Forward-Looking Statements





Certain statements, other than purely historical information, including
estimates, projections, statements relating to our business plans, objectives,
and expected operating results, and the assumptions upon which those statements
are based, are "forward-looking statements" within the meaning of the Private
Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of
1933 and Section 21E of the Securities Exchange Act of 1934.  These
forward-looking statements generally are identified by the words "believes,"
"project," "expects," "anticipates," "estimates," "intends," "strategy," "plan,"
"may," "will," "would," "will be," "will continue," "will likely result," and
similar expressions. We intend such forward-looking statements to be covered by
the safe-harbor provisions for forward-looking statements contained in the
Private Securities Litigation Reform Act of 1995, and are including this
statement for purposes of complying with those safe-harbor
provisions. Forward-looking statements are based on current expectations and
assumptions that are subject to risks and uncertainties which may cause actual
results to differ materially from the forward-looking statements. Our ability to
predict results or the actual effect of future plans or strategies is inherently
uncertain. Factors which could have a material adverse effect on our operations
and future prospects on a consolidated basis include, but are not limited to:
changes in economic conditions, legislative/regulatory changes, availability of
capital, interest rates, competition, and generally accepted accounting
principles. These risks and uncertainties should also be considered in
evaluating forward-looking statements and undue reliance should not be placed on
such statements. We undertake no obligation to update or revise publicly any
forward-looking statements, whether as a result of new information, future
events or otherwise. Further information concerning our business, including
additional factors that could materially affect our financial results, is
included herein and in our other filings with the SEC.



Overview



COVID-19



The full extent of the impact of the COVID-19 pandemic on our business,
operations and financial results will depend on numerous evolving factors that
we may not be able to accurately predict at the present time. In an effort to
contain COVID-19 or slow its spread, governments around the world have enacted
various measures, including orders to close all businesses not deemed
"essential," isolate residents to their homes or places of residence, and
practice social distancing when engaging in essential activities. We anticipate
that these actions and the global health crisis caused by COVID-19 will
negatively impact business activity across the globe. While we have not observed
any noticeable impact on our revenue related to these conditions in the recently
completed fiscal year or quarter, or through the date of this filing, we cannot
estimate the impact COVID-19 will have in the future if business and consumer
activity decelerates across the globe.



In March 2020, we enacted precautionary measures to protect the health and
safety of our employees and partners. These measures include closing all
offices, having employees work from home, and eliminating virtually all travel.
While having employees work from home may have a negative impact on efficiency
and may result in negligible increases in costs, it does not impact our ability
to execute on our contracts or deliver our core services. We opened our offices
on a voluntary basis in June 2021 and we relaxed certain travel restrictions at
the same time. Our customers provide essential services in the healthcare
industry and we believe that our digital communication technology is more
important than ever in this environment. However, our revenue often comes from
advertising or marketing budgets, and in a sustained economic downturn, those
categories of spending may be cut.



We will continue to actively monitor the situation and may take further actions
that alter our business operations as may be required by federal, state, local
or foreign authorities, or that we determine are in the best interests of our
employees, customers, partners and stockholders. It is not clear what the
potential effects any such alterations or modifications may have on our
business, including the effects on our customers, partners, or vendors, or

on
our financial results.



                                       13

Company Highlights through July 2021

1. Generated sales of $13.6 million for the quarter ended June 30, 2021, a 55%

increase over the same period in 2020. 2. Generated sales of $24.9 million for the six months ended June 30, 2021, a

52% increase over the same period in 2020. 3. Achieved positive cash flow from operations of $1.9 million for the six


     months ended June 30, 2021.
4.   Launched our new Real World Evidence ("RWE") messaging solution and

generated revenue in Q2 from two leading brands. 5. Raised an additional $70.7 million of capital in a public offering. 6. Enhanced our leadership team by adding a General Counsel and Chief

Compliance Officer as well as elevated the Chief Technology Officer to

report directly to the CEO. 7. Committed to an inclusion and diversity pledge. 8. Enhanced our patient engagement commercial team to further scale that

portion of the business.

Consolidated our technology centers of excellence in Zagreb, Croatia. 9. Completed all integration work for previous two acquisitions and paid last

earnout payment related to acquisitions. 10. Maintained a no travel, virtual operational plan with a particular focus on


     training, open communication, and great work culture.

Results of Operations for the Three and Six Months Ended June 30, 2021 and 2020





Revenues



Our total revenue reported for the three months ended June 30, 2021 was
approximately $13.6 million, an increase of 55% over the approximately $8.8
million from the same period in 2020. Our total revenue for the six months ended
June 30, 2021 was approximately $24.9 million, an increase of 52% over the
approximately $16.4 million from the same period in 2020. The increased revenue
resulted from increases in sales in all our messaging products.



Cost of Revenues



Our cost of revenue percentage, comprised primarily of revenue share expense,
decreased slightly as a percentage of revenue in the quarter ended June 30,
2021, as compared to the same period in 2020, while for the six month period
ended June 30, 2021, it increased as a percentage of revenue. These changes were
the result of solution mix, both as it relates to solutions itself and the
partners through which the solutions are delivered. Additional discussion is
included in the gross margin section below.



                       Three Months Ended          Six Months Ended
                             June 30                    June 30
                       2021           2020         2021          2020



Cost of Revenues %        41.0 %        41.4 %        43.0 %      42.0 %
Gross Margin %            59.0 %        58.6 %        57.0 %      58.0 %




                                       14





Gross Margin




As reflected in the table above, our gross margin increased slightly in the
quarter ended June 30, 2021 compared with the prior year, but decreased slightly
for the six month period then ended. This is the result of solution mix. In
general, there has been an increase in the percentage of activity flowing
through our higher cost channels compared with a year ago. In the second
quarter, this was offset by the launch of our RWE solution. Our RWE solution
includes a much higher percentage of program design, which carries a higher
margin than the delivery of the actual messages. We expect our gross margin to
improve on a quarter over quarter basis for the balance of the year as our RWE
solution expands and we continue to launch new solutions that have higher
margins.



Operating Expenses




Operating expenses increased from approximately $6.2 million for the three
months ended June 30, 2020 to approximately $7.7 million for the same period in
2021. Operating expenses increased from approximately $12.8 million for the six
months ended June 30, 2020 to approximately $14.5 million for the same period in
2021. Overall, this increase results from our efforts to expand our product line
and build out our organization to establish a strong base for current and future
growth. Our expenses increased at a substantially lower rate than our revenues
as a result of the operating leverage of our model. The detail of expenditures
by major category is reflected in the table below.



                                               Three Months Ended                Six Months Ended
                                                    June 30,                         June 30,
                                              2021            2020             2021             2020

Salaries, Wages, & Benefits                $ 3,906,796     $ 3,176,460     $  7,487,612     $  6,382,597
Stock-Based Compensation                       897,038         780,670        1,604,191        1,635,183
Contractors and Consultants                    486,577         560,991          785,963        1,022,236
Travel                                          48,925          13,111           58,755          287,622
Board Compensation                              61,250          51,375          122,500          102,750
Professional Fees                              448,598         186,834          769,818          672,304
Investor Relations                              51,019          28,677           97,306           48,127

Advertising and Promotion                      255,680         154,166          384,565          289,068
Technology Infrastructure Costs                256,291         218,079          469,570          399,791
Integration and Exclusivity Costs              244,600         207,973     

    563,158          415,946
Data Costs                                     257,484          72,942          545,396          124,554
Office, Facility, and Other                    262,320         227,955          524,480          381,477
Depreciation and Amortization                  527,958         520,794        1,054,138        1,040,463

Total Operating Expense                    $ 7,704,536     $ 6,200,027     $ 14,467,452     $ 12,802,118
The increase in operating expenses related to salaries, wages, and benefits and
other human resource related costs is due to the expansion of our team to
support additional growth. This increase is partly offset by the decrease in
contractors and consultants, as we have brought functions in house that were
previously performed by outsiders.



We expect salaries, wages, and benefits to continue to increase on a quarter
over quarter basis for the balance of the year due to the full impact of new
hires already in place, as well as new hires in the pipeline.



Travel expense is down significantly on a year to date basis as a result of
travel restrictions due to the pandemic. We expect travel expense to increase
significantly starting in the third quarter of the year due to relaxed travel
restrictions and pent up demand for meetings and visits.



                                       15





Professional fees increased significantly in the second quarter of 2021 compared
with the prior year. With the assistance of an outside legal firm, we undertook
a comprehensive governance review of our bylaws, board charters, equity
compensation plan, and overall corporate policies. This review resulted in
approximately $300,000 of expense in the second quarter. In the six month period
ended June 30, 2021, this was partially offset by reduced audit fees as a result
of our change in auditors, as well as a change in SEC rules that eliminated the
need for a third-party opinion on our internal controls. We would expect
professional fees to decrease from the second quarter level for the balance

of
the year.

Investor relations expense increased due to the expansion of our communication efforts to reach retail investors and expand our shareholder base.





Technology infrastructure costs increased due to continued investment in our
operating systems to facilitate new products as well as the implementation of
additional software products to increase efficiency and information
dissemination.



Data costs increased as we have purchased more data, primarily to aid in our
selling effort and allow customers to target their messages more appropriately,
thereby increasing our ability to charge premium prices for more highly targeted
messages.

Integration and exclusivity costs represent payments to partners for access and/or exclusivity and increased because of new agreements signed after the first quarter of 2020. These payments are usually made in lump sums and expensed over the term of the contracts. These expenses are an important part of our ability to expand our network.





Our office, facility and other expense increased primarily because of increased
activity. The largest single increase related to hiring expenses associated with
expanding our team, both for new additions so far, as well as new hires
scheduled for the future, including recruiter fees in some instances.

All other variances in the table above are the result of normal fluctuations in activity.





We expect our overall operating expenses to increase on a quarterly basis for
the balance of the year as we further implement our business plan and expand our
operations to grow the business in a very dynamic and active marketplace.
However, we have established a strong team as a base to support growth and we
are seeing the results of the investment in our team last year in our strong
revenue growth this year. We do not expect human resource costs to increase as
quickly as revenues, however we do expect to continue to add people to
accelerate our growth and invest in future growth.



Net Income (Loss)




We had net income of $0.4 million for the three months ended June 30, 2021, as
compared to a net loss of $1.1 million during the same period in 2020. We had a
loss of approximately $0.3 million for the six months ended June 30, 2021, as
compared to net loss of approximately $3.3 million during the same period in
2020. The reasons and specific components associated with the change are
discussed above. Overall, the net income for second quarter of 2021 and
decreased loss for the six month period resulted from the increased margin
generated by our higher revenues, partially offset by the increased operating
expenses.

Liquidity and Capital Resources





As of June 30, 2021, we had total current assets of $105.0 million, compared
with current liabilities of $6.7 million, resulting in working capital of
approximately $98.3 million and a current ratio of 15.7 to 1. This represents an
increase from our working capital of approximately $23 million and current ratio
of 3 to 1 at December 31, 2020.



Our operating activities provided approximately $1.9 in cash flow during the six
months ended June 30, 2021, compared with cash used of approximately $3.6
million in the same period in 2020. The cash provided in the 2021 period was the
result of our net loss increased by noncash expenses, partially offset by
working capital used in the reduction of liabilities. The cash used in the 2020
period was primarily the result of increased investment in working capital; in
particular, we made a $2.0 million prepayment to a partner that was expensed
over the balance of the year.



                                       16

We used insignificant amounts in investing activities in both the six months ended June 30, 2021 and 2020. These investments related to purchases of equipment as well as investments related to the expansion of our network capabilities in our patient engagement solution.





Our financing activities provided $71.8 million in the six months ended June 30,
2021, compared with cash used of approximately $1.1 million in the same period
in 2020. We raised $70.7 million in a public offering of our common stock as
well as generated $2.7 million from the issuance of shares related to the
exercise of stock options. These were partially offset by the payment of $1.6 in
earnout payments from a previous acquisition. We have no remaining earnout
payments due in the future. Financing activities used approximately $1.3 million
related to earnout payments from a previous acquisition, offset by $0.3 million
from the issuance of shares related to the exercise of stock options.



We do not anticipate the need to raise additional capital in the short or long
term for operating purposes or to fund our growth plans. We are focused on
growing our revenue, channel and partner network. However, as a company in a
market that is active with merger and acquisition activity, we may have
opportunities, such as for acquisitions or strategic partner relationships,
which may require additional capital. We will assess these opportunities as they
arise with the view of maximizing shareholder value.



Critical Accounting Policies



In December 2001, the SEC requested that all registrants list their most
"critical accounting polices" in the Management Discussion and Analysis. The SEC
indicated that a "critical accounting policy" is one which is both important to
the portrayal of a company's financial condition and results, and requires
management's most difficult, subjective or complex judgments, often as a result
of the need to make estimates about the effect of matters that are inherently
uncertain. Our accounting policies are discussed in the footnotes to our
financial statements included in our annual report on Form 10-K for the year
ended December 31, 2020; however, we consider our critical accounting policies
to be those related to determining the amount of revenue to be billed, the
timing of revenue recognition, calculation of revenue share expense, stock-based
compensation, capitalization and related amortization of intangible assets,
impairment of assets, and the fair value of liabilities.

Recently Issued Accounting Pronouncements





In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740):
Simplifying the Accounting for Income Taxes. ASU 2019-12 is intended to improve
consistent application and simplify the accounting for income taxes. ASU 2019-12
removes certain exceptions to the general principles in Topic 740 and clarifies
and amends existing guidance. ASU 2019-12 was effective for annual and interim
reporting periods beginning after December 12, 2020, with early adoption
permitted. The adoption of this standard did not have a material effect on our
financial position, results of operations, or cash flows.

Off Balance Sheet Arrangements

As of June 30, 2021, there were no off-balance sheet arrangements.

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