UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10–Q

 

☒   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended September 30, 20212022

 

or

 

☐   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from [               ] to [                ]

 

Commission file number: 000-55768

 

HealthLynked Corp.
(Exact name of registrant as specified in its charter)
   
Nevada 47-1634127

(State or other jurisdiction of


incorporation or organization)

 

(I.R.S. Employer


Identification No.)

   
1265 Creekside Parkway, Suite 302, Naples FL 34108
(Address of principal executive offices)
 
(800) 928-7144
(Registrant’s telephone number, including area code)
 
(Former name, former address and former fiscal year, if changed since last report)

 

Securities registered pursuant to Section 12(b) of the Act: None.

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes ☒  No ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes ☒  No ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer☐ Accelerated filer☐ 
Non-accelerated filer☒ Smaller reporting company☒ 
  Emerging growth company☒ 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐  No ☒

 

As of November 15, 2021,14, 2022, there were 237,769,723254,382,625 shares of the issuer'sissuer’s common stock, par value $0.0001, outstanding.

 

 

 

TABLE OF CONTENTS

 

  PAGE NO.
   
PART IFINANCIAL INFORMATION1
Item 1Financial Statements (Unaudited)1
Item 2Management’s Discussion and Analysis of Financial Condition and Results of Operations4335
Item 3Quantitative and Qualitative Disclosures about Market Risk5243
Item 4Controls and Procedures5243
   
PARTPart IIOTHER INFORMATION5344
Item 1Legal Proceedings5344
Item 1ARisk Factors5344
Item 2Unregistered Sales of Equity Securities and Use of Proceeds5343
Item 3Defaults upon Senior Securities5344
Item 4Mine Safety Disclosure5344
Item 5Other Information5344
Item 6Exhibits5445

 

i

PART I. FINANCIAL INFORMATION

 

Item 1. Financial Statements

HEALTHLYNKED CORP.

  September 30,  December 31, 
  2021  2020 
ASSETS (Unaudited)    
Current Assets      
Cash $5,448,791  $162,184 
Accounts receivable, net of allowance for doubtful accounts of $13,972 and $13,972 as of September 30, 2021 and December 31, 2020, respectively  112,983   87,153 
Inventory  106,906   95,200 
Prepaid expenses and other  68,836   59,003 
Total Current Assets  5,737,516   403,540 
         
Property, plant and equipment, net of accumulated depreciation of $258,222  and $177,457 as of September 30, 2021 and December 31, 2020, respectively  368,997   437,286 
Intangible assets, net of accumulated amortization of $694,450 and  $151,776 as of September 30, 2021 and December 31, 2020, respectively  5,059,088   5,601,762 
Goodwill  1,148,105   1,148,105 
ROU lease assets and deposits  648,406   435,855 
         
Total Assets $12,962,112  $8,026,548 
         
LIABILITIES AND SHAREHOLDERS’ EQUITY        
         
Current Liabilities        
Accounts payable and accrued expenses $1,761,162  $1,891,749 
Contract liabilities  30,535   89,425 
Lease liability, current portion  292,844   150,251 
Due to related party, current portion  300,600   300,600 
Government and vendor notes payable, current portion  ---   411,427 
Convertible notes payable, net of original issue discount and debt discount of  $-0- and $-0- as of September 30, 2021 and December 31, 2020, respectively  ---   1,336,350 
Contingent acquisition consideration, current portion  282,211   701,961 
Total Current Liabilities  2,667,352   4,881,763 
         
Long-Term Liabilities        
Government and vendor notes payable, long term portion  450,000   722,508 
Contingent acquisition consideration, long term portion  764,501   798,479 
Lease liability, long term portion  309,799   273,790 
         
Total Liabilities  4,191,652   6,676,540 
         
Shareholders’ Equity        
Common stock, par value $0.0001 per share, 500,000,000 shares authorized, 235,703,829 and 187,967,881 shares issued and outstanding as of September 30, 2021 and December 31, 2020, respectively  23,570   18,797 
Series B convertible preferred stock, par value $0.001 per share, 20,000,000 shares authorized, 2,750,000 and -0- shares issued and outstanding as of September 30, 2021 and December 31, 2020, respectively  2,750   2,750 
Common stock issuable, $0.0001 par value; 2,517,458 and 2,150,020 shares as of September 30, 2021 and December 31, 2020, respectively  728,368   262,273 
Additional paid-in capital  38,497,916   22,851,098 
Accumulated deficit  (30,482,144)  (21,784,910)
Total Shareholders’ Equity  8,770,460   1,350,008 
         
Total Liabilities and Shareholders’ Equity $12,962,112  $8,026,548 

CONDENSED CONSOLIDATED BALANCE SHEETS

  September 30,  December 31, 
  2022  2021 
ASSETS (Unaudited)    
Current Assets      
Cash $158,160  $3,291,646 
Accounts receivable, net of allowance for doubtful accounts of $-0- and $13,972 as of September 30, 2022 and December 31, 2021, respectively  63,855   86,287 
Inventory  188,546   134,930 
Prepaid expenses and other  94,968   137,630 
Total Current Assets  505,529   3,650,493 
         
Property, plant and equipment, net of accumulated depreciation of $368,985 and $283,512 as of September 30, 2022 and December 31, 2021, respectively  441,332   350,482 
Intangible assets, net of accumulated amortization of $1,410,250 and $873,417 as of September 30, 2022 and December 31, 2021, respectively  4,343,288   4,880,121 
Goodwill  1,468,063   1,148,105 
Right of use lease assets  636,267   526,730 
Deferred equity compensation and deposits  84,091   138,625 
         
Total Assets $7,478,570  $10,694,556 
         
LIABILITIES AND SHAREHOLDERS’ EQUITY        
Current Liabilities        
Accounts payable and accrued expenses $1,194,293  $790,843 
Contract liabilities  65,252   72,838 
Lease liability, current portion  378,759   288,966 
Due to related party, current portion  300,600   300,600 
Notes payable, current portion, net of unamortized original issue discount of $20,879 and $-0- as of September 30, 2022 and December 31, 2021  397,869   --- 
Liability-classified equity instruments, current portion  30,625   61,250 
Contingent acquisition consideration, current portion  128,074   403,466 
Total Current Liabilities  2,495,472   1,917,963 
         
Long-Term Liabilities        
Government notes payable, long term portion  450,000   450,000 
Liability-classified equity instruments, long term portion  52,500   101,250 
Contingent acquisition consideration, long term portion  184,659   782,224 
Lease liability, long term portion  259,845   239,225 
         
Total Liabilities  3,442,476   3,490,662 
         
Shareholders’ Equity        
Common stock, par value $0.0001 per share, 500,000,000 shares authorized, 247,857,625 and 237,893,473 shares issued and outstanding as of September 30, 2022 and December 31, 2021, respectively  24,786   23,789 
Series B convertible preferred stock, par value $0.001 per share, 20,000,000 shares authorized, 2,750,000 and 2,750,000 shares issued and outstanding as of September 30, 2022 and December 31, 2021, respectively  2,750   2,750 
Common stock issuable, $0.0001 par value; 1,329,469 and 719,366 shares as of September 30, 2022 and December 31, 2021, respectively  345,345   282,347 
Additional paid-in capital  40,410,147   39,100,197 
Accumulated deficit  (36,746,934)  (32,205,189)
Total Shareholders’ Equity  4,036,094   7,203,894 
         
Total Liabilities and Shareholders’ Equity $7,478,570  $10,694,556 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements


HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2022  2021  2022  2021 
Revenue            
Patient service revenue, net $1,262,253  $1,394,356  $4,069,714  $4,379,282 
Medicare shared savings revenue  ---   2,419,312   ---   2,419,312 
Subscription, consulting and event revenue  89,977   69,595   260,491   229,114 
Product revenue  95,449   161,456   372,877   512,325 
Total revenue  1,447,679   4,044,719   4,703,082   7,540,033 
                 
Operating Expenses and Costs                
Practice salaries and benefits  810,058   739,024   2,344,529   2,305,993 
Other practice operating expenses  695,300   549,086   1,897,070   1,790,874 
Medicare shared savings expenses  337,533   1,748,585   802,411   2,157,555 
Cost of product revenue  87,775   145,432   419,129   474,026 
Selling, general and administrative expenses  1,088,133   1,147,591   3,678,784   3,661,206 
Depreciation and amortization  209,504   205,311   622,306   623,438 
Total Operating Expenses and Costs  3,228,303   4,535,029   9,764,229   11,013,092 
                 
Loss from operations  (1,780,624)  (490,310)  (5,061,147)  (3,473,059)
                 
Other Income (Expenses)                
Gain (loss) on extinguishment of debt  ---   ---   ---   (4,957,168)
Change in fair value of debt  ---   ---   ---   (19,246)
Financing cost  (110,000)  ---   (110,000)  --- 
Amortization of original issue discounts on notes payable  (21,020)  ---   (21,020)  --- 
Change in fair value of contingent acquisition consideration  133,483   126,411   665,573   (234,678)
Interest (expense) income  (5,640)  (4,118)  (15,151)  (13,083)
Total other income (expenses)  (3,177)  122,293   519,402   (5,224,175)
                 
Net loss before provision for income taxes  (1,783,801)  (368,017)  (4,541,745)  (8,697,234)
                 
Provision for income taxes  ---   ---   ---   --- 
                 
Net loss  (1,783,801)  (368,017)  (4,541,745)  (8,697,234)
                 
Deemed dividend - amortization of beneficial conversion feature  (88,393)  (88,393)  (265,179)  (265,179)
                 
Net loss to common shareholders $(1,872,194) $(456,410) $(4,806,924) $(8,962,413)
                 
Net loss per share to common shareholders, basic and diluted:                
Basic $(0.01) $(0.00) $(0.02) $(0.04)
Fully diluted  (0.01)  (0.00)  (0.02)  (0.04)
                 
Weighted average number of common shares:                
Basic  243,355,562   232,203,244   240,006,507   224,658,709 
Fully diluted  243,355,562   232,203,244   240,006,507   224,658,709 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements


 

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF OPERATIONSCHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)

NINE MONTHS ENDED SEPTEMBER 30, 2022

(UNAUDITED)

 

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2021  2020  2021  2020 
Revenue            
Patient service revenue, net $1,394,356  $1,054,806  $4,379,282  $3,502,836 
Medicare shared savings revenue  2,419,312   767,744   2,419,312   767,744 
Consulting and event revenue  69,595   217,605   229,114   268,025 
Product revenue  161,456   ---   512,325   --- 
Total revenue  4,044,719   2,040,155   7,540,033   4,538,605 
                 
Operating Expenses and Costs                
Practice salaries and benefits  739,024   590,690   2,305,993   1,910,897 
Other practice operating expenses  549,086   548,667   1,790,874   1,633,380 
Medicare shared savings expenses  1,748,585   759,848   2,157,555   824,084 
Cost of product revenue  145,432   ---   474,026   --- 
Selling, general and administrative expenses  1,147,591   958,874   3,661,206   2,116,159 
Depreciation and amortization  205,311   25,151   623,438   74,811 
Total Operating Expenses and Costs  4,535,029   2,883,230   11,013,092   6,559,331 
                 
Loss from operations  (490,310)  (843,075)  (3,473,059)  (2,020,726)
                 
Other Income (Expenses)                
Loss on sales of marketable securities  ---   (281,606)  ---   (281,606)
Gain (loss) on extinguishment of debt  ---   (450,999)  (4,957,168)  (1,347,371)
Change in fair value of debt  ---   (79,062)  (19,246)  (198,764)
Amortization of original issue and debt discounts on notes payable and convertible notes  ---   (65,816)  ---   (530,930)
Change in fair value of derivative financial instruments  ---   12,802   ---   739,485 
Change in fair value of contingent acquisition consideration  126,411   45,996   (234,678)  687 
Interest income (expense)  (4,118)  (72,535)  (13,083)  (193,134)
Total other income (expenses)  122,293   (891,220)  (5,224,175)  (1,811,633)
                 
Net loss before provision for income taxes  (368,017)  (1,734,295)  (8,697,234)  (3,832,359)
                 
Provision for income taxes  ---   ---   ---   --- 
                 
Net loss $(368,017) $(1,734,295) $(8,697,234) $(3,832,359)
                 
Deemed dividend - amortization of beneficial conversion feature and down round adjustment to warrants  (88,393)  (63,862)  (265,179)  (63,862)
                 
Net loss to common stockholders $(456,410) $(1,798,157) $(8,962,413) $(3,896,221)
                 
Net loss per share to common stockholders, basic and diluted:                
Basic $(0.00) $(0.01) $(0.04) $(0.03)
Fully diluted $(0.00) $(0.01) $(0.04) $(0.03)
                 
Weighted average number of common shares:                
Basic  232,203,244   147,366,619   224,658,709   129,234,540 
Fully diluted  232,203,244   147,366,619   224,658,709   129,234,540 
  Number of Shares        Common  Additional     Total 
  Common  Preferred  Common  Preferred  Stock  Paid-in  Accumulated  Shareholders’ 
  Stock  Stock  Stock  Stock  Issuable  Capital  Deficit  Equity 
  (#)  (#)  ($)  ($)  ($)  ($)  ($)  ($) 
Balance at December 31, 2021  237,893,473   2,750,000   23,789   2,750   282,347   39,100,197   (32,205,189)  7,203,894 
Consultant and director fees payable
with common shares and warrants
  5,250   ---   1   ---   73,470   8,044   ---   81,515 
Shares and options issued to employees  133,000   ---   13   ---   (37,777)  64,547   ---   26,783 
Exercise of stock options  1,394   ---   ---   ---   ---   ---   ---   --- 
Net loss  ---   ---   ---   ---   ---   ---   (1,168,123)  (1,168,123)
Balance at March 31, 2022  238,033,117   2,750,000   23,803   2,750   318,040   39,172,788   (33,373,312)  6,144,069 
Sales of common stock  66,667   ---   7   ---   ---   8,270   ---   8,277 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   1,723   ---   1,723 
Shares issued in acquisition of AEU  871,633   ---   79   ---   ---   103,725   ---   103,804 
Consultant and director fees payable
with common shares and warrants
  79,011   ---   16   ---   58,252   47,164   ---   105,432 
Shares and options issued to employees  30,000   ---   3   ---   (31,250)  62,364   ---   31,117 
Net loss  ---   ---   ---   ---   ---   ---   (1,589,821)  (1,589,821)
Balance at June 30, 2022  239,080,428   2,750,000   23,908   2,750   345,042   39,396,034   (34,963,133)  4,804,601 
Sales of shares pursuant to Standby Equity Purchase Agreement  2,708,100   ---   271   ---       297,134   ---   297,405 
Stock based financing fees  895,255   ---   90   ---       99,910   ---   100,000 
Other sales of common stock  4,931,818       493           405,587       406,080 
Fair value of warrants allocated to proceeds of common stock      ---       ---       118,920   ---   118,920 
Consultant and director fees payable
with common shares and warrants
  142,024   ---   14   ---   43,803   49,036   ---   92,853 
Shares and options issued to employees  100,000   ---   10   ---   (43,500)  43,526   ---   36 
Net loss  ---   ---   ---   ---   ---   ---   (1,783,801)  (1,783,801)
Balance at September 30, 2022  247,857,625   2,750,000   24,786   2,750   345,345   40,410,147   (36,746,934)  4,036,094 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements



HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)

NINE MONTHS ENDED SEPTEMBER 30, 2021

(UNAUDITED)

 

 Number of Shares       Common  Additional     Total  Number of Shares       Common Additional     Total 
 Common Preferred Common Preferred Stock Paid-in Accumulated Shareholders’  Common Preferred Common Preferred Stock Paid-in Accumulated Shareholders’ 
 Stock  Stock  Stock  Stock  Issuable  Capital  Deficit  Equity (Deficit)  Stock Stock Stock Stock Issuable Capital Deficit Equity 
 (#)  (#)  ($)  ($)  ($)  ($)  ($)  ($)  (#) (#) ($) ($) ($) ($) ($) ($) 
Balance at December 31, 2020  187,967,881   2,750,000   18,797   2,750   262,273   22,851,098   (21,784,910)  1,350,008   187,967,881   2,750,000   18,797   2,750   262,273   22,851,098   (21,784,910)  1,350,008 
                                                                
Sales of common stock  14,793,864   ---   1,479   ---       2,981,367   ---   2,982,846   14,793,864   ---   1,479   ---       2,981,367   ---   2,982,846 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---       1,406,515   ---   1,406,515   ---   ---   ---   ---       1,406,515   ---   1,406,515 
Conversion of convertible notes payable to common stock  13,538,494   ---   1,354   ---       4,060,194   ---   4,061,548   13,538,494   ---   1,354   ---       4,060,194   ---   4,061,548 
Fair value of warrants issued in connection with conversion and retirement of convertible notes payable  ---   ---   ---   ---   ---   3,201,138   ---   3,201,138   ---   ---   ---   ---   ---   3,201,138   ---   3,201,138 
Fair value of warrants issued for professional services  ---   ---   ---   ---   ---   32,426   ---   32,426   ---   ---   ---   ---   ---   32,426   ---   32,426 
Consultant and director fees payable with common shares and warrants  475,000   ---   48   ---   114,500   122,781   ---   237,329   475,000   ---   48   ---   114,500   122,781   ---   237,329 
Shares and options issued pursuant to employee equity incentive plan  240,310   ---   24   ---   (14,956)  52,337   ---   37,405   240,310   ---   24   ---   (14,956)  52,337   ---   37,405 
Exercise of stock warrants  9,047,332   ---   905   ---   62,500   613,316   ---   676,721   9,047,332   ---   905   ---   62,500   613,316   ---   676,721 
Exercise of stock options  12,500   ---   1   ---       3,149   ---   3,150   12,500   ---   1   ---       3,149   ---   3,150 
Net loss  ---   ---   ---   ---   ---   ---   (7,823,453)  (7,823,453)  ---   ---   ---   ---   ---   ---   (7,823,453)  (7,823,453)
                                                                
Balance at March 31, 2021  226,075,381   2,750,000   22,608   2,750   424,317   35,324,321   (29,608,363)  6,165,633   226,075,381   2,750,000   22,608   2,750   424,317   35,324,321   (29,608,363)  6,165,633 
                                                                
Sales of common stock  374,177   ---   37   ---   ---   177,642   ---   177,679   374,177   ---   37   ---   ---   177,642   ---   177,679 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   82,320   ---   82,320   ---   ---   ---   ---   ---   82,320   ---   82,320 
Fair value of warrants issued for professional services  ---   ---   ---   ---   ---   3,603   ---   3,603   ---   ---   ---   ---   ---   3,603   ---   3,603 
Consultant and director fees payable with common shares and warrants  93,492   ---   9   ---   68,807   17,990   ---   86,806   93,492   ---   9   ---   68,807   17,990   ---   86,806 
Shares and options issued pursuant to employee equity incentive plan  875,047   ---   88   ---   (147,791)  211,358   ---   63,655   875,047   ---   88   ---   (147,791)  211,358   ---   63,655 
Exercise of stock warrants  1,225,000   ---   123   ---   62,500   152,378   ---   215,001   1,225,000   ---   123   ---   62,500   152,378   ---   215,001 
Exercise of stock options  133,000   ---   13   ---   ---   13,287   ---   13,300   133,000   ---   13   ---   ---   13,287   ---   13,300 
Net loss  ---   ---   ---   ---   ---   ---   (505,764)  (505,764)  ---   ---   ---   ---   ---   ---   (505,764)  (505,764)
                                                                
Balance at June 30, 2021  228,776,097   2,750,000   22,878   2,750   407,833   35,982,899   (30,114,127)  6,302,233   228,776,097   2,750,000   22,878   2,750   407,833   35,982,899   (30,114,127)  6,302,233 
                                
Sales of common stock  4,703,704   ---   470   ---   ---   1,608,874   ---   1,609,344   4,703,704   ---   470   ---   ---   1,608,874   ---   1,609,344 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   690,577   ---   690,577   ---   ---   ---   ---   ---   690,577   ---   690,577 
Contingent acquisition consideration issuable  ---   ---   ---   ---   366,300   ---   ---   366,300   ---   ---   ---   ---   366,300   ---   ---   366,300 
Fair value of warrants issued for professional services  ---   ---   ---   ---   ---   3,603   ---   3,603   ---   ---   ---   ---   ---   3,603   ---   3,603 
Consultant and director fees payable with common shares and warrants  8,750   ---   1   ---   84,785   4,942   ---   89,728   8,750   ---   1   ---   84,785   4,942   ---   89,728 
Shares and options issued pursuant to employee equity incentive plan  375,000   ---   37   ---   (5,550)  25,955   ---   20,442   375,000   ---   37   ---   (5,550)  25,955   ---   20,442 
Exercise of stock warrants  1,840,278   ---   184   ---   (125,000)  181,066   ---   56,250   1,840,278   ---   184   ---   (125,000)  181,066   ---   56,250 
Net loss  ---   ---   ---   ---   ---   ---   (368,017)  (368,017)  ---   ---   ---   ---   ---   ---   (368,017)  (368,017)
                                
Balance at September 30, 2021  235,703,829   2,750,000   23,570   2,750   728,368   38,497,916   (30,482,144)  8,770,460   235,703,829   2,750,000   23,570   2,750   728,368   38,497,916   (30,482,144)  8,770,460 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 


 

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)

NINE MONTHS ENDED SEPTEMBER 30, 2020

(UNAUDITED)

  Number of Shares        Common  Additional     Total 
  Common  Preferred  Common  Preferred  Stock  Paid-in  Accumulated  Shareholders’ 
  Stock  Stock  Stock  Stock  Issuable  Capital  Deficit  Equity (Deficit) 
  (#)  (#)  ($)  ($)  ($)  ($)  ($)  ($) 
Balance at December 31, 2019  109,894,490   ---   10,990   ---   159,538   13,016,446   (16,029,654)  (2,842,680)
                                 
Sale of common stock  4,187,566   ---   419   ---   (59,000)  407,181       348,600 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   88,833   ---   88,833 
Conversion of convertible notes payable to common stock  4,672,612   ---   467   ---   51,652   600,441   ---   652,560 
Consultant and director fees payable with common shares and warrants  ---   ---   ---   ---   60,212   6,666   ---   66,878 
Shares and options issued pursuant to employee equity incentive plan  132,500   ---   13   ---   (7,161)  45,724   ---   38,576 
Net loss  ---   ---   ---   ---   ---   ---   (580,216)  (580,216)
                                 
Balance at March 31, 2020  118,887,168   ---   11,889   ---   205,241   14,165,291   (16,609,870)  (2,227,449)
                                 
Acquisition of Cura Health Management LLC  2,240,838   ---   224   ---   ---   201,451   ---   201,675 
Sale of common stock  3,180,312   ---   318   ---   24,651   228,808   ---   253,777 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   33,482   ---   33,482 
Conversion of convertible notes payable to common stock  6,669,320   ---   667   ---   (51,652)  584,268   ---   533,283 
Consultant and director fees payable with common shares and warrants  111,110   ---   11   ---   34,705   8,989   ---   43,705 
Shares and options issued pursuant to employee equity incentive plan  163,027   ---   16   ---       39,397   ---   39,413 
Net loss  ---   ---   ---   ---   ---   ---   (1,517,848)  (1,517,848)
Balance at June 30, 2020  131,251,775   ---   13,125   ---   212,945   15,261,686   (18,127,718)  (2,639,962)
                                 
Contingent acquisition consideration issued  1,835,626   ---   184   ---       292,599   ---   292,783 
Sales of common stock  4,829,289   ---   483   ---   (23,901)  340,582   ---   317,164 
Fair value of warrants allocated to proceeds of common stock  ---   ---   ---   ---   ---   57,444   ---   57,444 
Sale of common and preferred stock in exchange for marketable securities  24,522,727   2,750,000   2,452   2,750   ---   3,061,687       3,066,889 
Conversion of convertible notes payable to common stock  2,855,191   ---   286   ---   ---   479,387   ---   479,673 
Gain on extinguishment of related party debt allocated to additional paid in capital  ---   ---   ---   ---   ---   283,862   ---   283,862 
Consultant and director fees payable with common shares and warrants  1,003,751   ---   100   ---   (6,952)  136,611   ---   129,759 
Shares and options issued pursuant to employee equity incentive plan  529,465   ---   53   ---   ---   98,448   ---   98,501 
Net loss  ---   ---   ---   ---   ---   ---   (1,734,295)  (1,734,295)
Balance at September 30, 2020  166,827,824   2,750,000   16,683   2,750   182,092   20,012,306   (19,862,013)  351,818 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements


HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENTSTATEMENTS OF CASH FLOWS

(UNAUDITED)

  

Nine Months Ended

September 30,

 
  2021  2020 
Cash Flows from Operating Activities      
Net loss $(8,697,234) $(3,832,359)
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization  623,438   74,811 
Stock based compensation, including amortization of prepaid fees  574,998   436,038 
Amortization of original issue discount and debt discount on convertible notes  ---   530,930 
Loss on sales of marketable securities  ---   281,606 
Change in fair value of derivative financial instruments  ---   (739,485)
Loss on extinguishment of debt  4,957,168   1,347,371 
Change in fair value of debt  19,246   198,764 
Change in fair value of contingent acquisition consideration  234,678   (687)
Changes in operating assets and liabilities:        
Accounts receivable  (25,831)  (20,297)
Inventory  (11,706)  (34,740)
Prepaid expenses and deposits  (40,516)  51,575 
ROU lease assets  78,835   200,372 
Accounts payable and accrued expenses  800,732   615,434 
Lease liability  (82,102)  (197,877)
Due to related party, current portion  ---   46,370 
Contract liabilities  (58,890)  (52,321)
Net cash used in operating activities  (1,627,184)  (1,094,495)
         
Cash Flows from Investing Activities        
Proceeds from sale of marketable securities  ---   2,740,806 
Acquisition, net of cash acquired  ---   (164,005)
Payment of contingent acquisition consideration  (322,106)  (137,390)
Acquisition of property and equipment  (12,475)  (13,541)
Net cash (used in) provided by investing activities  (334,581)  2,425,870 
         
Cash Flows from Financing Activities        
Proceeds from sale of common stock  6,949,281   1,099,300 
Proceeds from exercise of options and warrants  350,200   --- 
Proceeds from issuance of convertible notes  ---   827,500 
Repayment of convertible notes  ---   (1,882,405)
Proceeds from related party loans  ---   149,000 
Repayment of related party loans  ---   (967,756)
Proceeds from government loans  ---   1,045,669 
Repayment of vendor loans payable  (51,109)  --- 
Net cash provided by financing activities  7,248,372   271,308 
         
Net increase in cash  5,286,607   1,602,683 
Cash, beginning of period  162,184   110,441 
         
Cash, end of period $5,448,791  $1,713,124 

(continued)


HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

(UNAUDITED)

 

Nine Months Ended

September 30,

  Nine Months Ended
September 30,
 
 2022  2021 
Cash Flows from Operating Activities     
Net loss $(4,541,745) $(8,697,234)
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization  622,306   623,438 
Stock based compensation, including amortization of deferred equity compensation  326,485   574,998 
Amortization of debt discount  21,020   --- 
Stock-based financing cost  100,000   --- 
Loss on extinguishment of debt  ---   4,957,168 
Change in fair value of debt  ---   19,246 
Change in fair value of contingent acquisition consideration  (665,573)  234,678 
Changes in operating assets and liabilities:        
Accounts receivable  22,432   (25,831)
Inventory  (40,345)  (11,706)
Prepaid expenses and deposits  29,072   (40,516)
Right of use lease assets  255,632   78,835 
Accounts payable and accrued expenses  370,413   800,732 
Lease liability  (254,756)  (82,102)
Contract liabilities  (7,585)  (58,890)
Net cash used in operating activities  (3,762,644)  (1,627,184)
        
Cash Flows from Investing Activities        
Acquisition, net of cash acquired  (313,802)  --- 
Payment of contingent acquisition consideration  (207,384)  (322,106)
Acquisition of property and equipment  (23,564)  (12,475)
Net cash used in investing activities  (544,750)  (334,581)
        
Cash Flows from Financing Activities        
Proceeds from sale of common stock  706,787   6,949,281 
Proceeds from exercise of options and warrants  ---   350,200 
Proceeds from notes payable  522,500   --- 
Repayment of notes payable  (55,379)  (51,109)
Net cash provided by financing activities  1,173,908   7,248,372 
        
Net (decrease) increase in cash  (3,133,486)  5,286,607 
Cash, beginning of period  3,291,646   162,184 
        
Cash, end of period $158,160  $5,448,791 
 2021  2020         
Supplemental disclosure of cash flow information:             
Cash paid during the period for interest $232  $202,768  $2,514  $232 
Cash paid during the period for income tax $---  $---  $---  $--- 
Schedule of non-cash investing and financing activities:                
Fair value of shares issued as purchase price consideration $103,804  $--- 
Common stock issuable issued during period $112,528  $192,547 
Net carrying value of equity liabilities (assets) written off $21,359  $--- 
Proceeds from sale of common stock under Standby Equity Purchase Agreement applied to note payable balance $125,618  $--- 
Debt discount and original issue discount allocated to proceeds of notes payable $38,500  $--- 
Recognition of operating lease: right of use asset and lease liability $284,905  $--- 
Forgiveness of government loans $632,826  $---  $---  $632,826 
Common stock issuable issued during period $192,547  $66,161 
Fair value of warrants issued for professional service $39,632  $---  $---  $36,030 
Incremental fair value of warrants modified to extend maturity date of convertible notes payable $126,502  $---  $---  $126,502 
Conversion of convertible note payable to common shares $4,061,549  $1,665,516  $---  $4,061,549 
Fair value of warrants issued in connection with conversion of convertible notes payable $3,074,637  $---  $---  $3,074,637 
Accrued liabilities relieved upon cashless exercise of warrants $614,221  $---  $---  $614,221 
Contingent acquisition consideration payable in common stock $366,300  $---  $---  $366,300 
Initial derivative liability and fair value of beneficial conversion feature and original issue discount allocated to proceeds of variable convertible notes payable $---  $211,497 
Adoption of lease obligation and ROU asset $---  $219,744 
Fair value of shares issued as initial acquisition consideration $---  $201,675 
Fair value of shares issued as contingent acquisition consideration $---  $292,783 
Fair value of contingent acquisition consideration issued $---  $1,057,785 
Derivative liabilities written off with repayment of convertible notes payable $---  $328,000 
Derivative liabilities written off with conversion of convertible notes payable $---  $135,300 
Reduction in contingent acquisition consideration $---  $200,328 
Fair value of marketable securities received as consideration for sale of common and preferred shares $---  $3,006,889 
Gain on extinguishment of related party debt allocated to additional paid in capital $---  $283,862 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 1 - BUSINESS AND BUSINESS PRESENTATION

 

HealthLynked Corp. (the “Company”) was incorporated in the State of Nevada on August 4, 2014. On September 2, 2014, the Company filed Amended and Restated Articles of Incorporation with the Secretary of State of Nevada setting the total number of authorized shares at 250,000,000 shares, which included up to 230,000,000 shares of common stock and 20,000,000 shares of “blank check” preferred stock. On February 5, 2018, the Company filed an Amendment to its Amended and Restated Articles of Incorporation with the Secretary of State of Nevada to increase the number of authorized shares of common stock to 500,000,000 shares.

 

As of September 30, 2021, theThe Company operatedcurrently operates in four distinct divisions: the Health Services Division, the Digital Healthcare Division, the ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, and the Medical Distribution Division. The Health Services division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology) and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, and (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, FL opened in January 2020 that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery.surgery, and (iv) Aesthetic Enhancements Unlimited (“AEU”), a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. The Digital Healthcare division develops and operates an online personal medical information and record archive system, the “HealthLynked Network,” which enables patients and doctors to keep track of medical information via the Internet in a cloud-based system. The ACO/MSO Division is comprised of the business acquiredoperations of Cura Health Management LLC (“CHM”) and its subsidiary ACO Health Partners LLC (“AHP”), which were acquired by the Company on May 18, 2020. CHM and AHP operate an Accountable Care Organization (“ACO”) and Managed Service Organization (“MSO”) that assists physician practices in providing coordinated and more efficient care to patients via the Medicare Shared Savings Program (“MSSP”) as administered by the Centers for Medicare and Medicaid Services (the “CMS”), which rewards providers for efficiency in patient care. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States acquiredStates. As described in Note 18, “Subsequent Events,” during October 2022, the Company’s Board of Directors approved the sale of the ACO/MSO Division. The Company expects to complete sale by first quarter 2023 and use the Company on October 19, 2020.cash proceeds generated from the sale to supplement its operating cash requirements and pursue additional acquisitions.

 

These unaudited condensed consolidated financial statements reflect all adjustments including normal recurring adjustments, which, in the opinion of management, are necessary to present fairly the financial position, results of operations and cash flows for the periods presented in accordance with the accounting principles generally accepted in the United States of America (“GAAP”). These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the years ended December 31, 20202021 and 2019,2020, respectively, which are included in the Company’s Form 10-K, filed with the United States Securities and Exchange Commission (the “Commission”) on March 31, 2021.2022, as amended by the Company’s Form 10-K/A filed with the Commission on June 3, 2022. The Company assumes that the users of the interim financial information herein have read, or have access to, the audited consolidated financial statements for the preceding period, and that the adequacy of additional disclosure needed for a fair presentation may be determined in that context. The results of operations for the three and nine months ended September 30, 20212022 are not necessarily indicative of results for the entire year ending December 31, 2021.2022.

 

On a consolidated basis, the Company’s operations are comprised of the parent company, HealthLynked Corp., and its sixseven subsidiaries: NWC, NCFM, BTG, CHM, AHP, MOD and MOD.AEU. All significant intercompany transactions and balances have been eliminated upon consolidation. In addition, certain amounts in the prior periods’ consolidated financial statements have been reclassified to conform to the current period presentation.

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES

 

A summary of the significant accounting policies applied in the presentation of the accompanying consolidated financial statements follows:

 

Basis of Presentation

 

The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP.

 

All amounts referred to in the notes to the consolidated financial statements are in United States Dollars ($) unless stated otherwise.

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Use of Estimates

 

The preparation of the condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect certain reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Accordingly, actual results could differ from those estimates. Significant estimates include assumptions about fair valuation of acquired intangible assets, cash flow and fair value assumptions associated with measurements of contingent acquisition consideration and impairment of intangible assets and goodwill, valuation of inventory, collection of accounts receivable, the valuation and recognition of stock-based compensation expense, valuation allowance for deferred tax assets, borrowing rate consideration for right-of-use (“ROU”) lease assets including related lease liability and useful life of fixed assets.

 

Revenue Recognition

 

Patient service revenue

 

Patient service revenue is earned for GYN services provided to patients at our NWC facility, functional medicine services provided to patients at our NCFM facility, and physical therapy services provided to patients at our BTG facility. Patient service revenue is reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for providing patient care. These amounts are due from patients and third-party payors (including health insurers and government programs) and include variable consideration for retroactive revenue adjustments due to settlement of audits, reviews, and investigations. Generally, the Company bills patients and third-party payors within days after the services are performed and/or the patient is discharged from the facility. Revenue is recognized as performance obligations are satisfied.

 

Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time, which includes prepaid BTG physical therapy bundles for which performance obligations are satisfied over time as visits are incurred, is recognized based on actual charges incurred in relation to total expected charges. The Company believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Revenue for performance obligations satisfied at a point in time, which includes all patient service revenue other than BTG physical therapy bundles, is recognized when goods or services are provided at the time of the patient visit, and at which time the Company doesis not believe it is required to provide additional goods or services to the patient.

 

The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. The Company determines its estimatesEstimates of contractual adjustments and discounts require significant judgment and are based on the Company’s current contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. There were no material changes during the nine months ended September 30, 2022 or 2021 to the judgments applied in determining the amount and timing of patient service revenue.

 

Agreements with third-party payors typically provide for payments at amounts less than established charges. A summary of the payment arrangements with major third-party payors follows:

 

Medicare: Certain inpatient acute care services are paid at prospectively determined rates per discharge based on clinical, diagnostic and other factors. Certain services are paid based on cost-reimbursement methodologies subject to certain limits. Physician services are paid based upon established fee schedules. Outpatient services are paid using prospectively determined rates.

 

Medicaid: Reimbursements for Medicaid services are generally paid at prospectively determined rates per discharge, per occasion of service, or per covered member.

 

Other: Payment agreements with certain commercial insurance carriers, health maintenance organizations, and preferred provider organizations provide for payment using prospectively determined rates per discharge, discounts from established charges, and prospectively determined daily rates.

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Laws and regulations concerning government programs, including Medicare and Medicaid, are complex and subject to varying interpretation. As a result of investigations by governmental agencies, various health care organizations have received requests for information and notices regarding alleged noncompliance with those laws and regulations, which, in some instances, have resulted in organizations entering into significant settlement agreements. Compliance with such laws and regulations may also be subject to future government review and interpretation as well as significant regulatory action, including fines, penalties, and potential exclusion from the related programs. There can be no assurance that regulatory authorities will not challenge the Company’s compliance with these laws and regulations, and it is not possible to determine the impact, if any, such claims or penalties would have upon the Company. In addition, the contracts the Company has with commercial payors also provide for retroactive audit and review of claims.

 

Settlements with third-party payors for retroactive adjustments due to audits, reviews or investigations are considered variable consideration and are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the payment agreement with the payor, correspondence from the payor and the Company’s historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are adjusted in future periods as adjustments become known, or as years are settled or are no longer subject to such audits, reviews, and investigations.

 

The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM, BTG and BTGAEU are provided on a cash basis and not submitted through third party insurance providers. Contract liabilities related to prepaid BTG patient service revenue were $15,966$23,015 and $35,779$42,530 as of September 30, 20212022 and December 31, 2020,2021, respectively.

 

Medicare Shared Savings Revenue

 

The Company earns Medicare shared savings revenue based on performance of the population of patient lives for which it is accountable as an ACO against benchmarks established by the MSSP. Because the MSSP, which was formed in 2012, is relatively new and has limited historical experience, the Company cannot accurately predict the amount of shared savings that will be determined by CMS. Such amounts are determined annually when the Company is notified by CMS of the amount of shared savings earned. Accordingly, the Company recognizes Medicare shared savings revenue in the period in which the CMS notifies the Company of the exact amount of shared savings to be paid, which historically has occurred during the fiscal quarter ended September 30 for the program year ended December 31 of the previous year. The Company was notified of the amount of Medicare shared savings and received payment for plan year 2020 in September 2021 and for plan year 2019 in September 2020. Accordingly, the Company recognized Medicare shared savings revenue of $2,419,312 and $767,744 in the three and nine months ended September 30, 2021 and 2020, respectively. Based on the ACO operating agreements, the Company bears all costs of the ACO operations until revenue is recognized. At that point, the Company shares in up to 100% of the revenue to recover its costs incurred.

 

Consulting and Event Revenue

 

Also pursuant to ASC 606, the Company recognizes service revenue as services are provided, with any unearned but paid amounts recorded as a contract liability at each balance sheet date. Contract liabilities related to consulting revenue were $-0-$25,000 and $47,864$25,000 as of September 30, 20212022 and December 31, 2020,2021, respectively. Event revenue, comprised of admission fees for summit events, is recognized when an event is held.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Product Revenue

 

Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue were $14,569$17,237 and $5,782$5,308 as of September 30, 20212022 and December 31, 2020,2021, respectively. There were no contract assets as of September 30, 20212022 or December 31, 2020.2021.

 



HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Sales are made inclusive of sales tax, where such sales tax is applicable. Sales tax is applicable on sales made in the state of Florida, where the Company has physical nexus. The Company has determined that it does not have economic nexus in any other states. The Company does not sell products outside of the United States.

 

The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products. Product return allowance was $3,919$5,643 and $26,839 and$14,834 as of September 30, 20212022 and December 31, 2020,2021, respectively.

Contract Liabilities

 

Contract liabilities represent payments from customers for consulting services, patient services and medical products that precede the Company’s service or product fulfillment performance obligation. The Company’s total contract liabilities balance was $30,535were $65,252 and $89,425$72,838 as of September 30, 20212022 and December 31, 2020,2021, respectively.

 

Provider shared savings expense

 

Provider shared savings expense represents the ongoing operating expenses of the ACO and annual payments made to the ACO’s participating providers.providers from shared savings revenue payments received from CMS (the “Annual Provider Payment”). The pool of provider shared savings expense paid to all participating providers,funds available for the Annual Provider Payment, as well as the amounts paid to each individual participating provider from the pool, is determined by ACO management. Shared Savings expensemanagement after an annual determination of Medicare shared savings revenue is made by CMS. Expenses related to ongoing operation of the ACO may be deducted from the Medicare shared savings revenue before determining the Annual Provider Payment. Such expenses are recognized in “Provider shared savings expense” as incurred. Expense related to the Annual Provider Payment is recognized in the period in which the size of the paymentAnnual Provider Payment pool is determined, which typically corresponds to the period in which the shared saving payment is received from CMS and shared savings revenue is recognized. This typically occurs in the second half of the year following the completion of the program year. The Company received Medicare shared savings payments and recognized revenue of $2,419,312 for plan year 2020 in September 2021 and $767,744 for plan year 2019 in September 2020. Of the Medicare shared savings payments received, $979,736 and $388,884 were recognized as provider shared savings expense in the quarter and year-to-date periods ended September 30, 2021 and 2020, respectively, and are included in “Medicare shared savings expenses” on the accompanying Condensed Consolidated Statement of Operations.

 

Cash and Cash Equivalents

 

For financial statement purposes, the Company considers all highly liquid investments with original maturities of threesix months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. As of September 30, 20212022 and December 31, 2020,2021, the Company had $4,205,870$-0- and $18,227$2,957,040 in excess of the FDIC insured limit, respectively.

 

Accounts Receivable

 

Trade receivables are carried at their estimated collectible amounts. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 48.1%48% of total billings. Trade accounts receivable are recorded at this net amount. As of September 30, 20212022 and December 31, 2020,2021, the Company’s gross patient services accounts receivable were $245,148$84,905 and $165,464,$193,363, respectively, and net patient services accounts receivable were $111,658$41,349 and $71,655,$86,287, respectively, based upon net reporting of accounts receivable. The Company also had consulting services receivable of $22,506 and $-0- as of September 30, 2022 and December 31, 2021, respectively. As of September 30, 20212022 and December 31, 2020,2021, the Company’s allowance of doubtful accounts was $13,972$-0- and $13,972, respectively.  The Company also had $-0- and $15,498 accounts receivable related to amounts billed under consulting contracts as of September 30, 2021 and December 31, 2020, respectively.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Leases

 

Upon transition under ASU 2016-02, the Company elected the suite of practical expedients as a package applied to all of its leases, including (i) not reassessing whether any expired or existing contracts are or contain leases, (ii) not reassessing the lease classification for any expired or existing leases, and (iii) not reassessing initial direct costs for any existing leases. For new leases, the Company will determine if an arrangement is or contains a lease at inception. Leases are included as ROU assets within other assets and ROU liabilities within accrued expenses and other liabilities and within other long-term liabilities on the Company’s consolidated balance sheets.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. The Company adopted ASU 2016-02 in the first quarter of 2019. See Note 8 for more complete details on balances as of the reporting periods presented herein.  The adoption had no material impact on cash provided by or used in operating, investing or financing activities on the Company’s consolidated statements of cash flows.

 

Inventory

 

Inventory consisting of supplements, is stated at the lower of cost or net realizable value. Cost is determined by the first-in, first-out method. Outdated inventory is directly charged to cost of goods sold.

 

Goodwill and Intangible Assets

 

Goodwill is recognized as the excess cost of an acquired entity over the net amount assigned to assets acquired and liabilities assumed. Goodwill is not amortized, but rather tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of goodwill is less than its carrying value.

 

The Company recognizes an acquired intangible apart from goodwill whenever the intangible arises from contractual or other legal rights, or whenever it can be separated or divided from the acquired entity and sold, transferred, licensed, rented or exchanged, either individually or in combination with a related contract, asset or liability. Such intangibles are amortized over their estimated useful lives unless the estimated useful life is determined to be indefinite. Amortizable intangible assets are being amortized primarily over useful lives of five years. The straight-line method of amortization is used as it has been determined to approximate the use pattern of the assets. Impairment losses are recognized if the carrying amount of an intangible that is subject to amortization is not recoverable from expected future cash flows and its carrying amount exceeds its fair value.

 

The Company also maintains intangible assets with indefinite lives, which are not amortized. These intangibles are tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of these assets is less than their carrying value. No impairment charges were recognized in the three orand nine months ended September 30, 20212022 or 2020.2021.

 

Concentrations of Credit Risk

 

The Company’s financial instruments that are exposed to a concentration of credit risk are cash and accounts receivable. There are no patients/customers that represent 10% or more of the Company’s revenue or accounts receivable. Generally, the Company’s cash and cash equivalents are in checking accounts. The Company relies on a sole supplier for the fulfillment of substantially all of its product sales made through MOD, which was acquired by the Company in October 2020.MOD.

 

Property and Equipment

 

Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For consolidated financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 5 to 7 years. The cost of repairs and maintenance is expensed as incurred; major replacements and improvements are capitalized.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

The Company examines the possibility of decreases in the value of fixed assets when events or changes in circumstances reflect the fact that their recorded value may not be recoverable. The Company recognizes an impairment loss when the sum of expected undiscounted future cash flows is less than the carrying amount of the asset. The amount of impairment is measured as the difference between the asset’s estimated fair value and its book value.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Convertible Notes

 

Convertible notes are regarded as compound instruments, consisting of a liability component and an equity component. The component parts of compound instruments are classified separately as financial liabilities and equity in accordance with the substance of the contractual arrangement. At the date of issue, the fair value of the liability component is estimated using the prevailing market interest rate for a similar non-convertible instrument. This amount is recorded as a liability on an amortized cost basis until extinguished upon conversion or at the instrument’s maturity date. The equity component is determined by deducting the amount of the liability component from the fair value of the compound instrument as a whole. This is recognized as additional paid-in capital and included in equity, net of income tax effects, and is not subsequently remeasured. After initial measurement, they are carried at amortized cost using the effective interest method. Convertible notes for which the maturity date has been extended and that qualify for debt extinguishment treatment are recorded at fair value on the extinguishment date and then revalued at the end of each reporting period, with the change recorded to the statement of operations under “Change in Fair Value of Debt.”

 

Government Notes Payable

 

During 2020, the Company and certain of its subsidiaries received loans under the Paycheck Protection Program (the “PPP”). The PPP loans, administered by the U.S. Small Business Administration (the “SBA”), were issued under the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. Pursuant to the terms of the PPP, principal amounts may be forgiven if loan proceeds are used for qualifying expenses as described in the CARES Act, including costs such as payroll, benefits, employer payroll taxes, rent and utilities. The Company accounts for forgiveness of government loans pursuant to FASB ASC 470, “Debt,” (“ASC 470”). Pursuant to ASC 470, loan forgiveness is recognized in earnings as a gain on extinguishment of debt when the debt is legally released by the lender.

 

Derivative Financial Instruments

The Company reviews the terms of convertible debt, equity instruments and other financing arrangements to determine whether there are embedded derivative instruments, including embedded conversion options that are required to be bifurcated and accounted for separately as a derivative financial instrument. Also, in connection with the issuance of financing instruments, the Company may issue freestanding options or warrants that may, depending on their terms, be accounted for as derivative instrument liabilities, rather than as equity. Derivative financial instruments are initially measured at their fair value. For derivative financial instruments that are accounted for as liabilities, the derivative instrument is initially recorded at its fair value and is then re-valued at each reporting date, with changes in the fair value reported as charges or credits to income. To the extent that the initial fair values of the freestanding and/or bifurcated derivative instrument liabilities exceed the total proceeds received, an immediate charge to income is recognized, in order to initially record the derivative instrument liabilities at their fair value. The discount from the face value of convertible debt instruments resulting from allocating some or all of the proceeds to the derivative instruments is amortized over the life of the instrument through periodic charges to income.

The classification of derivative instruments, including whether such instruments should be recorded as liabilities or as equity, is reassessed at the end of each reporting period. If reclassification is required, the fair value of the derivative instrument, as of the determination date, is reclassified. Any previous charges or credits to income for changes in the fair value of the derivative instrument are not reversed. Derivative instrument liabilities are classified in the balance sheet as current or non-current based on whether or not net-cash settlement of the derivative instrument could be required within twelve months of the balance sheet date. The Company does not use derivative instruments to hedge exposures to cash flow, market, or foreign currency risks.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Fair Value of Assets and Liabilities

 

Fair value is the price that would be received from the sale of an asset or paid to transfer a liability (i.e. an exit price) in the principal or most advantageous market in an orderly transaction between market participants. In determining fair value, the accounting standards have established a three-level hierarchy that distinguishes between (i) market data obtained or developed from independent sources (i.e., observable data inputs) and (ii) a reporting entity’s own data and assumptions that market participants would use in pricing an asset or liability (i.e., unobservable data inputs). Financial assets and financial liabilities measured and reported at fair value are classified in one of the following categories, in order of priority of observability and objectivity of pricing inputs:

 

Level 1 – Fair value based on quoted prices in active markets for identical assets or liabilities;

 

Level 2 – Fair value based on significant directly observable data (other than Level 1 quoted prices) or significant indirectly observable data through corroboration with observable market data. Inputs would normally be (i) quoted prices in active markets for similar assets or liabilities, (ii) quoted prices in inactive markets for identical or similar assets or liabilities or (iii) information derived from or corroborated by observable market data;

 

Level 3 – Fair value based on prices or valuation techniques that require significant unobservable data inputs. Inputs would normally be a reporting entity’s own data and judgments about assumptions that market participants would use in pricing the asset or liability.

 

The fair value measurement level for an asset or liability is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques should maximize the use of observable inputs and minimize the use of unobservable inputs.

 

Prior to January 1, 2020, theThe Company utilized the closed-form Black-Scholesutilizes a binomial lattice option pricing model to estimate the fair value of options, warrants, beneficial conversion features and other Level 3 financial assets and liabilities. Effective January 1, 2020, the Company changed to a binomial lattice option pricing model. The Company believes that the binomial lattice model results in a betterthe best estimate of fair value because it embodies all of the requisite assumptions (including the underlying price, exercise price, term, volatility, and risk-free interest-rate) necessary to fairfairly value these instruments and, unlike less sophisticated models like the Black-Scholes model, it also accommodates assumptions regarding investor exercise behavior and other market conditions that market participants would likely consider in negotiating the transfer of such an instruments.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Stock-Based Compensation

 

The Company accounts for stock-based compensation to employees and nonemployees under ASC 718 “Compensation – Stock Compensation” using the fair value-based method. Under this method, compensation cost is measured at the grant date based on the value of the award and is recognized over the service period, which is usually the vesting period. This guidance establishes standards for the accounting for transactions in which an entity exchanges its equity instruments for goods or services. It also addresses transactions in which an entity incurs liabilities in exchange for goods or services that are based on the fair value of the entity’s equity instruments or that may be settled by the issuance of those equity instruments. Effective January 1, 2020, theThe Company uses a binomial lattice pricing model to estimate the fair value of options and warrants granted. In prior periods, the Company used the Black-Scholes pricing model.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Income Taxes

 

The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No Income Taxincome tax has been provided for the three orand nine months ended September 30, 2022 and 2021, or 2020, since the Company has sustained a loss for both periods. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable.

 

Recurring Fair Value Measurements

 

The carrying value of the Company’s financial assets and financial liabilities is their cost, which may differ from fair value. The carrying value of cash held as demand deposits, money market and certificates of deposit, marketable investments, accounts receivable, short-term borrowings, accounts payable, accrued liabilities, and derivative financial instruments approximated their fair value.

 

Deemed Dividend

 

The Company incurs a deemed dividend on Series B Convertible Preferred Voting Stock (the “Series B Preferred”). As the intrinsic price per share of the Series B Preferred was less than the deemed fair value of the Company’s common stock on the date of issuance of the Series B Preferred, the Series B Preferred contains a beneficial conversion feature as described in FASB ASC 470-20, “Debt with Conversion and Other Options.” The difference in the stated conversion price and estimated fair value of the common stock is accounted for as a beneficial conversion feature and affects income or loss available to common stockholders for purposes of earnings per share available to common stockholders. The Company incurs further deemed dividends on certain of its warrants containing a down round provision equal to the difference in fair value of the warrants before and after the triggering of the down round adjustment.

 

Net Loss per Share 

 

Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three and nine months ended September 30, 20212022 and 2020,2021, the Company reported a net loss and excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of September 30, 20212022 and December 31, 2020,2021, potentially dilutive securities were comprised of (i) 60,136,99262,259,569 and 51,352,98659,796,992 warrants outstanding, respectively, (ii) 3,013,7503,999,250 and 3,111,7503,456,250 stock options outstanding, respectively, (iii) -0-219,768 and 10,298,333 shares issuable upon conversion of convertible notes, respectively, (iv) 90,000 and 200,000302,050 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, (iv) up to 1,329,469 common shares issuable that are earned but not paid under consulting and director compensation arrangements, and (v) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. 



HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Common stock awards

 

The Company grants common stock awards to non-employees in exchange for services provided. The Company measures the fair value of these awards using the fair value of the services provided or the fair value of the awards granted, whichever is more reliably measurable. The fair value measurement date of these awards is generally the date the performance of services is complete. The fair value of the awards is recognized on a straight-line basis as services are rendered. The share-based payments related to common stock awards for the settlement of services provided by non-employees is recorded on the consolidated statement of comprehensive loss in the same manner and charged to the same account as if such settlements had been made in cash. From time to time, the Company also issues stock awards settleable in a variable number of common shares. Such awards are classified as liabilities until such time as the number of shares underlying the grant is determinable.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

Warrants

 

In connection with certain financing, consulting and collaboration arrangements, the Company has issued warrants to purchase shares of its common stock. The outstanding warrants are standalone instruments that are not puttable or mandatorily redeemable by the holder and are classified as equity awards. The Company measures the fair value of the awards using the Black-Scholes pricing model as of the measurement date. Effective January 1, 2020, theThe Company uses a binomial lattice pricing model to estimate the fair value of compensation options and warrants. In prior periods, the Company used the Black-Scholes pricing model. Warrants issued in conjunction with the issuance of common stock are initially recorded at fair value as a reduction in additional paid-in capital of the common stock issued. All other warrants are recorded at fair value as expense over the requisite service period, or at the date of issuance, if there is not a service period. Certain of the Company’s warrants include a so-called down round provision. The Company accounts for such provisions pursuant to ASU No. 2017-11, Earnings Per Share, Distinguishing Liabilities from Equity and Derivatives and Hedging, which calls for the recognition of a deemed dividend in the amount of the incremental fair value of the warrant due to the down round when triggered, warrants granted in connection with ongoing arrangements are more fully described in Note 14, Shareholders’ Equity.triggered.

 

Business Segments

 

The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has four operating segments: Health Services (multi-specialty medical group including the NWC OB/GYN practice, the NCFM functional medicine practice, acquired in April 2019 and the BTG physical therapy practice, launched in 2020)and the AEU cosmetic services practice), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), ACO/MSO (comprised of the ACO/MSO business acquired with CHM in May 2020, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices acquired by the Company on October 19, 2020)practices).

  

RecentRecently Issued Accounting Pronouncements

In December 2019, the FASB issued ASU 2019-12 Simplifying the Accounting for Income Taxes, which eliminates the need for an organization to analyze whether the following apply in a given period: (1) exception to the incremental approach for intra-period tax allocation; (2) exceptions to accounting for basis differences when there are ownership changes in foreign investments; and (3) exceptions in interim period income tax accounting for year-to-date losses that exceed anticipated losses. ASU No. 2019-12 is effective for fiscal years beginning after December 15, 2020, and interim periods within those fiscal years. The Company does not expect that this standard will have a material effect on its consolidated financial statements.

 

In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments”: The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company is currently evaluating the impact the adoption of this guidance may have on its consolidated financial statements.

 

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) related to the measurement and disclosure requirements for convertible instruments and contracts in an entity’s own equity. The pronouncement simplifies and adds disclosure requirements for the accounting and measurement of convertible instruments and the settlement assessment for contracts in an entity’s own equity. This pronouncement is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2021 and early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company is currently evaluating the impact that this standard will have on its consolidated financial statements.

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers, to recognize and measure contract assets and contract liabilities from contracts with customers acquired in a business combination. Public entities must adopt the new guidance for fiscal years beginning after December 15, 2022 and interim periods within those fiscal years, with early adoption permitted. The Company is currently evaluating the impact and timing of adoption of this guidance.

Recently Adopted Pronouncements

In December 2019, the FASB issued ASU 2019-12 Simplifying the Accounting for Income Taxes, which eliminates the need for an organization to analyze whether the following apply in a given period: (1) exception to the incremental approach for intra-period tax allocation; (2) exceptions to accounting for basis differences when there are ownership changes in foreign investments; and (3) exceptions in interim period income tax accounting for year-to-date losses that exceed anticipated losses. ASU No. 2019-12 is effective for fiscal years beginning after December 15, 2020, and interim periods within those fiscal years. The Company adopted this standard in the year ended December 31, 2021. The adoption did not have a material effect on the Company’s consolidated financial statements.

In May 2021, the Financial Accounting Standards Board (“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). ASU 2021-04 clarifies and reduces 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 ASU provides guidance to clarify 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 and, if so, the related earnings per share effects, if any, or (2) an expense and, if so, the manner and pattern of recognition. ASU 2021-04 is effective for annual periods beginning after December 15, 2021, including interim periods within those fiscal years. Early adoption is permitted, including adoption in an interim period. The Company is currently evaluating the impact that this standard will have on its consolidated financial statements. The Company adopted this standard for the year ended December 31, 2022. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

No other new accounting pronouncements were issued or became effective in the period that had, or are expected to have, a material impact on our consolidated Financial Statements.

 

NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS

 

Liquidity and Going Concern

During the second quarter of 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. This update provided U.S. GAAP guidance on management’s responsibility in evaluating whether there is substantial doubt about a company’s ability to continue as a going concern and about related footnote disclosures. Under this standard, the Company is required to evaluate whether there is substantial doubt about its ability to continue as a going concern each reporting period, including interim periods. In evaluating the Company’s ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about the Company’s ability to continue as a going concern within 12 months after the Company’s financial statements were issued (November 14, 2022). Management considered the Company’s current financial condition and liquidity sources, including current funds available, forecasted future cash flows and the Company’s obligations due before November 14, 2023.

The Company is subject to a number of risks, including uncertainty related to product development and generation of revenues and positive cash flow from its Digital Healthcare division and a dependence on outside sources of capital. The attainment of profitable operations is dependent on future events, including obtaining adequate financing to fulfill the Company’s growth and operating activities and generating a level of revenues adequate to support the Company’s cost structure.

The Company has experienced net losses and cash outflows from operating activities since inception. As of September 30, 2021,2022, the Company had cash balances of $5,448,791,$158,160, a working capital deficit of $3,070,164$1,989,943 and an accumulated deficit $30,482,144.of $36,746,934. For the nine months ended September 30, 2021,2022, the Company had a net loss of $8,697,234 and$4,541,745, net cash used by operating activities of $1,627,184. Net cash used in investing activities was $334,581. Net cash$3,762,644, and $1,173,908 provided by financing activities was $7,248,372, including $6,949,281 received from sales of common stock in private placements, registered direct transactionsactivities. The Company expects to continue to incur net losses and puts pursuant to the July 2016 $3 million investment agreement (the “Investment Agreement”), and $350,200 in proceeds from the exercise of stock options and warrants. During January 2021, the holder of $1,038,500 fixed rate convertible debt converted the entire face value of $1,038,500, plus $317,096 of accrued interest on such notes, into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes. Following the conversion, the Company had no further convertible debt outstanding. During May 2021, PPP loans in the amount of $632,826 plus $6,503 accrued interest were forgiven. During August 2021, the Company sold 3,703,704 common shares and 1,851,852 five-year warrants with an exercise price of $0.65 to an institutional investor at an offering price of $0.54 per share, resulting in gross proceeds of $2,000,000.

Management believes that the Company has sufficienthave significant cash on hand to fund the businessoutflows for at least the next 12 months. The Company intends that the longer term (i.e., beyond twelve months) cost of completing additional intended acquisitions, implementing its development and sales efforts related to the HealthLynked Network and maintaining existing and expanding overhead and administrative costs will be financed from (i) cash on hand resulting from fund raising efforts in 2021, (ii) profits generated by NCFM, BTG and CHM (including expected Medicare Shared Savings revenue projected to be received annually in the third fiscal quarter of each year), and (iii) the use of further outside funding sources. No assurances can be given that the Company will be able to access additional outside capital in a timely fashion. If necessary funds are not available, the Company’s business and operations would be materially adversely affected and in such event, the Company would attempt to reduce costs and adjust its business plan.

 

A novel strain of coronavirus, COVID-19, that was first identified in China in December 2019, has surfaced in several regions across the world and resulted in travel restrictions and business slowdowns or shutdowns in affected areas. In March 2020, the World Health Organization declared the outbreak of COVID-19 a pandemic. The outbreak of the pandemic is materially adversely affecting the Company’s employees, patients, communities and business operations, as well as the U.S. economy and financial markets. The further spread of COVID-19, and the requirement to take action to limit the spread of the illness, may impact our ability to carry out our business as usual and may materially adversely impact global economic conditions, our business and financial condition, including our potential to conduct financings on terms acceptable to us, if at all. The extent to which COVID-19 may impact our business will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and social distancing in the United States and other countries, business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and treat the disease. In response to COVID-19, the Company implemented additional safety measures in its patient services locations and its corporate headquarters.



HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS (CONTINUED)

Management has evaluated the significance of the conditions described above in relation to the Company’s ability to meet its obligations and concluded that, without additional funding, the Company will not have sufficient funds to meet its obligations within one year from the date the condensed consolidated financial statements were issued.

On July 5, 2022, the Company entered into a Standby Equity Purchase Agreement (the “SEPA”) with YA II PN, Ltd. (“Yorkville”) (See Note 13, “Shareholders’ Equity,” below for additional information on the SEPA). Pursuant to the SEPA, the Company shall have the right to sell to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the three-year commitment period set forth in the SEPA. The sale of common stock pursuant to the SEPA provides the Company with additional cash flow availability for operational purposes. Because the purchase price per share to be paid by Yorkville for the shares of common stock sold by the Company to Yorkville pursuant to the SEPA, if any, will fluctuate based on the market prices of the Company’s common stock during the applicable pricing period, the Company cannot reliably predict the actual purchase price per share to be paid by Yorkville for those shares, or the actual gross proceeds to be raised by the Company from those sales, if any. During the three and nine months ended September 30, 2022, the Company made 11 advances under the SEPA, receiving $297,405 in proceeds for the issuance of 2,708,100 shares of common stock, of which $125,618 was applied to the balance of the Promissory Note (as defined below).

On July 19, 2022, the Company issued to Yorkville a promissory note with an initial principal amount equal to $550,000 (the “Promissory Note”) at a purchase price equal to the principal amount of the Promissory Note less any original issue discounts and fees. The Promissory Note will mature on the six-month anniversary of execution (See Note 12, “Notes Payable,” below for additional information). During the three and nine months ended September 30, 2022, the Company made payments of $149,595 against the Promissory Note, including $125,618 applied from proceeds of sales of common stock under the SEPA. The unpaid principal balance as of September 30, 2022 was $411,405.

As described further in Note 18, “Subsequent Events,” during October 2022, the Company’s Board of Directors approved a plan to sell the ACO/MSO Division, comprised of the operations of CHM and its subsidiary AHP, which were acquired by the Company on May 18, 2020. CHM and AHP operate an ACO that assists physician practices in providing coordinated and more efficient care to patients via the MSSP, as administered by the CMS, which rewards providers for efficiency in patient care. The Company expects to use the cash proceeds generated from a sale to supplement its operating cash requirements and pursue additional acquisitions. The Company expects to complete a sale by the first quarter of 2023.

Without raising additional capital, either via additional advances made pursuant to the SEPA or from other sources, there is substantial doubt about the Company’s ability to continue as a going concern through November 14, 2023. The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. This basis of presentation contemplates the recovery of the Company’s assets and the satisfaction of liabilities in the normal course of business.

NOTE 4 – ACQUISITIONSACQUISITION

 

Hughes Center for Functional Medicine – April 2019

On April 12, 2019,May 13, 2022, the Company acquired AEU, a 100% interestpatient service facility specializing in Hughes Center for Functional Medicine (“HCFM”), a medical practice engaged in improving the health of its patients through individualizedminimally and integrative health care. Following the acquisition, HCFM was rebranded as NCFMnon-invasive cosmetic services including fat reduction, body sculpting, wrinkle reduction, hair removal, IV hydration, and was combined with NWC to form the Company’s Health Services segment. Under the terms of acquisition, the Company paid HCFM shareholders $500,000 in cash, issued 3,968,254 shares of the Company’s common stock and agreed to an earn-out provision of $500,000 that may be earned based on the performance of HCFM in the years ended on the first, second and third anniversary dates of the acquisition closing. The total consideration fair value represents a transaction value of $1,764,672.feminine rejuvenation. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805, “Business Combinations” (“ASC 805”). Following the acquisition, AEU was incorporated into the Company’s Health Services segment.

 

Under the terms of acquisition, the Company paid AEU equity holders consideration of (i) $139,923 cash (less $11,198 cash on hand at AEU as of the closing date), (ii) payment in cash of direct financial obligation of AEU on, or in close proximity to, the date of the business combination, in the amount of $185,077, and (iii) 792,394 shares of Company common stock at closing with a fair value of $103,804 determined using the average closing price of the Company’s common shares for the five days preceding the acquisition date. The total consideration fair value represents a transaction value of $1,764,672.$417,606. The following table summarizes the fair value of consideration paid:

 

Cash $500,000 
Common Stock (3,968,254 shares)  1,000,000 
Fair Value of Contingent Acquisition Consideration  299,672 
Less cash received  (35,000)
     
Fair Value of Total Consideration $1,764,672 
Fair value of shares issued at closing $103,804 
Cash consideration  139,923 
Payment of AEU debt obligations in cash  185,077 
Less cash received  (11,198)
Total Fair Value of Consideration Paid $417,606 

 

The fair value of the 3,968,254 common shares issued as part of the acquisition consideration was determined using the intraday volume weighted average price of the Company’s common shares on the acquisition date. The terms of the earn out require the Company to pay the former owner of HCFM up to $100,000, $200,000 and $200,000 on the first, second and third anniversary, respectively, based on achievement by NCFM of revenue of at least $3,100,000 (50% weighting) and EBITDA of at least $550,000 (50% weighting) in the year preceding each anniversary date. In May 2020, the Company paid the seller $47,000 in satisfaction of the year 1 earn out. In May 2021, the Company paid the seller $196,000 in satisfaction of the year 2 earn out.

The fair value of the contingent acquisition consideration related to the future earn-out payments is calculated using a probability-weighted discounted cash flow projection and is remeasured at the end of each reporting period and changes are included in the statement of operations under the caption “Change in fair value of contingent acquisition consideration.” During the three months ended September 30, 2021 and 2020, the Company recognized losses on the change in the fair value of contingent acquisition consideration of ($14,316) and ($1,185), respectively. During the nine months ended September 30, 2021 and 2020, the Company recognized losses on the change in the fair value of contingent acquisition consideration of ($63,769) and ($12,512), respectively. During the nine months ended September 30, 2021 and 2020, the Company paid the sellers $196,000 and $47,000 cash, respectively, in satisfaction of the second year and first year earn-outs, respectively.

The following table summarizes the estimated fair values of the assets acquired at the acquisition date. There were no liabilities assumed in the acquisition of HCFM.

Hyperbaric Chambers $452,289 
Medical Equipment  29,940 
Computer Equipment/Software  19,739 
Office Furniture & Equipment  23,052 
Inventory  72,114 
Leasehold Improvements  25,000 
Website  41,000 
Patient Management Platform Database  1,101,538 
     
Fair Value of Identifiable Assets Acquired $1,764,672 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 4 – ACQUISITIONSACQUISITION (CONTINUED)

 

The fair value of the website of $41,000 was determined based upon the cost to reconstruct and put into use applying current market rates. The fair value of the Patient Management Platform Database of $1,101,538 was estimated by applying the income approach. Under the income approach, the expected future cash flows generated by the Patient Management Platform Database are estimated and discounted to their net present value at an appropriate risk-adjusted rate of return. Significant factors considered in the calculation of the rate of return are the weighted average cost of capital and return on assets, as well as the risks inherent in the business. Cash flows were estimated based on EBITDA using forecasted revenue and costs. The measure is based on significant inputs that are not observable in the market (i.e. Level 3 inputs). Key assumptions include (i) a capitalization rate of 11.75% (ii) sustainable growth of 5% and (iii) a benefit stream using EBITDA cash flow. The Company finalized the purchase price allocation in March 2020 and determined that no goodwill was included in the acquisition.

Cura Health Management LLC – May 2020

On May 18, 2020, the Company acquired a 100% interest in CHM and its wholly owned subsidiary AHP. CHM and AHP assist physician practices in providing coordinated and more efficient care to patients via the MSSP. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition, the business of CHM comprised the Company’s ACO/MSO Division.

Under the terms of acquisition, the Company paid CHM shareholders the following consideration: (i) $214,000 in cash paid at closing, (ii) 2,240,838 shares of the Company’s common stock issued at closing, (iii) up to $223,500 additional cash and $660,000 in additional shares of the Company’s common stock payable at the time CHM receives the final assessment of the calculation of MSSP savings for the 2019 program year, with this amount prorated based on a target MSSP payment (plus other ancillary revenue) of $1,725,000, and (iv) up to $437,500 based on the business achieving annual revenue of $2,250,000 and annual profit of $500,000 in each of the four years following closing.

The total consideration fair value represents a transaction value of $1,423,465. The following table summarizes the fair value of consideration paid:

Cash paid at closing $214,000 
Shares issued at closing (2,240,838 shares)  201,675 
Cash and shares contingent upon 2019 program year MSSP payment target  778,192 
Cash contingent upon four-year earn-out  279,593 
Less cash received  (49,995)
     
  $1,423,465 

The fair value of the 2,240,838 common shares issued at closing was determined using the intraday average high and low trading price of the Company’s common shares on the acquisition date. The terms of the earn out require the Company to pay the former owners of CHM (i) up to $223,500 additional cash and to $660,000 of additional shares of Company common stock when CHM receives the final assessment of the calculation of 2019 plan year MSSP revenue (the “Current Earnout”), and (ii) up to $62,500, $125,000, $125,000 and $125,000 on the first, second, third and fourth anniversary, respectively, based on achievement by the underlying business of revenue of at least $2,250,000 (50% weighting) and profit of at least $500,000 (50% weighting) in the year preceding each anniversary date (the “Future Earnout”). During September 2020, pursuant to a Second Amendment to the Agreement and Plan of Merger (the “Second Amendment”) and in satisfaction of the Current Earnout, the Company paid $90,389 cash, issued 1,835,625 shares of the Company’s common stock and agreed that the balance of the Current Earnout that was not earned in 2020, being $124,043 cash and $366,300 in shares of Company common stock, would be deferred until the first future earnout year in which MSSP revenue exceeds $1.725 million and revenue from other services exceeds $605,000 (the “Residual Earnout”). During September 2021, the Company was notified of the amount of Medicare shared savings and received payment for plan year 2020 in the amount of $2,419,312. As a result, the sellers were paid the residual $124,043 cash in September 2021 and issued 806,828 shares of Company common stock with a value of $366,300 in October 2021 pursuant to the Residual Earnout. Following the payments, the Company has no further obligations under the Residual Earnout. The Company also determined that the sellers did not earn any of the $62,500 year one Future Earnout related to the performance period May 19, 2020 to May 18, 2021.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 4 – ACQUISITIONS (CONTINUED)

The fair value of the contingent acquisition consideration related to both the Current Earnout and the Future Earnout were calculated using a probability-weighted discounted cash flow projection. The fair value of the contingent acquisition consideration is remeasured at the end of each reporting period and changes are included in the statement of operations under the caption “Change in fair value of contingent acquisition consideration.” During the three months ended September 30, 2021 and 2020, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration of ($116,151) and $47,181, respectively. During the nine months ended September 30, 2021 and 2020, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration of ($54,848) and $13,200, respectively.

The following table summarizes the estimated fair values of the identifiable assets acquired and liabilities assumed at the acquisition date:

Accounts receivable $90,197 
Prepayments  15,294 
ACO physician contracts  1,073,000 
Goodwill  381,856 
Accounts payable  (32,848)
Deferred revenue  (104,034)
     
Fair Value of Identifiable Assets Acquired and Liabilities Assumed $1,423,465 
Inventory $13,272 
Fixed assets  152,759 
Right of use lease asset  80,264 
Accounts payable and accruals  (33,037)
Loans payable  (35,346)
Lease liability  (80,264)
Fair Value of Identifiable Assets Acquired and Liabilities Assumed $97,648 

The fair value of the ACO Physician Contracts of $1,073,000 was estimated by applying the income approach. Under the income approach, the expected future cash flows generated by the ACO Physician Contracts are estimated and discounted to their net present value at an appropriate risk-adjusted rate of return. Significant factors considered in the calculation of the rate of return are the weighted average cost of capital and return on assets, as well as the risks inherent in the business. Cash flows were estimated based on EBITDA using forecasted revenue and costs. The measure is based on significant inputs that are not observable in the market (i.e. Level 3 inputs). Key assumptions include (i) a capitalization rate of 24.24% (ii) sustainable growth of 5.00% and (iii) a benefit stream using EBITDA cash flow. Goodwill of $381,856$319,958 arising from the acquisition consists of value associated with the legacy name. None of the goodwill recognized is expected to be deductible for income tax purposes.

MedOffice Direct LLC – October 2020

On October 19, 2020, the Company acquired a 100% interest in MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States. With over 13,000 name brand medical products in over 150 different categories, MOD leverages pricing discounts with a small unit-of-measure direct-to-consumer shipping model to make ordering medical supplies more convenient and cost effective for its users. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition, the business of MOD comprised the Company’s Medical Distribution Division.

Under the terms of acquisition, the Company paid the following consideration: (i) 19,045,563 shares of Company common stock issued at closing, (ii) partial satisfaction of certain outstanding debt obligations of MOD in the amount of $703,200 in cash paid by the Company, and (iii) up to 10,004,749 restricted shares of the Company’s common stock over a four-year period based on MOD achieving prescribed revenue targets in calendar years 2021 through 2024.

Dr. Michael Dent, the Chief Executive Officer and the Chairman of the Board of Directors of the Company, George O’Leary, the Chief Financial Officer and a director of the Company, and Robert Gasparini, a director of the Company, were members of MOD and received consideration in connection with Company’s acquisition of MOD as follows: (1) Dr. Dent received 10,573,745 Company common shares at closing, may earn up to 5,554,452 additional Company common shares pursuant to the earn-out, and received $457,200 cash repayment of debt, (2) Mr. O’Leary received 1,130,213 Company common shares at closing, may earn up to 593,707 additional Company common shares pursuant to the earn-out, and received $66,000 cash repayment of debt, and (3) Mr. Gasparini received 99,437 Company common shares at closing and may earn up to 52,235 additional Company common shares pursuant to the earn-out.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 4 – ACQUISITIONS (CONTINUED)

The total consideration fair value represents a transaction value of $3,999,730. The following table summarizes the fair value of consideration paid:

Shares issued at closing (19,045,563 shares) $2,704,470 
Payment of MOD debt obligations in cash  703,200 
Shares contingent upon four-year earn-out  649,108 
Less cash received  (57,048)
     
  $3,999,730 

The fair value of the 19,045,563 common shares issued at closing was determined using the average closing price for the five days prior to the closing date of October 19, 2020. The terms of the earn out require the Company to issue to the former equity members of MOD up to 1,9688,448 shares, 3,154,264 shares, 2,631,195 shares and 2,250,842 shares, respectively, (the “MOD Earnout Shares”) based on achievement by the underlying business of revenue of at least $1,500,000 in 2021, $1,875,000 in 2022, $2,344,000 in 2023 and $2,930,000 in 2024. The MOD Earnout Shares are issuable by April 30 of the year following the measurement year.

The fair value of the contingent acquisition consideration related to the MOD Earnout Shares was calculated using a probability-weighted discounted cash flow projection. The fair value of the contingent acquisition consideration is remeasured at the end of each reporting period and changes are included in the statement of operations under the caption “Change in fair value of contingent acquisition consideration.” During the three months ended September 30, 2021 and 2020, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration related to the MOD Earnout Shares of $256,877 and $-0-, respectively. During the nine months ended September 30, 2021 and 2020, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration related to the MOD Earnout Shares of ($116,062) and $-0-, respectively.

The following table summarizes the estimated fair values of the assets acquired and liabilities assumed at the acquisition date:

Website $3,538,000 
Goodwill  766,249 
Accounts payable and accruals  (160,762)
Notes payable  (90,759)
Deferred revenue  (52,998)
     
Fair Value of Identifiable Assets Acquired and Liabilities Assumed $3,999,730 

The fair value of the website of $3,538,000 was estimated by applying the income approach. Under the income approach, the expected future cash flows generated by the asset are estimated and discounted to their net present value at an appropriate risk-adjusted rate of return. Significant factors considered in the calculation of the rate of return are the weighted average cost of capital and return on assets, as well as the risks inherent in the business. Cash flows were estimated based on EBITDA using forecasted revenue and costs. The measure is based on significant inputs that are not observable in the market (i.e. Level 3 inputs). Key assumptions include (i) a discount rate of 23.48% (ii) sustainable growth of 3.00% and (iii) a benefit stream using EBITDA cash flow. The website is being amortized over a five-year expected life. Goodwill of $766,249 arising from the acquisition consists of value associated with the legacy name. None of the goodwill recognized is expected to be deductible for income tax purposes.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 4 – ACQUISITIONS (CONTINUED)

Pro Forma Financial Information

The following table represents the pro forma consolidated income statement as if HCFM, CHM and MODAEU had been included in the consolidated results of the Company for the entire nine-month period ending September 30, 2020. All acquired entities were included in the Company’s consolidated results of operations in the full three- and nine-month periodsnine months ended September 30, 2022 and 2021.

 Nine Months Ended
September 30,
 
 2022  2021 
Revenue $4,740,283  $4,919,274  $5,245,035 
Net loss $(3,846,293) $(4,455,431) $(8,568,344)

These amounts have been calculated after applying the Company’s accounting policies and adjusting the results of HCFM, CHM and MODAEU to reflect the additional depreciation and amortization that would have been charged assuming the fair value adjustments to property, plant and equipment and intangible assets had been applied on January 1 2021 and 2020, respectively.of the period presented.

NOTE 5 – PREPAID EXPENSES AND OTHER

On March 22, 2017, the Company granted to the investorPrepaid and other expenses as of September 30, 2022 and December 31, 2021 were as follows:

  September 30,  December 31, 
  2022  2021 
       
Insurance prepayments $20,899  $25,020 
Other expense prepayments  30,910   50,860 
Rent deposits  44,125   49,125 
Deferred equity compensation  83,125   151,250 
Total prepaid expenses and other  179,059   276,255 
Less: long term portion  (84,091)  (138,625)
Prepaid expenses and other, current portion $94,968  $137,630 

Deferred equity compensation reflects common stock grants made in the Investment Agreement warrants to purchase 4,000,000 shares of2021 from the Company’s common stock at $0.25 per share, 2,000,000 shares at $0.50 per share2021 Equity Incentive Plan that vest over a four-year period and 1,000,000 shares at $1.00 per share. On June 7, 2017, the Company also granted warrants to purchase 200,000 shares at $0.25 per share, 100,000 shares at $0.50 per share and 50,000 shares at $1.00 per share to an advisor asthat are settleable for a fee in connection with the Investment Agreement.fixed dollar amount rather than a fixed number of shares. The aggregateoriginal grant date fair value of these warrants totaling $153,625the equity compensation was recorded as a deferred offering cost$255,000. Amortization was $1,359 and was amortized over the initial period during which the Company was able access the financing, which began on May 15, 2017 and ended on May 15, 2020. The Company recognized general and administrative expense related to the cost of the warrants of $-0- and $-0-, respectively, in the three months endingended September 30, 20212022 and 2020, respectively,$19,484 and $-0- and $19,203, respectively, in the nine months endingended September 30, 20212022 and 2020, respectively.2021. At inception, the Company recorded a corresponding liability captioned “Liability-classified equity instruments.”


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 6 – PROPERTY, PLANT, AND EQUIPMENT

Property, plant and equipment atas of September 30, 20212022 and December 31, 20202021 were as follows:

 September 30, December 31,  September 30, December 31, 
 2021  2020  2022  2021 
          
Medical equipment $484,126  $484,126  $493,854  $484,126 
Furniture, office equipment and leasehold improvements  143,093   130,617   316,463   149,868 
                
Total property, plant and equipment  627,219   614,743   810,317   633,994 
Less: accumulated depreciation  (258,222)  (177,457)  (368,985)  (283,512)
                
Property, plant and equipment, net $368,997  $437,286  $441,332  $350,482 

Depreciation expense during the three months ended September 30, 2022 and 2021 was $30,537 and 2020 was $26,343, and $23,084, respectively. Depreciation expense during the nine months ended September 30, 2022 and 2021 was $85,473 and 2020 was $80,764, and $68,655, respectively.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 7 – INTANGIBLE ASSETS AND GOODWILL

IntangibleIdentifiable intangible assets atas of September 30, 20212022 and December 31, 20202021 were as follows:

 September 30, December 31,  September 30, December 31, 
 2021  2020  2022  2021 
          
NCFM: Medical database $1,101,538  $1,101,538  $1,101,538  $1,101,538 
NCFM: Website  41,000   41,000   41,000   41,000 
CHM: ACO physician contracts  1,073,000   1,073,000   1,073,000   1,073,000 
MOD: Website  3,538,000   3,538,000   3,538,000   3,538,000 
                
Total intangible assets  5,753,538   5,753,538   5,753,538   5,753,538 
Less: accumulated amortization  (694,450)  (151,776)  (1,410,250)  (873,417)
                
Intangible assets, net $5,059,088  $5,601,762  $4,343,288  $4,880,121 

Goodwill as of September 30, 2022 and December 31, 2021 was as follows:

  September 30,  December 31, 
  2022  2021 
       
CHM $381,856  $381,856 
MOD  766,249   766,249 
AEU  319,958   --- 
         
Goodwill $1,468,063  $1,148,105 

Goodwill and intangible assets arose from the acquisitions of NCFM in April 2019, CHM in May 2020, and MOD in October 2020.2020, and AEU in May 2022. The NCFM medical database is assumed to have an indefinite life and is not amortized and the website is being amortized on a straight-line basis over its estimated useful life of five years. The CHM ACO physician contracts are assumed to have an indefinite life and are not amortized. The MOD website is being amortized on a straight-line basis over its estimated useful life of five years.

Goodwill represents the excess of consideration transferred over the fair value of the net identifiable assets acquired related to the acquisitionacquisitions of CHM, MOD, and MOD.AEU.



HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 7 – INTANGIBLE ASSETS AND GOODWILL (CONTINUED)

Amortization expense related to intangible assets in the three months ended September 30, 2022 and 2021 was $178,967 and 2020 was $178,968, and $2,067, respectively. Amortization expense in the nine months ended September 30, 2022 and 2021 was $536,833 and 2020 was $542,674, and $6,156, respectively. No impairment charges were recognized related to goodwill and intangible assets in the three orand nine months ended September 30, 20212022 or 2020.2021.

NOTE 8 – LEASES

The Company has separate operating leases for office space related to its NWC, NCFM, BTG and BTGAEU practices, and two separate leaseleases relating to its corporate headquarters, and a copier lease that expire in July 2023, May 2022,2025, March 2023, March 2026, November 2023, November 2023 and November 2023,January 2027, respectively. As of September 30, 2021,2022, the Company’s weighted-average remaining lease term relating to its operating leases was 2.02.1 years, with a weighted-average discount rate of 20.49%11.36%. The Company was also previously a lessee in a capital equipment finance lease for medical equipment entered into in March 2015 that expired in March 2020.

The table below summarizes the Company’s lease-related assets and liabilities as of September 30, 20212022 and December 31, 2020:2021:

 September 30, December 31,  September 30, December 31, 
 2021  2020  2022  2021 
Lease assets $599,781  $417,913  $636,267  $526,730 
                
Lease liabilities                
Lease liabilities (short term) $292,844  $150,251  $378,759  $288,966 
Lease liabilities (long term)  309,799   273,790   259,845   239,225 
Total lease liabilities $602,643  $424,041  $638,604  $528,191 

Lease expense was $123,069 and $99,544 in the three months ended September 30, 2022 and 2021, respectively, and $31,814 and $241,909 in the nine months ended September 30, 2022 and 2021, respectively.

Maturities of operating lease liabilities were as follows as of September 30, 2022:

2022 (October to December) $119,116 
2023  396,833 
2024  126,116 
2025  74,729 
2026  18,148 
2027  990 
Total lease payments  735,932 
Less interest  (97,328)
Present value of lease liabilities $638,604 

NOTE 9 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES

Amounts related to accounts payable and accrued expenses as of September 30, 2022 and December 31, 2021 were as follows:

  September 30,  December 31, 
  2022  2021 
       
Trade accounts payable $649,185  $306,220 
Accrued payroll liabilities  94,106   172,500 
Accrued operating expenses  391,653   265,411 
Accrued interest  59,349   46,712 
  $1,194,293  $790,843 

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 8 – LEASES (CONTINUED)

Lease expense in the three and nine months ended September 30, 2021 and 2020 was as follow:

  

Three Months Ended

September 30,

  

Nine Months Ended

September 30,

 
  2021  2020  2021  2020 
             
Operating leases $99,544  $61,526  $241,909  $242,891 
Financing leases  ---   ---   ---   4,587 
                 
Total lease expense $99,544  $61,526  $241,909  $247,478 

Maturities of operating lease liabilities were as follows as of September 30, 2021:

2021 (July to December) $107,623 
2022  383,619 
2023  273,844 
Total lease payments  765,086 
Less interest  (162,443)
Present value of lease liabilities $602,643 

NOTE 910 – CONTRACT LIABILITIES

 

Amounts related to contract liabilities as of September 30, 20212022 and December 31, 20202021 were as follow:follows:

 

 September 30, December 31,  September 30, December 31, 
 2021  2020  2022  2021 
          
Patient services paid but not provided $15,966  $35,779  $23,015  $42,530 
Consulting services paid but not provided  ---   47,864   25,000   25,000 
Unshipped products  14,569   5,782   17,237   5,308 
 $30,535  $89,425  $65,252  $72,838 

 

Contract liabilities relatesrelate to contracted consulting services at CHM for which payment has been made but services have not yet been rendered as of the measurement date, physical therapy services purchased as a prepaid bundle for which services have not yet been provided, and MOD products that have been ordered and paid for by the customer, but which have not been shipped as of the measurement date. The Company typically satisfies its performance obligations related to such contracts, for which payment is typically made prior to the goods or services being provided, upon completion of service or shipment of product. Payment is typically made in the period prior to the services being provided.

 

NOTE 1011 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS

 

Amounts due to related parties as of September 30, 20212022 and December 31, 20202021 were comprised of deferred compensation payable to the Company’s founder and CEO, Dr. Michael Dent, in the amount of $300,600.

 

Retired Notes PayableThe Company paid consulting fees to Dr. Dent

Our founderDent’s spouse pursuant to a consulting agreement amounting to $39,038 and CEO, Dr. Michael Dent, made loans to the Company from time to time in the form of unsecured promissory notes payable (the “Dent Notes”). The Dent Notes were repaid in full during September 2020 and had no balance as of September 30, 2021 or December 31, 2020. Prior to repayment, the Dent Notes were carried at fair value and revalued at each period end, with changes to fair value recorded to the statement of operations under “Change in Fair Value of Debt.” The changes in fair value were $-0- and $32,968 during the three months ended September 30, 2021 and 2020, respectively, and $-0- and $80,935 during the nine months ended September 30, 2021 and 2020, respectively. No interest was accrued on the Dent Notes as of September 30, 2020 or December 31, 2020. Interest expense on the Dent Notes was $-0- and $14,159$33,462 in the three months ended September 30, 20212022 and 2020,2021, respectively, and $-0-$100,385 and $86,446$111,731 in the nine months ended September 30, 20212022 and 2020, respectively.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021,

(UNAUDITED)

NOTE 10 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS (CONTINUED)

Other Amounts Due to Dr. Dent

On January 7, 2020, the Company entered into a Merchant Cash Advance Factoring Agreement with a trust controlled by Dr. Dent, pursuant to which the Company received an advance of $149,000 (the “2020 MCA”). The Company was required to repay the 2020 MCA, which acts like an ordinary note payable, at the rate of $7,212 per week until the balance of $187,500 is repaid, which was scheduled for July 2020. At inception, the Company recognized a note payable in the amount of $187,500 and a discount against the note payable of $38,500. The discount was amortized over the life of the instrument. The 2020 MCA was repaid in full and retired during July 2020. The Company made installment payments against the MCA of $-0- and $36,059 during the three months ended September 30, 2021 and 2020, respectively, and $-0- and $187,500 during the nine months ended September 30, 2021 and 2020, respectively. The Company recognized amortization of the discount in the amount of $-0- and $-0-, during the three months ended September 30, 2021 and 2020, respectively, and $-0- and $38,500, during the nine months ended September 30, 2021 and 2020, respectively.

 

NOTE 1112 GOVERNMENT AND VENDOR NOTES PAYABLE

 

Government and vendor notesNotes payable as of September 30, 20212022 and December 31, 20202021 were comprised of the following:as follows:

 

  September 30,  December 31, 
  2021  2020 
       
PPP loans $---  $632,826 
Disaster relief loans  450,000   450,000 
Vendor note  ---   51,109 
Total government and vendor notes payable  450,000   1,133,935 
Less: long term portion  (450,000)  (722,508)
Government and vendor notes payable, current portion $---  $411,427 
  September 30,  December 31, 
  2022  2021 
       
SBA Disaster relief loans $450,000  $450,000 
Promissory note payable to SEPA investor  411,405   --- 
AEU note payable  7,343   --- 
Face value of notes payable  868,748   450,000 
Less: unamortized discount  (20,879)  --- 
Notes payable, total  847,869   450,000 
Less: long term portion  (450,000)  (450,000)
Notes payable, current portion $397,869  $--- 

Government Notes Payable

 

During May and June 2020, the Company and certain of its subsidiaries received an aggregate of $621,069 in loans under the PPP. The Company also acquired a PPP loan in the MOD acquisition with an inception date of April 3, 2020 and a face value of $11,757. The PPP loans, administered by SBA, were issued under the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. The loans bore interest at 1% per annum and were scheduled to mature in May and June 2022. Principal and interest payments were deferred for the first nine months of the loans. Pursuant to the terms of the PPP, principal amounts may be forgiven if loan proceeds are used for qualifying expenses as described in the CARES Act, including costs such as payroll, benefits, employer payroll taxes, rent and utilities. The entirety of the PPP loans outstanding, comprised of $632,826 principal and $6,503 accrued interest, was forgiven in May 2021. As a result of the forgiveness, the Company recognized a gain on extinguishment of debt in the amount of $632,826 and interest income of $6,503 during the nine months ended September 30, 2021.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 12 – NOTES PAYABLE (CONTINUED)

During June, July and August 2020, the Company and its subsidiaries received an aggregate of $450,000 in Disaster Relief Loans from the SBA. The loans bear interest at 3.75% per annum and mature 30 years from issuance. Mandatory principal and interest payments were originally scheduled to begin 12 months from the inception date of each loan and were subsequently extended by the SBA until 2430 months from the inception date. Installment payments are now scheduled to begin in December 2022.

Interest accrued on SBA Disaster Relief loans payable as of September 30, 20212022 and December 31, 20202021 was $20,484$37,359 and $12,240,$24,723, respectively. Interest expense on the loans was $4,226$4,252 and $861$4,226 for the three months ended September 30, 20212022 and 2020,2021, respectively, and $12,594$12,636 and $861$12,594 for the nine months ended September 30, 2022 and 2021, respectively.

Promissory and 2020, respectively.Other Notes Payable

On July 19, 2022, pursuant to a Note Purchase Agreement between the Company and Yorkville, dated July 5, 2022, the Company issued to Yorkville the Promissory Note with an initial stated principal amount equal to $550,000 at a purchase price equal to the principal amount of the Promissory Note less any original issue discounts and fees. The Promissory Note includes a 5% original issue discount, accrues interest at a rate of 0%, and will be repaid in five equal monthly installments beginning on August 19, 2022. Each monthly installment includes a 2% payment premium, totaling $561,000 in total cash repayments. The Company received net proceeds of $522,500. At inception, the Company recorded a discount against the note of $38,500, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the discount was $18,480 in each of the three and nine months ended September 30, 2022. During the three and nine months ended September 30, 2022, the Company made payments of $149,595 against the Promissory Note , including $125,618 applied from proceeds of sales of common stock under the SEPA. The unpaid principal balance was $411,405 and the unamortized discount balance was $20,020 as of September 30, 2022.

 

In connection with the October 19, 2020May 13, 2022 acquisition of MOD,AEU, the Company acquired (i) a bank note payable to MOD’s primary product vendor with a remaining principal balance of $79,002 as of the acquisition date. The vendor note$9,689 that was paidrepaid in full during July 2022, and (ii) a note payable to a third-party lender (the “AEU Note”) with a remaining principal balance of $29,057, an original issue discount of $3,400, and a net carrying value of $25,657. Amortization expense related to the first quarterAEU Note discount was $2,540 in each of 2021.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE

Convertible notes payable as of September 30, 2021 and December 31, 2020 were comprised of the following:

  September 30,  December 31, 
  2021  2020 
       
$550k Note - July 2016 $            ---  $719,790 
$50k Note - July 2016  ---   71,611 
$111k Note - May 2017  ---   120,659 
$357.5k Note - April 2019  ---   424,290 
   ---   1,336,350 
Less: unamortized discount  ---   --- 
Convertible notes payable, net of original issue discount and debt discount $---  $1,336,350 

Amortization of debt discount recognized on each convertible note outstanding during the three and nine months ended September 30, 2021 and 2020 are shown in the following table. There were no unamortized discounts as of September 30, 2021 or December 31, 2020 related to convertible notes payable.

  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2021  2020  2021  2020 
$154k Note - June 2019 $---  $---  $---  $1,093 
$67.9k Note - July 2019  ---   ---   ---   7,252 
$67.9k Note II - July 2019  ---   ---   ---   2,813 
$78k Note III - July 2019  ---   ---   ---   6,208 
$230k Note - July 2019  ---   ---   ---   58,527 
$108.9k Note - August 2019  ---   ---   ---   21,038 
$142.5k Note - October 2019  ---   21,804   ---   92,663 
$103k Note V - October 2019  ---   ---   ---   29,143 
$108.9k Note II - October 2019  ---   ---   ---   33,205 
$128.5k Note - October 2019  ---   ---   ---   51,705 
$103k Note VI - November 2019  ---   ---   ---   39,450 
$78.8k Note II - December 2019  ---   ---   ---   27,111 
$131.3k Note - January 2020  ---   1,158   ---   16,205 
$78k Note IV - January 2020  ---   1,608   ---   14,955 
$157.5k Note - March 2020  ---   7,432   ---   20,044 
$157.5k Note II - April 2020  ---   9,127   ---   21,436 
$135k Note - April 2020  ---   7,744   ---   17,718 
$83k Note II - April 2020  ---   6,675   ---   13,767 
$128k Note - April 2020  ---   10,268   ---   18,097 
                 
  $---  $65,816  $---  $492,430 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Interest expense recognized on each convertible note outstanding during2022. During the three and nine months ended September 30, 20212022, the Company made payments of $14,340 and 2020 were$21,713, respectively, against the Promissory Note. The unpaid principal balance was $7,343 and the unamortized discount balance was $859 as follows:of September 30, 2022.

 

  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2021  2020  2021  2020 
             
$550k Note - July 2016 $---  $8,318  $2,351  $24,773 
$50k Note - July 2016  ---   1,260   219   3,753 
$111k Note - May 2017  ---   2,042   333   8,755 
$357.5k Note - April 2019  ---   9,012   1,469   18,751 
$154k Note - June 2019  ---   ---   ---   46 
$67.9k Note - July 2019  ---   ---   ---   707 
$67.9k Note II - July 2019  ---   ---   ---   177 
$78k Note III - July 2019  ---   ---   ---   492 
$230k Note - July 2019  ---   ---   ---   3,041 
$108.9k Note - August 2019  ---   ---   ---   2,564 
$142.5k Note - October 2019  ---   3,592   ---   12,884 
$103k Note V - October 2019  ---   ---   ---   2,653 
$108.9k Note II - October 2019  ---   ---   ---   3,970 
$128.5k Note - October 2019  ---   ---   ---   5,149 
$103k Note VI - November 2019  ---   ---   ---   3,527 
$78.8k Note II - December 2019  ---   ---   ---   3,344 
$131.3k Note - January 2020  ---   467   ---   6,545 
$78k Note IV - January 2020  ---   427   ---   3,975 
$157.5k Note - March 2020  ---   2,848   ---   7,681 
$157.5k Note II - April 2020  ---   2,848   ---   6,688 
$135k Note - April 2020  ---   2,441   ---   5,585 
$83k Note II - April 2020  ---   1,819   ---   3,752 
$128k Note - April 2020  ---   2,805   ---   4,945 
                 
  $---  $37,879  $4,372  $133,757 

Convertible Notes Payable

 

Certain of the Company’sThe Company had no convertible notes payable are also carried at fair value and revalued at each period end, with changes to fair value recorded to the statement of operations under “Change in Fair Value of Debt.” The changes in fair value during the three and nine months ended September 30, 2021 and 2020 and the fair value as of such instruments as of September 30, 2021 and2022 or December 31, 2020 were as follows:

  Change in Fair Value of Debt  Fair Value of Debt as of 
  Three Months Ended
September 30,
  Nine Months Ended
September 30,
  September 30,  December 31, 
  2021  2020  2021  2020  2021  2020 
                   
$550k Note - July 2016 $---  $24,285  $10,344  $59,618  $---  $719,790 
$50k Note - July 2016  ---   2,520   1,017   6,187   ---   71,611 
$111k Note - May 2017  ---   4,721   1,706   16,261   ---   120,659 
$357.5k Note - April 2019  ---   14,567   6,179   35,763   ---   424,290 
                         
  $---  $46,093  $19,246  $117,829  $---  $1,336,350 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Extension and Conversion – January 20212021.

 

On January 6, 2021, the holder of the Company’s four remaining fixed rate convertible promissory notes with a face value of $1,038,500 – comprised of a $550,000 6% fixed convertible secured promissory note dated July 7, 2016 (the “$550k Note”), a $50,000 10% fixed convertible commitment fee promissory note dated July 7, 2016 (the “$50k Note”), $81,000 of principal remaining on a $111,000 10% fixed convertible secured promissory note dated May 22, 2017 (the “$111k Note”), and a $357,500 10% fixed convertible note dated April 15, 2019 (the “$357.5k Note” and together with the $550k Note, the $50k Note and the $111k Note, the “Remaining“Extended Notes”) – agreed to extend the maturity date on the RemainingExtended Notes to January 14, 2021. In exchange for the extension, the Company agreed to extend the expiration date of 3,508,333 existing warrants held by the holder (the “Extended Warrants”) from dates between July 2021 and March 2022 until March 2023. Because the fair value of consideration issued was greater than 10% of the present value of the remaining cash flows under the modified RemainingExtended Notes, the transaction was treated as a debt extinguishment and reissuance of new debt instruments pursuant to the guidance of ASC 470-50. A loss on debt extinguishment was recorded in the amount of $126,502 in the nine months ended September 30, 2021, equal to the incremental fair value of the Extended Warrants before and after the modification.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 12 – NOTES PAYABLE (CONTINUED)

On January 14, 2021, the Company and the holder of the RemainingExtended Notes entered into a series of agreements pursuant to which (i) the holder agreed to convert the full face value of $1,038,500 and $317,096 of accrued interest on the RemainingExtended Notes into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes, (ii) the holder agreed to a 180-day leak out provision, whereby, from and after January 14, 2021, it may not sell in shares of the Company’s common stock in excess of 5% of the Company’s daily trading volume for the first 90 days and 10% of the Company’s daily volume for the next 90 days, subject to certain exceptions, (iii) the holder agreed to release all security interests and share reserves related to the RemainingExtended Notes, and (iv) the Company issued to the holder a new five-year warrant to purchase 13,538,494 shares of common stock at an exercise price of $0.30 per share. In connection with the conversion, the Company recognized a loss on debt extinguishment of $5,463,492 in the nine months ended September 30, 2021, representing the excess of the fair value of the shares and warrant issued at conversion over the carrying value of the host instrument and accrued interest. Following the conversion, the Company had no further convertible notes outstanding.

 

Convertible Note Payable ($550,000) – July 2016

On July 7, 2016,Prior to conversion, the Company entered into a 6% fixed convertible secured promissory note with an investor with a face value of $550,000. The $550k Note and related interest was convertible into shares of common stock at the discretion of the note holder at a fixed price of $0.08 per share of the Company’s common shares and was secured by all of the Company’s assets. The $550k Note was scheduled to mature on January 14, 2021. The $550k Note wasExtended Notes were carried at fair value due to an extinguishment and reissuance recorded in 2017 and was revalued at each period end, with changes to fair value recorded to the statement of operations under “Change in Fair Value of Debt.” The holder converted the full principal of $550,000, plus $180,129 of accrued interest, into 9,126,610 shares of common stock on January 14, 2021.

Convertible Note Payable ($50,000) – July 2016

On July 7, 2016, the Company entered into a 10% fixed convertible commitment fee promissory note with an investor with a facechanges in fair value of $50,000. The $50k Note was scheduled to mature on January 14, 2021. The $50k note was issued as a commitment fee payable to the Investment Agreement investorwere $-0- in exchange for the investor’s commitment to enter into the Investment Agreement, subject to registrationeach of the shares underlying the Investment Agreement. The $50k Notethree months ended September 30, 2022 and related interest was convertible into shares of common stock at the discretion of the note holder at a fixed price of $0.10 per share. The $50k Note was carried at fair value due to an extinguishment2021 and reissuance recorded in 2017were $-0- and is revalued at each period end, with changes to fair value recorded to the statement of operations under “Change in Fair Value of Debt.” The holder converted the full principal of $50,000 plus $22,630 of accrued interest into 726,302 shares of common stock on January 14, 2021.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Convertible Note Payable ($111,000) – May 2017

On May 22, 2017, the Company entered into a 10% fixed convertible secured promissory note with an investor with a face value of $111,000. The $111k Note and related interest was convertible into shares of common stock at the discretion of the note holder at a fixed price of $0.15 per share and was secured by all of the Company’s assets. The Company received $100,000 net proceeds from the note after an $11,000 original issue discount. At inception, the investors were also granted a five-year warrant to purchase 133,333 shares of common stock at an exercise price of $0.75 per share. The $111k Note was scheduled to mature on January 14, 2021. On February 6, 2020, the holder of the $111k Note converted $30,000 principal on the note into 448,029 shares of common stock. In connection with the conversion, the Company recognized a loss on debt extinguishment of $25,394 in$19,246 during the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument2022 and the bifurcated conversion feature converted. The holder converted the remaining principal of $81,000 plus $180,129 of accrued interest into 815,787 shares of common stock on January 14, 2021.2021, respectively.

 

Convertible Note Payable ($357,500) – April 2019

On April 15, 2019, the Company issued a fixed convertible note with a face value of $357,500 (the “$357.5k Note”). The $357.5k Note had an interest rate of 10%, maturesInterest expense on December 31, 2020, and was convertible into common stock by the holder at any time, subject to a 9.99% beneficial ownership limitation, at a fixed conversion price per share of $0.15, or 2,383,333 shares. The holder converted the full principal of $357,500 plus $72,969 of accrued interest into 2,869,795 shares on January 14, 2021.

Convertible Note Payable ($154,000) – June 2019

On June 3, 2019, the Company issued a $154,000 convertible note (the “$154k Note”). On January 8, 2020, the holder converted the remaining unpaid principal balance of $50,000 and accrued interest of $8,572 into 968,390 shares of common stock. In connection with the conversion, the Company recognized a loss on debt extinguishment of $125,865 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($67,925) – July 2019

On July 11, 2019, the Company issued a $67,925 convertible note (the “$67.9k Note I”). During January and February 2020, the holder converted the full principal of $67,925 and accrued interest of $3,926 into 885,847 shares of common stock. In connection with the conversion, the Company recognized a loss on debt extinguishment of $55,117 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($67,925) – July 2019

On July 11, 2019, the Company issued a second $67,925 convertible note (the “$67.9k Note II”). On January 14, 2020, the Company prepaid the balance on the $67.9k Note II, including accrued interest, for a one-time cash payment of $89,152. In connection with the repayment, the Company recognized a loss on debt extinguishment of $26,890 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($78,000) – July 2019

On July 16, 2019, the Company issued a $78,000 convertible note (the “$78k Note III”). During the nine months ended September 30, 2020, the Company prepaid the balance on the $78k Note III, including accrued interest, for a one-time cash payment of $102,388. In connection with the repayment, the Company recognized a loss on debt extinguishment of $31,432 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Convertible Note Payable ($230,000) – July 2019

On July 18, 2019, the Company issued a convertible note with a face value of $230,000 (the “$230k Note”). During the nine months ended September 30, 2020, the holder converted $80,000 of principal and $4,373 of accrued interest on the note into 1,236,668 shares of common stock and the Company repaid principal of $150,000 and accrued interest of $9,128 for cash payments totaling $181,554. The note was retired upon these conversions and repayments. In connection with the conversions and repayments, the Company recognized a loss on debt extinguishment of $112,498 in the nine months ended September 30, 2020 equal to the excess of the cash payment amount and the fair value of the shares issued at conversion over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($108,947) – August 2019

On August 26, 2019, the Company issued a convertible note with a face value of $108,947 (the “$108.9k Note”). During March 2020, the holder converted principal of $75,000 and accrued interest of $6,335 into 1,779,322 shares of common stock. In connection with the conversion, the Company recognized a loss on debt extinguishment of $90,732 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($103,000) – October 2019

On October 1, 2019, the Company issued a $103,000 convertible note (the “$103k Note V”). On April 3, 2020, the Company prepaid the balance on the $103k Note V, including accrued interest, for a one-time cash payment of $135,205. In connection with the repayment, the Company recognized a loss on debt extinguishment of $43,777 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($142,500) – October 2019

On October 1, 2019, the Company issued a $142,500 convertible note (the “$142.5k Note”). During the nine months ended September 30, 2020, the holder converted the full principal of $142,500 and accrued interest of $14,250 into 2,855,191 shares of Company common stock. In connection with the conversions, the Company recognized a loss on debt extinguishment of $305,100 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($108,947) – October 2019

On October 30, 2019, the Company issued a convertible note with a face value of $108,947 (the “$108.9k Note II”). During May and June 2020, the holder converted the full principal of $108,947 and accrued interest of $5,821 into 1,954,870 shares of Company common stock. In connection with the conversions, the Company recognized a loss on debt extinguishment of $76,895 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($128,500) – October 2019

On October 30, 2019, the Company issued a $128,500 convertible note (the “$128.5k Note”). During May and June 2020, the holder converted the full principal of $128,500 and accrued interest of $8,832 into 3,197,877 shares of Company common stock. In connection with the conversion, the Company recognized a loss on debt extinguishment of $154,248 in the nine months ended September 30, 2020, representing the excess of the fair value of the shares issued at conversion over the carrying value of the portion of the host instrument and the bifurcated conversion feature converted.

Convertible Note Payable ($103,000) – November 2019

On November 4, 2019, the Company issued a $103,000 convertible note (the “$103k Note VI”). On May 4, 2020, the Company prepaid the balance on the $103k Note VI, including accrued interest, for a one-time cash payment of $135,099. In connection with the repayment, the Company recognized a loss on debt extinguishment of $45,077 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Convertible Note Payable ($78,750) – December 2019

On December 2, 2019, the Company issued a $78,750 convertible note (the “$78.8k Note”). On June 3, 2020, the Company prepaid the balance on the $78.8k Note, including accrued interest, for a one-time cash payment of $103,359. In connection with the repayment, the Company recognized a loss on debt extinguishment of $37,554 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($131,250) – January 2020

On January 13, 2020, the Company issued a $131,250 convertible note (the “$131.3k Note”). On July 13, 2020, the Company prepaid the balance on the $131.3k Note, including accrued interest, for a one-time cash payment of $172,108. In connection with the repayment, the Company recognized a loss on debt extinguishment of $24,663 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($78,000) – January 2020

On January 16, 2020, the Company issued a $78,000 convertible note (the “$78k Note IV”). On July 20, 2020, the Company prepaid the balance on the $78k Note IV, including accrued interest, for a one-time cash payment of $102,308. In connection with the repayment, the Company recognized a loss on debt extinguishment of $9,104 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($157,500) – March 2020

On March 10, 2020, the Company issued a $157,500 convertible note (the “$157.5k Note”). On September 4, 2020, the Company prepaid the balance on the $157.5k Note, including accrued interest, for a one-time cash payment of $206,314. In connection with the repayment, the Company recognized a loss on debt extinguishment of $28,150 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($157,500) – April 2020

On April 2, 2020, the Company issued a $157,500 convertible note (the “$157.5k Note II”). On September 4, 2020, the Company prepaid the balance on the $157.5k Note, including accrued interest, for a one-time cash payment of $205,235. In connection with the repayment, the Company recognized a loss on debt extinguishment of $31,490 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($135,000) – April 2020

On April 6, 2020, the Company issued a $135,000 convertible note (the “$135k Note”). On September 4, 2020, the Company prepaid the balance on the $135k Note, including accrued interest, for a one-time cash payment of $175,592. In connection with the repayment, the Company recognized a loss on debt extinguishment of $18,479 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

Convertible Note Payable ($83,000) – April 2020

On April 6, 2020, the Company issued an $83,000 convertible note (the “$83k Note”). On September 18, 2020, the Company prepaid the balance on the $83k Note, including accrued interest, for a one-time cash payment of $108,127. In connection with the repayment, the Company recognized a loss on debt extinguishment of $13,012 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 12 – CONVERTIBLE NOTES PAYABLE (CONTINUED)

Convertible Note Payable ($128,000) – April 2020

On April 30, 2020, the Company issued a $128,000 convertible note (the “$128k Note”). On September 18, 2020, the Company prepaid the balance on the $128k Note, including accrued interest, for a one-time cash payment of $165,962. In connection with the repayment, the Company recognized a loss on debt extinguishment of $21,000 in the nine months ended September 30, 2020, equal to the excess of the payment amount over the carrying value of the note, derivative embedded conversion feature and accrued interest.

NOTE 13 – DERIVATIVE FINANCIAL INSTRUMENTS

Derivative financial instruments are comprised of the fair value of embedded conversion features (“ECFs”) in convertible promissory notes for which the conversion rate is not fixed, but instead is adjusted based on a discount to the market price of the Company’s common stock. The fair market value of the ECF derivative liabilities was calculated at inception of each convertible promissory note for which the conversion rate is not fixed and allocated to the respective convertible notes with any excess recorded as a charge to “Financing cost.” Derivative financial instruments are revalued at the end of each period, with the change in value recorded to “Change in fair value of on derivative financial instruments.”

Derivative financial instrumentsoutstanding were $-0- and changes thereto recorded in$4,372 during the three and nine months ended September 30, 2021, and 2020 include the following:

  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2021  2020  2021  2020 
             
Balance, beginning of period $---  $257,384  $---  $991,288 
Inception of derivative financial instruments  ---   ---   ---   211,498 
Change in fair value of derivative financial instruments  ---   (12,802)  ---   (739,485)
Conversion or extinguishment of derivative financial instruments  ---   (244,582)  ---   (463,301)
                 
Balance, end of period $---  $---  $---  $--- 

Fair market value of the derivative financial instrumentsrespectively. There was measured using the following assumptions:

  Nine Months Ended
September 30,
 
  2021  2020 
       
Pricing model utilized  Binomial Lattice   Binomial Lattice 
Risk free rate range  ---   0.05% to 1.61% 
Expected life range (in years)  ---   0.14 to 1.00 
Volatility range  ---   117.48% to 144.51% 
Dividend yield  ---   0.00%

In addition, specific assumptions regarding investor exercise behavior were used in the above periods, including probability assumptions related to estimated exercise behavior. The entire amount of derivative instrument liabilities is classified as current due to the fact that settlement of the derivative instruments could be required within twelve months of the balance sheet date.

During 2020, the Company retired allno interest on convertible notes for whichduring the conversion rate was adjusted based on a discount to the market price of the Company’s common stock, which gave rise to ECF-related derivative financial instruments. Accordingly, the Company had no further derivative financial instruments outstanding as ofthree and nine months ended September 30, 2021 or December 31, 2020.2022.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 1413 – SHAREHOLDERS’ EQUITY

 

Registered Direct Offering – August 2021SEPA Advances

 

On August 26, 2021,July 5, 2022, the Company entered into a securities purchase agreementthe SEPA with a certain institutional investor (the “Purchaser”)Yorkville, pursuant to which the Company agreedshall have the right, but not the obligation, to sell in a registered direct offering (the “Registered Direct Offering”) 3,703,704to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the commitment period commencing on July 5, 2022 and terminating on the earliest of (i) the first day of the month following the 36-month anniversary of the SEPA and (ii) the date on which Yorkville shall have made payment of any advances requested pursuant to the SEPA for shares of the Company’s common stock equal to the Purchaser at an offering pricecommitment amount of $0.54 per share and issue associated warrants. In a concurrent private placement, the Company also sold to the Purchaser unregistered warrants (the “Warrants”) to purchase up to an aggregate of 1,851,85230,000,000 shares of common stock, representing 50% of the shares of common stock thatstock. Each SEPA Advance may be purchased in the Registered Direct Offering. The Warrants are exercisable at an exercise price of $0.65 per share, are exercisable immediately upon issuance and havefor a term of exercise equal to five years from the date of issuance. The Company also issued compensation warrants to its placement agent to purchase up to 269,269 shares of common stock, equal to 8.0% of the aggregate number of shares of common stock placed inwith an aggregate value of up to greater of: (i) an amount equal to thirty percent (30%) of the Registered Direct Offering. The placement agent warrants have a termaggregate daily volume traded of five (5) yearsthe Company’s common stock for the three (3) trading days immediately preceding notice from the commencementCompany of sales underan Advance, or (ii) 2,000,000 shares of common stock. The shares would be purchased at 96.0% of the Registered Direct Offering and an exerciseaverage of the daily volume weighted average price of $0.675 per sharethe Company’s common stock as reported by Bloomberg L.P. during regular trading hours during each of the three consecutive trading days commencing on the trading day following the Company’s submission of an Advance notice to Yorkville and would be subject to certain limitations, including that Yorkville could not purchase any shares that would result in it owning more than 4.99% of the Company’s outstanding common stock at the time of an Advance. On July 11, 2022, the Company filed a Form S-1 registration statement registering up to 30,000,000 shares of common stock (equal to 125% ofunderlying the offering price per share of common stock).SEPA. The registration statement was declared effective on July 19, 2022.

 

The Company received net proceeds from the sale ofAs consideration for Yorkville’s irrevocable commitment to purchase shares of common stock after deducting placement agent feesat the Company’s direction upon the terms and other offering expenses payable bysubject to the conditions set forth in the SEPA, upon execution of the SEPA, the Company paid Yorkville’s structuring and due diligence fees of $1,719,921. The transactions closed on August 31, 2021.$10,000 in cash and issued to Yorkville 895,255 shares of common stock with a fair value of $100,000 as a commitment fee. During the three and nine months ended September 30, 2022, the Company recognized $110,000 in other expense “Financing Cost” in the accompanying consolidated statement of operations.

During the three and nine months ended September 30, 2022, the Company made 11 advances under the SEPA, receiving $297,405 in proceeds for the issuance of 2,708,100 shares of common stock, of which $125,618 was applied to the balance of the Promissory Note.

 

Private Placements

 

During the nine months ended September 30, 2022, the Company sold 4,998,485 shares of common stock to six separate investors in private placement transactions. The Company received $535,000 in proceeds from the sales. In connection with the stock sales, the Company also issued 3,249,244 five-year warrants to purchase shares of common stock at exercise prices between $0.12 and $0.25 per share.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

During the nine months ended September 30, 2021, the Company sold 13,161,943 shares of common stock in 53 separate private placement transactions. The Company received $4,328,725 in proceeds from the sales. In connection with these stock sales, the Company also issued 6,581,527 five-yearfive-year warrants to purchase shares of common stock at exercise prices between $0.27 and $1.05 per share.

 

During the nine months ended September 30, 2020, the Company sold 6,650,843 shares of common stock in 20 separate private placement transactions and received $673,001 in proceeds from the sales. In connection with the stock sales, the Company also issued 3,463,825 five-year warrants to purchase shares of common stock at exercise price between $0.16 and $0.27 per share.

Prior Investment Agreement Draws

 

During the nine months ended September 30, 2021, and 2020, the Company issued 3,006,098 and 4,975,491 common shares respectively, pursuant to draws made by the Company under the Investment Agreementnow-expired July 2016 $3 million investment agreement and received an aggregate of $900,636 and $426,299, respectively, in net proceeds from the draws.

 

Shares issued to Consultants

 

During the nine months ended September 30, 20212022 and 2020,2021, the Company issued 677,242305,524 and 1,214,861677,242 common shares, respectively, to consultants for services rendered. In connection with the issuances, the Company recognized expenses totaling $151,322$37,696 and $156,501$151,322 in the nine months ended September 30, 20212022 and 2020,2021, respectively.

 

Common Stock Issuable

 

As of September 30, 20212022 and December 31, 2020,2021, the Company was obligated to issue the following shares:

 

  September 30, 2021   December 31, 2020 
  Amount  Shares  Amount  Shares 
Shares issuable to consultants, employees and directors $728,368   2,517,458  $262,273   2,150,020 
  September 30, 2022  December 31, 2021 
  Amount  Shares  Amount  Shares 
Shares issuable to consultants, employees and directors $345,345   1,329,469  $282,347   719,366 

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 14 – SHAREHOLDERS’ EQUITY (CONTINUED)

Stock Warrants

 

Transactions involving our stock warrants during the nine months ended September 30, 20212022 and 20202021 are summarized as follows:

 

  2021  2020 
     Weighted     Weighted 
     Average     Average 
     Exercise     Exercise 
  Number  Price  Number  Price 
Outstanding at beginning of the period  51,352,986  $0.17   47,056,293  $0.17 
Granted during the period  22,421,026  $0.39   3,463,825  $0.20 
Exercised during the period  (13,637,020) $(0.18)  ---  $--- 
Expired during the period  ---  $0.00   (50,000) $(0.40)
Outstanding at end of the period  60,136,992  $0.25   50,470,118  $0.18 
                 
Exercisable at end of the period  60,136,992  $0.25   50,470,118  $0.18 
                 
Weighted average remaining life  3.4 years       3.4 years     

The following table summarizes information about the Company’s stock warrants outstanding as of September 30, 2021:

Warrants Outstanding Warrants Exercisable 
      Weighted-          
      Average  Weighted-     Weighted- 
      Remaining  Average     Average 
Exercise  Number  Contractual  Exercise  Number  Exercise 
Prices  Outstanding  Life (years)  Price  Exercisable  Price 
$0.0001 to 0.09   14,789,573   3.3  $0.07   14,789,573  $0.07 
$0.10 to 0.24   9,714,380   2.9  $0.17   9,714,380  $0.17 
$0.25 to 0.49   31,741,448   3.5  $0.31   31,741,448  $0.31 
$0.50 to 1.05   3,891,591   4.3  $0.67   3,891,591  $0.67 
$0.05 to 1.00   60,136,992   3.4  $0.25   60,136,992  $0.25 

During the nine months ended September 30, 2021 and 2020, the Company issued 22,421,026 and 3,463,825 warrants, respectively, the aggregate grant date fair value of which was $5,823,476 and $222,987, respectively. The fair value of the warrants was calculated using the following range of assumptions:

  Nine Months Ended
September 30,
 
  2021  2020 
       
Pricing model utilized  Binomial Lattice   Binomial Lattice 
Risk free rate range  0.38% to 0.97%   0.19% to 1.59% 
Expected life range (in years)  3.00 to 5.00 years   5.00 years 
Volatility range  170.58% to 193.21%   119.69% to 132.19% 
Dividend yield  0.00%  0.00%

In addition, specific assumptions regarding investor exercise behavior were used in the above periods, including probability assumptions related to estimated exercise behavior.

  2022  2021 
     Weighted     Weighted 
     Average     Average 
     Exercise     Exercise 
  Number  Price  Number  Price 
Outstanding at beginning of the period  59,796,992  $0.25   51,352,986  $0.17 
Granted during the period  3,249,244  $0.17   22,421,026  $0.39 
Exercised during the period  ---  $---   (13,637,020) $(0.18)
Expired during the period  (786,667) $(0.44)  ---  $--- 
Outstanding at end of the period  62,259,569  $0.24   60,136,992  $0.25 
                 
Exercisable at end of the period  62,259,569  $0.24   60,136,992  $0.25 
                 
Weighted average remaining life  2.6 years       3.4 years     

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 1413 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

The following table summarizes information about the Company’s stock warrants outstanding as of September 30, 2022:

 Warrants Outstanding  Warrants Exercisable
      Weighted-          
      Average  Weighted-     Weighted- 
      Remaining  Average     Average 
Exercise  Number  Contractual  Exercise  Number  Exercise 
Prices  Outstanding  Life (years)  Price  Exercisable  Price 
$0.0001 to 0.09   14,789,573   2.3  $0.07   14,789,573  $0.07 
$0.10 to 0.24   12,690,290   2.7  $0.17   12,690,290  $0.17 
$0.25 to 0.49   31,319,782   2.6  $0.31   31,319,782  $0.31 
$0.50 to 1.05   3,459,924   3.8  $0.69   3,459,924  $0.69 
$0.05 to 1.00   62,259,569   2.6  $0.24   62,259,569  $0.24 

During the nine months ended September 30, 2022 and 2021, the Company issued 3,249,244 and 22,421,026 warrants, respectively, the aggregate grant date fair value of which was $151,909 and $5,823,476, respectively. The fair value of the warrants was calculated using the following range of assumptions:

  2022 2021
Pricing model utilized Binomial Lattice Binomial Lattice
Risk free rate range 2.94% 0.38% to 0.97%
Expected life range (in years) 5.00 years 3.00 to 5.00 years
Volatility range 74.50% 170.58% to 193.21%
Dividend yield 0.00% 0.00%

There were no warrants exercised during the nine months ended September 30, 2022. During the nine months ended September 30, 2021, the Company received $333,750 upon the exercise of 3,065,278 warrants with exercise prices between $0.09 and $0.15. Additionally, the Company issued 9,047,332 shares upon cashless exercise of 10,571,742 warrant shares exercised using a cashless exercise feature in settlement of litigation and other disputes amounts totaling $614,221 that had been accrued in 2020. There were no warrants exercised during the nine months ended September 30, 2020.

 

Employee Equity Incentive PlanPlans

 

On January 1, 2016, the Company adopted the 2016 Employee Equity Incentive Plan (the “2016 EIP”) for the purpose of having equity awards available to allow for equity participation by its employees. The 2016 EIP allowsallowed for the issuance of up to 15,503,680 shares of the Company’s common stock to employees, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2016 EIP is governed by the Company’s board, or a committee that may be appointed by the board in the future. The plan2016 EIP expired during 2021 but allows for the prospective issuance of additional shares of common stock subject to vesting of awards made prior to expiration of the plan.2016 EIP.

 

On September 9, 2021, the Company adopted the 2021 Employee Equity Incentive Plan (the “2021 EIP” and, together with the 2016 EIP, the “EIPs”) for the purpose of having equity awards available to allow for equity participation by its employees. The 2021 EIP allows for the issuance of up to 20,000,000 shares of the Company’s common stock to employees, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2021 EIP is governed by the Company’s board, or a committee that may be appointed by the board in the future. No awards were made under the 2021 EIP during the three or nine months ended September 30 2021 or 2020.

 

The following table summarizes the status of shares issued and outstanding under the 2016 EIP outstanding as of and for the nine months ended September 30, 2021 and 2020:

  2021  2020 
Outstanding at beginning of the period  2,603,528   1,874,063 
Granted during the period  1,015,047   664,465 
Forfeited during the period  (52,500)  (62,500)
Outstanding at end of the period  3,566,075   2,476,028 
         
Shares vested at period-end  3,476,075   2,176,028 
Weighted average grant date fair value of shares granted during the period $0.27  $0.14 
Aggregate grant date fair value of shares granted during the period $4,050  $18,760 
Shares available for grant pursuant at period-end  8,923,855   9,778,403 

Total stock-based compensation recognized for employee grants was $60,422 and $79,196 during the three months ended September 30, 2021 and 2020, respectively, and $239,729 and $109,349 during the nine months ended September 30, 2021 and 2020, respectively. Total unrecognized stock compensation related to these grants was $25,575 as of September 30, 2021.

A summary of the status of nonvested shares issued pursuant to the 2016 EIP as of and for the nine months ended September 30, 2021 and 2020 is presented below:

  2021  2020 
     Weighted     Weighted 
     Average     Average 
     Grant Date     Grant Date 
  Shares  Fair Value  Shares  Fair Value 
Nonvested at beginning of period  200,000  $0.17   332,500  $0.17 
Granted  1,015,047  $0.27   664,465  $0.14 
Vested  (1,075,047) $(0.26)  (609,465) $(0.14)
Forfeited  (50,000) $(0.10)  (87,500) $(0.06)
Nonvested at end of period  90,000  $0.19   300,000  $0.20 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 1413 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

DuringAmounts recognized in the financial statements with respect to the EIPs in the nine months ended September 30, 2022 and 2021 and 2020, the Company issued 1,235,047 and 724,992 shares under the 2016 EIP pursuant to the grants and vesting described in the tables above, respectively, of which 428,543 and 724,992, respectively were issued to employees and 806,504 and -0-, respectively, were issued to directors.as follows:

  2022  2021 
Total cost of share-based payment plans during the period $335,860  $574,998 
Amounts capitalized in deferred equity compensation during period $---  $--- 
Amounts charged against income for amounts previously capitalized $(9,375) $--- 
Amounts charged against income, before income tax benefit $326,485  $574,998 
Amount of related income tax benefit recognized in income $---  $--- 

Stock Options  

 

Employee Stock Options

options granted under the EIPs typically vest over a period of three to four years or based on achievement of Company and individual performance goals. The following table summarizes the status of options outstandingstock option activity as of and for the nine months ended September 30, 20212022 and 2020:2021:

 

 2021  2020  2022  2021 
    Weighted     Weighted     Weighted     Weighted 
    Average     Average     Average     Average 
    Exercise     Exercise     Exercise     Exercise 
 Number  Price  Number  Price 
Outstanding at beginning of the period  3,111,750  $0.20   3,269,250  $0.21 
Stock options Number  Price  Number  Price 
Outstanding at beginning of period  3,456,250  $0.23   3,111,750  $0.20 
Granted during the period  80,000  $0.75   60,000  $0.09   975,000  $0.16   80,000  $0.75 
Exercised during the period  (145,500) $(0.11)  ---  $---   (12,500) $(0.26)  (145,500) $(0.11)
Forfeited during the period  (32,500) $(0.16)  (80,000) $(0.26)  (419,500) $(0.31)  (32,500) $(0.16)
Outstanding at end of the period  3,013,750  $0.22   3,249,250  $0.20 
Outstanding at end of period  3,999,250  $0.20   3,013,750  $0.22 
                
Options exercisable at period-end  2,655,500  $0.20   2,173,750  $0.19 

As of September 30, 2022, there was $150,101 of total unrecognized compensation cost related to options granted under the EIPs. That cost is expected to be recognized over a weighted-average period of 2.2 years.

 

The following table summarizes information about the Company’s stocktotal fair value of options outstanding as of September 30, 2021:

Options Outstanding Options Exercisable 
       Weighted-          
       Average  Weighted-     Weighted- 
       Remaining  Average     Average 
  Exercise Number  Contractual  Exercise  Number  Exercise 
  Prices Outstanding  Life (years)  Price  Exercisable  Price 
 $--- to 0.25  1,652,500   5.9  $0.13   1,381,250   0.11 
 $0.25 to 0.50  1,281,250   7.1  $0.30   762,500   0.30 
 $0.51 to 0.77  80,000   9.7  $0.75   30,000   0.75 
 $0.08 to 0.31  3,013,750   6.5  $0.22   2,173,750  $0.19 

Total stock-based compensation recognized related to option grants was $9,615 and $19,305 during the three months ended September 30, 2021 and 2020, respectively, and $64,304 and $61,155vested during the nine months ended September 30, 2022 and 2021 was $42,966 and 2020,$64,321, respectively. The aggregate intrinsic value of share options exercised during the nine months ended September 30, 2022 and 2021 was $388 and $98,335, respectively. The weighted-average grant-date fair value of option grants made during the nine months ended September 30, 2022 and 2021 was $0.09 per share and $0.62 per share, respectively. During the nine months ended September 30, 2022, the Company issued 1,394 shares upon cashless exercise of 12,500 option shares exercised using a cashless exercise feature. During the nine months ended September 30, 2021, the Company received $16,450 upon the exercise of 145,500 options with exercise prices between $0.10 and $0.252. There were no

The fair value of each stock option award is estimated on the date of grant using a binomial lattice option-pricing model based on the assumptions noted in the following table. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period. The fair value of options exercised duringgranted for the nine months ended September 30, 2020.2022 and 2021 was calculated using the following range of assumptions:

 

  2022 2021
Pricing model utilized Binomial Lattice Binomial Lattice
Risk free rate range 2.81% to 2.90% 1.47% to 2.90%
Expected life range (in years) 10.00 years 10.00 years
Volatility range 74.38% to 74.50% 74.38% to 192.25%
Dividend yield 0.00% 0.00%

A summary of


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

The following table summarizes the status and activity of nonvested options issued pursuant to the EIPEIPs as of and for the nine months ended September 30, 20212022 and 2020 is presented below:2021:

 

 2021  2020  2022  2021 
    Weighted     Weighted     Weighted     Weighted 
    Average     Average     Average     Average 
    Grant Date     Grant Date     Grant Date     Grant Date 
 Shares  Fair Value  Shares  Fair Value 
Nonvested at beginning of period  1,044,375  $0.21   1,636,250  $0.22 
Stock options Shares  Fair Value  Shares  Fair Value 
Nonvested options at beginning of period  858,750  $0.23   1,044,375  $0.21 
Granted  80,000  $0.62   60,000  $0.07   975,000  $0.09   80,000  $0.62 
Vested  (255,000) $(0.25)  (379,375) $(0.20)  (195,750) $(0.22)  (255,000) $(0.25)
Forfeited  (29,375) $(0.12)  (80,000) $(0.21)  (294,250) $(0.26)  (29,375) $(0.12)
Nonvested at end of period  840,000  $0.24   1,236,875  $0.21 
Nonvested options at end of period  1,343,750  $0.12   840,000  $0.24 

 

Stock Grants  

Stock grant awards made under the EIPs typically vest either immediately or over a period of up to four years. The following table summarizes stock grant activity as of and for the nine months ended September 30, 2022 and 2021:

  2022  2021 
     Weighted     Weighted 
     Average     Average 
     Grant Date     Grant Date 
Stock Grants Shares  Fair Value  Shares  Fair Value 
Nonvested grants at beginning of period  302,050  $0.27   200,000  $0.17 
Granted  377,454  $0.17   1,015,047  $0.27 
Vested  (354,782) $(0.23)  (1,075,047) $(0.26)
Forfeited  (104,954) $(0.19)  (50,000) $(0.10)
Nonvested grants at end of period  219,768  $0.20   90,000  $0.19 

As of September 30, 2022, there was $22,538 of total unrecognized compensation cost related to stock grants made under the EIPs. That cost is expected to be recognized over a weighted-average period of 1.1 years. The weighted-average grant-date fair value of share grants made during the nine months ended September 30, 2022 and 2021 was $0.12 per share and $0.27 per share, respectively. The aggregate fair value of share grants that vested during the nine months ended September 30, 2022 and 2021 was $44.820 and $270,918, respectively.

The fair value of each stock grant is calculated using the closing sale price of the Company’s common stock on the date of grant using. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period.

Liability-Classified Equity Instruments

During 2021, the Company made certain compensation stock grants from the 2021 EIP that vest over a four-year period and that are settleable for a fixed dollar amount rather than a fixed number of shares. The original grant date fair value of the equity compensation was $165,000. The Company recognized an asset captioned “Deferred equity compensation” and an offsetting liability captioned as a “Liability-classified equity instrument.” During the nine months ended September 30, 2022, the Company (i) replaced certain variable share contracts with a new fixed share compensation structure and accordingly de-recognized $25,000 of deferred stock compensation and liability-classified equity instruments, and (ii) de-recognized $106,141 of deferred stock compensation and $135,000 of liability-classified equity instruments as a result of the termination of the employee and related future equity rights to which the equity asset and liability related.

During 2022, the Company made an additional grant of stock options from the 2021 EIP with a fixed fair value that may be earned based on achievement of performance targets on a quarterly basis through June 2025. The fixed value of $90,000 was recognized as deferred stock compensation and liability-classified equity instruments. The Company also de-recognized $7,500 of deferred stock compensation and liability-classified equity instruments related to this grant based on the target not being achieved for the third quarter of 2022.


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

Amortization of deferred stock compensation assets in the three and nine months ended September 30, 2022 was $1,359 and $14,484, respectively. There was no amortization related to deferred stock compensation assets in the three or nine months ended September 30, 2021. The liability will be converted to equity if and when shares are earned and issued pursuant to prescribed vesting events.

NOTE 1514 – CONTINGENT ACQUISITION CONSIDERATION

Contingent acquisition consideration as of September 30, 2021 and December 31, 2020 was comprised of the following:

  September 30,  December 31, 
  2021  2020 
       
Fair value of HCFM contingent acquisition consideration $169,005  $301,236 
Fair value of CHM contingent acquisition consideration  245,102   682,661 
Fair value of MOD contingent acquisition consideration  632,605   516,543 
         
  $1,046,712  $1,500,440 

 

Contingent acquisition consideration relates to future earn-out payments potentially payable related to the Company’s acquisitions of HCFM,Hughes Center for Functional Medicine (“HCFM”) in 2019 and CHM and MOD.MOD in 2020. The terms of the earn-outs related to each acquisition require the Company to pay the former owners additional acquisition consideration for the achievement of prescribed revenue and/or earnings targets for performance of the underlying business for up to four years after the respective acquisition date. Contingent acquisition consideration for each entity is recorded at fair value using a probability-weighted discounted cash flow projection. The fair value of the contingent acquisition consideration is remeasured at the end of each reporting period and changes are included in the statement of operations under the caption “Change in fair value of contingent acquisition consideration.” Gain (loss) from

Contingent acquisition consideration as of September 30, 2022 and December 31, 2021 was comprised of the following:

  September 30,  December 31, 
  2022  2021 
       
Fair value of HCFM contingent acquisition consideration $---  $172,124 
Fair value of CHM contingent acquisition consideration  218,236   276,529 
Fair value of MOD contingent acquisition consideration  94,497   737,037 
Total contingent acquisition consideration  312,733   1,185,690 
Less: long term portion  (184,659)  (782,224)
Contingent acquisition consideration, current portion $128,074  $403,466 

During the three and nine months ended September 30, 2022 and 2021, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration was $126,411 and $45,996 during the three months ended September 30, 2021 and 2020, respectively, and ($234,678) and $687 during the nine months ended September 30, 2021 and 2020, respectively.as follows:

  

Three Months Ended

September 30,

  

Nine Months Ended

September 30,

 
  2022  2021  2022  2021 
             
HCFM contingent acquisition consideration $---  $(14,316) $(35,259) $(63,769)
CHM contingent acquisition consideration  62,516   (116,150)  58,292   (54,848)
MOD contingent acquisition consideration  70,967   256,877   642,540   (116,061)
                 
  $133,483  $126,411  $665,573  $(234,678)

 

Maturities of contingent acquisition consideration were as follows as of September 30, 2021:2022:

 

2021 (October to December) $16,632 
2022  325,904 
2022 (October to December) $92,546 
2023  352,809   85,169 
2024  351,367   135,018 
 $1,046,712  $312,733 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

 

NOTE 14 – CONTINGENT ACQUISITION CONSIDERATION (CONTINUED)

Hughes Center for Functional Medicine Acquisition – April 2019

On April 12, 2019, the Company acquired a 100% interest in HCFM, a medical practice engaged in improving the health of its patients through individualized and integrative health care. Following the acquisition, HCFM was rebranded as NCFM and was combined with NWC to form the Company’s Health Services segment. Under the terms of acquisition, the Company paid the seller $500,000 in cash, issued 3,968,254 shares of the Company’s common stock and agreed to an earn-out provision of $500,000 that may be earned based on the performance of NCFM in the years ended on the first, second and third anniversary dates of the acquisition closing. The total consideration fair value represented a transaction fair value of $1,764,672. In May 2020, the Company paid the seller $47,000 in satisfaction of the year 1 earn out. In May 2021, the Company paid the seller $196,000 in satisfaction of the year 2 earn out. In May 2022, the Company paid the seller $207,384 in satisfaction of the year 3 earn out. The Company has no further earn out obligations related to the NCFM acquisition.

Cura Health Management LLC Acquisition – May 2020

On May 18, 2020, the Company acquired a 100% interest in CHM and its wholly owned subsidiary AHP. CHM and AHP assist physician practices in providing coordinated and more efficient care to patients via the MSSP. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition and through third quarter 2022, the business of CHM comprised the Company’s ACO/MSO Division. Under the terms of acquisition, the Company paid CHM shareholders the following consideration: (i) $214,000 in cash paid at closing, (ii) 2,240,838 shares of the Company’s common stock issued at closing, (iii) up to $223,500 additional cash and $660,000 in additional shares of the Company’s common stock payable at the time CHM receives the final assessment of the calculation of MSSP savings for the 2019 program year, with this amount prorated based on a target MSSP payment (plus other ancillary revenue) of $1,725,000, and (iv) up to $437,500 based on the business achieving annual revenue of $2,250,000 and annual profit of $500,000 in each of the four years following closing.

The terms of the earn out required the Company to pay the former owners of CHM (i) up to $223,500 additional cash and to $660,000 of additional shares of Company common stock when CHM receives the final assessment of the calculation of 2019 plan year MSSP revenue (the “Current Earnout”), and (ii) up to $62,500, $125,000, $125,000 and $125,000 on the first, second, third and fourth anniversary, respectively, based on achievement by the underlying business of revenue of at least $2,250,000 (50% weighting) and profit of at least $500,000 (50% weighting) in the year preceding each anniversary date (the “Future Earnout”). During September 2020, pursuant to a Second Amendment to the Agreement and Plan of Merger (the “Second Amendment”) and in satisfaction of the Current Earnout, the Company paid $90,389 cash, issued 1,835,625 shares of the Company’s common stock and agreed that the balance of the Current Earnout that was not earned in 2020, being $124,043 cash and $366,300 in shares of Company common stock, would be deferred until the first future earnout year in which MSSP revenue exceeds $1.725 million and revenue from other services exceeds $605,000 (the “Residual Earnout”).

During September 2021, the Company was notified of the amount of Medicare shared savings and received payment for plan year 2020 in the amount of $2,419,312. Because the shared saving payment exceeded $1.725 million, the sellers were paid $124,043 cash and issued 806,828 shares of Company common stock with a value of $366,300 pursuant to the Residual Earnout. Following the payments, the Company had no further obligations under the Residual Earnout. The Company also determined that the sellers did not earn any of the $62,500 year-one Future Earnout related to the performance period May 19, 2020 to May 18, 2021.

MedOffice Direct LLC Acquisition – October 2020

On October 19, 2020, the Company acquired a 100% interest in MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States. With over 13,000 name brand medical products in over 150 different categories, MOD leverages pricing discounts with a small unit-of-measure direct-to-consumer shipping model to make ordering medical supplies more convenient and cost effective for its users. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition, the business of MOD comprised the Company’s Medical Distribution Division. Under the terms of acquisition, the Company paid the following consideration: (i) 19,045,563 shares of Company common stock issued at closing, (ii) partial satisfaction of certain outstanding debt obligations of MOD in the amount of $703,200 in cash paid by the Company, and (iii) up to 10,004,749 restricted shares of the Company’s common stock over a four-year period based on MOD achieving revenue targets in calendar years 2021 through 2024 of $1,500,000, $1,875,000, $2,344,000, and $2,930,000, respectively. The first year of earnout measured based on performance in calendar year 2021 was not met.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 1615 – COMMITMENTS AND CONTINGENCIES

 

Contracts Related to Medicare Shared Savings Revenue

 

The Company acquired CHM and its subsidiary AHP on May 18, 2020. CHM and AHP combine to operate an ACO under the terms of the MSSP as administered by the CMS. The MSSP is a program created under the Affordable Care Act (the “ACA,” also known as “Obamacare”) designed to enhance the efficiency of healthcare provided to patients covered by Medicare. The program allows for the creation of ACOs, which are organizations that agree to take responsibility for the efficiency of healthcare services provided by a group of participating healthcare providers under Medicare. The ACO is held accountable for the efficiency of the healthcare services of its participating providers as measured against benchmarks prescribed in the MSSP and earns shared savings payments if such benchmarks are met.

 

The Company, via AHP, is party to a Medicare Shared Savings Program Accountable Care Organization Participation Agreement with the CMS that establishes AHP as an ACO. The agreement is effective through December 31, 2024. The Company must comply with the terms and conditions of the agreement in order to maintain its status as an ACO and generate shared savings revenue.

 

The Company, via CHM, is party to approximately 33 separate participant agreements with participating providers that are members of the Company’s ACO with expiration dates between 2020 andthrough 2024. These agreements include certain restrictions and requirements to which the participating providers must adhere in order to maintain participation in the ACO.

 

Supplier Concentration

 

The Company relies on a solesingle supplier for the fulfillment of allapproximately 96% of its product sales made through MOD, which was acquired by the Company in October 2020.
MOD.

 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 16 – COMMITMENTS AND CONTINGENCIES (CONTINUED)

Service contracts

 

The Company carries various service contracts on its office buildings & certain copier equipment for repairs, maintenance and inspections. All contracts are short term and can be cancelled.

 

Litigation

 

None.

 

Leases

 

Maturities of operating lease liabilities were as follows as of September 30, 2021:2022:

 

2021 (October to December) $107,623 
2022  383,619 
2022 (October to December) $119,116 
2023  273,844   396,833 
2024  126,116 
2025  74,729 
2026  18,148 
2027  990 
Total lease payments  765,086   735,932 
Less interest  (162,443)  (97,328)
Present value of lease liabilities $602,643  $638,604 

 

Employment/Consulting Agreements

 

The Company has employment agreements with certain of its physicians, nurse practitioners and physical therapists in the Health Services division. The agreements generally call for a fixed salary at the beginning of the contract with a transaction to performance-based pay later in the contract.


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 15 – COMMITMENTS AND CONTINGENCIES (CONTINUED)

On October 13, 2022, the Company entered into an offer letter (the “Agreement”) with George O’Leary in his continuing capacity as Chief Financial Officer of the Company. The Agreement was effective as of July 1, 2022 and provides that Mr. O’Leary’s base salary will be $259,000 per year, with annual review and adjustment at the discretion of the Chief Executive Officer and Compensation Committee of the Board of Directors of the Company, and an annual incentive bonus of 25% of annual salary based on the achievement of the Company of certain financial metrics as approved by the Compensation Committee. In addition, Mr. O’Leary will be eligible for a cash bonus of $50,000 upon the uplisting of the Company and completion of a financing round at the time of uplisting. The Agreement also provides that Mr. O’Leary will receive a grant of 100,000 shares of restricted stock upon execution of the Agreement and additional grants of 100,000 restricted shares on each of July 1, 2023, 2024 and 2025. Mr. O’Leary was also granted 1,200,000 stock options with an exercise price of $0.06, a portion of which are subject to time vesting and a portion of which are subject to vesting upon the achievement of certain of the Company’s corporate objectives and Mr. O’Leary’s individual objectives. If Mr. O’Leary is terminated without cause the Company will provide Mr. O’Leary as severance an amount equal to six (6) months of his base salary. Concurrently, the Company and Mr. O’Leary entered into a Non-Disclosure, Non-Solicitation and Non-Compete Agreement, effective as of September 20, 2022 that contains a non-solicitation and non-compete provision which will be in effect for a two-year period following the termination of Mr. O’Leary’s employment relationship with the Company; provided, however, such period is shortened to six (6) months if Mr. O’Leary is terminated without cause.

 

On July 1, 2016, the Company entered into an employment agreement with Dr. Michael Dent, Chief Executive Officer and a member of the Board of Directors. Dr. Dent’s employment agreement continues until terminated by Dr. Dent or the Company. If Dr. Dent’s employment is terminated by the Company (unless such termination is “For Cause” as defined in his employment agreement), then upon signing a general waiver and release, Dr. Dent will be entitled to severance in an amount equal to 12 months of his then-current annual base salary, as well as the pro-rata portion of any bonus that would be due and payable to him. In the event that Dr. Dent terminates the employment agreement, he shall be entitled to any accrued but unpaid salary and other benefits up to and including the date of termination, and the pro-rata portion of any unvested time-based options up until the date of termination.

 

On July 1, 2016, the Company entered into an agreement with Mr. George O’Leary, the Company’s Chief Financial Officer and a member of the Board of Directors, extending his prior agreement with the Company. If Mr. O’Leary’s employment is terminated by the Company (unless such termination is “For Cause” as defined in his employment agreement), then upon signing a general waiver and release, Mr. O’Leary will be entitled to receive his base salary and the Company shall maintain his employee benefits for a period of twelve (12) months beginning on the date of termination. In the event that Mr. O’Leary terminates the agreement, he shall be entitled to any accrued by unpaid salary and other benefits up to and including the date of termination. On July 1, 2018, the Company and Mr. O’Leary entered into an Extension Letter Agreement pursuant to which Mr. O’Leary was increased to full time employment (previously half-time) and agreed to extend the term of his employment to September 30, 2022. In addition to a base salary, the extension provides Mr. O’Leary with certain performance-based cash bonuses, stock grants, and stock option grants.

On May 18, 2020, the Company entered into separate 4-year consulting services agreements with each of the two principals of the ACO/MSO business acquired in May 2020 that call for each person to earn fixed annual consulting fees and a share of Medicare shared savings revenue, consulting revenue and overall profits generated by the underlying business.

 


Litigation

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)From time to time, the Company may become involved in various lawsuits and legal proceedings, which arise, in the ordinary course of business. However, litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may harm the Company’s business. The Company is not aware of any such legal proceedings that will have, individually or in the aggregate, a material adverse effect on its business, financial condition or operating results.

 

NOTE 1716 – SEGMENT REPORTING

 

The Company has four reportable segments: Health Services, Digital Healthcare, ACO/MCOMSO and Medical Distribution. The Health Services division is comprised of the operations of (i) Naples Women’s Center (“NWC”),NWC, a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology), and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”),NCFM, a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, and (iii) Bridging the Gap Physical Therapy (“BTG”),BTG, a physical therapy practice in Bonita Springs, FL that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery. The Company’s Digital Healthcare segment develops and plans to operate an online personal medical information and record archive system, the “HealthLynked Network,” which will enable patients and doctors to keep track of medical information via the Internet in a cloud-based system. The ACO/MSO Division is comprised of the business acquired with CHM, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP as administered by the CMS, which rewards providers for efficiency in patient care. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”),MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States acquired by the Company on October 19, 2020.States.

 

The Company evaluates performance and allocates resources based on profit or loss from operations before income taxes. The accounting policies of the reportable segments are the same as those described in the summary of significant accounting policies.

 

Segment information for the three months ended September 30, 2021 was as follows:

  Three Months Ended September 30, 2021 
  Health
Services
  Digital
Healthcare
  ACO /
MSO
  Medical
Distribution
  Total 
Revenue               
Patient service revenue, net $1,394,356  $---  $---  $---  $1,394,356 
Medicare shared savings revenue  ---   ---   2,419,312   ---   2,419,312 
Consulting and event revenue  ---   ---   69,595   ---   69,595 
Product revenue  ---   ---   ---   161,456   161,456 
Total revenue  1,394,356   ---   2,488,907   161,456   4,044,719 
                     
Operating Expenses                    
Practice salaries and benefits  739,024   ---   ---   ---   739,024 
Other practice operating expenses  549,086   ---   ---   ---   549,086 
Medicare shared savings expenses  ---   ---   1,748,585   ---   1,748,585 
Cost of product revenue  ---   ---   ---   145,432   145,432 
Selling, general and administrative expenses  ---   1,093,461   ---   54,130   1,147,591 
Depreciation and amortization  26,196   2,215   ---   176,900   205,311 
Total Operating Expenses  1,314,306   1,095,676   1,748,585   376,462   4,535,029 
                     
(Loss) income from operations $80,050  $(1,095,676) $740,322  $(215,006) $(490,310)
                     
Other Segment Information                    
Interest expense (income) $2,706  $1,412  $---  $---  $4,118 
Change in fair value of contingent acquisition consideration $---  $(126,411) $---  $---  $(126,411)


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 1716 – SEGMENT REPORTING (CONTINUED)

Segment information for the three months ended September 30, 2022 was as follows:

  Three Months Ended September 30, 2022 
  Health Services  Digital Healthcare  ACO / MSO  Medical Distribution  Total 
Revenue               
Patient service revenue, net $1,262,253  $---  $---  $---  $1,262,253 
Subscription, consulting and event revenue  ---   1,171   88,806   ---   89,977 
Product revenue  ---   ---   ---   95,449   95,449 
Total revenue  1,262,253   1,171   88,806   95,449   1,447,679 
                     
Operating Expenses                    
Practice salaries and benefits  810,058   ---   ---   ---   810,058 
Other practice operating expenses  695,300   ---   ---   ---   695,300 
Medicare shared savings expenses  ---   ---   337,533   ---   337,533 
Cost of product revenue  ---   ---   ---   87,775   87,775 
Selling, general and administrative expenses  ---   1,055,178   ---   32,955   1,088,133 
Depreciation and amortization  31,198   1,406   ---   176,900   209,504 
Total Operating Expenses  1,536,556   1,056,584   337,533   297,630   3,228,303 
                     
(Loss) income from operations $(274,303) $(1,055,413) $(248,727) $(202,181) $(1,780,624)
                     
Other Segment Information                    
Interest expense (income) $2,815  $2,825  $---  $---  $5,640 
Financing cost $110,000  $---  $---  $---  $110,000 
Amortization of original issue discounts on notes payable $18,480  $2,540  $---  $---  $21,020 
Change in fair value of contingent acquisition consideration $---  $(133,483) $---  $---  $(133,483)


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 16 – SEGMENT REPORTING (CONTINUED)

Segment information for the nine months ended September 30, 2022 was as follows:

  Nine Months Ended September 30, 2022 
  Health Services  Digital Healthcare  ACO / MSO  Medical Distribution  Total 
Revenue               
Patient service revenue, net $4,069,714  $---  $---  $---  $4,069,714 
Subscription, consulting and event revenue  ---   9,433   251,058   ---   260,491 
Product revenue  ---   ---   ---   372,877   372,877 
Total revenue  4,069,714   9,433   251,058   372,877   4,703,082 
                     
Operating Expenses                    
Practice salaries and benefits  2,344,529   ---   ---   ---   2,344,529 
Other practice operating expenses  1,897,070   ---   ---   ---   1,897,070 
Medicare shared savings expenses  ---   ---   802,411   ---   802,411 
Cost of product revenue  ---   ---   ---   419,129   419,129 
Selling, general and administrative expenses  ---   3,529,289   ---   149,495   3,678,784 
Depreciation and amortization  87,134   4,472   ---   530,700   622,306 
Total Operating Expenses  4,328,733   3,533,761   802,411   1,099,324   9,764,229 
                     
Income (loss) from operations $(259,019) $(3,524,328) $(551,353) $(726,447) $(5,061,147)
                     
Other Segment Information                    
Interest expense (income) $8,420  $6,731  $---  $---  $15,151 
Financing cost $110,000  $---  $---  $---  $110,000 
Amortization of original issue discounts on notes payable $18,480  $2,540  $---  $---  $21,020 
Change in fair value of contingent acquisition consideration $---  $(665,573) $---  $---  $(665,573)
                     
   September 30, 2022 
Identifiable assets $2,182,272  $507,030  $1,132,696  $2,188,509  $6,010,507 
Goodwill $319,958  $---  $381,856  $766,249  $1,468,063 
                     
   December 31, 2021 
Identifiable assets $2,152,533  $3,450,332  $1,167,965  $2,775,621  $9,546,451 
Goodwill $---  $---  $381,856  $766,249  $1,148,105 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 16 – SEGMENT REPORTING (CONTINUED)

Segment information for the three months ended September 30, 2021 was as follows:

  Three Months Ended September 30, 2021 
  Health Services  Digital Healthcare  ACO / MSO  Medical Distribution  Total 
Revenue               
Patient service revenue, net $1,394,356  $---  $---  $---  $1,394,356 
Medicare shared savings revenue  ---   ---   2,419,312   ---   2,419,312 
Subscription, consulting and event revenue  ---   ---   69,595   ---   69,595 
Product revenue  ---   ---   ---   161,456   161,456 
Total revenue  1,394,356   ---   2,488,907   161,456   4,044,719 
                     
Operating Expenses                    
Practice salaries and benefits  739,024   ---   ---   ---   739,024 
Other practice operating expenses  549,086   ---   ---   ---   549,086 
Medicare shared savings expenses  ---   ---   1,748,585   ---   1,748,585 
Cost of product revenue  ---   ---   ---   145,432   145,432 
Selling, general and administrative expenses  ---   1,093,461   ---   54,130   1,147,591 
Depreciation and amortization  26,196   2,215   ---   176,900   205,311 
Total Operating Expenses  1,314,306   1,095,676   1,748,585   376,462   4,535,029 
                     
Loss from operations $80,050  $(1,095,676) $740,322  $(215,006) $(490,310)
                     
Other Segment Information                    
Interest expense (income) $2,706  $1,412  $---  $---  $4,118 
Change in fair value of contingent acquisition consideration $---  $(126,411) $---  $---   (126,411)


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2022

(UNAUDITED)

NOTE 16 – SEGMENT REPORTING (CONTINUED)

 

Segment information for the nine months ended September 30, 2021 was as follows:

 

  Nine Months Ended September 30, 2021 
  Health
Services
  Digital
Healthcare
  ACO /
MSO
  Medical
Distribution
  Total 
Revenue               
Patient service revenue, net $4,379,282  $---  $---  $---  $4,379,282 
Medicare shared savings revenue  ---   ---   2,419,312   ---   2,419,312 
Subscription, consulting and event revenue  ---   11,905   217,209   ---   229,114 
Product revenue  ---   ---   ---   512,325   512,325 
Total revenue  4,379,282   11,905   2,636,521   512,325   7,540,033 
                     
Operating Expenses                    
Practice salaries and benefits  2,305,993   ---   ---   ---   2,305,993 
Other practice operating expenses  1,790,874   ---   ---   ---   1,790,874 
Medicare shared savings expenses  ---   ---   2,157,555   ---   2,157,555 
Cost of product revenue  ---   ---   ---   474,026   474,026 
Selling, general and administrative expenses  ---   3,472,493   ---   188,713   3,661,206 
Depreciation and amortization  83,493   3,405   ---   536,540   623,438 
Total Operating Expenses  4,180,360   3,475,898   2,157,555   1,199,279   11,013,092 
                     
Income (loss) from operations $198,922  $(3,463,993) $478,966  $(686,954) $(3,473,059)
                     
Other Segment Information                    
Interest expense (income) $5,145  $8,038  $---  $(100) $13,083 
(Gain) loss on extinguishment of debt $(502,959) $5,471,884  $---  $(11,757) $4,957,168 
Change in fair value of debt $---  $19,246  $---  $---  $19,246 
Change in fair value of contingent acquisition consideration $---  $234,678  $---  $---  $234,678 
                     
   September 30, 2021
Identifiable assets $2,104,819  $3,967,850  $2,850,949  $2,890,389  $11,814,007 
Goodwill $---  $---  $381,856  $766,249  $1,148,105 

  Nine Months Ended September 30, 2021 
  Health
Services
  Digital
Healthcare
  ACO / MSO  Medical
Distribution
  Total 
Revenue               
Patient service revenue, net $4,379,282  $---  $---  $---  $4,379,282 
Medicare shared savings revenue  ---   ---   2,419,312   ---   2,419,312 
Consulting and event revenue  ---   11,905   217,209   ---   229,114 
Product revenue  ---   ---   ---   512,325   512,325 
Total revenue  4,379,282   11,905   2,636,521   512,325   7,540,033 
                     
Operating Expenses                    
Practice salaries and benefits  2,305,993   ---   ---   ---   2,305,993 
Other practice operating expenses  1,790,874   ---   ---   ---   1,790,874 
Medicare shared savings expenses  ---   ---   2,157,555   ---   2,157,555 
Cost of product revenue  ---   ---   ---   474,026   474,026 
Selling, general and administrative expenses  ---   3,472,493   ---   188,713   3,661,206 
Depreciation and amortization  83,493   3,405   ---   536,540   623,438 
Total Operating Expenses  4,180,360   3,475,898   2,157,555   1,199,279   11,013,092 
                     
(Loss) income from operations $198,922  $(3,463,993) $478,966  $(686,954) $(3,473,059)
                     
Other Segment Information                    
Interest expense (income) $5,145  $8,038  $---  $(100) $13,083 
Loss (gain) on extinguishment of debt $(502,959) $5,471,884  $---  $(11,757) $4,957,168 
Change in fair value of debt $---  $19,246  $---  $---  $19,246 
Change in fair value of contingent acquisition consideration $---  $234,678  $---  $---  $234,678 
  September 30, 2021 
Identifiable assets $2,104,819  $3,967,850  $2,850,949  $2,890,389  $11,814,007 
Goodwill $---  $---  $381,856  $766,249  $1,148,105 


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 17 – SEGMENT REPORTING (CONTINUED)

Segment information for the three months ended September 30, 2020 was as follows:

  Three Months Ended September 30, 2020 
  Health
Services
  Digital
Healthcare
  ACO / MSO  Medical
Distribution
  Total 
Revenue               
Patient service revenue, net $1,054,806  $---  $---  $                ---  $1,054,806 
Medicare shared savings revenue  ---   ---   767,744   ---   767,744 
Consulting revenue  ---   ---   217,605   ---   217,605 
Product revenue  ---   ---   ---   ---   --- 
Total revenue  1,054,806   ---   985,349   ---   2,040,155 
                     
Operating Expenses                    
Practice salaries and benefits  590,690   ---   ---   ---   590,690 
Other practice operating expenses  548,667   ---   ---   ---   548,667 
Medicare shared savings expenses  ---   ---   759,848   ---   759,848 
Cost of product revenue  ---   ---   ---   ---   --- 
Selling, general and administrative expenses  ---   958,874   ---   ---   958,874 
Depreciation and amortization  24,557   594   ---   ---   25,151 
Total Operating Expenses  1,163,914   959,468   759,848   ---   2,883,230 
                     
Loss from operations $(109,108) $(959,468) $225,501  $---  $(843,075)
                     
Other Segment Information                    
Interest expense $23,186  $49,349  $---  $---  $72,535 
Loss on sales of marketable securities $---  $281,606  $---  $---  $281,606 
Loss on extinguishment of debt $---  $450,999  $---  $---  $450,999 
Amortization of original issue and debt discounts on convertible notes $---  $65,816  $---  $---  $65,816 
Change in fair value of debt $---  $79,062  $---  $---  $79,062 
Change in fair value of derivative financial instruments $---  $(12,802) $---  $---  $(12,802)
Change in fair value of contingent acquisition consideration $---  $(45,996) $---  $---  $(45,996)


HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 2021

(UNAUDITED)

NOTE 17 – SEGMENT REPORTING (CONTINUED)

Segment information for the nine months ended September 30, 2020 was as follows:

  Nine Months Ended September 30, 2020 
  Health Services  Digital Healthcare  ACO / MSO  Medical Distribution  Total 
Revenue               
Patient service revenue, net $3,502,836  $---  $---  $---  $3,502,836 
Medicare shared savings revenue  ---   ---   767,744   ---   767,744 
Consulting revenue  ---   ---   268,025   ---   268,025 
Product revenue  ---   ---   ---   ---   --- 
Total revenue  3,502,836   ---   1,035,769   ---   4,538,605 
                     
Operating Expenses                    
Practice salaries and benefits  1,910,897   ---   ---   ---   1,910,897 
Other practice operating expenses  1,633,380   ---   ---   ---   1,633,380 
Medicare shared savings expenses  ---   ---   824,084   ---   824,084 
Cost of product revenue  ---   ---   ---   ---   --- 
Selling, general and administrative expenses  ---   2,116,159   ---   ---   2,116,159 
Depreciation and amortization  73,027   1,784   ---   ---   74,811 
Total Operating Expenses  3,617,304   2,117,943   824,084   ---   6,559,331 
                     
Loss from operations $(114,468) $(2,117,943) $211,685  $---  $(2,020,726)
                     
Other Segment Information                    
Interest expense $35,096  $158,038  $---  $---  $193,134 
Loss on sales of marketable securities $---  $281,606  $---  $---  $281,606 
Loss on extinguishment of debt $---  $1,347,371  $---  $---  $1,347,371 
Amortization of original issue and debt discounts on convertible notes $---  $530,930  $---  $---  $530,930 
Change in fair value of debt $---  $198,764  $---  $---  $198,764 
Change in fair value of derivative financial instruments $---  $(739,485) $---  $---  $(739,485)
Change in fair value of contingent acquisition consideration $---  $(687) $---  $---  $(687)
  September 30, 2020 
Identifiable assets $2,250,647  $952,716  $901,736  $---  $4,105,099 
Goodwill $---  $---  $1,454,856  $---  $1,454,856 

The Digital Healthcare segment recognized revenuemade intercompany sales of $400$180 and $1,366$400 in the three months ended September 30, 20212022 and 2020,2021, respectively, and $743$640 and $3,797$743 in the nine months ended September 30, 20212022 and 2020,2021, respectively, related to subscription revenue billed to and paid for by the Company’s physicians for access to the HealthLynked Network. The revenue for Digital HealthcareMedical Distribution segment made intercompany sales of $3,144 and $-0- in the three months ended September 30, 2022 and 2021, respectively, and $25,214 and $-0- in the nine months ended September 30, 2022 and 2021, respectively, related expense forto medical products sold to practices in the Company’s Health Services weresegment. Intercompany revenue and the related costs are eliminated on consolidation.

 

NOTE 1817 – FAIR VALUE OF FINANCIAL INSTRUMENTS

 

The carrying amounts of certain financial instruments, including cash and cash equivalents, accounts receivable and accounts payable, approximate their respective fair values due to the short-term nature of such instruments. The Company measures certain financial instruments at fair value on a recurring basis, including certain convertible notes payable and related party loans, which were extinguished and reissued and are therefore subject to fair value measurement, as well as derivative financial instruments arising from conversion features embedded in convertible promissory notes for which the conversion rate iswas not fixed.fixed, and equity-class. All financial instruments carried at fair value fall within Level 3 of the fair value hierarchy as their value is based on unobservable inputs. The Company evaluates its financial assets and liabilities subject to fair value measurements on a recurring basis to determine the appropriate level in which to classify them for each reporting period. This determination requires significant judgments to be made.

 


 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20212022

(UNAUDITED)

 

NOTE 1817 – FAIR VALUE OF FINANCIAL INSTRUMENTS (CONTINUED)

 

The following table summarizes the conclusions reached regarding fair value measurements as of September 30, 20212022 and December 31, 2020:2021:

 

  As of September 30, 2021 
           Total 
  Level 1  Level 2  Level 3  Fair Value 
Contingent acquisition consideration $---  $---  $1,046,712  $1,046,712 
                 
Total $---  $---  $1,046,712  $1,046,712 

 As of December 31, 2020  As of September 30, 2022  As of December 31, 2021 
        Total  Level 1  Level 2  Level 3  Total  Level 1  Level 2  Level 3  Total 
 Level 1  Level 2  Level 3  Fair Value 
Convertible notes payable $---  $---  $1,336,350  $1,336,350 
Liability-classified equity instruments $---  $---  $83,125  $83,125  $---  $

---

  $162,500  $162,500 
Contingent acquisition consideration  ---   ---   1,500,440   1,500,440   ---   ---   312,733   312,733   ---   ---   1,185,690   1,185,690 
                                                
Total $---  $---  $2,836,790  $2,836,790  $---  $---  $395,858  $395,858  $---  $

---

  $1,348,190  $1,348,190 

 

The changes in Level 3 financial instruments that are measured at fair value on a recurring basis during the three and nine months ended September 30, 20212022 and 20202021 were as follows:

 

 Three Months Ended
September 30,
  Nine Months Ended
September 30,
  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
 2021  2020  2021  2020  2022  2021  2022  2021 
                  
Convertible notes payable $---  $(46,094) $(19,246) $(117,829) $---  $---  $---  $(19,246)
Notes payable to related party  ---   (32,968)  ---   (80,935)
Derivative financial instruments  ---   12,802   ---   739,485 
Contingent acquisition consideration  126,411   45,996   (234,678)  687   133,483   126,411   665,573   (234,678)
                                
Total $126,411  $(20,264) $(253,924) $541,408  $133,483  $126,411  $665,573  $(253,924)

 

NOTE 1918 – SUBSEQUENT EVENTS

 

None.On October 13, 2022, the Company entered into the Agreement with George O’Leary in his continuing capacity as Chief Financial Officer of the Company. The Agreement was effective as of July 1, 2022 and provides that Mr. O’Leary’s base salary will be $259,000 per year, with annual review and adjustment at the discretion of the Chief Executive Officer and Compensation Committee of the Board of Directors of the Company, and an annual incentive bonus of 25% of annual salary based on the achievement of the Company of certain financial metrics as approved by the Compensation Committee. In addition, Mr. O’Leary will be eligible for a cash bonus of $50,000 upon the uplisting of the Company and completion of a financing round at the time of uplisting. The Agreement also provides that Mr. O’Leary will receive a grant of 100,000 shares of restricted stock upon execution of the Agreement and additional grants of 100,000 restricted shares on each of July 1, 2023, 2024 and 2025. Mr. O’Leary was also granted 1,200,000 stock options with an exercise price of $0.06, a portion of which are subject to time vesting and a portion of which are subject to vesting upon the achievement of certain of the Company’s corporate objectives and Mr. O’Leary’s individual objectives. If Mr. O’Leary is terminated without cause the Company will provide Mr. O’Leary as severance an amount equal to six (6) months of his base salary. Concurrently, the Company and Mr. O’Leary entered into a Non-Disclosure, Non-Solicitation and Non-Compete Agreement, effective as of September 20, 2022 that contains a non-solicitation and non-compete provision which will be in effect for a two-year period following the termination of Mr. O’Leary’s employment relationship with the Company; provided, however, such period is shortened to six (6) months if Mr. O’Leary is terminated without cause.

During October 2022, the Company initiated a plan to sell the ACO/MSO Division, comprised of the operations of CHM and its subsidiary AHP, which were acquired by the Company on May 18, 2020. CHM and AHP operate an ACO that assists physician practices in providing coordinated and more efficient care to patients via the MSSP, as administered by the CMS, which rewards providers for efficiency in patient care. The Company expects to use the cash proceeds generated from a sale to supplement its operating cash requirements and pursue additional acquisitions. The Company expects to complete a sale by the first quarter of 2023.

On October 21, 2022, the Company issued a promissory note payable to an investor in the principal amount of $144,760 (the “October 2022 Note”). The October 2022 Note had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The October 2022 Note does not bear interest in excess of the original issue discount and matures on October 31, 2023. The Company is required to make 10 monthly payments of $16,213 starting November 30, 2022.

On November 8, 2022, the Company entered into a Merchant Cash Advance (“MCA”) agreement with a trust controlled by the Company’s Chief Executive Officer, Dr. Michael Dent, pursuant to which the Company received an advance of $150,000. The Company is required to repay the MCA, which acts like a note payable, at the rate of $3,750 per week for 52 weeks. The MCA is guaranteed by the Company’s NCFM subsidiary.

 


 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

Forward-Looking Statements

 

You should read the following discussion and analysis of our financial condition and results of operations together with our financial statements and the related notes appearing elsewhere in this report. In addition to historical information, this discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Our actual results may differ materially from those discussed below. Factors that could cause or contribute to such differences include, but are not limited to, those identified below, and those discussed in the section titled “Item 1A. Risk Factors” included in our most recent Annual Report on Form 10-K. All amounts in this report are in U.S. dollars, unless otherwise noted.

 

Overview

 

General

HealthLynked Corp. (the “Company,” “we,” “our,” or “us”) was incorporated in the State of Nevada on August 4, 2014. We currently operate in fourthree distinct divisions: the Health Services Division, the Digital Healthcare Division, the ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, and the Medical Distribution Division. Our Health Services division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology) and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, and (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, FL opened in January 2020 that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery.surgery, and (iv) Aesthetic Enhancements Unlimited (“AEU”), a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. Our Digital Healthcare division develops and operates an online personal medical information and record archive system, the “HealthLynked Network,” which enables patients and doctors to keep track of medical information via the Internet in a cloud-based system. Our ACO/MSOMedical Distribution Division is comprised of the businessoperations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States we acquired on October 19, 2020.

Recent Development – ACO/MSO Division

On October 21, 2022, our Board of Directors approved a plan to sell our ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, comprised of the operations of Cura Health Management LLC (“CHM”) and its subsidiary ACO Health Partners LLC (“AHP”), which were acquired by the Company on May 18, 2020. CHM and AHP operate an Accountable Care Organization (“ACO”) and Managed Service Organization (“MSO”) that assists physician practices in providing coordinated and more efficient care to patients via the Medicare Shared Savings Program (“MSSP”) as administered by the Centers for Medicare and Medicaid Services (the “CMS”), which rewards providers for efficiency in patient care. Our Medical Distribution Division is comprisedWe expect to use the cash proceeds generated from a sale to supplement its operating cash requirements and pursue additional acquisitions. We expect to complete a sale by the first quarter of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States we acquired on October 19, 2020.2023.

 

Recent Developments

During August 2021, we sold in a registered direct offering 3,703,704 common shares and 1,851,852 five-year warrants with an exercise price of $0.65 to an institutional investor at an offering price of $0.54 per share, resulting in gross proceeds of $2,000,000. Net proceeds after offering costs and expenses were $1,719,921.

During the nine months ended September 30, 2021, we sold 13,161,943 shares of common stock in 53 separate private placement transactions. We received $4,328,725 in proceedsan initial determination during third quarter 2022 from the sales. In connectionCMS that our ACO missed its plan year 2021 benchmark expenditures, for which we would have received payment in September 2022, by just 0.03% on total ACO expenditures of approximately $112 million. During September 2022, we requested and received a reconsideration appeal (the “MSSP Appeal”) with these stock sales, we also issued 6,581,527 five-year warrants to purchase shares of common stock at exercise prices between $0.27 and $1.05 per share. During the same period, we also issued 3,006,098 shares pursuant to draws under the Investment Agreement for additional gross proceeds of $900,636.

See “Liquidity and Capital Resources-Significant Liquidity Events-Investment Agreement” below for further detailsCMS on the financing transactions.basis that certain of our included expenditures were directly related to long-haul Covid-19 and should therefore be excluded from consideration in calculation of our shared savings. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize Medicare shared savings revenue and related provider shared savings expense when we receive official notification from CMS of any amounts to be paid to us, we will only recognize revenue and expense related to plan year 2021 shared savings if and when we are notified that the MSSP Appeal is successful. If the MSSP Appeal is unsuccessful, we will not receive any Medicare shared savings payments related to plan year 2021 and therefore will not recognize any Medicare shared savings revenue or provider shared saving expense in 2022.

 

Critical accounting policies and significant judgments and estimates

 

SeeFor a discussion of our critical accounting policies, see Note 2, “Significant Accounting Policies,” in the Notes to consolidated Financial Statements.

 


 

Results of Operations

 

Comparison of Three Months Ended September 30, 20212022 and 20202021

 

The following table summarizes the changes in our results of operations for the three months ended September 30, 20212022 compared with the three months ended September 30, 2020:2021:

 

 Three Months Ended September 30,  Change  Three Months Ended September 30,  Change 
 2021  2020  $  %  2022  2021  $  % 
                  
Patient service revenue, net $1,394,356  $1,054,806  $339,550   32% $1,262,253  $1,394,356  $(132,103)  -9%
Medicare shared savings revenue  2,419,312   767,744   1,651,568   215%  ---   2,419,312   (2,419,312)  -100%
Consulting and event revenue  69,595   217,605   (148,010)  68%
Subscription, consulting and event revenue  89,977   69,595   20,382   29%
Product revenue  161,456   ---   161,456   *   95,449   161,456   (66,007)  -41%
Total revenue  4,044,719   2,040,155   2,004,564   98%  1,447,679   4,044,719   (2,597,040) ��-64%
                                
Operating Expenses and Costs                                
Practice salaries and benefits  739,024   590,690   148,334   25%  810,058   739,024   71,034   10%
Other practice operating expenses  549,086   548,667   419   0%  695,300   549,086   146,214   27%
Medicare shared savings expenses  1,748,585   759,848   988,737   130%  337,533   1,748,585   (1,411,052)  -81%
Cost of product revenue  145,432   ---   145,532   *   87,775   145,432   (57,657)  -40%
Selling, general and administrative expenses  1,147,591   958,874   188,717   20%  1,088,133   1,147,591   (59,458)  -5%
Depreciation and amortization  205,311   25,151   180,160   716%  209,504   205,311   4,193   2%
Loss from operations  (490,310)  (843,075)  352,765   42%  (1,780,624)  (490,310)  (1,290,314)  263%
                                
Other Income (Expenses)                                
Loss on sales of marketable securities  ---   (281,606)  281,606   100%
Loss on extinguishment of debt  ---   (450,999)  450,999   100%
Change in fair value of debt  ---   (79,062)  79,062   100%
Financing cost  (110,000)  ---   *   * 
Amortization of original issue and debt discounts on notes payable and convertible notes  ---   (65,816)  65,816   100%  (21,020)  ---   *   * 
Change in fair value of derivative financial instruments  ---   12,802   (12,802)  100%
Change in fair value of contingent acquisition consideration  126,411   45,996   80,415   175%  133,483   126,411   7,072   6%
Interest expense  (4,118)  (72,535)  68,417   94%  (5,640)  (4,118)  (1,522)  37%
Total other income (expenses)  122,293   (891,220)  1,013,513   114%
Total other expenses  (3,177)  122,293   (125,470)  -103%
                                
Net loss $(368,017) $(1,734,295) $1,366,278   79% $(1,783,801) $(368,017) $(1,415,784)  385%

 

* - Denotes new line item on statement of operations for which there was no corresponding activity in the same period of 2020.prior year.

 

Revenue

 

Patient service revenue in the three months ended September 30, 2021 increased2022 decreased by $339,550,$132,103, or 32%9% year-over-year, to $1,394,365,$1,262,253, primarily as a result of increaseddecreased patient service revenue at our NWC and BTG practices due primarily to closures at both offices in September 2022 from Hurricane Ian, offset by a year-over-year increase at our NCFM practice of $230,331, increases at our NWC practice$46,327 and the addition of $85,975, and increases at our BTG practice of $23,065.AEU revenue following its acquisition in second quarter 2022.

 

Medicare shared savings revenue in the three months ended September 30, 2021 increased2022 decreased by $1,651,568,$2,419,312, or 215%100%, year-over-year, to $2,419,312$-0- as a result of an initial determination during third quarter 2022 from the higher $2,419,312 MSSPCMS that our ACO narrowly missed its plan year 2021 benchmark expenditures, for which we would have received payment received in September 2022. During September 2022, we filed the MSSP Appeal with the CMS to review the calculation of our shared savings. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize Medicare shared savings revenue when we receive official notification from CMS of any amounts to be paid to us, we will only recognize revenue related to plan year 2021 comparedshared savings if and when we are notified that the MSSP Appeal is successful. If the MSSP Appeal is unsuccessful, we will not receive any Medicare shared savings payments related to a payment of $767,744 receivedplan year 2021 and therefore will not recognize any Medicare shared savings revenue in September 2020.2022.

 


Consulting

Subscription, consulting and event revenue in the three months ended September 30, 2021 decreased2022 increased by $148,010,$20,382, or 68%29% year-over-year, to $69,595 as a result$89,977. Consulting revenue of decreased consulting revenue in our$88,806 was earned by the ACO/MSO Division.Division in 2022, compared to $69,595 in the three months ended September 30, 2021. Subscription and event revenue of $1,171 and $-0- in 2022 and 2021, respectively, was earned from Digital Healthcare division subscription revenues.


 

Product revenue was $95,449 in the three months ended September 30, 2022, compared to $161,456 in the three months ended September 30, 2021.2021, a decrease of $66,007, or 41%. Product revenue was earned by the Medical Distribution Division, comprised of the operations acquired with MOD in October 2020, so there was no corresponding revenue in the three months ended September 30, 2020.of MOD.

 

Operating Expenses and Costs

 

Practice salaries and benefits increased by $148,334,$71,034, or 25%10%, to $739,024$810,058 in the three months ended September 30, 2022, primarily as a result of the addition of AEU salaries and benefits for a full quarter in 2022 with no corresponding cost in 2021.

Other practice operating costs increased by $146,214, or 27%, to $695,300 in the three months ended September 30, 2022, primarily as a result of the addition of AEU operating costs for a full quarter in 2022 with no corresponding cost in 2021.

Medicare shared savings expenses in the three months ended September 30, 2022 decreased by $1,411,052, or 81%, year-over-year, to $337,533 as a result of an initial determination during third quarter 2022 from the CMS that our ACO narrowly missed its plan year 2021 benchmark expenditures, for which we would have received payment in September 2022. Because there was no shared savings awarded in the initial notification, the portion of shared savings shared with our participating providers was $-0- in 2022. During September 2022, we filed the MSSP Appeal with the CMS. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize provider shared savings expense when we receive official notification from CMS of any amounts to be paid to us, we will only recognize such expense related to plan year 2021 shared savings if and when we are notified that the reconsideration appeal is successful. If the reconsideration appeal is unsuccessful, we will not receive any Medicare shared savings payments related to plan year 2021 and therefore will not recognize any Medicare shared savings revenue or provider shared saving expense in 2022.

Cost of product revenue was $87,775 in the three months ended September 30, 2022, a decrease of $57,657, or 40%, compared to the same period of 2021, corresponding to the decline in product sales for the quarter compared to the same period in the prior year.

Selling, general and administrative costs decreased by $59,458, or 5%, to $1,088,133 in the three months ended September 30, 2022 compared to the three months ended September 30, 2021, primarily due to lower stock-based consulting fees, travel costs and advertising costs incurred in 2022 compared to 2021.

Depreciation and amortization increased in the three months ended September 30, 2022 by $4,193, or 2%, to $209,504 compared to the three months ended September 30, 2021 as a result of the addition of new depreciable medical equipment from the AEU acquisition. We did not add any new intangible assets subject to amortization during either period.

Loss from operations increased by $1,290,314, or 263%, to $1,780,624 in the three months ended September 30, 2022 compared to the three months ended September 30, 2021, primarily as a result of increased staffing at each of our service facilities relative to 2020 to meet an increase in patient visits in 2021 relative to 2020.

Other practice operating costs increased by $419, or less than 1%, to $549,086 due primarily to higher costs at NCFM corresponding to the increase in revenue.

Medicare shared savings expenses increased by $988,737, or 130%, to $1,748,585 as a result of the higher $2,419,312 MSSP payment received in September 2021 compared to a payment of $767,744 received in September 2020, resulting in higher payments to participating providers. Medicare shared savings expenses represent costs incurred to deliverreceiving no Medicare shared savings revenue including overhead and consulting fees related to advising participating physician practices, as well as the physicians’ contractual portion(net of anyprovider shared savings received by the ACO.

Cost of product revenue was $145,432expense) in the three months ended September 30, 2021. Cost of product revenue relates to the cost of medical products sold by the Medical Distribution Division,2022, which is comprised of the operations acquired with MODunder appeal as described above, decreased patient service revenue at our NWC and BTG practices due primarily to closures at both offices in October 2020, so there was no corresponding costSeptember 2022 from Hurricane Ian, and decrease in the three months ended September 30, 2020.

Selling, general and administrative costs increased by $188,717, or 20%, to $1,147,591 in the three months ended September 30, 2021 compared to the same period of 2020, primarily due to more personnel in our corporate function in connection with our continued expansion, as well as increased legal, accounting and consulting fees, stock-based consulting fees, and development and promotional costs associated with building and marketing the HealthLynked Network and its related applications.

Depreciation and amortization increased the three months ended September 30, 2021 by $180,160, or 716%, to $205,311 compared to the same period in 2020, primarily as a result of amortization of finite-lived intangible assets acquired in the MOD acquisition.

Loss from operations decreased by $352,765, or 42%, to $490,310 in the three months ended September 30, 2021 compared to the same period in 2020, primarily as a result of a year-over-year increase in Medicare shared savings revenue of $1,651,568, offset by higher selling, general and administrative costs and higher amortization expense related to acquired intangible assets.product revenue.

 

Other Income (Expenses)

 

Loss on sales of marketable securities was $281,606, or 100%,Financing cost in the three months ended September 30, 2020. Such losses arose2021 was $110,000, resulting from cash and stock-based fees paid in connection with the three months ended September 30, 2020 from sales of marketable securities in the August 2020July 2022 Standby Equity Transaction at prices below the acquisition price.Purchase Agreement (“SEPA”). There were no such lossesfinancing costs in the three months ended September 30, 2021.

Loss on extinguishmentthird quarter of debt of $450,999 in the three months ended September 30, 2020 arose when the fair value of consideration paid to retire previously outstanding convertible note exceeded the carrying value of the instruments retired, including any related derivative financial instruments, such as embedded conversion features. No such debt was retired, and therefore there were no corresponding charges, in the three months ended September 30, 2021.

Loss from the change in fair value of debt of $79,062 in the three months ended September 30, 2020 resulted from certain convertible notes and notes payable to related parties that, in previous periods, were extended and treated as an extinguishment and reissuance for accounting purposes, requiring these notes to be subsequently carried at fair value and revalued at each period end. After conversion of our remaining convertible notes outstanding in January 2021, we had no further debt carried at fair value, and therefore no change in fair value of debt in the three months ended September 30, 2021.

 

Amortization of original issue and debt discounts was $65,816on notes payable and convertible notes in the three months ended September 30, 2020. With the retirement2021 was $21,020, resulting from amortization of original issue discounts on our July 2022 $550,000 promissory note and on a note payable assumed in 2020our acquisition of all floating rate convertible notes that with discounts subject to amortization, there were no corresponding charges in the three months ended September 30, 2021.AEU.

 

Gain from the change in fair value of derivative financial instruments was $12,802 in the three months ended September 30, 2020. We retired all derivative financial instruments in 2020 with the repayment of all adjustable-rate convertible notes payable that had associated embedded conversion feature derivatives, so there were no corresponding charges in the three months ended September 30, 2021.


Gains from the change in fair value of contingent acquisition consideration increased by $80,415,$7,072, or 175%6%, to $133,483 in the three months ended September 30, 2022, compared to $126,411 in the three months ended September 30, 2021. Fair value of contingent acquisition consideration relates to future acquisition consideration that may be payable if certain prescribed performance milestones are met by businesses acquired by us, including NCFM (acquired in April 2019), CHM (acquired in May 2020), and MOD (acquired in October 2020). The fair value of contingent acquisition consideration is remeasured at each reporting period using a probability-weighted discounted cash flow model. The increase in gains in 2021 was due primarily to a $218,201 decrease in fair value ofBecause contingent acquisition consideration related to our acquisition of MOD which is payable in a fixed number of shares, upon achievement of annual revenue milestoneschanges in the fair value of the underlying business betweencontingent acquisition consideration fluctuates with our share price. During each of the three months ended September 30, 2022 and 2021, our share price decreased from the price at the end of the preceding quarter, resulting in a decrease in the fair value of the contingent acquisition consideration liability and 2024.a corresponding gain from the change in fair value of the liability.


 

Interest expense decreasedincreased by $68,417,$1,522, or 94%37%, to $4,118 in$5,640 for the three months ended September 30, 2021 when compared to the same period in 2020,2022 as a result of the repayment and conversionforgiveness of convertible notes and notes payablePPP loans in 2021. Interest expense relates primarily to related parties during 2020, combined with low-interest government loans added to our balance sheet, resulting in substantially lower debt balances in 2021.long-term SBA loans.

 

Total other income (expenses) increaseddecreased by $1,013,513,$125,470, or 114%103%, to expense of ($3,177) in the three months ended September 30, 20212022 compared to income of $122,293 compared to expense in the same period in 2020 of $891,220, primarily as a result of other expenses incurred in 2020 – including loss on sales of marketable securities, loss on extinguishment of debt, loss on change in fair value of debt, amortization of original issue and debt discounts on notes payable and convertible notes, and change in fair value of derivative financial instruments – related to convertible debt and other instruments no longer held by us, resulting in no corresponding charges in the three months ended September 30, 2021. The change was primarily a result of financing costs and amortization of debt discounts associated with the July 2022 SEPA and $550,000 promissory note, respectively.

 

Net loss decreasedincreased by $1,366,278,$1,415,784, or 79%385%, to $1,783,801 in the three months ended September 30, 2022, compared to net loss of $368,017 in the three months ended September 30, 2021, when compared to the same period in 2020, primarily as a result of (i) debt-related charges incurred in 2020 corresponding to debt that has since been retired, (ii) a 100% increase in our revenue streams year-over year, including an increasethe initial determination by CMS of $1,651,568 in our annual MSSP revenue receipt, (iii) losses on sales of marketable securities incurred in 2020 with corresponding losses in 2021, and (iv) increased gains on the reduction in fair value of contingent acquisition consideration payable related to three of our acquisitions. The lower loss was offset by increases inno Medicare shared savings expenses corresponding torevenue (net of provider shared savings expense) in 2022, which is under appeal as described above, (ii) higher practice operating costs, (iii) lower patient service revenue resulting from office closures associated with Hurricane Ian in September 2022, and (iv) financing costs associated with the increase in MSSP revenue and selling, general and administrative expenses.July 2022 SEPA.


 

Comparison of Nine monthsMonths Ended September 30, 20212022 and 20202021

 

The following table summarizes the changes in our results of operations for the nine months ended September 30, 20212022 compared with the nine months ended September 30, 2020:2021:

 

 Nine Months Ended September 30,  Change  Nine Months Ended
September 30,
  Change 
 2021  2020  $  %  2022  2021  $  % 
                  
Patient service revenue, net $4,379,282  $3,502,836  $876,446   25% $4,069,714  $4,379,282  $(309,568)  -7%
Medicare shared savings revenue  2,419,312   767,744   1,651,568   215%  ---   2,419,312   (2,419,312)  -100%
Consulting and event revenue  229,114   268,025   (38,911)  15%
Subscription, consulting and event revenue  260,491   229,114   31,377   14%
Product revenue  512,325   ---   512,235   *   372,877   512,325   (139,448)  -27%
Total revenue  7,540,033   4,538,605   3,001,428   66%  4,703,082   7,540,033   (2,836,951)  -38%
                                
Operating Expenses and Costs                                
Practice salaries and benefits  2,305,993   1,910,897   395,096   21%  2,344,529   2,305,993   38,536   2%
Other practice operating expenses  1,790,874   1,633,380   157,494   10%  1,897,070   1,790,874   106,196   6%
Medicare shared savings expenses  2,157,555   824,084   1,333,471   162%  802,411   2,157,555   (1,355,144)  -63%
Cost of product revenue  474,026   ---   474,026   *   419,129   474,026   (54,897)  -12%
Selling, general and administrative expenses  3,661,206   2,116,159   1,545,047   73%  3,678,784   3,661,206   17,578   0%
Depreciation and amortization  623,438   74,811   548,627   733%  622,306   623,438   (1,132)  0%
Loss from operations  (3,473,059)  (2,020,726)  (1,452,333)  72%  (5,061,147)  (3,473,059)  (1,588,088)  46%
                                
Other Income (Expenses)                                
Loss on sales of marketable securities  ---   (281,606)  281,606   100%
Loss on extinguishment of debt  (4,957,168)  (1,347,371)  (3,609,797)  268%
Gain (loss) on extinguishment of debt  ---   (4,957,168)  4,957,168   -100%
Change in fair value of debt  (19,246)  (198,764)  179,518   90%  ---   (19,246)  19,246   -100%
Amortization of original issue and debt discounts on notes payable and convertible notes  ---   (530,930)  530,930   100%
Change in fair value of derivative financial instruments  ---   739,485   (739,485)  100%
Financing cost  (110,000)  ---   *   * 
Amortization of original issue discounts on notes payable  (21,020)  ---   *   * 
Change in fair value of contingent acquisition consideration  (234,678)  687   (235,365)  34260%  665,573   (234,678)  900,251   -384%
Interest expense  (13,083)  (193,134)  180,051   93%  (15,151)  (13,083)  (2,068)  16%
Total other expenses  (5,224,175)  (1,811,633)  (3,412,542)  188%
Total other income (expenses)  519,402   (5,224,175)  5,743,577   -110%
                                
Net loss $(8,697,234) $(3,832,359) $(4,864,875)  127% $(4,541,745) $(8,697,234)  4,155,489   -48%

 

* - Denotes new line item on statement of operations for which there was no corresponding activity in the same period of 2020.prior year.

* - Denotes change of less than 1%.


 

Revenue

 

Patient service revenue in the nine months ended September 30, 2021 increased2022 decreased by $876,446,$309,568, or 25%7% year-over-year, to $4,379,282$4,069,714, primarily as a result of increaseddecreased patient service revenue at our NWC practice of $632,275 due to the departure of a physician and a decrease at BTG of $48,051, offset by a year-over-year increase at our NCFM practice of $661,277, increases at our NWC practice$247,314 and the addition of $200,832, and increases at our BTG practice of $14,158.AEU revenue following its acquisition.

 

Medicare shared savings revenue in the nine months ended September 30, 2021 increased2022 decreased by $1,651,568,$2,419,312, or 215%100%, year-over-year, to $2,419,312 year-over-year$-0- as a result of an initial determination during third quarter 2022 from the higher $2,419,312 MSSPCMS that our ACO narrowly missed its plan year 2021 benchmark expenditures, for which we would have received payment received in September 2022. During September 2022, we filed the MSSP Appeal with the CMS to review the calculation of our shared savings. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize Medicare shared savings revenue when we receive official notification from CMS of any amounts to be paid to us, we will only recognize revenue related to plan year 2021 comparedshared savings if and when we are notified that the MSSP Appeal is successful. If the MSSP Appeal is unsuccessful, we will not receive any Medicare shared savings payments related to a payment of $767,744 receivedplan year 2021 and therefore will not recognize any Medicare shared savings revenue in September 2020.2022.

 

ConsultingSubscription, consulting and event revenue in the nine months ended September 30, 2021 decreased2022 increased by $38,911,$31,377, or 15%14% year-over-year to $229,114.$260,491. Consulting revenue of $217,209$251,058 was earned by the ACO/MSO Division in 2021,2022, compared to $268,025$217,209 in the corresponding period of 2020. Eventthree months ended June 30, 2021. Subscription and event revenue of $9,433 and $11,905 in 2022 and 2021, respectively, was earned in connection with the HealthLynked Future offrom Digital Healthcare Summit held in March 2021.division subscription and event revenues.


 

Product revenue was $512,325$372,877 in the nine months ended September 30, 2021.2022, compared to $512,235 in the nine months ended September 30, 2021, a decrease of $139,448, or 27%. Product revenue was earned by the Medical Distribution Division, comprised of the operations acquired with MOD in October 2020, so there was no corresponding revenue in the nine months ended September 30, 2020.of MOD.

 

Operating Expenses and Costs

 

Practice salaries and benefits increased by $395,096,$38,536, or 21%2%, to $2,305,993$2,344,529 in the nine months ended September 30, 2022 primarily as a result of the addition of AEU salaries and benefits starting in May 2022 with no corresponding cost in 2021.

Other practice operating costs increased by $106,196, or 6%, to $1,897,070 in the nine months ended September 30, 2022, primarily as a result of the addition of AEU operating costs starting in May 2022 with no corresponding cost in 2021.

Medicare shared savings expenses in the nine months ended September 30, 2022 decreased by $1,355,144, or 63%, year-over-year, to $802,411 as a result of an initial determination during third quarter 2022 from the CMS that our ACO narrowly missed its plan year 2021 benchmark expenditures, for which we would have received payment in September 2022. Because there was no shared savings awarded in the initial notification, the portion of shared savings shared with our participating providers was $-0- in 2022. During September 2022, we filed the MSSP Appeal with the CMS. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize provider shared savings expense when we receive official notification from CMS of any amounts to be paid to us, we will only recognize such expense related to plan year 2021 shared savings if and when we are notified that the reconsideration appeal is successful. If the reconsideration appeal is unsuccessful, we will not receive any Medicare shared savings payments related to plan year 2021 and therefore will not recognize any Medicare shared savings revenue or provider shared saving expense in 2022.

Cost of product revenue was $419,129 in the nine months ended September 30, 2022, a decrease of $54,897, or 12%, compared to the same period of 2021, corresponding to the decline in product sales for the period compared to the same period in the prior year. During the nine months ended September 30, 2022, we also made two sales with corresponding cost of product revenue of $89,395 for which we do not believe it is probable that we will collect from the customers. As a result, the cost of product revenue is recognized in the three months ended September 30, 2022 with no corresponding revenue recognized.

Selling, general and administrative costs increased by $17,578, or less than 1%, to $3,678,784 in the nine months ended September 30, 2022 compared to the nine months ended September 30, 2021, primarily due to more personnel, overhead, promotional and development costs in our corporate function in connection with our continued investment in the HealthLynked Network, offset by lower stock-based and cash-based consulting fees, and legal and accounting fees in 2022 compared to 2021.

Depreciation and amortization decreased in the nine months ended September 30, 2022 by $1,132, or less than 1%, to $622,306 compared to the nine months ended September 30, 2021, primarily as a result of increased staffing at eachcertain fixed assets reaching the end of our service facilities relative to 2020 to meet an increase in patient visitstheir depreciable lives in 2021, relativeoffset by the addition of new depreciable medical equipment from the AEU acquisition. We did not add any new intangible assets subject to 2020.amortization during either period.

 

Other practice operating costs increased by $157,494, or 10%, to 1,790,874 in the nine months ended September 30, 2021 corresponding to increased revenue at NCFM and NWC practices.


 

Medicare shared savings expenses increased by $1,331,471, or 162% to $2,157,555 as a result of the higher $2,419,312 MSSP payment received in September 2021 compared to a payment of $767,744 received in September 2020, resulting in higher payments to participating providers. Medicare shared savings expenses represent costs incurred to deliver Medicare shared savings revenue, including overhead and consulting fees related to advising participating physician practices, as well as the physicians’ contractual portion of any shared savings received by the ACO.

Cost of product revenue was $474,026 in the nine months ended September 30, 2021. Cost of product revenue relates to the cost of medical products sold by the newly formed Medical Distribution Division, which is comprised of the operations acquired with MOD in October 2020, so there was no corresponding cost in the nine months ended September 30, 2020.

Selling, general and administrative costs increased by $1,545,047, or 73%, to $3,661,206 in the nine months ended September 30, 2021 compared to the nine months ended September 30, 2020, primarily due to increased stock-based consulting fees, cash-based legal, accounting and consulting fees, more personnel in our corporate function in connection with our continued expansion, and higher advertising, promotional and development costs associated with developing and marketing the HealthLynked Network and related applications.

Depreciation and amortization increased the nine months ended September 30, 2021 by $548,627, or 733%, to $623,438 compared to the same period in 2020, primarily as a result of amortization of finite-lived intangible assets acquired in the MOD acquisition.

 

Loss from operations increased by $1,452,333,$1,588,088, or 72%46%, to $3,473,059$5,061,147 in the nine months ended September 30, 20212022 compared to the same period in 2020,nine months ended September 30, 2021, primarily as a result of increased selling, generalreceiving no Medicare shared savings revenue (net of provider shared savings expense) in 2022, which is under appeal as described above, lower patient service and administrative costs related to our expansion as well as amortization of intangibles from MOD, offset by increasesproduct revenue and an increase in each of our revenue streams.practice operating costs.

 

Other Income (Expenses)

Loss on sales of marketable securities was $281,606, or 100%, in the nine months ended September 30, 2020. Such losses arose in the three months ended September 30, 2020 from sales of marketable securities in the August 2020 Equity Transaction at prices below the acquisition price. There were no such losses in the three months ended September 30, 2021.

 

Loss on extinguishment of debt in the nine months ended September 30, 2021 increased by $3,609,797, or 268%, towas $4,957,168 as compared to the same period in 2020, primarily as a result of a January 2021 transaction pursuant to which the holder of convertible notes with a face value of $1,038,500 and $317,096 of accrued interest agreed to convert the notes pursuant to the original note terms and agreed to a leak-out provision on the received shares in exchange for a five-year warrant to purchase 13,538,494 shares of common stock at an exercise price of $0.30 per share. In connection with the conversion, we recognizedresulting from (i) a loss on debt extinguishment of $5,463,492 in the nine months ended September 30, 2021,$5,589,994 representing the excess of the fair value of the shares and a warrant issued at conversion of convertible notes over the carrying value of the host instrumentinstruments and accrued interest. This loss was offset byinterest, and (ii) a debt extinguishment gain of $632,826 related to the forgiveness of PPP loans in May and June 2021. Losses onThere were no gains or losses from the extinguishment of debt in the nine months ended September 30, 2020 resulted from an excess of fair value of consideration paid to retire a convertible notes over the carrying value of the instrument and related derivatives being retired.2022.

 

Losses from the change in fair value of debt decreased by $179,518, or 90%, towas $19,246 forin the nine months ended September 30, 2021 when compared to the same period in 2020.2021. Such gains and losses resultresulted from certain convertible notes and notes payable to related parties that, in previous periods, were extended and treated as an extinguishment and reissuance for accounting purposes, requiring these notes to be subsequently carried at fair value. The change in fair value at the end of each reporting period iswas recorded as “Change in fair value of debt.” After conversion of our remaining convertible notes outstanding in January 2021, we had no further debt carried at fair value.value, and therefore no change in fair value of debt in the nine months ended September 30, 2022

 

Financing cost in the nine months ended September 30, 2021 was $110,000, resulting from cash and stock-based fees paid in connection with the July 2022 SEPA. There were no financing costs in the third quarter of 2021.


 

Amortization of original issue and debt discounts was $530,930 for the nine months ended September 30, 2020. With the retirement in 2020 of all floating rateon notes payable and convertible notes that with discounts subject to amortization, there were no corresponding charges in the nine months ended September 30, 2021.2021 was $21,020, resulting from amortization of original issue discounts on our July 2022 $550,000 promissory note and on a note payable assumed in our acquisition of AEU.

 

Gains from the change in fair value of derivative financial instruments was $739,485 for the nine months ended September 30, 2020. We retired all derivative financial instruments in 2020 with the repayment of all adjustable-rate convertible notes payable that had associated embedded conversion feature derivatives, so there were no corresponding gains or charges in the nine months ended September 30, 2021.

(Loss) gainGain (loss) from the change in fair value of contingent acquisition consideration increased by $235,365,$900,251, or 34,260%384%, to a gain of $665,573 in the nine months ended September 30, 2022, compared to a loss of $234,678 in the nine months ended September 30, 2021 when compared to the same period in 2020. The increase in the loss in 2021 was due primarily to the increase in fair value of2021. Because contingent acquisition consideration related to our acquisition of MOD which is payable in a fixed number of shares, upon achievement of annual revenue milestones of the underlying business between 2021 and 2024. Duechanges in large part to an increase in our stock price since December 31, 2020, the fair value of the contingent acquisition consideration fluctuates with our share price. During the nine months ended September 30, 2021, our share price increased substantially, resulting in an increase in the fair value of the contingent acquisition consideration liability increased substantially.and a corresponding loss from the change in fair value. During the nine months ended September 30, 2022, our share price decreased substantially, resulting in a gain from the decrease in fair value of the liability.

 

Interest expense decreasedincreased by $180,051,$2,068, or 93%16%, to $13,083$15,151 for the nine months ended September 30, 2021 when2022, compared to interest expense of $13,083 in the same period in 2020, as a result of the repayment and conversion of convertible notes and notes payablenine months ended September 30, 2021. Interest expense relates primarily to related parties during 2020, combined with low-interest government loans added to our balance sheet, resulting in substantially lower debt balances in 2021.long-term SBA loans.

 

Total other expensesincome (expenses) increased by $3,412,542,$5,743,577, or 188%110%, to income of $519,402 in the nine months ended September 30, 2022 compared to expense of $5,224,175 in the nine months ended September 30, 2021 when compared to the same period in 20202021. The change was primarily as a result of a (i) $5,589,994 loss on extinguishment of debt associated with the retirement of our last remaining convertible notes payable in 2021, (ii) an increase in lossesand a gain from the change in fair value of contingent acquisition recognized in the nine months ended September 30, 2022, contrasted to a loss in the nine months ended September 30, 2021, due principally to the fixed-share structure of the MOD contingent consideration, and (iii) a gain in change in fair value of derivative financial instruments in 2020 with no corresponding income or charge in 2021.consideration.

 

Net loss increaseddecreased by $4,864,875,$4,155,489, or 127%48%, to $4,541,745 in the nine months ended September 30, 2022, compared to net loss of $8,697,234 in the nine months ended September 30, 2021, when compared to the same period in 2020 primarily as a result of (i) a loss on extinguishmentthe initial determination by CMS of debt associated with the retirementno Medicare shared savings revenue (net of our last remaining convertible notes payableprovider shared savings expense) in 2021,2022, which is under appeal as described above, (ii) increased selling, general and administrative costs related to our expansion, an increase in lossesthe gain from the change in fair value of contingent acquisition recognized in 2022 compared to 2021, due principally to the fair value impact of changes in our stock price on the fixed-share structure of the MOD contingent acquisition consideration, and (iii) a gaindecrease in changepatient services revenue at our NWC facility and a decrease in fair value of derivative financial instruments in 2020 with no corresponding income or charge in 2021. The increased losses were offset by a 67% overallproduct revenue, and (iv) an increase in practice salaries and operating costs in our revenue year-over-year, a gain on debt extinguishment related to the forgiveness of PPP Loans in 2021, and the retirement of convertible debt that eliminated debt discount amortization charges incurred in prior periods.Health Services division.


 

Seasonal Nature of Operations

 

We acquired CHM in May 2020. CHM’s primary source of revenue is derived from payments earned under the Medicare shared savings program. Such amounts are determined annually when we are notified by CMS of the amount of shared savings earned. Accordingly, we recognize Medicare shared savings revenue in the period in which the CMS notifies us of the exact amount of shared savings to be paid, which historically has occurred during the three-month period ended September 30 for the program year ended December 31 of the previous year. Medicare shared savings revenue for the program year ended December 31, 2020, for which we received notificationpayment and paymentrecognized revenue in September 2021, was $2,419,312. Medicare shared savings revenue for the program year ended December 31, 2019, for which we received notificationpayment and paymentrecognized revenue in September 2020, was $767,744. Future recognition of Medicare shared savings revenue is expected to result in a material increase in our consolidated revenues in the third fiscal quarter of each year compared to the first, second and fourth fiscal quarters. Likewise, in the period in which we recognize Medicare shared savings revenue, we also determine the amount of shared savings expense to be paid to physicians participating in our ACO. This expense is also expected to be recognized in the third fiscal quarter of each year and is expected to materially increase our total operating expenses in the third fiscal quarter compared to other quarters of the fiscal year.year

As described above, we received an initial determination during third quarter 2022 from the CMS that our ACO missed its plan year 2021 benchmark expenditures, for which we would have received payment in September 2022, by just 0.03% on total ACO expenditures of approximately $112 million. During September 2022, we filed the MSSP Appeal with the CMS on the basis that certain of our included expenditures were directly related to long-haul Covid-19 and should therefore be excluded from consideration in calculation of our shared savings. We are awaiting the outcome of the MSSP Appeal, which we expect during the fourth quarter of 2022. Because we recognize Medicare shared savings revenue and related provider shared savings expense when we receive official notification from CMS of any amounts to be paid to us, we will only recognize revenue and expense related to plan year 2021 shared savings if and when we are notified that the MSSP Appeal is successful. If the MSSP Appeal is unsuccessful, we will not receive any Medicare shared savings payments related to plan year 2021 and therefore will not recognize any Medicare shared savings revenue or provider shared saving expense in 2022.

 

Liquidity and Capital Resources

 

Liquidity and Going Concern

During the second quarter of 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. This update provided U.S. GAAP guidance on management’s responsibility in evaluating whether there is substantial doubt about a company’s ability to continue as a going concern and about related footnote disclosures. Under this standard, we are required to evaluate whether there is substantial doubt about our ability to continue as a going concern each reporting period, including interim periods. In evaluating our ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about our ability to continue as a going concern within 12 months after our financial statements were issued (November 14, 2022). Management considered our current financial condition and liquidity sources, including current funds available, forecasted future cash flows and our obligations due before November 14, 2023.

We are subject to a number of risks, including uncertainty related to product development and generation of revenues and positive cash flow from our Digital Healthcare division and a dependence on outside sources of capital. The attainment of profitable operations is dependent on future events, including obtaining adequate financing to fulfill our growth and operating activities and generating a level of revenues adequate to support our cost structure.

We have experienced net losses and cash outflows from operating activities since inception. As of September 30, 2021,2022, we had cash balances of $5,448,791,$158,160, a working capital deficit of $3,070,164$1,989,943 and an accumulated deficit $30,482,144.of $36,746,934. For the nine months ended September 30, 2021,2022, we had a net loss of $8,697,234 and$4,541,745, net cash used by operating activities of $1,627,184. Net cash used in investing activities was $334,581. Net$3,762,644, and cash provided by financing activities was $7,248,372, including $6,949,281 received from sales of common stock in private placements, registered direct transactions$1,173,908. We expect to continue to incur net losses and puts pursuant tohave significant cash outflows for at least the July 2016 $3 million investment agreement (the “Investment Agreement”), and $350,200 in proceeds from the exercise of stock options and warrants. During January 2021, the holder of $1,038,500 fixed rate convertible debt converted the entire face value of $1,038,500, plus $317,096 of accrued interest on such notes, into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes. Following the conversion, the Company had no further convertible debt outstanding. During May 2021, PPP loans in the amount of $632,826 plus $6,503 accrued interest were forgiven. During August 2021, we sold 3,703,704 common shares and 1,851,852 five-year warrants with an exercise price of $0.65 to an institutional investor at an offering price of $0.54 per share, resulting in gross proceeds of $2,000,000.next 12 months.

 


 

We believe that we have sufficient cash on hand to fundManagement has evaluated the business for at least the next 12 months. We intend that the longer term (i.e., beyond twelve months) cost of completing additional intended acquisitions, implementing our development and sales efforts related to the HealthLynked Network and maintaining existing and expanding overhead and administrative costs will be financed from (i) cash on hand resulting from fund raising efforts in 2021, (ii) profits generated by NCFM, BTG and CHM (including expected Medicare Shared Savings revenue projected to be received annually in the third fiscal quarter of each year), and (iii) the use of further outside funding sources. No assurances can be given that we will be able to access additional outside capital in a timely fashion. If necessary funds are not available, our business and operations would be materially adversely affected and in such event, we would attempt to reduce costs and adjust our business plan.

A novel strain of coronavirus, COVID-19, that was first identified in China in December 2019, has surfaced in several regions across the world and resulted in travel restrictions and business slowdowns or shutdowns in affected areas. In March 2020, the World Health Organization declared the outbreak of COVID-19 a pandemic. The outbreaksignificance of the pandemic is materially adversely affecting our employees, patients, communities and business operations, as well as the U.S. economy and financial markets. The further spread of COVID-19, and the requirementconditions described above in relation to take action to limit the spread of the illness, may impact our ability to carry outmeet our business as usualobligations and may materially adversely impact global economic conditions,concluded that, without additional funding, we will not have sufficient funds to meet our business andobligations within one year from the date the condensed consolidated financial condition, including our potential to conduct financings on terms acceptable to us, if at all. The extent to which COVID-19 may impact our business will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and social distancing in the United States and other countries, business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and treat the disease. In response to COVID-19, the Company implemented additional safety measures in its patient services locations and its corporate headquarters.

Significant Liquidity Events

Historically, we have funded our operations principally through a combination of convertible promissory notes, private placements of our common stock, promissory notes and related party debt, as described below.

Registered Direct Offering – August 2021statements were issued.

 

On August 26, 2021,July 5, 2022, we entered into a securities purchase agreementStandby Equity Purchase Agreement (the “SEPA”) with a certain institutional investor (the “Purchaser”YA II PN, Ltd. (“Yorkville”) pursuant. Pursuant to whichthe SEPA, we agreedshall have the right to sell in a registered direct offering (the “Registered Direct Offering”) 3,703,704to Yorkville up to 30,000,000 of our shares of our common stock, par value $0.0001 per share, at our request any time during the commitment period set forth in the SEPA. Because the purchase price per share to the Purchaser at an offering price of $0.54 per share. In a concurrent private placement, we also sold to the Purchaser unregistered warrants (the “Warrants”) to purchase up to an aggregate of 1,851,852 shares of our common stock, representing 50% ofbe paid by Yorkville for the shares of common stock that were purchased insold us to Yorkville pursuant to the Registered Direct Offering. The Warrants are exercisable at an exercise priceSEPA, if any, will fluctuate based on the market prices of $0.65 per share, are exercisable immediately upon issuance and have a term of exercise equal to five years from the date of issuance. We also issued compensation warrants to our placement agent to purchase up to 269,269 shares of common stock equal to 8.0% ofduring the aggregate number of shares of common stock placed inapplicable pricing period, we cannot reliably predict the Registered Direct Offering. The placement agent warrants have a term of five (5) years from the commencement of sales under the Registered Direct Offering and an exercise price of $0.675 per share of common stock (equal to 125% of the offeringactual purchase price per share of common stock into be paid by Yorkville for those shares, or the Registered Direct Offering).

We received netactual gross proceeds from the in the Registered Direct Offering, after deducting placement agent fees and other offering expenses payableto be raised by us of $1,719,921. The transactions closed on August 31, 2021.

2021 Equity Transactions

from those sales, if any. During the three and nine months ended September 30, 2021,2022, we sold 13,161,943made 11 advances under the SEPA, receiving $297,405 in proceeds for the issuance of 2,708,100 shares of common stock, in 53 separate private placement transactions. We received $4,328,725 in proceeds fromof which $125,618 was applied to the sales. In connection with these stock sales, we also issued 6,581,527 five-year warrants to purchase sharesbalance of common stock at exercise prices between $0.27 and $1.05 per share.

Investment Agreementthe Promissory Note.

 

InOn July 2016, we entered into an Investment Agreement (the “Investment Agreement”) with Iconic Holdings, LLC (the “Investor”), pursuant to which the Investor agreed to purchase up to $3,000,000 of our common stock over a three-year period starting upon registration of the underlying shares, with such shares put to the Investor by us19, 2022, pursuant to a specified formula that limits the number of shares ableNote Purchase Agreement between us and Yorkville, dated July 5, 2022, we issued to be putYorkville a promissory note with an initial principal amount equal to the Investor to the number$550,000 (the “Promissory Note”) at a purchase price equal to the average trading volumeprincipal amount of our common shares for the ten consecutive trading days prior toPromissory Note less any original issue discounts and fees. We received net proceeds of $522,500. The Promissory Note will mature on the put notice being issued. In May 2020,six-month anniversary of execution. The Promissory Note accrues interest at a rate of 0%, but was issued with 5% original issue discount, and will be repaid in five equal monthly installments beginning on August 19, 2022. The Promissory Note may be repaid with the Investment Agreement, which was scheduled to expire on May 15, 2020, was extended untilproceeds of an advance under the earlier of May 15, 2022SEPA, or until the registration statement covering the agreement is no longerrepaid in effect.cash and, if repaid in cash, together with a 2% premium. During the nine months ended September 30, 2021 and 2020,third quarter of 2022, we issued 3,006,098 and 4,975,491 sharesmade repayments totaling $149,595 against the Promissory Note, including $125,618 applied from proceeds of sales of common stock pursuant to draws under the Investment Agreement, respectively, for gross proceeds of $900,636 and $426,299, respectively.SEPA.

 

On October 21, 2022, our Board of Directors approved a plan to sell the ACO/MSO Division, comprised of the operations of CHM and its subsidiary AHP, which we acquired on May 18, 2020. CHM and AHP operate an ACO that assists physician practices in providing coordinated and more efficient care to patients via the MSSP, as administered by the CMS, which rewards providers for efficiency in patient care. We expect to use the cash proceeds generated from a sale to supplement our operating cash requirements and pursue additional acquisitions. We expect to complete a sale by the first quarter of 2023.


Without raising additional capital, either via additional Advances made pursuant to the SEPA, from the sale of debt or equity, from the sale of the ACO/MSO Division, or from other sources, there is substantial doubt about our ability to continue as a going concern through November 14, 2023. The accompanying condensed consolidated financial statements have been prepared assuming that we will continue as a going concern. This basis of presentation contemplates the recovery of our assets and the satisfaction of liabilities in the normal course of business.

 

Plan of operation and future funding requirements

 

Our plan of operations is to profitably operate our Health Services business and continue to invest in our Digital Healthcare business, including our cloud-based online personal medical information and record archiving system, the “HealthLynked Network.”

 

We intend to marketare marketing the HealthLynked Network by targeting large health systems, hospitals and universities. In addition, we are marketing via telesales targeting physicians’ offices, direct to patientdirect-to-patient marketing, affiliated marketing campaigns, co-marketing with our Medical Distribution businesses retailersubsidiary MOD, and expanded southeast regional sales efforts. We intend that ourOur initial primary sales strategy will beis utilizing Internet-based marketing to increase penetration to targeted geographical areas. These campaigns are focused on both physician providers and patient members. We also are leveraging MOD’s discounted medical supplies as an offering to our patient and physician members in the HealthLynked Network. We also intend to utilize physician telesales through the use of telesales representatives whom we will hire as access to capital allows. In combination with our telesales, we intend to also utilize Internet based marketing to increase penetration to targeted geographical areas. These campaigns will be focused on both physician providers and patient members. We also intend to leverage MOD’s discounted medical supplies as an offering to our patient and physician members in both the HealthLynked Network and our ACO network and plans. If we fail to complete the development of, or successfully market, the HealthLynked Network, our ability to realize future increases in revenue and operating profits could be impacted, and our results of operations and financial position would be materially adversely affected.

 

A summarized timeline of our strategic acquisition transactions and the related funding sources is as follows:

In July 2018 we raised approximately $1.8 million in a private placement for the purpose of technology enhancement, sales and marketing initiatives and to fund a portion of the first phase of our planned acquisition strategy.
In 2019, we began implementation of our plan to acquire health service businesses and offer physician owners cash, stock, and deferred compensation.
On April 15, 2019, we acquired HCFM for $750,000 in cash, $750,000 in shares of our common stock and $500,000 in a three-year performance-based payout.
On May 18, 2020, we acquired CHM for $214,000 in cash, $201,675 in shares of our common stock, up to $223,000 cash and $660,000 in shares of our common stock based on a target MSSP payment of $1,725,000 in the current year, and up to $437,500 in a four-year performance-based payout.
On August 20, 2020, we completed the August 2020 Equity Transaction with Trusts controlled by our CEO, Dr. Michael Dent, pursuant to which the Trusts contributed an aggregate of 76,026 NEO Shares with a fair value of $3,066,889 to us, in exchange for an aggregate of 2,750,000 shares of our newly designated Series B Preferred Stock and an aggregate of 24,522,727 shares of our common stock.
On October 19, 2020, we acquired MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States, in exchange for (i) 19,045,563 restricted shares of our common stock valued at $2,704,470, (ii) the issuance of an aggregate of up to 10,004,749 restricted shares of the buyer’s common stock valued at up to $2,602,330 over a four year period based on MOD achieving certain revenue targets, and (iii) the partial satisfaction of certain outstanding debt obligations of MOD in the amount of $703,200 in cash by us.
During the second half of 2020, we retired floating rate convertible debt with a face value of $1,012,750 through conversions and repayments and repaid related party notes with a face value of $646,000 in an effort to improve our balance sheet.
During January 2021, the holder of $1,038,500 fixed rate convertible debt converted the full face value of $1,038,500, plus $317,096 of accrued interest on such notes, into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes. Following the conversion, we had no further convertible debt outstanding.
During August 2021, we sold in the Registered Direct Offering 3,703,704 shares of common stock and 1,851,852 five-year warrants with an exercise price of $0.65 to an institutional investor at an offering price of $0.54 per share, resulting in gross proceeds of $2,000,00 and net proceeds after offering costs and expenses of $1,719,921.
During the nine months ended September 30, 2021, we sold 13,161,943 shares of common stock in 53 separate private placement transactions. We received $4,328,725 in proceeds from the sales. In connection with these stock sales, we also issued 6,581,527 five-year warrants to purchase shares of common stock at exercise prices between $0.27 and $1.05 per share. We also issued 3,006,098 shares pursuant to draws under the Investment Agreement for additional gross proceeds of $900,636.


Currently, we are focusing on acquiring additional profitable ACOs with a concentration on physician-based ACOs in Florida, the Southeast, Texas, New Jersey and Arizona. ACOs’ objectives are to reduce patients’ healthcare costs while improving their health. Our initial targets are physician-based Florida Medicare ACOs. Profitable ACOs have shared savings, which are payments made by the Medicare governing body CMS to ACOs whose Medicare patients have aggregate total savings over the regional threshold for all Medicare patients in the territory and that meet CMS’ quality standards. Given HealthLynked’s goal to improve healthcare and reduce healthcare costs for all patients, we anticipate that the ACO acquisition model can help us expand both physician and patient utilization of the HealthLynked Network while continuing to add incremental revenue and profit from to our health services and ACO segments. We plan to raise additional capital to fund our ongoing acquisition strategy.

Historical Cash Flows

  Nine Months Ended
September 30,
 
  2021  2020 
Net cash (used in) provided by:      
Operating activities $(1,627,184)  $(1,094,495) 
Investing Activities  (334,581)  2,425,870 
Financing activities  7,248,372   271,308 
Net increase (decrease) in cash $5,286,607  $1,602,683 

  Nine Months Ended
September 30,
 
  2022  2021 
Net cash (used in) provided by:      
Operating activities $(3,762,644) $(1,627,184)
Investing activities  (544,750)  (334,581)
Financing activities  1,173,908   7,248,372 
Net increase (decrease) in cash $(3,133,486) $5,286,607 

 

Operating Activities – During the nine months ended September 30, 2021,2022, we used cash from operating activities of $1,627,184,$3,762,644, as compared with $1,094,495$1,627,184 in the same period of 2020.nine months ended September 30, 2021. The increase in cash usage results primarily from year-over-year decreases in Medicare shared savings revenue (net of provider shared savings expense) for which we are awaiting the outcome of an appeal, patient service and product revenue, as well as increased selling, increased general and administrative costs increased related to our continued expansion offset by increasesand investment in our revenue streams in 2021 compared to 2020.developing and marketing the HealthLynked Network.


Investing Activities During the nine months ended September 30, 2022, we used $544,750 in investing activities, including $313,802 used to acquire AEU (net of cash acquired), $207,384 contingent acquisition consideration payment paid to the sellers of NCFM related to the third and final year of earn-out, and $23,564 to acquire fixed assets. During the nine months ended September 30, 2021, we used $334,581 in investing activities, including $196,000 contingent acquisition consideration payment paid the sellers of NCFM and $126,106 contingent acquisition consideration payment paid the sellers of Cura, plus $12,475 for the acquisition of computers and equipment. During the same period of 2020, we generated $2,425,870 from investing activities, including $2,740,806 received from the sale of marketable securities received in an August 2020 financing transaction, offset by $164,005 used to acquire CHM (net of $49,995 cash received), $137,390 paid against contingent acquisition consideration related to the acquisitions of NCFM and CHM and $13,541 for the acquisition of computers and equipment.

 

Financing Activities – During the nine months ended September 30, 20212022, we received $706,787 from the sale of common stock (net of $125,618 received from sales of common stock under the SEPA that were applied to the balance of the Note Payable), $522,500 from the issuance of notes payable and 2020,paid $55,379 against notes payable balances (net of $125,618 received from sales of common stock under the SEPA that were applied to the balance of the Note Payable). During the nine months ended September 30, 2022 and 2021, we realized $7,248,372 and $271,308, respectively, in financing activities. Cash realized in 2021 was comprised mainly of $5,229,360 from the sale of common stock pursuant to private placements and puts under the Investment Agreement, $1,719,921 net proceeds from the Registered Direct Offering, and $350,200 proceeds from the exercise of options and warrants. We also made cash repayments against a vendor note in the amount of $51,109, retiring the note in full. Cash realized in 2020 was comprised mainly of $1,099,300 from the proceeds of the sale of shares of common stock to investors and pursuant to the Investment Agreement, $1,045,669 net proceeds from government loans, $827,500 from the issuance of convertible notes, $149,000 from related party loans and. We also repaid $1,882,405 of convertible loans and $967,756 of related party loans.

Off Balance Sheet Arrangements

We did not have, during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined under applicable Securities and Exchange Commission rules.

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk

 

The Company is not required to provide the information required by this Item as it is a “smaller reporting company,” as defined in Rule 229.10(f)(1).

 

Item 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

We maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e)) promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange Act”) that are designed to ensure that information required to be disclosed in Exchange Act reports is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to our management, including our principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

 

Our management evaluated, with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of our disclosure controls and procedures as of September 30, 20202022 based on the framework in “Internal Control – Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in 2013. Based on that evaluation, our management concluded that our disclosure controls and procedures were effective as of September 30, 2021.2022.

 

Changes in Internal Control over Financial Reporting

 

There was no change in the Company’s internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) during the fiscal quarter ended September 30, 20212022 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

 


 

PART II. OTHER INFORMATION

 

Item 1. Legal Proceedings

 

From time to time, we may become involved in various lawsuits and legal proceedings, which arise, in the ordinary course of business. However, litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may harm our business.

 

We are not aware of any such legal proceedings that we believe will have, individually or in the aggregate, a material adverse effect on our business, financial condition or operating results.

 

Item 1A. Risk Factors

 

The Company is not required to provide the information required by this item as it is a “smaller reporting company,” as defined by Rule 229.10(f)(1).

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

Except as previously disclosed in a Current Report on Form 8-K or in a Form 10-Q, or as set forth below, the Company has not sold securities that were not registered under the Securities Act of 1933, as amended (the “Securities Act”), during the period covered by this report.report:

 

During the three months ended September 30, 2021,On July 5, 2022, we sold 1,000,0003,181,818 shares of common stock for cash in a private placement transaction to anthree separate accredited investor.investors. We received $580,000$350,000 in proceeds from the sales.sale. In connection with thisthe stock sale, we also issued 500,0001,590,909 five-year warrants to the accredited investor to purchase shares of common stock at an exercise price of $0.75$0.22 per share.

 

During the three months ended September 30, 2021,On July 26, 2022, we issued 208,750142,024 shares of common stock to two separate consultantsa consultant as compensation for services provided.

 

During the three months endedOn September 30, 2021,27, 2022, we issued 1,840,278sold 1,750,000 shares of common stock for cash in a private placement transaction to threetwo separate warrant holders uponaccredited investors. We received $175,000 in proceeds from the sale. In connection with the stock sale, we also issued 1,625,000 five-year warrants to purchase shares of common stock at exercise of outstanding warrants for aggregate proceeds of $181,250.prices between $0.12 and $0.15 per share.

 

The sales of the above securities were exempt from registration under the Securities Act in reliance upon Section 4(a)(2) of the Securities Act, and/or Regulation D promulgated thereunder, as transactions by an issuer not involving any public offering. The recipients of the securities in each of these transactions represented their intentions to acquire the securities for investment purposes only and not with a view to or for sale in connection with any distribution thereof, and appropriate restrictive legends were placed upon the stock certificates issued in these transactions.

 

Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

Not applicable.

 

Item 5. Other Information

 

None.

 


 

Item 6. Exhibits

 

Exhibit No. Exhibit Description
4.110.1 Form of Investor Warrant (Filed as Exhibit 4.1 to the Company’s Form 8-K filed with the Commission on August 30, 2021)
4.2Form of Placement Agent Warrant (Filed as Exhibit 4.2 to the Company’s Form 8-K filed with the Commission on August 30, 2021)
10.1Form of Securities PurchaseExtension Letter Agreement, by and between HealthLynked Corp. and George O’Leary, dated October 13, 2022 (Filed as Exhibit 10.1 to the Company’s Form 8-K filed with the Commission on August 30, 2021)October 19, 2022)
10.2 Engagement Letter with H.C. Wainwright & Co.Non-Disclosure, Non-Solicitation and Non-Compete Agreement between HealthLynked Corp. and George O’Leary, dated October 13, 2022 (Filed as Exhibit 10.2 to the Company’s Form 8-K filed with the Commission on August 30, 2021)October 19, 2022)
31.1*31.1*Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of the Principal Executive Officer
31.2*31.2*Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of the Principal Financial Officer and Principal Accounting Officer
32.1*32.1*Certification pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 of the Principal Executive Officer
32.2*32.2*Certification pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 of the Principal Financial Officer and Principal Accounting Officer
101.INS* Inline XBRL Instance Document.
101.SCH* Inline XBRL Taxonomy Extension Schema Document.
101.CAL* Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF* Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB* Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE* Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104* Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

 

*Filed herewith.

 


 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

Dated: November 15, 202114, 2022

 

 HEALTHLYNKED CORP.
  
 By:/s/ Michael Dent
  Name:Michael Dent
  Title:

Chief Executive Officer and Chairman

(Principal Executive Officer)

 

 By:/s/ George O’Leary
  Name:George O’Leary
  Title:

Chief Financial Officer

(Principal Financial Officer)

 

 

5546

 

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