NOTES
TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
For
the Three Months Ended March 31, 2023 and 2022
(unaudited)
Note
1 – Organization and Summary of Significant Accounting Policies
Description
of Business
Rennova
Health, Inc. (“Rennova”, together with its subsidiaries, the “Company”, “we”, “us”, “its”
or “our”) is a provider of health care services. The Company owns one operating hospital in Oneida, Tennessee, a hospital
located in Jamestown, Tennessee that it plans to reopen and operate and a rural health clinic in Kentucky. The Company’s operations
consist of only one segment.
Scott
County Community Hospital (d/b/a Big South Fork Medical Center)
On
January 13, 2017, we acquired certain assets related to Scott County Community Hospital, based in Oneida, Tennessee (the “Oneida
Assets”). The Oneida Assets include a 52,000 square foot hospital building and 6,300 square foot professional building on approximately
4.3 acres. Scott County Community Hospital has 25 beds, a 24/7 emergency department and a laboratory that provides a range of diagnostic
services. Scott County Community Hospital closed in July 2016 in connection with the bankruptcy filing of its parent company, Pioneer
Health Services, Inc. We acquired the Oneida Assets out of bankruptcy for a purchase price of $1.0 million. The hospital, which has since
been renamed Big South Fork Medical Center, became operational on August 8, 2017. The hospital became certified as a Critical Access
Hospital (rural) hospital in December 2021, retroactive to June 30, 2021.
Jamestown
Regional Medical Center
On
June 1, 2018, we acquired from Community Health Systems, Inc. certain assets related to an acute care hospital located in Jamestown,
Tennessee, referred to as Jamestown Regional Medical Center, for a purchase price of $0.7 million. The hospital is an 85-bed facility
of approximately 90,000 square feet on over eight acres of land, which offered a 24-hour emergency department with two trauma bays and
seven private exam rooms, inpatient and outpatient medical services and a progressive care unit which provided telemetry services. The
acquisition also included a separate physician practice known as Mountain View Physician Practice, Inc.
The
Company suspended operations at the hospital and physician practice in June 2019, as a result of the termination of the hospital’s
Medicare agreement and other factors. The Company is evaluating whether to reopen the facility as an acute care hospital or as another
type of healthcare facility. Jamestown is located 38 miles west of Big South Fork Medical Center.
CarePlus
Clinic
On
March 5, 2019, we acquired certain assets related to an outpatient clinic located in Williamsburg, Kentucky. The clinic and its associated
assets, which were acquired from CarePlus Rural Health Clinic, LLC, offers compassionate care in a modern, patient-friendly facility.
The CarePlus Clinic is located 32 miles northwest of our Big South Fork Medical Center.
Basis
of Presentation
The
unaudited condensed consolidated financial statements were prepared using generally accepted accounting principles for interim financial
information and the instructions to Form 10-Q and Regulation S-X. Accordingly, these financial statements do not include all information
or notes required by generally accepted accounting principles for annual financial statements and should be read in conjunction with
the consolidated financial statements as filed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
In the opinion of management, the unaudited condensed consolidated financial statements included herein contain all adjustments necessary
to present fairly the Company’s consolidated financial position as of March 31, 2023, and the results of its operations and changes
in stockholders’ deficit for the three months ended March 31, 2023 and 2022 and its cash flows for the three months ended March
31, 2023 and 2022. Such adjustments are of a normal recurring nature. The results of operations for the three months ended March 31,
2023 may not be indicative of results for the year ending December 31, 2023.
Principles
of Consolidation
The
unaudited condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted
in the United States of America (“U.S. GAAP”), include the accounts of Rennova and its wholly-owned subsidiaries. All intercompany
transactions and balances have been eliminated in the consolidation.
Comprehensive
Income (Loss)
During
the three months ended March 31, 2023 and 2022, comprehensive income (loss) was equal to the net income (loss) amounts presented in the
unaudited condensed consolidated statements of operations.
Use
of Estimates
The
preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the
reported amounts of assets and liabilities, and disclosure of contingent liabilities at the date of the consolidated financial statements,
and the reported amounts of net revenues and expenses during the reporting period. Actual results could differ from those estimates.
Significant estimates and assumptions include the estimates of fair values of assets acquired and liabilities assumed in business combinations,
contractual allowances and bad debt reserves, the recoverability of long-lived assets, the valuation allowance relating to the Company’s
deferred tax assets, the valuations of investments, equity and derivative instruments, deemed dividends, litigation and related reserves,
among others. Actual results could differ from those estimates and would impact future results of operations and cash flows.
Reclassifications
Certain
prior year amounts have been reclassified to conform to the current year presentation.
Cash
and Cash Equivalents
The
Company considers all highly liquid temporary cash investments with an original maturity of three months or less to be cash equivalents.
Revenue
Recognition
We
recognize revenue in accordance with Accounting Standard Codification (“ASC”), “Revenue from Contracts with Customers
(Topic 606),” including subsequently issued updates. Under the accounting guidance, we no longer present the provision for
doubtful accounts as a separate line item and our revenues are presented net of estimated contractual allowances and estimated implicit
price concessions. We also do not present “allowances for doubtful accounts” on our balance sheets.
Our
revenues relate to contracts with patients in which our performance obligations are to provide health care services to the patients.
Revenues are recorded during the period our obligations to provide health care services are satisfied. Our performance obligations for
inpatient services are generally satisfied over periods averaging approximately three days, and revenues are recognized based on charges
incurred. Our performance obligations for outpatient services, including emergency room-related services, are generally satisfied over
a period of less than one day. The contractual relationships with patients, in most cases, also involve a third-party payer (Medicare,
Medicaid, managed care health plans and commercial insurance companies, including plans offered through the health insurance exchanges)
and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with
(managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers
for the services we provide to the related patients typically specify payments at amounts less than our standard charges. Medicare, because
of the Big South Fork Medical Center’s designation as a Critical Access Hospital, generally pays for inpatient and outpatient services
at rates related to the hospital’s costs. Services provided to patients having Medicaid coverage are generally paid at prospectively
determined rates per discharge, per identified service or per covered member. Agreements with commercial insurance carriers, managed
care and preferred provider organizations generally provide for payments based upon predetermined rates per diagnosis, per diem rates
or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates
to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals.
Our net revenues are based upon the estimated amounts we expect to be entitled to receive from patients and third-party payers. Estimates
of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related
contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health
care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record estimated implicit price concessions
(based primarily on historical collection experience) related to uninsured accounts to record self-pay revenues at the estimated amounts
we expect to collect.
Laws
and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. Estimated reimbursement amounts
are adjusted in subsequent periods as cost reports are prepared and filed and as final settlements are determined (in relation to certain
government programs, primarily Medicare, this is generally referred to as the “cost report” filing and settlement process).
During the fourth quarter of 2022, the Company’s Big South Fork Medical Center received a communication that its final Medicare
cost report for the six months ending December 31, 2021 was accepted and that it reflected a retroactive adjustment of $1.6 million as
a result of an overpayment. Accordingly, the Company has reflected the $1.6 million cost report adjustment as a liability at March 31,
2023 and December 31, 2022. Furthermore, the Company recognized additional liabilities of $0.4 million and $0.5 million, respectively,
at March 31, 2023 and December 31, 2022 (net of recoupments) based on further correspondence with its fiscal intermediary and likely
overpayments by Medicare for fiscal 2022.
The
collection of outstanding receivables for Medicare, Medicaid, managed care payers, other third-party payers and patients is our primary
source of operating cash and is critical to our operating performance. The primary collection risks relate to uninsured patient accounts,
including patient accounts for which the primary insurance carrier has paid the amounts covered by the applicable agreement, but patient
responsibility amounts (deductibles and copayments) remain outstanding. Implicit price concessions relate primarily to amounts due directly
from patients. Estimated implicit price concessions are recorded for all uninsured accounts, regardless of the aging of those accounts.
Accounts are written off when all reasonable internal and external collection efforts have been performed. The estimates for implicit
price concessions are based upon management’s assessment of historical write offs and expected net collections, business and economic
conditions, trends in federal, state and private employer health care coverage and other collection indicators. Management relies on
the results of detailed reviews of historical write-offs and collections at facilities that represent a majority of our revenues and
accounts receivable (the “hindsight analysis”) as a primary source of information in estimating the collectability of our
accounts receivable.
Contractual
Allowances and Doubtful Accounts Policy
Accounts
receivable are reported at realizable value, net of estimated contractual allowances and estimated implicit price concessions (also referred
to as doubtful accounts), which are estimated and recorded in the period the related revenue is recorded. The Company has a standardized
approach to estimating and reviewing the collectability of its receivables based on a number of factors, including the period they have
been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to contractual
allowances and doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify
issues which may impact the receivables or reserve estimates. Receivables deemed to be uncollectible are charged against the allowance
for doubtful accounts at the time such receivables are written-off. Recoveries of receivables previously written-off are recorded as
credits to the allowance for doubtful accounts. Revisions to the allowances for doubtful accounts are recorded as an adjustment to revenues.
During
the three months ended March 31, 2023 and 2022, estimated contractual allowances of $11.1 million and $8.1 million, respectively, and
estimated implicit price concessions of $0.9 million and $1.4 million, respectively, have been recorded as reductions to our revenues
and accounts receivable balances to enable us to record our revenues and accounts receivable at the estimated amounts we expect to collect.
As required by Topic 606, after estimated implicit price concessions and contractual and related allowance adjustments to revenues of
$12.0 million and $9.5 million, respectively, for the three months ended March 31, 2023 and 2022, we reported net revenues of $4.9 million
and $1.1 million, respectively. We continue to review the provisions for implicit price concessions and contractual allowances. See Note
4 – Accounts Receivable.
Impairment
or Disposal of Long-Lived Assets
We
account for the impairment or disposal of long-lived assets according to the Financial Accounting Standards Board (the
“FASB”) ASC Topic 360, Property, Plant and Equipment (“ASC
360”). ASC 360 clarifies the accounting for the impairment of long-lived assets and for long-lived assets to be disposed of,
including the disposal of business segments and major lines of business. Long-lived assets are reviewed when facts and circumstances
indicate that the carrying value of the asset may not be recoverable. When necessary, impaired assets are written down to estimated
fair value based on the best information available. Estimated fair value is generally either based on appraised value or
measured by discounting estimated future cash flows. Considerable management judgment is necessary to estimate discounted future
cash flows. Accordingly, actual results could vary significantly from such estimates. The Company did not record an asset impairment
charge during the three months ended March 31, 2023 and 2022.
Leases
in Accordance with ASU No. 2016-02
We
account for leases in accordance with Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842), which requires leases with
durations greater than 12 months to be recognized on the balance sheet. Upon adoption in 2019, we elected the package of transition
provisions available which allowed us to carryforward our historical assessments of (1) whether contracts are or contain leases, (2)
lease classification and (3) initial direct costs. We lease property and equipment under finance and operating leases. For operating
leases with terms greater than 12 months, we record the related right-of-use assets and right-of-use obligations at the present
value of lease payments over the term. For finance leases, we record the present value of the lease payments as finance lease
obligations. We do not separate lease and non-lease components of contracts. Our finance and operating leases are more fully
discussed in Note 8.
Fair
Value Measurements
In
accordance with ASC 820, “Fair Value Measurements and Disclosures,” the Company applies fair value accounting for
all financial assets and liabilities and non-financial assets and liabilities that are recognized or disclosed at fair value in the financial
statements on a recurring basis. Fair value is defined as the price that would be received from selling an asset or paid to transfer
a liability in an orderly transaction between market participants at the measurement date. When determining the fair value measurements
for assets and liabilities which are required to be recorded at fair value, the Company considers the principal or most advantageous
market in which it would transact and the market-based risk measurements or assumptions that market participants would use in pricing
the asset or liability, such as risks inherent in valuation techniques, transfer restrictions and credit risk. Fair value is estimated
by applying the following hierarchy, which prioritizes the inputs used to measure fair value into three levels and bases the categorization
within the hierarchy upon the lowest level of input that is available and significant to the fair value measurement:
|
● |
Level 1 applies to assets
or liabilities for which there are quoted prices in active markets for identical assets or liabilities that we have the ability to
access at the measurement date. |
|
|
|
|
● |
Level 2 applies to assets
or liabilities for which there are inputs other than quoted prices included in Level 1 that are observable for the asset or liability,
either directly or indirectly, such as quoted prices for similar assets or liabilities in active markets; or quoted prices for identical
assets or liabilities in markets with insufficient volume or infrequent transactions (less active markets). |
|
|
|
|
● |
Level 3 applies to assets
or liabilities for which fair value is derived from valuation techniques in which one or more significant inputs are unobservable,
including our own assumptions. |
On
March 31, 2023 and December 31, 2022, we applied the Level 3 fair value hierarchy in determining the fair value of InnovaQor, Inc.’s
Series B-1 Non-Voting Convertible Preferred Stock (the “InnovaQor Series B-1 Preferred Stock”), which is reflected on our
condensed consolidated balance sheets as an investment. Also, on March 31, 2023 and December 31, 2022, we applied the Level 3 fair value
hierarchy in determining the fair value of a derivative liability for an embedded conversion option of an outstanding convertible debenture.
Our determination of fair value is more fully discussed in Note 9.
Derivative
Financial Instruments and Fair Value, Including ASU 2017-11 and ASU 2021-04
In
July 2017, the FASB issued ASU 2017-11, “Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480)
Derivatives and Hedging (Topic 815).” The amendments in Part I of this Update change the classification analysis of certain
equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial
instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity
classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing
disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or
embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of
a down round feature. For freestanding equity classified financial instruments, the amendments require entities that present
earnings (loss) per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is triggered.
That effect is treated as a dividend and as a reduction of income available to common stockholders in basic and diluted EPS.
Convertible instruments with embedded conversion options that have down round features are now subject to the specialized guidance
for contingent beneficial conversion features (in Subtopic 470-20, Debt—Debt with Conversion and Other Options), including
related EPS guidance (in Topic 260).
In
May 2021, the FASB issued ASU 2021-04, Earnings Per Share (Topic 260), Debt—Modifications and Extinguishments (Subtopic 470-50),
Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic
815-40), Issuer’s Accounting for Certain Modifications or Exchanges of Freestanding Equity-Classified Written Call Options. The
FASB issued this update to clarify and reduce diversity in an issuer’s accounting for modifications or exchanges of freestanding
equity-classified written call options (for example, warrants) that remain equity classified after modification or exchange. The guidance
clarifies whether an issuer should account for a modification or an exchange of a freestanding equity-classified written call option
that remains equity classified after modification or exchange as (1) an adjustment to equity (that is, deemed dividends) and, if so,
the related earnings per share (EPS) effects, if any, or (2) an expense and, if so, the manner and pattern of recognition. We adopted
this new accounting guidance on January 1, 2022. Under the new guidance, the FASB decided not to include convertible debt instruments
in the guidance because ASU No 2016-01, Financial Instruments – Overall (Subtopic 825-10) requires that an entity capture
the impact of changes in down round provision features of convertible debt within the fair value of the instruments. During the three
months ended March 31, 2023 and 2022, there were no changes in the fair values of the Company’s convertible debentures with down
round provision features as these debentures issued in 2018 have floors of $0.052 per share and were not in-the-money during these periods.
Debentures are more fully discussed in Note 6.
There
were no triggers of down round provisions to warrants during the three months ended March 31, 2023. The incremental value of modification
to warrants as a result of triggers of the down round provisions of $135.7 million was recorded as deemed dividends in the three months
ended March 31, 2022. See Note 9 for an additional discussion of derivative financial instruments and deemed dividends.
In
addition, we recorded deemed dividends of approximately $0.2 million during the three months ended March 31, 2022 as a result of the
issuances of shares of our Series P Convertible Redeemable Preferred Stock (the “Series P Preferred Stock”), which is more
fully discussed in Note 10.
Income
Taxes
Income
taxes are accounted for under the liability method of accounting for income taxes. Under the liability method, future tax liabilities
and assets are recognized for the estimated future tax consequences attributable to differences between the amounts reported in the financial
statement carrying amounts of assets and liabilities and their respective tax bases. Future tax assets and liabilities are measured using
enacted or substantially enacted income tax rates expected to apply when the asset is realized or the liability settled. The effect of
a change in income tax rates on future income tax liabilities and assets is recognized in income in the period that the change occurs.
Future income tax assets are recognized to the extent that they are considered more likely than not to be realized. When projected future
taxable income is insufficient to provide for the realization of deferred tax assets, the Company recognizes a valuation allowance.
In
accordance with U.S. GAAP, the Company is required to determine whether a tax position of the Company is more likely than not to be sustained
upon examination by the applicable taxing authority, including resolution of any related appeals or litigation processes, based on the
technical merits of the position. The tax benefit to be recognized is measured as the largest amount of benefit that is greater than
fifty percent likely of being realized upon ultimate settlement. Derecognition of a tax benefit previously recognized could result in
the Company recording a tax liability that would reduce net assets. Based on its analysis, the Company has determined that it has not
incurred any liability for unrecognized tax benefits as of March 31, 2023 and December 31, 2022.
Earnings
(Loss) Per Share
The
Company reports earnings (loss) per share in accordance with ASC Topic 260, “Earnings Per Share,” which establishes standards
for computing and presenting earnings (loss) per share. Basic earnings (loss) per share of common stock is calculated by dividing net
earnings (loss) available to common stockholders by the weighted-average shares of common stock outstanding during the period, without
consideration of common stock equivalents. Diluted earnings (loss) per share is calculated by adjusting the weighted-average shares of
common stock outstanding for the dilutive effect of common stock equivalents, including preferred stock, convertible debt, stock options
and warrants outstanding for the period, with options and warrants determined using the treasury stock method. For purposes of the diluted
earnings (loss) per share calculation, common stock equivalents are excluded from the calculation when their effect would be anti-dilutive.
See Note 3 for the computation of earnings (loss) per share for the three months ended March 31, 2023 and 2022.
Reverse
Stock Split
On
March 15, 2022, the Company effected a 1-for-10,000 reverse stock split (the “Reverse Stock Split”). As a result of the Reverse
Stock Split, every 10,000 shares of the Company’s common stock then outstanding was combined and automatically converted into one
share of the Company’s common stock on March 15, 2022. The conversion and exercise prices of all of the Company’s outstanding
convertible preferred stock, common stock purchase warrants, stock options and convertible debentures were proportionately adjusted at
the applicable reverse split ratio in accordance with the terms of such instruments. The par value and other terms of the common stock
were not affected by the Reverse Stock Split. All share, per share and capital stock amounts and common stock equivalents presented herein
have been restated where appropriate to give effect to the Reverse Stock Split.
Amendment
to Certificate of Incorporation
Effective
November 5, 2021, the Company filed an Amendment to its Certificate of Incorporation, as amended, with the Secretary of State of the
State of Delaware to provide that the number of authorized shares of the Company’s common stock or preferred stock may be increased
or decreased (but not below the number of shares then outstanding) by the affirmative vote of the holders of a majority in voting power
of the stock of the Company entitled to vote generally in the election of directors, irrespective of the provisions of Section 242(b)(2)
of the General Corporation Law of the State of Delaware (or any successor provision thereto), voting together as a single class, without
a separate vote of the holders of the class or classes the number of authorized shares of which are being increased or decreased unless
a vote by any holders of one or more series of preferred stock is required by the express terms of any series of preferred stock pursuant
to the terms thereof.
Note
2 – Liquidity and Financial Condition
Going
Concern
The
Company has the responsibility to evaluate whether conditions and/or events raise substantial doubt about its ability to meet its future
financial obligations as they become due within one year after the date that the financial statements are issued. As required by ASC,
Presentation of Financial Statements-Going Concern (Subtopic 205-40) (“ASC 205-40”), this evaluation shall initially
not take into consideration the potential mitigating effects of plans that have not been fully implemented as of the date the financial
statements are issued. Management has assessed the Company’s ability to continue as a going concern in accordance with the requirements
of ASC 205-40.
At
March 31, 2023, the Company had a working capital deficit and a stockholders’ deficit of $42.2 million and $28.3 million, respectively.
While we generated $0.8 million of income in the three months ended March 31, 2023, we incurred losses of $2.3 million and $3.3 million in the three months ended March 31, 2022 and the year ended December 31, 2022,
respectively. As of the date of this report, our cash is deficient and payments for our operations in the ordinary course are not being
made. The losses in prior periods and other related factors, including past due accounts payable and payroll taxes, as well as payment
defaults under the terms of outstanding notes payable and debentures, raise substantial doubt about the Company’s ability to continue
as a going concern for 12 months from the filing date of this report.
The
Company’s condensed consolidated financial statements are prepared assuming the Company can continue as a going concern, which
contemplates continuity of operations through realization of assets, and the settling of liabilities in the normal course of business.
The Company’s current financial condition may make it difficult to attract and maintain adequate expertise in its management team
to successfully operate its remaining healthcare facilities.
There
can be no assurance that the Company will be able to achieve its business plan, raise any additional capital or secure the additional
financing necessary to implement its current operating plan. The ability of the Company to continue as a going concern is dependent upon
its ability to raise adequate capital to fund its operations and repay its outstanding debt and other past due obligations, fully align
its operating costs, increase its net revenues, and eventually gain profitable operations. The condensed consolidated financial statements
do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.
Impact
of the Pandemic
The
coronavirus (“COVID-19”) pandemic was declared a global pandemic by the World Health Organization on March 11, 2020. We have
been monitoring the COVID-19 pandemic and its impact on our operations. We have received Paycheck Protection Program loans (“PPP
Notes”), which have been forgiven in accordance with their terms and employee retention credits and Department of Health and Human
Services (“HHS”) Provider Relief Funds from the federal government. The HHS Provider Relief Funds are more fully discussed
below. Going forward, the Company is unable to determine the extent to which the COVID-19 pandemic will continue to affect its business.
Our ability to make estimates of the effect of the COVID-19 pandemic on net revenues, expenses or changes in accounting judgments that
have had or are reasonably likely to have a material effect on our financial statements is currently limited. The nature and effect of
the COVID-19 pandemic on our balance sheet and results of operations will depend on the severity and length of the pandemic in our service
areas; government activities to mitigate the pandemic’s effect; regulatory changes in response to the pandemic, especially those
affecting rural hospitals; existing and potential government assistance that may be provided; and the requirements of HHS Provider Relief
Fund receipts, including our ability to retain such funds as have been received.
HHS
Provider Relief Funds
The
Company received HHS Provider Relief Funds, which were provided to eligible healthcare providers out of the $100 billion Public Health
and Social Services Emergency Fund provided for in the Coronavirus Aid, Relief and Economic Security Act (the “CARES Act”).
The funds were allocated to eligible healthcare providers for expenses and lost revenue attributable to the COVID-19 pandemic. As of
March 31, 2023, our facilities have received approximately $13.6 million in relief funds. The fund payments are grants, not loans, and
HHS will not require repayment, but the funds must be used only for grant approved purposes. Based on an analysis of the compliance and
reporting requirements of the Provider Relief Funds and the impact of the pandemic on our operating results through March 31, 2023, we
have recognized a net of $13.0 million of these funds as income of which $0.6 million, $4.4 million and $8.0 million were recognized
as income during the years ended December 31, 2022, 2021 and 2020, respectively. Accordingly, approximately $0.6 million of relief funds
received as of March 31, 2023 are included on our balance sheets in accrued expenses, as more fully discussed in Note 5.
As
of March 31, 2023, the Company’s estimate of the amount for which it is reasonably assured of meeting the underlying terms and
conditions of the grants was based on, among other things, the various notices issued by HHS on September 19, 2020, October 22, 2020,
and January 15, 2021 and the Company’s results of operations during the three months ended March 31, 2023 and the years ended December
31, 2022, 2021 and 2020. The Company believes that it was appropriate to recognize a net of $13.0 million of the HHS Provider Relief
Funds as income in various periods, as discussed in the paragraph above. Accordingly, the $13.0 million is not recognized as a liability
at March 31, 2023. Additional guidance or new and amended interpretations of existing guidance on the terms and conditions of such payments
may result in changes in the Company’s estimate of amounts for which the terms and conditions are reasonably assured of being met,
and any such changes may be material. Additionally, any such changes may result in derecognition of amounts of income previously recognized,
which may be material. If we are unable to attest to or comply with current or future terms and conditions, and there is no assurance
we will be able to do so, our ability to retain some or all of the funds received may be impacted.
The
Company has been served with a qui tam complaint with regards to the use of monies received from HHS Provider Relief Funds, as
more fully discussed in Note 12.
Note
3 – Earnings (Loss) Per Share
Basic
earnings (loss) per share is computed by dividing the earnings (loss) available to common stockholders by the weighted-average number
of shares of common stock outstanding during the period. Diluted earnings (loss) per share reflects the potential dilution that could
occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance
of common stock that then shared in the income of the Company.
The
following table sets forth the computation of the Company’s basic and diluted net income (loss) per share (unaudited) during the
three months ended March 31, 2023 and 2022:
Schedule of Earnings Per Share
| |
2023 | | |
2022 | |
| |
Three Months Ended March 31, | |
| |
2023 | | |
2022 | |
Numerator | |
| | |
| |
Net income (loss) from continuing operations | |
$ | 805,560 | | |
$ | (2,266,132 | ) |
Deemed dividends | |
| - | | |
| (135,924,745 | ) |
Net income (loss) available to common stockholders, continuing operations | |
| 805,560 | | |
| (138,190,877 | ) |
Net loss from discontinued operations | |
| - | | |
| (1,434 | ) |
Net income (loss) available to common stockholders | |
$ | 805,560 | | |
$ | (138,192,311 | ) |
| |
| | | |
| | |
Denominator | |
| | | |
| | |
Weighted average number of shares of common stock outstanding during the period
– basic | |
| 29,754,877,813 | | |
| 4,812,754 | |
Warrants | |
| 27,733,334,296 | | |
| - | |
Preferred stock | |
| 452,324,855,556 | | |
| - | |
Weighted average number of shares of common stock and common stock equivalents
outstanding during the period - diluted | |
| 509,813,067,665 | | |
| 4,812,754 | |
| |
| | | |
| | |
Net income (loss) per share of common stock available to common stockholders – basic and diluted: | |
| | | |
| | |
Continuing operations | |
$ | 0.00 | | |
$ | (28.71 | ) |
Discontinued operations | |
| - | | |
| (0.00 | ) |
Total | |
$ | 0.00 | | |
$ | (28.71 | ) |
Diluted
income (loss) per share excludes all dilutive potential shares if their effect is anti-dilutive. As of March 31, 2023 and 2022, the following
potential common stock equivalents were excluded from the calculation of diluted income (loss) per share as their effect was anti-dilutive:
Schedule of Anti-dilutive Securities Excluded from Computation of
Earnings Per Share
| |
2023 | | |
2022 | |
| |
Three Months Ended March 31, | |
| |
2023 | | |
2022 | |
Common stock warrants | |
| 483,600,016,793 | | |
| 5,002,174,096 | |
Convertible preferred stock | |
| - | | |
| 3,093,872,894 | |
Convertible debentures | |
| 28,777,833,333 | | |
| 388,960,870 | |
Stock options | |
| 26 | | |
| 26 | |
Anti-dilutive
shares
| |
| 512,377,850,152 | | |
| 8,485,007,886 | |
The
terms of certain of the warrants, convertible preferred stock and convertible debentures issued by the Company provide for reductions
in the per share exercise prices of the warrants and the per share conversion prices of the debentures and preferred stock (if applicable
and subject to floors in certain cases) in the event that the Company issues common stock or common stock equivalents (as that term is
defined in the agreements) at an effective exercise/conversion price that is less than the then exercise/conversion prices of the outstanding
warrants, preferred stock or debentures, as the case may be. In addition, many of these securities contain exercise or conversion prices
that vary based upon the price of the Company’s common stock on the date of exercise/conversion (see Notes 6, 9 and 10). These
provisions have resulted in significant dilution of the Company’s common stock.
As
a result of the Voting Agreement and Irrevocable Proxy (the “Voting Agreement”) discussed in Note 10 and the November 5,
2021 Amendment to the Company’s Certificate of Incorporation, as amended, to provide that the number of authorized shares of the
Company’s common stock or preferred stock may be increased or decreased (but not below the number of shares then outstanding) by
the affirmative vote of the holders of a majority in voting power of the stock of the Company, which is more fully discussed in Note
1, as of the date of filing this report, the Company believes that it has the ability to ensure that it has and or can obtain sufficient
authorized shares of its common stock to cover all outstanding rights to acquire potentially dilutive common shares.
As
a result of these down round provisions, the potential common stock and common stock equivalents totaled 1.0 trillion at May 9, 2023.
See Note 10 for a discussion of the number of shares of the Company’s authorized common and preferred stock.
Note
4 – Accounts Receivable
Accounts
receivable at March 31, 2023 (unaudited) and December 31, 2022 consisted of the following:
Schedule
of Accounts Receivable
| |
2023 | | |
2022 | |
| |
March 31, | | |
December 31, | |
| |
2023 | | |
2022 | |
| |
| | |
| |
Accounts receivable | |
$ | 12,873,266 | | |
$ | 13,046,646 | |
Less: | |
| | | |
| | |
Allowance for contractual obligations | |
| (8,874,259 | ) | |
| (8,529,904 | ) |
Allowance for doubtful accounts | |
| (1,150,091 | ) | |
| (1,405,773 | ) |
Accounts receivable, net | |
$ | 2,848,916 | | |
$ | 3,110,969 | |
Note
5 – Accrued Expenses
Accrued
expenses at March 31, 2023 (unaudited) and December 31, 2022 consisted of the following:
Schedule of Accrued Expenses
| |
March 31, | | |
December 31, | |
| |
2023 | | |
2022 | |
Accrued payroll and related liabilities | |
$ | 8,496,774 | | |
$ | 8,533,710 | |
HHS Provider Relief Funds | |
| 552,099 | | |
| 552,099 | |
Accrued interest | |
| 6,176,589 | | |
| 5,736,096 | |
Accrued legal expenses and settlements | |
| 534,550 | | |
| 534,550 | |
Medicare overpayment reserve | |
| 1,976,423 | | |
| 2,101,837 | |
Other accrued expenses | |
| 2,277,972 | | |
| 2,105,516 | |
Accrued expenses | |
$ | 20,014,407 | | |
$ | 19,563,808 | |
Accrued
payroll and related liabilities at March 31, 2023 and December 31, 2022 included approximately $3.1 million and $3.0 million, respectively,
for penalties associated with approximately $4.0 million and $4.0 million of accrued past due payroll taxes as of March 31, 2023 and
December 31, 2022, respectively.
During
the fourth quarter of 2022, the Company’s Big South Fork Medical Center received a communication that its final Medicare cost report
for the six months ending December 31, 2021 was accepted and that it reflected a retroactive adjustment of $1.6 million as a result of
an overpayment. Accordingly, the Company has reflected the $1.6 million cost report adjustment as a liability at March 31, 2023 and December
31, 2022. Furthermore, the Company recognized an additional $0.4 million and $0.5 million as a liability (net of recoupments) at March
31, 2023 and December 31, 2022, respectively, based on further correspondence with its fiscal intermediary and likely overpayments by
Medicare for fiscal 2022.
Note
6 – Debt
At
March 31, 2023 (unaudited) and December 31, 2022, debt consisted of the following:
Schedule of Debt
| |
March 31, 2023 | | |
December 31, 2022 | |
| |
| | |
| |
Notes payable- third parties | |
$ | 1,780,010 | | |
$ | 2,917,390 | |
Loan payable – related party | |
| 3,003,000 | | |
| 2,995,000 | |
Debentures | |
| 8,322,240 | | |
| 8,622,240 | |
Total debt | |
| 13,105,250 | | |
| 14,534,630 | |
Less current portion of debt | |
| (13,105,250 | ) | |
| (14,534,630 | ) |
Total debt, net of current portion | |
$ | - | | |
$ | - | |
At
March 31, 2023 (unaudited) and December 31, 2022, notes payable with third parties consisted of the following:
Notes
Payable – Third Parties
Schedule of Notes Payable Third Parties
| |
March 31, 2023 | | |
December 31, 2022 | |
| |
| | |
| |
| |
$ | 291,557 | | |
$ | 291,557 | |
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000 (the “Tegal Notes”). | |
$ | 291,557 | | |
$ | 291,557 | |
| |
| | | |
| | |
Note payable to Anthony O’Killough dated September 27, 2019 in the original principal amount of $1.9 million. Issued net of $0.4 million of debt discount and financing fees. Payment due in installments through November 2020. | |
| - | | |
| 1,137,380 | |
| |
| | | |
| | |
Notes payable to Western Healthcare, LLC dated August 10, 2021, in the aggregate principal amount of $2.4 million, bearing interest at 18% per annum, payable in monthly installments aggregating $0.2 million, due August 30, 2022. | |
| 1,488,453 | | |
| 1,488,453 | |
| |
| | | |
| | |
Note
payable
| |
| 1,780,010 | | |
| 2,917,390 | |
Less current portion | |
| (1,780,010 | ) | |
| (2,917,390 | ) |
Notes payable - third parties, net of current portion | |
$ | - | | |
$ | - | |
On December 7, 2016, the holders of the
Tegal Notes filed suit against the Company seeking payment for the amounts due under the notes in the aggregate principal balance of
$341,612 and accrued interest. On April 23, 2018, the holders of the Tegal Notes received a judgment against the Company in the amount
of $384,384. As of March 31, 2023, the Company has repaid $50,055 of the principal amount of these notes.
On
September 27, 2019, the Company issued a promissory note payable to Anthony O’Killough in the principal amount of $1.9 million
and received proceeds of $1.5 million, which was net of a $0.3 million original issue discount and $0.1 million of financing fees. The
first principal payment of $1.0 million was due on November 8, 2019 and the remaining $0.9 million was due on December 26, 2019. These
payments were not made. In February 2020, Mr. O’Killough sued the Company and Mr. Diamantis, as guarantor, in New York State Supreme
Court for the County of New York, for approximately $2.2 million for non-payment of the promissory note. In May 2020, the Company, Mr.
Diamantis, as guarantor, and Mr. O’Killough entered into a Stipulation providing for a payment of a total of $2.2 million (which
included accrued “penalty” interest as of that date) in installments through November 1, 2020. The Company made payments
totaling $450,000 in 2020. On January 18, 2022, Mr. Diamantis paid $750,000 and the remaining balance was due 120 days thereafter. Mr.
O’Killough agreed to forebear from any further enforcement action until then. On various dates during the remainder of 2022, Mr.
Diamantis made additional payments to Mr. O’Killough totaling $300,000 and the Company gave Mr. Diamantis $350,000 for further
payment to Mr. O’Killough. As a result of these payments, the past due balance owed to Mr. O’Killough was $1.1 million on
December 31, 2022. The Company is obligated to repay Mr. Diamantis for any payments, plus interest, that he made to Mr. O’Killough.
During the three months ended March 31, 2023, the parties entered into a final settlement wherein the Company and Mr. Diamantis settled
the obligation in full for $580,000. As a result of the final settlement, during the three months ended March 31, 2023, the Company recorded
a gain on legal settlement of $0.6 million.
On
August 10, 2021, the Company entered into two notes payable with Western Healthcare, LLC in the aggregate principal amount of $2.4 million.
The notes were issued under the terms of a settlement agreement related to agreements that the Company had previously entered into for
medical staffing services. The notes bear interest at a rate of 18% per annum and payments consisting of principal and interest were
due no later than August 30, 2022. The Company paid $0.2 million to the note holders upon issuance of the notes. The Company has
not made all of the monthly installments due under the notes and the notes are past due. On May 12, 2023, the Company and Western Healthcare, LLC agreed to reduce the aggregate principal amount of the notes
by $400,000 in exchange for a cash payment of $200,000.
Loan
Payable – Related Party
At
March 31, 2023 (unaudited) and December 31, 2022, loan payable - related party consisted of the following:
Schedule of Loan Payable Related Parties
| |
March 31, 2023 | | |
December 31, 2022 | |
| |
| | |
| |
Loan payable to Christopher Diamantis | |
$ | 3,003,000 | | |
$ | 2,995,000 | |
Less current portion of loan payable, related party | |
| (3,003,000 | ) | |
| (2,995,000 | ) |
Total loan payable, related party, net of current portion | |
$ | - | | |
$ | - | |
Mr.
Diamantis was a member of the Company’s Board of Directors until his resignation on February 26, 2020. During the three months
ended March 31, 2023 and 2022, Mr. Diamantis loaned the Company $580,000
and $750,000,
respectively, which the Company used to pay amounts owed under the note payable to Mr. O’Killough. These payments and the note
payable to Mr. O’Killough are more fully discussed above under the heading Notes Payable –Third Parties. During the
three months ended March 31, 2023, the Company made payments on the principal amount of the loans from Mr. Diamantis of $572,000.
No
principal
payments were made on loans from Mr. Diamantis during the three months ended March 31, 2022.
During
the three months ended March 31, 2023 and 2022, the Company incurred interest expense on the loans from Mr. Diamantis of $0.1
million and $0.1
million, respectively. During the three months ended March 31, 2023 and 2022, the Company paid $0.1
million and $0,
respectively, of accrued interest owed to Mr. Diamantis. No
accrued interest was owed to Mr. Diamantis at March 31, 2023 and December 31, 2022. Interest accrues on loans from Mr.
Diamantis at a rate of 10%
of the amounts loaned.
Debentures
The
carrying amount of all outstanding debentures with institutional investors as of March 31, 2023 (unaudited) and December 31, 2022 was
as follows:
Schedule of Debentures
| |
March 31, 2023 | | |
December 31, 2022 | |
| |
| | |
| |
March 2017 Debenture | |
$ | 2,580,240 | | |
$ | 2,580,240 | |
2018 Debentures | |
| 5,642,000 | | |
| 5,642,000 | |
October 2022 Debentures | |
| 100,000 | | |
| 400,000 | |
Debentures, Gross
| |
| 8,322,240 | | |
| 8,622,240 | |
Less current portion | |
| (8,322,240 | ) | |
| (8,622,240 | ) |
Debentures, net of current portion | |
$ | - | | |
$ | - | |
March
2017 Debenture
In
March 2017, the Company issued a debenture due in March 2019 (the “March 2017 Debenture”) with a principal balance of $2.6
million at March 31, 2023 and December 31, 2022, including a 30% late-payment penalty of $0.6 million. The March 2017 Debenture is past due
by its original terms. The March 2017 Debenture bears default interest at the rate of 18% per annum and is secured by a first priority
lien on all of the Company’s assets. The Company incurred default interest expense on this past due debenture of $0.1 million and
$0.1 million, respectively, during the three months ended March 31, 2023 and 2022 and, as of March 31, 2023, accrued default interest
on the March 2017 Debenture totaled $1.9 million.
On
March 31, 2023, the March 2017 Debenture is convertible into shares of the Company’s common stock, at a conversion price, which
has been adjusted pursuant to its terms, of $0.00009 per share or 28.7 billion shares of the Company’s common stock. The conversion
price is subject to reset in the event of offerings or other issuances of common stock, or rights to purchase common stock, at a price
below the then conversion price, as well as other customary anti-dilution protections.
The
March 2017 Debenture was issued with warrants (the “March Warrants”), which are exercisable into shares of the Company’s
common stock until March 21, 2024. During the three months ended March 31, 2022, the Company recorded $135.7 million of deemed dividends
as a result of the down round provisions of warrants. No deemed dividends were recorded in the three months ended March 31, 2023 as there
was no change in the exercise prices of warrants during the period. Deemed dividends and outstanding warrants are more fully discussed
in Notes 1, 9 and 10.
2018
Debentures
During
2018, the Company closed various offerings of debentures (the “2018 Debentures”) with principal balances aggregating
$14.5
million, including late-payment penalties, due in September 2019. The conversion terms of the 2018 Debentures are the same as those
of the March 2017 Debenture, as more fully described above, with the exception of the conversion price, which was $0.052
per share at March 31, 2023 and is subject to a floor of $0.052
per share. At March 31, 2023 and December 31, 2022, the outstanding principal balance of the 2018 Debentures, including 30%
late-payment penalties of $1.3
million, was $5.6
million and the debentures were convertible into 108.5
million shares of the Company’s common stock. The debentures bear default interest at the rate of 18%
per annum and are secured by a first priority lien on all of the Company’s assets. The Company incurred default interest
expense on these past due debentures of $0.3
million and $0.3
million, respectively, during the three months ended March 31, 2023 and 2022 and, as of March 31, 2023, accrued default interest on
the 2018 Debentures totaled $3.6
million.
See
Notes 3 and 10 for a discussion of the dilutive effect of the outstanding convertible debentures and warrants as of March 31, 2023.
October
2022 Debentures
On
October 12, 2022, the Company issued non-convertible, non-interest bearing debentures to institutional investors in the amount of $550,000,
including $50,000
of original issue discounts, for net proceeds
of $500,000.
These debentures were due by their initial terms on February 12, 2023 and were secured by a portion of the Company’s investment
in InnovaQor Series B-1 Preferred Stock. On December 15, 2022, the Company and the institutional investors agreed to revise the repayment
terms of these debentures as follows: (i) payment of $150,000
on December 15, 2022; and (ii) monthly payments
of $100,000
due by the 12th day of January, February,
March and April 2023. The Company has made all required payments and the debentures were fully repaid in April 2023.
Note
7 – Related Party Transactions
In
addition to the transactions discussed in Notes 6 and 10, the Company had the following related party activity during the three months
ended March 31, 2023 and 2022:
Alcimede
Limited
Pursuant
to a consulting agreement, Alcimede Limited billed $0.1 million and $0.1 million for services for the three months ended March 31, 2023
and 2022, respectively. Seamus Lagan, the Company’s President and Chief Executive Officer, is the Managing Director of Alcimede
Limited.
InnovaQor,
Inc.
In
addition to the investment in InnovaQor’s Series B-1 Preferred Stock (see Notes 1 and 9), at March 31, 2023 and December 31, 2022,
the Company had a note receivable / related party receivable resulting from working capital advances to InnovaQor, Inc. (“InnovaQor”)
of approximately $1.8 million and $1.5 million, respectively. The balance at March 31, 2023 and December 31, 2022 includes amounts due
under a note receivable as discussed below.
As
of July 1, 2022, the Company had an outstanding related party receivable from InnovaQor of $803,416. InnovaQor signed a promissory note,
dated July 1, 2022, in favor of the Company that provided that InnovaQor repay the Company $883,757 on December 31, 2022 (inclusive of
10% original issue discount). Effective December 31, 2022, the Company and InnovaQor agreed to restructure the promissory note in favor
of the Company in the amount of $883,757 and additional monies owed in the amount of $441,018 for a new promissory note with a principal
amount of $1,457,253 (inclusive of $132,478 of 10% original issue discount) and a maturity date of June 30, 2023 except that InnovaQor
will pay 25% of any capital it receives from new capital secured prior to the maturity date. The note, in the event of default, bears
interest at 18% per annum. During the year ended December 31, 2022, the Company recognized original issue discounts totaling $0.2 million
as interest income.
From
January 1, 2023 to March 31, 2023, the Company advanced $0.3 million to InnovaQor to finance its working capital requirements.
During
the three months ended March 31, 2023 and 2022, the Company contracted with InnovaQor to provide ongoing health information technology-related
services totaling approximately $0.1 million and $54,000, respectively. In addition, InnovaQor currently subleases office space from
the Company at a cost of approximately $9,700 per month for rent and utilities.
The
terms of the foregoing activities, and those discussed in Notes 6 and 10, are not necessarily indicative of those that would have been
agreed to with unrelated parties for similar transactions.
Note
8 – Finance and Operating Lease Obligations
We
lease property and equipment under finance and operating leases. For operating leases with terms greater than 12 months, we record the
related right-of-use assets and right-of-use obligations at the present value of lease payments over the term. We do not separate lease
and non-lease components of contracts.
Generally,
we use our most recent agreed-upon borrowing interest rate at lease commencement as our interest rate, as most of our operating leases
do not provide a readily determinable implicit interest rate.
The
following table presents our lease-related assets and liabilities at March 31, 2023 (unaudited) and December 31, 2022:
Schedule of Lease-related Assets and Liabilities
| |
Balance Sheet Classification | |
March 31, 2023 | | |
December 31, 2022 | |
| |
| |
| | |
| |
Assets: | |
| |
| | | |
| | |
Operating leases | |
Right-of-use operating lease assets | |
$ | 505,954 | | |
$ | 574,256 | |
Finance lease | |
Property and equipment, net | |
| - | | |
| - | |
| |
| |
| | | |
| | |
Total lease assets | |
| |
$ | 505,954 | | |
$ | 574,256 | |
| |
| |
| | | |
| | |
Liabilities: | |
| |
| | | |
| | |
Current: | |
| |
| | | |
| | |
Operating leases | |
Right-of-use operating lease obligations | |
$ | 189,875 | | |
$ | 215,063 | |
Finance lease | |
Finance lease obligation | |
| 220,461 | | |
| 220,461 | |
| |
| |
| | | |
| | |
Long-term | |
Right-of-use operating lease obligations | |
| 316,079 | | |
| 359,193 | |
| |
| |
| | | |
| | |
Total lease liabilities | |
| |
$ | 726,415 | | |
$ | 794,717 | |
| |
| |
| | | |
| | |
Weighted-average remaining term: | |
| |
| | | |
| | |
Operating leases | |
| |
| 2.45 years | | |
| 2.59 years | |
Finance lease (1) | |
| |
| 0 years | | |
| 0 years | |
Weighted-average discount rate: | |
| |
| | | |
| | |
Operating leases | |
| |
| 13.0 | % | |
| 13.0 | % |
Finance lease | |
| |
| 4.9 | % | |
| 4.9 | % |
The
following table presents certain information related to lease expense for finance and operating leases for the three months ended March
31, 2023 and 2022 (unaudited):
Schedule of Lease Expense
| |
Three Months
Ended March 31, 2023 | | |
Three Months
Ended March 31, 2022 | |
Finance lease expense: | |
| | | |
| | |
Depreciation/amortization of leased assets | |
$ | - | | |
$ | - | |
Interest on lease liabilities | |
| - | | |
| - | |
Operating leases: | |
| | | |
| | |
Short-term lease expense (2) | |
| 92,569 | | |
| 49,182 | |
Total lease expense | |
$ | 92,569 | | |
$ | 49,182 | |
Other
Information
The
following table presents supplemental cash flow information for the three months ended March 31, 2023 and 2022 (unaudited):
Schedule of Lease Supplemental Cash Flow Information
| |
Three Months
Ended March
31, 2023 | | |
Three Months
Ended March
31, 2022 | |
Cash paid for amounts included in the measurement of lease liabilities: | |
| | | |
| | |
Operating cash flows for operating leases | |
$ | 82,892 | | |
$ | 56,208 | |
Operating cash flows for finance lease | |
$ | - | | |
$ | - | |
Financing cash flows for finance lease payments | |
$ | - | | |
$ | - | |
(1) |
As of March 31, 2023 and
December 31, 2022, the Company was in default under its finance lease obligation, therefore, the aggregate future minimum lease payments
and accrued interest under this finance lease in the amount of $0.2 million are deemed to be immediately due. |
|
|
(2) |
Expenses are included in
general and administrative expenses in the condensed consolidated statements of operations. |
Aggregate
future minimum lease payments under right-of-use operating and finance leases are as follows:
Schedule of Future Minimum Rentals Under Right-of-use Operating
and Finance Leases
| |
Right-of-Use Operating Leases | | |
Finance Lease | |
Twelve months ending March 31: | |
| | |
| |
2024 | |
$ | 243,270 | | |
$ | 224,252 | |
2025 | |
| 221,088 | | |
| - | |
2026 | |
| 130,547 | | |
| - | |
2027 | |
| - | | |
| - | |
2028 | |
| - | | |
| - | |
Thereafter | |
| - | | |
| - | |
Total | |
| 594,905 | | |
| 224,252 | |
| |
| | | |
| | |
Less interest | |
| (88,951 | ) | |
| (3,791 | ) |
Present value of minimum lease payments | |
| 505,954 | | |
| 220,461 | |
| |
| | | |
| | |
Less current portion of lease obligations | |
| (189,875 | ) | |
| (220,461 | ) |
Lease obligations, net of current portion | |
$ | 316,079 | | |
$ | - | |
Note
9 – Fair Value, Derivative Financial Instruments and Deemed Dividends
Fair
Value Measurements
The
estimated fair value of financial instruments was determined by the Company using available market information and valuation methodologies
considered to be appropriate. The fair value measurements accounting guidance is more fully discussed in Note 1. At March 31, 2023 and
December 31, 2022, the carrying value of the Company’s accounts receivable, note receivable / receivable from related party, accounts
payable and accrued expenses approximated their fair values due to their short-term nature.
The
following table sets forth the financial assets and liabilities carried at fair value measured on a recurring basis as of March 31, 2023
(unaudited) and December 31, 2022:
Schedule of Fair Value of Assets and Liabilities Measured on Recurring Basis
| |
Level 1 | | |
Level 2 | | |
Level 3 | | |
Total | |
| |
| | |
| | |
| | |
| |
As of March 31, 2023: | |
| | | |
| | | |
| | | |
| | |
Asset - InnovaQor Series B-1 Preferred Stock | |
$ | - | | |
$ | - | | |
$ | 9,016,072 | | |
$ | 9,016,072 | |
Liability - Embedded conversion option of debenture | |
| - | | |
| - | | |
| 455,336 | | |
| 455,336 | |
| |
| | | |
| | | |
| | | |
| | |
As of December 31, 2022: | |
| | | |
| | | |
| | | |
| | |
Asset - InnovaQor Series B-1 Preferred Stock | |
$ | - | | |
$ | - | | |
$ | 9,016,072 | | |
$ | 9,016,072 | |
Liability - Embedded conversion option of debenture | |
| - | | |
| - | | |
| 455,336 | | |
| 455,336 | |
InnovaQor
Series B-1 Preferred Stock
During
2021, the Company sold several subsidiaries to InnovaQor. As consideration for the sale, the Company received 14,950 shares of InnovaQor’s
Series B-1 Preferred Stock of which 100 shares were used in 2021 to settle an outstanding liability leaving a balance of 14,850 shares
at March 31, 2023 and December 31, 2022. The fair value of the Company’s InnovaQor Series B-1 Preferred Stock investment was initially
determined based on the Option Price Method (the “OPM”). The OPM treats common and preferred interests as call options on
the equity value of the subject company, with exercise prices based on the liquidation preference of the preferred interests and participation
thresholds for subordinated classes. The Black Scholes model was used to price the call options. The assumptions used were: risk free
rate of 0.84%; volatility of 250.0%; and exit period of 5 years. Lastly, a discount rate of 35% was applied due to the lack of marketability
of the InnovaQor Series B-1 Preferred Stock and the underlying liquidity of InnovaQor’s common stock.
In
reviewing the fair value of the InnovaQor Series B-1 Preferred Stock, the Company believes that the value recorded at March 31, 2023
and December 31, 2022 of $9.0 million represents its fair value. In determining fair value, consideration was given to: (i) the variable
rate conversion feature of the InnovaQor Series B-1 Preferred Stock in that changes in the price of the common stock do not affect conversion
value; (ii) recent sales and offering prices by InnovaQor of shares of its common stock; (iii) that InnovaQor is actively seeking additional
capital; and (iv) other considerations that we believe will bolster the underlying liquidity of InnovaQor’s common stock.
Embedded
Conversion Option
The
Company utilized the following method to value its derivative liability as of March 31, 2023 and December 31, 2022 for an embedded conversion
option related to an outstanding convertible debenture valued at $455,336. The Company determined the fair value by comparing the conversion
price per share, which based on the conversion terms is 85% of the market price of the Company’s common stock, multiplied by the
number of shares issuable at the balance sheet dates to the actual price per share of the Company’s common stock multiplied by
the number of shares issuable at that date with the difference in value recorded as a liability. There was no change in the value of
the embedded conversion option in the three months ended March 31, 2023 and the year ended December 31, 2022 as there was no change in
the conversion price terms during the periods.
Deemed
Dividends
During
the three months ended March 31, 2023, there were no triggers of down round provision of outstanding warrants and, therefore, no associated
deemed dividends were recorded in the period. During the three months ended March 31, 2022, the conversions of preferred stock triggered
a reduction in the exercise prices of warrants containing down round provisions. In accordance with U.S. GAAP, the incremental fair value
of the warrants, as a result of the decreases in the exercise prices, was measured using Black Scholes. The following assumptions were
utilized in the Black Scholes valuation models for the three months ended March 31, 2022: risk free rates ranging from 0% to 2.55%, volatility
ranging from 1.94% to 1,564% and terms ranging from 0.01 to 2.45 years. The incremental value of modifications to warrants as a result
of the down round provisions of $135.7 million were recorded as deemed dividends during the three months ended March 31, 2022.
In
addition, deemed dividends of $0.2 million were recorded in the three months ended March 31, 2022 as a result of the issuance of 1,100
shares of our Series P Preferred Stock, as more fully discussed in Note 10. Deemed dividends are also discussed in Notes 1 and 3.
Note
10 – Stockholders’ Deficit
Authorized
Capital
The
Company has 250,000,000,000 authorized shares of Common Stock at a par value of $0.0001 per share and 5,000,000 authorized shares of
Preferred Stock at a par value of $0.01 per share.
Preferred
Stock
As
of March 31, 2023, the Company had outstanding shares of preferred stock consisting of 10 shares of its Series H Convertible Preferred
Stock (the “Series H Preferred Stock”), 250,000 shares of its Series L Convertible Preferred Stock (the “Series L Preferred
Stock”), 20,810.35 shares of its Series M Convertible Redeemable Preferred Stock (the “Series M Preferred Stock”),
2,864.31 shares of its Series N Convertible Redeemable Preferred Stock (the “Series N Preferred Stock”), 8,644.59 shares
of its Series O Convertible Redeemable Preferred Stock (the “Series O Preferred Stock”) and 10,194.87 shares of its Series
P Preferred Stock. The Company’s outstanding shares of preferred stock do not contain mandatory redemption or other features that
would require them to be presented on the balance sheet outside of equity and, therefore, they qualify for equity accounting treatment.
As a result of the equity accounting treatment, fair value accounting is not required in connection with the issuances of the stock and
no gains, losses or derivative liabilities have been recorded in connection with the preferred stock.
Series
H Preferred Stock
Each
of the 10 shares of the Series H Preferred Stock has a stated value of $1,000 per share and is convertible into shares of the Company’s
common stock at a conversion price of 85% of the volume weighted average price of the Company’s common stock at the time of conversion.
Series
L Preferred Stock
The
Series L Preferred Stock is held by Alcimede LLC and has a stated value of $1.00 per share. Mr. Lagan is the sole manager of Alcimede
LLC. The Series L Preferred Stock is not entitled to receive any dividends. Each share of the Series L Preferred Stock is convertible
into shares of the Company’s common stock at a conversion price equal to the average closing price of the Company’s common
stock on the ten trading days immediately prior to the conversion date. On March 31, 2023, the Series L Preferred Stock was convertible
into approximately 2.8 billion shares of the Company’s common stock at a conversion price of $0.00009 per share.
Series
M Preferred Stock
On
June 30, 2020, the Company and Mr. Diamantis entered into an exchange agreement wherein Mr. Diamantis agreed to the extinguishment of
the Company’s indebtedness to him totaling $18.8 million, including accrued interest, on that date in exchange for 22,000 shares
of the Company’s Series M Preferred Stock with a par value of $0.01 per share and a stated value of $1,000 per share. See Note
6 for a discussion of the Company’s indebtedness to Mr. Diamantis as of March 31, 2023 and December 31, 2022.
The
terms of the Series M Preferred Stock include: (i) each share of the Series M Preferred Stock is convertible into shares of the Company’s
common stock at a conversion price equal to 90% of the average closing price of the Company’s common stock on the ten trading days
immediately prior to the conversion date but in any event not less than the par value of the Company’s common stock; (ii) dividends
at the rate per annum of 10% of the stated value per share shall accrue on each outstanding share of Series M Preferred Stock from and
after the date of the original issuance of such share of Series M Preferred Stock (subject to appropriate adjustment in the event of
any stock dividend, stock split, combination or other similar recapitalization). The dividends shall accrue from day to day, whether
or not declared, and shall be cumulative and non-compounding; provided, however, that such dividend shall be payable only
when, as, and if declared by the Board of Directors and the Company shall be under no obligation to pay such dividends. No cash dividends
shall be paid on the Company’s common stock unless the dividends are paid on the Series M Preferred Stock; and (iii) each holder
of the Series M Preferred Stock shall be entitled to vote on all matters submitted to a vote of the holders of the Company’s common
stock. Regardless of the number of shares of Series M Preferred Stock outstanding and so long as at least one share of Series M Preferred
Stock is outstanding, the outstanding shares of Series M Preferred Stock shall have the number of votes, in the aggregate, equal to 51%
of all votes entitled to be voted at any meeting of stockholders or action by written consent. Each outstanding share of the Series M
Preferred Stock shall represent its proportionate share of the 51% allocated to the outstanding shares of Series M Preferred Stock in
the aggregate. The Series M Preferred Stock shall vote with the common stock and any other voting securities as if they were a single
class of securities. On August 13, 2020, Mr. Diamantis entered into the Voting Agreement with, Mr. Lagan
and Alcimede LLC (of which Mr. Lagan is the sole manager) pursuant to which Mr. Diamantis granted an irrevocable proxy to Mr. Lagan to
vote the Series M Preferred Stock held by Mr. Diamantis. Mr. Diamantis has retained all other rights under the Series M Preferred Stock.
During
the year ended December 31, 2021, Mr. Diamantis converted a total of 610.65 shares of his Series M Preferred Stock with a stated value
of $0.6 million into 45 shares of the Company’s common stock. On August 27, 2021, the Company entered into an exchange agreement
with Mr. Diamantis. Pursuant to the exchange agreement, Mr. Diamantis exchanged 570 shares of his Series M Preferred Stock with a stated
value of approximately $0.6 million for 9,500 shares of the Company’s common stock and warrants to purchase 4,750 shares of the
Company’s common stock at an exercise price of $70.00 per share. The warrants have a three-year term and, as of March 31, 2023,
are exercisable into 3.7 billion shares of the Company’s common stock at an exercise price of $0.00009 per share as a result of
down-round provision features. On March 31, 2023 and December 31, 2022, 20,810.35 shares of Series M Preferred Stock remained outstanding
and were convertible into 208.1 billion shares of the Company’s common stock.
Series
N Preferred Stock
The
Company’s Board of Directors has designated 50,000 shares of the 5,000,000 shares of authorized preferred stock as the Series N
Preferred Stock. Each share of Series N Preferred Stock has a stated value of $1,000. On August 31, 2020, the Company and its debenture
holders exchanged, under the terms of Exchange, Redemption and Forbearance Agreements, certain outstanding debentures and all of the
then outstanding shares of the Company’s Series I-1 Convertible Preferred Stock and Series I-2 Convertible Preferred Stock for
30,435.52 shares of the Company’s Series N Preferred Stock.
The
terms of the Series N Preferred Stock include: (i) each share of the Series N Preferred Stock is convertible into shares of the Company’s
common stock, at any time and from time to time, at the option of the holder, into that number of shares of common stock determined by
dividing the stated value of such share of Series N Preferred Stock, plus any accrued declared and unpaid dividends, by the conversion
price; (ii) the conversion price is equal to 90% of the lowest VWAP during the 10 trading days immediately prior to the conversion date;
(iii) dividends at the rate per annum of 10% of the stated value per share shall accrue on each outstanding share of Series N Preferred
Stock from and after the date of the original issuance of such share of Series N Preferred Stock (the “Series N Preferred Accruing
Dividends”). The Series N Preferred Accruing Dividends shall accrue from day to day, whether or not declared, and shall be cumulative
and non-compounding; provided, however, that such Series N Preferred Accruing Dividends shall be payable only when, as,
and if declared by the Board of Directors. No cash dividends shall be paid on the common stock unless the Series N Preferred Accruing
Dividends are paid; and (iv) except as provided below or by law, the Series N Preferred Stock shall have no voting rights. However, as
long as any shares of Series N Preferred Stock are outstanding, the Company shall not, without the affirmative vote of the holders of
a majority of the then outstanding shares of the Series N Preferred Stock, (a) alter or change adversely the powers, preferences or rights
given to the Series N Preferred Stock or alter or amend the Certificate of Designation, (b) amend its certificate of incorporation or
other charter documents in any manner that adversely affects any rights of the holders, (c) increase the number of authorized shares
of the Series N Preferred Stock, or (d) enter into any agreement with respect to any of the foregoing.
During
the three months ended March 31, 2023 and 2022, the holders converted 36
shares and 593.33
shares, respectively, of their Series N Preferred
Stock with a stated value of $36,000
and $0.6
million, respectively, into 400.0
million and 12.9
million shares, respectively, of the Company’s
common stock. On March 31, 2023, 2,864.31
shares of Series N Preferred Stock remained outstanding
and were convertible into 31.8
billion shares of the Company’s common
stock.
Series
O Preferred Stock
On
May 10, 2021, the Company closed an offering of shares of its newly-authorized Series O Preferred Stock. The offering was pursuant to
the terms of the securities purchase agreement dated as of May 10, 2021. On September 7, 2021, the Company entered into a second securities
purchase agreement and on October 28, 2021, the Company entered into a third securities purchase agreement. These agreements were between
the Company and certain existing institutional investors of the Company. Under these agreements, the Company issued 9,900 shares of its
Series O Preferred Stock and it received $9.0 million in aggregate proceeds.
The
terms of the Series O Preferred Stock include: (i) each share of the Series O Preferred Stock is convertible into shares of the Company’s
common stock, at any time and from time to time, at the option of the holder, into that number of shares of common stock determined by
dividing the stated value of such share of Series O Preferred Stock, plus any accrued declared and unpaid dividends, by the conversion
price; (ii) the conversion price is equal to 90% of the lowest VWAP during the 10 trading days immediately prior to the conversion date;
(iii) dividends at the rate per annum of 10% of the stated value per share shall accrue on each outstanding share of Series O Preferred
Stock from and after the date of the original issuance of such share of Series O Preferred Stock (the “Series O Preferred Accruing
Dividends”). The Series O Preferred Accruing Dividends shall accrue from day to day, whether or not declared, and shall be cumulative
and non-compounding; provided, however, that such Series O Preferred Accruing Dividends shall be payable only when, as,
and if declared by the Board of Directors. No cash dividends shall be paid on the common stock unless the Series O Preferred Accruing
Dividends are paid; and (iv) except as provided below or by law, the Series O Preferred Stock shall have no voting rights. However, as
long as any shares of Series O Preferred Stock are outstanding, the Company shall not, without the affirmative vote of the holders of
a majority of the then outstanding shares of the Series O Preferred Stock, (a) alter or change adversely the powers, preferences or rights
given to the Series O Preferred Stock or alter or amend the Certificate of Designation, (b) amend its certificate of incorporation or
other charter documents in any manner that adversely affects any rights of the holders, (c) increase the number of authorized shares
of the Series O Preferred Stock, or (d) enter into any agreement with respect to any of the foregoing.
During
the three months ended March 31, 2023, the holders converted 40.5
shares of their Series O Preferred Stock with
a stated value of $40,500
into 450.0
million shares of the Company’s common
stock. No
shares of Series O Preferred Stock were converted
during the three months ended March 31, 2022. On March 31, 2023, 8,644.59
shares of Series O Preferred Stock remained outstanding
and were convertible into 96.1
billion shares of the Company’s common
stock.
Series
P Preferred Stock
On
November 7, 2021, the Company entered into Exchange and Amendment Agreements (the “November 2021 Exchange Agreements”) with
certain institutional investors in the Company wherein the investors agreed to reduce their holdings of $1.1 million principal value
of then outstanding warrant promissory notes payable and $4.5 million of then outstanding non-convertible debentures, plus accrued interest
thereon of $1.5 million, by exchanging the indebtedness and accrued interest for 8,544.87 shares of the Company’s Series P Preferred
Stock. Each share of the Series P Preferred Stock has a stated value of $1,000. In addition, pursuant to the November 2021 Exchange Agreements,
the expiration dates of the March Warrants that were issued by the Company to the debenture holders in March 2017 were extended from
March 21, 2022 to March 21, 2024.
On
March 11, 2022, under the terms of a securities purchase agreement dated January 31, 2022, the Company issued to the institutional investors
an additional 1,100 shares of its Series P Preferred Stock for aggregate proceeds of $1.0 million. On April 1, 2022, the Company issued
an additional 550 shares of its Series P Preferred Stock and received proceeds of $0.5 million. During the three months ended March 30,
2022, the Company recorded $0.2 million of deemed dividends as a result of the issuances of shares of its Series P Preferred Stock during
that period. The deemed dividends resulted from the difference between the stated value of the shares issued and the proceeds received,
as well as the 10% conversion price discount.
The
terms of the Series P Preferred Stock include: (i) each share of the Series P Preferred Stock is convertible into shares of the
Company’s common stock, at any time and from time to time, at the option of the holder, into that number of shares of common
stock determined by dividing the stated value of such share of Series P Preferred Stock, plus any accrued declared and unpaid
dividends, by the conversion price; (ii) the conversion price is equal to 90% of the lowest VWAP during the 10 trading days
immediately prior to the conversion date; (iii) dividends at the rate per annum of 10% of the stated value per share shall accrue on
each outstanding share of Series P Preferred Stock from and after the date of the original issuance of such share of Series P
Preferred Stock (the “Series P Preferred Accruing Dividends”). The Series P Preferred Accruing Dividends shall accrue
from day to day, whether or not declared, and shall be cumulative and non-compounding; provided, however, that such
Series P Preferred Accruing Dividends shall be payable only when, as, and if declared by the Board of Directors. No cash dividends
shall be paid on the common stock unless the Series P Preferred Accruing Dividends are paid; and (iv) except as provided below or by
law, the Series P Preferred Stock shall have no voting rights. However, as long as any shares of Series P Preferred Stock are
outstanding, the Company shall not, without the affirmative vote of the holders of a majority of the then outstanding shares of the
Series P Preferred Stock, (a) alter or change adversely the powers, preferences or rights given to the Series P Preferred Stock or
alter or amend the Certificate of Designation, (b) amend its certificate of incorporation or other charter documents in any manner
that adversely affects any rights of the holders, (c) increase the number of authorized shares of the Series P Preferred Stock, or
(d) enter into any agreement with respect to any of the foregoing.
On
March 31, 2023, 10,194.87 shares of the Company’s Series P Preferred Stock were outstanding and were convertible into 113.3 billion
shares of the Company’s common stock.
Common
Stock
The
Company had 29.9 billion and 29.1 billion shares of its common stock issued and outstanding at March 31, 2023 and December 31, 2022,
respectively. During the three months ended March 31, 2023, the Company issued 400 million shares of its common stock upon
the conversions of 36 shares of its Series N Preferred Stock and 450 million shares of its common stock upon conversions of 40.5 shares
of its Series O Preferred Stock. During the three months ended March 31, 2022, the Company issued 12.9 million shares of its common stock
upon the conversions of 593.33 shares of its Series N Preferred Stock.
The
Company has outstanding options, warrants, convertible preferred stock and convertible debentures. Exercise of the outstanding options
and warrants, and conversions of the convertible preferred stock and debentures could result in substantial dilution of the Company’s
common stock and a decline in the market price of the common stock. In addition, the terms of certain of the warrants, convertible preferred
stock and convertible debentures issued by the Company provide for reductions in the per share exercise prices of the warrants and the
per share conversion prices of the debentures and preferred stock (if applicable and subject to a floor in certain cases), in the event
that the Company issues common stock or common stock equivalents (as that term is defined in the agreements) at an effective exercise/conversion
price that is less than the then exercise/conversion prices of the outstanding warrants, preferred stock or debentures, as the case may
be. These provisions, as well as the issuances of debentures and preferred stock with conversion prices that vary based upon the price
of our common stock on the date of conversion, have resulted in significant dilution of the Company’s common stock and have given
rise to reverse splits of its common stock, including the Reverse Stock Split, which are more fully discussed in Note 1.
On
August 13, 2020, Mr. Diamantis entered into the Voting Agreement with the Company, Mr. Lagan and Alcimede LLC (of which Mr. Lagan is
the sole manager) pursuant to which Mr. Diamantis granted an irrevocable proxy to Mr. Lagan to vote the Series M Preferred Stock held
by Mr. Diamantis. Mr. Diamantis has retained all other rights under the Series M Preferred Stock. Regardless of the number of shares
of Series M Preferred Stock outstanding and so long as at least one share of Series M Preferred Stock is outstanding, the outstanding
shares of Series M Preferred Stock shall have the number of votes, in the aggregate, equal to 51% of all votes entitled to be voted at
any meeting of stockholders or action by written consent. This means that the holders of Series M Preferred Stock have sufficient votes,
by themselves, to approve or defeat any proposal voted on by the Company’s stockholders, unless there is a supermajority required
under applicable law or by agreement.
As
a result of the Voting Agreement discussed above and in Note 10 and the November 5, 2021 Amendment to the Company’s
Certificate of Incorporation, as amended, to provide that the number of authorized shares of the Company’s common stock or
preferred stock may be increased or decreased (but not below the number of shares then outstanding) by the affirmative vote of the
holders of a majority in voting power of the stock of the Company, which is more fully discussed in Note 1, as of the date of filing
this report, the Company believes that it has the ability to ensure that it has and or can obtain sufficient authorized shares of
its common stock to cover all outstanding rights to acquire potentially dilutive common shares.
Stock
Options
The
Company maintained and sponsored the Tegal Corporation 2007 Incentive Award Equity Plan (the “2007 Equity Plan”). Tegal Corporation
is the prior name of the Company. The 2007 Equity Plan, as amended, provided for the issuance of stock options and other equity awards
to the Company’s officers, directors, employees and consultants. The 2007 Equity Plan terminated pursuant to its terms in September
2017. As of March 31, 2023 and December 31, 2022, the Company had 26 stock options outstanding with a weighted average exercise price
of $2.9 million per share. At March 31, 2023, the weighted average remaining contractual life was 3.12 years for options outstanding
and exercisable. The intrinsic value of options exercisable at March 31, 2023 and December 31, 2022 was $0. As of March 31, 2023 and
2022, there was no remaining compensation expense associated with stock options as all of the outstanding options had fully vested as
of December 31, 2019.
Warrants
The
following summarizes the information related to warrant activity during the three months ended March 31, 2023:
Schedule of Warrants Activity
| |
Number of Shares of Common Stock Issuable for Warrants | | |
Weighted average exercise price | |
Balance at December 31, 2022 | |
| 511,333,351,090 | | |
$ | 0.00009 | |
Issuance of warrants | |
| - | | |
| - | |
Expiration of warrants | |
| (1 | ) | |
| (794,998.13 | ) |
Balance at March 31, 2023 | |
| 511,333,351,089 | | |
$ | 0.00009 | |
The
Company, as part of various financing transactions, has issued warrants to purchase shares of the Company’s common stock exercisable
into a total of 511.3 billion shares at March 31, 2023.
Included
in the warrants outstanding at March 31, 2023 were the March Warrants issued in March 2017 in connection with the March 2017 Debenture.
(The March 2017 Debenture is more fully discussed in Note 6.) The Company issued these warrants to purchase shares of the Company’s
common stock to several accredited investors. On March 31, 2023, the March Warrants were exercisable into an aggregate of approximately
507.6 billion shares of the Company’s common stock. The March Warrants were issued to the investors in three tranches, Series A
Warrants, Series B Warrants and Series C Warrants. At March 31, 2023, the Series A Warrants were exercisable for 190.0 billion shares
of the Company’s common stock. They were exercisable upon issuance in March 2017 and had an initial term of exercise equal to five
years. On March 31, 2023, the Series B Warrants were exercisable for 127.6 billion shares of the Company’s common stock and were
exercisable, prior to the extension discussed below, until March 21, 2022. On March 31, 2023, the Series C Warrants were exercisable
for 190.0 billion shares of the Company’s common stock and had an initial term of five years provided such warrants shall only
vest if, when and to the extent that the holders exercise the Series B Warrants. On November 7, 2021, the expiration dates of the March
Warrants were extended to March 21, 2024. On March 31, 2023, the Series A, Series B and Series C Warrants each have an exercise price
of $0.00009 per share, which reflects down round provision adjustments pursuant to their terms. The March Warrants are subject to “full
ratchet” and other customary anti-dilution protections.
The
number of shares of common stock issuable under outstanding warrants and the exercise prices of the warrants as reflected in the table
above have been adjusted to reflect the full ratchet and other dilutive and down round provisions pursuant to the warrant agreements.
As a result of the down round provisions of the outstanding warrants, subsequent issuances of the Company’s common stock or common
stock equivalents at prices below the then current exercise prices of the warrants have resulted in increases in the number of shares
issuable pursuant to the warrants and decreases in the exercise prices of the warrants. See, also, Notes 1 and 3 for a discussion of
the dilutive effect on the Company’s common stock as a result of the outstanding warrants.
Deemed
Dividends
During
the three months ended March 31, 2022, reductions in the exercise prices of the warrants have given rise to deemed dividends. See Note
9 for the assumptions used in the calculations of deemed dividends. Deemed dividends are also discussed under the heading “Preferred
Stock” above and in Notes 1 and 3.
Note
11 – Supplemental Disclosure of Cash Flow Information
Schedule of Supplemental Cash Flow Information
| |
| | | |
| | |
| |
Three Months Ended March 31, | |
| |
2023 | | |
2022 | |
| |
(unaudited) | | |
(unaudited) | |
Cash paid for interest | |
$ | 111,768 | | |
$ | 762,250 | |
Cash paid for income taxes | |
$ | - | | |
$ | - | |
| |
| | | |
| | |
Non-cash investing and financing activities: | |
| | | |
| | |
Stated value of Series N Preferred Stock converted into common stock | |
$ | 36,000 | | |
$ | 593,330 | |
Stated value of Series O Preferred Stock converted into common stock | |
| 40,500 | | |
| - | |
Deemed dividends from issuances of Series P Preferred Stock | |
| - | | |
| 222,222 | |
Deemed dividends from triggers of down round provisions of warrants | |
| - | | |
| 135,702,523 | |
Note
12 – Commitments and Contingencies
Concentration
of Credit Risk
Credit
risk with respect to accounts receivable is generally diversified due to the large number of patients at its facilities. The Company
does have significant receivable balances with government and other payers. Generally, the Company
does not require collateral or other security to support accounts receivables. However, the Company continually monitors and
evaluates its client acceptance and collection procedures to minimize potential credit risks associated with its accounts receivable
and establishes an allowance for uncollectible accounts and as a consequence, believes that its accounts receivable credit risk
exposure beyond such allowance is not material to the financial statements.
The
Company maintains its cash balances in high credit quality financial institutions. The Company’s cash balances may, at times, exceed
the deposit insurance limits provided by the Federal Deposit Insurance Corp.
Legal
Matters
From
time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes,
employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course
of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware
that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company’s
financial position or results of operations. The Company’s policy is to expense legal fees and expenses incurred in connection
with the legal proceedings in the period in which the expense is incurred. Management, in consultation with legal counsel, has addressed
known assertions and predicted unasserted claims below.
Biohealth
Medical Laboratory, Inc. and PB Laboratories, LLC (the “Companies”) filed suit against CIGNA Health in 2015 alleging that
CIGNA failed to pay claims for laboratory services the Companies provided to patients pursuant to CIGNA - issued and CIGNA - administered
plans. In 2016, the U.S. District Court dismissed part of the Companies’ claims for lack of standing. The Companies appealed that
decision to the Eleventh Circuit Court of Appeals, which in late 2017 reversed the District Court’s decision and found that the
Companies have standing to raise claims arising out of traditional insurance plans as well as self-funded plans. In July 2019, the Companies
and EPIC filed suit against CIGNA Health for failure to pay claims for laboratory services provided. Cigna Health, in turn, sued for
alleged improper billing practices. The suit remains ongoing but because the Company did not have the financial resources to see the
legal action to conclusion it assigned the benefit, if any, from the suit to Mr. Diamantis for his financial support to the Company and
assumption of all costs to carry the case to conclusion.
On
September 27, 2016, a tax warrant was issued against the Company by the Florida Department of Revenue (the “DOR”) for unpaid
2014 state income taxes in the approximate amount of $0.9 million, including penalties and interest. The Company entered into a Stipulation
Agreement with the DOR allowing the Company to make monthly installments until July 2019. The Company has made payments to reduce the
amount owed. The balance accrued of approximately $0.4 million remained outstanding to the DOR at March 31, 2023.
On
December 7, 2016, the holders of the Tegal Notes filed suit against the Company seeking payment for the amounts due under
the notes in the aggregate principal balance of $341,612 and accrued interest. On April 23, 2018, the holders of the Tegal Notes received
a judgment against the Company in the amount of $384,384. As of March 31, 2023, the Company has repaid $50,055 of the principal amount
of these notes.
In
February 2020, Anthony O’Killough sued the Company and Mr. Diamantis, as guarantor, in New York State Supreme Court for the County
of New York, for approximately $2.0 million relating to the promissory note issued by the Company in September 2019. In May 2020, the
Company, Mr. Diamantis, as guarantor, and Mr. O’Killough entered into a Stipulation providing for a payment of a total of $2.2
million (which included accrued “penalty” interest as of that date) in installments through November 1, 2020. The Company
made payments totaling $450,000 in 2020. On January 18, 2022, Mr. Diamantis paid $750,000 and the remaining balance was due 120 days
thereafter. Mr. O’Killough agreed to forebear from any further enforcement action until then. On various dates during the remainder
of 2022, Mr. Diamantis made additional payments to Mr. O’Killough totaling $300,000 and the Company gave Mr. Diamantis $350,000
for further payment to Mr. O’Killough. As a result of these payments, the past due balance owed to Mr. O’Killough was $1.1
million on December 31, 2022. The Company is obligated to repay Mr. Diamantis for any payments, plus interest, that he made to Mr. O’Killough.
During the three months ended March 31, 2023, the parties entered into a final settlement wherein the Company and Mr. Diamantis settled
the obligation in full for $580,000. As a result, during the three months ended March 31, 2023, the Company recorded a gain on legal
settlement of $0.6 million. The promissory note, forbearance agreement and final settlement are also discussed in Note 6.
In
June 2019, CHSPSC, the former owners of Jamestown Regional Medical Center, obtained a judgment against the Company in the amount of $592,650.
The Company has recorded this judgment as a liability as of December 31, 2022. However, management believes that a number of insurance
payments were made to CHSPSC for services provided after the change of ownership and believes that these payments will offset portions
of the judgment.
In
November 2019, Newstat, PLLC obtained a judgment against Big South Fork Medical Center in Knox County, Tennessee in the amount of $190,600
in connection with the provision of medical services. On February 15, 2023, the Company and Newstat agreed to settle the amount owed
for $210,000 in four equal monthly payments of $52,500 beginning February 2023. The Company has made the payments under the settlement
agreement to date. The Company has recorded the remaining liability at March 31, 2023.
On
June 30, 2021, the Company entered into a settlement agreement with the Tennessee Bureau of Workers’ Compensation. Per the terms
of the settlement agreement, the Company is obligated to pay a total of $109,739, payable in a lump sum payment of $32,922 on or before
August 15, 2021 and in 24 consecutive monthly payments of $3,201 each on or before the 15th day of each month beginning September
15, 2021. The Company made the required payments due to date and has recorded the remaining amounts owed as a liability as of March 31,
2023.
A
sealed qui tam lawsuit in the US District Court for the Southern District of Florida against the Company was filed in July 2021.
This lawsuit was unsealed in November 2022 and Clifford Barron disclosed as the Plaintiff-Relator asserting violations of the False Claims
Act. Clifford Barron was an employee of CollabRx, Inc. (a San Francisco based, wholly owned subsidiary of the Company) until early 2018.
Following his resignation on January 17, 2018, Clifford Barron sought and received a judgment against the Company for approximately $253,000
he claimed was owed to him by the CollabRx subsidiary for severance and payment of COBRA. On receiving the judgment, he collected all
monies owed to him under this judgment, including from the Company’s rural healthcare operations in Tennessee with which he was
not involved. Payments included approximately $164,000 secured from hospital operating and other bank accounts by garnishments initiated
by Jonathan Swann Taylor of Taylor & Knight, GP, Knoxville Tennessee, on behalf of Clifford Barron in May 2022. Clifford Barron has
not been an employee of any subsidiary of the Company since January 2018, is not involved with the Company and has no knowledge of the
Company’s operations, financial status, or controls. On November 21, 2022, the Company was advised that the U.S. Department of
Justice has intervened in the action filed by the Plaintiff-Relator, Clifford Barron and has requested repayment of HHS Provider Relief
Funds that certain subsidiaries of the Company obtained and other relief. The Company has retained the services of a specialist third-party
accounting firm to complete a forensic review of the expenditure of all monies expended since the receipt of HHS Provider Relief Funds.
It has been discovered that certain filing requirements of the Company’s operating subsidiaries were incomplete or contained errors
that did not accurately reflect the expenditure of HHS Provider Relief Funds received. The Company disputes the allegations made and
believes that the forensic review of funds expended will address the lawsuit and demonstrate adherence with the applicable rules for
use of HHS Provider Relief Funds. Accordingly, no amount has been accrued for this potential liability at December 31, 2022. There is
no assurance that the Company will be able to retain all HHS Provider Relief Funds it has received nor avoid payment of other relief
sought by the Department of Justice. Any requirement to repay a significant amount of HHS Provider Relief Funds could have a material
adverse effect on the Company.
Note
13 – Discontinued Operations
EPIC
Reference Labs, Inc. and Other Non-Operating Subsidiaries
During
the third quarter of 2020, the Company made a decision to sell EPIC and it made a decision to discontinue other non-operating subsidiaries,
and as a result, EPIC’s operations and the other non-operating subsidiaries’ liabilities have been included in discontinued
operations for all periods presented. The Company was unable to find a buyer for EPIC and, therefore, it has ceased all efforts to sell
EPIC and closed down its operations.
Carrying
amounts of major classes of liabilities of EPIC and the other non-operating subsidiaries included as part of discontinued operations
in the condensed consolidated balance sheets as of March 31, 2023 (unaudited) and December 31, 2022 consisted of the following:
Schedule of Discontinued Operation of Balance Sheet and Operation Statement
| |
March 31, 2023 | | |
December 31, 2022 | |
| |
| | |
| |
Accounts payable | |
$ | 1,115,066 | | |
$ | 1,115,066 | |
Accrued expenses | |
| 341,046 | | |
| 341,046 | |
Current liabilities of discontinued operations | |
$ | 1,456,112 | | |
$ | 1,456,112 | |
The
loss from discontinued operations in the unaudited condensed consolidated statements of operations for the three months ended March 31,
2022 consisted of $1,434
of general and administrative expenses.
Note
14 – Recent Accounting Pronouncements
In
August 2020, the FASB issued ASU 2020-06, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and
Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). The new guidance provides accounting for convertible instruments
and contracts in an entity’s own equity. The FASB issued this Update to address issues identified as a result of the complexity
associated with applying U.S. GAAP for certain financial instruments with characteristics of liabilities and equity. The Board focused
on amending the guidance on convertible instruments and the guidance on the derivatives scope exception for contracts in an entity’s
own equity. This standard will be effective for us for annual periods beginning on January 1, 2024, including interim periods within
those fiscal years. Early adoption of this standard is not permitted for us because we have already adopted ASU 2017-11 “Earnings
Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815).” We have not yet
determined the impact of adopting this new accounting guidance on our consolidated financial statements.
In
June 2022, the FASB issued ASU 2022-03, Fair Value Measurement (Topic 820), Fair Value Measurement of Equity Securities Subject
to Contractual Sale Restrictions. The FASB is issuing this ASU to: (1) clarify the guidance in Topic 820, Fair Value Measurement,
when measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security,
(2) amend a related illustrative example, and (3) introduce new disclosure requirements for equity securities subject to contractual
sale restrictions that are measured at fair value in accordance with Topic 820. The amendments in this ASU do not change the principles
of fair value measurement. For public business entities, the amendments are effective for fiscal years beginning after December 15, 2023,
and interim periods within those fiscal years. Early adoption is permitted for both interim and annual financial statements that have
not yet been issued or made available for issuance. The Company should apply the amendments prospectively with any adjustments from the
adoption of the amendments recognized in earnings and disclosed on the date of adoption. We have not yet determined the impact of adopting
this new accounting guidance on our consolidated financial statements.
Other
recent accounting standards issued by the FASB, including its Emerging Issues Task Force, the American Institute of Certified Public
Accountants, and the SEC did not or are not believed by management to have a material impact on the Company’s present or future
consolidated financial statements.