Overview
We were formed as aDelaware corporation onJanuary 22, 2021 with the intention to facilitate an initial public offering and other related transactions in order to carry on the business of two healthcare entities,Marpai Health andMarpai Administrators. We acquiredMaestro Health onNovember 1, 2022 to increase the capacity to service the heath industry.Marpai Inc.'s mission is to positively change healthcare for the benefit of (i) our clients who are self-insured employers that pay for their employees' healthcare benefits and engage the Company to administer the latter's healthcare claims, to whom the Company refers as "Clients"; (ii) employees who receive these healthcare benefits from its clients, to whom we refer as "Members", and (iii) healthcare providers including doctors, doctor groups, hospitals, clinics, and any other entities providing healthcare services or products to whom we refer as "Providers". The Company's mission is to positively change healthcare for the benefit of (i), (ii), and (iii). Our company is the combination ofMarpai Health, Inc. , Marpai Administrators, andMaestro Health LLC .Marpai Health is our Technology focused subsidiary, with a research and development team inTel Aviv, Israel . Marpai Administrators and Maestro are our healthcare payer subsidiaries that provides administration services to self-insured employer groups acrossthe United States . They act as a TPA handling all administrative aspects of providing healthcare to self-insured employer groups. We have combined these two businesses to create what we believe to be the Payer of the Future, which has not only the licenses, processes and know- how of a payer but also the latest technology. This combination allows us to differentiate in the TPA market by delivering a technology-driven service that we believe can lower the overall cost of healthcare while maintaining or improving healthcare outcomes. Marpai Captive was founded inMarch 2022 as aDelaware corporation. Marpai Captive is intended to be engaged in the captive insurance market. Marpai Captive commenced operations in the first quarter of 2023. Many states have enacted laws prohibiting physicians from practicing medicine in partnership with non- physicians, such as business corporations. In some states, includingNew York , these take the form of laws or regulations prohibiting splitting of physician fees with non-physicians or others. As we do not engage in the practice of medicine or fee-splitting with any medical professionals, we do not believe these laws restrict our business. Our activities involve only monitoring and analyzing historical claims data, including our Members' interactions with licensed healthcare professionals, and recommending healthcare providers, Value Based Care companies and/or sources of treatment. We do not provide medical prognosis or healthcare. In accordance with various states' corporate practice of medicine laws and states' laws and regulations which define the practice of medicine, our call center staff are prohibited from providing Members with any evaluation or recommendation concerning a medical condition, diagnosis, prescription, care and/or treatment. Rather, our call center staff can only provide Members with general and publicly available information that is non-specific to the Members' medical conditions and statistical information about the prevalence of medical conditions within certain populations or under certain circumstances. Our call center staff does not discuss Members' individual medical conditions and are prohibited from asking Members for any additional PHI as such term is defined under the HIPAA. Our call center staff has been trained and instructed to always inform Members that they are not licensed medical professionals, are not providing medical advice, and that Members should reach out to their medical provider for any medical advice. In the area of high-cost events, like a high-cost image or a surgery, our customer data show large variations in cost for the same procedure, even given the same geography. For example, the median cost of an MRI of the brain may be approximately$1,000 in a given geography, but a significant amount of procedures priced above the median cost 35 times the median. By predicting which Members are on trajectories to have high-cost tests or surgeries, we can help guide them to lower cost, but high-quality providers. This saves money for employers, while ensuring Members get the best care. After the acquisition ofMaestro Health , we commenced an integration project that combines the operation ofMarpai Administrators and Maestro Health . We expect to complete the integration of the two businesses in 2023 and they will then operate as one business. 38
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Representation in the Financial Statements of
The audited consolidated financial statements ofMarpai, Inc and the discussion of the results of its operations in this annual report, reflect the results of the operations ofMarpai Health (and its subsidiary EYME) for all periods presented, the results of Marpai Administrators since its acquisition onApril 1, 2021 and the results ofMaestro Health since its acquisition onNovember 1, 2022 . Results of Operations - Comparison of the Years endedDecember 31, 2022 and 2021 Years Ended December 31, 2022 2021 Change % Revenue Revenue$ 24,341,874 $ 14,226,794 $ 10,115,080 42 % Costs and Expenses Cost of revenue (exclusive of depreciation and amortization shown separately below) 17,136,330 10,289,578 6,846,752 40 % Research and development 3,708,068 1,733,964 1,974,104 53 % General and administrative 12,318,529 8,055,572 4,262,957 35 % Sales and marketing 6,938,513 4,965,209 1,973,304 28 % Information technology 6,372,795 2,492,060 3,880,735 61 % Facilities 1,012,827 589,926 422,901 42 % Loss on disposal of asset 273,430 - 273,430 100 % Depreciation and amortization 3,538,237 1,961,733 1,576,504 45 % Total Costs and Expenses 51,298,729 30,088,042 21,210,687 41 % Operating Loss (26,956,855 ) (15,861,248 ) (11,095,607 ) 41 % Other income and (expenses) Interest expense (266,778 ) (427,178 ) 160,400 -60 % Other income, net 234,472 172,513 61,959 26 % Foreign exchange loss (360 ) (18,922 ) 18,562 -5156 % Total other expense (32,666 ) (273,587 ) 240,921 -738 % Loss before income taxes (26,989,521 ) (16,134,835 ) (10,854,686 ) 40 % Income tax benefit (521,132 ) (150,000 ) (371,132 ) n/a Net Loss$ (26,468,389 ) $ (15,984,835 ) $ (10,483,554 ) 40 % Net loss per share, basic and fully diluted$ (1.31 ) $ (1.59 ) $ 0.28 -22 %
Comparison of the Years
Revenues and Cost of Revenue
During the years endedDecember 31, 2022 and 2021, our total revenue was$24,341,874 and$14,226,794 respectively. The revenues for the year endedDecember 31, 2021 consists exclusively of Marpai Administrators' revenues. The revenues for the year endedDecember 31, 2022 consists of Marpai Administrators' revenues and two months ofMaestro Health's revenues. Marpai Administrators results of operations have been included in our consolidated results of operations since its acquisition onApril 1, 2021 .Maestro Health's results of operations have been included in our consolidated results of operations since its acquisition onNovember 1, 2022 . The increase was due to the revenue of Marpai Administrators amounting to approximately$6,218,809 which were not included in operating results prior to its acquisition onApril 1, 2021 and the revenue ofMaestro Health amounting to$3,427,334 which were not included in our operating results prior to its acquisition onNovember 1, 2022 . Total revenues consist of fees that we charge our customers in consideration for administering their self-insured healthcare plans as well as fees that we receive for ancillary services such as care management, case management, cost containment services, and other services provided to our customers by us or other vendors. During the years endedDecember 31, 2022 and 2021, our cost of revenue exclusive of depreciation and amortization was$17,136,330 and$10,289,578 , respectively. The cost of revenue for the year endedDecember 31, 2021 consists exclusively of Marpai Administrators' cost of revenue. The cost of revenues for the year endedDecember 31, 2022 consists of Marpai Administrators' cost of revenues and two months ofMaestro Health cost of revenues. Marpai Administrators results of operations have been included in our consolidated results of operations since its acquisition onApril 1, 2021 .Maestro Health results of operations have been included in our consolidated results of operations since its acquisition onNovember 1, 2022 . The increase in cost of revenue was due to cost of sales of Marpai Administrators amounting to approximately$4,546,795 which were not included in our operating results prior to its acquisition onApril 1, 2021 , and cost of sales ofMaestro Health amounting to$2,022,613 which were not included in our operating results prior to its acquisition onNovember 1, 2022 . Total cost of revenues consists of (i) service fees, which primarily include vendor fees associated with the client's benefit program selections, (ii) the direct labor cost associated with claim management and processing services, and (iii) direct labor costs associated with providing customer support and services to the clients, members, and other external stakeholders as well as direct labor costs associated with care and case management services.
Research and Development Expenses
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We incurred$3,708,068 of research and development expenses for the year endedDecember 31, 2022 compared to$1,733,964 for the year endedDecember 31, 2021 , an increase of$1,974,104 or 53%. The increase in research and development expenses is attributable to increased expenditures inEYME and Marpai, Inc. EYME increases were amounting to approximately$1,147,065 , and associated primarily with a higher number of research and development personnel and consultants, and coupled with a decrease of approximately$654,156 in the amount of research and development costs that were capitalized during 2022 as compared to 2021. We began to capitalize certain research and development costs when certain projects reached the development stage inAugust 2020 , which resulted in a substantial portion of the software development costs being capitalized commencing at that time. EMYE also incurred increased cloud service cost of$215,757 . Our increases amounted to approximately$1,006,618 and was associated primarily with a higher stock compensation of$374,761 . InMarch 2022 , we added a new President of Product and Development, whose time is being split in all aspects of the business, which resulted in an allocation of additional compensation of$449,125 included in research and development expenses.
General and Administrative Expenses
We incurred$12,318,529 of general and administrative expenses for the year endedDecember 31, 2022 compared to$8,055,572 for the year endedDecember 31, 2021 , an increase of$4,262,957 . The increase in general and administrative expenses was due to general and administrative expenses of Marpai Administrators amounting to approximately$997,972 which were not included in our operating results prior to its acquisition onApril 1, 2021 and general and administrative expenses ofMaestro Health amounting to approximately$1,747,804 which were not included in our operating results prior to its acquisition onNovember 1, 2022 . In addition, in 2021, we reversed a prior accrual for anIRS penalty in the amount of$853,405 which never materialized. InMarch 2022 , we added a new President of Product and Development, whose time is being split in all aspects of the business, which resulted in an allocation of additional compensation of$654,893 included in general and administrative expenses.
Sales and Marketing Expenses
We incurred$6,938,513 of sales and marketing expenses for the year endedDecember 31, 2022 compared to$4,965,209 for the year endedDecember 31, 2021 , an increase of$1,973,304 . This increase in sales and marketing expenses was primarily due to Marpai Administrators' sales and marketing expenses in the amount of approximately$442,261 which were not included in our operating results prior to its acquisition onApril 1, 2021 andMaestro Health's sales and marketing expenses in the amount of approximately$61,027 which were not included in our operating results prior to its acquisition onNovember 1, 2022 . In addition, in 2022, we established the product development team and platform cost of approximately$1,400,000 . The increase expenses were partially offset by a decrease in consulting services of approximately$368,222 , a decrease in recruitment services of$134,000 , and decreases in computer and software spend of approximately$97,277 . InMarch 2022 , we added a new President of Product and Development, whose time is being split in all aspects of the business, which resulted in an allocation of additional compensation of$654,893 included in sales and marketing expenses.
Information Technology Expenses
We incurred$6,372,795 of information technology expenses for the year endedDecember 31, 2022 compared to$2,492,060 for the year endedDecember 31, 2021 . This increase in information technology expenses was due toMarpai Administrators' information technology expenses during the first quarter of 2022 in the amount of approximately$1,134,273 which were not included in our operating results prior to its acquisition onApril 1, 2021 andMaestro Health's information technology expenses in the amount of approximately$1,244,680 which were not included in our operating results prior to its acquisition onNovember 1, 2022 . In addition, there was an increase in Marpai Administrators' information technology staffing and technology spend in the amount of approximately$845,000 . InMarch 2022 , we added a new President of Product and Development, whose time is being split in all aspects of the business, which resulted in an allocation of additional compensation of$654,893 included in sales and marketing expenses.
Facilities expenses, depreciation and amortization
We incurred facilities expenses of$1,012,827 and depreciation and amortization expenses of$3,538,237 for the year endedDecember 31, 2022 compared to facilities expenses of$589,926 and depreciation expenses of$1,961,733 for the year endedDecember 31, 2021 . These increases were due to Marpai Administrators' expenses fromJanuary 1, 2022 , to the anniversary date of its acquisition on April, 1, 2022, and amortization of software that was previously capitalized and reached post implementation stage during the year endedDecember 31, 2022 . In addition, this increase was due toMaestro Health's expenses fromNovember 1, 2022 , the date of the acquisition, toDecember 31, 2022 .
Interest Expense, net
We incurred$266,778 of interest expense for the year endedDecember 31, 2022 compared to$427,178 for the year endedDecember 31, 2021 , a decrease of 160,400. The decrease in interest expense was the result of the reduction of interest expense related to convertible notes that were repaid in cash or converted into equity at the time of the acquisition ofMarpai Health andMarpai Administrators and after our IPO inOctober 2021 . 40
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Net Loss
Net loss for the year endedDecember 31, 2022 amounted to$26,468,389 as compared to a loss of$15,984,835 for the year endedDecember 31, 2021 . The increase in the net loss was due to increases in general and administrative expenses, sales and marketing expenses, information technology expenses, and research and development expenses, for the reasons mentioned above, partially offset by Marpai Administrators' revenue net of cost of revenues fromJanuary 1, 2022 , toMarch 31, 2022 , andMaestro Health's revenue net of cost of revenues fromNovember 1, 2022 , the date of the acquisition, toDecember 31, 2022 . Loss per share for the year endedDecember 31, 2022 was$1.31 , as compared to$1.59 loss per share for the year endedDecember 31, 2021 . The loss per share for the year decreased mainly as a result of an increase in our weighted average number of shares due to the issuance of additional shares during the year endedDecember 31, 2022 , partially offset by an increase in net loss for the year. The increase in weighted average common shares outstanding reflects primarily the issuances of our common shares outstanding for an entire year of 2022 compared to two months of shares outstanding in 2021.
Liquidity and Capital Resources
As shown in the accompanying consolidated financial statements as ofDecember 31, 2022 , we had an accumulated deficit of approximately$48.0 million , debt of$20.2 million , unrestricted cash of approximately$13.8 million and working capital of approximately$9.2 million . In addition, for the years endedDecember 31, 2022 and 2021, we reported operating losses and negative cash flows from operations. We have spent most of our cash resources on funding our operating activities. ThroughDecember 31, 2022 , we have financed our operations primarily with the proceeds from the sale and issuance of our Common Stock as well as convertible promissory notes. OnNovember 1, 2022 , we announced the closing of the Acquisition ofMaestro Health . Under the terms of the purchase agreement, there is no cash payment to be made untilApril 1, 2024 and the sellers have agreed that at the closing of the transaction,Maestro Health's free cash reserves will be$15.79 million . This cash is available to be used by us to fund our operations after the closing. WhileMaestro Health is currently generating operating losses and negative cash flows from operations, management believes that the integration of theMaestro Health business into our legacy business will lead to substantial improvement in our operating results over the next year. Management continues to evaluate additional funding alternatives and currently seeks to raise additional funds through the issuance of equity or debt securities, through arrangements with strategic partners or through obtaining credit from financial institutions. As we seek additional sources of financing, there can be no assurance that such financing would be available to us on favorable terms or at all. The Company is also considering disposing of what it considers, non-strategic assets.
If we are unable to raise additional capital moving forward, our ability to operate in the normal course and continue to invest in its product portfolio may be materially and adversely impacted and we may be forced to scale back operations or divest some or all of our assets.
As a result of the above, in connection with our assessment of going concern considerations in accordance with FASB Accounting Standards Update ("ASU") 2014-15, "Disclosures of Uncertainties about an Entity's Ability to Continue as a Going Concern," management has determined that our liquidity condition raises substantial doubt about our ability to continue as a going concern through twelve months from the date these consolidated financial statements are available to be issued. These consolidated financial statements do not include any adjustments relating to the recovery of the recorded assets or the classification of the liabilities that might be necessary should we be unable to continue as a going concern. Cash Flows The following table summarizes selected information about our sources and uses of cash, cash equivalents and restricted cash for the years endedDecember 31, 2022 and 2021: Comparison of the Years EndedDecember 31, 2022 and 2021 Year Ended
2022
2021
Net cash used in operating activities$ (35,239,299 ) $ (10,795,252 ) Net cash provided by investing activities 32,422,576
9,643,740
Net cash provided by financing activities 196
25,267,223
Net (decrease) increase in cash and cash equivalents and restricted cash
$ (2,816,527 ) $
24,115,711
Net cash used in operating activities totaled$35,239,299 for the year endedDecember 31, 2022 and increased by$24,444,047 as compared to$10,795,252 for the year endedDecember 31, 2021 . Net cash used in operating activities for the year endedDecember 31, 2021 was primarily driven by our net loss for the year of$26,468,390 partially offset by non-cash items totaling approximately$7,292,254 as well as decrease in net working capital items amounting to approximately$9,178,005 . 41
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Net Cash Provided by Investing Activities
A total of$32,422,576 was provided by investing activities in the year endedDecember 31, 2022 and increased by$22,778,836 as compared to$9,643 ,740used for the year endedDecember 31, 2021 . The increase in net cash provided by investing activities was mainly due to the cash and restricted cash acquired as part of the Maestro Acquisition, partially offset by an amount of approximately$600,000 for capitalization of software during the year endedDecember 31, 2022 .
Net Cash Provided by Financing Activities
Financing activities provided net cash of$196 and$25,267,223 during the years endedDecember 31, 2022 and 2021, respectively. In 2021 the cash provided from financing activities was primarily from our IPO compared to 2022 when it was related to proceeds from the exercise of options.
Critical Accounting Estimates
Our consolidated financial statements are prepared in accordance withU.S. GAAP. The preparation of these consolidated financial statements requires management to make estimates, assumptions and judgments that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenue and expenses during the applicable periods. We evaluate our estimates, assumptions and judgments on an ongoing basis. Our estimates, assumptions and judgments are based on historical experience and various other factors that we believe to be reasonable under the circumstances. Different assumptions and judgments would change the estimates used in the preparation of our consolidated financial statements, which, in turn, could change the results from those reported.
See Note 3 to our consolidated financial statements included in this Annual Report for a description of the significant accounting policies that we use to prepare our consolidated financial statements.
Critical accounting policies that were impacted by the estimates, judgments and assumptions used in the preparation of our consolidated financial statements are discussed below.Capitalized Software We comply with the guidance of ASC Topic 350-40, "Intangibles -Goodwill and Other -Internal Use Software ", in accounting for the Company's internally developed system projects that it utilizes to provide its services to customers. These system projects generally relate to the Company's software that is not intended for sale or otherwise marketed. Internal and external costs incurred during the preliminary project stage are expensed as they are incurred. Once a project has reached the development stage, we capitalize direct internal and external costs until the software is substantially complete and ready for its intended use. Costs for upgrades and enhancements are capitalized, whereas costs incurred for maintenance are expensed as incurred. These capitalized software costs are amortized on a project by- project basis over the expected economic life of the underlying software on a straight-line basis, which is generally three to five years. Amortization commences when the software is available for its intended use.Goodwill Goodwill is recognized and initially measured as any excess of the acquisition-date consideration transferred in a business combination over the acquisition-date amounts recognized for the net identifiable assets acquired.Goodwill is not amortized but is tested for impairment annually, or more frequently if an event occurs or circumstances change that would more likely than not result in an impairment of goodwill. We operate in one reporting segment and reporting unit; therefore, goodwill is tested for impairment at the consolidated level. First, we assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than it's carrying amount. If we conclude that it is more likely than not that the fair value of a reporting unit is less than its carrying amount, we conduct a quantitative goodwill impairment test comparing the fair value of the applicable reporting unit with its carrying value. If the carrying amount of the reporting unit exceeds the fair value of the reporting unit, we recognize an impairment loss in the consolidated statement of operations for the amount by which the carrying amount exceeds the fair value of the reporting unit. We perform the annual goodwill impairment test onDecember 31 . There was no goodwill impairment for the years endedDecember 31, 2022 and 2021.
Income Taxes
We account for income taxes using an asset and liability approach that requires the recognition of deferred tax assets and liabilities for future tax consequences attributable to differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis, net operating losses, tax credit and other carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates when the assets and liabilities are expected to be realized or settled. We regularly review deferred tax assets for realizability and establishes valuation allowances based on available evidence including historical operating losses, projected future taxable income, expected timing of the reversals of existing temporary differences, and appropriate tax planning strategies. If our assessment of the realizability of a deferred tax asset changes, an increase to a valuation allowance will result in a reduction of net earnings at that time, while the reduction of a valuation allowance will result in an increase of net earnings at that time. We follow ASC Topic 740-10-65-1 in accounting for uncertainty in income taxes by prescribing rules for recognition, measurement, and classification in financial statements of tax positions taken or expected to be in a tax return. This prescribes a two-step process for the financial statement measurement and recognition of a tax position. The first step involves the determination of whether it is more likely than 42
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not (greater than 50 percent likelihood) that a tax position will be sustained upon examination, based on the technical merits of the position. The second step requires that any tax position that meets the more likely than not recognition threshold be measured and recognized in the financial statements at the largest amount of benefit that is a greater than 50 percent likelihood of being realized upon ultimate settlement. This topic also provides guidance on the accounting for related interest and penalties, financial statement classification and disclosure. Our policy is that any interest or penalties related to uncertain tax positions are recognized in income tax expense when incurred. We have no uncertain tax positions or related interest or penalties requiring accrual onDecember 31, 2022 andDecember 31, 2021 .
Revenue Recognition
We recognize revenue when control of the promised services is transferred to our customers in an amount that reflects the consideration expected to be entitled to in exchange for those services. As we complete our performance obligations, which are identified below, we have an unconditional right to consideration, as outlined in our contracts. All of our contracts with customers obligate us to perform services. Services provided include health and welfare administration, dependent eligibility verification, COBRA administration, benefit billing, clinical care, and cost containment. Revenue is recognized over time as services are provided as the performance obligations are satisfied through the effort expended to research, investigate, evaluate, document, and report claims, and control of these services is transferred to the customer. We have the right to receive payment for all services rendered. The transaction price of a contract is the amount of consideration to which we expect to be entitled in exchange for transferring promised goods or services to a customer.
To determine the transaction price of a contract, we consider our customary business practices and the terms of the contract. For the purpose of determining transaction prices, we assume that the services will be transferred to the customer as promised in accordance with existing contracts and that the contracts will not be canceled, renewed, or modified.
Our contracts with customers have fixed fee prices that are denominated per employee per month. We include amounts of variable consideration in a contract's transaction price only to the extent that it is probable that the amounts will not be subject to significant reversals (that is, downward adjustments to revenue recognized for satisfied performance obligations). In determining amounts of variable consideration to include in a contract's transaction price, we rely on our experience and other evidence that supports our qualitative assessment of whether revenue would be subject to a significant reversal. We consider all the facts and circumstances associated with both the risk of a revenue reversal arising from an uncertain future event and the magnitude of the reversal if that uncertain event were to occur.
Share-Based Compensation
We account for share-based awards issued to employees in accordance with ASC Topic 718, "Compensation-Stock Compensation". In addition, we issue stock options to non-employees in exchange for consulting services and accounts for these in accordance with the provisions of Accounting Standards Update ("ASU") 2018-07, "Improvements to Nonemployee Share-Based Payment Accounting" ("ASU 2018-07"). Compensation expense is measured at the grant date, based on the calculated fair value of the award, and recognized as an expense over the requisite service period, which is generally the vesting period of the grant. For modification of share-based payment awards, we record the incremental fair value of the modified award as share-based compensation on the date of modification for vested awards or over the remaining vesting period for unvested awards. The incremental compensation is the excess of the fair value of the modified award on the date of modification over the fair value of the original award immediately before the modification. The sum of the incremental compensation cost and the remaining unrecognized compensation cost for the original award on the modification date is recognized over the requisite service period. We estimate the expected term of our stock options granted to employees using the simplified method, whereby the expected term equals the average of the vesting term and the original contractual term of the option. We utilize this method as we do not have sufficient historical exercise data to provide a reasonable basis upon which to estimate the expected term. For stock options granted to non-employees, we utilize the contractual term of the option as the basis for the expected term assumption. All other assumptions used to calculate the grant date fair value are generally consistent with the assumptions used for options granted to employees. For purposes of calculating share-based compensation, we estimate the fair value of stock options using a Black-Scholes option-pricing model. The determination of the fair value of share-based payment awards utilizing the Black-Scholes model is affected by our stock price and a number of assumptions, including expected volatility, expected life, risk-free interest rate and expected dividends. The expected volatility is primarily based on the historical volatility of peer company data while the expected life of the stock options is based on historical and other economic data trended into the future. The risk-free interest rate is based on theU.S. Treasury yield curve in effect at the time of grant for periods corresponding to the expected option term. The dividend yield assumption is based on our history and expectation of no dividend payouts. If factors change and we employ different assumptions, share-based compensation expense may differ significantly from what has been recorded in the past. If there is a difference between the assumptions used in determining share-based compensation expense and the actual factors which become known over time, specifically with respect to anticipated forfeitures, we may change the input factors used in determining share-based compensation costs for future grants. These changes, if any, may materially impact our results of operations in the period such changes are made. Incremental compensation costs arising from subsequent modifications of awards after the grant date are recognized when incurred. In addition, we account for forfeitures of awards as they occur. For share-based awards that vest based on performance conditions, expense is recognized when it is probable that the conditions will be met.
Recently Issued and Adopted Accounting Pronouncements
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A discussion of recent accounting pronouncements is included in Note 3 to our consolidated financial statements in this annual report.
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