GoodRx Holdings Inc
For the period ended Dec 31, 2024. Filed Feb 27, 2025.
View on SEC.govAbout this filing
A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.
FY2024 · Filed Feb 27, 2025
What changed in Risk Factors?
Read the current filingPrevious report: 10-K
Period ended 2023-12-31; filed 2024-02-29.
0001809519-24-000032
Item 1A. Risk FactorsCurrent report: 10-K
Period ended 2024-12-31; filed 2025-02-27.
0001809519-25-000040
Item 1A. Risk FactorsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
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A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
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Risks Related to Our Limited Operating History and Recent Growth Rates
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•react to challenges from existing and new competitors and evolving industry trends;
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Our recent growth rates may not be sustainable or indicative of future growth.
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Our historical rate of growth may not be sustainable or indicative of our future rate of growth. We estimate that
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prescription transactions revenue will be impacted by recent and future retail pharmacy store closures, and that subscription
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revenue may decrease, while pharma manufacturer solutions revenue may continue to grow as a percentage of total
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the future. As an extension of the changing retail pharmacy landscape, we have seen and continue to expect heightened
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renegotiations between pharmacies and PBMs as a result of the pharmacies' increased focuson rationalizing their
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spending, which in turn has had and may continue tohave an adverse impact on our prescription transactions revenue. The
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from their indices. Antitrust developments pertaining to search engines could also adversely impact the effectiveness of our
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mass closures of retail pharmacy chain locations, changes in consumer purchasing habits, including an increase in the use
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tiers for different medications and high or lowdeductibles. To the extent future regulation impacts the prices that PBMs can
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through our platform. Additionally, there is a limited number of counterparties and vendors who provide us with prescription
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transaction processing services that support our business. If our current counterparties and vendors were to stop providing
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services on acceptable terms, the resulting disruption could also have an adverse effect on our business.
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some of our contracts contain exclusivity provisions, which could limit our ability to negotiate pricing terms as market prices
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fluctuate. Our three largest PBM customers accounted for 27% of our revenue in 2024,32% of our revenue in 2023 and
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Removed paragraphs (8)
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Risks Related to Our Limited Operating History and Early Stage of Growth
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Our revenue growth rate has declined in recent periods and may continue to decrease in the future.
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Various government measures, community self-isolation practices and shelter-in-place requirements, as well as the perceived need by individuals to continue such practices to avoid infection, have, at times, reduced the extent to which consumers visit healthcare professionals in-person, seek treatment for certain conditions or ailments, and receive and fill new prescriptions. Consumers may also increasingly elect to receive prescriptions by mail delivery instead of at the pharmacy, which could have an adverse impact on our prescription transactions offering. In addition, many pharmacies and healthcare providers have, at times, reduced staffing, closed locations or otherwise limited operations, and many prescribing healthcare professionals have reduced or postponed treatment of certain patients. The number of Monthly Active Consumers and our prescription transactions offering were adversely impacted principally in the second quarter of 2020 by consumers’ decisions to avoid visiting healthcare professionals and pharmacies in-person, which we believe has had a similar effect across the industry. The effect of COVID-19 on the number of our Monthly Active Consumers has lessened over time, but remains uncertain. Any future decrease in the number of consumers seeking to fill prescriptions could negatively impact demand for and use of certain of our offerings, particularly our prescription and subscription offerings, which would have an adverse effect on our business, financial condition and results of operations.
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The spread of COVID-19 has also caused us to modify our business practices (including employee travel, employee work locations, and the cancellation of physical participation in meetings, events and conferences), and we may take further actions, which may have an adverse impact on our business. For example, we implemented work-from-home measures, which required us to provide technical support to our employees to enable them to connect to our systems from their homes. We may experience an increased risk of security breaches, loss of data, and other disruptions as a result of accessing sensitive information from remote locations.
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Although the COVID-19 pandemic has subsided, we may still experience materially adverse impacts to our business as a result of its continued global economic impact, including any recession that has occurred or may occur in the future as well as similar impacts from other future pandemics or outbreaks of disease.
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The CCPA, which became effective on January 1, 2020, creates individual privacy rights for California consumers and increases the privacy and security obligations of entities handling certain personal data. For example, the CCPA gives California residents expanded rights to access and require deletion of their personal information, opt out of certain personal information sharing and receive detailed information about how their personal information is used. Failure to comply with the CCPA may result in attorney general enforcement action and damage to our reputation. We have enacted and will continue to enact changes to ensure compliance with the CCPA. The CCPA provides for civil penalties for violations, as well as a private right of action for data breaches that has increased the likelihood of, and risks associated with data breach litigation.
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From time to time, we may create and publish voluntary disclosures regarding ESG matters. Identification, assessment, and disclosure of such matters is complex. Certain statements may be based on expectations, assumptions, or third-party information that we currently believe to be reasonable but may subsequently be determined to be erroneous or be subject to misinterpretation. Additionally, expectations regarding companies’ management of ESG matters continue to evolve rapidly, in many instances due to factors that are out of our control. ESG regulation and enforcement are also evolving rapidly, and we may be subject to investor or regulator engagement on our ESG disclosures even though we currently make them voluntarily.
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Since its enactment, there have been judicial, U.S. congressional and executive branch challenges to certain aspects of the ACA. On June 17, 2021, the U.S. Supreme Court dismissed the most recent judicial challenge to the ACA brought by several states without specifically ruling on the constitutionality of the ACA. Thus, the ACA will remain in effect in its current form.
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Our business involves significant risks, some of which are described below. You should carefully consider the risks and uncertainties described below, together with all of the other information in this Annual Report on Form 10-K. The risks and uncertainties described below are not the only ones we face. Additional risk and uncertainties that we are unaware of or that we deem immaterial may also become important factors that adversely affect our business. The realization of any of these risks and uncertainties could have a material adverse effect on our reputation, business, financial condition, results of operations, growth and future prospects as well as our ability to accomplish our strategic objectives. In that event, the market price of our Class A common stock could decline and you could lose part or all of your investment.
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Our business involves significant risks, some of which are described below. You should carefully consider the risks and
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Our limited operating history and evolving business make it difficult to evaluate and assess the success of our business to date, our future prospects and the risks and challenges that we may encounter. These risks and challenges include our ability to:
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to date, our future prospects and the risks and challenges that we may encounter. These risks and challenges include our
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•continue to attract new consumers to our platform and position our platform as an important way to make purchasing decisions for prescription medications and other healthcare products and services;
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•continue to attract new consumers to our platform and position our platform as an important way to make
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•retain our consumers and encourage them to continue to utilize our platform when purchasing healthcare products and services;
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•retain our consumers and encourage them to continue to utilize our platform when purchasing healthcare
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•increase the number of consumers that use our subscription offerings or the number of subscription programs that we manage;
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•increase the number of consumers that use our subscription offerings or the number of subscription programs
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•attract and retain industry players for inclusion in our platform, including pharmacies, PBMs, pharma manufacturers and telehealth providers;
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•attract and retain industry players for inclusion in our platform, including pharmacies, PBMs and pharma
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•anticipate and respond to macroeconomic changes, changes in medication pricing and industry pricing benchmarks and changes in market dynamics in the markets in which we operate, including any impacts of the current economic slowdown;
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•anticipate and respond to macroeconomic changes, changes in medication pricing and industry pricing
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•to realize expected benefits from restructuring and cost reduction efforts;
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•realize expected benefits from restructuring and cost reduction efforts;
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•maintain and improve the infrastructure underlying our platform, including our apps and websites, including with respect to data protection and cybersecurity; and
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•maintain and improve the infrastructure underlying our platform, including our apps and websites, including
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•successfully update our platform, including expanding our platform and offerings into different healthcare products and services, develop and update our apps, features, offerings and services to benefit our consumers and enhance the consumer experience.
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products and services, develop and update our apps, features, offerings and services to benefit our consumers
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If we fail to address the risks and difficulties that we face, including those associated with the challenges listed above and those described elsewhere in this Part I, Item 1A, “Risk Factors,” our business, financial condition and results of operations could be adversely affected. Further, because we have limited historical financial data and our business continues to evolve and expand within the U.S. healthcare industry, any predictions about our future revenue and expenses may not be as accurate as they would be if we had a longer operating history, operated a more predictable business or operated in a less regulated industry. We have encountered in the past, and will encounter in the future, risks and uncertainties frequently experienced by growing companies with limited operating histories and evolving businesses that operate in highly regulated and competitive industries. If our assumptions regarding these risks and uncertainties, which we use to plan and operate our business, are incorrect or change, or if we do not address these risks successfully, our results of operations could differ materially from our expectations and our business, financial condition and results of operations would be adversely affected.
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If we fail to address the risks and difficulties that we face, including those associated with the challenges listed above
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Our rates of revenue growth have slowed and our revenue declined for the year ended December 31, 2023 as compared to the year ended December 31, 2022. We believe that our ability to improve or maintain revenue and margins and obtain profitability, will depend upon, among other factors, our ability to address the challenges, risks and difficulties described elsewhere in this Part I, Item 1A, “Risk Factors” and the extent to which our various offerings grow, organically and through acquisitions, and contribute to our results of operations. We cannot provide assurance that we will be able to successfully manage any such challenges or risks to our future growth. In addition, our base of consumers may not continue to grow or may decline due to a variety of risks, including increased competition, changes in the dynamics among industry participants and us, changes in the regulatory landscape and the maturation of our business. Any of these factors could cause our revenue growth to decline and may adversely affect our margins and profitability. Failure to grow our revenue or improve margins would have a material adverse effect on our business, financial condition and results of operations. You should not rely on our historical rate of revenue growth for any prior quarterly or annual period as an indication of our future performance.
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revenue in the near to medium term. We believe that our ability to improve or maintain revenue and margins and obtain
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Our quarterly and annual results of operations have historically varied from period-to-period and we expect that our results of operations will continue to do so for a variety of reasons, many of which are outside of our control and are difficult to predict. We have presented many of the factors that may cause our results of operations to fluctuate in this Part I, Item 1A, “Risk Factors,” including the extent to which our various offerings grow and contribute to our results of operations. In addition, we typically experience stronger consumer demand during the first and fourth quarters of each year, which coincide with generally higher consumer healthcare spending, doctor office visits, annual benefit enrollment season and seasonal cold and flu trends. We may experience stronger demand for our pharma manufacturer solutions offering during the fourth quarter of each year, which coincides with pharma manufacturers' annual budgetary spending patterns. Additionally, a majority of our pharma manufacturer solutions revenue in any given quarter is derived from contracts entered into with our customers during previous quarters. Consequently, a decline in new or renewed contracts in any one quarter may not be fully reflected in our revenue for that quarter. The grocer issue and the ongoing impact of COVID-19 may have masked some of these trends in recent periods and may continue to impact these trends in the future. The cumulative effects of such factors could result in large fluctuations and unpredictability in our quarterly and annual results of operations. As a result, comparing our results of operations on a period-to-period basis may not be meaningful and investors should not rely on our past results as an indication of our future performance.
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Our quarterly and annual results of operations have historically varied from period-to-period and we expect that our
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This variability and unpredictability could also result in our failing to meet the expectations of industry or financial analysts or investors for any period. If our revenue or results of operations fall below the expectations of analysts or investors or below any guidance we may provide, or if the guidance we provide is below the expectations of analysts or investors, the price of our Class A common stock could decline substantially. Such a stock price decline could occur even when we have met any previously publicly stated guidance we may provide.
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This variability and unpredictability could also result in our failing to meet the expectations of industry or financial
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In the past, we experienced rapid growth in our business operations and the number of consumers that use our offerings, and we may experience such growth in the future. This historical growth placed, and may in the future place, significant demands on our management and our operational and financial infrastructure. Our ability to manage our future growth effectively and to integrate new employees, technologies and acquisitions into our existing business may require us to expand our operational and financial infrastructure and to continue to retain, attract, train, motivate and manage employees. Management of growth is particularly difficult when employees work from home as a result of our hybrid/remote workplace. Growth could strain our ability to develop and improve our operational, financial and management controls, enhance our reporting systems and procedures, recruit, train and retain highly skilled personnel and maintain consumer satisfaction. Additionally, if we do not effectively manage the growth of our business and operations, the quality of our platform and offerings could suffer, which could negatively affect our reputation and brand, business, financial condition and results of operations.
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In the past, we experienced rapid growth in our business operations and the number of consumers that use our
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Our success and future growth largely depend on our ability to increase consumer awareness of our platform and offerings, and on the willingness of consumers to utilize our platform to access information, discounted prices for prescription medications and other healthcare products and services, including telehealth services. We believe the vast majority of consumers make purchasing decisions for healthcare products and services on the basis of traditional factors, such as insurance coverage, availability at nearby pharmacies and availability of nearby medical testing. This traditional decision-making process does not always account for restrictive and complex insurance plans, high deductibles, expensive co-pays and other factors, such as discounts or savings available at alternative pharmacies or practices. To effectively market our platform, we must educate consumers about the various purchase options and the benefits of using GoodRx codes when purchasing prescription medications and other healthcare products and services. We focus our marketing and education efforts on consumers, but also aim to educate and inform healthcare providers, pharmacists and other participants that interact with consumers, including at the point of purchase. However, we cannot assure you that we will be successful in changing consumer purchasing habits or that we will achieve broad market education or awareness among consumers. Even if we are able to raise awareness among consumers, they may be slow in changing their habits and may be hesitant to use our platform for a variety of reasons, including:
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Our success and future growth largely depend on our ability to increase consumer awareness of our platform and
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•perceived health, safety or quality risks associated with the use of a new platform and applications to shop for discounted prices for prescription medications;
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•perceived health, safety or quality risks associated with the use of a new platform and applications to shop for
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•lack of awareness that there is a disparity of pricing for prescription medicines and other medical products and services;
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•lack of awareness that there is a disparity of pricing for prescription medicines and other medical products and
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•perception that our platform does not provide adequate discounted prices or only offers savings for a limited selection of prescription medications;
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•perception that our platform does not provide adequate discounted prices or only offers savings for a limited
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•perception regarding acceptance rates of pharmacies for our GoodRx codes available through our platform, such as what occurred in connection with the grocer issue;
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•perception regarding acceptance rates of pharmacies for our GoodRx codes available through our platform,
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•traditional or existing relationships with pharmacies, pharmacists or other providers that sell healthcare products and services;
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•traditional or existing relationships with pharmacies, pharmacists or other providers that sell healthcare
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•concerns about the privacy and security of the data that consumers share with or through our platform, such as in relation to our FTC Order to resolve all claims and allegations arising out of or relating to the FTC's investigation into our privacy and security practices;
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in relation to our FTC Order to resolve all claims and allegations arising out of or relating to the FTC's
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•competition and negative selling efforts from competitors, including competing platforms and price matching programs; and
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•competition and negative selling efforts from competitors, including competing platforms and price matching
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•perception regarding the time and complexity of using our platform or using and applying our GoodRx codes available through our platform at the point of purchase.
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•perception regarding the time and complexity of using our platform or using and applying our GoodRx codes
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If we fail to achieve broad market education of our platform and/or the options for purchasing healthcare products and services, or if we are unsuccessful in changing consumer purchasing habits, our business, financial condition and results of operations would be adversely affected.
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If we fail to achieve broad market education of our platform and/or the options for purchasing healthcare products and
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We may be unable to continue to attract, acquire and retain consumers, or may fail to do so in a cost-effective manner.
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We may be unable to continue to attract, acquire and retain consumers, or may fail to do so in a cost-effective
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Our success depends in part on our ability to cost-effectively attract and acquire new consumers, retain our existing consumers and encourage our consumers to continue to utilize our platform when making purchasing decisions for prescription medications and other healthcare products and services. To expand our base of consumers, we must appeal to consumers who have historically used traditional outlets for their healthcare products and services, and who may be unaware of the possibility or benefits of using discounted prices to purchase healthcare products and services outside of insurance programs. We have made significant investments related to consumer acquisition and expect to continue to spend significant amounts to acquire additional consumers. We cannot assure you that this spending will be effective or that revenue from new consumers that we acquire will ultimately exceed the cost of acquiring those consumers. Alternatively, we have and may continue to focus on the efficiency of our spending on customer acquisition related strategies, which may impact our ability to acquire or retain consumers. If we fail to deliver reliable and significant discounted prices for prescription medications, we may be unable to acquire or retain consumers. If we are unable to acquire or retain consumers who use our platform in volumes and with recurrence sufficient to grow our business, we may be unable to maintain the scale necessary for operational efficiency and to drive beneficial and self-reinforcing network effects across the broader healthcare ecosystem, including pharmacies, PBMs and pharma manufacturers. Consequently, we may not be able to present the same quality or range of solutions on our platform or otherwise, which may adversely impact consumer interest in our platform, in which case our business, financial condition and results of operations would be adversely affected.
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Our success depends in part on our ability to cost-effectively attract and acquire new consumers, retain our existing
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We believe that our paid and non-paid marketing initiatives have been critical in promoting consumer awareness of our platform and offerings, which in turn has driven new consumer growth and increased the extent to which existing consumers have used our platform. Our paid marketing initiatives include television, search engine marketing, mail to consumers and healthcare provider offices, email, display, radio and magazine advertising and social media marketing as well as consumer discounts and incentives. For example, we actively market our platform and offerings through television and we rely on direct mail to distribute marketing materials to consumers. If we are unable to cost-effectively market to consumers, or if we elect to reduce our spending to drive traffic to our apps and websites, our ability to acquire new consumers and our financial condition would be materially and adversely affected. We also buy search advertising primarily through search engines such as Google and Bing, and use internal analytics and external vendors for bid optimization and channel strategy. Our non-paid advertising efforts include search engine optimization, non-paid social media and e-mail marketing. Search engines frequently modify their search algorithms and these changes can cause our websites to receive less favorable placements, which could reduce the number of consumers who visit our websites. The costs associated with advertising through search engines can also vary significantly from period to period, and have generally increased over time. We may be unable to modify our strategies in response to any future search algorithm changes made by the search engines, which could require a change in the strategy we use to generate consumer traffic to our websites. In addition, our websites must comply with search engine guidelines and policies, which are complex and may change at any time. If we fail to follow such guidelines and policies properly, search engines may rank our content lower in search results or could remove our content altogether from their indices. Although consumer traffic to our apps is not reliant on search results, growth in mobile device usage may not decrease our overall reliance on search results if consumers use our mobile websites rather than our apps or use search to initially find our apps. In fact, growth in mobile device usage may exacerbate the risks associated with how and where our websites are displayed in search results because mobile device screens are smaller than desktop computer screens and therefore display fewer search results.
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We believe that our paid and non-paid marketing initiatives have been critical in promoting consumer awareness of our
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In addition, we actively encourage new and existing consumers to use our apps to access our platform. We believe that our apps help to facilitate increased consumer retention and that consumers that access our platform through our apps are more likely to utilize GoodRx codes at the final point of purchase. While we have invested and will continue to invest in the development of our apps to improve consumer utilization, there can be no assurance that our efforts to drive adoption and use of our apps will be effective.
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In addition, we actively encourage new and existing consumers to use our apps to access our platform. We believe that
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To remain competitive and encourage the use of our platform, we have in the past offered and may continue to offer incentives to certain consumers that further reduce discounted prices offered on our platform. We cannot assure that offering such incentives will be successful in attracting new and recurring consumers or that we will be able to maintain competitive discounted prices in the future to retain such consumers. If we are unable to successfully manage these incentives, our financial performance may be adversely impacted.
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To remain competitive and encourage the use of our platform, we have in the past offered and may continue to offer
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Our consumer education, acquisition and retention initiatives can be expensive and may be ineffective in driving consumer education or interest in our platform. Further, if new or existing consumers do not perceive that the discounted prices presented through our platform are reliable or meaningful, or if we fail to offer new and relevant offerings and application features, we may not be able to attract or retain consumers or increase the extent to which they use our platform and applications for other or future purchases. If we fail to continue to grow our base of consumers, retain existing consumers or increase consumer engagement, our business, financial condition and results of operations will be adversely affected.
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Our consumer education, acquisition and retention initiatives can be expensive and may be ineffective in driving
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We rely significantly on our prescription transactions offering and may not be successful in expanding our offerings within our markets, particularly the U.S. prescriptions market, or to other segments of the healthcare industry.
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offerings within our markets, particularly the U.S. prescriptions market, or to other segments of the healthcare
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To date, the majority of our revenue has been derived from our prescription transactions offering. When a consumer uses a GoodRx code to fill a prescription and saves money compared to the list price at that pharmacy, we receive fees from our partners, including PBMs, pharma manufacturers and pharmacies, as applicable. Revenue from our prescription transactions offering represented 73%, 72% and 80% of our revenue for the years ended December 31, 2023, 2022 and 2021, respectively. Substantially all of this revenue was generated from consumer transactions at brick-and-mortar pharmacies. The introduction of competing offerings with lower prices for consumers, fluctuations in prescription prices, changes in consumer purchasing habits, including an increase in the use of mail delivery prescriptions, changes in our relationships with industry participants and our various partners, changes in the regulatory landscape, and other factors could result in changes to our contracts or a decline in our total revenue, which may have an adverse effect on our business, financial condition and results of operations. Because we derive a majority of our revenue from our prescription transactions offering, any material decline in the use of such offering or in the fees we receive from our partners in connection with such offering would have a pronounced impact on our future revenue and results of operations, particularly if we are unable to expand our offerings overall.
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To date, the majority of our revenue has been derived from our prescription transactions offering. When a consumer
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We seek to expand our offerings within the prescriptions market and the pharma manufacturer solutions market in the United States, and we are actively investing in these growth areas. We also continue to focus on the optimization of our existing partnerships and have entered into, and may in the future enter into, new or revised agreements with industry participants, and have also terminated, and may in the future terminate, existing arrangements with industry participants. However, expanding our offerings, entering into new markets and entering into new partnerships requires substantial additional resources, and our ability to succeed is not certain. During and following periods of active investment in such offerings, markets, relationships and partnerships, we may experience a decrease in profitability or margins, particularly if the area of investment generates lower margins than our other offerings. As we attempt to expand our offerings and optimize our partnerships, we may need to take additional steps, such as hiring additional personnel, partnering with new third parties and incurring considerable research and development expenses, in order to pursue such expansion and optimization successfully. Any such expansion and/or optimization would be subject to additional uncertainties and would likely be subject to additional laws and regulations. As a result, we may not be successful in future efforts to expand into or achieve profitability from new markets, new business models or strategies, new partnerships or new offering types, and our ability to generate revenue from our current offerings and continue our existing business may be negatively affected. If any such expansion does not enhance our ability to maintain or grow revenue or recover any associated development costs, our business, financial condition and results of operations could be adversely affected.
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We seek to expand our offerings within the prescriptions market and the pharma manufacturer solutions market in the
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Our business is subject to changes in medication pricing and is significantly impacted by pricing structures negotiated by industry participants.
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Our business is subject to changes in medication pricing and is significantly impacted by pricing structures
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Our platform aggregates and analyzes pricing data from a number of different sources. The discounted prices that we present through our platform are based in large part upon pricing structures negotiated by industry participants. Although some of our contracts with certain of our partners contain provisions related to discount pricing, we do not control the overall pricing strategies of pharma manufacturers, wholesalers, PBMs and pharmacies, each of which is motivated by independent considerations and drivers that are outside our control and has the ability to set or significantly impact market prices for different prescription medications. While we have contractual and non-contractual relationships with certain industry participants, such as pharmacies, PBMs and pharma manufacturers, these and other industry participants often negotiate complex and multi-party pricing structures, and we have no control over these participants and the policies and strategies that they implement in negotiating these multi-party pricing structures. For example, a grocery chain took actions late in the first quarter of 2022 that impacted acceptance of discounted pricing for a subset of prescription drugs from PBMs and whose pricing we promote on our platform. This had a material adverse impact on our results of operations for the years ended December 31, 2023 and 2022 and we expect that it will continue to have a sustained adverse impact in future periods.
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Our platform aggregates and analyzes pricing data from a number of different sources. The discounted prices that we
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Pharma manufacturers generally direct medication pricing by setting medication list prices and offering rebates and discounts for their medications. List prices are impacted by, among other things, market considerations such as the number of competitor medications and availability of alternative treatment options. Wholesalers can impact medication pricing by purchasing medications in bulk from pharma manufacturers and then reselling such medications to pharmacies. PBMs generally impact medication pricing through their bargaining power, negotiated rebates with pharma manufacturers and contracts with different pharmacy providers and health insurance companies. PBMs work with pharmacies to determine the negotiated rate that will be paid at the pharmacy by consumers. We also work with pharmacies with which we have contractual arrangements to offer discount prices to consumers. Medication pricing is also impacted by health insurance companies and the extent to which a health insurance plan provides for, among other things, covered medications, preferred tiers for different medications and high or low deductibles. A majority of the utilization of our platform relates to generic medications.
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Pharma manufacturers generally direct medication pricing by setting medication list prices and offering rebates and
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Our ability to present discounted prices through our platform, the value of any such discounts and our ability to generate revenue are directly affected by the pricing structures in place amongst these industry participants, and changes in medication pricing and in the general pricing structures that are in place could have an adverse effect on our business, financial condition and results of operations. For example, changes in the negotiated rates of the PBMs on our platform at pharmacies could negatively impact the prices that we present through our platform, and changes in insurance plan coverage for specific medications could reduce demand for and/or our ability to offer competitive discounts for certain medications, any of which could have an adverse effect on our ability to generate revenue and business. In addition, changes in the fee and pricing structures among industry participants, whether due to regulatory requirements, competitive pressures or otherwise, that reduce or adversely impact fees generated by PBMs or directly by us through partner pharmacies would have an adverse effect on our ability to generate revenue and business. Due in part to existing pricing structures, we generate a smaller portion of our revenue through contracts with pharma manufacturers and other intermediaries. Changes in the roles of industry participants and in general pricing structures, as well as price competition among industry participants, could have an adverse impact on our business. For example, integration of PBMs and pharmacy providers could result in pricing structures whereby such entities would have greater pricing power and flexibility or industry players could implement direct to consumer initiatives that could significantly alter existing pricing structures, either of which would have an adverse impact on our ability to present competitive and low prices to consumers and, as a result, the value of our platform for consumers and our results of operations.
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Our ability to present discounted prices through our platform, the value of any such discounts and our ability to generate
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We generally do not control the categories and types of prescriptions for which we can offer savings or discounted prices.
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We generally do not control the categories and types of prescriptions for which we can offer savings or discounted
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The categories and brands of medications for which we can present discounted prices are largely determined by PBMs, pharmacies and pharma manufacturers. PBMs work with insurance companies, employers and other organizations and enter into contracts with pharmacies to determine negotiated rates. They also negotiate rebates with pharma manufacturers. The terms that various PBMs negotiate with each pharmacy are generally different and result in different negotiated rates available via each PBM’s network, all of which is outside our control. Different PBMs prioritize and allocate discounts across different medications, and continuously update these allocations in accordance with their internal strategies and expectations. As we have agreements with PBMs to market their negotiated rates through our platform, our ability to present discounted prices is in part dependent upon the arrangements that such PBMs have negotiated with pharmacies and upon the resulting availability and allocation of discounts for medications subject to these arrangements. We also have agreements with partner pharmacies to offer discount prices to consumers and such discount prices are subject to negotiated terms and conditions. In general, industry participants are less likely to allocate or provide discounts or rebates on brand medications that are covered by patents. As a result, the discounted prices that we are able to present for brand medications may not be as competitive as for generic medications. Similar to the total prescription volume in the United States, the majority of the utilization of our platform relates to generic medications.
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The categories and brands of medications for which we can present discounted prices are largely determined by PBMs,
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uncertainties described below, together with all of the other information in this Annual Report on Form 10-K. The risks and
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uncertainties described below are not the only ones we face. Additional risk and uncertainties that we are unaware of or that
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we deem immaterial may also become important factors that adversely affect our business. The realization of any of these
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risks and uncertainties could have a material adverse effect on our reputation, business, financial condition, results of
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operations, growth and future prospects as well as our ability to accomplish our strategic objectives. In that event, the
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market price of our Class A common stock could decline and you could lose part or all of your investment.
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Our limited operating history and our evolving business make it difficult to evaluate our future prospects and the
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Our limited operating history and evolving business make it difficult to evaluate and assess the success of our business
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purchasing decisions for prescription medications and other healthcare products and services;
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benchmarks and changes in market dynamics in the markets in which we operate;
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with respect to data protection and cybersecurity; and
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•successfully update our platform, including expanding our platform and offerings into different healthcare
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and those described elsewhere in this Part I, Item 1A, “Risk Factors,” our business, financial condition and results of
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operations could be adversely affected. Further, because we have limited historical financial data and our business
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continues to evolve and expand within the U.S. healthcare industry, any predictions about our future revenue and expenses
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may not be as accurate as they would be if we had a longer operating history, operated a more predictable business or
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operated in a less regulated industry. We have encountered in the past, and will encounter in the future, risks and
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uncertainties frequently experienced by growing companies with limited operating histories and evolving businesses that
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operate in highly regulated and competitive industries. If our assumptions regarding these risks and uncertainties, which we
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use to plan and operate our business, are incorrect or change, or if we do not address these risks successfully, our results of
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operations could differ materially from our expectations and our business, financial condition and results of operations would
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profitability, will depend upon, among other factors, our ability to address the challenges, risks and difficulties described
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elsewhere in this Part I, Item 1A, “Risk Factors” and the extent to which our various offerings grow, organically and through
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acquisitions, and contribute to our results of operations. We cannot provide assurance that we will be able to successfully
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manage any such challenges or risks to our future growth. In addition, our base of consumers may not continue to grow or
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may decline due to a variety of risks, including increased competition, changes in the dynamics among industry participants
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and us, changes in the regulatory landscape and the maturation of our business. Any of these factors could cause our
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revenue growth to decline and may adversely affect our margins and profitability. Failure to grow our revenue or improve
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margins would have a material adverse effect on our business, financial condition and results of operations. You should not
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rely on our historical rate of revenue growth for any prior quarterly or annual period as an indication of our future
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results of operations will continue to do so for a variety of reasons, many of which are outside of our control and are difficult
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to predict. We have presented many of the factors that may cause our results of operations to fluctuate in this Part I, Item
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1A, “Risk Factors,” including the extent to which our various offerings grow and contribute to our results of operations. In
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addition, we typically experience stronger consumer demand during the first and fourth quarters of each year, which coincide
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with generally higher consumer healthcare spending, doctor office visits, annual benefit enrollment season and seasonal
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cold and flu trends. We may experience stronger demand for our pharma manufacturer solutions offering during the fourth
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quarter of each year, which coincides with pharma manufacturers' annual budgetary spending patterns. Additionally, a
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majority of our pharma manufacturer solutions revenue in any given quarter is derived from contracts entered into with our
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customers during previous quarters. Consequently, a decline in new or renewed contracts in any one quarter may not be
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fully reflected in our revenue for that quarter. The changing retail pharmacy landscape, as well as the grocer issue and the
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