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Operator
Good day, and thank you for standing by. Welcome to The Joint Corporation Q2 2021 Financial Results Conference Call.
(Operator Instructions)
Please be advised that today's conference is being recorded.
(Operator Instructions)
I would now like to hand the conference over to your first speaker Mr. David Barnard, LHA Investor Relations. Thank you. Please go ahead.
David Barnard
Thank you, Robert. Good afternoon, everyone. This is David Barnard of LHA Investor Relations. On the call today, President and CEO, Peter Holt, who will review our second quarter 2021 performance metrics and provide an update on the business.
CFO, Jake Singleton, will detail our financial results and guidance. Then Peter will close with a summary and open the call for questions. Please note, we are using a slide presentation that can be found at https://ir.thejoint.com/events.
Today, after the close of market, The Joint Corporation issued its financial results for the quarter ended June 30, 2021. If you do not already have a copy of this press release, it can be found on the Investor Relations section of the company's website.
As provided on Slide 2, please be advised today's discussion includes forward-looking statements, including statements concerning our strategy, future operations, future financial position and plans and objectives of management. Throughout today's discussion, we will present some important factors relating to our business that could affect these forward-looking statements.
The forward-looking statements are made based on our current predictions, expectations, estimates and assumptions and are subject to the risks and uncertainties that may cause actual results to differ materially from the statements we make today.
Factors that could contribute to these differences include, but are not limited to, the continuing impact of the COVID-19 outbreak on the economy and our operations, including temporary clinic closures, shortened business hours and reduced patient demand, our failure to develop or acquire company-owned or managed clinics as rapidly as we intend; our failure to profitably operate company-owned or managed clinics and the other factors described in Risk Factors in our annual report on Form 10-K as filed with the SEC for the year ended December 31, 2020, as updated or revised for any material changes described in any subsequently filed quarterly reports on Form 10-Q or other SEC filings.
We anticipate filing our June 30, 2021 10-Q on August 6. As a result, we caution you against placing undue reliance on these forward-looking statements and encourage you to review our filings with the SEC for a discussion of these factors and other risks that may affect our future results or the market price of our stock.
Finally, we are not obligating ourselves to revise our results or publicly release any updates to these forward-looking statements in light of new information or future events.
Management uses EBITDA and adjusted EBITDA which are non-GAAP financial measures. These are presented because they are important measures used by management to assess financial performance. Management believes they provide a more transparent view of the company's underlying operating performance and operating trends than GAAP measures alone.
Reconciliation of net income to EBITDA and adjusted EBITDA is presented in the press release. The company defines EBITDA as net income or loss before net interest, tax expense, depreciation and amortization expenses.
The company defines adjusted EBITDA as EBITDA before acquisition-related expenses, bargain purchase gain, net gain/loss on disposition or impairment and stock-based compensation expenses.
Turning to Slide 3. It is my pleasure to turn the call over to Peter Holt.
Peter D. Holt - CEO, President & Director
Thank you, David, and I welcome everybody to the call. The strength of our business model continues to deliver, and I'm delighted to inform you that we broke record -- broke several records this quarter. More importantly, we expect to continue to accelerate growth and to build upon our financial foundation. During the second quarter, we opened 41 clinics, including 5 greenfield clinics.
And in April, we achieved a significant milestone of opening our 600th clinic. Additionally, we sold 63 franchise licenses during the quarter. This metric supports our midterm goal to have 1,000 clinics in operation by the end of 2023 as well as our drive for longer-term expansion.
I'd like to pause and welcome our new investors. The Joint is revolutionizing access to chiropractic care. Our clinics are located in convenient retail settings. We provide concierge-style membership-based services without the need for insurance or appointments with attractive pricing and convenient hours.
Our growth strategy is to build our brand, increase awareness of the efficacy of chiropractic care, deliver an exceptional patient experience and open more clinics. We are already the largest, most recognizable provider of chiropractic care in the country.
However, we only account for approximately 1% of this highly fragmented nearly $18 billion chiropractic care market. We have a significant opportunity to continue to increase our market share as we further refine and expand the market itself.
Turning to Slide 4. I'd like to review a few highlights of our second quarter 2021 results. In a moment, Jake will discuss our financial results in detail. We had a strong Q2 2021. It was further enhanced in -- by comparison to the Q2 2020, which is the nature of the impact of the COVID-19 on our business.
To provide context, I'll include sequential comparisons as well. System-wide sales grew to $87.8 million, increasing 64% compared to our Q2 2020 and 13% compared to Q1 2021. Our comp sales for clinics that have been open for at least 13 full months grew 53% compared to Q2 2020. And in Q1 2021, 13-month comp sales grew 21% compared to the same period prior year.
Revenue grew 61% compared to Q2 2020 and 15% compared to Q1 2021. Adjusted EBITDA increased $3.8 million, up 237% from Q2 2020 and 9% up from Q1 2021. And on June 30, 2021, our unrestricted cash was $18.8 million compared to $20.6 million at December 31, 2020.
Turning to Slide 5. I'd like to review our portfolio. Regarding clinics, during Q2, we opened a record-breaking 41 clinics, 37 franchise and 5 greenfields, compared to 12 and 1, respectively, in the same quarter last year. This brings our 6-month total to 54 clinics open compared to 30 in the first half of 2020 and 29 in the first half of 2019.
Four of our greenfields were in a cluster strongholds in Arizona, California and New Mexico. Our fifth greenfield in Virginia marks our first corporate clinic in a brand-new market in over 5 years. This important milestone expands our presence in the Southeast and is supported by our continuous operational improvements.
Most recently, we benefited from advancements in our grand opening program and investments in digital marketing. During the quarter, 3 of our franchise clinics and 1 greenfield opened in April achieved Go Elite status, which means they attracted over 400 patients, reported over 30,000 in sales in the first 2 months of operation.
On April 1, we acquired 8 previously franchised clinics, which were immediately accretive to the bottom line. Two of the acquired clinics were in the Phoenix/Scottsdale market, expanding our reach in our headquarters region. Six of the acquired clinics were in North Carolina, made possible by the repurchase of the RD territory in that state further broadening our corporate clinic presence in the Southeast.
Once again, we did not close any clinics this quarter. In summary, at June 30, 2021, we had 630 clinics in operation, consisting of 555 franchise clinics and 78 corporate owned or managed clinics.
Our portfolio mix shifted slightly with our corporate clinic representation increasing 1% to 12% of the total, and our franchise clinics adjusting to 88%. At the quarter end, we had 282 signed agreements in some level of development. This compares to 260 at March 31, 2021, and reflects the increased interest in our franchise system.
Turning to Slide 6. We're tracking to our midterm goal of 1,000 clinics opened by the end of 2023. And we're confident in our continued clinic expansion through our franchises and greenfield openings. One natural extension of our customer base is to build upon our commitment to support the armed forces. We continue to honor our military by providing them discounts to our services across our clinics.
In July, we announced our partnership with the Army and Air Force Exchange Service. We'll bring chiropractic care on base to better serve members of the entire military community. Our initial target clinic sites include Air Force bases in Phoenix, Arizona; Tampa, Florida; and Trenton, New Jersey.
The exchange serves an eligible customer base of 33 million active-duty service members, their families, retirees and their families, along with disabled veterans and government civilians who work on the military installations. The exchange has more than 4,900 facilities around the world.
Turning to Slide 7. In the second quarter of 2021, we sold a record-breaking 63 franchise licenses bringing our 6-month sales to 89. This compares to 11 and 35 franchise license sales for the second quarter and the first half of 2020, respectively.
Our brand continues to attract sophisticated, well-capitalized franchisees with proven track records. During the second quarter, our regional developers sold 87% of the franchise licenses and they continue to accelerate our growth.
At June 30, 2021, 70% of our clinics were supported by 21 RDs and which covered 59% of the metropolitan statistical areas, or MSAs. In May, we elected to renew 2 RD agreements with continued growth opportunities in those areas. This increases our aggregate 10-year minimum development schedule for new RD territories established since 2017 to 693 clinics.
Now keep in mind that a portion of this clinic count is already opened, but still provides a large foundation to fuel our continued clinic expansion and sales growth.
Turning to Slide 8. Let's discuss marketing. We continue to set monthly records for new patient acquisitions during Q2 with the best April, May and June months in our history. This reflects growing consumer confidence, the benefit of increased national awareness advertising and the strong marketing contributions of our regional co-ops.
In May, we kicked off a new marketing campaign, emphasizing the positive impact of chiropractic on good posture particularly relevant was the rise of remote work and distance learning. The campaign was supported by 18 TV and radio interviews from media around the country, and we're pleased to drive over 14,000 unique visitors to our new posture website.
In June, we launched a win-back campaign directed to our inactive patients. This is our fourth consecutive year executing this direct marketing promotion, and I'm happy to report that the number of patients who reactivated their membership rose 32% versus 2020.
Finally, we continue to reap the benefits of our new patient digital lead nurturing platform, which we rolled out in Q4 2020. This technology enables our clinic teams to guide their digital leads through their initial journey to chiropractic. In Q2 2021, our digital lead conversion reached an all-time high, improving 38% compared to our performance in 2020.
Turning to Slide 9. Let's review our initiative to improve our IT infrastructure. I'm pleased to announce that in July, we successfully launched Axis 1.0, the first iteration of our new IT platform. Thanks to the extraordinary efforts by our implementation team and our franchise community, we are now live nationwide. As a result, over 630 clinics transition from our former homegrown IT platform to our new licensed CRM built to foster continuous improvement.
We now have moved to the typical debugging phase that any IT transition of this magnitude must go through. Looking forward, we're preparing to unleash the power of our new CRM platform with future enhancements that include improved business intelligence, marketing automation, patient portal, mobile check-in and more.
This first critical phase was a great accomplishment, and I'm incredibly grateful for the dedication and efforts of everyone in our network that helped this to make this a reality. And with that, Jake, I'll turn it over to you.
Jake Singleton - CFO
Thank you, Peter. And turning to Slide 10. As Peter stated, Q2 was a record-breaking quarter. To provide context, I'll review sales from Q2 2019 as well as 2020 and 2021 to take into account the impact that the pandemic had on our business last year. Q2 system-wide sales for all clinics opened for any amount of time increased to $87.8 million, up 64% year-over-year in 2021 compared to 2% in 2020 and 34% in 2019.
Q2 system-wide comp sales for all clinics opened 13 months or more or 53% in 2021 compared to a negative 6% in 2020 and a positive 25% in 2019. Q2 system-wide comp sales for mature clinics opened 48 months or more were 44% in 2021 compared to a negative 10% in 2020 and a positive 18% in 2019.
When reviewing our operating statement, I typically provide color regarding our variances by line item. For Q2 2021, all of our variances reflect both the increased number of franchises and company-owned or managed clinics as well as a favorable comparison to Q2 2020. As such, I will only speak to additional factors.
Revenue was $20.2 million, up $7.6 million or 61%. Company-owned or managed clinics contributed revenue of $11.4 million, increasing 67% from the second quarter 2020.
Franchised operations contributed $8.8 million, up 53% compared to the same period last year. Cost of revenues was $2 million, up 49% over the same period last year. Selling and marketing expenses were $3.1 million, up 76% over the same period last year. This reflects the larger franchise clinic base and the timing of the national marketing fund spend as well as an increase in local marketing expenditures by our company-owned or managed clinics.
G&A expenses were $11.6 million compared to $8.5 million. G&A as a percent of revenue in Q2 2021 was 57%, down from 68% in Q2 2020. While we believe the Q2 2021 level is a good proxy for a mature operating system, we believe G&A as a percent of revenue will increase over the next several quarters due to the opening of 4 greenfields at the end of June, the accelerated pace of greenfield opening in the latter half of the year and the related upfront expense of those openings.
In addition, please note that our Axis IT platform is now live, and certain development costs and licensing costs will now be -- will no longer be capitalized and will now be reflected as a component of operating expense.
Operating income was $2 million compared to $259,000 in 2020. Income tax benefit was $666,000 compared to an expense of $118,000 in the second quarter of 2020. Income tax benefit was primarily driven by excess tax benefits from the exercise of stock options.
Net income was $2.7 million or $0.18 per diluted share compared to $116,000 or $0.01 per diluted share in the second quarter of 2020. We delivered total adjusted EBITDA of $3.8 million, which increased 237% compared to the same period last year.
Franchise clinic adjusted EBITDA increased 53% to $3.9 million. Company-owned or managed clinic adjusted EBITDA increased 169% to $3 million, supported by the accretive acquisitions on April 1.
Corporate expense as a component of adjusted EBITDA loss increased 24% to $3.2 million. On to Slide 11 for a review of our financial results for the 6 months ended June 30, 2021, compared to the same period in 2020. Revenue was $37.8 million, up 44% compared to $26.2 million in the same period of 2020.
Operating income was $4 million, up 296% compared to the same period in 2020. Net income was $5 million compared to $931,000 in the first half of 2020. And adjusted EBITDA was $7.2 million, up 160% compared to the $2.8 million in the same period of 2020.
On to the balance sheet and the cash flow review. At June 30, 2021, our unrestricted cash was $18.5 million compared to $17.8 million at March 31, 2021, and $20.6 million at December 31, 2020. During the first 6 months of 2021, net cash provided by operating activities was $9 million, which was offset by $8.9 million of investing activities, consisting of acquisitions, greenfield development and IT capital expenditures as well as the $2.7 million repayment under the Paycheck Protection Program loan that we took out in March of 2021 -- we repaid in March of 2021.
On to Slide 12 for a review of our guidance for the full year 2021. Based on the strength of our Q2 performance as well as our increased franchise openings and greenfield activity, we are raising all elements of our guidance. We now expect revenue to be between $77 million and $79 million, up from $37.5 million to $77.5 million.
The updated midpoint reflects a 33% increase compared to 2020. We now expect adjusted EBITDA to be between $12.5 million and $13.5 million, up from $11 million to $12.5 million.
Please note, this guidance includes the impact of a greater number of greenfields that will be more heavily weighted in the second half of the year. The updated midpoint reflects a 43% increase compared to 2020. We now expect franchise clinic openings to be between 90 and 110, up from 80 to 100.
The updated midpoint reflects a 57% increase compared to the 70% in 2020. We now expect company-owned or managed clinics, through a combination of both greenfield openings and franchise clinic purchases to be between 25 and 35, up from 20 to 30. The updated midpoint is 7.5x greater than the 4 opened in 2020. And with that, I'll now turn the call back over to you, Peter.
Peter D. Holt - CEO, President & Director
Thank you, Jake. Turning to Slide 13. The numbers speak for themselves. I am so proud of our team who repeatedly identified, developed and delivers on our growth initiatives and the franchise community who implements these programs. Our future is even brighter. We have so much room in our business model to expand far beyond the midterm goal of the 1,000 clinics.
Market trends support our industry growth. The June 2021 IBIS report estimates industry revenue to increase an annualized rate of 2.2% to $17.9 billion by the end of 2021. With our annualized revenue, we have approximately 1% market share. And there's plenty of opportunity to increase our patient base from existing chiropractic users alone.
In addition, there's room to grow the overall market as only 50% of the U.S. population knows about chiropractic care. Notably, the nearly 0.5 million new patients who visited The Joint in 2020, 27% of them had never seen a chiropractor before. This increase from just 16% in 2013, demonstrating our increasing ability to bring new people into the category and grow the number of chiropractic users.
Given the macroeconomic climate and the industry dynamics in the June 2021 Kentley Insights Chiropractic Care Market Research report, that's a mouthful, forecast industry revenue growth rate for the next 5 years to be at 5.4% per year.
The Joint consistently outperforms the industry. In fact, our system-wide gross sales 10-year CAGR of 70% dwarfs these rates. At the clinic level, Kentley cites the average annual revenue per clinic in the industry is approximately $300,000.
In 2020, The Joint average clinic revenue was approximately $490,000 with our top performer seeing over $1.5 million. Our success reflects many key differentiators. We leverage knowledge and experience helping us to create efficient operating models. We increasingly attract sophisticated franchisees accelerating our national footprint.
We implement effective hiring and training practices to attract the finest doctors, and utilize national and regional marketing programs to support our business and build our brand.
In addition, we lead general public education efforts, which attracts patients who've never tried chiropractic care before. In fact, The Joint is the largest online publisher of chiropractic information in the world.
Also, to educate doctors of chiropractic about The Joint, we continue to deepen our relationships with associations and the 16 accredited chiropractic schools in the United States. Most recently, we became the Life University's official athletic scoreboard sponsor, which increases our ability to engage its student body to provide internships and employment opportunities to our clinics.
It also complements our standing athletic sponsorships with schools such as the University of Houston, the University of Miami, the University of South Florida, and most recently, Vanderbilt University.
Relationships like these enable us to draw out the natural connections between chiropractic and sports performance and exposes our brand to a wider audience. Overall, we continue to invest in the future.
In fact, our decisions like increasing greenfield clinics that expand our market position and brand awareness, focus on long-term growth and are expected to impact our short-term profitability. We are marching towards our goal of 1,000 clinics in operation by the end of 2023, and we expect that to be the tipping point that will ignite the next phase of accelerated national recognition and long-term expansion.
I'd like to thank our entire system, our doctors, our wellness coordinators, our franchisees, regional developers and corporate staff for their dedication to our mission of improving quality of life for our patients. Robert, with that, I'm ready to begin the Q&A.
Operator
(Operator Instructions)
We'll have our first question coming from the line of Mr. George Kelly with ROTH Capital Partners.
George Arthur Kelly - MD & Senior Research Analyst
Congrats on a nice quarter. So a few questions for you. First, maybe about the guidance you provided. When I play through my model and just trying to back into what you've given for a full year, it's a real kind of flattening of growth of same-store sales growth in the back half. Can you talk to -- were there any kind of promotions in the second quarter? Or anything unique that won't be repeated in the back half of the year? Just anything you can talk to there.
Jake Singleton - CFO
Sure. Yes. I think as I mentioned in that element of the guidance in the prepared remarks, George, I think the issue there is more so in terms of the weighting of our greenfield development. So as you know, any time we do a large amount of greenfield development, you're going to have a short-term suppression on your earnings.
And so when I look at the cadence and you noticed that we expanded our corporate clinic guidance as well, basically, what we're signaling there is that a large portion of those greenfields are going to be back-end weighted to the year. And so really, what you're seeing there is that pipeline of greenfields that are going to kind of suppress the earnings in the second half of the year versus any other macro nonrecurring promotions or anything of that nature.
Peter D. Holt - CEO, President & Director
I also think it's unrealistic to expect 53% comps through the rest of the year. That was obviously a pretty remarkable number for Q2 -- or for this quarter. But as we know that, that was also impacted by the very fact that last in -- that last Q2 2020 was the lowest point we had in our impact to the pandemic. So if we're looking specifically at comps, we do expect that to decelerate compared to the performance of Q2.
George Arthur Kelly - MD & Senior Research Analyst
Okay. Understood. And then next question for me, a different topic. You talked about this surging new patient acquisition in the second quarter. And you mentioned digital lead conversion improving and a few other things. I was just wondering if you could dig into that more. What exactly -- any kind of quantification around your new patient acquisition in the quarter would be helpful. I think you may have given something, but if you could repeat it?
And then just exactly what's driving -- what in your view is really driving that?
Jake Singleton - CFO
Yes, George, I think for me, the increased sophistication of our digital tactic is certainly a driving factor. But as I look at the strength of overall new patients in the quarter, to me, there's a few things. One, I think we have to acknowledge that overall consumer sentiment in the second quarter was increased. So I think we have to acknowledge that we had some wind at our back as it relates to that kind of macro environment.
The second, I think we have increasing brand awareness and the scale of our system. And so we've always said that we're going to build through our storefronts. And so the greater scale and awareness marketing dollars that we have out there is continuing to aid that new patient acquisition.
Next would probably be the sophistication of our co-ops. We now have -- I think it's 37 co-ops around the country, and those local dollars that they're putting to work a large contributing factor and then we continue to be more sophisticated in our digital tactics. So I think it's all those combined that are leading to those strong new patient figures.
George Arthur Kelly - MD & Senior Research Analyst
Okay. Great. And then last question for me just about the announcement from last week with the Army and Air Force Exchange Service. So what exactly does that relationship mean? Does it basically open up those facilities for you to start to scout for locations you sort of get certified? And then -- and what do you think this sort of location TAM could be of that opportunity? And that's all I had.
Peter D. Holt - CEO, President & Director
Sure. Thank you, George. And to answer that question is that, yes, we have signed an agreement, an agreement calls for those 3 clinics on the Air Force bases that I mentioned that there is opportunity to expand that. While, yes, there's 4,900 facilities across the world, that -- the contract really is -- what they do is that each base has to give an approval that they want, in fact, a chiropractic clinic to be on base.
And then we work with the exchange to negotiate the term -- or the number of bases that we're adding to the contract. And so it's really incremental. So at the moment, we are committed to the 3. We know there's opportunity that will continue to expand as the interest on other bases is realized. And we go through a formal approval process really base by base.
Operator
(Operator Instructions)
Next question will be coming from the line of Jeremy Hamblin with Craig Hallum Capital.
Jeremy Scott Hamblin - Senior Research Analyst
And I'll add my congratulations on really impressive performance. I want to come back to the trends for a moment here. In terms of understanding the guidance implications, certainly can understand not making any assumptions around repeating the top line from Q2.
But in terms of just putting some context behind expectations around maybe revenue clinics versus Q1 that were kind of more modest growth, still strong. Is that kind of what you're building into your expectations here? Because it does imply a notable deceleration. Is there any color you can share here on kind of the first 5 weeks of performance?
Jake Singleton - CFO
Sure. Yes. I mean, there's obviously a lot of factors that go into the back half estimates for this year and beyond. What we do expect is increased clinic counts and continued positive comp growth. So on the revenue side, we've got those as a typical trend. So it still implies that we'll have sequential improvement in the revenues. I think you have to go back and then look at the overall earnings flow-through.
And so again, signaling that we've got a lot of greenfields that are going to come in, in the second half of the year. and associated with those, a lot of working capital burn. And so we've got 19 leases that are already executed. We've got another 12 LOIs that are out there.
So we have continued confidence in our greenfield development. But with that, you have that short-term suppression of earnings. So I think that's really the macro. The other thing is we're going to continue to be smart in the way that we do this. We want to make sure that we're appropriately resourced and have the infrastructure.
And so a lot of factors that go in there. We also mentioned the IT platform now moving to an element of G&A. So you've got a little bit of increased cost there that will come through in the second half of the year and beyond. So a lot of those factors that are weighing in, and I think you have to acknowledge that we've still got the COVID era, and there's an element of uncertainty there. And so all of those things playing into those estimates and the forward guidance.
Jeremy Scott Hamblin - Senior Research Analyst
And -- okay. So sequentially, you're still expecting revenues up. But could you answer the question on the quarter-to-date trends maybe on system-wide comp performance?
Jake Singleton - CFO
Yes. We won't comment on Q3 so far. We're excited about the Q2 results, and then we'll point to the forward guidance for the back half of the year.
Jeremy Scott Hamblin - Senior Research Analyst
Okay. So then let me just follow up on the point to understand the G&A ramp over the next couple of quarters here as you get more greenfields out there. I did want to understand, though, the selling and marketing costs, the timing of the national marketing fund spend. Is an expectation that your sales and marketing costs on an absolute basis are likely to trend higher in Q3 and Q4 than what you just spent in Q2?
Jake Singleton - CFO
Yes. I think the important part of Q2 is really that timing element, right? We were a little bit light in Q1, so we had some favorability there. Some of those costs rolled into Q2. And now you've seen some higher costs as it relates to Q2. Now at the end of the day, a lot of those costs for us, we expect to even out.
So yes, in a perfect world, we would have those perfectly spread out throughout the year, but there is an element of timing that just coincides to the tactics and the development and where we're deploying those dollars.
So I think the largest thing I'll highlight there is Q2 did have that element of timing. We would expect -- again, the components of that line are largely the 2% that contributed into the National Marketing Fund, and we always try to spend that full pool of funds each year.
And then the second is our local spend for our clinics. Now we've got more clinics coming online. Each of those, we have a grand opening marketing cost associated to it. And so with that, we want to make sure they start on the right foot.
And so you're going to see some additional sales and marketing that come through from those grand opening efforts as well. So Q2 kind of has a little bit excess in it as we were a little bit light in Q1. That's a timing element. And then you've got those other factors to consider as we kind of move throughout the rest of the year.
Jeremy Scott Hamblin - Senior Research Analyst
Okay. Great. And then I just wanted to follow up, too, on the Axis system. In terms of the implementation of that, one, Peter, I think you've mentioned that kind of normal fits and starts when you turn on a new CRM system. One, I wanted to just make sure there wasn't anything that you felt in the bugs and working that out that is impacting top line ability?
And two, Jake, I just wanted to make sure that I understood, in terms of where that line item is likely to fall. Is that going to impact your G&A cost? Or where will the expense for that fall into? I don't know if it's falling into that IT cost of revenues for another category.
Peter D. Holt - CEO, President & Director
Okay. We'll let Jake answer that question. But to your question to me is that: Do we believe that the implementation of this new IT platform is going to impact top line sales? Answer is no.
That do we believe that there's bugs that you're going to have to work through and challenges we're going to get through and learning that we're going to go through? Absolutely.
We spent a huge amount of time working with our franchise community, creating training programs so that they know how to use the system. This is not just simply a CRM system that, okay, that's managing leads with our patients. This is a system that we use as our POS system. We use it for all our daily analytics on the business. It even helps with us in the patient flow at the clinic level. And that 100% of our system is on and utilizing it.
And so just given the size of our business and this conversion from our homegrown platform to this new CRM platform, it's just inevitable that you're going to have these cleanups and bugs that you try to minimize in the research and in the testing period.and that we'll get through them. And so I would say that there's -- I have seen absolutely nothing that would suggest that there's going to be an impact on top line sales. We're describing this very clearly that this is the lift and shift.
We know that there's a lot of capacity that's built into this new platform that we're going to unleash over time. Right now, the way I look at it for the rest of the year is really focused on just getting everybody comfortable, working effectively. And then we can start really seeing what we can do to add the programs that I'd mentioned in my formal remarks. So Jake, for you?
Jake Singleton - CFO
Sure. And then as where those costs will come through, it will be twofold. A portion of them will come through in the IT cost of revenue, and that's the more generalized kind of web hosting costs, right? We've got a lot of patients. We've got a lot of data and therefore, we've got a lot of capacity that we need up in the cloud. So that will come through in the IT cost of revenue. And the second piece and really the licensing and a lot of the headcount and things like that, that will be in corporate overhead for us. So in the nonoperating segment. And that's G&A.
Operator
Our next question will be coming from the line of Jeff Van Sinderen with B. Riley.
Jeffrey Wallin Van Sinderen - Senior Analyst
And let me add my congratulations. Just to follow up a bit more on the new software implementation. And by the way, great to hear that you've got it out there. Any sense of time frame for sort of the debugging phase and maybe any color on how franchisees are working with it so far? And I guess, what you're seeing in your corporate clinics that are running it so far at this phase?
Peter D. Holt - CEO, President & Director
Yes. I would say that, Jeff, we took -- we really did spend an enormous amount of time educating all of our users on how to use this new system because we knew we're going to a brand-new system. We have kind of 2 parts to it. We have the front office for a wellness coordinator. Then we have the back office where the doctors are using it to document all of the patients that they're visiting.
And that -- the back office is probably closer to what our original platform was, but the front office is a brand-new platform. And so that we had this requirement that 100% of the users had to go through the training before we would start this process. And I am delighted to say that they did.
So we -- the -- our entire network has spent so much time and energy in helping to prepare for this to make this go seamlessly as possible. And so what am I hearing I think as so often happens in programs like this, I'm hearing a group of people who are really excited about all the new changes. I'm hearing from a group of people who have concerns or some of the bugs that they have experienced.
I think the vast majority is using it every day to service our patients. And so I would say, from my perspective, this was a really remarkably pain-free transition that anyway minimizing the challenges you face in taking something as complex as we just went through. And it does take time to work them out because it's in that use that you find out some of those little bugs that have to be turned around and addressed.
And so my experience in other platforms like this is that you'll get at the big ones right up front because they're obvious. And then it will take over time where you'll see little things that you don't see initially that will come up, we'll do the hot fix, we'll fix it.
So that part of it's going to be ongoing. And probably initially, the first quarter, first half, a lot and then that's going to go down significantly. But then we have the other part of how we're going to be continually refining and improving the process because there's all kinds of ways we can improve the way that we designed it already. And so that ongoing continuous improvement will be a fundamental part of how we utilize this platform for its entirety.
Jeffrey Wallin Van Sinderen - Senior Analyst
Okay. Great. And then let me ask you this. Would you -- we would think that the new software improves efficiency, but also that it may improve customer experience, which might benefit customer retention. Can you speak more to that? Or I guess, how you see benefits manifesting from the new software system?
Peter D. Holt - CEO, President & Director
I think there's no question that there will be enormous benefit on the consumer side on the patient side, but that's not quite there. That's, for example, when we roll out our mobile check-in. That's when we rolled out the patient portal. That's when we roll out where you can be tracking your membership how many how many patient visits you have left from your monthly membership.
And so those are not in place at this moment. But those are some of the features that are specifically patient forward-facing that I absolutely believe will enhance the patient's experience, which again, we're just not there today, but we -- that's the steps that we're going to get to.
Jeffrey Wallin Van Sinderen - Senior Analyst
Okay. And then would you anticipate any change in customer behavior with the Delta variant? Just obviously, there's still uncertainty out there about the pandemic or COVID. And then any change to your safety protocols as a result of Delta?
Peter D. Holt - CEO, President & Director
It's such a great question for not just us, for everybody out there is what is ultimately going to be the impact of Delta variant on our lives, on our businesses. And the really, the main thing I have to draw on is how did we experience the COVID to date? And what we experienced is that our clinics stayed open. We're an essential health care service and that our doctors continue to serve, and most importantly, our patients came into the clinic.
The impact we had was greatest on our new patient count as we talked a lot about, as you heard in the call, that, that has recovered and then exceeding numbers that we've ever seen before. If this really blows up across this country, would I expect that to maybe have that same kind of impact on new patient count? I would believe, yes, I think so.
Would I expect our patient base to continue to come in because we absolutely see this essential to their health care? Absolutely. And so that's the best I have in terms of what do I expect to happen with wherever we go with the Delta variant, which I think is a concern for all of us.
And the second part of your question?
Jake Singleton - CFO
Safety protocols.
Peter D. Holt - CEO, President & Director
Safety protocols. And what I would say is we were continually looking at that, but we have also maintained our safety protocols from the beginning. So while I know there are states and communities that have, for example, removed the requirement to wear mask that we are still requiring, not our patients. We always will follow whatever the directive is in the stated community that we're operating in.
But as a network, all of our doctors, wellness coordinators staff in the clinics are required to wear mask. And that hasn't changed. And that was also guided by the CDC. That wasn't an issue we made. We're a health care service. And when the CDC came out with their guidelines, is that they made it very clear that health care services still were required to wear a mask. So we continue to follow that protocol.
And so I would say that we have not, in any way, lessened our protocols as we go forward today, and we'll continually look at them depending on how things are taking place as this pandemic continues to unfold. What we do know is it's improved, and we saw that in the numbers in Q2. And then we'll be where that takes us through the rest of the year.
Operator
(Operator Instructions)
Our next question will be coming from the line of Brooks O'Neil with Lake Street Capital.
Unidentified Analyst
This is Michael [Hau] pulling in for Brooks. My first question is in regards to the new IT platform. So when you think about the general business infrastructure, where do you need to invest to be able to scale to 1,000 clinics and beyond?
Peter D. Holt - CEO, President & Director
Well, I think that the investment for the business -- if you're asking where do we need to invest to be able to achieve the clinical opening of the 1,000 units by the end of 2023, I think it's pretty clear.
It's going to be in greenfield. We've made that very clear. We're accelerating our greenfield this year. That's a huge part of the investment that we make. Do we expect that to continue to accelerate as we go forward between now and the end of 2023? That's a real possibility that -- obviously, this is about units. And so the other part of that is franchised. And so we'll continue to invest in our franchise community and our and making aware those people interested in buying a franchise and learning about the joint and why this could be a good investment for their family and their lives.
And so we'll continue to invest in the franchise side of this. The other piece that is fueling this business is that have to continually improve the operations of the business, whether it's looking at it from an IT perspective, from an operations perspective, from a marketing perspective, we have been continually investing more resources in our marketing department, more resources in our operations department, more resources in our IT department to support this accelerated growth. So those are the real buckets that we're going to make those investments in. I don't know, Jake, if you have anything else to add to that.
Jake Singleton - CFO
No, go ahead, Michael.
Unidentified Analyst
And then it looks like you had a really great strong corporate store openings. Can you talk to the drivers here? And if we can expect to see more quarters with outsized growth in the corporate stores?
Jake Singleton - CFO
Absolutely. Yes. We had 5 greenfields that opened up, a lot of them in the back half of Q2. But again, signaling that we've got a lot of anticipated corporate store openings in the second half of the year. So that is very much going to come through, and you'll see that acceleration, and we increased that corporate clinic guidance as part of this release.
So yes, I think you'll definitely see that. We have continued confidence and we're looking forward to increasing that pace.
Peter D. Holt - CEO, President & Director
And we've added additional resources there. That's why on the last call, we talked about hiring a new VP of real estate and construction. And part of that was, again, to make sure that we're giving the full emphasis on that side of the business, and we'll continue to reinvest.
Unidentified Analyst
Okay. And then where do you feel that comps will normalize on the back half of the year? I know you guys had really strong Q2 comps.
Peter D. Holt - CEO, President & Director
Well, not at 53%. Let's just be very clear. And Michael, I think the way to look at that is that -- and we don't guide on comps going forward. We don't guide it for the full year. But if you look at historically, let's say, pre-pandemic from 2016 to 2019 in that 4-year period, if you stack our comps, it was 99%, year-over-year-over-year, almost 25% a year.
The pandemic, our comps for the full year were 9%. As we went into Q1, and I think that's more of a rationalized quarter to compare to because we -- most of that quarter was not impacted by COVID, our Q1 2021 -- I can link the Q1 2020 to Q1 2021. Q1 '21 was 21%. And so I think that you -- could we use to extrapolate the number and in Q2 for going forward? No.
Could I rely on Q1 to give me an indicator of what to expect for not taking into account the impact of the pandemic? I think that's a reasonable assumption.
Operator
Next question coming from the line of Anthony Vendetti with Maxim Group.
Unidentified Analyst
This is [Matt] on for Anthony. I just had a question about your RD. Obviously, you've had a lot of success with your regional developers in the past. And I think you mentioned they cover about 50% -- 59% of metropolitan areas. Do you have a plan for expanding that coverage area? And how should we think about that?
Peter D. Holt - CEO, President & Director
It's a great question. And as you know, I truly believe in the power and value of our RD model to accelerate growth of a concept like this. I would say that we also are looking at certain markets, we don't mix RD markets with corporate development, and so that there are markets that we see as more interesting from a corporate perspective for growth. But I would say that there are RD opportunities out there still with the market.
But -- so if you go back a couple of years ago, we were selling 10 RDs in a year or 8 RDs in a year. Do I expect that going forward? No.
Are there certain markets that would make sense for us, so if we have the right RD partner that can accelerate the growth to the level that we expect? You could -- yes, you could expect to see that happen. But not at the pace that we were in the last -- in those '19, 2017, '18 years.
Unidentified Analyst
Great. That's helpful. And then just 1 quick follow-up. Obviously, a pretty large expansion of the clinic and development over last year. I think it's at 282 at quarter end. What's a good rule of thumb in terms of when we should expect a clinic in development to open and maybe what percentage of your clinics in development you would expect on a quarterly basis to be opened?
Peter D. Holt - CEO, President & Director
Well, we don't guide on openings on a quarterly basis. We obviously guided on an annualized basis. And so you can kind of extrapolate from that. And of that group of 280 agreements that are signed and in some form of developments, we do have a lot of multiunit operations.
And so for example, if I just use a straight line average, if I think about opening up a clinic from first contact to actually opening their doors, that's probably about a, let's say, a 10-month process.
And then the bulk of that time gets used up in site selection and lease negotiations. And so that's the framework that I would expect a signed agreement to open, assuming it was just that 1 clinic. But let's say, for example, if I sold a 5 pack and I would not expect that franchisee to open up all 5 clinics in that 9 months.
And we will put them on a time line so every one of those licenses has a time frame in which they're required to open. And we're working closely with the franchisees to make sure they're meeting those time lines. But out of that 280 , there's a lot of them are tied to an extended time line just because of they're in multiunit contracts.
And so I don't have a percentage of -- okay, I have 280, how many of those should open? You can kind of do the math yourself and say, okay, if we say we had 260 at the end of March 31 -- or excuse me, Q1, end of March 31, 2021. We had 280 in Q2.
We opened up our 36 franchise units. So there's at least some numbers that give you some sense.
Operator
And we don't have any further questions at this time. Peter, the floor is back yours.
Peter D. Holt - CEO, President & Director
Thank you very much. Thank you all for your time today. This fall, we're going to present virtually at Lake Street's Best Ideas Growth Conference in September. And given that we signed a contract with the Army and Air Force Exchange Service in July, I thought it was very fitting to end today's call with a paraphrase of the very long thank you note that we got from a veteran that was very recently.
And he wrote, "I served in the Iraq war with the U.S. Army from 2009 to 2010. I sustained a vast array of injuries during my deployment, which hindered me for a decade before I sought out chiropractic care. For years, I struggled with reoccurring pain from head to my feet, resulting in many sleepless nights. Over the past 2 years, chiropractic care and adjustments have provided me with relief. I had no clue what chiropractic care could do for me. I wish I had known earlier, so I didn't suffer so much.
My outlook has improved dramatically due to the amazing staff of doctors at the Joint chiropractic. Thanking the doctors with their care received just doesn't seem enough because they're doing their job. The Joint's doctors are giving me so much look forward to in my life, and I could not keep going if it's not in their care." Thank you, and stay well adjusted.
Operator
And this concludes today's call. Thank you all for your participation. You may now disconnect.