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 $16.8 million from $88.0
million for the six months ended June 30, 2020 to $104.8 million for the six
months ended June 30, 2021. Our total deferred revenue and backlog was $218.4
million as of June 30, 2021 compared to $173.9 million as of December 31, 2020.
For the six months ended June 30, 2021, we recorded a net loss of $9.9 million
compared to a net loss of $13.9 million for the six months ended June 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 10.0%, 10.7% and 8.7% of our
revenue in the six months ended June 30, 2021, and the years ended December 31,
2020 and 2019, respectively. We believe certain international markets represent
attractive growth opportunities.
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 current quarter, 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 and are increasing in
many geographies of the world. Although there is 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:
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•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 six months ended June 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 and/or delays of
customer implementations, which could negatively impact our financial condition.
We have generated operating cash flows in the past and our $291.9 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
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".
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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 June 30,                                                                Six months ended June 30,
Consolidated statement of                  2021                                        2020                                         2021                                          2020
operations data:                                                                                          (unaudited)
(in thousands)                 Amount               % Revenue             Amount             % Revenue                  Amount                 % Revenue              Amount             % Revenue
Revenue
 Product                  $      28,344                   50.5  %       $ 23,951                   50.6  %       $     50,952                        48.6  %       $  41,801                   47.5  %
 Service                         27,836                   49.5            23,396                   49.4                53,896                        51.4             46,219                   52.5
   Total revenue                 56,180                  100.0            47,347                  100.0               104,848                       100.0             88,020                  100.0

Cost of revenue


 Product                          7,541                   13.5             7,710                   16.3                14,497                        13.9             14,074                   16.0
 Service                         12,383                   22.0             9,694                   20.5                23,210                        22.1             20,217                   23.0
   Total cost of revenue         19,924                   35.5            17,404                   36.8                37,707                        36.0             34,291                   39.0
Gross profit                     36,256                   64.5            29,943                   63.2                67,141                        64.0             53,729                   61.0

Operating expenses:


 Research and development        12,006                   21.4             9,349                   19.7                22,356                        21.2             18,381                   20.9
 Sales and marketing             18,425                   32.8            15,998                   33.8                36,095                        34.5             32,961                   37.4
 General and
administrative                    9,064                   16.1             6,923                   14.6                16,339                        15.6             13,314                   15.1
   Total operating
expenses                         39,495                   70.3            32,270                   68.1                74,790                        71.3             64,656                   73.4
Loss from operations             (3,239)                  (5.7)           (2,327)                  (4.9)               (7,649)                       (7.3)           (10,927)                 (12.4)
Interest income                     295                    0.5               913                    1.9                   641                         0.6              2,033                    2.3
Interest expense                   (794)                  (1.4)           (2,308)                  (4.9)               (1,571)                      

(1.4)            (4,582)                  (5.2)
Other income (expense),
net                               1,544                    2.7               210                    0.4                (1,002)                       (1.0)              (381)                  (0.4)
Loss before income taxes         (2,194)                  (3.9)           (3,512)                  (7.5)               (9,581)                       (9.1)           (13,857)                 (15.7)
Provision for income
taxes                               (88)                  (0.2)               44                    0.1                  (334)                       (0.4)               (81)                  (0.1)
Net loss                  $      (2,282)                  (4.1) %       $ (3,468)                  (7.4) %       $     (9,915)                       (9.5) %       $ (13,938)                 (15.8) %


Revenue:
                                           Three months ended June 30,                                          Six months ended June 30,
                               2021                2020                   Change                   2021              2020                   Change
(in thousands)                Amount              Amount            Amount        %               Amount            Amount            Amount         %
Product revenue
Device                    $   16,256            $ 17,100          $  (844)       (4.9) %       $  31,529          $ 31,003          $    526         1.7  %
Software                      12,088               6,851            5,237        76.4             19,423            10,798             8,625        79.9
Total product                 28,344              23,951            4,393        18.3             50,952            41,801             9,151        21.9

Service revenue
Subscription and support      22,641              18,994            3,647        19.2             43,600            37,063             6,537        

17.6


Professional services and
training                       5,195               4,402              793        18.0             10,296             9,156             1,140        12.5
Total service                 27,836              23,396            4,440        19.0             53,896            46,219             7,677        16.6
Total revenue             $   56,180            $ 47,347          $ 8,833        18.7  %       $ 104,848          $ 88,020          $ 16,828        19.1  %



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Three months ended June 30, 2021 compared to the three months ended June 30,
2020.
Total revenue increased $8.8 million, or 18.7%, for the three months ended
June 30, 2021 compared to the three months ended June 30, 2020.
Product revenue increased $4.4 million, or 18.3%, for the three months ended
June 30, 2021 compared to the three months ended June 30, 2020. Device revenue
decreased $0.8 million, or 4.9%, and software revenue increased $5.2 million, or
76.4% for the three months ended June 30, 2021 compared to the three months
ended June 30, 2020. The decrease in device revenue was driven primarily by
decreased unit volume sales of Badges and related accessories. The increase in
software revenue was mainly a result of an increase in the number of software
licenses delivered to our customers.
Service revenue increased $4.4 million, or 19.0%, for the three months ended
June 30, 2021 compared to the three months ended June 30, 2020. Subscription and
support revenue increased $3.6 million, or 19.2%, and professional services and
training revenue increased $0.8 million, or 18.0%, for the three months ended
June 30, 2021 compared to the three months ended June 30, 2020. The increase in
subscription and support revenue was primarily the result of having a larger
customer base purchasing software maintenance contracts. The increase in
professional services and training revenue was due to an increase in
implementation services for our solutions.
Six months ended June 30, 2021 compared to the six months ended June 30, 2020.
Total revenue increased $16.8 million, or 19.1%, for the six months ended
June 30, 2021 compared to the six months ended June 30, 2020.
Product revenue increased $9.2 million, or 21.9%, for the six months ended
June 30, 2021 compared to the six months ended June 30, 2020. Device revenue
increased $0.5 million, or 1.7%, and software revenue increased $8.6 million, or
79.9% for the six months ended June 30, 2021 compared to the six months ended
June 30, 2020. The increase in device revenue was driven primarily by an
increased percentage of sales of the Smartbadge out of total devices sold. The
increase in software revenue was mainly a result of an increase in the number of
software licenses delivered to our customers.
Service revenue increased $7.7 million, or 16.6%, for the six months ended
June 30, 2021 compared to the six months ended June 30, 2020. Subscription and
support revenue increased $6.5 million, or 17.6%, and professional services and
training revenue increased $1.1 million, or 12.5%, for the six months ended
June 30, 2021 compared to the six months ended June 30, 2020. The increase in
subscription and support revenue was primarily the result of having a larger
customer base purchasing software maintenance contracts. The increase in
professional services and training revenue was due to an increase in
implementation services for our solutions.
Cost of revenue:
                                               Three months ended June 30,                                       Six months ended June 30,
                                   2021              2020                   Change                  2021              2020                   Change
(in thousands)                    Amount            Amount            Amount        %              Amount            Amount            Amount        %
Cost of revenue
Product                         $  7,541          $  7,710          $  (169)       (2.2) %       $ 14,497          $ 14,074          $   423         3.0  %
Service                           12,383             9,694            2,689        27.7            23,210            20,217            2,993        14.8
Total cost of revenue           $ 19,924          $ 17,404          $ 2,520        14.5  %       $ 37,707          $ 34,291          $ 3,416        10.0  %

Gross margin
Product                             73.4  %           67.8  %           5.6  %                       71.5  %           66.3  %           5.2  %
Service                             55.5  %           58.6  %          (3.1) %                       56.9  %           56.3  %           0.6  %
Total gross margin                  64.5  %           63.2  %           1.3  %                       64.0  %           61.0  %           3.0  %


Three months ended June 30, 2021 compared to the three months ended June 30,
2020.
Cost of product revenue decreased $0.2 million, or 2.2%, for the three months
ended June 30, 2021 compared to the three months ended June 30, 2020. This was
primarily driven by a decrease in the unit volume of Badges and related
accessories sold and a decrease in inventory costs. For the same comparative
periods, product gross margin increased primarily as a result of a higher
proportion of software revenue versus device revenue.
Cost of service revenue increased $2.7 million, or 27.7%, for the three months
ended June 30, 2021 compared to the three months ended June 30, 2020. Cost of
service revenue increased due to higher compensation and benefits as a result of
increased headcount related to core business as well as the acquisitions of
PatientSafe and Ease. For the same comparative periods,
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service gross margin as a percentage of service revenue decreased primarily as a
result of an increase in costs related to the acquisitions of PatientSafe and
Ease.
Six months ended June 30, 2021 compared to the six months ended June 30, 2020.
Cost of product revenue increased $0.4 million, or 3.0%, for the six months
ended June 30, 2021 compared to the six months ended June 30, 2020. This was
primarily driven by an increase in amortization related to the acquisitions of
Ease and PatientSafe. For the same comparative periods, product gross margin
increased primarily as a result of higher software revenue.
Cost of service revenue increased $3.0 million, or 14.8%, for the six months
ended June 30, 2021 compared to the six months ended June 30, 2020. For the same
comparative periods, service gross margin as a percentage of service revenue
increased primarily as a result of an increase in subscription and support
revenue. In addition, cost of service revenue increased due to increased
compensation and benefits as a result of increased headcount and costs related
to core business and the acquisitions of PatientSafe and Ease.
Operating expenses:
                                                    Three months ended June 30,                                          Six months ended June 30,
                                        2021                2020                   Change                  2021              2020                   Change
(in thousands)                         Amount              Amount            Amount        %              Amount            Amount            Amount         %
Operating expenses
Research and development           $   12,006            $  9,349          $ 2,657        28.4  %       $ 22,356          $ 18,381          $  3,975        21.6  %
Sales and marketing                    18,425              15,998            2,427        15.2            36,095            32,961             3,134         9.5
General and administrative              9,064               6,923            2,141        30.9            16,339            13,314             3,025        22.7
Total operating expenses           $   39,495            $ 32,270          $ 7,225        22.4  %       $ 74,790          $ 64,656          $ 10,134        15.7  %


Three months ended June 30, 2021 compared to the three months ended June 30,
2020.
Research and development expense. Research and development expense increased
$2.7 million, or 28.4%, for the three months ended June 30, 2021 compared to the
three months ended June 30, 2020. This was primarily due to an increase of $1.9
million in compensation, benefits and hiring costs associated with increased
headcount and an increase of $0.7 million in outside services and development.
Sales and marketing expense. Sales and marketing expense increased $2.4 million,
or 15.2%, for the three months ended June 30, 2021 compared to the three months
ended June 30, 2020. This was primarily due to an increase of $1.8 million in
compensation, benefits and hiring costs associated with increased headcount,
$0.3 million increase in amortization related to the acquisition of Ease and
PatientSafe and an increase of $0.3 million in marketing development costs.
General and administrative expense. General and administrative expense increased
$2.1 million, or 30.9%, for the three months ended June 30, 2021 compared to the
three months ended June 30, 2020. This was primarily due to an increase in
compensation, benefits and hiring costs of $1.2 million due to increased
headcount, severance and retention costs related to the acquisition of
PatientSafe and an increase of $0.8 million in outside services.
Six months ended June 30, 2021 compared to the six months ended June 30, 2020.
Research and development expense. Research and development expense increased
$4.0 million or 21.6%, for the six months ended June 30, 2021 compared to the
six months ended June 30, 2020. This was primarily due to an increase of $2.8
million in compensation, benefits and hiring costs associated with increased
headcount, an increase of $0.9 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 $3.1 million
or 9.5% for the six months ended June 30, 2021 compared to the six months ended
June 30, 2020. This was primarily due to an increase in compensation, benefits
and hiring costs of $3.0 million resulting from higher headcount, an increase of
$0.5 million in amortization related to the acquisition of Ease and PatientSafe,
and an increase of $0.3 million in outside services. This increase was partially
offset by a decrease in travel expense of $0.7 million.
General and administrative expense. General and administrative expense increased
$3.0 million or 22.7% for the six months ended June 30, 2021 compared to the six
months ended June 30, 2020. This was primarily due to an increase in
compensation, benefits and hiring costs of $1.8 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.
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Interest income and Other income (expense), net:
                                                 Three months ended June 30,                             Six months ended June 30,
(in thousands)                              2021              2020              Change            2021                2020               Change
Interest income                         $     295          $    913          $ (618)         $    641              $ 2,033          $ (1,392)
Interest expense                             (794)           (2,308)          1,514            (1,571)              (4,582)            3,011
Other income (expense), net                 1,544               210           1,334            (1,002)                (381)             (621)


Three months ended June 30, 2021 compared to the three months ended June 30,
2020.
Interest income. Interest income decreased $0.6 million for the three months
ended June 30, 2021 compared to the three months ended June 30, 2020. This
decrease was due to earning a lower rate of return on our investments.
Interest expense. For the three months ended June 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 issuance of the Notes. This
decrease of $1.5 million from June 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 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 June 30, 2020.
Other income (expense), net. The change in other income in the three months
ended June 30, 2021 compared to the three months ended June 30, 2020 was
primarily due to the change in the fair value adjustment of the Ease contingent
consideration included in earnings.
Six months ended June 30, 2021 compared to the six months ended June 30, 2020.
Interest income. Interest income decreased $1.4 million for the six months ended
June 30, 2021 compared to the six months ended June 30, 2020. This decrease was
due to earning a lower rate of return on our investments.
Interest expense. For the six months ended June 30, 2021 we had interest expense
of $1.6 million resulting from the amortization of debt issuance costs and the
contractual interest incurred on the issuance of the Notes. This decreased $3.0
million from the six months ended June 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
amortization. The amortization of the debt discount was previously accounted for
as part of interest expense and represented $3.2 million of the total interest
expense for the six months ended June 30, 2020.
Other income (expense), net. The change in other expense in the six months ended
June 30, 2021 compared to the six months ended June 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 $0.8 million for the six months
ended June 30, 2021 .
Liquidity and Capital Resources
As of June 30, 2021, we had cash and cash equivalents and short-term investments
of $291.9 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 Consolidated Financial Statements.
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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