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Dialogue Announces Second Quarter 2021 Results ARR nearly doubled to $ 70 million ; iCBT service launched following acquisition of e - Hub Health Montreal , Quebec , August 11 , 2021 – Dialogue Health Technologies Inc. ( TSX : CARE ) ( “ Dialogue " or the " Company ” ) , Canada's premier health and wellness virtual healthcare platform , announced today its financial and operational results for the three and six months ended June 30 , 2021. Financial references are in Canadian dollars unless otherwise indicated . " We expanded our member base by 91 % year - over - year and our annual recurring and reoccurring revenue by 96 % , driven by significant and sustained organic growth in concert with our ongoing successful acquisition activity , " said Cherif Habib , CEO of Dialogue . " We also strengthened our already robust Integrated Health Platform TM offering through the acquisition of iCBT leader e - Hub Health Pty Ltd. and the subsequent launch of Dialogue's iCBT program . As we move into the second half of the year , we are well positioned to maintain a strong momentum through our partnerships , technologies , and multidisciplinary approach to care . Q2 2021 Financial Highlights ( All capitalized terms not defined herein , shall have the meaning ascribed to them in the Management's scussion and Analysis for the three and six months ended June 30 , 2021 ; Comparison periods in each case are the three months ended June 30 , 2020 , unless otherwise stated ) ● ● Annual Recurring and Reoccurring Revenue grew 96.1 % year over year to $ 70.0 million driven by new customer wins , which include a global financial services provider , an international law firm , and a large distributor of electrical material , as well as program expansions and the addition of new services by existing customers . Revenue increased 53.0 % year - over year to $ 16.7 million , due to growth in Members , both Direct and from agreements with strategic distribution partners , an increase in attach rate , as well as the acquisition of Optima Global Health Inc. ( “ Optima ” ) on October 1 , 2020 . Members grew to nearly 1.5 million , an increase of approximately 690,000 year - over - year , or 90.5 % , and approximately 185,000 , or 14.6 % , compared to the first quarter of 2021 . Attach Rate grew to 1.10 , compared to 1.08 at the end of the first quarter of 2021 , and 1.04 in the same period last year , as both existing and new customers continue to leverage the multiple services that are offered on Dialogue's Integrated Health Platform ™ ( “ IHP ” ) . 44 % of new customers signed up for two services or more in the second quarter of 2021. Combined with current customer expansions , the cumulative number of customers with two or more services is now 19 % compared to 16 % in the first quarter of 2021 and 10 % at the same time last year . Net Retention Rate increased to 103 % at the end of the second quarter of 2021 from 102 % as at March 31 , 2021 , and 101 % as at December 31 , 2020 . Gross Margin declined to 41.5 % , as compared to 51.2 % in the second quarter of 2020 , due to the lower margin profile of the Optima acquisition , and was stable compared to the first quarter of 2021 . Adjusted EBITDA¹ loss was $ 5.6 million , compared to a loss of $ 2.2 million in the same period last year . The loss was due mainly to higher operating expenses to support our growth , the launch and promotion of new services , and the development of our technology platform , partially offset by higher gross profit . Total Comprehensive Loss was $ 6.4 million , as compared to $ 3.2 million in the same period last year , due mainly to higher operating expenses , partially offset by higher gross profit .