SPECIAL NOTE REGARDING FORWARD LOOKING STATEMENTS This Annual Report on Form 10-K, or this Annual Report, including, without limitation, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Item 1A, “Risk Factors,” contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. In some cases you can identify these statements by forward-looking words such as “believe,” “may,” “will,” “might,” “estimate,” “continue,” “anticipate,” “intend,” “could,” “should,” “would,” “project,” “plan,” “outlook,” “target,” “expect,” or similar expressions, or the negative or plural of these words or expressions. These forward-looking statements include, but are not limited to, statements concerning the following: • the structural change in the market for healthcare in the United States, including uncertainty in the healthcare regulatory framework and regulatory developments in the United States and foreign countries; • any impact of the COVID-19 pandemic, or responses to the pandemic, on our operations or personnel, or on commercial activity or demand across our and our customers’ businesses; ◦ physician, payer and pharmaceutical business needs for clinical decision support, payer/provider collaboration and data analytics solutions and any perceived advantage of our solutions over those of our competitors, including the ability of our platforms to help physicians treat their patients; ◦ our ability to increase the commercial success and to accelerate commercial growth of our clinical decision support, payer/provider collaboration, network monitoring and management, and data analytics solutions and our other products and services; ◦ our plans or ability to develop, implement and commercialize a cloud/SaaS-based version of our network monitoring and management solutions; ◦ our ability to effectively implement, offer and manage delegated entity services to health plans in a compliant and timely manner in connection with our decision support solutions; ◦ our ability to effectively manage our growth, including the rate and degree of market acceptance of our solutions; ◦ our ability to offer new and innovative products and services, including new features and functionality for our existing products and services; ◦ our ability to attract new partners and customers and our ability to retain or renew contracts with partners and customers; ◦ our ability to estimate the size of our target market; ◦ our ability to maintain and enhance our reputation and brand recognition; ◦ consolidation in the healthcare industry; ◦ competition which could limit our ability to maintain or expand market share within our industry; ◦ restrictions and penalties as a result of privacy and data protection laws; ◦ our use of “open source” software; ◦ our ability to use, disclose, de-identify or license data and to integrate third-party technologies; ◦ data loss or corruption due to failures or errors in our systems and service disruptions at our data centers; ◦ breaches or failures of our security measures; ◦ our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our users; ◦ risks related to future acquisition opportunities; ◦ the requirements of being a public company; ◦ our ability to attract and retain key personnel; ◦ our ability to obtain and maintain intellectual property protection for our solutions and not infringe upon the intellectual property of others; ◦ our financial performance expectations, including our expectations regarding our revenue, cost of revenue, gross profit or gross margin, operating expenses, including changes in research and development, sales and marketing and general and administrative expenses, and our ability to achieve and maintain future profitability; and ◦ our expectations regarding our ability to comply with Nasdaq continued listing standards. We caution you that the foregoing list does not contain all of the forward-looking statements made in this Annual Report. - 3 -
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