Forward-Looking Statements
The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with our condensed consolidated
financial statements and related notes appearing elsewhere in this Quarterly
Report on Form 10-Q and in our other Securities and Exchange Commission, or SEC,
filings, including our Annual Report on Form 10-K for the year ended December
31, 2020, filed with the SEC on February 25, 2021. These discussions contain
forward-looking statements reflecting our current expectations that involve
risks and uncertainties which are subject to safe harbors under the Securities
Act of 1933, as amended, or the Securities Act, and the Securities Exchange Act
of 1934, as amended, or the Exchange Act. These forward-looking statements
include, but are not limited to, statements concerning our plans, objectives,
expectations and intentions, future financial position, future revenues,
projected costs, expectations regarding demand and acceptance for our
technologies, growth opportunities and trends in the market in which we operate,
prospects and plans and objectives of management. The words "anticipates,"
"believes," "estimates," "expects," "intends," "may," "plans," "projects,"
"will," "would" and similar expressions are intended to identify forward-looking
statements, although not all forward-looking statements contain these
identifying words. We may not actually achieve the plans, intentions or
expectations disclosed in our forward-looking statements, and you should not
place undue reliance on our forward-looking statements. These forward-looking
statements involve risks and uncertainties that could cause our actual results
to differ materially from those in the forward-looking statements, including,
without limitation, the risks set forth in Part II, Item 1A, "Risk Factors" in
this Quarterly Report on Form 10-Q and in our other filings with the Securities
and Exchange Commission. We do not assume any obligation to update any
forward-looking statements.
Business Overview
We are a provider of secure, integrated, intelligent communication and clinical
workflow solutions, focused on empowering mobile workers in healthcare,
hospitality, retail, energy, education and other mission-critical mobile work
environments, in the United States and internationally. The significant majority
of our business is generated from sales of our solutions in the healthcare
market to help our customers enhance quality of care, safety, patient and staff
experience and improve operational efficiency.
We primarily sell devices, software, subscriptions and support, and professional
services directly to end users. Total revenue increased $26.6 million from
$141.8 million for the nine months ended September 30, 2020 to $168.4 million
for the nine months ended September 30, 2021. Our total deferred revenue and
backlog was $252.7 million as of September 30, 2021 compared to $173.9 million
as of December 31, 2020. For the nine months ended September 30, 2021, we
recorded a net loss of $7.8 million compared to a net loss of $9.8 million for
the nine months ended September 30, 2020.
Our diverse customer base ranges from large hospital systems to small local
hospitals, as well as other healthcare facilities and customers in
non-healthcare markets. We do not rely on any one customer for a substantial
portion of our revenue. While we have international customers in other
English-speaking countries such as Canada, the United Kingdom, Australia, New
Zealand and parts of the Middle East, most of our customers are located in the
United States. International customers represented 9.7%, 10.7% and 8.7% of our
revenue in the nine months ended September 30, 2021, and the years ended
December 31, 2020 and 2019, respectively.
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We outsource the manufacturing of our hardware products. Our outsourced
manufacturing model allows us to scale our business without the significant
capital investment and on-going expenses required to establish and maintain
manufacturing operations. We work closely with our contract manufacturers,
including Sercomm and SMTC Corporation, and key suppliers to manage the
procurement, quality and cost of components. We seek to maintain an optimal
level of finished goods inventory to meet our forecast for sales and
unanticipated shifts in sales volume and mix.
In the second quarter of 2021, we acquired PatientSafe for $36.0 million, net of
$0.2 million of cash acquired. For further discussion on the acquisition, please
refer to Note 12 in the notes to the condensed consolidated financial
statements.
COVID-19 Pandemic
The outbreak of the novel coronavirus, SARS-CoV-2, or COVID-19, has evolved into
a global pandemic and public health emergency. Many federal, state and local
governments and private entities have mandated various restrictions, including
travel restrictions, restrictions on public gatherings, stay at home orders and
advisories and quarantining of people who may have been exposed to the virus.
Since our last filing, COVID-19 infections have continued despite an increase in
vaccinations. Infection rates could continue to increase due to a variety of
factors, including new variants of the disease.
Over the course of the COVID-19 pandemic, our business has been impacted in
several ways, including the following:
•We have taken measures to protect the health and safety of our employees,
primarily by shifting the majority of our employees to remote work.
•Our access to our healthcare customers' locations for sales and implementation
activities remains limited in some cases. The sales cycle and implementation
timeline for broader strategic deals in some cases has been elongated as they
shifted their primary focus to preparing for and responding to the pandemic.
•We have experienced some delays in receiving parts due to supplier and shipping
issues.
Overall, the outbreak did not have a material impact on our operating results or
business in the nine months ended September 30, 2021. While future impacts
cannot be predicted at this time, the shift in hospital resources, attention to
treatment of COVID-19 patients and declines in hospital revenues may result in
reduced demand for our products and solutions, longer sales cycles, delays in
receiving parts and/or delays of customer implementations, which could
negatively impact our financial condition.
We have generated operating cash flows in the past and our $304.6 million in
cash and short-term investments provides us with ample liquidity to meet our
current needs. However, given the dynamic nature of this situation, we cannot
accurately estimate the impacts of COVID-19 on our financial condition, results
of operations or cash flows.
Convertible Senior Notes
In March 2021, we issued $200.0 million aggregate principal amount of 0.50%
Convertible Senior Notes, due 2026 (the "2026 Notes"). We used part of the net
proceeds from the issuance of the 2026 Notes to retire approximately
$102.9 million aggregate principal amount of the 2023 Notes in
privately-negotiated transactions for consideration of $102.9 million in cash
and 1,277,731 shares of common stock (the "2023 Note Repurchase Transactions").
We separately settled the accrued interest of approximately $0.5 million
associated with the retired 2023 Notes in cash.
In connection with the 2026 Notes, we granted to the initial purchasers an
overallotment option under the purchase agreement to purchase up to an
additional $30.0 million aggregate principal amount of the 2026 Notes to cover
overallotments within a 30-day period. The purchasers partially exercised the
overallotment option on April 5, 2021 and we issued an additional $24.5 million
of the 2026 Notes.
In connection with the pricing of the 2026 Notes, we entered into privately
negotiated capped call transactions with certain counterparties, the "2026
Capped Calls". The 2026 Capped Calls have an initial strike price of
approximately $60.14 per share, subject to certain adjustments, which correspond
to the initial conversion price of the 2026 Notes. The 2026 Capped Calls have
initial cap prices of $77.96 per share, subject to certain adjustments. We used
proceeds of $15.5 million to purchase the Capped Calls, which were recorded as a
reduction to additional paid-in capital. Additionally, in connection with the
partial exercise of the overallotment option and the issuance by us of
$24.5 million of 2026 Notes, on April 5, 2021, we entered into $1.9 million of
additional privately negotiated capped calls. The 2023 Capped Calls were not
impacted by the 2023 Note Repurchase Transactions and continue to remain
outstanding. For further discussion on the Capped Calls, please refer to Note 8
in the notes to the condensed consolidated financial statements.
We expect to use the remaining net proceeds for general corporate purposes,
which may include funding research and development, increasing working capital,
acquisitions or investments in complementary businesses, products or
technologies and capital expenditures.

Critical Accounting Policies and Estimates


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There have been no changes to our critical accounting policies and estimates as
compared to the critical accounting policies and estimates described in our
Annual Report on Form 10-K for the year ended December 31, 2020, except as
disclosed in Note 1 to the condensed consolidated financial statements "Recently
Adopted Accounting Pronouncements".
Results of Operations
The following table presents our results of operations for the periods
indicated. The period-to-period comparisons of results are not necessarily
indicative of results for future periods.
                                                Three months ended September 30,                                                   Nine months ended September 30,
Consolidated statement of                2021                                      2020                                     2021                                      2020
operations data:                                                                                    (unaudited)
(in thousands)               Amount             % Revenue             Amount             % Revenue              Amount             % Revenue             Amount             % Revenue
Revenue
 Product                  $  32,936                   51.8  %       $ 28,510                   53.0  %       $  83,888                   49.8  %       $ 70,311                   49.6  %
 Service                     30,632                   48.2            25,305                   47.0             84,528                   50.2            71,524                   50.4
   Total revenue             63,568                  100.0            53,815                  100.0            168,416                  100.0           141,835                  100.0
Cost of revenue
 Product                      8,361                   13.2             7,139                   13.3             22,858                   13.6            21,213                   15.0
 Service                     12,230                   19.2            10,346                   19.2             35,440                   21.0            30,563                   21.5
   Total cost of revenue     20,591                   32.4            17,485                   32.5             58,298                   34.6            51,776                   36.5
Gross profit                 42,977                   67.6            36,330                   67.5            110,118                   65.4            90,059                   63.5
Operating expenses:
 Research and development    12,294                   19.4             9,559                   17.8             34,650                   20.6            27,940                   19.7
 Sales and marketing         19,132                   30.1            15,291                   28.4             55,227                   32.8            48,252                   34.1
 General and
administrative                8,162                   12.8             7,464                   13.8             24,501                   14.5            20,778                   14.6
   Total operating
expenses                     39,588                   62.3            32,314                   60.0            114,378                   67.9            96,970                   68.4
Income (loss) from
operations                    3,389                    5.3             4,016                    7.5             (4,260)                  (2.5)           (6,911)                  (4.9)
Interest income                 227                    0.4               645                    1.2                868                    0.5             2,678                    1.9
Interest expense               (812)                  (1.3)           (2,368)                  (4.4)            (2,383)                  (1.4)           (6,950)                  (4.9)
Other (expense) income,
net                            (549)                  (0.9)              264                    0.5             (1,551)                  (0.9)             (117)                  (0.1)
Income (loss) before
income taxes                  2,255                    3.5             2,557                    4.8             (7,326)                  (4.3)          (11,300)                  (8.0)
(Provision for) benefit
from income taxes              (178)                  (0.2)            1,604                    2.9               (512)                  (0.4)            1,523                    1.1
Net income (loss)         $   2,077                    3.3  %       $  4,161                    7.7  %       $  (7,838)                  (4.7) %       $ (9,777)                  (6.9) %


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Revenue:
                                         Three months ended September 30,                                        Nine months ended September 30,
                               2021                2020                   Change                      2021                  2020                   Change
(in thousands)                Amount              Amount            Amount        %                  Amount                Amount            Amount         %
Product revenue
Device                    $     20,650          $ 17,027          $ 3,623        21.3  %       $     52,179             $  48,030          $  4,149         8.6  %
Software                        12,286            11,483              803         7.0                31,709                22,281             9,428        42.3
Total product                   32,936            28,510            4,426        15.5                83,888                70,311            13,577        19.3

Service revenue
Subscription and support        25,069            20,387            4,682        23.0                68,669                57,450            11,219    

19.5


Professional services and
training                         5,563             4,918              645        13.1                15,859                14,074             1,785        12.7
Total service                   30,632            25,305            5,327        21.1                84,528                71,524            13,004        18.2
Total revenue             $     63,568          $ 53,815          $ 9,753        18.1  %       $    168,416             $ 141,835          $ 26,581        18.7  %



Three months ended September 30, 2021 compared to the three months ended
September 30, 2020.
Total revenue increased $9.8 million, or 18.1%, for the three months ended
September 30, 2021 compared to the three months ended September 30, 2020.
Product revenue increased $4.4 million, or 15.5%, for the three months ended
September 30, 2021 compared to the three months ended September 30, 2020. Device
revenue increased $3.6 million, or 21.3%, and software revenue increased $0.8
million, or 7.0% for the three months ended September 30, 2021 compared to the
three months ended September 30, 2020. The increase in device revenue was driven
primarily by an increase in the volume and average selling price for our Badges
and related accessories. The increase in software revenue was mainly driven by
revenue associated with Edge products and higher average selling prices for
software licenses.
Service revenue increased $5.3 million, or 21.1%, for the three months ended
September 30, 2021 compared to the three months ended September 30, 2020.
Subscription and support revenue increased $4.7 million, or 23.0%, and
professional services and training revenue increased $0.6 million, or 13.1%, for
the three months ended September 30, 2021 compared to the three months ended
September 30, 2020. The increase in subscription and support revenue was
primarily the result of an increased number of customers who purchased software
maintenance contracts, and the additional subscription revenue from the Edge and
Ease products. The increase in professional services and training revenue was
due to an increase in implementation services for our solutions.
Nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020.
Total revenue increased $26.6 million, or 18.7%, for the nine months ended
September 30, 2021 compared to the nine months ended September 30, 2020.
Product revenue increased $13.6 million, or 19.3%, for the nine months ended
September 30, 2021 compared to the nine months ended September 30, 2020. Device
revenue increased $4.1 million, or 8.6%, and software revenue increased $9.4
million, or 42.3% for the nine months ended September 30, 2021 compared to the
nine months ended September 30, 2020. The increase in device revenue was driven
primarily by an increase in volume and higher average selling prices for our
Badges and related accessories sold. The increase in software revenue was mainly
a result of an increase in the number of software licenses delivered to
customers, and the additional revenue from Edge products.
Service revenue increased $13.0 million, or 18.2%, for the nine months ended
September 30, 2021 compared to the nine months ended September 30, 2020.
Subscription and support revenue increased $11.2 million, or 19.5%, and
professional services and training revenue increased $1.8 million, or 12.7%, for
the nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020. The increase in subscription and support revenue was
primarily the result of an increased number of customers who purchased software
maintenance contracts, and the additional subscription revenue from the Edge and
Ease products. The increase in professional services and training revenue was
due to an increase in implementation services for our solutions.
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Cost of revenue:
                                                 Three months ended September 30,                                       Nine months ended September 30,
                                     2021                    2020                   Change                    2021                2020                   Change
(in thousands)                      Amount                  Amount            Amount        %                Amount              Amount            Amount        %
Cost of revenue
Product                         $     8,361               $  7,139          $ 1,222        17.1  %       $    22,858           $ 21,213          $ 1,645         7.8  %
Service                              12,230                 10,346            1,884        18.2               35,440             30,563            4,877        16.0
Total cost of revenue           $    20,591               $ 17,485          $ 3,106        17.8  %       $    58,298           $ 51,776          $ 6,522        12.6  %

Gross margin
Product                                74.6   %               75.0  %          (0.4) %                          72.8   %           69.8  %           3.0  %
Service                                60.1   %               59.1  %           1.0  %                          58.1   %           57.3  %           0.8  %
Total gross margin                     67.6   %               67.5  %           0.1  %                          65.4   %           63.5  %           1.9  %


Three months ended September 30, 2021 compared to the three months ended
September 30, 2020.
Cost of product revenue increased $1.2 million, or 17.1%, for the three months
ended September 30, 2021 compared to the three months ended September 30, 2020.
This was primarily driven by an increase in software amortization related to the
PatientSafe acquisition and an increase in the number of Badges and related
accessories sold. For the same comparative periods, product gross margin
decreased primarily as a result of amortization of intangible assets related to
the PatientSafe acquisition and a lower proportion of software revenue versus
hardware revenue.
Cost of service revenue increased $1.9 million, or 18.2%, for the three months
ended September 30, 2021 compared to the three months ended September 30, 2020.
Cost of service revenue increased due to higher compensation and benefits costs
as a result of increased headcount related to the growth in the core services
business as well as the acquisitions of PatientSafe and Ease. For the same
comparative periods, service gross margin as a percentage of service revenue
increased primarily as a result of increased Services revenue and associated
leverage.
Nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020.
Cost of product revenue increased $1.6 million, or 7.8%, for the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020.
This was primarily driven by an increase in software amortization related to the
acquisitions of Ease and PatientSafe, partially offset by lower overhead costs
for the devices. For the same comparative periods, product gross margin
increased primarily as a result of higher average selling prices and lower
overhead costs.
Cost of service revenue increased $4.9 million, or 16.0%, for the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020.
Cost of service revenue increased due to higher compensation and benefits costs
as a result of increased headcount and costs related to core business and the
acquisitions of PatientSafe and Ease. For the same comparative periods, service
gross margin as a percentage of service revenue increased primarily as a result
of increased service revenue and associated leverage.
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Operating expenses:
                                                  Three months ended September 30,                                        Nine months ended September 30,
                                        2021                2020                   Change                      2021                  2020                   Change
(in thousands)                         Amount              Amount            Amount        %                  Amount                Amount            Amount         %
Operating expenses
Research and development           $     12,294          $  9,559          $ 2,735        28.6  %       $     34,650              $ 27,940          $  6,710        24.0  %
Sales and marketing                      19,132            15,291            3,841        25.1                55,227                48,252             6,975        14.5
General and administrative                8,162             7,464              698         9.4                24,501                20,778             3,723        17.9
Total operating expenses           $     39,588          $ 32,314          $ 7,274        22.5  %       $    114,378              $ 96,970          $ 17,408        18.0  %


Three months ended September 30, 2021 compared to the three months ended
September 30, 2020.
Research and development expense. Research and development expense increased
$2.7 million, or 28.6%, for the three months ended September 30, 2021 compared
to the three months ended September 30, 2020. This was primarily due to an
increase of $2.2 million in compensation, benefits and hiring costs associated
with increased headcount and an increase of $0.5 million in outside services and
development.
Sales and marketing expense. Sales and marketing expense increased $3.8 million,
or 25.1%, for the three months ended September 30, 2021 compared to the three
months ended September 30, 2020. This was primarily due to an increase of $2.9
million in compensation, benefits and hiring costs associated with increased
headcount, $0.5 million increase in travel, an increase of $0.3 million in
marketing development costs and an increase of $0.1 million in costs primarily
related to amortization of intangibles.
General and administrative expense. General and administrative expense increased
$0.7 million, or 9.4%, for the three months ended September 30, 2021 compared to
the three months ended September 30, 2020. This was primarily due to an increase
in compensation, benefits and hiring costs of $0.7 million.
Nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020.
Research and development expense. Research and development expense increased
$6.7 million or 24.0%, for the nine months ended September 30, 2021 compared to
the nine months ended September 30, 2020. This was primarily due to an increase
in compensation, benefits and hiring costs of $5.0 million due to increased
headcount, an increase of $1.4 million in outside services and development and
an increase of $0.3 million in research and development equipment.
Sales and marketing expense. Sales and marketing expense increased $7.0 million
or 14.5% for the nine months ended September 30, 2021 compared to the nine
months ended September 30, 2020. This was primarily due to an increase of $5.9
million in compensation, benefits and hiring costs associated with increased
headcount, an increase of $0.7 million in amortization related to the
acquisitions of Ease and PatientSafe, an increase of $0.4 million in outside
services and an increase of $0.2 million in marketing development. This increase
was partially offset by a decrease in travel expense of $0.2 million.
General and administrative expense. General and administrative expense increased
$3.7 million or 17.9% for the nine months ended September 30, 2021 compared to
the nine months ended September 30, 2020. This was primarily due to an increase
in compensation, benefits and hiring costs of $2.5 million due to increased
headcount, severance and retention costs related to the acquisition of
PatientSafe and achievement of performance related compensation targets and an
increase of $1.2 million in outside services.
Interest income and Other income (expense), net:
                                                Three months ended September 30,                         Nine months ended September 30,
(in thousands)                               2021                2020              Change            2021                2020               Change
Interest income                         $        227          $    645          $ (418)         $        868          $ 2,678          $ (1,810)
Interest expense                                (812)           (2,368)          1,556                (2,383)          (6,950)            4,567
Other (expense) income, net             $       (549)         $    264

$ (813) $ (1,551) $ (117) $ (1,434)




Three months ended September 30, 2021 compared to the three months ended
September 30, 2020.
Interest income. Interest income decreased $0.4 million for the three months
ended September 30, 2021 compared to the three months ended September 30, 2020.
This decrease was due to earning a lower rate of return on our investments.
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Interest expense. For the three months ended September 30, 2021 we had interest
expense of $0.8 million resulting from the amortization of debt issuance costs
and the contractual interest incurred on the Notes. This decrease of $1.6
million from September 30, 2020 was primarily due to the impact of the adoption
of ASU 2020-06 Accounting for Convertible Instruments and Contracts in an
Entity's Own Equity which eliminates the debt discount and its amortization. The
amortization of the debt discount was previously accounted for as part of
interest expense and represented $1.6 million of the total interest expense for
the three months ended September 30, 2020.
Other (expense) income, net. The change in other income in the three months
ended September 30, 2021 compared to the three months ended September 30, 2020
was primarily due to losses resulting from $0.5 million of fluctuations in
foreign currency and due to a change of $0.2 million in the fair value of the
Ease contingent consideration included in earnings.
Nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020.
Interest income. Interest income decreased $1.8 million for the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020.
This decrease was due to earning a lower rate of return on our investments.
Interest expense. For the nine months ended September 30, 2021 we had interest
expense of $2.4 million resulting from the amortization of debt issuance costs
and the contractual interest incurred on the issuance of the Notes. This
decrease of $4.6 million from the nine months ended September 30, 2020 which
primarily due to the impact of the adoption of ASU 2020-06 Accounting for
Convertible Instruments and Contracts in an Entity's Own Equity which eliminates
the debt discount and its amortization. The amortization of the debt discount
was previously accounted for as part of interest expense and represented
$4.8 million of the total interest expense for the nine months ended
September 30, 2020.
Other income (expense), net. The change in other expense in the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020
was primarily due to the $2.1 million inducement loss resulting from the
repurchase of the 2023 Notes partially offset by the change in the fair value
adjustment of the Ease contingent consideration included in earnings of
$1.1 million for the nine months ended September 30, 2021.
Liquidity and Capital Resources
As of September 30, 2021, we had cash and cash equivalents and short-term
investments of $304.6 million.
In March 2021, we issued $200.0 million aggregate principal amount of 0.50%
Convertible Senior Notes and we used part of the net proceeds from the issuance
of the 2026 Notes to retire approximately $102.9 million aggregate principal
amount of the 2023 Notes. In addition, in April 2021, the purchasers partially
exercised the overallotment option and we issued an additional $24.5 million
aggregate principal amount of the 2026 Notes. For additional information, see
Note 8 of Notes to the condensed consolidated financial statements.
Additionally, during the three months ended September 30, 2021, the conditions
allowing holders of our 2023 Notes to convert were met because our stock price
traded above the minimum price specified in the indenture governing the 2023
Notes. Our 2023 Notes are now convertible at the option of the holder until at
least December 31, 2021
We believe that our existing sources of liquidity will satisfy our working
capital and capital requirements for at least the next twelve months and the
foreseeable future.
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