcare providers and millions of their patients through an intelligent omnichannel technology platform embedded within a proprietary point-of-care network, as well as mass digital communications channels, OptimizeRx helps life sciences organizations engage and support their customers.

 

Historically, our revenue was generated primarily through the facilitation of various types of messages to health care providers via their EHR systems and ERx platforms using the OptimizeRx proprietary network to solve the ever-increasing communication barriers between pharmaceutical representatives and healthcare providers that have presented in the rapidly changing healthcare industry. Over time, the demand for different types of communication and marketing solutions among life sciences organizations, healthcare providers, and patients led us to expand upon our initial solutions to increase the variety of health-related information we deliver, as well as the platforms, technology, media distribution channels, and audiences through and to which we deliver. In addition, the October 2023 acquisition of Medicx Health provided the Company with a significant footprint for direct-to-consumer healthcare marketing. Today, we offer diverse tech-enabled marketing solutions through our AI-generated DAAP, using sophisticated machine-learning algorithms to find the best audiences in the correct channels at the right time. Customers are able to execute traditional marketing campaigns on our proprietary digital point-of-care network, as well as dynamic marketing campaigns that optimize audiences in real time to increase the value of treatment information for healthcare professionals and patients in response to clinical care events. We employ a “land and expand” strategy focused on growing our existing client base and generating greater and more consistent revenues in part through the continued shift in our business model toward enterprise level engagements, while also broadening our omnichannel network. Our strategy for driving revenue growth is also expected to work in tandem with our efforts to increase margin and profitability as revenue drivers such as DAAP have inherently higher margins than most other messaging solutions we offer.

 

Customer Concentration

 

Because the pharmaceutical industry is dominated by large companies with multiple brands, our revenue is concentrated in a relatively small number of companies. We have approximately 100 pharmaceutical companies as customers, and our revenues are concentrated in these customers. Loss of one of more of our larger customers could have a negative impact on our operating results. Our top five customers represented approximately 44% and 39% of our revenue for the years ended December 31, 2023 and December 31, 2022, respectively. In each of 2023 and 2022, we had one customer that each represented more than 10% of our revenues.

 

Seasonality

 

In general, the pharmaceutical brand marketing industry experiences seasonal trends that affect the vast majority of participants in the pharmaceutical digital marketing industry. Many pharmaceutical companies allocate the largest portion of their brand marketing to the fourth quarter of the calendar year. As a result, the first quarter tends to reflect lower activity levels and lower revenue, with gradual increases in the following quarters. We generally expect these seasonality trends to continue and our ability to effectively manage our resources in anticipation of these trends may affect our operating results.

 

Impact of Macroeconomic Events

 

Unfavorable conditions in the economy may negatively affect the growth of our business and our results of operations. For example, macroeconomic events including rising inflation and high interest rates have led to economic uncertainty. In addition, high levels of employee turnover across the pharmaceutical industry as well as a fewer number of U.S. drug approvals could create additional uncertainty within our target customer markets. Historically, during periods of economic uncertainty and downturns, businesses may slow spending, which may impact our business and our customers’ businesses. 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.

 

Key Performance Indicators

 

We monitor the following key performance indicators to help us evaluate our business, measure our performance, identify trends affecting our business and make strategic decisions. We have updated the definition of “top 20 pharmaceutical manufacturers” in our key performance indicators to be based upon Fierce Pharma’s most updated list of “The top 20 pharma companies by 2023 revenue”. We previously used “The top 20 pharma companies by 2022 revenue”. As a result of this change, prior periods have been restated for comparative purposes.

 

18

 

 

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 2023 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 believe it also provides investors with a transparent way to chart our progress in penetrating this important customer segment. The increase in the average in twelve months ended June 30, 2024 as compared to the twelve months ended June 30, 2023 is primarily the result of stronger DAAP related revenue streams and the Company’s October 2023 acquisition of Medicx Health, which added to 2024 revenues and was not included in the 2023 amounts (in thousands).

 

   Rolling Twelve Months Ended
June 30,
 
   2024   2023 
Average revenue per top 20 pharmaceutical manufacturer  $2,699   $1,804 

 

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 2023 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. Our penetration within this core customer group stayed consistent from the twelve months ended June 30, 2023 to the twelve months ended June 30, 2024.

 

   Rolling Twelve Months
 Ended June 30,
 
   2024   2023 
Percent of top 20 pharmaceutical manufacturers that are customers   100%   100%

 

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 2023 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,
 
   2024   2023 
Percent of total revenue attributable to top 20 pharmaceutical manufacturers   65%   59%

 

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, 2024 was higher due to stronger DAAP related revenue and the acquisition of Medicx Health in the fourth quarter of 2023.

 

   Rolling Twelve Months
 Ended June 30,
 
   2024   2023 
Net revenue retention   124%   89%

 

19

 

 

Revenue per average full-time employee. We define revenue per average full-time employee (“FTE”), 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 increased year over year due to revenue growing at a higher rate than the average number of FTEs over the last 12 month period (in thousands).

 

   Rolling Twelve Months
 Ended June 30,
 
   2024   2023 
Revenue per average full-time employee  $658   $565 

 

Results of Operations for the Three and Six Months Ended June 30, 2024 and 2023

 

The following tables sets forth, for the periods indicated, the dollar value and percentage of net revenue represented by certain items in our consolidated statements of operations (in thousands):

 

   Three Months Ended June 30, 
   2024   2023 
Net revenue  $18,812    100.0%  $13,818    100.0%
Cost of revenues   7,108    37.8%   5,993    43.4%
Gross profit   11,704    62.2%   7,825    56.6%
Operating expenses   15,453    82.1%   12,674    91.7%
Loss from operations   (3,749)   (19.9)%   (4,849)   (35.1)%
Other income (expense)                    
Interest expense   (1,528)   (8.1)%       %
Other income   75    0.4%       %
Interest income   106    0.6%   721    5.2%
Total other income (expense)   (1,347)   (7.1)%   721    5.2%
Loss before provision for income taxes   (5,096)   (27.1)%   (4,128)   (29.9)%
Income tax benefit (expense)   1,088    5.8%   (33)   (0.2)%
Net loss  $(4,008)   (21.3)%  $(4,161)   (30.1)%

 

*Balances and percentage of net revenue information may not add due to rounding

 

   Six Months Ended June 30, 
   2024   2023 
Net revenue  $38,502    100.0%  $26,821    100.0%
Cost of revenues   14,595    37.9%   11,563    43.1%
Gross profit   23,907    62.1%   15,258    56.9%
Operating expenses   32,685    84.9%   27,203    101.4%
Loss from operations   (8,778)   (22.8)%   (11,945)   (44.5)%
Other income (expense)                    
Interest expense   (3,074)   (8.0)%       %
Other Income   75    0.2%       %
Interest income   125    0.3%   1,386    5.2%
Total other income (expense)   (2,874)   (7.7)%   1,386    5.2%
Loss before provision for income taxes   (11,652)   (30.3)%   (10,559)   (39.4)%
Income tax benefit   744    1.9%       %
Net loss  $(10,908)   (28.3)%  $(10,559)   (39.4)%

 

*Balances and percentage of net revenue information may not add due to rounding

 

20

 

 

Net Revenues

 

Net revenue reported for the three months ended June 30, 2024 was approximately $18,812, an increase of approximately 36% over the approximately $13,818 from the same period in 2023. Our net revenue reported for the six months ended June 30, 2024 was approximately $38,502, an increase of approximately 44% over the approximately $26,821 from the same period in 2023. The increase in net revenue was as a result of the impact of the fourth quarter 2023 acquisition of Medicx Health, which was not included in the prior year numbers, plus growth of DAAP related sales, where the quarter benefited from an increase list delivery related revenue tied to new DAAP program launches. The increases in the three and six months ended June 30, 2024 were partially offset by a reduction of approximately $1,213 and $3,080, respectively, as a result of the disposal of our non-core Access solutions and the sale of certain non-core solutions-related contracts in the fourth quarter of 2023.

 

Net revenues of $22,408 and $43,439, as shown in the pro forma financial consolidated statement of operations data table in Note 1 above, includes $1,213 and $3,080 related to the Access and other non-core solutions revenues for the three and six months ended June 30, 2023, compared to $18,812 and $38,502 for the three and six months ended June 30, 2024, for which no Access or other non-core solutions revenue was recorded.

 

Cost of Revenues

 

Our cost of revenues, comprised primarily of revenue share expense paid to our network partners as well as costs associated with licensing data from third parties, was approximately $7,108 or 37.8% of net revenues for the three months ended June 30, 2024 compared to $5,993 or 43.4% of net revenues for the three months ended June 30, 2023 and was approximately $14,595 or 38% of net revenues for the six months ended June 30, 2024, compared to $11,563 or 43% of net revenues for the six months ended June 30, 2023.

 

The changes in cost of revenues as a percentage of revenues was a result of solution and channel mix. Additional discussion is included in the Gross Margin section below.

 

Gross Margin

 

Our gross margin, which is the difference between our revenues and our cost of revenues, was approximately $11,704 or 62.2% of net revenues for the three months ended June 30, 2024 compared to $5,993 or 56.6% of net revenues for the three months ended June 30, 2023 and was approximately $14,595 or 38% of net revenues for six months ended June 30, 2024 compared to $11,563 or 43% of net revenues for the six months ended June 30, 2023.

 

We had higher second quarter revenues compared to the same year ago period due to the fourth quarter acquisition of Medicx Health and growth in our DAAP related sales, leading to increased gross margin. Our overall margin percentage improved, compared with a year ago, as a result of an increased delivery of higher margin revenue solutions, such as DAAP, and using more cost-effective channel partnerships.

 

Operating Expenses

 

Operating expenses increased to approximately $15,453 for the three months ended June 30, 2024 from approximately $12,674 for the same period in 2023, an increase of approximately 22%. For six months ended June 30, 2024 operating expenses were approximately $32,685 compared to approximately $27,137 for the six months ended June 30, 2023, a increase of 20%. The detail by major category is reflected in the table below (in thousands).

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Stock-based compensation  $2,903   $3,503   $5,926   $7,884 
Depreciation and amortization   1,073    465    2,140    929 
Other general and administrative expenses   11,477    8,706    24,619    18,325 
Total operating expense  $15,453   $12,674   $32,685   $27,137 

 

21

 

 

Stock-based compensation decreased from approximately $3,503 for the three months ended June 30, 2023, to approximately $2,903 for the three months ended June 30, 2024, and decreased from approximately $7,884 for the six months ended June 30, 2023, to approximately $5,926 for the six months ended June 30, 2024. The decrease in both periods was a result of the lower grant date fair value of awards due to declines in the Company’s stock price as well as fewer equity awards made in such periods.

 

Depreciation and amortization increased from approximately $465 for the three months ended June 30, 2023, to approximately $1,073 for the three months ended June 30, 2024, and increased from approximately $929 for the six months ended June 30, 2023, to approximately $2,140 for the six months ended June 30, 2024. The increase in both periods was a result of the additional amortization associated with the identifiable intangibles arising from the Medicx Health acquisition.

 

Other general and administrative expenses increased from approximately $8,706 for the three months ended June 30, 2023 to approximately $11,477 for the three months ended June 30, 2024, and increased from approximately $18,325 for the six months ended June 30, 2023, to approximately $24,619 for the six months ended June 30, 2024. This increase in both periods is primarily a result of increases in compensation expense, due to additional headcount as a result of the Medicx Health acquisition therefore causing a related increase in bonus and commission expense, professional fees, primarily audit and accounting fees, insurance costs and partner integration incentives.

 

Other income (expense)

 

Interest expense was approximately $1,528 and $3,074 for the three and six months ended June 30, 2024 and represents interest charges on our Term Loan, which was raised to partially fund the acquisition of Medicx Health in the fourth quarter of 2023, together with the amortization of the related issuance costs.

 

Other income was $75 for the three and six months ended June 30, 2024 and represents a reduction in the estimated amount due as a result of a supplier related payment contingency.

 

Interest income decreased from approximately $721 for the three months ended June 30, 2023, to approximately $106 for the three months ended June 30, 2024, and from approximately $1,386 for the six months ended June 30, 2023, to approximately $125 for the six months ended June 30, 2024. The decrease was a result of lower invested balances as we realized short-term investments during 2023 in order to partially fund the acquisition of Medicx Health.

 

Income tax expense

 

Income tax benefit was approximately $1,088, or an effective rate of 21.4%, and $744, or an effective rate of 6.4%for the three and six months ended June 30, 2024, respectively. For further information, see Part I, Item I. Financial Statements; Note 12 — Income Taxes in the Condensed Consolidated Financial Statements.

 

Net Loss

 

We had a net loss of approximately $4,008 for the three months ended June 30, 2024, as compared to a net loss of approximately $4,161 during the three months ended June 30, 2023 and approximately $10,908 for the six months ended June 30, 2024 as compared to $10,559 for the six months ended June 30, 2023. The reasons and specific components associated with the change are discussed above.

 

Liquidity and Capital Resources

 

Historically, our primary sources of liquidity have been cash receipts from customers and proceeds from equity offerings, in addition, during the year ended December 31, 2023, the Company entered into a Term loan of $40.0 million in order to partially fund the acquisition of Medicx Health. As of June 30, 2024, the total principal balance outstanding on the Term loan was approximately $37.3 million and we were in compliance with all of the financial covenants of the Term loan.

 

As of June 30, 2024, we had total current assets of approximately $46.0 million, compared with current liabilities of approximately $15.0 million, resulting in working capital of approximately $31.0 million and a current ratio of approximately 3.1 to 1. This represents a decrease from our working capital of approximately $36.4 million, whilst maintaining the same current ratio at 3.0 to 1 when compared to December 31, 2023. This decrease in our working capital is discussed in more detail below.

 

We believe that funds generated from operations, together with existing cash, will be sufficient to finance our current operations and meet our obligations under the Term loan 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, equity financing, or lines of credit to supplement cash from operations to fund acquisitions or strategic partner relationships, make capital expenditures, and satisfy working capital needs.

 

22

 

 

Cash Flows

 

Following is a table with summary data from the consolidated statements of cash flows for the six months ended June 30, 2024 and 2023, as presented (in thousands).

 

   Six Months Ended June 30, 
   2024   2023 
Net cash provided by /(used in) operating activities  $2,900   $(2,455)
Net cash provided by /(used in) investing activities   (238)   1,674 
Net cash provided by /(used in) financing activities   (1,555)   (7,621)
Net increase (decrease) in cash and cash equivalents  $1,107   $(8,402)

 

We generated approximately $2,900 from operating activities during the six months ended June 30, 2024, compared with $2,455 used in operating activities in the same period in 2023. We had a net loss of $10,908 for the first six months of 2024, which included non-cash expenses of $8,431. This was offset by cash generated by the collection of receivables.

 

Cash used by investing activities was approximately $238 for the six months ended June 30, 2024. We invested in internally developed software in the amount of $161 and spent $77 on property and equipment. Cash used in investing activities for the same period in the prior year was $1,674 as we made a net investment of $3,000 in treasury bills and invested $1,274 in internally developed software.

 

Cash used for financing activities was approximately $1,555, during the six months ended June 30, 2024. We used $555 to pay withholding taxes on behalf of employees vesting in restricted stock units and made repayments totaling $1,000 on our Term loan. Cash used for financing activities for the same period in prior year was $7,621, primarily related to the repurchase of 526,999 shares of our common stock for approximately $7,522. The remaining amount arose from paying withholding taxes on behalf of employees vesting in restricted stock units, partially offset by receipt of funds from the exercise of stock options.

 

Critical Accounting Estimates

 

We prepare our consolidated financial statements in conformity with accounting principles generally accepted in the United States (“GAAP”). 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. Estimates and assumptions have been made in determining the allowance for credit losses, carrying value of assets, fair values assigned to acquired long-lived assets, depreciable and amortizable lives of tangible and intangible assets, the carrying value of liabilities, the valuation allowance for deferred tax assets, the timing of revenue recognition and related revenue-share expenses, and inputs used in the calculation of stock based compensation. 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, 2023 (2023 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 2023 Annual Report on Form 10-K.

 

Our critical accounting estimates are described in Management’s Discussion and Analysis included in the 2023 Annual Report on Form 10-K.

 

Recently Issued Accounting Pronouncements

 

In November 2023, the FASB issued ASU No. 2023-07 (“ASU 2023-07”), Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. ASU 2023-07 requires annual and interim disclosures that are expected to improve reportable segment disclosures, primarily through enhanced disclosures about significant segment expenses. The provisions of ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-07.

 

In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. This update also includes certain other amendments to improve the effectiveness of income tax disclosures. The provisions of ASU 2023-09 are effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-09.

 

23

 

 

Off-Balance Sheet Arrangements

 

The Company has contracts with various electronic health records systems and ePrescribe platforms, whereby we agree to share a portion of the revenue we generate for eCoupons or banners through their network. From time to time, the Company enters into arrangements with a partner to acquire minimum amounts of media, data or messaging capabilities. As of June 30, 2024, the Company had commitments for future minimum payments of approximately $18.5 million that will be reflected in cost of revenues during the remainder of 2024 and years 2025 through 2028.

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk

 

Not applicable.

 

Item 4. Controls and Procedures

 

Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures designed to provide reasonable assurance that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms and accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosures.

 

Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, conducted an evaluation, as of the end of the period covered by this report, of the effectiveness of our disclosure controls and procedures, as such term is defined in Exchange Act Rule 13a-15(e). Based on this evaluation, our Chief Executive Officer and our Chief Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures, as defined in Rule 13a-15(e), were not effective at the reasonable assurance level due to a material weakness in our internal control over financial reporting which was disclosed in our Annual Report on Form 10-K for the year ended December 31, 2023.

 

To address the material weakness referenced above, the Company performed additional analysis and performed other procedures in order to prepare the consolidated financial statements in accordance with GAAP. Accordingly, management believes that the condensed consolidated financial statements included in this quarterly report on this Form 10-Q fairly present, in all material respects, our financial condition, results of operations and cash flows for the periods presented.

 

Plan for Remediation of Material Weakness

 

Management is actively engaged in the planning for, and implementation of, remediation efforts to address the material weakness identified above. Management intends to implement the following remediation steps:

 

a.The Company will require each third-party service organization to provide a SOC-1, Type 2 report to the Company for management to review and make adjustments to the remediation plans, as necessary.

 

b.If a SOC-1, Type 2 report is not available, the Company will evaluate each third-party’s relevant system(s) and reporting directly through inquiry and substantive testing of such third-party’s control environment.

 

c.If the Company is unable to obtain a valid SOC-1 Type 2 report or perform substantive testing of such third-party service organization’s control environment, the Company will implement a qualification and program triaging process, which would include modifying customer contracts, limiting the volume of activity with those third-parties and establishing other controls to ensure the completeness and accuracy of information received from those third-parties, such as performing tagging procedures where possible.

 

Management believes the measures described above will remediate the material weakness that we have identified. During the quarter ended June 30, 2024, the Company continued to engage with the third-party service organizations to discuss the reporting requirements. As management continues to evaluate and improve our disclosure controls and procedures and internal controls over financial reporting, the Company may decide to take additional measures to address control deficiencies or determine to modify certain of the remediation measures identified.

  

Changes in Internal Control over Financial Reporting

 

Except as noted above, there was no change in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act), that occurred during the quarter ended June 30, 2024 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 

Limitations on the Effectiveness of Controls

 

A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. The Company conducts periodic evaluations of its internal controls to enhance, where necessary, its procedures and controls.

 

24

 

 

PART II – OTHER INFORMATION

 

Item 1. Legal Proceedings

 

From time to time, we may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to any material legal or administrative proceedings, and we are not aware of any pending or threatened material legal or administrative proceedings against us.

 

Item 1A: Risk Factors

 

There have been no material changes in our risk factors from the risks previously reported in PART 1, ITEM 1A, “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2023. 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, 2023, which could materially affect our business, financial condition or future results. The risks described in our Annual Report on Form 10-K 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.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

 

Item 3. Defaults upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

N/A

 

Item 5. Other Information

 

During the second quarter of 2024, none of our directors or executive officers adopted or terminated any “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement” (as each term is defined in Item 408(a) of Registration S-K).

 

Item 6. Exhibits

 

Exhibit Number

  Description of Exhibit
3.1  

Articles of Incorporation of OptimizeRx Corporation (the “Company”) Incorporated by reference to Exhibit 3.1 to the Company’s Registration Statement on Form S-1 (Registration No. 333-155280) filed on November 12, 2008.

3.2  

Certificate of Correction, dated April 30, 2018. Incorporated by reference to Exhibit 3.5 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.

3.3   Third Amended and Restated Bylaws of the Company. Incorporated by reference to Exhibit 3.3 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
31.1**   Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2**   Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1**   Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101.INS**   Inline XBRL Instance Document
101.SCH   Inline XBRL Taxonomy Extension Schema Document
101.CAL   Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF   Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB   Inline XBRL Taxonomy Extension Label Linkbase Document
104   Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

 

** Provided herewith.

 

25

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

OptimizeRx Corporation
   
Date: August 14, 2024    
  By: /s/ William J. Febbo
    William J. Febbo
  Title:

Chief Executive Officer

(principal executive officer)

     
  OptimizeRx Corporation
Date: August 14, 2024    
  By: /s/ Edward Stelmakh
    Edward Stelmakh
  Title:

Chief Financial Officer and

Chief Operations Officer

(principal financial and accounting officer)

 

26

 

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Exhibit 31.1

 

CERTIFICATIONS

 

I, William J. Febbo, certify that;

 

1.I have reviewed this quarterly report on Form 10-Q for the quarter ended June 30, 2024 of OptimizeRx Corp (the “registrant”);

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: August 14, 2024

 

/s/ William J. Febbo  
By: William J. Febbo  
Title: Chief Executive Officer  

 

Exhibit 31.2

 

CERTIFICATIONS

 

I, Edward Stelmakh certify that;

 

1.I have reviewed this quarterly report on Form 10-Q for the quarter ended June 30, 2024 of OptimizeRx Corp (the “registrant”);

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Date: August 14, 2024

 

/s/ Edward Stelmakh  
By: Edward Stelmakh  
Title: Chief Financial Officer  

 

Exhibit 32.1

 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND

CHIEF FINANCIAL OFFICER

PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the quarterly Report of OptimizeRx Corp (the “Company”) on Form 10-Q for the quarter ended June 30, 2024 filed with the Securities and Exchange Commission (the “Report”), I, Will Febbo, Chief Executive Officer and I, Edward Stelmakh, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

 

1.The Report fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934; and

 

2.The information contained in the Report fairly presents, in all material respects, the consolidated financial condition of the Company as of the dates presented and the consolidated result of operations of the Company for the periods presented.

 

By:

/s/ William J Febbo  
Name: Willian J Febbo  
Title: Principal Executive Officer  
Date: August 14, 2024  
     
By: /s/ Edward Stelmakh  
Name: Edward Stelmakh  
Title: Principal Financial Officer  
Date: August 14, 2024  

 

This certification has been furnished solely pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

v3.24.2.u1
Cover - shares
6 Months Ended
Jun. 30, 2024
Aug. 09, 2024
Document Information [Line Items]    
Document Type 10-Q  
Document Quarterly Report true  
Document Transition Report false  
Entity Interactive Data Current Yes  
Amendment Flag false  
Document Period End Date Jun. 30, 2024  
Document Fiscal Year Focus 2024  
Document Fiscal Period Focus Q2  
Entity Information [Line Items]    
Entity Registrant Name OptimizeRx Corporation  
Entity Central Index Key 0001448431  
Entity File Number 001-38543  
Entity Tax Identification Number 26-1265381  
Entity Incorporation, State or Country Code NV  
Current Fiscal Year End Date --12-31  
Entity Current Reporting Status Yes  
Entity Shell Company false  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Contact Personnel [Line Items]    
Entity Address, Address Line One 260 Charles Street  
Entity Address, Address Line Two Suite 302  
Entity Address, City or Town Waltham  
Entity Address, State or Province MA  
Entity Address, Postal Zip Code 02453  
Entity Phone Fax Numbers [Line Items]    
City Area Code 248  
Local Phone Number 651-6568  
Entity Listings [Line Items]    
Title of 12(b) Security Common Stock, par value $0.001  
Trading Symbol OPRX  
Security Exchange Name NASDAQ  
Entity Common Stock, Shares Outstanding   18,321,886
v3.24.2.u1
Condensed Consolidated Balance Sheets (Unaudited) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Current assets    
Cash and cash equivalents $ 14,959 $ 13,852
Accounts receivable, net of allowance for credit losses of $371 and $480 at June 30, 2024 and December 31, 2023, respectively 24,521 36,253
Taxes receivable 1,842 1,036
Prepaid expenses and other 4,647 3,190
Total current assets 45,969 54,331
Property and equipment, net 171 149
Other assets    
Goodwill 78,357 78,357
Other intangibles, net 14,470 15,198
Tradename and customer relationships, net 33,003 34,198
Operating lease right of use assets, net 472 573
Security deposits and other assets 434 568
Total other assets 126,736 128,894
TOTAL ASSETS 172,876 183,374
Current liabilities    
Current portion of long-term debt 3,300 2,000
Accounts payable – trade 2,980 2,227
Accrued expenses 5,310 7,706
Revenue share payable 2,094 5,506
Taxes payable 49
Current portion of lease liabilities 219 222
Deferred revenue 1,053 172
Total current liabilities 14,956 17,882
Non-current liabilities    
Long-term debt, net 32,296 34,231
Lease liabilities, net of current portion 271 371
Deferred tax liabilities, net 4,337 4,337
Total liabilities 51,860 56,821
Commitments and contingencies (See note 11)
Stockholders’ equity    
Preferred stock, $0.001 par value, 10,000,000 shares authorized, none issued and outstanding at June 30, 2024 or December 31, 2023
Common stock, $0.001 par value, 166,666,667 shares authorized, 20,061,907 and 19,899,679 shares issued at June 30, 2024 and December 31, 2023, respectively 20 20
Treasury stock, $0.001 par value, 1,741,397 shares held at June 30, 2024 and December 31, 2023 (2) (2)
Additional paid-in-capital 196,164 190,793
Accumulated deficit (75,166) (64,258)
Total stockholders’ equity 121,016 126,553
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 172,876 $ 183,374
v3.24.2.u1
Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Statement of Financial Position [Abstract]    
Accounts receivable, net of allowance for credit losses (in Dollars) $ 371 $ 480
Preferred stock, par value (in Dollars per share) $ 0.001 $ 0.001
Preferred stock, shares authorized 10,000,000 10,000,000
Preferred stock, shares issued
Preferred stock, shares outstanding
Common stock, par value (in Dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized 166,666,667 166,666,667
Common stock, shares issued 20,061,907 19,899,679
Treasury stock, par value (in Dollars per share) $ 0.001 $ 0.001
Treasury stock, shares held 1,741,397 1,741,397
v3.24.2.u1
Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Income Statement [Abstract]        
Net revenue $ 18,812 $ 13,818 $ 38,502 $ 26,821
Cost of revenues, exclusive of depreciation and amortization presented separately below 7,108 5,993 14,595 11,563
Gross profit 11,704 7,825 23,907 15,258
Operating expenses        
General and administrative expenses 14,380 12,209 30,545 26,208
Depreciation and amortization 1,073 465 2,140 929
Total operating expenses 15,453 12,674 32,685 27,137
Loss from operations (3,749) (4,849) (8,778) (11,879)
Other income (expense)        
Interest expense (1,528) (3,074)
Other income 75 75
Interest income 106 721 125 1,386
Total other income (expense), net (1,347) 721 (2,874) 1,386
Loss before provision for income taxes (5,096) (4,128) (11,652) (10,493)
Benefit (expense) from income taxes 1,088 (33) 744 (66)
Net loss $ (4,008) $ (4,161) $ (10,908) $ (10,559)
Weighted average number of shares outstanding – basic (in Shares) 18,257,879 16,992,100 18,213,992 17,043,493
Weighted average number of shares outstanding – diluted (in Shares) 18,257,879 16,992,100 18,213,992 17,043,493
Loss per share – basic (in Dollars per share) $ (0.22) $ (0.24) $ (0.6) $ (0.62)
Loss per share – diluted (in Dollars per share) $ (0.22) $ (0.24) $ (0.6) $ (0.62)
v3.24.2.u1
Condensed Consolidated Statements of Changes in Stockholders’ Equity (Unaudited) - USD ($)
$ in Thousands
Common Stock
Treasury Stock
Additional Paid in Capital
Accumulated Deficit
Total
Balance at Dec. 31, 2022 $ 18 $ (1) $ 172,786 $ (46,692) $ 126,111
Balance (in Shares) at Dec. 31, 2022 18,288,571 (1,214,398)      
Stock based compensation expense Options 1,467 1,467
Stock based compensation expense Restricted stock 2,914 2,914
Issuance of common stock for options exercised (in Shares) 9,668      
Issuance of common stock for options exercised 40 40
Issuance of common stock for restricted stock units vested (171) $ (171)
Issuance of common stock for restricted stock units vested (in Shares) 33,272     33,272
Net loss (6,398) $ (6,398)
Balance at Mar. 31, 2023 $ 18 $ (1) 177,036 (53,090) 123,963
Balance (in Shares) at Mar. 31, 2023 18,331,511 (1,214,398)      
Balance at Dec. 31, 2022 $ 18 $ (1) 172,786 (46,692) $ 126,111
Balance (in Shares) at Dec. 31, 2022 18,288,571 (1,214,398)      
Issuance of common stock for restricted stock units vested (in Shares)         35,260
Repurchase of common stock         $ (7,522)
Net loss         (10,559)
Balance at Jun. 30, 2023 $ 18 $ (2) 173,049 (57,251) 115,815
Balance (in Shares) at Jun. 30, 2023 18,376,771 (1,741,397)      
Balance at Mar. 31, 2023 $ 18 $ (1) 177,036 (53,090) 123,963
Balance (in Shares) at Mar. 31, 2023 18,331,511 (1,214,398)      
Stock based compensation expense Options 1,655 1,655
Stock based compensation expense Restricted stock 1,848 1,848
Issuance of common stock for options exercised (in Shares) 10,000      
Issuance of common stock for options exercised 105 105
Issuance of common stock for restricted stock units vested (73) (73)
Issuance of common stock for restricted stock units vested (in Shares) 35,260      
Repurchase of common stock   $ (1) (7,522)   (7,522)
Repurchase of common stock (in Shares)   (526,999)      
Net loss (4,161) (4,161)
Balance at Jun. 30, 2023 $ 18 $ (2) 173,049 (57,251) 115,815
Balance (in Shares) at Jun. 30, 2023 18,376,771 (1,741,397)      
Balance at Dec. 31, 2023 $ 20 $ (2) 190,793 (64,258) 126,553
Balance (in Shares) at Dec. 31, 2023 19,899,679 (1,741,397)      
Stock based compensation expense Options 1,353 1,353
Stock based compensation expense Restricted stock 1,671 1,671
Issuance of common stock for options exercised (in Shares) 9,668        
Issuance of common stock for options exercised
Issuance of common stock for restricted stock units vested (140) (140)
Issuance of common stock for restricted stock units vested (in Shares) 22,200      
Net loss (6,900) (6,900)
Balance at Mar. 31, 2024 $ 20 $ (2) 193,677 (71,158) 122,537
Balance (in Shares) at Mar. 31, 2024 19,921,879 (1,741,397)      
Balance at Dec. 31, 2023 $ 20 $ (2) 190,793 (64,258) $ 126,553
Balance (in Shares) at Dec. 31, 2023 19,899,679 (1,741,397)      
Issuance of common stock for options exercised (in Shares)         10,000
Issuance of common stock for restricted stock units vested (in Shares)         140,028
Net loss         $ (10,908)
Balance at Jun. 30, 2024 $ 20 $ (2) 196,164 (75,166) 121,016
Balance (in Shares) at Jun. 30, 2024 20,061,907 (1,741,397)      
Balance at Mar. 31, 2024 $ 20 $ (2) 193,677 (71,158) 122,537
Balance (in Shares) at Mar. 31, 2024 19,921,879 (1,741,397)      
Stock based compensation expense Options 1,149 1,149
Stock based compensation expense Restricted stock 1,753 1,753
Issuance of common stock for options exercised
Issuance of common stock for restricted stock units vested (415) (415)
Issuance of common stock for restricted stock units vested (in Shares) 140,028      
Net loss (4,008) (4,008)
Balance at Jun. 30, 2024 $ 20 $ (2) $ 196,164 $ (75,166) $ 121,016
Balance (in Shares) at Jun. 30, 2024 20,061,907 (1,741,397)      
v3.24.2.u1
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
OPERATING ACTIVITIES:    
Net loss $ (10,908) $ (10,559)
Adjustments to reconcile net loss to net cash provided by (used in) provided by operating activities:    
Depreciation and amortization 2,140 929
Stock-based compensation 5,926 7,884
Bad debt expense 132 239
Amortization of debt issuance costs 365
Changes in:    
Accounts receivable 11,600 3,635
Prepaid expenses and other assets (1,457) (1,772)
Accounts payable 752 (732)
Revenue share payable (3,412) (1,269)
Accrued expenses and other liabilities (2,264) (1,097)
Taxes payable (855)
Deferred revenue 881 287
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES 2,900 (2,455)
INVESTING ACTIVITIES:    
Purchase of property and equipment (77) (49)
Purchases of held-to-maturity investments (109,501)
Redemptions of held-to-maturity investments 112,501
Acquisition of intangible assets, including intellectual property rights (3)
Capitalized software development costs (161) (1,274)
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES (238) 1,674
FINANCING ACTIVITIES:    
Cash paid for employee withholding taxes related to the vesting of restricted stock units (555) (244)
Proceeds from exercise of stock options 145
Repurchase of common stock (7,522)
Repayment of long-term debt (1,000)
NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES (1,555) (7,621)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 1,107 (8,402)
CASH AND CASH EQUIVALENTS - BEGINNING OF PERIOD 13,852 18,210
CASH AND CASH EQUIVALENTS - END OF PERIOD 14,959 9,808
SUPPLEMENTAL CASH FLOW INFORMATION:    
Cash paid for interest 2,710
Cash paid for income taxes $ 110
v3.24.2.u1
Nature of Business and Basis of Presentation
6 Months Ended
Jun. 30, 2024
Nature of Business and Basis of Presentation [Abstract]  
NATURE OF BUSINESS AND BASIS OF PRESENTATION

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

 

The accompanying condensed consolidated financial statements include OptimizeRx Corporation and its wholly owned subsidiaries (collectively, the “Company”, “we”, “our”, or “us”).

 

We are a digital health technology company enabling care-focused engagement between life sciences organizations, healthcare providers, and patients at critical junctures throughout the patient care journey. Connecting over two million U.S. healthcare providers and millions of their patients through an intelligent technology platform embedded within a proprietary point-of-care network, as well as mass digital communications channels, OptimizeRx helps life sciences organizations engage and support their customers. We operate a single reporting segment and, accordingly, the consolidated statements of profit or loss provide this information and it is not presented separately here.

 

The condensed consolidated financial statements for the three and six months ended June 30, 2024 and 2023 have been prepared by us without audit pursuant to the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). In the opinion of management, all adjustments necessary to present fairly our financial position at June 30, 2024, and our results of operations, changes in stockholders’ equity, and cash flows for the six months ended June 30, 2024 and 2023, have been made. Those adjustments consist of normal and recurring adjustments. The condensed consolidated balance sheet as of December 31, 2023, has been derived from the audited consolidated condensed balance sheet as of that date.

 

Certain information and note disclosures, including a detailed discussion about the Company’s significant accounting policies, normally included in our annual consolidated financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. These condensed consolidated financial statements should be read in conjunction with a reading of the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, as filed with the SEC on April 15, 2024 (“Form 10-K”).

 

The results of operations for the three and six months ended June 30, 2024, are not necessarily indicative of the results to be expected for the full year.

 

On October 24, 2023, the Company acquired 100% of the issued and outstanding preferred and common stock of Healthy Offers, Inc., a Nevada corporation d/b/a Medicx Health (“Medicx Health”) - See Part II, Item 8. Financials Statements and Supplementary Data; Note 3 - Acquisitions in our Form 10-K for additional information regarding this transaction.

 

The following presents the pro forma consolidated statement of operations as if Medicx Health had been included in the consolidated results of the Company for the three and six months ended June 30, 2023:

 

   Three Months Ended   Six Months Ended 
Pro-forma consolidated statement of operations  June 30, 
Revenue  $22,408   $43,439 
Net loss   (6,076)   (14,708)

 

These amounts have been calculated after applying the Company’s accounting policies, adjusting Medicx Health results to reflect the additional amortization that would have been charged assuming the fair value adjustments to intangible assets had been applied on January 1, 2023, interest expense associated with the term loan and elimination of interest income on short-term investments that were used to fund the acquisition,

 

During the year ended December 31, 2023, the Company disposed of its non-core Access business - See Part II, Item 8. Financials Statements and Supplementary Data; Note 7 - Goodwill and Intangible Assets in our Form 10-K for additional information regarding this transaction. A pro forma statement of operations for the three and six months ended June 30, 2024, is not presented for this transaction as the pro forma impacts were not material to the Company’s consolidated results.

 

Revenue presented in the pro forma financial consolidated statement of operations data above includes $1,213 and $3,080, respectively related to the Access and other non-core solutions for which no revenue was recorded in the three and six months ended June 30, 2024, (see also the discussion under Net Revenues in Results of Operations for the three and six months ended June 30, 2024 in Part I, Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations).

 

Change in Accounting Estimate

 

In accordance with its policy, the Company periodically reviews the stand-alone selling prices of its performance obligations under ASC 606 for use in allocating the contract prices. As a result, effective April 1, 2024, the Company updated the methodology for determining the value of program design and consulting services from the residual method to using an adjusted market assessment approach. The effect of this change in estimate was immaterial to the results for the three and six months ended June 30, 2024, but may become material in future periods.

 

Fair Value of Financial Instruments

 

Fair value is defined as the price that would be received upon the sale of an asset or paid upon the transfer of a liability in an orderly transaction between market participants at the measurement date and in the principal or most advantageous market for that asset or liability. The fair value should be calculated based on assumptions that market participants would use in pricing the asset or liability, not on assumptions specific to the entity. In addition, the fair value of liabilities should include consideration of non-performance risk including our own credit risk.

 

In addition to defining fair value, the disclosure requirements around fair value establish a fair value hierarchy for valuation inputs, which is expanded. The hierarchy prioritizes the inputs into three levels based on the extent to which inputs used in measuring fair value are observable in the market. Each fair value measurement is reported in one of the three levels, which is determined by the lowest level input that is significant to the fair value measurement in its entirety. These levels are:

 

Level 1 – Inputs are based upon unadjusted quoted prices for identical instruments traded in active markets.

 

Level 2 – Inputs are based upon significant observable inputs other than quoted prices included in Level 1, such as quoted prices for identical or similar instruments in markets that are not active, and model-based valuation techniques for which all significant assumptions are observable in the market or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

 

Level 3 – Inputs are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques that include option pricing models, discounted cash flow models, and similar techniques. The Company’s stock options and warrants are valued using Level 3 inputs.

 

The Company’s carrying amounts of financial instruments, including cash and cash equivalents, accounts receivable, accounts payable, and other current liabilities, approximate their fair values due to their short maturities.

v3.24.2.u1
New Accounting Pronouncements
6 Months Ended
Jun. 30, 2024
New Accounting Pronouncements [Abstract]  
NEW ACCOUNTING PRONOUNCEMENTS

NOTE 2 – NEW ACCOUNTING PRONOUNCEMENTS

 

In November 2023, the FASB issued ASU No. 2023-07 (“ASU 2023-07”), Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. ASU 2023-07 requires annual and interim disclosures that are expected to improve reportable segment disclosures, primarily through enhanced disclosures about significant segment expenses. The provisions of ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-07.

 

In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. This update also includes certain other amendments to improve the effectiveness of income tax disclosures. The provisions of ASU 2023-09 are effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-09.

v3.24.2.u1
Cash, Cash Equivalents and Short-Term Investments
6 Months Ended
Jun. 30, 2024
Cash, Cash Equivalents and Short-Term Investments [Abstract]  
CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

NOTE 3 – CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

 

Cash equivalents include items almost as liquid as cash comprised of investments in AAA rated money market funds that invest in first-tier only securities, which primarily include domestic commercial paper and securities issued or guaranteed by the U.S. government or its agencies. We account for marketable equity securities in accordance with ASC 321-10, “Investments - Equity Securities”, as the shares have a readily determinable fair value quoted on the national stock exchange and are classified within Level 1 of the fair value hierarchy. At June 30, 2024 and December 31, 2023, we have recorded $8.1 million and none, respectively, of money market funds at cost.

v3.24.2.u1
Capitalized Software Costs
6 Months Ended
Jun. 30, 2024
Capitalized Software Costs [Abstract]  
CAPITALIZED SOFTWARE COSTS

NOTE 4 – CAPITALIZED SOFTWARE COSTS

 

The Company capitalizes certain development costs incurred in connection with software development for internal-use software platforms used in operations and for providing services to our customers. Costs incurred in the preliminary stages of development are expensed as incurred. Once software has reached the development stage, internal and external costs, if direct, are capitalized until the software is substantially complete and ready for its intended use. Capitalization ceases upon completion of all substantial testing. The Company also capitalizes costs related to specific upgrades and enhancements when it is probable the expenditures will result in additional functionality. Capitalized internal use software development costs are included in intangible assets and are amortized on a straight-line basis over the estimated useful life of the software platforms and are included in depreciation and amortization within operating expenses in the consolidated statements of operations. Amortization of capitalized internal use software expense for the three and six months ended June 30, 2024 and 2023 was $71 and $141 and $48 and $95, respectively. The Company accumulates capitalizable costs related to current projects in a construction in process (“CIP”) software account, the balance of which was $393 and $696 at June 30, 2024 and December 31, 2023, respectively.

v3.24.2.u1
Revenues
6 Months Ended
Jun. 30, 2024
Revenues [Abstract]  
REVENUES

NOTE 5 – REVENUES

 

Under ASC 606, Revenue from Contracts with Customers (“ASC Topic 606”), we record revenue when earned, rather than when billed. From time to time, we may record revenue based on our revenue recognition policies in advance of being able to invoice the customer, or we may invoice the customer prior to being able to recognize the revenue. Included in accounts receivable are unbilled amounts of $4,134 and $3,288 at June 30, 2024, and December 31, 2023, respectively. Amounts billed in advance of revenue recognition are presented as deferred revenue on the condensed consolidated balance sheets.

 

Revenues are primarily generated from content delivery activities in which the Company delivers financial, clinical, or brand messaging through a distribution network of ePrescribers and electronic health record technology providers (channel partners), directly to consumers, or from reselling services that complement the business. This content delivery for a customer is referred to as a program. Unless otherwise specified, revenue is recognized based on the selling price to customers.The Company’s contracts are generally less than one year and the primary performance obligation is delivery of messages, or content, but the contract may contain additional services. Additional services may include program design, which is the design of the content delivery program, set up, and reporting.

 

We consider set up and reporting services to be complimentary to the primary performance obligation and recognized through performance of the delivery of content. We consider program design and related consulting services to be performance obligations separate from the delivery of messages. Revenue is recognized at the point in time when the work product is delivered to the customer. The net contract balance for contracts in progress at June 30, 2024 and December 31, 2023, was $26,766 and $2,021, respectively. The outstanding performance obligations are expected to be satisfied during the year ended December 31, 2024.

 

In certain circumstances, the Company will offer sales rebates to customers based on spend volume. Rebates are typically contracted based on a quarterly or annual spend amount based on a volume threshold or tiered model. At the beginning of the year, the rebate percentage is estimated based on input from the sales team and analysis of prior year sales. Thereafter, the open contract balance for the customer is assessed quarterly to ensure the estimated rebate percentage being used for the rebate accrual remains reasonable. The estimated amount of variable consideration will be included in the transaction price only to the extent that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved. For the year ended 2023 and during the first half of 2024, there were two contracts with customers that included a rebate clause.

 

As the content is distributed through the platform and network of channel partners (a transaction), these transactions are recorded, and revenue is recognized over time as the distributions occur. Revenue for transactions can be realized based on a price per message, a price per redemption, as a flat fee occurring over a period of time, or upon completion of the program, depending on the client contract. The Company recognizes setup fees that are required for integrating client offerings and campaigns into the rule-based content delivery system and network over the life of the initial program, based either on time, or units delivered, depending upon which is most appropriate in the specific situation. Should a program be cancelled before completion, the balance of set up revenue is recognized at the time of cancellation, as set up fees are nonrefundable. Additionally, the Company also recognizes revenue for providing program performance reporting and maintenance. This reporting revenue is recognized over time as the messages are delivered. Program design, which is the design of the content delivery program, and related consulting services are recognized as services are performed.

In some instances, we also resell messaging solutions that are available through channel partners that are complementary to the core business and client base. These partner specific solutions are frequently similar to our own solutions and revenue recognition for these programs is the same as described above. In instances where we sell solutions on a commission basis, net revenue is recognized based on the commission-based revenue split that we receive. In instances where we resell these messaging solutions and have all financial risk and significant operation input and risk, we record the revenue based on

the gross amount sold and the amount paid to the channel partner as a cost of sales.


The Company has several signed contracts with customers for the distribution of messaging, or other services, which include payment in advance. The payments are not recorded as revenue until the revenue is earned under its revenue recognition policy. Deferred revenue was $1,053 and $172 as of June 30, 2024 and December 31, 2023, respectively. The contracts are all short term in nature and all revenue is expected to be recognized within 12 months, or less. The following is a summary of activity for the deferred revenue account for the six months ended June 30:

   2024   2023 
Balance January 1  $172   $164 
Revenue recognized   (3,228)   (2,444)
Amount collected   3,961    3,015 
Balance March 31  $905   $735 
Revenue recognized   (1,853)   (3,171)
Amount collected   2,002    2,887 
Balance June 30  $1,054   $451 

 

Disaggregation of Revenue

 

Consistent with ASC Topic 606, we have disaggregated our revenue by timing of revenue recognition. The majority of our revenue is recognized over time as solutions are provided. A small portion of our revenue related to program development, solution architect design, and other solutions is recognized at a point in time upon delivery to customers. A break down is set forth in the table below.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Revenue recognized over time  $17,769   $13,034   $34,694   $25,606 
Revenue recognized at a point in time   1,043    784    3,809    1,215 
Total Revenue  $18,812   $13,818   $38,502   $26,821 

 

Accounts receivable are reported at realizable value, net of allowances for credit losses, which is estimated and recorded in the period the related revenue is recorded. The Company does not seek collateral to secure its accounts receivable and amounts billed are generally due within a short period of time based on terms and conditions normal for our industry. The Company has a standardized approach to estimate and review the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues, which may impact the collectability of these receivables or reserve estimates. If current or expected future economic trends, events, or changes in circumstances indicate that specific receivable balances may be impaired, further consideration is given to the collectability of those balances and the allowance is adjusted accordingly. Past-due receivable balances are written off when the Company’s collection efforts have been exhausted.

 

The following is a summary of changes in the allowance for credit losses for the six months ended June 30,:

 

   2024   2023 
Balance at January 1,  $239   $352 
Bad debt expense   132    128 
Write-offs        
Balance at March 31,  $371   $480 
Bad debt expense       111 
Write-offs        
Balance at June 30,  $371   $591 
v3.24.2.u1
Long-Term Debt
6 Months Ended
Jun. 30, 2024
Long-Term Debt [Abstract]  
LONG-TERM DEBT

NOTE 6 – LONG-TERM DEBT

 

Long-term debt, net comprised the following at June 30, 2024 and December 31, 2023:

   June 30,
2024
   December 31,
2023
 
Term loan, due in 2027  $37,290   $38,290 
Less: current portion   (3,300)   (2,000)
Less: unamortized issuance costs   (1,694)   (2,059)
Long-term debt, net  $32,296   $34,231 

 

As of June 30, 2024, the Term loan bears interest at 14.1%, with an effective rate of 16.2%, including the impact of the amortization of debt issuance costs of $182 and $365 for the three and six months ended June 30, 2024, respectively.

 

The Company was in full compliance with the financial covenants associated with the Term loan.

 

The Term Loan is repayable in quarterly installments, beginning December 31, 2023, equivalent to 1.25% or $500,000, of the original principal amount, with the outstanding unpaid principal and all accrued but unpaid interest due and payable on the earlier of (i) the fourth anniversary of the closing date of the Term Loan or (ii) the date on which the Term Loan is declared due and payable pursuant to the terms of the Financing.

 

In addition, the Company is required to make a mandatory prepayment on March 31, of each year, commencing with 2025, equivalent to Excess Cash Flow multiplied by a percentage factor of 25%, if the leverage ratio is 3.60 to 1.00 or less, 50% if the leverage ratio is greater than 3.60 to 1 or less than or equal; to 4.10 to 1.00 and 75%, if the leverage ratio is greater than 4.10 to 1.00. Excess Cash Flow is defined in the Financing as Consolidated EBITDA for the previous fiscal year less scheduled principal and interest payments, capital expenditure, cash taxes and any cash expenses/gains added back to net income in the calculation of Consolidated EBITDA, adjusted for any increase/decrease in working capital during the fiscal year.

 

Repayments due under the terms of the Term loan, including an estimate of the amount associated with the Excess Cash Flow calculation discussed above, for the remainder of the current and in each of the next three fiscal years are as follows:

 

As of June 30, 2024

    
     
2024 (remainder)  $1,000 
2025   3,300 
2026   2,000 
2027   30,990 
   $37,290 
v3.24.2.u1
Leases
6 Months Ended
Jun. 30, 2024
Leases [Abstract]  
LEASES

NOTE 7 – LEASES

 

We had operating leases with terms greater than 12 months for office space in four multi-tenant facilities, which are recorded as Operating lease right-of-use assets and Operating lease liabilities.

 

For the three and six months ended June 30, 2024 and 2023, the Company’s lease cost consists of the following components, each of which is included in operating expenses within the Company’s condensed consolidated statements of operations:

 

   Three months ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Operating lease cost  $62   $25   $124   $49 
Short-term lease cost   
    
    1    8 
Total lease cost  $62   $25   $125   $57 

 

The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

 

As of June 30, 2024

    
     
2024 (remainder)  $132 
2025   186 
2026   113 
2027   65 
2028   45 
Thereafter   
 
Total   541 
Less: discount   52 
Total lease liabilities  $489 

 

The weighted average remaining lease term at June 30, 2024 for the operating lease is 2.8 years, and the weighted average discount rate used in calculating the operating lease asset and liability is 6.85%. Cash paid for amounts included in the measurement of lease liabilities was $109 and $45 for the six months ended June 30, 2024 and 2023, respectively. For the six months ended June 30, 2024 and 2023, payments on lease obligations were $127 and $49, respectively, and amortization on the right of use assets was $113 and $49, respectively.

v3.24.2.u1
Stockholders' Equity
6 Months Ended
Jun. 30, 2024
Stockholders' Equity [Abstract]  
STOCKHOLDERS' EQUITY

NOTE 8 – STOCKHOLDERS’ EQUITY

 

Preferred Stock

 

The Company had 10,000,000 shares of preferred stock, $0.001 par value per share, authorized as of June 30, 2024. No shares were issued or outstanding in either 2024 or 2023.

 

Common Stock

 

The Company had 166,666,667 shares of common stock, $0.001 par value per share, authorized as of June 30, 2024. There were 18,320,510 and 18,158,282 shares of common stock outstanding, net of shares held in treasury of 1,741,397 and 1,741,397 at June 30, 2024 and December 31, 2023, respectively.

 

During each of the quarters ended March 31, 2024 and June 30, 2024, no shares of our common stock were issued, and no proceeds were received in connection with the exercise of options under our 2013 Incentive Plan and our 2021 Equity Incentive Plan.

 

During the quarters ended March 31, 2024 and June 30, 2024, 22,200 and 140,028 shares of common stock, respectively, were issued in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. Some of the participants utilized a net withhold settlement method, in which shares were surrendered to cover payroll withholding taxes. Of the shares issued to participants during the six months ended June 30, 2024, a total of 48,281 shares, valued at $555,007, were surrendered and subsequently cancelled.

 

During the quarters ended March 31, 2023 and June 30, 2023, the Company issued 9,668 and 10,000 shares of our common stock and received proceeds of $40 and $105, respectively, in connection with the exercise of options under our 2013 Incentive Plan.

 

During the quarters ended March 31, 2023 and June 30, 2023, the Company issued 33,272 and 35,260 shares of common stock in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. 23,217 shares valued at $244 were surrendered in connection with the net withhold settlement method, and were subsequently cancelled.

 

Treasury Stock

 

During the quarter ended March 31, 2023, the Board authorized a share repurchase program, under which the Company could repurchase up to $15.0 million of its outstanding common stock. This stock repurchase authorization expired on March 12, 2024.

 

During the quarter and six months ended June 30, 2024 the Company did not repurchase any of its outstanding shares of common stock. During the quarter and six months ended June 30, 2023 the Company repurchased 526,999 shares of common stock under this program for a total of $7,522, including commissions paid on repurchases. These shares were recorded as treasury shares using the par value method.

v3.24.2.u1
Stock Based Compensation
6 Months Ended
Jun. 30, 2024
Stock Based Compensation [Abstract]  
STOCK BASED COMPENSATION

NOTE 9 – STOCK BASED COMPENSATION

 

On June 5, 2024, at the 2024 Annual Meeting of Stockholders, the Company’s stockholders approved an amendment to the 2021 Equity Incentive Plan to increase the number of shares of common stock available for awards under the 2021 Equity Incentive Plan by 1,950,000 shares for a total of 4,450,000 shares.

 

Stock Options

 

The compensation expense related to options for the six months ended June 30, 2024 and 2023 was $2,502 and $3,122, respectively. The fair value of these instruments was calculated using the Black-Scholes option pricing model. There is $5,031 of remaining expense related to unvested options to be recognized in the future over a weighted average period of 1.57 years. The total intrinsic value of outstanding options at June 30, 2024 was $214.

 

During 2022, the Company granted certain performance based stock options, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 in expense related to these options recorded during the three and six months ended June 30, 2024.

 

Restricted Stock Units

 

The Company recorded $3,424 and $4,762 in compensation expense related to restricted stock units for the six months ended June 30, 2024 and 2023, respectively. A total of $8,337 remains to be recognized at June 30, 2024 over a weighted average period of 1.52 years.

 

During 2022, the Company granted certain performance based restricted stock units, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 in expense related to these restricted stock units recorded during the three and six months ended June 30, 2024.

 

The director’s compensation program calls for the grant of restricted stock units with a one year vesting period. There was $402 and $352 included in the compensation expense discussed above related to director’s compensation for the periods ended June 30, 2024 and 2023, respectively.

v3.24.2.u1
Loss Per Share
6 Months Ended
Jun. 30, 2024
Loss Per Share [Abstract]  
LOSS PER SHARE

NOTE 10 – LOSS PER SHARE

 

Basic earnings per share (“EPS”) is computed by dividing net income (loss) by the weighted average number of common shares outstanding during the period.

 

The number of shares related to options and restricted stock units included in diluted EPS is based on the “Treasury Stock Method” prescribed in ASC 260-10, Earnings per Share. This method assumes the theoretical repurchase of shares using proceeds of the respective stock options exercised, and for restricted stock units, the amount of compensation cost attributed to future services which have not yet been recognized, and the amount of current and deferred tax benefit, if any, that would be credited to additional paid in capital upon the vesting of the restricted stock units, at a price equal to the issuer’s average stock price during the related earnings period. Accordingly, the number of shares that could be included in the calculation of EPS in respect of the stock options and restricted stock units is dependent on this average stock price and will increase as the average stock price increases.

 

The following table sets forth the computation of basic and diluted net loss per share.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Numerator                
Net loss  $(4,008)  $(4,161)  $(10,908)  $(10,559)
                     
Denominator                    
Weighted average shares outstanding used in computing net loss per share                    
Basic   18,257,879    16,992,100    18,213,992    17,043,493 
Effect of dilutive stock options, warrants, and stock grants   
    
    
    
 
Diluted   18,257,879    16,992,100    18,213,992    17,043,493 
                     
Net loss per share                    
Basic  $(0.22)  $(0.24)  $(0.60)  $(0.62)
Diluted  $(0.22)  $(0.24)  $(0.60)  $(0.62)

 

The number of common shares potentially issuable upon the exercise of certain options and the vesting of certain restricted stock units that were excluded from the diluted loss per common share calculation are reflected in the table below.

 

   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
Weighted average number of shares for the periods ended  2024   2023   2024   2023 
Options   7,233    19,824    6,618    24,923 
Unvested restricted stock unit awards   93,431    24,922    81,514    24,922 
Total   100,664    44,746    88,132    49,845 
v3.24.2.u1
Commitments and Contingent Liabilities
6 Months Ended
Jun. 30, 2024
Commitments and Contingent Liabilities [Abstract]  
COMMITMENTS AND CONTINGENT LIABILITIES

NOTE 11 – COMMITMENTS AND CONTINGENT LIABILITIES

 

Litigation

 

From time to time, the Company may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to any material legal or administrative proceedings, and we are not aware of any pending or threatened material legal or administrative proceedings against us.

 

Commitments

 

From time to time, the Company enters into arrangements with partners to acquire minimum amounts of media, data or messaging capabilities. As of June 30, 2024, the Company had commitments for future minimum payments of $18.5 million that will be reflected in cost of revenues during the years from 2024 through 2028. Minimum payments are due in the remainder of 2024 and fiscal 2025, 2026, 2027 and 2028 in the amounts of $3.9 million, $8.5 million, $3.6 million, $2.4 million and $0.1 million, respectively.

v3.24.2.u1
Income Taxes
6 Months Ended
Jun. 30, 2024
Income Taxes [Abstract]  
INCOME TAXES

NOTE 12 – INCOME TAXES

 

The Company reported a benefit from income taxes of $1,088 and $744 for the three and six months ended June 30, 2024, representing an effective tax rate of 21.4% and 6.4%. The effective tax rate for the three and six months ended June 30, 2024 reflects the impact of certain permanent items, projected increases in our valuation allowance during the year and discrete items for the quarter related to stock based compensation.

 

There was no provision for or benefit from taxes in the three and six months ended June 30, 2023, as we carried a full valuation allowance against our net deferred tax assets due to our history of losses.

 

As discussed in our annual report on Form 10-K for the year ended December 31, 2023, we had net operating loss carry-forwards for federal income tax purposes of approximately $16.7 million as of December 31, 2023.

v3.24.2.u1
Subsequent Events
6 Months Ended
Jun. 30, 2024
Subsequent Events [Abstract]  
SUBSEQUENT EVENTS

NOTE 13 – SUBSEQUENT EVENTS

 

NONE

v3.24.2.u1
Pay vs Performance Disclosure - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Pay vs Performance Disclosure            
Net Income (Loss) $ (4,008) $ (6,900) $ (4,161) $ (6,398) $ (10,908) $ (10,559)
v3.24.2.u1
Insider Trading Arrangements
3 Months Ended
Jun. 30, 2024
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.24.2.u1
Nature of Business and Basis of Presentation (Tables)
6 Months Ended
Jun. 30, 2024
Nature of Business and Basis of Presentation [Abstract]  
Schedule of Pro-Forma Consolidated Statement of Operations The following presents the pro forma consolidated statement of operations as if Medicx Health had been included in the consolidated results of the Company for the three and six months ended June 30, 2023:
   Three Months Ended   Six Months Ended 
Pro-forma consolidated statement of operations  June 30, 
Revenue  $22,408   $43,439 
Net loss   (6,076)   (14,708)
v3.24.2.u1
Revenues (Tables)
6 Months Ended
Jun. 30, 2024
Revenues [Abstract]  
Schedule of Deferred Revenue The following is a summary of activity for the deferred revenue account for the six months ended June 30:
   2024   2023 
Balance January 1  $172   $164 
Revenue recognized   (3,228)   (2,444)
Amount collected   3,961    3,015 
Balance March 31  $905   $735 
Revenue recognized   (1,853)   (3,171)
Amount collected   2,002    2,887 
Balance June 30  $1,054   $451 

 

Schedule of Revenue Recognition A break down is set forth in the table below.
   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Revenue recognized over time  $17,769   $13,034   $34,694   $25,606 
Revenue recognized at a point in time   1,043    784    3,809    1,215 
Total Revenue  $18,812   $13,818   $38,502   $26,821 
Schedule of the Allowance for Credit Losses The following is a summary of changes in the allowance for credit losses for the six months ended June 30,:
   2024   2023 
Balance at January 1,  $239   $352 
Bad debt expense   132    128 
Write-offs        
Balance at March 31,  $371   $480 
Bad debt expense       111 
Write-offs        
Balance at June 30,  $371   $591 
v3.24.2.u1
Long-Term Debt (Tables)
6 Months Ended
Jun. 30, 2024
Long-Term Debt [Abstract]  
Schedule of Long-term Debt, Net Long-term debt, net comprised the following at June 30, 2024 and December 31, 2023:
   June 30,
2024
   December 31,
2023
 
Term loan, due in 2027  $37,290   $38,290 
Less: current portion   (3,300)   (2,000)
Less: unamortized issuance costs   (1,694)   (2,059)
Long-term debt, net  $32,296   $34,231 
Schedule of Repayments Due to Term loan Repayments due under the terms of the Term loan, including an estimate of the amount associated with the Excess Cash Flow calculation discussed above, for the remainder of the current and in each of the next three fiscal years are as follows:

As of June 30, 2024

    
     
2024 (remainder)  $1,000 
2025   3,300 
2026   2,000 
2027   30,990 
   $37,290 
v3.24.2.u1
Leases (Tables)
6 Months Ended
Jun. 30, 2024
Leases [Abstract]  
Schedule of Lease Cost For the three and six months ended June 30, 2024 and 2023, the Company’s lease cost consists of the following components, each of which is included in operating expenses within the Company’s condensed consolidated statements of operations:
   Three months ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Operating lease cost  $62   $25   $124   $49 
Short-term lease cost   
    
    1    8 
Total lease cost  $62   $25   $125   $57 
Schedule of Future Minimum Lease Payments The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

As of June 30, 2024

    
     
2024 (remainder)  $132 
2025   186 
2026   113 
2027   65 
2028   45 
Thereafter   
 
Total   541 
Less: discount   52 
Total lease liabilities  $489 
v3.24.2.u1
Loss Per Share (Tables)
6 Months Ended
Jun. 30, 2024
Loss Per Share [Abstract]  
Schedule of Basic and Diluted Net Loss Per Share The following table sets forth the computation of basic and diluted net loss per share.
   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
   2024   2023   2024   2023 
Numerator                
Net loss  $(4,008)  $(4,161)  $(10,908)  $(10,559)
                     
Denominator                    
Weighted average shares outstanding used in computing net loss per share                    
Basic   18,257,879    16,992,100    18,213,992    17,043,493 
Effect of dilutive stock options, warrants, and stock grants   
    
    
    
 
Diluted   18,257,879    16,992,100    18,213,992    17,043,493 
                     
Net loss per share                    
Basic  $(0.22)  $(0.24)  $(0.60)  $(0.62)
Diluted  $(0.22)  $(0.24)  $(0.60)  $(0.62)

 

Schedule of Vesting of Certain Restricted Stock Units The number of common shares potentially issuable upon the exercise of certain options and the vesting of certain restricted stock units that were excluded from the diluted loss per common share calculation are reflected in the table below.
   Three Months Ended
June 30,
   Six Months Ended
June 30,
 
Weighted average number of shares for the periods ended  2024   2023   2024   2023 
Options   7,233    19,824    6,618    24,923 
Unvested restricted stock unit awards   93,431    24,922    81,514    24,922 
Total   100,664    44,746    88,132    49,845 
v3.24.2.u1
Nature of Business and Basis of Presentation (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
USD ($)
Jun. 30, 2024
USD ($)
Oct. 24, 2023
Nature of Business and Basis of Presentation [Abstract]      
Number of US providers   2,000,000  
Issued and outstanding share percentage     100.00%
Amount of net revenue $ 1,213 $ 3,080  
v3.24.2.u1
Nature of Business and Basis of Presentation (Details) - Schedule of Pro-Forma Consolidated Statement of Operations - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2023
Schedule of Pro-Forma Consolidated Statement of Operations [Abstract]    
Revenue $ 22,408 $ 43,439
Net loss $ (6,076) $ (14,708)
v3.24.2.u1
Cash, Cash Equivalents and Short-Term Investments (Details) - USD ($)
Jun. 30, 2024
Dec. 31, 2023
Cash, Cash Equivalents and Short-Term Investments [Abstract]    
Money market funds at cost $ 8,100,000 $ 0
v3.24.2.u1
Capitalized Software Costs (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Capitalized Software Costs [Line Items]          
Amortization of software expense $ 71 $ 48 $ 141 $ 95  
Construction in process $ 393   $ 393   $ 696
v3.24.2.u1
Revenues (Details) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
Jun. 30, 2024
Dec. 31, 2023
Revenues [Abstract]    
Accounts receivable $ 4,134 $ 3,288
Net contract balance 26,766 2,021
Deferred revenue $ 1,053 $ 172
v3.24.2.u1
Schedule of Deferred Revenue (Details) - Schedule of Deferred Revenue - USD ($)
3 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Revenues [Abstract]            
Deferred Revenue, Noncurrent $ 1,054,000 $ 905,000 $ 451,000 $ 735,000 $ 172,000 $ 164,000
Deferred Revenue, Revenue Recognized 1,853,000 3,228,000 3,171,000 2,444,000    
Deferred Revenue, Additions $ 2,002,000 $ 3.961 $ 2,887,000 $ 3,015,000    
v3.24.2.u1
Revenues (Details) - Schedule of Revenue Recognition - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Schedule of Revenue Recognition [Line Items]        
Total Revenue $ 18,812 $ 13,818 $ 38,502 $ 26,821
Revenue recognized over time [Member]        
Schedule of Revenue Recognition [Line Items]        
Total Revenue 17,769 13,034 34,694 25,606
Revenue recognized at a point in time [Member]        
Schedule of Revenue Recognition [Line Items]        
Total Revenue $ 1,043 $ 784 $ 3,809 $ 1,215
v3.24.2.u1
Schedule of the Allowance for Credit Losses (Details) - Schedule of the Allowance for Credit Losses - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Dec. 31, 2022
Revenues [Abstract]                
Accounts Receivable, Allowance for Credit Loss, Current $ 371 $ 371 $ 591 $ 480 $ 371 $ 591 $ 239 $ 352
Accounts Receivable, Credit Loss Expense (Reversal) 132 111 128 $ 132 $ 239    
Accounts Receivable, Allowance for Credit Loss, Writeoff        
v3.24.2.u1
Long-Term Debt (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Dec. 31, 2023
Jun. 30, 2024
Jun. 30, 2024
Long-Term Debt [Line Items]      
Term loan bears interest percentage   14.10% 14.10%
Effective rate     16.20%
Amortization of debt issuance costs   $ 182 $ 365
Percentage of repayable term loan 1.25%    
Equivalent amount $ 500,000    
Leverage ratio, description     In addition, the Company is required to make a mandatory prepayment on March 31, of each year, commencing with 2025, equivalent to Excess Cash Flow multiplied by a percentage factor of 25%, if the leverage ratio is 3.60 to 1.00 or less, 50% if the leverage ratio is greater than 3.60 to 1 or less than or equal; to 4.10 to 1.00 and 75%, if the leverage ratio is greater than 4.10 to 1.00.
v3.24.2.u1
Long-Term Debt (Details) - Schedule of Long-term Debt, Net - USD ($)
$ in Thousands
Jun. 30, 2024
Dec. 31, 2023
Schedule of Long-term Debt, Net [Abstract]    
Term loan, due in 2027 $ 37,290 $ 38,290
Less: current portion (3,300) (2,000)
Less: unamortized issuance costs (1,694) (2,059)
Long-term debt, net $ 32,296 $ 34,231
v3.24.2.u1
Long-Term Debt (Details) - Schedule of Repayments Due to Term loan
$ in Thousands
Jun. 30, 2024
USD ($)
Schedule of Repayments Due to Term loan [Abstract]  
2024 (remainder) $ 1,000
2025 3,300
2026 2,000
2027 30,990
Total $ 37,290
v3.24.2.u1
Leases (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Leases [Abstract]    
Weighted average remaining lease term 2 years 9 months 18 days  
Weighted average discount rate 6.85%  
Lease liabilities $ 109 $ 45
Operating lease payment payments on lease obligation 127 49
Amortization right of use assets $ 113 $ 49
v3.24.2.u1
Leases (Details) - Schedule of Lease Cost - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Schedule of Lease Cost [Abstract]        
Operating lease cost $ 62 $ 25 $ 124 $ 49
Short-term lease cost 1 8
Total lease cost $ 62 $ 25 $ 125 $ 57
v3.24.2.u1
Leases (Details) - Schedule of Future Minimum Lease Payments
$ in Thousands
Jun. 30, 2024
USD ($)
Schedule of Future Minimum Lease Payments [Abstract]  
2024 (remainder) $ 132
2025 186
2026 113
2027 65
2028 45
Thereafter
Total 541
Less: discount 52
Total lease liabilities $ 489
v3.24.2.u1
Stockholders' Equity (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Stockholders' Equity (Details) [Line Items]              
Preferred stock, shares authorized 10,000,000       10,000,000   10,000,000
Preferred stock, par value (in Dollars per share) $ 0.001       $ 0.001   $ 0.001
Preferred stock, shares issued        
Preferred stock, shares outstanding        
Common stock, shares authorized 166,666,667       166,666,667   166,666,667
Common stock, par value (in Dollars per share) $ 0.001       $ 0.001   $ 0.001
Common stock shares outstanding             18,158,282
Treasury common stock outstanding 1,741,397       1,741,397   1,741,397
Common stock were issued 20,061,907       20,061,907   19,899,679
Proceeds of common stock received amount (in Dollars) $ 105 $ 40      
Common stock shares issued       33,272 140,028 35,260  
Restricted stock withholding shares       23,217 48,281    
Restricted stock withholding value (in Dollars)         $ 555,007 $ 244  
Common stock shares issued         10,000    
Share repurchase program authorized amount (in Dollars)       $ 15,000      
Share repurchase program authorized shares     526,999     526,999  
Commission paid on repurchases (in Dollars)     $ 7,522     $ 7,522  
Two Thousand Thirteen Incentive Plan [Member]              
Stockholders' Equity (Details) [Line Items]              
Proceeds of common stock received amount (in Dollars)       $ 105    
2021 Incentive Plan [Member]              
Stockholders' Equity (Details) [Line Items]              
Proceeds of common stock received amount (in Dollars)            
Preferred Stock [Member]              
Stockholders' Equity (Details) [Line Items]              
Preferred stock, shares authorized 10,000,000       10,000,000    
Preferred stock, par value (in Dollars per share) $ 0.001       $ 0.001    
Preferred stock, shares issued      
Preferred stock, shares outstanding      
Common Stock [Member]              
Stockholders' Equity (Details) [Line Items]              
Common stock, shares authorized 166,666,667       166,666,667    
Common stock, par value (in Dollars per share) $ 0.001       $ 0.001    
Common stock shares outstanding 18,320,510       18,320,510    
Common stock were issued        
Proceeds of common stock received amount (in Dollars)      
Common stock shares issued 140,028 22,200 35,260 33,272      
Common stock shares issued   9,668 10,000 9,668      
Common Stock [Member] | 2021 Incentive Plan [Member]              
Stockholders' Equity (Details) [Line Items]              
Proceeds of common stock received amount (in Dollars)   $ 40          
v3.24.2.u1
Stock Based Compensation (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 05, 2024
Jun. 30, 2024
Jun. 30, 2024
Jun. 30, 2023
Stock Based Compensation [Line Items]        
Total shares (in Shares) 4,450,000      
Remaining expenses       $ 5,031
Expense remaining over a period       1 year 6 months 25 days
Total intrinsic value of outstanding options       $ 214
Compensation expense     $ 402 352
Restricted stock granted remains value     $ 8,337  
Weighted average period     1 year 6 months 7 days  
Vesting period     1 year  
Stock Options [Member]        
Stock Based Compensation [Line Items]        
Compensation expense     $ 2,502 3,122
Stock expense   $ 8 8  
Restricted Stock Units (RSUs) [Member]        
Stock Based Compensation [Line Items]        
Stock expense   $ 8 8  
Compensation expense     $ 3,424 $ 4,762
2021 Incentive Plan [Member]        
Stock Based Compensation [Line Items]        
Total shares (in Shares) 1,950,000      
v3.24.2.u1
Loss Per Share (Details) - Schedule of Basic and Diluted Net Loss Per Share - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
Numerator            
Net loss (in Dollars) $ (4,008) $ (6,900) $ (4,161) $ (6,398) $ (10,908) $ (10,559)
Weighted average shares outstanding used in computing net loss per share            
Basic 18,257,879   16,992,100   18,213,992 17,043,493
Effect of dilutive stock options, warrants, and stock grants    
Diluted 18,257,879   16,992,100   18,213,992 17,043,493
Net loss per share            
Basic (in Dollars per share) $ (0.22)   $ (0.24)   $ (0.6) $ (0.62)
Diluted (in Dollars per share) $ (0.22)   $ (0.24)   $ (0.6) $ (0.62)
v3.24.2.u1
Loss Per Share (Details) - Schedule of Vesting of Certain Restricted Stock Units - shares
3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total     88,132 49,845
Restricted Stock Units (RSUs) [Member]        
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total 100,664 44,746    
Options [Member]        
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total     6,618 24,923
Options [Member] | Restricted Stock Units (RSUs) [Member]        
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total 7,233 19,824    
Unvested Restricted Stock Unit Awards [Member]        
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total     81,514 24,922
Unvested Restricted Stock Unit Awards [Member] | Restricted Stock Units (RSUs) [Member]        
Schedule of Vesting of Certain Restricted Stock Units [Line Items]        
Total 93,431 24,922    
v3.24.2.u1
Commitments and Contingent Liabilities (Details)
$ in Millions
Jun. 30, 2024
USD ($)
Commitments and Contingent Liabilities [Abstract]  
Total future minimum payment amount $ 18.5
Minimum payment due two 3.9
Minimum payment due one 8.5
Minimum payment due three 3.6
Minimum payment due four 2.4
Minimum payment due five $ 0.1
v3.24.2.u1
Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Income Taxes [Abstract]          
Benefit from income taxes $ (1,088) $ 33 $ (744) $ 66  
Percentage of effective tax rate 21.40%   6.40%    
Provision for or benefit from taxes      
Federal income tax purposes         $ 16,700

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