OPRX - NASDAQ

Good afternoon everyone and thank you for joining OptimizeRx’s Fourth Quarter Fiscal 2022 Earnings Discussion. With us today is the Chief Executive Officer of OptimizeRx, Will Febbo. He is joined by company Chief Financial and Operating Officer, Ed Stelmakh; Chief Commercial Officer, Steve Silvestro; General Counsel and Chief Compliance Officer, Marion Odence-Ford; and Senior Vice President of Corporate Finance, Andrew D’Silva. At the conclusion of today’s earnings call, I will provide some important cautions regarding the forward-looking statements made by management during today’s call. I would like to remind everyone that today’s call is being recorded and will be made available for replay via webcast-only. Instructions are included in today’s press release and in the Investors section of the company’s website. In addition, management will discuss certain non-GAAP financial measures today that they believe aid in the understanding of the company's financial results. A reconciliation to comparable GAAP financial measures can be found in today's press release. Now, with that, I’d like to turn the call over to OptimizeRx CEO, William Febbo. Sir, please go ahead.

Thank you, operator. Good afternoon everyone and thank you for joining us today for our fiscal 2022 earnings call. 2022 has been a year of great challenges and new opportunities for much of our industry and OptimizeRx. During the year, we saw an enormous amount of market volatility, temporary headwinds, and a consolidation within our sector. While headwinds impacted our topline results, we also saw the resilience of our business and its ability to continue to maintain strong financial footing as the pharmaceutical industry continued to accelerate its digital evolution. This created unprecedented interest in our company from clients, partners, and multiple strategic parties, aligning with the opportunity and OptimizeRx's platform. I believe this is directly correlated to the tectonic shift in the adoption towards the use of digital health technologies by clients, doctors, and patients. 2022's revenue of $62.5 million fell within our revenue guidance range. Our gross margin of 62.4% surpassed the high end of our guidance, and we were able to generate nearly $11 million in operating cash flow during the year. Ed will go into more of the financial details shortly, but I maintain we are well-positioned for growth given the health of the business, the team, and the limited number of players who can scale, measure and report in our industry. More importantly, despite the macro headwinds that we've outlined in previous calls, we were still able to win six deals that utilize our AI-driven Real-World data or RWD-AI offering. We expect to have additional RWD-AI wins this year and continue to believe revenue from this solution will increase at least 100% year-over-year and approach 20% of our total revenue in 2023. As a result, we are favorably positioned to see revenue growth and are looking for our topline in 2023 to increase at least 10%, which should also drive improvements to our KPIs by year's end. While we are optimistic that the macro headwinds will begin to subside this year, then there have been positive trends since the mid-2022 trough, we are taking a more conservative approach to guidance this year given the macroeconomic backdrop despite having a higher revenue backlog at the start of the year as compared to previous years. Operationally, our technology investments, partnerships, and small tuck-in acquisitions have created a robust single-stop omnichannel offering that's driving a superior ROI for the brands that we serve. We've also made tremendous progress in building on our industry reputation and expanding awareness of our solutions. Part of what makes our business model special is the fact that we continue to manage the largest in workflow point of care network in the US and are able to deliver digital solutions via this connectivity to prescribers. To complement this, we have been expanding service offerings outside of the EHR, which we believe will result in us capturing a greater portion of the available industry white space over the next three to five years. With total industry digital spend at more than $10 billion and growing, the white space in which we sell into remains fast, even for the brands with which we are currently working. From a competitive intelligence perspective, we are well aware of new entrants. And what we have witnessed has been brand managers being willing to test out the functionality of new vendors. While this did create a longer sales cycle in 2022, the end result is that after a short trial period, new entrants are being quickly weeded out from the ecosystem in which we compete. Initial solution evaluations of new entrants have been less than stellar due to offerings lacking meaningful connectivity and interoperability, which is really the foundation of our platform and enables us to address fundamental prescription issues facing HCPs and patients. As market demands continue to grow in complexity, along with continuous adoption of point-of-care solutions, coupled with actionable insights, our investment priorities shifted to provide our clients with enhanced reporting capabilities as supported by a recently established exclusive partnership with MMSI, an industry-leading data-enabled agency. Meanwhile, pharma is moving a greater portion of their commercial spend toward omnichannel digital solutions. While looking for these solutions to deliver more impactful results by not only identifying patients known to HCPs, but also pinpointing new patients for the therapies. We believe smarter solutions, such as our RWD-AI offering, will capture the lion's share of the pharma spend, particularly with legacy commercial dollars that are reallocated to digital. We believe early proof of this trend is clearly highlighted by our ability to win six RWD-AI deals during the time when pharma was tightening its first strings to preserve their year-end bottom-line. RWD-AI has the added benefit of moving us from being a tactical player with pharma to a bigger strategic partner where we can benefit from a top-down push by decision-makers, while obtaining stickier revenue streams with stronger margins and a greater overall growth potential. That is why I've never been more excited about our strategic positioning than I am today. I expect the combined impact of what I've outlined today to pay significant dividends over the next three to five years and result in our revenue increasing to multiples of where it currently sits. For now, we are following through with our land-and-expand strategy. We continue to benefit from our delivery of superior return on investment, which continues to stand at well over a ratio of 10:1. This is significant considering pharma has traditionally sought ROIs of the two to three times spend. With that, I'd like to turn the call over to our CFO and COO, Ed Stelmakh, who will walk us through the financial details for Q4. Ed?

Thanks Will and good afternoon everyone. As with all our calls, the press release was issued with the results of our fourth quarter ended December 31st, 2022. A copy is available for viewing and may be downloaded from the Investor Relations section of our website, and additional information can be obtained to our forthcoming 10-K, which will be filed in the coming days. Turning to our financial results for the fourth quarter ended December 31st, 2022. Our reported revenue for the period was $19.7 million, a decrease of 3% from the $20.3 million we recognized during the same period in 2021 as pharma tightened its first strength around end of year biopsy. Gross margin for the quarter increased from 61% in the year ago period to 63% in the current reporting period. The gross margin increase is the result of a favorable solution and channel partner mix. We continue to expect solid gross margins in 2023 and our guidance calls for our full year 2023 gross margin coming between 58% and 62%. Operating expenses increased to approximately $13.3 million in the fourth quarter of fiscal year 2022 as compared to approximately $11.8 million in the same year ago period. This increase in expense is primarily due to the investment in the OptimizeRx team to enable future growth, which also includes our April acquisition of EvinceMed. Providing more color around our year-over-year increase of OpEx, $1.4 million of the $1.5 million year-over-year increase was tied to stock-based compensation and non-cash expense, with the remaining amount being primarily related to the EvinceMed acquisition. We had a net loss of $325,000 in the fourth quarter of fiscal 2022 as compared to a net income of approximately $623,000 during the same period in 2021. For further details on our fiscal 2022 results, you can refer to the MD&A section of our upcoming 10-K. On a non-GAAP basis, net income for the fourth quarter of 2022 was approximately $4.4 million or $0.25 per fully diluted share as compared to a non-GAAP net income of approximately $4 million or $0.22 on a fully diluted basis in the same year ago period. We also generated $10.7 million in cash flow from operations during 2022 and $2.8 million during the fourth quarter. Our balance sheet remains strong with cash, cash equivalents, and short-term investments totaling $74.1 million as of December 31st, 2022, as compared to $78.8 million as of September 30th, 2022. The sequential decline in our cash, cash equivalents, and short-term investments was tied to our buyback. As a reminder, we announced a $20 million share repurchase program during the second quarter and during the fourth quarter, we bought back 508,000 shares for $7.5 million at an average price of $14.68. In total, we repurchased 1.2 million shares at an average price of $16.49 per share. This amounts to a nearly 7% reduction in our total outstanding shares from 18.3 million to 17.1 million, a net positive for our shareholders. In terms of our revenue outlook for the full year of 2023, the company expects revenue to increase at least 10% year-over-year and we expect first quarter revenue to come in between $11.5 million, $13 million. Now, let's turn to our KPIs for 2022. Our average revenue for top 20 pharmaceutical manufacturer declined year-over-year by nearly 14% to $2.1 million as a result of extended deal closing timelines as well as the higher turnover rates and pharma decision-maker ranks in the post-pandemic world. Our adoption within the most meaningful pool of global commercial pharma remains strong with 18 of the top 20 pharma companies continuing to be our clients. Net revenue retention rate also declined 90% due to the macroeconomic factors already mentioned and the resulting impact on several client programs. Our operating model has remained resilient in the face of 2022 challenges with the revenue per FTE coming in at $606,000. Our KPIs continue to capture and communicate the results of OPRX's land-and-expand strategy in a consistently transparent manner. We intend to continue to report our progress to our stakeholders in a similar fashion in 2023. And now with that, I would like to turn the call back over to Will. Will?

Thanks Ed. Operator, now let's move to Q&A.

Thank you. Ladies and gentlemen, we will now begin the question-and-answer session. [Operator Instructions] Your first question comes from Ryan Daniels with William Blair. Please go ahead.

Thanks for taking the questions. Maybe Ed I'll start with a question for you on the revenue outlook. It looks like based on the Q1 guidance and the full year, you expect a drop in revenue of about 11% year-over-year in Q1, but still looking for 10% year-over-year growth. So, can you speak a little bit to the cadence of revenue throughout the year and the ramp? And then the level of conviction you have in given -- getting that 10% plus growth kind of given the slower start to the year and maybe some commentary on backlog getting you there, kind of, what's signed to be implemented or any visibility to help us kind of triangulate in there? Thanks.

Yes, thanks Ryan. Great question. So, as far as the cadence of concerns, as you know, the vast majority of our revenue comes in, in the second half of the year. So, yes, Q1 is definitely a little bit weaker than we had hoped for. But we're coming out of the RFP season with a backlog that's stronger than we had in the past, as Will had mentioned. So, our plan and our desire right now is to really continue to build on their backlog. We do have a line of sight to opportunities that we feel will get us to at least 10% growth rate this year, but it will definitely see more towards the back end of the year.

How much of that 10% growth is kind of already contracted or in the backlog versus something you have to go out and win such that there could be volatility on the market on a macro basis worsens. I'm just trying to get a view for how much is really contracted.

Yes. So, we don't disclose specific numbers. Typically, where we sit every year and looking forward in Q1 every year is between, I would call it, between 40% and 60% range of line of sight for the rest of the year. So, somewhere within that range is our line of sight for 10% growth rate going into this year.

Okay. Thank you. And then on the KPIs, I know as one of the partners dropped out, is that an actual lost partnership or is it just the timing where there's still a partner, but they weren't actively engaged during the period, but could be on a go forward basis?

Yes, we had one client not really drop out, but it's a part of normal churn within the smaller portfolios of certain clients. So, we had one client that was generating a small amount of revenue that's just part of the normal cycle. Sometimes clients will come in, sometimes they will come out, but there's no real drop in of our services and solutions within any declines.

Okay. That's what I thought. And maybe a macro question for Will. Just what do you see in the market in regards to pharma's view on engaging providers at the point-of-care, you know, with digital solutions. You mentioned the 10:1 ROI. I know pharma's shrinking their own sales force, but what's the view broadly on care marketing?

Hey Ryan. Thanks for the questions. Whenever you start to see people use the term legal review MLR in pharma services or marketing. That means that whatever you are selling is being taken very seriously. It just means the infrastructure within pharma. And I think you've heard it from other companies as well that that can sometimes delay sales cycle or launch. But I would say that is a very positive sign. That's one. Two, there's just been so much awareness built over the last 18 months, a lot of piloting, a lot of trying and pharma is very good at getting to the companies that can scale and leading in heavy there. So, just based on the conversations we have, based on the relationships we have, the trust we've built, well, yes, we said it got cluttered for the last 18 months post-COVID. That clutter is going to start to fade away because if you can't report, scale, and do it with the type of team that delivers it in a way that is at par excellent for pharma, you just won't -- you won't be at the table. So, I would say, net-net, those conversations are all going really well, and anything we've done at that table to-date has performed and they're back with us for more. So, net-net, good macro still have the headwinds internally, their turnover is slowing, FDA is still getting back on their feet, and obviously, the macro world we're still dealing with interest rate hikes.

Yes. And then final question. You mentioned the competitive front increasing and elongating the vision cycle. I'm curious if there was any specific product you offer a solution that was impacted? And then as a follow-up, if we think of your 10:1 ROI, have you heard anything anecdotally about the competitive environment and what they've been able to produce, it sounds like perhaps they haven't been able to validate that level of savings so that that could flip back to you in the future? I don't know if that's a fair statement, but love to hear on those two. Thanks.

Yes sure. Thanks Ryan. On the competitive front, most of the competition, other the ones that we've talked about have come in by connecting to various different pieces, but really don't have the reach of the full network like we do. They're not directly integrated, it's always a Tier 2 relationship. And that's going to do two things. That's going to -- to your second question, that's going to really limit them on measurement just because when you're going through someone who's going through someone, you're going to lose some of that data and -- or you may not get it at all. So, I think that's what we've seen. That's been the noise. And you have to remember that pharma relies pretty heavily on agencies and agencies are looking for new solutions all the time. So, in the last 18 months, a lot has hit the market and they want to try it. So, net-net, while it was crowded last year, still working itself through, we see a pretty clear path to being a unique data set, especially since we've layered on RWD-AI, which none of the others can do and that response from the client has just been tremendous. So, I think that will help us on our ROI. And those that do have scale, some of the ones that -- other ones, the companies that you cover, they generally have a pretty strong ROI and they can actually measure it. But given how we are integrated, it's very straightforward for us to do.

Okay. Perfect. Thank you for the comments.

Thanks Ryan.

Your next question comes from Sean Dodge with RBC Capital Markets. Please go ahead.

Yes. Thanks. Good afternoon. Just going back to the guidance, maybe if you could just give us some help reconciling the statements from the Q3 call. Will you said then just executing on the RWE opportunity to position you to grow over 20% in 2023. It appears based on what you've announced, you're executing on it but guiding to less than 20%. So, is the difference -- is this just the conservatism you mentioned? Is it kind of the ongoing challenging macro situation or is there cannibalization or attrition that's happening also that's offsetting some of the kind of the positivity on the RWE front?

Yes. No, it's mostly conservatism. We report late enough that we can listen to enough other executives and across the board, people are being conservative. And I think that's why it's in the macro economy we have. And also, as we said, the headwinds aren't completely gone, right? So, you put the two together and I think it's a lot better to be conservative and work real hard to exceed, and that's our goal.

Okay. And then the comments you made about the RWE pipeline, you said now contains several dozen deals. Can you give us a sense of maybe what that pipeline looked like this time last year? And then those several dozen opportunities, are these largely existing clients looking to upgrade to RWE or are these, I guess, net new prospects?

Yes, I'll start, and then I'll let Steve answer as well. But just remember, we didn't have a pipeline this time last year. So, we had done two projects in 2020. We were measuring in 2021 largely and had those players come back and then generated another four. And this pipeline we talk about is all either existing clients getting into the ROI or new clients doing RWD-AI. But Steve, do you want to give a little bit more color to that?

Yes, happy to. Hey Sean. I think one of the things that's driving this for us is, we've got a really solid team of clinicians, people who've got clinical experience and have practice, two of which are MDs that are driving the patient architecture. So, that's a really unique differentiator. And so these are people that are involved with existing clients. So, most of this work is being done in the top 20 and so they're taking work that we're doing and then adding on to it. So, it is enhancing the land-and-expand strategy that we implemented early on and driving it. So, same sort of logos on the clients, maybe some different brands, but much larger opportunities and no cannibalization, right? This is completely additive to the portfolio solutions that are already implemented.

Okay, that’s great. And then just last one, maybe for Ed. The RWE deals you've signed and I presume we're in the process of implementing now, was there any revenue associated with those, maybe like architecture fees that were captured in Q4 or is all of this kind of net new or incremental beginning in Q1 of 2023?

Yes. So, there was some revenue from architecture and design that fell into Q4 but again, there were six projects that are signed. So, it wasn't all captured before, so there's more that will get converted within this year.

Okay, great. Thanks again.

Thanks Sean.

Your next question comes from Stephanie Davis with SVB. Please go ahead.

Hey guys. Thank you for taking my question. Will, last quarter, you pointed a 20% revenue growth fueled by that RWD-AI wins alone. So, obviously, we're a little surprised by the 2023 outlook. So, talk to me about the drivers of this implied kind of decline in the quarter, is that client attrition? Is that pricing and market wallet shrinkage, or is that something else? And you called out a conservative approach to the guidance. Can we kind of just walk through what you faked in assumptions-wise?

Sure Stephanie. Hey good to hear your voice. Yes. In Q3--

I am back. Right. Should I leave--

No. No way. You'll bring it the great year together. No, we -- look, in Q3, we said we could get up to 20% growth if everything went our way. We've seen continued headwinds, which we've talked about. And frankly, we're not the only ones talking about it. So, it's not like it's a new thing. And so that's going to make us more conservative, right? We're not losing clients. We're closing new deals on better solutions, which basically pull in the other solutions, which make for a more strategic relationship with the client. The clients digest it. It's taken longer for them to make decisions, but their decisions are going to be bigger. And we're one of a few at the table. And I like to think of us as the younger brother that's more agile and a little smarter or maybe a little faster. And I think it's true actually, from what I'm being when I'm with the clients -- peers. The pain points still exist for our clients. They have a hard time reaching HCPs. They have a hard time enabling patient support programs, and we have a network that can do that. So, no drama here, being conservative, want to be able to build up the year in a good way. And we have a lot of confidence that we can do that.

All right. Understood. Let me put this a different way. You did a massive buyback ahead of this guidance. Should we read that as a more hopeful view on the macro than what's implied in the guidance or is there's something else we should consider in that move?

Yes, I think we did not only a buyback with the company's money, but also the senior team did a buyback, too. So, we obviously get even the business. Look I should highlight everyone has choice in this market with unemployment where it is and the amount of new solutions that need good leaders, and we've had no turnover in our company. So, not that doesn't mean that everyone is hitting on everyone which they share with us. But I think that's a telltale Stephanie, that we've got a lot of conviction and we're being smart in a market that requires you to be a lot smarter and a lot more careful with what you tell that we're all going to do. So, we're going to focus on our growth drivers through the year. We're going to keep everyone updated on that. I think that's the thing to watch as an investor. You're going to see the growth in other solutions because we're getting some good traction there around helping different types of client sets and we don't -- we're in no financial trouble at all, generating cash at this size business. I mean, if you look back at any of my peers, none of them are doing that. So, we feel like we're in a great spot. Lots of conviction.

All good. Thanks. Appreciate it.

Yes, talk to you soon.

Your next question comes from David Grossman with Stifel. Please go ahead.

Good afternoon and thank you very much. So, I think this has been coming out a few other questions. So, sorry just to revisit this. But I was hoping maybe just to get a better sense of just the architecture of 2023, and it's just not financially, but I'm thinking fundamentally as well. It looks like with your retention rate being down this year. I guess the first question is fundamentally just helping us better understand what the underlying dynamic was? And sorry if you covered this in one of the other questions, but I didn't quite get it, in terms of why there was such a big drop in retention, what were the underlying drivers? And then as you kind of roll that forward, if you apply that to your base, it looks like you got to add about $15 million or so to hit your revenue guide for at least 10%. And how do you want us to think about how much of that would fall in kind of to the ordinary cadence of the business in terms of new bookings and fees that you're going to get from architecture fees from the RWD-AI deals that you've already signed, et cetera.

Okay. A couple of questions in there. Ed, do you want to tackle the retention one first.

Yes.

The KPI.

Yes, great question David. So, the KPIs, as you know, are trailing 12-month months to look back. So, obviously, with the less than stellar year in 2022, we're now capturing the full year impact of that versus 2021, which had a very strong year. So, year-on-year comparison basically is skewed by that dynamic. As the year -- as 2023 gets better, obviously, you should see an impact on those metrics and you see the recovery in that metric.

And Ed just before I go on to the next one, how much of the retention was kind of driven by things that happened earlier in the year versus the back half of the year? I don't know if you think about it in those terms at all, but just wondering if -- because I think you had some losses right towards the beginning of the year, and just wondering if that number changed much in your mind as you were thinking about next year as the year went on as 2021.

Yes, I don't know if we really kind of get to that level of detail in terms of underlying good quarters. I mean there were several dynamics that occurred last year that we already disclosed. It was probably just a confluence of all those factors that played a role in driving revenues down within that top 20 pool of clients. We did grow, as you can see, outside of the pool to some degree. But since that metric hits the top 20, you'll see the bulk of that decline driven within that portfolio of clients.

Got you.

Yes, David. Yes, to your second part of the question, how much of the additional revenue for growth this year is sort of ordinary. It's -- clearly, RWD-AI is going to be a piece of that growth, but we also had projects last year that were pushed into this year. So, that is part of that as well and that's already rolling. And then we've also, just given the differentiation of RWD-AI and we did some pretty aggressive marketing among the agencies that advise pharma as well as direct-to-pharma. We're just seeing, as we said, a big pipeline there building. We don't talk about the number, but it's -- we didn't have one last year. So, that gives us more confidence in the year of closing on this kind of offering because we now have measurement to put against it. It's not just a shiny object. It's actually part of the toolshed now. So, those things combined should give us that additional revenue needed for the at least 10% growth.

Got it. And just one last one. I can't remember if you just -- if you provide this information, but just a qualitative look at whether we've got year-over-year patents, drugs coming off patent that may impact your business at all, either favorably or unfavorably?

Yes, this year, we do not have one we're dealing with that is material to our revenue. Steve, do you have any other comment on that, but it's not something we -- it's not a headwind this year.

Yes, nothing this year to impact us negatively on current programs at all, a couple next year, but they're sort of latter part of next year and not larger programs. And we're expecting several launches that will be more significant than the patent expiry. So, great question, something we're always looking at.

Great. All right, guys. Thanks very much, good luck.

Thank you.

Your next question comes from Neil Chatterji with B. Riley. Please go ahead.

Hi guys, good afternoon and thanks for taking our questions. I guess you already fielded a lot of questions on the guidance, but maybe just there's one more here. Just as we think about the -- just the cadence of potential kind of incremental RWE deals, I guess, the first half or into the second half? Any color you can provide on your expectations for that and how that's contemplated in the guidance and if that could present some topline growth acceleration or maybe upside in the back half?

Yes, I'll start and then I'll pass it to Steve. But the good news on the growth is it's not overdependent on that either, right? We're not going all in on something that's new and obviously showing traction. So, there's some potential upside there from my view. But Steve, do you want to talk to the sort of the cadence of it through the year.

Yes, happy to. As you've heard from Will and Ed, the pipeline is pretty robust for this particular portion of our portfolio. And so the sooner we close these deals, the quicker we can recognize the architecture. So, the component is architecture first and the messaging driven by the model. So, the sooner they launch, the more revenue that we can recognize. In terms of clocking of the deals, I think the first half will look pretty good in terms of closing out some additional RWE deals. And you've heard from that, we already have six live. So, those will continue to generate revenue throughout the remainder of the year. And of course, because they're being driven by the models, the messaging will be more frequent higher volume, but more targeted. So, hopefully, that gives you a little bit more insight of two components.

Got it. That’s helpful. And maybe if -- I was just curious if you could just give us an update on kind of just the overall platform's capacity at this time?

Yes, no problem. We -- obviously, we've talked a lot about channel. We spent the last five, six years building it out to really focus on the physician HCP that pharma finds it hardest to reach that connects and overlaps with specialty medications, which are complicated and expensive for patients. And we've done a tremendous job reaching that. Now, we have far more capacity than utilization right now that is underutilized still. It's probably less than 30% is actually used in terms of our access. So, the good news on this is it's a commercial execution year. We don't have to bet any one big play on any one partner. That doesn't mean we're not going to add more partners, but incrementally, they won't be as dramatic as years past. And so we're also expanding our focus on the other channels. So, omnichannel, right? Let's not just deliver information to physicians when they're a point-of-care, but let's think of social, let's think of all the other places where physicians are, and we can actually see them and track and measure. So, net-net, it's just under 30% capacity and our utilization rather and lots of new channels in terms of the omnichannel approach coming to market this year.

Great. And then maybe just one last one here for me. Maybe if you can just kind of give us a sense of how you're thinking or how you expect marketing and digital spend to kind of trend here in the year with the COVID headwinds kind of in our rearview mostly?

Yes, Steve, do you want to talk to that one?

Yes, happy to. Thanks. Good question Neil. So, look, I think that everybody across the board manufacturing university is leaning into more digital spend. I think we've seen a ratcheting bath of field force investment. Most of those announcements have started to hit or will hit. I'm sure you guys have been tracking them. As Will said, the environment of digital spend is a little bit more cluttered this year, meaning 2022, coming into 2023 than it has been in years past. I think that's largely because everyone saw it is such an attractive space. We had a lot of sort of small new entrants jumping in trying to get on board. The good news for OptimizeRx and other sort of established players is that those reporting requirements are now hitting. And so the programs that are not delivering are getting turned off in these smaller competitors. And so that's, I think, good news for the stable companies like OptimizeRx and others. And then I think in terms of leaning in to this general point-of-care, I think it's expanding a lot more in terms of what point-of-care the definition is. We see now more companies leaning into following the doctor, which is not just in the EHR, but as Will as said, and you heard Ed say as well, giving the doctor the information that they need, where they are, wherever they are. And so that omnichannel play is something that every manufacturer is focused on. You'll probably hear the phrase next best action used pretty frequently. And that really is a module that's looking at where manufacturers should communicate with the physician as a next action and it's data-driven. We're in a really good place in terms of that because right now, we're the only business that's got the ability to use an RWD-AI model at point-of-care that's integrated to drive that and expect action in a real way. So, it's a good position to be in, but excellent question. Thank you for it.

Thanks. That’s it for me.

Your next question comes from Eric Martinuzzi with Lake Street. Please go ahead.

Yes, I wanted to focus on the Q1 outlook here with the midpoint down about 11% for the quarter. That would be your third quarter in a row contracting. But I just wanted to focus on kind of January, February versus January, February a year ago. Anything -- because I think -- well, just the -- how we finished out the year, obviously, the Q4 is -- you guys came in pretty much what you thought you would do on the topline, but entering the year, anything different about those buyer behaviors in January and February, maybe versus a year ago?

Steve, do you want to start?

Yes, no problem. Hey Eric, good to hear your voice. We did see a little bit of slowing out of the gate in terms of RFP issuance. I think manufacturers were sort of aligning on where they wanted to submit RFPs. Having said that, we saw a plethora of RFPs come in more than we've seen in years past. So, the initial buying signs, as you've heard on this call, are very positive, leading us to kind of an optimistic full year view. But the clocking of that is a little bit pushed out. You heard us talk about the backlog, which I think we've probably shared that's a degree of optimism that we universally feel given where we're at. And so we're not looking at it just in terms of Q1 projected performance, but full year and using that as our sort of our guiding with [Indiscernible] here on the year.

Okay. But like the January, February, is there any kind of an uptick as of the end of February or beginning of March that baked into this minus 11% in the quarter.

We generally--

Go ahead.

No, go ahead, Steve. It's okay.

Yes, I mean we're not going to give sort of guidance on the quarter outside of what we've already done, Eric. But I think we can say we've got two components that we're looking at, right, recognized revenue as a form of what we report and the backlog in terms of forward-looking success. And so I think what we can say we said on that, Will, I don't know if you want to add anything else?

Yes. No, that's right. And I think it doesn't surprise me that pharma is not rushing the year just given everything going on. But I will say that the lean -- we're seeing, we're seeing it through RPs, we're seeing it through what we have in backlog, we're seeing it through conversations, and seriousness of some of our partners at the agency level looking at much bigger engagement. So, yes, the telltales are there for a good year. Again, just trying to really be conservative on this one, Eric.

Okay. And then, Ed, you talked about -- I think the Q4 GAAP operating expense was $13.3 million, what should we think about for operating expense for Q1?

Yes. So, -- Yes. I got it. Thanks Eric. So, obviously, we don't guide on our operating expenses. But what I can tell you is there will be probably an uptake, just given the fact that we are setting bonuses for the year. There will be a full year impact of a few FTEs that we hired in 2022. And I think those two factors probably will give us a bit of an uptick. But generally speaking, the run rate to be pretty contained. We're not expecting any major investments certainly in the earlier part of the year.

Got it. Thanks for taking my questions.

Thanks Eric.

[Operator Instructions] There are no further questions at this time. Please proceed.

Thank you, operator. So, we're in an industry that is truly entering a generational paradigm shift in the way technology enables and drives better patient care and outcomes. I say this as a backdrop, given the importance of our businesses move from tactical to strategic deals, which are growing increasingly larger in value. In line with this industry change, the run rate for closing deals are no longer and require additional buy-in from our stakeholders. That said, we truly believe that we have the right platform in place to deliver on the promise of improved outcomes, utilizing our solutions, in particular, RWD-AI. Moreover, our robust portfolio of omnichannel services are expanding outside of the EHR, and we continue to improve patient outcomes while driving our strong ROIs for our customers. We've also built the team and a culture as a company, which gives us a distinct competitive advantage as we focus on our clients, partners, and investors. In 2023, we have our financial and operational goals firmly underpinned by our best-in-class platform and the ability to access distribute and use the next generation of real-world data-enabled insights across the largest in workflow point-of-care network in the US. As such, we look forward to making a positive impact across our pharma prescriber and patient stakeholder base for the years to come. We want to thank everyone, employees, shareholders, customers, and partners alike as we continue to build out our solutions on a one unified omnichannel platform and look forward to reporting on our progress on our next earnings call and several investor conferences. Thank you. Operator?