UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

 

(Mark one)

 

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

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

 

For the quarterly period ended SeptemberJune 30, 20172020

 

OR

 

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

[  ]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: 001-35141

 

RENNOVA HEALTH, INC.

(Exact name of registrant as specified in its charter)

 

Delaware 68-0370244
(State or other jurisdiction
of

incorporation or organization)
 

(IRS Employer

Identification No.)

   

400 South Australian Ave., 8th Floor931 Village Boulevard, Suite 905

West Palm Beach, FL

 3340133409
(Address of principal executive offices) (Zip Code)

 

(561) 855-1626

(Registrant’s telephone number, including area code)

Securities registered under Section 12(b) of the Act:

Title of Each ClassTrading
Symbol(s)
Name of each exchange on which registered
NoneNoneNone

Securities registered pursuant to Section 12(g) of the Act:

Common Stock, $0.0001 Par Value

Warrants to Purchase Common Stock, $0.0001 Par Value

 

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 [X] No [  ]

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files). Yes [X] No [  ]

 

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

 

Large accelerated filer [  ]Accelerated filer [  ]
Non-accelerated filer [  ](Do not check if a smaller reporting company)[X]Smaller reporting company [X]

 

 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 [X]

 

As of November 17, 2017,August 10, 2020, the registrant had 5,639,6691,178,885 shares of its Common Stock, $0.01$0.0001 par value, outstanding.

 

 

 

 

 

 

RENNOVA HEALTH, INC. AND SUBSIDIARIES

FORM 10-Q

 

SeptemberJune 30, 20172020

TABLE OF CONTENTS

 

 Page No.
PART I – FINANCIAL INFORMATION
   
Item 1.Financial Statements3
 Condensed Consolidated Balance Sheets as of SeptemberJune 30, 20172020 (unaudited) and December 31, 201620193
 Condensed Consolidated Statements of Operations for the three and ninesix months ended SeptemberJune 30, 20172020 and 20162019 (unaudited)4
 Condensed Consolidated StatementStatements of Changes in Stockholders’ Deficit for the nine monthseach of the quarters in the periods ended SeptemberJune 30, 20172020 and 2019 (unaudited)55-6
 Condensed Consolidated Statements of Cash Flows for the ninethree and six months ended SeptemberJune 30, 20172020 and 20162019 (unaudited)67
 Notes to Condensed Consolidated Financial Statements (unaudited)78
Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations2934
Item 3.Quantitative and Qualitative Disclosures About Market Risk4346
Item 4.Controls and Procedures4347
   
PART II – OTHER INFORMATION 
   
Item 1.Legal Proceedings4447
Item 1A.Risk Factors4447
Item 2.Unregistered Sales of Equity Securities and Use of Proceeds4448
Item 3.Defaults Upon Senior Securities4448
Item 4.Mine Safety Disclosures4448
Item 5.Other Information4448
Item 6.Exhibits4448
   
SIGNATURES4649

 

2

 

 

RENNOVA HEALTH, INC.

PART I-FINANCIALI – FINANCIAL INFORMATION

Item 1. Financial Statements.

 

CONDENSED CONSOLIDATED BALANCE SHEETS

 

  September 30, 2017  December 31, 2016 
  (unaudited)    
ASSETS      
Current assets:        
Cash $41,019  $75,017 
Accounts receivable, net  401,026   1,199,899 
Prepaid expenses and other current assets  146,713   149,385 
Inventory  73,732   - 
Income tax refunds receivable  1,458,438   1,458,438 
Current assets of AMSG classified as held for sale  68,775   337,900 
Total current assets  2,189,703   3,220,639 
         
Property and equipment, net  3,090,047   3,043,590 
Deposits  157,461   141,402 
Non-current assets of AMSG classified as held for sale  928,722   76,762 
Total assets $6,365,933  $6,482,393 
         
LIABILITIES AND STOCKHOLDERS' DEFICIT        
Current liabilities:        
Accounts payable (includes related parties of $0.3 and $0.2 milion, respectively) $4,296,213  $2,928,524 
Accrued expenses  5,010,298   2,882,029 
Income taxes payable  490,436   942,433 
Current portion of notes payable  7,299,088   9,011,247 
Current portion of notes payable, related party  223,500   328,500 
Current portion of capital lease obligations  1,491,666   1,796,053 
Current liabilities of AMSG classified as held for sale  1,368,612   1,675,981 
Total current liabilities  20,179,813   19,564,767 
         
Other liabilities:        
Debentures  4,239,005   - 
Capital lease obligations, net of current portion  735,538   1,774,121 
Derivative liabilities  -   2,803 
Non-current liabilities of AMSG classified as held for sale  -   26,598 
         
Total liabilities  25,154,356   21,368,289 
         
Commitments and contingencies        
         
Stockholders' deficit:        
Series G preferred stock, $0.01 par value, 14,000 shares authorized, 215 shares issued and outstanding $2   2 
Series H preferred stock, $0.01 par value, 14,202 shares authorized, 60 and 10,019 shares issued and outstanding  -   100 
Series F preferred stock, $0.01 par value, 1,750,000 shares authorized, 1,750,000 and 0 shares issued and outstanding  17,500   - 
Common stock, $0.01 par value, 500,000,000 shares authorized,  1,354,171 and 186,692 shares issued and outstanding  13,542   1,867 
Additional paid-in-capital  126,335,119   45,752,999 
Accumulated deficit  (145,154,586)  (60,640,864)
Total stockholders' deficit  (18,788,423)  (14,885,896)
Total liabilities and stockholders' deficit $6,365,933  $6,482,393 

  June 30, 2020  December 31, 2019 
  (unaudited)    
ASSETS        
Current assets:        
Cash $810,848  $16,933 
Accounts receivable, net  2,596,432   3,565,447 
Inventory  690,076   614,344 
Prepaid expenses and other current assets  17,422   487 
Income tax refunds receivable  1,760,988   642,503 
Current assets of AMSG and HTS classified as held for sale  209,878   505,389 
Total current assets  6,085,644   5,345,103 
         
Property and equipment, net  7,896,467   8,231,830 
Intangibles, net  509,443   509,443 
Deposits  327,281   337,153 
Right-of-use assets  394,281   274,747 
Non-current assets of AMSG and HTS classified as held for sale  2,140   9,383 
         
Total assets $15,215,256  $14,707,659 
         
LIABILITIES AND STOCKHOLDERS’ DEFICIT        
Current liabilities:        
Accounts payable (includes related parties amount of $0.6 million and $0.6 million, respectively) $11,766,475  $13,691,250 
Checks issued in excess of bank account balance  145,685   275,124 
Accrued expenses (includes related parties amount of $0 million and $2.0 million, respectively)  16,269,839    14,583,954 
Income taxes payable  1,373,669   1,373,669 
Current portion of notes payable  5,290,477   3,977,710 
Current portion of note payable, related party  -   15,159,455 
Current portion of finance lease obligations  349,987   1,119,418 
Current portion of debentures  29,153,740   29,873,740 
Current portion of right-of-use operating lease obligations  165,924   116,037 
Derivative liabilities  455,336   455,336 
Current liabilities of AMSG and HTS classified as held for sale  2,303,103   2,792,502 
Total current liabilities  67,274,235   83,418,195 
         
Other liabilities:        
Note payable, net of current portion  1,402,428   - 
Right-of-use operating lease obligations, net of current portion  228,357   158,710 
Total liabilities  68,905,020   83,576,905 
         
Commitments and contingencies        
         
Redeemable Preferred Stock - Series I-1  5,835,294   5,835,294 
Redeemable Preferred Stock - Series I-2  1,790,181   1,815,181 
         
Stockholders’ deficit:        
Series H preferred stock, $0.01 par value, 14,202 shares authorized, 10 shares issued and outstanding  -   - 
Series F preferred stock, $0.01 par value, 1,750,000 shares authorized, 1,750,000 shares issued and outstanding  17,500   17,500 
Series K preferred stock, $0.01 par value, 250,000 shares authorized, 0 and 250,000 shares issued and outstanding  -   2,500 
Series L preferred stock, $0.01 par value, 250,000 shares authorized, 250,000 and 0 shares issued and outstanding  2,500   - 
Series M preferred stock, $0.01 par value, 30,000 shares authorized, 22,000 and 0 shares issued and outstanding  220   - 
Common stock, $0.0001 par value, 10,000,000,000 shares authorized, 989,894 and 964,894 shares issued and outstanding  99   96 
Additional paid-in-capital  532,426,974   510,402,197 
Accumulated deficit  (593,762,532)  (586,942,014)
Total stockholders’ deficit  (61,315,239)  (76,519,721)
Total liabilities and stockholders’ deficit $15,215,256  $14,707,659 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3

 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

 

  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2017  2016  2017  2016 
             
Net revenues $1,414,211  $41,362  $3,312,476  $4,067,562 
                 
Operating expenses:                
Direct costs of revenue  309,347   305,157   849,632   1,128,060 
General and administrative  5,169,478   6,497,718   12,978,349   17,142,263 
Sales and marketing expenses  170,028   415,976   620,560   1,441,322 
Bad debt  477,249   3,666,707   1,051,590   3,667,992 
Depreciation and amortization  451,597   680,579   1,508,042   2,037,910 
Total operating expenses  6,577,699   11,566,137   17,008,173   25,417,547 
                 
Loss from continuing operations before other income (expense) and income taxes  (5,163,488)  (11,524,775)  (13,695,697)  (21,349,985)
                 
Other income (expense):                
Other income  40,455   127,008   91,212   227,020 
Change in fair value of derivative instruments  -  1,827,112   (42,702,815)  6,553,772 
Gain (loss) on extinguishment of debt  -  -   42,702,815   - 
Loss on legal settlement  -   -   -   (17,654)
Interest expense  (5,331,681)  (1,651,629)  (16,510,525)  (4,700,664)
Total other income (expense), net  (5,291,226)  302,491   (16,419,313)  2,062,474 
                 
Net loss from continuing operations before income taxes  (10,454,714)  (11,222,284)  (30,115,010)  (19,287,511)
                 
Provision for income taxes  372   -   3,622   - 
                 
Net loss from continuing operations  (10,455,086)  (11,222,284)  (30,118,632)  (19,287,511)
                 
Net loss from discontinued operations  (370,151)  (787,155)  (1,053,471)  (2,828,030)
                 
Net loss  (10,825,237)  (12,009,439)  (31,172,103)  (22,115,541)
Deemed dividend from trigger of down round provision feature  (2,280,280)  -   (53,341,619)  - 
Net loss to common shareholders $(13,105,157) $(12,009,439) $(84,513,722) $(22,115,541)
                 
Net loss per common share:                
Basic and diluted: continuing operations $(10.59) $(122.24) $(122.12) $(368.16)
                 
Basic and diluted: discontinued operations  (0.31)  (8.57)  (1.54)  (53.98)
                 
Total Basic and diluted $(10.90) $(130.81) $(123.66) $(422.14)
                
Weighted average number of common shares outstanding during the period:                
Basic and diluted  1,202,299   91,808   683,411   52,389 
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2020  2019  2020  2019 
             
Net revenues $2,069,019  $4,061,189  $3,910,550  $9,251,839 
                 
Operating expenses:                
Direct costs of revenue  2,779,369   4,680,333   5,345,649   8,844,733 
General and administrative  2,421,863   4,290,935   5,384,592   9,567,071 
Depreciation and amortization  181,091   186,236   345,798   409,822 
Total operating expenses  5,382,323   9,157,504   11,076,039   18,821,626 
                 
Loss from continuing operations before other income (expense) and income taxes  (3,313,304)  (5,096,315)  (7,165,489)  (9,569,787)
                 
Other income (expense):                
Other income (expense), net  6,847,209   (311,463)  6,719,166   (1,195,742)
Gain from legal settlements  1,230,522   -   1,230,522   - 
Gain on bargain purchase  -   -   -   250,000 
Change in fair value of derivative instruments  -   -   -   (105,076)
Interest expense  (2,658,972)  (7,871,798)  (5,549,232)  (15,591,766)
Total other income (expense), net  5,418,759   (8,183,261)  2,400,456   (16,642,584)
                 
Net income (loss) from continuing operations before income taxes  2,105,455   (13,279,576)  (4,765,033)  (26,212,371)
                 
Benefit from income taxes  -   -   1,118,485   - 
                 
Net income (loss) from continuing operations  2,105,455   (13,279,576)  (3,646,548)  (26,212,371)
                 
Net income (loss) from discontinued operations  16,173   (145,251)  (23,602)  (653,860)
Net income (loss)  2,121,628   (13,424,827)  (3,670,150)  (26,866,231)
Deemed dividend  (3,150,368)  -   (3,150,368)  (123,861,587)
Net loss available to common shareholders $(1,028,740) $(13,424,827) $(6,820,518) $(150,727,818)
                 
Net loss per common share:                
Basic net loss available to common shareholders $(1.04) $(25.38) $(6.92) $(448.88)
Diluted net loss available to common shareholders $(1.04) $(25.38) $(6.92) $(448.88)
Weighted average number of common shares outstanding during the period:                
Basic  989,894   528,965   985,608   335,786 
Diluted  989,894   528,965   985,608   335,786 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4

 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTSTATEMENTS OF CHANGES IN STOCKHOLDERS’ DEFICIT

FOR THE NINE MONTHS ENDED SEPTEMBERFor each of the quarters in the period ended June 30, 20172020

(unaudited)

 

  Preferred Stock     Additional     Total 
  Series G  Series H  Series F  Total  Common Stock  paid-in  Accumulated  Stockholders' 
  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  capital  Deficit  Deficit 
Balance at December 31, 2016  215  $2   10,019  $100   -    $-     10,234  $102   186,692  $1,867  $45,752,999  $(60,640,864) $(14,885,896)
Conversion of preferred stock into common stock  -     -     (7,785)  (78)  -     -     (7,785) $(78)  370,446   3,704   (3,627)  -     -   
Preferred stock issued for business acquisition  -     -     -     -     1,750,000   17,500   1,750,000  $17,500   -     -     156,597   -     174,097 
Common stock issued in exchange for warrants  -     -     -     -     -     -     -     -     2,056   21   57,848   -     57,869 
Shares issued in settlement of notes payable and warrants  -     -     -     -     -     -     -     -     26,667   267   439,733   -     440,000 
Exchange of preferred stock for convertible debentures  -     -     (2,174)  (22)  -     -     (2,174)  (22)  -     -     (2,173,978)  -     (2,174,000)
Conversion of debentures into common stock  -     -     -     -     -     -     -     -     548,932   5,489   4,058,672   -     4,064,161 
Rounding up of common shares in connection with reverse stock split  -     -     -     -     -     -     -     -     526   5   (5)  -     -   
Common stock granted to employees  -     -     -     -     -     -     -     -     185   2   (2)  -     -   
Discount on convertible debentures  -     -     -     -     -     -     -     -     -     -     252,143   -     252,143 
Warrants and benefical conversion features related to the issuance of convertible notes  -     -     -     -     -     -     -     -     -     -     24,177,258   -     24,177,258 
Stock-based compensation  -     -     -     -     -     -     -     -     -     -     34,081       34,081 
Deemed dividend from trigger of down round provision feature  -     -     -     -     -     -     -     -     -     -     53,341,619   (53,341,619)  -   
Restricted stock issued to employees  -     -     -     -     -     -     -     -     181,933   1,819   81,145   -     82,964 
Common stock issued for services and severance  -     -     -     -     -     -     -     -     41,667   417   160,586   -     161,003 
Shares returned to treasury  -     -     -     -     -     -     -     -     (4,933)  (49)  49       -   
Net loss  -     -     -     -     -     -     -     -     -     -     -     (31,172,103)  (31,172,103)
Balance at September 30, 2017  215  $2   60  $0   1,750,000  $17,500   1,750,275  $17,502   1,354,171  $13,542  $126,335,119  $(145,154,586) $(18,788,423)
  Preferred Stock  Common Stock  Additional  Accumulated  Total
Stockholders’
 
  Shares  Amount  Shares  Amount  paid-in-capital  Deficit  Deficit 
Balance at December 31, 2019  2,000,010  $20,000   964,894  $96  $510,402,197  $(586,942,014) $(76,519,721)
Conversion of Series I-2 Preferred Stock into common stock  -   -   25,000   3   24,997   -   25,000 
Net loss  -   -   -   -   -   (5,791,778)  (5,791,778)
Balance at March 31, 2020  2,000,010  $20,000   989,894  $99  $510,427,194  $(592,733,792) $(82,286,499)
Exchange of Series K Preferred Stock for Series L Preferred Stock  (250,000)  (2,500)  -   -   -   -   (2,500)
Issuance of Series L Preferred Stock  250,000   2,500   -   -   -   -   2,500 
Issuance of Series M Preferred Stock in exchange for related party loans and accrued interest  22,000   220   -   -   21,999,780   -   22,000,000 
Deemed dividend from issuance of Series M Preferred Stock  -   -   -   -   -   (3,150,368)  (3,150,368)
Net income  -   -   -   -   -   2,121,628   2,121,628 
Balance at June 30, 2020  2,022,010  $20,220   989,894  $99  $532,426,974  $(593,762,532) $(61,315,239)

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5

 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWSCHANGES IN STOCKHOLDERS’ DEFICIT

For each of the quarters in the period ended June 30, 2019

(unaudited)

 

  Nine Months Ended September 30, 
  2017  2016 
       
Cash flows used in operating activities:        
Net loss from continuing operations $(30,118,632) $(19,287,511)
Adjustments to reconcile net loss to net cash used in operations:        
Depreciation and amortization  1,508,042   2,037,910 
Non-cash gain on derivative instruments  -  (6,653,774)
Stock issued for services  161,003   9,310 
Stock-based compensation  34,081   884,165 
Bad debt expense  1,051,590   3,667,992 
Non-cash interest expense  8,441,043   - 
Amortization of debt discount  6,228,352   2,474,497 
Non-cash settlement of debt  (50,000)  - 
Loss (gain) on extinguishment of debt  (42,702,815)  (100,000)
Change in fair value of derivative instrument  42,702,815   - 
Loss from discontinued operations  (1,053,471)  (2,828,030)
Changes in operating assets and liabilities:        
Accounts receivable  (252,717)  1,878,086 
Inventory  (73,732)  - 
Prepaid expenses and other current assets  2,672   236,612 
Security deposits  (16,059)  3,040 
Accounts payable  1,367,689   (1,679,960)
Accrued expenses  2,081,876   331,797 
Income tax assets and liabilities  (451,997)  2,202,206 
Net cash used in operating activities of continuing operations  (11,140,260)  (16,823,660)
Net cash used in discontinued operations  (643,181)  (216,614)
Net cash used in operating activities  (11,783,441)  (17,040,274)
         
Cash flows provided by (used in) investing activities:        
Purchase of property and equipment  (1,554,499)  (15,998)
Net cash used in investing activities of continuing operations  (1,554,499)  (15,998)
Net cash provided by investing activites of discontinued operations  1,936   79,271 
Net cash provided by (used in) investing activities  (1,552,563)  63,273 
         
Cash flows provided by financing activities:        
Proceeds from the issuance of common stock and warrants, net of offering cost  -   7,521,036 
Proceeds from issuance of related party notes payable and advances  3,805,000   8,285,000 
Proceeds from issuance of notes payable and debentures  15,742,500   5,394,500 
Payments on related party notes payable and advances  (3,860,000)  (6,000,000)
Payments on notes payable  (1,042,524)  (5,715,000)
Payments on capital lease obligations  (1,342,970)  (791,365)
Net cash provided by financing activities of continuing operations  13,302,006   8,694,171 
Net cash used in financing activities of discontinued operations  -   (36,056)
Net cash provided by financing activities  13,302,006   8,658,115 
         
Net (decrease) in cash  (33,998)  (8,318,886)
         
Cash at beginning of period  75,017   8,833,230 
         
Cash at end of period $41,019  $514,344 

                    Total 
  Preferred Stock  Common Stock  Additional  Accumulated  Stockholders’ 
  Shares  Amount  Shares  Amount  paid-in capital  Deficit  Deficit 
Balance at December 31, 2018  2,000,225  $20,002   12,857  $1  $375,858,739  $(415,046,606) $(39,167,864)
Conversion of Series I-2 Preferred Stock into common stock  -   -   325,570   33   643,847   -   643,880 
Common stock issued in cashless exercise of warrants  -   -   11,962   1   (1)  -   - 
Stock-based compensation  -   -   -   -   8,650   -   8,650 
Deemed dividend from trigger of down round provision feature  -   -   -   -   123,861,587   (123,861,587)  - 
Modification of warrants  -   -   -   -   4,056,425   -   4,056,425 
Net loss  -   -   -   -   -   (13,441,404)  (13,441,404)
Balance at March 31, 2019  2,000,225   20,002   350,389   35   504,429,247   (552,349,597)  (47,900,313)
Conversion of Series I-2 Preferred Stock into common stock  -   -   250,505   25   261,068   -   261,093 
Stock-based compensation  -   -   -   -   8,650   -   8,650 
Modification of warrants  -   -   -   -   5,408,566   -   5,408,566 
Net loss  -   -   -   -   -   (13,424,827)  (13,424,827)
Balance at June 30, 2019  2,000,225  $20,002   600,894  $60  $510,107,531  $(565,774,424) $(55,646,831)

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

6

 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

  Six Months Ended June 30, 
  2020  2019 
       
Cash flows from operating activities:        
Net loss from continuing operations $(3,646,548) $(26,212,371)
Adjustments to reconcile net loss to net cash (used in) provided by operations:        
Depreciation and amortization  345,798   409,822 
Stock-based compensation  -   17,300 
Amortization of debt discount  63,695   5,003,653 
Modification of warrants  -   9,464,991 
Gain from legal settlements  (1,230,522)  - 
HHS Provider Relief Funds  (7,483,830  - 
Penalty for non-payment of debenture  -   595,440 
Change in fair value of derivative instruments  -   105,076 

Loss on sales of accounts receivable

  249,500   656,949 
Bargain purchase gain for hospital and medical center  -   (250,000)
Loss from discontinued operations  (23,602)  (653,860)
Changes in operating assets and liabilities:        
Accounts receivable  1,328,369   (2,114,913)
Inventory  (75,732)  35,292 
Prepaid expenses and other current assets  (16,935)  (33,353)
Security deposits  9,872   39,227 
Accounts payable and checks issued in excess of bank balance  (1,771,184)  4,111,576 
Accrued expenses  4,420,816   3,290,128 
Income tax assets and liabilities  (1,118,485)  (45,000)
Net cash used in operating activities of continuing operations  (8,948,788)  (5,580,043)
Net cash (used in) provided by operating activities of discontinued operations  (122,991)  153,483 
Net cash used in operating activities  (9,071,779)  (5,426,560)
         
Cash flows from investing activities:        
Purchase of hospital and medical center  -   (658,537)
Purchase of property and equipment  (10,435)  (43,715)
Net cash used in investing activities of continuing operations  (10,435)  (702,252)
Net cash from investing activities of discontinued operations  -   - 
Net cash used in investing activities  (10,435)  (702,252)
         
Cash flows from financing activities:        
Proceeds from issuance of related party note payable and advances  4,595,553   9,099,126 
Payments on related party note payable and advances  (3,251,387)  (1,510,000)
Proceeds from issuance of debentures  -   3,845,000 
Proceeds from note payable  1,077,116   - 
Payments on notes payable  (793,715)  (5,005,513)
Payments on debentures  (720,000)  - 

Proceeds from sales of accounts receivable

  465,000   1,179,500 
Payments on right-to-use liabilities  (133,807)  (92,550)
Proceeds from Paycheck Protection Program notes payable  2,368,100   - 
HHS Provider Relief Funds  7,483,830   - 

Payments of accounts receivable sold under sales agreements

  (1,073,854)  (818,381)
Payments on finance lease obligations  (100,707)  (143,926)
Net cash provided by financing activities of continuing operations  9,916,129   6,553,256 
Net cash used in financing activities of discontinued operations  (40,000)  - 
Net cash provided by financing activities  9,876,129   6,553,256 
         
Net increase in cash  793,915   424,444 
         
Cash at beginning of period  16,933   6,870 
         
Cash at end of period $810,848  $431,314 

The accompanying notes are an integral part of these condensed consolidated financial statements.

7

RENNOVA HEALTH, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Notes to Condensed Consolidated Financial StatementsFor the Three and Six Months Ended June 30, 2020 and 2019

(unaudited)

 

Note 1 – Organization and BasisSummary of PresentationSignificant Accounting Policies

Description of Business

 

Rennova Health, Inc. (“Rennova”), together with its subsidiaries (the “Company”, “we”, “us” or “our”), is a vertically integrated provider of healthcare related products and services. The Company’s principal lines of business are (i) clinical laboratory operations;Hospital Operations; and (ii) supportive software solutions to healthcare providers including Electronic Health Records (“EHR”), Medical Billing Services andClinical Laboratory Information Services; and (iii) the recent addition of a rural critical access hospital.

Operations. The Company presents its financial results based upon these two business segments, which are more fully discussed in Note 16.

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements were prepared using generally accepted accounting principles for interim financial information and the instructions to Form 10-Q and Regulation S-X. Accordingly, these financial statements do not include all information or notes required by generally accepted accounting principles for annual financial statements and should be read in conjunction with the 2016 auditedconsolidated financial statements includedas filed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, filed with the U.S. Securities and Exchange Commission (the “SEC”) on April 10, 2017. TheseJune 29, 2020. In the opinion of management, the unaudited condensed consolidated interim financial statements included herein contain all adjustments necessary to present fairly the Company’s consolidated financial position as of June 30, 2020, and the results of its operations, changes in stockholders’ deficit and cash flows for the three and six months ended June 30, 2020 and 2019. Such adjustments are of a normal recurring nature. The results of operations for the three and six months ended June 30, 2020 may not be indicative of results for the year ending December 31, 2020.

Principles of Consolidation

The accompanying unaudited condensed consolidated financial statements, which have been prepared in accordance with the instructions to Form 10-Q and Article 8 of Regulation S-X of the SEC, and therefore omit or condense certain footnotes and other information normally included in consolidated interim financial statements prepared in accordance with U.S.accounting principles generally accepted accounting principlesin the United States of America (“U.S. GAAP”)., include the accounts of Rennova and its wholly-owned subsidiaries. All material intercompany balancestransactions and transactionsbalances have been eliminated in consolidation. In the opinion of the Company’s management, the unaudited interim condensed consolidated financial statements contain all adjustments (consisting only of normal recurring accruals) considered necessary for the fair presentation of the financial position and results of operations and cash flows for the interim periods reported herein. The results of operations presented are not necessarily indicative of the results to be expected for any other interim period or for the entire year.

During the three and nine months ended September 30, 2017 and 2016, comprehensive loss was equal to the net loss amounts presented in the accompanying condensed consolidated statements of operations. In addition, certain prior year balances have been reclassified to conform to the current presentation.consolidation.

 

Reclassification

The Company has reclassified certain amounts in the 2016 condensed consolidated financial statements to be consistent with the 2017 presentation. These principally relate to classification of certain revenues, cost of revenues and related segment data, as well as balance sheet classifications to assets and liabilities held for sale. Reclassifications relating to the discontinued operations of AMSG are described further in Note 14. The reclassifications had no impact on operations or cash flows for the three and nine months ended September 30, 2016.

Reverse Stock SplitsSplit

 

On February 7, 2017,July 22, 2020, the Company’s Board of Directors approved an amendment to the Company’s Certificate of Incorporation to effect a 1-for-301-for-10,000 reverse stock split effective July 31, 2020 (the “Reverse Stock Split”). On May 7, 2020, the holders of a majority of the total voting power of the Company’s shares of common stock effective on February 22, 2017 and on September 21, 2017, the Company’s Board of Directorssecurities approved an amendment to the Company’s Certificate of Incorporation to effect a 1-for-15 reverse stock split effective October 5, 2017 (the “Reverse Stock Splits”). The stockholdersof all of the Company had approved these amendmentsCompany’s shares of common stock at a specific ratio within a range from 1-for-100 to the Company’s Certificate of Incorporation on December 22, 2016 for the February 7, 2017 reverse stock split1-for-10,000, and on September 20, 2017 for the October 5, 2017 reverse stock split. In both cases, the Company’s stockholders had granted authorization to the Board of Directors to determine in its discretion the specific ratio subject to limitations, and the timing of the reverse splits within certain specified effective dates.split on or prior to December 31, 2020.

 

As a result of the Reverse Stock Splits,Split, every 3010,000 shares of the Company’s then outstanding common stock was combined and automatically converted into one share of the Company’s common stock par value $0.01 per share, on February 7, 2017 and every 15 shares of the Company’s then outstanding common stock was combined and automatically converted into one share of the Company’s common stock, par value $0.01 per share, on October 5, 2017.July 31, 2020. In addition, the conversionsconversion and exercise prices of all of the Company’s outstanding preferred stock, common stock purchase warrants, stock options, restricted stock, equity incentive plans and convertible notes payable were proportionately adjusted at the 1:30 reverse split ratio and again at the 1:15applicable reverse split ratio in accordance with the terms of such instruments. In addition, proportionate voting rights and other rights of common stockholders were not affected by the Reverse Stock Splits,Split, other than as a result of the rounding up of fractional shares in the February reverse split and the payment of cash in lieu of fractional shares in the October reverse split, as no fractional shares were issued in connection with the Reverse Stock Splits.

The par value and other terms of the common stock were not affected by the Reverse Stock Splits. The authorized capital of the Company of 500,000,000 shares of common stock and 5,000,000 shares of preferred stock were also unaffected by the Reverse Stock Splits.Split.

 

All share, per share and capital stock amounts and common stock equivalents as of and for all periodsthe three and six months ended June 30, 2020 and 2019 presented herein have been restated to give effect to the Reverse Stock Splits.Split.

Reclassification

Cash payment amounts related to the right-of-use liabilities for the six months ended June 30, 2019 have been reclassified on the statements of cash flows and in Note 10 for comparative purposes.

8

Comprehensive Loss

During the three and six months ended June 30, 2020 and 2019, comprehensive loss was equal to the net loss amounts presented in the accompanying unaudited condensed consolidated statements of operations.

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, and disclosure of contingent liabilities at the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Significant estimates and assumptions include the estimates of fair values of assets acquired and liabilities assumed in business combinations, including hospital acquisitions, reserves and write-downs related to receivables and inventories, the recoverability of long-lived assets, stock based compensation, the valuation allowance relating to the Company’s deferred tax assets, valuation of equity and derivative instruments, deemed dividends and debt discounts, among others. Actual results could differ from those estimates and would impact future results of operations and cash flows.

Cash and Cash Equivalents

The Company considers all highly liquid temporary cash investments with an original maturity of three months or less to be cash equivalents.

Revenue Recognition

We review our calculations for the realizability of gross service revenues monthly to make certain that we are properly allowing for the uncollectable portion of our gross billings and that our estimates remain sensitive to variances and changes within our payer groups. The contractual allowance calculation is made based on historical allowance rates for the various specific payer groups monthly with a greater weight being given to the most recent trends; this process is adjusted based on recent changes in underlying contract provisions. This calculation is routinely analyzed by us based on actual allowances issued by payers and the actual payments made to determine what adjustments, if any, are needed.

Hospital Operations

Our revenues generally relate to contracts with patients in which our performance obligations are to provide health care services to the patients. Revenues are recorded during the period our obligations to provide health care services are satisfied. Our performance obligations for inpatient services are generally satisfied over periods that average approximately five days, and revenues are recognized based on charges incurred in relation to total expected charges. Our performance obligations for outpatient services are generally satisfied over a period of less than one day. The contractual relationships with patients, in most cases, also involve a third-party payer (Medicare, Medicaid, managed care health plans and commercial insurance companies, including plans offered through the health insurance exchanges) and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with (managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers for the services we provide to the related patients typically specify payments at amounts less than our standard charges. Medicare generally pays for inpatient and outpatient services at prospectively determined rates based on clinical, diagnostic and other factors. Services provided to patients having Medicaid coverage are generally paid at prospectively determined rates per discharge, per identified service or per covered member. Agreements with commercial insurance carriers, managed care and preferred provider organizations generally provide for payments based upon predetermined rates per diagnosis, per diem rates or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals. Our revenues are based upon the estimated amounts we expect to be entitled to receive from patients and third-party payers. Estimates of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). We also record estimated implicit price concessions (based primarily on historical collection experience) related to uninsured accounts to record self-pay revenues at the estimated amounts we expect to collect.

Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. Estimated reimbursement amounts are adjusted in subsequent periods as cost reports are prepared and filed and as final settlements are determined (in relation to certain government programs, primarily Medicare, this is generally referred to as the “cost report” filing and settlement process). There were no adjustments to estimated Medicare and Medicaid reimbursement amounts and disproportionate-share funds related primarily to cost reports filed during the three and six months ended June 30, 2020 and 2019.

 

79

 

 

RENNOVA HEALTH, INC.The Emergency Medical Treatment and Labor Act (“EMTALA”) requires any hospital participating in the Medicare program to conduct an appropriate medical screening examination of every person who presents to the hospital’s emergency room for treatment and, if the individual is suffering from an emergency medical condition, to either stabilize the condition or make an appropriate transfer of the individual to a facility able to handle the condition. The obligation to screen and stabilize emergency medical conditions exists regardless of an individual’s ability to pay for treatment. Federal and state laws and regulations require, and our commitment to providing quality patient care encourages, us to provide services to patients who are financially unable to pay for the health care services they receive. The federal poverty level is established by the federal government and is based on income and family size. The Company considers the poverty level in determining whether patients qualify for free or reduced cost of care. Because we do not pursue collection of amounts determined to qualify as charity care, they are not reported in revenues. We provide discounts to uninsured patients who do not qualify for Medicaid or charity care. In implementing the uninsured discount policy, we may first attempt to provide assistance to uninsured patients to help determine whether they may qualify for Medicaid, other federal or state assistance, or charity care. If an uninsured patient does not qualify for these programs, the uninsured discount is applied.

Notes

The collection of outstanding receivables for Medicare, Medicaid, managed care payers, other third-party payers and patients is our primary source of cash and is critical to Condensed Consolidated Financial Statementsour operating performance. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance carrier has paid the amounts covered by the applicable agreement, but patient responsibility amounts (deductibles and copayments) remain outstanding. Implicit price concessions relate primarily to amounts due directly from patients. Estimated implicit price concessions are recorded for all uninsured accounts, regardless of the aging of those accounts. Accounts are written off when all reasonable internal and external collection efforts have been performed. The estimates for implicit price concessions are based upon management’s assessment of historical write offs and expected net collections, business and economic conditions, trends in federal, state and private employer health care coverage and other collection indicators. Management relies on the results of detailed reviews of historical write-offs and collections at facilities that represent a majority of our revenues and accounts receivable (the “hindsight analysis”) as a primary source of information in estimating the collectability of our accounts receivable. We perform the hindsight analysis quarterly, utilizing rolling twelve-months accounts receivable collection and write off data. We believe our quarterly updates to the estimated contractual allowance amounts at each of our hospital facilities provide reasonable estimates of our revenues and valuations of our accounts receivable. At June 30, 2020 and December 31, 2019, estimated contractual allowances of $21.5 million and $16.8 million, respectively, had been recorded as reductions to our accounts receivable balances to enable us to record our revenues and accounts receivable at the estimated amounts we expect to collect.

(unaudited)

To quantify the total impact of the trends related to uninsured accounts, we believe it is beneficial to view total uncompensated care, which is comprised of charity care, uninsured discounts and implicit price concessions. Total uncompensated care as a percentage of gross revenues was 21% and 6% for the three months ended June 30, 2020 and 2019, respectively, and 15% and 5% for the six months ended June 30, 2020 and 2019, respectively.

Clinical Laboratory Operations

Laboratory testing services for the six months ended June 30, 2019 include chemical diagnostic tests such as blood analysis and urine analysis. We did not perform any testing and analysis services for the three and six months ended June 30, 2020 and the three months ended June 30, 2019. Laboratory service revenues are recognized at the time the testing services are performed and billed and are reported at their estimated net realizable amounts. Net service revenues are determined utilizing gross service revenues net of contractual adjustments and discounts. Even though it is the responsibility of the patient to pay for laboratory service bills, most individuals in the U.S. have an agreement with a third-party payer such as a commercial insurance provider, Medicaid or Medicare to pay all or a portion of their healthcare expenses; most of the services provided by us in the 2019 period were to patients covered under a third-party payer contract. In most cases, the Company is provided the third-party billing information and seeks payment from the third party in accordance with the terms and conditions of the third-party payer for health service providers like us. Each of these third-party payers may differ not only in terms of rates, but also with respect to terms and conditions of payment and providing coverage (reimbursement) for specific tests. Estimated revenues are established based on a series of procedures and judgments that require industry specific healthcare experience and an understanding of payer methods and trends.

 

The Company intends to sell its clinical laboratory and, if successful, the Company would no longer own or operate clinical laboratories outside of its hospital labs, as more fully discussed under Item 2. “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

10

Allowances for Doubtful Accounts Policy

Accounts receivable are reported at realizable value, net of allowances for credits and doubtful accounts, which are estimated and recorded in the period the related revenue is recorded. The Company has a standardized approach to estimating and reviewing the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for contractual credits and doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues which may impact the collectability of these receivables or reserve estimates. Receivables deemed to be uncollectible are charged against the allowance for doubtful accounts at the time such receivables are written-off. Recoveries of receivables previously written-off are recorded as credits to the allowance for doubtful accounts. Revisions to the allowances for doubtful accounts estimates are recorded as an adjustment to provision for bad debts.

Total gross revenues for Hospital and Clinical Laboratory Operations were reduced by approximately $2.7 million and $2.3 million for bad debt for the three months ended June 30, 2020 and 2019, respectively. After bad debt and contractual and related allowance adjustments to revenues of $11.1 million and $31.4 million, for the three months ended June 30, 2020 and 2019, respectively, we reported net revenues of $2.1 million and $4.1 million.

Total gross revenue for Hospital and Clinical Laboratory Operations were reduced by approximately $4.0 million and $3.9 million for bad debt for the six months ended June 30, 2020 and 2019, respectively. After bad debt and contractual and related allowance adjustments to revenues of $22.9 million and $64.8 million, for the six months ended June 30, 2020 and 2019, respectively, we reported net revenues of $3.9 million and $9.3 million. We continue to review the provision for bad debt and contractual and related allowances. Accounts receivable are presented in Note 4.

Derivative Financial Instruments and Fair Value, Including the Adoption of ASU 2017-11

We account for warrants issued in conjunction with the issuance of common stock and certain convertible debt instruments in accordance with the guidance contained in Accounting Standards Codification (“ASC”) Topic 815, Derivatives and Hedging (“ASC 815”) and ASC Topic 480, Distinguishing Liabilities from Equity (“ASC 480”). For warrant instruments and conversion options embedded in promissory notes that are not deemed to be indexed to the Company’s own stock, we classified such instruments as liabilities at their fair values at the time of issuance and adjusted the instruments to fair value at each reporting period. These liabilities were subject to re-measurement at each balance sheet date until extinguished either through repayment, conversion or exercise, and any change in fair value was recognized in our statement of operations. The fair values of these derivative and other financial instruments had been estimated using a Black-Scholes model and other valuation techniques.

 

In July 2017, the Financial Accounting Standards Board (“FASB”)FASB issued Accounting Standards Update (“ASU”)ASU 2017-11 “Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815).” The amendments in Part I of this Update change the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. For freestanding equity classified financial instruments, the amendments require entities that present earnings per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is triggered. That effect is treated as a dividend and as a reduction of income available to common shareholders in basic EPS. Convertible instruments with embedded conversion options that have down round features are now subject to the specialized guidance for contingent beneficial conversion features (in Subtopic 470-20, Debt—Debt with Conversion and Other Options), including related EPS guidance (in Topic 260). The amendments in Part II of this Update recharacterize the indefinite deferral of certain provisions of Topic 480 that now are presented as pending content in the Codification, to a scope exception. Those amendments do not have an accounting effect.

 

Under current GAAP, an equity-linked financial instrument with a down round feature that otherwise is not required to be classified as a liability under the guidance in Topic 480 is evaluated under the guidance in Topic 815, Derivatives and Hedging, to determine whether it meets the definition of a derivative. If it meets that definition, the instrument (or embedded feature) is evaluated to determine whether it is indexed to an entity’s own stock as part of the analysis of whether it qualifies for a scope exception from derivative accounting. Generally, for warrants and conversion options embedded in financial instruments that are deemed to have a debt host (assuming the underlying shares are readily convertible to cash or the contract provides for net settlement such that the embedded conversion option meets the definition of a derivative), the existence of a down round feature results in an instrument not being considered indexed to an entity’s own stock. This results in a reporting entity being required to classify the freestanding financial instrument or the bifurcated conversion option as a liability, which the entity must measure at fair value initially and at each subsequent reporting date.

The amendments in this Update revise the guidance for instruments with down round features in Subtopic 815-40, Derivatives and Hedging—Contracts in Entity’s Own Equity, which is considered in determining whether an equity-linked financial instrument qualifies for a scope exception from derivative accounting. An entity still is required to determine whether instruments would be classified in equity under the guidance in Subtopic 815-40 in determining whether they qualify for that scope exception. If they do qualify, freestanding instruments with down round features are no longer classified as liabilities and embedded conversion options with down round features are no longer bifurcated.

For entities that present EPS in accordance with Topic 260, and whenWhen the down round feature is included in an equity-classified freestanding financial instrument, the value of the effect of the down round feature is treated as a dividend when it is triggered and as a numerator adjustment in the basic EPS calculation. This reflects the occurrence of an economic transfer of value to the holder of the instrument, while alleviating the complexity and income statement volatility associated with fair value measurement on an ongoing basis. Convertible instruments are unaffected byA deemed dividend of $123.9 million was recorded for the Topic 260 amendments in this Update.

Those amendments in Part 1six months ended June 30, 2019 as a result of this Update are a cost savings relative to current GAAP. This is because, assuming the required criteria for equity classification in Subtopic 815-40 are met, an entity that issued such an instrument no longer measures the instrument at fair value at each reporting period (in the case of warrants) or separately accounts for a bifurcated derivative (in the case of convertible instruments) on the basis of the existence of a down round feature. For convertible instruments with embedded conversion options that haveprovision features. We did not record a deemed dividend as a result of down round provision features applying specialized guidance such asduring the model for contingent beneficial conversion features rather than bifurcating an embedded derivative also reduces costthree months ended June 30, 2020 and complexity. Under that specialized guidance, the issuer recognizes the intrinsic value of the feature only when the feature becomes beneficial instead of bifurcating the conversion option and measuring it at fair value each reporting period.

The amendments in Part II of this Update replace the indefinite deferral of certain guidance in Topic 480 with a scope exception. This has the benefit of improving the readability of the Codification and reducing the complexity associated with navigating the guidance in Topic 480.

For public business entities, the amendments in Part I of this Update are effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. For all other entities, the amendments in Part I of this Update are effective for fiscal years beginning after December 15, 2019 and interim periods within fiscal years beginning after December 15,during the six months ended June 30, 2020. Early adoption is permittedSee Note 11 for all entities, including adoption in an interim period. If an entity early adopts the amendments in an interim period, any adjustments should be reflected asadditional discussion of the beginning of the fiscal year that includes that interim period. The amendments in Part 1 of this Update should be applied in either of the following ways: 1. Retrospectively to outstandingderivative financial instruments with a down round feature by means of a cumulative-effect adjustment to the statement of financial position as of the beginning of the first fiscal year and interim period(s) in which the pending content that links to this paragraph is effective; or 2. Retrospectively to outstanding financial instruments with a down round feature for each prior reporting period presented in accordance with the guidance on accounting changes in paragraphs 250-10-45-5 through 45-10.instruments.

 

811

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements(Loss)Earnings Per Share

(unaudited)

The Company reports (loss) earnings per share in accordance with ASC Topic 260, “Earnings Per Share,” which establishes standards for computing and presenting earnings per share. Basic earnings (loss) per share of common stock is calculated by dividing net (loss) earnings allocable to common stockholders by the weighted-average shares of common stock outstanding during the period, without consideration of common stock equivalents. Diluted (loss) earnings per share is calculated by adjusting the weighted-average shares of common stock outstanding for the dilutive effect of common stock equivalents, including stock options and warrants outstanding for the period as determined using the treasury stock method. For purposes of the diluted loss per share calculation, common stock equivalents are excluded from the calculation when their effect would be anti-dilutive. Therefore, basic and diluted loss per share applicable to common stockholders is the same for periods with a net loss. See Note 3 for the computation of (loss) earnings per share for the three and six months ended June 30, 2020 and 2019.

Note 2 – Liquidity and Financial Condition

 

Impact of the Pandemic

A novel strain of coronavirus (“COVID-19”) was declared a global pandemic by the World Health Organization on March 11, 2020. We have been closely monitoring the COVID-19 pandemic and its impact on our operations and we have taken steps intended to minimize the risk to our employees and patients. These steps have increased our costs and our revenues have been significantly adversely affected. Demand for hospital services has substantially decreased. As discussed in Note 7, we have received Paycheck Protection Program (“PPP”) loans. We have also received Provider Relief Funds from the federal government as more fully discussed below. If the COVID-19 pandemic continues for a further extended period, we expect to incur significant losses and additional financial assistance may be required. Going forward, the Company is unable to determine the extent to which the COVID-19 pandemic will continue to affect its business. The amendmentsnature and effect of the COVID-19 pandemic on our balance sheet and results of operations will depend on the severity and length of the pandemic in Part II of this Update do not require any transition guidance becauseour service areas; government activities to mitigate the pandemic’s effect; regulatory changes in response to the pandemic, especially those amendments do not have an accounting effect.affecting rural hospitals; and existing and potential government assistance that may be provided.

HHS Provider Relief Funds

 

The Company has determined that this amendment had a material impact on its condensed consolidated financial statementsreceived Provider Relief Funds from the United States Department of Health and has early adopted this accounting standard update. The cumulative effectHuman Services (“HHS”) provided to eligible healthcare providers out of the adoption of ASU 2017-11 resulted$100 billion Public Health and Social Services Emergency Fund provided for in the reclassificationCoronavirus Aid, Relief and Economic Security Act (the “CARES Act”). The funds are allocated to eligible healthcare providers for expenses and lost revenue attributable to the COVID-19 pandemic. The funds are being released in tranches, and HHS partnered with UnitedHealth Group to distribute the initial $30 billion in funds by direct deposit to providers. As of the derivative liability recorded of $56August 10, 2020, Company-owned facilities have received approximately $12.5 million and the reversal of $41in relief funds, $7.5 million of interest expense recorded in the Company’s first fiscal quarter of 2017. The remaining $16 million was offset to additional paid in capital (discount on convertible debenture). Additionally, the Company recognized a deemed dividend from the trigger of the down round provision feature of $53.3 million. A $51 million deemed dividend was recorded retrospectively as of the beginning of the issuance of the March 2017 debentures where the initial derivative liability was recorded. A $2.3 million deemed dividend adjustment was recordedwhich we received in the three months ended SeptemberJune 30, 2017 as a result2020. The fund payments are grants, not loans, and HHS will not require repayment, but providers are restricted and the funds must be used only for grant approved purposes. Based on an analysis of the down round provision feature.compliance and reporting requirements of the Provider Relief Funds and the impact of the pandemic on our operating results through the end of the second quarter, we recognized $7.5 million of these payments as income in the three and six months ended June 30, 2020. The funds have been recorded under the caption “Other income” in our unaudited condensed consolidated statements of operations.

 

Going Concern

 

The Company’s condensed consolidated financial statements are prepared using U.S. GAAP applicable to a going concern that contemplatesUnder ASU 2014-15, Presentation of Financial Statements—Going Concern (Subtopic 205-40) (“ASC 205-40”), the realization of assets and liquidation of liabilities in the normal course of business. The Company has accumulated significant losses and has negative cash flows from operations, and at September 30, 2017 had a working capital deficit and stockholders’ deficit of $18.0 million and $18.8 million, respectively, whichthe responsibility to evaluate whether conditions and/or events raise substantial doubt about its ability to meet its future financial obligations as they become due within one year after the date that the financial statements are issued. As required by ASC 205-40, this evaluation shall initially not take into consideration the potential mitigating effects of plans that have not been fully implemented as of the date the financial statements are issued. Management has assessed the Company’s ability to continue as a going concern.concern in accordance with the requirement of ASC 205-40.

As reflected in the unaudited condensed consolidated financial statements, the Company had a working capital deficit and an accumulated deficit of $61.2 million and $593.8 million, respectively, at June 30, 2020. In addition, the Company’sCompany had a loss from continuing operations of approximately $3.6 million and cash position asused in operating activities of $9.1 million for the six months ended June 30, 2020. As of the date of this report, is critically deficient, critical payments are not being madefor our operations in the ordinary course are not being made. The continued losses and other related factors, including the defaults under the terms of business and certain indebtedness in the amount of $6.0 million matured on March 31, 2017,outstanding debentures, for which the Company does notwe have the financial resources to satisfy (see Note 5), all of whichreceived a payment demand notice, raise substantial doubt about the Company’s ability to continue as a going concern.concern for twelve months from the filing date of this report.

12

 

The Company’s unaudited condensed consolidated financial statements are prepared assuming the Company continuescan continue as a going concern, which contemplates continuity of operations through realization of assets, and the settling of liabilities in the normal course of business. Initial cost savings were realized by reducing the number of laboratory facilities to consider efficiencies and is currently using one laboratory for the majoritymost of its toxicology diagnostics, thereby reducing the number of employees and associated operating expenses, in order to reduce costs. In addition, theexpenses. The Company received approximately $15.7 million in cash from the issuances of debentures and warrants in the first nine months of 2017 (see Note 6), $3.8 million from related parties and an additional $4.0 million of proceeds on October 30, 2017 from the issuance of convertible preferred stock (see Note 15). In July 2017, the Company announced that it plans to spin offseparate out its Advanced Molecular Services Group (“AMSG”) and Health Technology Solutions, Inc. (“HTS”), as an independent publicly traded company by way ofcompanies in either a tax-free distribution to its shareholders. Completion of the spinoff of AMSG is expected to occur during the first quarter of 2018, and isspin off or transaction with a publicly quoted company. The separations are subject to numerous conditions, including effectiveness of a Registration Statement on Form 10Statements that may need to be filed with the Securities and Exchange Commission and consents, including under various funding agreements previously entered into by the Company. The intent of the spinoffseparation of AMSG and HTS is to create twoseparate public companies, each of which can focus on its own strengths and operational plans. In accordance with ASC 205-20 and having met the criteria for “held for sale”, the Company has reflected amounts relating to AMSG and HTS as a disposal groupgroups classified as held for sale and included as part of discontinued operations. AMSG isand HTS are no longer included in the segment reporting following the reclassification to discontinued operations. The discontinued operations of AMSG and HTS are described further in Note 14. The Company also announced that the Big South Fork Medical Center received CMS regional office licensure approval and opened its doors on August 8, 2017. The hospital provided services to over 1,854 patients and recognized approximately $0.6 million of revenues during the three months ended September 30, 2017. The Company may amend its current revenue recognition policy and percentage for the hospital when payments are received to support amended revenue recognition methodologies. Therefore,17. On June 10, 2020 the Company expects that the openingsigned an agreement with TPT Global Tech, Inc. (OTC: TPTW), a California-based public company, to merge HTS and AMSG into a public company (target) after TPT completes a merger of its wholly-owned subsidiary, InnovaQor, Inc. with this target. Completion of the hospital will continueagreement is subject to provide additional revenuea number of approvals and cash flow sources.consents which need to be secured to complete the transaction as more fully discussed in Note 17.

The Company’s core business is now rural hospitals, which is a specialized marketplace with a requirement for capable and knowledgeable management. The Company’s current financial condition may make it difficult to attract and maintain adequate expertise in its management team to successfully operate the Company’s hospitals.

 

There can be no assurance that the Company will be able to achieve its business plan, which is to acquire and operate clusters of rural hospitals, raise any additional capital or secure the additional financing necessary to implement its current operating plan. The ability of the Company to continue as a going concern is dependent upon its ability to significantly reduceraise adequate capital to fund its operations and repay its outstanding debentures and other past due obligations, fully align its operating costs, increase its revenues, and eventually regain profitable operations. The accompanying unaudited condensed consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.

Recent EventsNote 3 – Loss Per Share Available to Common Stockholders

 

Common Stock ListingBasic loss per share is computed by dividing the loss available to common stockholders by the weighted-average number of shares of common stock outstanding during the period. Basic loss per share excludes potential dilution of securities or other contracts to issue shares of common stock. Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the income of the Company. For each of the three and six months ended June 30, 2020 and 2019, basic net loss per share available to common stockholders is the same as diluted loss per share.

13

Effective October 25, 2017,The following table sets forth the computation of the Company’s basic and diluted net loss per share during the three and six months ended June 30, 2020 and 2019:

  Three Months Ended June 30,  Six Months Ended June 30, 
  2020  2019  2020  2019 
Numerator                
Net income (loss) from continuing operations $2,105,455  $(13,279,576) $(3,646,548) $(26,212,371)
Deemed dividend  (3,150,368)  -   (3,150,368)  (123,861,587)
Net loss available to common stockholders, continuing operations $(1,044,913) $(13,279,576) $(6,796,916) $(150,073,958)
Net income (loss) from discontinued operations  16,173   (145,251)  (23,602)  (653,860)
Net loss available to common stockholders $(1,028,740) $(13,424,827) $(6,820,518) $(150,727,818)
                 
Denominator                
Basic and diluted weighted average common shares outstanding  989,894   528,965   985,608   335,786 
                 
Loss per share, basic and diluted                
Basic and diluted, continuing operations $(1.06) $(25.11) $(6.90) $(446.93)
Basic and diluted, discontinued operations $0.02  $(0.27) $(0.02) $(1.95)
Total basic and diluted $(1.04) $(25.38) $(6.92) $(448.88)

Diluted loss per share excludes all dilutive potential shares if their effect is anti-dilutive. As of June 30, 2020 and 2019, the following potential common stock equivalents were excluded from the calculation of diluted loss per share as their effect was anti-dilutive:

  June 30, 
  2020  2019 
Warrants  63,458,545   63,452,541 
Convertible preferred stock  16,759,797   8,529,180 
Convertible debentures  1,545,690   3,057,040 
Stock options  30   34 
   81,764,062   75,038,795 

The terms of certain of the warrants, convertible preferred stock and convertible debentures issued by the Company provide for reductions in the per share exercise prices of the warrants and the per share conversion prices of the debentures and preferred stock (if applicable and subject to a floor in certain cases), in the event that the Company issues common stock or common stock equivalents (as that term is defined in the agreements) at an effective exercise/conversion price that is less than the then exercise/conversion prices of the outstanding warrants, preferred stock or debentures, as the case may be. In addition, many of these equity-based securities contain exercise or conversion prices that vary based upon the price of the Company’s common stock (RNVA)on the date of exercise/conversion (see Notes 11, 12 and warrants to purchase13). These provisions have resulted in significant dilution of the Company’s common stock (RNVAW) were no longer listedand have given rise to reverse splits of the Company’s common stock, including the Reverse Stock Split effected on the Nasdaq Stock Market but began trading on the OTCQB instead, asJuly 31, 2020, which is more fully discussed in Note 15.1.

 

914

 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Financing Agreements

On October 30, 2017, the Company issued its Series I-1 Convertible Preferred Stock,Note 4 – Accounts Receivable and modified the anti-dilution provisions of certain outstanding debentures and warrants that were issued in March 2017, as more fully discussed in Note 15.

Note 2 – AccountsIncome Tax Refunds Receivable

 

Accounts receivable at SeptemberJune 30, 20172020 (unaudited) and December 31, 20162019 consisted of the following:

 

  September 30, 2017  December 31, 2016 
Accounts receivable - laboratory services $4,118,407  $12,715,835 
Accounts receivable - hospital  2,982,771   - 
Accounts receivable - all others  528,196   499,508 
Total accounts receivable  7,629,374   13,215,343 
Less:        
Allowance for discounts  (3,583,014)  (11,664,490)
Allowance for discounts - hospital  (2,368,565)  - 
Allowance for bad debts  (1,276,769)  (350,954)
Accounts receivable, net $401,026  $1,199,899 
  June 30,  December 31, 
  2020  2019 
       
Accounts receivable - Hospital Operations $27,238,635  $26,687,028 
Less:        
Allowance for discounts - Hospital Operations  (21,529,786)  (16,801,910)
Allowance for bad debts  (2,397,917)  (5,245,817)
Accounts receivable sold under sales agreements  (714,500)  (1,073,854)
Accounts receivable, net $2,596,432  $3,565,447 

The allowance for discounts reflected in the table above increased as a percentage of accounts receivable to 79.0% at June 30, 2020 compared to 63.0% at December 31, 2019. The allowance for discounts varies based on changes in historical contractual allowance rates.

For the three months ended June 30, 2020 and 2019, bad debt expense was $2.7 million and $2.3 million, respectively. For the six months ended June 30, 2020 and 2019, bad debt expense was $4.0 million and $3.9 million, respectively. The allowance for bad debts decreased by $2.8 million at June 30, 2020 compared to the balance at December 31, 2019. The Company’s policy is to write off accounts receivable balances against the allowance for bad debts once an accounts receivable ages past a specified number of days.

Accounts Receivable Sales Agreements and Installment Promissory Note

During the year ended December 31, 2019, the Company entered into five accounts receivable sales agreements, including three that were entered into during the six months ended June 30, 2019. The aggregate amount of accounts receivable sold on a non-recourse basis during the year ended December 31, 2019 was $3.9 million. The aggregate purchase price paid to the Company was $2.7 million, less $0.1 million of origination fees. As of December 31, 2019, $1.1 million was outstanding and owed under these accounts receivable sales agreements. On January 29, 2020, the Company entered into a Secured Installment Promissory Note (the “Installment Note”) in the principal amount of $1.2 million, less $0.1 million in origination fees, the proceeds of which were used to satisfy in full the amounts due under accounts receivable sales agreements. The Installment Note is more fully discussed in Note 7.

On June 26, 2020, the Company entered into an accounts receivable sales agreement under which the Company sold $0.7 million of accounts receivable on a non-recourse basis for a purchase price paid to the Company of $0.5 million, less origination fees. Accordingly, the Company recorded a loss on the sale of $0.2 million during the three and six months ended June 30, 2020. As of June 30, 2020, $0.7 million was outstanding and owed under the accounts receivable sales agreement.

Income Tax Refunds Receivable

As of June 30, 2020, the Company had $1.8 million of income tax refunds receivable of which $0.6 million is more fully discussed in Note 15. During the first quarter of 2020, the U.S. Congress approved the CARES Act, which allows a five-year carryback privilege for federal net operating tax losses that arose in a tax year beginning in 2018 and through the current tax year, that is, 2020. As a result, during the six months ended June 30, 2020, the Company recorded approximately $1.1 million in refunds from the carryback of certain of its federal net operating losses. The Company’s federal net operating losses are more fully discussed in Note 15 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.

 

Note 35Property and EquipmentAcquisition

 

PropertyPurchase Agreement re Jellico Community Hospital and equipment at September 30, 2017 (unaudited) and December 31, 2016 consisted of the following:CarePlus Center

 

  September 30, 2017  December 31, 2016 
Medical equipment $713,799  $696,195 
Building  1,359,484   - 
Equipment  461,912   461,912 
Equipment under capital leases  4,497,025   4,497,025 
Furniture  408,101   377,630 
Leasehold improvements  1,333,385   1,329,387 
Vehicles  196,534   196,534 
Computer equipment  587,742   564,742 
Software  1,859,289   1,739,348 
   11,417,271   9,862,773 
Less accumulated depreciation  (8,327,224)  (6,819,183)
Property and equipment, net $3,090,047  $3,043,590 

On January 13, 2017,Effective March 5, 2019, the Company completed an asset purchase agreement to acquireacquired certain assets related to Scott CountyJellico Community Hospital based in Oneida, Tennessee (the “Hospital Assets”). The Hospital Assets include a 52,000 square foot hospital building and 6,300 square foot professional building on approximately 4.3 acres. Scott CountyCarePlus Center. Jellico Community Hospital which has since been renamed as Big South Fork Medicalis a fully operational 54-bed acute care facility that offers comprehensive services, including diagnostic imaging, radiology, surgery (general, gynecological and vascular), nuclear medicine, wound care and hyperbaric medicine, intensive care, emergency care and physical therapy. The CarePlus Center is classified asoffers sophisticated testing capabilities and compassionate care, all in a Critical Access Hospital (rural). The Company acquired the Hospital Assets out of bankruptcy formodern, patient-friendly environment. Services include diagnostic imaging services, x-ray, mammography, bone densitometry, computed tomography (CT), ultrasound, physical therapy and laboratory services on a purchase price of $1.0 million, and the purchase price has been recorded as property and equipment in the Company’s condensed consolidated balance sheet. The Company opened the hospital on August 8, 2017.

Depreciation expense on property and equipment was $0.5 million and $0.7 million for the three months ended September 30, 2017 and 2016, and $1.5 million and $2.0 million for the nine months ended September 30, 2017 and 2016, respectively. Management periodically reviews the valuation of long-lived assets, including property and equipment, for potential impairment. Management did not recognize any impairment of these assets during the nine months ended September 30, 2017 and 2016.walk-in basis.

 

1015

 

 

RENNOVA HEALTH, INC.The purchase price for Jellico Community Hospital and CarePlus Center was $658,537. This purchase price was made available by Mr. Diamantis, a former member of the Company’s Board of Directors. The total cost of the acquisition was approximately $908,537, including $250,000 of diligence, legal and other costs associated with the acquisition. The acquisition costs were fully expensed in 2019.

Notes

The fair value of the purchase consideration paid to Condensed Consolidated Financial Statementsthe sellers was allocated to the net tangible and intangible assets acquired. The Company accounted for the acquisition as a business combination under U.S. GAAP. In accordance with the acquisition method of accounting under ASC 805 the assets acquired, and liabilities assumed were recorded as of the acquisition date, at their respective fair values and consolidated with those of the Company.

(unaudited)

The fair value of the assets acquired, net of the liabilities assumed, was $0.9 million. The excess of the aggregate fair value of the net tangible assets acquired over the purchase price was $250,000 and has been treated as a gain on bargain purchase in accordance with ASC 805. The gain was primarily due to the value of the intangible assets acquired. In addition, after evaluation, the Company has made no material adjustments to its preliminary allocation as set forth below. The purchase price allocation was based, in part, on management’s knowledge of hospital operations.

The following table shows the allocation of the purchase price of Jellico Community Hospital and CarePlus Center to the acquired identifiable assets acquired, and liabilities assumed:

Total purchase price $658,537 
Tangible and intangible assets acquired, and liabilities assumed at estimated fair value:    
Inventories $317,427 
Property and equipment  500,000 
Intangible asset- certificate of need  250,000 
Accrued expenses  (158,890)
Net tangible and intangible assets acquired $908,537 
Gain on bargain purchase $250,000 

The following presents the unaudited pro-forma combined results of operations of the Company and Jellico Community Hospital and CarePlus Center as if the acquisitions had occurred on January 1, 2019. The unaudited pro-forma results of operations are presented for information purposes only. The unaudited pro-forma results of operations are not intended to present actual results that would have been attained had the acquisitions been completed as of January 1, 2019 or to project potential operating results as of any future date or for any future periods.

  Six Months Ended 
  June 30, 2019 
    
Net revenue $10,969,459 
Net loss from continuing operations  (26,409,730)
Deemed dividends from trigger of down round provision feature  (123,861,587)
Net loss from discontinued operations  (653,860)
Net loss to common stockholders $(150,925,177)
     
Net loss per common share:    
Basic and diluted net loss from continuing operations available to common stockholders $(444.52)
Basic and diluted net loss available to common stockholders $(449.47)

 

Note 46 – Accrued Expenses

 

Accrued expenses at SeptemberJune 30, 20172020 (unaudited) and December 31, 20162019 consisted of the following:

 

 September 30, 2017 December 31, 2016  June 30, December 31, 
Commisions payable $29,860  $44,788 
 2020  2019 
Accrued payroll and related liabilities  1,755,131   493,521  $7,892,855  $7,859,739 
Accrued interest  2,211,588   1,471,191   6,838,360   4,905,749 
Accrued legal  970,997   1,308,997 
Other accrued expenses  1,013,719   872,529   567,627   509,469 
Total accrued expenses $5,010,298  $2,882,029 
Accrued expenses $16,269,839  $14,583,954 

16

Accrued payroll and related liabilities at June 30, 2020 included approximately $1.8 million for penalties associated with $5.4 million of accrued past due payroll taxes. Accrued interest at December 31, 2019 included accrued interest of $1.9 million on loans made to the Company by Mr. Diamantis, a former member of our Board of Directors. The increase in accrued interest is primarily due to interest associated with outstanding debentures. Debentures are more fully discussed in Note 8. On June 30, 2020, the Company exchanged the loans and the related accrued interest owed to Mr. Diamantis for shares of the Company’s Series M Preferred Stock as more fully discussed in Notes 7 and 13.

 

Note 57 – Notes Payable

 

The Company and its subsidiaries are party to a number of loans with affiliates and unrelated parties. At SeptemberJune 30, 20172020 (unaudited) and December 31, 2016,2019, notes payable consisted of the following:

Notes Payable – Third Parties

 

  September 30, 2017  December 31, 2016 
Loan payable under prepaid forward purchase contract $5,000,000  $5,000,000 
         
Loan payable to TCA Global Master Fund, LP ("TCA") in the original principal amount of $3 million at 16% interest (the "TCA Debenture").  Principal and interest payments due in various installments through December 31, 2017.  1,957,476   3,000,000 
         
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the "Tegal Notes"). Prinicpal and interest payments are due annually from July 12, 2015 through July 12, 2017  341,612   341,612 
         
Other convertible notes payable  -   440,000 
         
Unamortized discount on other convertible notes  -   (179,889)
Derivative liability associated with the TCA Debenture, at fair value  -   409,524 
   7,299,088   9,011,247 
Less current portion  (7,299,088)  (9,011,247)
Notes payable - third parties, net of current portion $-  $- 

On March 31, 2016, the Company entered into an agreement to pledge certain of its accounts receivable as collateral against a prepaid forward purchase contract whereby the Company received consideration in the amount of $5.0 million. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $1.5 million on the Company’s balance sheet as of December 31, 2016 and $0 as of September 30, 2017. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from the Company on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months, or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty has not been paid $6.0 million, the Company was required to pay the difference, plus 30% interest per annum on the total balance. To date, the Company has not recovered any payments against the accounts receivable. As of September 30, 2017, the Company has accrued $1.9 million for the counterparty’s required investment return, which is reflected in accrued expenses in the accompanying condensed consolidated balance sheet, and $6.9 million was due to the counterparty on September 30, 2017. The Company does not have the financial resources to repay this obligation.

  June 30, 2020  December 31, 2019 
  (unaudited)    
Loan payable to TCA Global Master Fund, LP (“TCA”) in the original principal amount of $3 million at 16% interest (the “TCA Debenture”). Principal and interest payments due in various installments through December 31, 2017 $1,741,893  $1,741,893 
         
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the “Tegal Notes”). Principal and interest payments due annually from July 12, 2015 through July 12, 2017  314,102   335,817 
         
Note payable to Anthony O’Killough dated September 27, 2019 in the original principal amount of $1.9 million. Interest is due only upon event of default. Issued net of $0.3 million of debt discount and $0.1 million of financing fees. Payment is due in installments through November 2020.  1,750,000   1,900,000 
         
Notes payable under the Paycheck Protection Program (“PPP) issued on April 20, 2020 through May 1, 2020 bearing interest at a rate of 1% per annum. To the extent not forgiven, principal and interest payments are due monthly beginning seven months from the date of issuance and the notes mature two years from the date of issuance.  2,368,100   - 
         
Installment note payable to Ponte Investments, LLC dated January 29, 2020, less original issue discount of $0.1 million, non-interest bearing, payable in weekly installment payments ranging from $22,500 to $34,000 due on or before February 5, 2020 through on or before October 21, 2020, the maturity date.  518,810   - 
         
   6,692,905   3,977,710 
Less current portion  (5,290,477)  (3,977,710)
Notes payable - third parties, net of current portion $1,402,428  $- 

 

The Company did not make the required monthly principal and interest payments due under the TCA Debenture for the period from October 2016 through March 2017. On February 2, 2017, the Company made a payment to TCA in the amount of $0.4 million, which was applied to accrued and unpaid interest and fees, including default interest, as of the date of payment. On March 21, 2017, the Company made a payment to TCA in the amount of $0.75 million, of which approximately $0.1 million was applied to accrued and unpaid interest and fees in accordance with the terms ofunder the TCA Debenture. Also on March 21, 2017, the Company entered into a letter agreement with TCA, which (i) waived any payment defaults through March 21, 2017; (ii) provided for the $0.75 million payment discussed above; (iii) set forth a revised repayment schedule whereby the remaining principal plus interest aggregating to approximately $2.6 million was to be repaid in various monthly installments from April of 2017 through September of 2017; and (iv) provided for payment of an additional service fee in the amount of $150,000, which was due on June 27, 2017, the day after the effective date of the registration statement filed by the Company; which amount iswas reflected in accrued expenses in the accompanying condensed consolidated balance sheet at SeptemberJune 30, 2017.2020. In addition, TCA entered into an intercreditorinter-creditor agreement with the purchasers of the convertible debentures (see Note 6)8) which sets forth rights, preferences and priorities with respect to the security interests in the Company’s assets. On September 19, 2017, the Company entered into a new agreement with TCA, which extended the repayment schedule through to December 31, 2017. The Company is current with its payments.

11

RENNOVA HEALTH, INC.

Notesremaining debt to Condensed Consolidated Financial Statements

(unaudited)

On September 15, 2016,TCA remains outstanding and TCA has made a demand for payment. In May 2020, the SEC appointed a Receiver to close down the TCA Global Master Fund, L.P. over allegations of accounting fraud. The amount recorded by the Company entered into an agreement with two investors wherebyas being owed to TCA was based on TCA’s application of prior payments made by the Company. The Company soldbelieves that prior payments of principal and interest may have been applied to the investors convertible notes in the aggregate principal amount of $0.4 million (the “September 2016 Notes”). The September 2016 Notes were convertible into shares ofunenforceable investment banking and other fees and charges. It is the Company’s common stock at a conversion price of $112.50 per share. In conjunction withposition that the sale ofamount owed to TCA is less than the September 2016 Notes, the Company issued warrants to purchase an aggregate of 4,444 shares of the Company’s common stock at an exercise price of $180.00 per share. Based on the allocation of the net proceeds from the September 2016 Notes to the fair value of the warrants, and the resulting beneficial conversion features, the Company recognized a discount for the entire face value of the September 2016 Notes, which was accreted through the notes’ maturity date of March 15, 2017. On March 13, 2017, the September 2016 Notes, along with the accompanying warrants, were exchanged for 26,667 shares of the Company’s common stock.amount set forth above.

 

The Company did not make the second annual principal paymentspayment under the Tegal Notes that werewas due on July 12, 2016. On November 3, 2016, the Company received a default notice from the holders of the Tegal Notes demanding immediate repayment of the outstanding principal of $341,612 and accrued interest aggregating to $0.4 million.of $43,000. On December 7, 2016, the Company received a breach of contract complaint with a request for the entry of a default judgment (see Note 11)15). To date,On April 23, 2018, the holders of the Tegal Notes received a judgment against the Company. As of June 30, 2020, the Company has yetpaid $27,510 of principal on these notes.

17

On September 27, 2019, the Company issued a promissory note to repay this amount.a lender in the principal amount of $1.9 million and received proceeds of $1.5 million, which was net of a $0.3 million original issue discount and $0.1 million in financing fees. The first principal payment of $1.0 million was due on November 8, 2019 and the remaining $0.9 million was due on December 26, 2019. These payments were not made. In February 2020, the note holder sued the Company and Mr. Diamantis, as guarantor, in New York State Court for the County of New York, for approximately $2.2 million for non-payment of the promissory note. As a result of the payment default, the Company accrued “penalty” interest in the amount of approximately $0.3 million. In May 2020, the Company, Mr. Diamantis, as guarantor, and the note holder entered into a Stipulation providing for a payment of a total of $2.2 million (which includes accrued interest) in installments through November 1, 2020. As of June 30, 2020, $150,000 has been paid. The Stipulation is also discussed in Note 15.

On January 29, 2020, the Company entered into the Installment Note in the principal amount of $1.2 million. The Company used the proceeds to satisfy in full the amounts due under accounts receivable sales agreements. These sales agreements are more fully discussed in Note 4. Pursuant to the Installment Note, weekly installment payments ranging from $22,500 to $34,000 are due on or before February 5, 2020 through on or before October 21, 2020, the maturity date. Accordingly, the Company made payments totaling $0.6 million during the six months ended June 30, 2020. The Installment Note, which was issued with an original issue discount in the amount of approximately $0.1 million, is non-interest bearing and subject to late-payment fees of 10%.

As of April 20, 2020 and through May 1, 2020, the Company and its subsidiaries received PPP loan proceeds in the form of promissory notes (the “PPP Notes”) in the aggregate amount of approximately $2.4 million. A portion of the PPP Notes and accrued interest are forgivable as long as the borrower uses the loan proceeds for eligible purposes, including payroll, benefits, rent and utilities, and maintains its payroll levels. The amount of loan forgiveness will be reduced if the borrower terminates employees or reduces salaries. No collateral or guarantees were provided in connection with the PPP Notes. The unforgiven portion of the PPP Notes are payable over two years at an interest rate of 1.0% per annum, with a deferral of payments for the first six months. Beginning seven months from the dates of issuance, the Company is required (if not forgiven) to make monthly payments of principal and interest to the lenders. The aggregate monthly payment of all of the PPP Notes is approximately $0.1 million. The Company intends to use the proceeds for purposes consistent with the PPP. While the Company currently believes that its use of the loan proceeds will meet the conditions for forgiveness of the loans, we cannot assure you that we will not take actions that could cause the Company to be ineligible for forgiveness of the loans, in whole or in part.

 

Notes Payable – Related PartiesParty

 

  September 30, 2017  December 31, 2016 
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on February 2, 2018 $168,500  $218,500 
         
Other advances from related parties  55,000   110,000 
   223,500   328,500 
Less current portion  (223,500)  (328,500)
Total notes payable - related parties, net of current portion $-  $- 

At December 31, 2019, the Company was party to loans with a related party, which were exchanged for Series M Preferred Stock on June 30, 2020 as more fully discussed below. At December 31, 2019 related party loans consisted of the following:

  December 31, 2019 
    
Loan payable to Christopher Diamantis $15,159,455 
     
Total note payable, related party  15,159,455 
     
Less current portion of notes payable, related party  (15,159,455)
Total note payable, related party, net of current portion $- 

 

On February 3, 2015,During the six months ended June 30, 2020, Mr. Diamantis loaned the Company borrowed $3.0$4.6 million, from Alcimede LLC (“Alcimede”). Seamus Lagan, the Company’s President and Chief Executive Officer, ismajority of which was for working capital purposes. During the sole manager of Alcimede. The note has an interest rate of 6% and was originally due on February 2, 2016. Alcimede later agreed to extend the maturity date of the loan to August 2, 2017. Onsix months ended June 29, 2015, Alcimede exercised options granted in October 2012 to purchase 66,667 shares of the Company’s common stock at an exercise price of $37.50 per share, and the loan outstanding was reduced in satisfaction of the aggregate exercise price of $2.5 million. In August of 2016, $0.3 million was repaid by30, 2019, Mr. Diamantis advanced the Company through$9.1 million which was used for the issuancesettlement of sharesa prepaid forward purchase contract, the purchase of common stock. In March of 2017, the CompanyJellico Community Hospital and Mr. Lagan agreed that a payment made to AlcimedeCarePlus Center as more fully discussed in the amount of $50,000 would be deducted from the outstanding balance of the note. On August 2, 2017, the CompanyNote 5 and Alcimede agreed to further extend the maturity date of the loan to February 2, 2018.

The remaining balance due on this loan as of September 30, 2017 was $0.2 million, including accrued interest.working capital purposes.

 

During the ninethree months ended SeptemberJune 30, 2017,2020 and 2019, we accrued interest of $0.2 million and $0.6 million, respectively, on the Company repaid $0.1 million that was outstanding to a former principal stockholder, and borrowed an additional $75,000 from this same stockholder of which $50,000 has been repaid and $3.6 millionloans from Mr. Diamantis and during the six months ended June 30, 2020 and 2019, we accrued interest of $0.5 million and $0.7 million, respectively, on the loans from Mr. Diamantis. Interest accrued on loans from Mr. Diamantis at a directorrate of the Company, which has been fully repaid (see Note 7).10% on all amounts loaned.

 

1218

 

 

RENNOVA HEALTH, INC.

NotesOn June 30, 2020, we exchanged the total amount owed to Condensed Consolidated Financial Statements

(unaudited)Mr. Diamantis for outstanding loans and accrued interest, net of repayments, of approximately $18.8 million for shares of the Company’s Series M Preferred Stock. The Series M Preferred Stock is more fully discussed in Note 13.

 

Note 68 – Debentures

 

The carrying amount of all outstanding debentures as of SeptemberJune 30, 20172020 (unaudited), and December 31, 2019 is as follows:

 

 June 30, 2020  December 31, 2019 
 September 30, 2017  (unaudited)    
Debentures $20,962,234  $29,153,740  $29,873,740 
Discount on Debentures  (16,398,666)
Deferred financing fees  (324,563)
  4,239,005   29,153,740   29,873,740 
Less current portion  -   (29,153,740)  (29,873,740)
Debentures $4,239,005 
Debentures, long-term $-  $- 

 

There were noThe outstanding debentures outstanding as ofat June 30, 2020 and December 31, 2016.

February Offering

On February 2,2019, which were issued during the years ending December 31, 2017, 2018 and 2019, are more fully described in Note 9 to the CompanyCompany’s audited consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2019. Certain of these debentures were issued $1.6 million aggregate principal amount of Original Issue Discount Convertible Debentures due three months from the date of issuance (the “February Debentures”) andwith warrants to purchase an aggregate of 6,667 shares of common stock, which can be exercised at any time after August 17, 2017 at an exercise price of $38.70 per share (the “February Warrants”), to an accredited investor for a purchase price of $1.5 million. On March 21, 2017, the February Debentures were exchanged for $2.5 million of exchange debentures as more fully discussed below.

March Offerings

On March 21, 2017, the Company issued $10.85 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due March 21, 2019 (the “Convertible Debentures”). The Company received net proceeds from this transaction in the approximate amount of $8.4 million. The Company used $3.8 million of the net proceeds to repay the 2017 Diamantis Note (see Note 7) and $0.75 million of the net proceeds to make the partial repayment on the TCA Debenture (see Note 5). The remainder of the net proceeds were used for general corporate purposes. In conjunction with the issuance of the Convertible Debentures, the holder of the February Debentures exchanged these debentures for $2.5 million of new debentures (the “Exchange Debentures” and, collectively with the Convertible Debentures, the “March Debentures”) on the same terms as, and pari passu with, the Convertible Debentures and warrants. The Company recorded non-cash interest expense in the amount of $0.4 million as a result of this exchange. Additionally, the holders of an aggregate of $2.2 million stated value of the Company’s Series H Convertible Preferred Stock (the “Series H Preferred Stock”) exchanged such preferred stock into $2.7 million principal amount of Exchange Debentures and warrants. The March Debentures contain a 24% original issue discount, have no regularly scheduled interest payments except in the event of a default and have a maturity date of March 21, 2019.

In connection with the March Debentures the Company issued warrants to purchase an aggregate of 9,166,616 shares of the Company’s common stock to several accredited investors. The warrants were issued to the investors in three tranches, Series A Warrants, Series B Warrants and Series C Warrants (collectively, the “March Warrants”). The Series A Warrants are exercisable for 3,214,911 shares of the Company’s common stock. TheyOutstanding warrants are immediately exercisable and have a termmore fully discussed in Note 13.

Payment on all outstanding debentures of exercise equal to five years. The Series B Warrants are exercisable for 2,736,794 shares$29.2 million at June 30, 2020, which included non-payment penalties of $6.9 million, is past due. Approximately $0.6 million of the Company’s common stock and are exercisable for a period of 18 months commencing immediately. The Series C Warrants are exercisable for 3,214,911 shares of the Company’s common stock and have a term of five years provided such warrants shall only vest if, when and to the extent that the holders exercise the Series B Warrants. At September 30, 2017, the Series A, Series B and Series C Warrants each have an exercise price of $5.85 per share, which reflects an adjustment pursuant to their terms. The Series A, Series B and Series C Warrants are subject to “full ratchet” and other customary anti-dilution protections.

The March Debentures are convertible into shares of the Company’s common stock, at a conversion price which has been adjusted pursuant to the terms of the March Debentures to $5.85 per share as of September 30, 2017, due to prices at which the Company has subsequently issued shares of common stock. The Convertible Debentures began to amortize monthly commencing on the 90th day following the closing date. The Exchange Debentures began to amortize monthly on the closing date. On each monthly amortization date, the Company may elect to repay 5% of the original principal amount of the March Debentures in cash or, in lieu thereof, the conversion price of such debentures will thereafter be 85% of the volume weighted average price at the time of conversion. In the event the Company does not elect to pay such amortization amounts in cash, each investor, in their sole discretion, may increase the conversion amount subject to the alternative conversion price by up to four times the amortization amount. The March Debentures contain customary affirmative and negative covenants. The conversion prices are subject to resetnon-payment penalties was recorded in the event of offerings or other issuances of common stock, or rights to purchase common stock, at a price below the then conversion price, as well as other customary anti-dilution protections as more fully described in the debentures.

The March Debentures are secured by all of the Company’s assets and are guaranteed by substantially all of the Company’s subsidiaries. Between March 22, 2017 and September 30, 2017, holders of the March Debentures converted an aggregate of $4.1 million of these debentures into 548,932 shares of common stock.

13

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

The exercise prices of the March Warrants issued in connection with the March Debentures are subject to reset in the event of offerings or other issuances of common stock, or rights to purchase common stock, at a price below the then exercise price, as well as other customary anti-dilution protections. As a result of these provisions, both the March Debentures and the March Warrants were deemed to be not indexed to the Company’s common stock, and the Company recognized derivative liabilities for the embedded conversion feature of the March Debentures and the March Warrants in the original amount of $15.3 million and $41.3 million, respectively. The Company recognized a discount for 100% of the principal value of the March Debentures and non-cash interest expense in the amount of $43.7 million in connection with the recognition of these derivative liabilities. As a result of the adoption of ASU 2017-11 in the second quarter of 2017, the interest expense and derivative liability originally recognized were adjusted and extinguished during the threesix months ended June 30, 2017. See Note 12019 and the remaining $6.0 million was recorded in the second half of 2019. In January 2020, the Company and Mr. Diamantis entered into a Forbearance Agreement with certain debenture holders under which Mr. Diamantis paid the debenture holders $50,000 for legal fees and $220,000 in principal payments on debentures that were issued in February 2019. In addition, Mr. Diamantis, who had guaranteed certain of the adoptiondebentures, agreed to grant the debenture holders security interests in certain potential legal settlements funds that may become due to Mr. Diamantis. The Forbearance Agreement, which terminated on March 15, 2020, required the Company and Mr. Diamantis to repay the debenture holders a total of ASU 2017-11$4.9 million on or before the termination date, of which $4.7 million was not repaid. During May 2020, the Company repaid $0.5 million of the debentures. On June 30, 2020, the Company received a formal notice of default and demand for full payment of the retrospective adjustments made to$29.2 million of outstanding debentures plus accrued interest. Accrued interest on the Company’s condensed consolidated financial statements with respect to the derivative liabilities associated with these debentures and warrants.

totaled $6.0 million at June Offerings30, 2020.

 

In June 2017,During the Company issued debentures due three months from the date of issuance in two issuances (collectively, the “June Debentures”) and warrants to purchase an aggregate of 100,000 shares of common stock (33,333 warrants in the June 2, 2017 transaction and 66,667 in the June 22, 2017 transaction), which can be exercised at any time after nine months at an exercise price of $5.85 per share for the June 2, 2017 warrants and $5.70 per share for the June 22, 2017 warrants (collectively the “June Warrants”), to accredited investors for a purchase price of $1,902,700 and proceeds to the Company of $1.5 million. The Company recorded a discount on the debentures of $107,700 which has been fully amortized.As more fully discussed below, on July 17, 2017, the June Debentures were exchanged.

July Offerings

On July 17, 2017, the Company closed an offering of $4,136,862 aggregate principal amount of Original Issue Discount Debentures due October 17, 2017 (the “July Debentures”) and warrants to purchase an aggregate of 141,333 shares of common stock (the “July Warrants”) for consideration of $2,000,000 in cash and the exchange of the full $1,902,700 aggregate principal amount of the June Debentures. Under the Purchase Agreement, the Company was required to hold a stockholders’ meeting to obtain stockholder approval for at least a 1-for-8 reverse split of the Company’s common stock on or before September 20, 2017. Accordingly, the Company’s stockholders approved a reverse stock split on September 20, 2017 and the Company effected a 1-for-15 reverse stock split of its common stock on October 5, 2017, as further discussed in Note 1. The July Debentures were guaranteed by substantially all of the subsidiaries of the Company pursuant to a Subsidiary Guarantee in favor of the holders of the July Debentures. As more fully discussed below, on September 19, 2017, the July Debentures were exchanged for $6.4 million of exchange debentures.

The July Warrants are exercisable into shares of the Company’s common stock at any time from and after six months from the closing date at an exercise price of $5.63 per common share (subject to adjustment). The July Warrants will terminate five years after they become exercisable.

September Offerings

On September 19, 2017, the Company closed an offering of $2,604,000 principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19,ended June 30, 2019, (the “New Debentures”) and three series of warrants to purchase an aggregate of 6,935,517 shares of the Company’s common stock (the “Series A Warrants,” the “Series B Warrants,” and the “Series C Warrants,” and collectively, the “September Warrants”). The offering was pursuant to the terms of a Securities Purchase Agreement, dated as of August 31, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $2,100,000 from the offering.

Also on September 19, 2017, the Company closed exchanges by which the holders of the Company’s July Debentures exchanged $4,136,862 principal amount of such debentures for $6,412,136 principal amount of new debentures on the same items as, and pari passu with, the New Debentures (the “September Exchange Debentures” and, together with the New Debentures, the “September Debentures”). The Company recorded non-cash interest expense in the amount of $1.0 million as a result of this exchange. All issuance amounts of the September Debentures reflect a 24% original issue discount.

The September Debentures contain customary affirmative and negative covenants. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the debentures. The September Debentures may be converted at any time into shares of the Company’s common stock. The September Debentures begin to amortize monthly commencing on October 1, 2017. For the first three amortization dates, the amortization amount is $100,000. Thereafter, on each monthly amortization date, the Company may elect to repay 5% of the original principal amount of September Debentures in cash or, in lieu thereof, the conversion price of such September Debentures shall thereafter be 85% of the volume weighted average price at the time of conversion. In the event the Company does not elect to pay such amortization amounts in cash, each investor, in their sole discretion, may increase the conversion amount subject to the alternative conversion price by up to four times the amortization amount.

14

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

The Series A Warrants are exercisable for an aggregate of 2,311,829 shares of the Company’s common stock. They are immediately exercisable and have a term of exercise equal to five years. The Series B Warrants are exercisable for an aggregate of 2,311,859 shares of the Company’s common stock and are exercisable for a period of 18 months commencing immediately. The Series C Warrants are exercisable for an aggregate of 2,311,829 shares of the Company’s common stock, and have a term of five years provided such Series C Warrants shall only vest if, when and to the extent that the holders exercise the Series B Warrants. The September Warrants each have an exercise price of $3.90. All of the September Warrants are subject to “full ratchet” and other customary anti-dilution protections.

The Company’s obligations under the September Debentures are secured by a security interest in all of the Company’s and its subsidiaries’ assets, pursuant to the terms of the Security Agreement, dated as of March 20, 2017.

During the nine months ended September 30, 2017, the Company realized approximately $15.7a total of $3.8 million in proceeds from the issuances of thesedebentures. No debentures and warrants.were issued during the six months ended June 30, 2020. At SeptemberJune 30, 2017, the2019, unamortized discounts were $16.4$1.4 million. These discounts representrepresented original issue discounts, the relative fair value of the warrants issued with the debentures (and the modifications thereof) and the relative fair value of the beneficial conversion features of the debentures. During the three and ninesix months ended SeptemberJune 30, 2017,2019, the Company recorded approximately $4.8$1.5 million and approximately $14.7$14.5 million of non-cash interest and amortization of debt discount expense primarily in connection with the debentures and warrants. The interest expense for the three and six months ended June 30, 2019 included $5.4 million and $9.5 million, respectively, of expense due to the modifications of warrants during the periods. The modifications are more fully discussed in Notes 11 and 13. These discounts were fully amortized as of December 31, 2019 and, accordingly, no amortization associated with the debentures was recorded in the three and six months ended June 30, 2020.

In addition to the non-cash interest expense and amortization of debt discount recorded during the three and six months ended June 30, 2019 discussed in the paragraph above, during the three months ended June 30, 2020 and 2019, the Company accrued interest expense on outstanding debentures of $1.9 million and $0.1 million, respectively, and during the six months ended June 30, 2020 and 2019, the Company accrued interest expense on outstanding debentures of $3.9 million and $0.1 million, respectively.

On June 30, 2020, as adjusted for the Reverse Stock Split, $2.6 million of principal amount of outstanding debentures were convertible into 1,517,788 shares of the Company’s common stock at a price of $1.70 per share. The remaining outstanding debentures were convertible on that date into 27,902 shares of the Company’s common stock.

 

See Note 9Notes 3 and 13 for summarized information related toa discussion of the dilutive effect of the outstanding debentures and warrants issued and the activity during the nine months ended Septemberas of June 30, 2017.2020.

19

 

Note 79 – Related Party Transactions

 

In addition toAlcimede billed $0.1 million and $0.1 million for consulting fees for the three months ended June 30, 2020 and 2019, respectively, and $0.2 million and $0.2 million for consulting fees for the six months ended June 30, 2020 and 2019, respectively. Seamus Lagan, the Company’s President and Chief Executive Officer, is the sole manager of Alcimede (see Note 13).

See Notes 5 and 7 for discussions of transactions between the Company and Mr. Diamantis.

The terms of the foregoing transactions, including those discussed in Notes 5, 7 and 13, are not necessarily indicative of those that would have been agreed to with unrelated parties for similar transactions.

Note 5,10 – Finance and Operating Lease Obligations

We adopted ASU No. 2016-02, Leases (Topic 842), which requires leases with durations greater than 12 months to be recognized on the balance sheet, effective January 1, 2019, using the modified retrospective approach. We elected the package of transition provisions available, which allowed us to carryforward our historical assessments of (1) whether contracts are or contain leases, (2) lease classification and (3) initial direct costs. We lease property and equipment under finance and operating leases. For leases with terms greater than 12 months, we record the related right-of-use assets and right-of-use obligations at the present value of lease payments over the term. We do not separate lease and non-lease components of contracts.

Generally, we use our estimated weighted average cost of capital at lease commencement as our interest rate, as most of our operating leases do not provide a readily determinable implicit interest rate.

The following table presents our lease-related assets and liabilities at June 30, 2020 (unaudited) and December 31, 2019:

  Balance Sheet Classification June 30, 2020  December 31, 2019 
Assets:    (unaudited)     
Operating leases Right-of-use operating lease assets $394,281  $274,747 
Finance leases Property and equipment, net  349,987   1,119,418 
           
Total lease assets   $744,268  $1,394,165 
           
Liabilities:          
Current:          
Operating leases Right-of-use operating lease obligations  165,924   116,037 
Finance leases Current liabilities  349,987   1,119,418 
Noncurrent:          
Operating leases Right-of-use operating lease obligations  228,357   158,710 
Finance leases Long-term debt  -   - 
           
Total lease liabilities   $744,268  $1,394,165 
           
Weighted-average remaining term:          
Operating leases    2.42 years    2.02 years 
Finance leases    0 years   0.08 years 
Weighted-average discount rate:          
Operating leases(1)    13.0%  13.0%
Finance leases    10.3%  5.1%

(1)Upon adoption of the new lease standard, discount rates used for existing operating leases were established at January 1, 2019.

20

The following table presents certain information related to lease expense for finance and operating leases for the three and six months ended June 30, 2020 and 2019:

  Three Months Ended
June 30, 2020
  Three Months Ended
June 30, 2019
  Six Months Ended
June 30, 2020
  Six Months Ended
June 30, 2019
 
Finance lease expense:                
Depreciation/amortization of leased assets (1) $10,539  $9,290  $26,349  $(45,069)
Interest on lease liabilities  46,503   1,155   93,012   5,100 
Operating leases:                
Short-term lease expense (2)  78,502   99,927   194,238   187,401 
                 
Total lease expense $135,544  $110,372  $313,599  $147,432 

(1)Adjusts depreciation recorded in the six months ended June 30, 2019.

(2)

Expenses are included in general and administrative expenses in our unaudited condensed consolidated statements of operations.

Other Information

The following table presents supplemental cash flow information for the six months ended June 30, 2020 and 2019:

  Six Months Ended June 30, 2020  Six Months Ended June 30, 2019 
Cash paid for amounts included in the measurement of lease liabilities:        
Operating cash flows for operating leases $-  $76,559 
Financing cash flows for operating leases $133,807  $92,550 
Operating cash flows for finance leases $9,455  $5,100 
Financing cash flows for finance leases payments $100,707  $143,926 

Aggregate future minimum lease payments under right-of-use operating and finance leases are as follows:

  Right-of-Use Operating Leases  Finance Leases 
July 1, 2020 to June 30, 2021 $207,525  $353,779 
July 1, 2021 to June 30, 2022  155,687   - 
July 1, 2022 to June 30, 2023  99,107   - 
July 1, 2023 to June 30, 2024  -   - 
July 1, 2024 to June 30, 2025  -   - 
Total  462,319   353,779 
         
Less interest  (68,038)  (3,792)
Present value of minimum lease payments $394,281  $349,987 

As of June 30, 2020, the Company hadwas in default under its finance lease obligations, therefore, the following related party transactions during the nine months ended September 30, 2017aggregate future minimum lease payments and 2016:

In January and February of 2017, the Company received advances aggregating $3.6 million from Christopher Diamantis, a director of the Company. The advances, along with $0.5 million of previously accrued but unpaid interest were due on demand, bearing interest at 10% per annum. The Company used the advances to pay the purchase price for the Hospital Assets and for general corporate purposes. On March 7, 2017, the Company issued a promissory note to Mr. Diamantisunder finance leases in the amount of $3.8$0.4 million (the “2017 Diamantis Note”) in connection with these advances received in 2017, plus accrued and unpaid interest of $0.5 million.are deemed to be immediately due. In conjunctionJuly 2020, the Company entered into a settlement with the issuanceholder of one of the 2017 Diamantis Note, the Company also issued to Mr. Diamantis warrants to purchase 27,667 sharesfinance leases and paid $0.1 million as full and final settlement of the Company’s common stock, exercisable at $15.00. The 2017 Diamantisobligation as more fully discussed in Note was repaid on March 21, 2017 with the proceeds received from the issuance of the Convertible Debentures (see Note 6). In May and June of 2017, the Company received advances from Mr. Diamantis, net of repayments totaling $0.2 million, at a 10% annum interest rate, which amount was paid in full on July 18, 2017.15.

 

Alcimede billed the Company $0.4 million and $0.3 million for consulting fees pursuant to a consulting agreement for each of the nine months ended September 30, 2017 and 2016, respectively.

Monarch Capital, LLC (“Monarch”) billed the Company for consulting fees pursuant to a consulting agreement in the amount of $0.1 million for the nine months ended September 30, 2017 and 2016, respectively. The agreement expired on August 31, 2017. Michael Goldberg, a director of the Company up until his resignation effective April 24, 2017, is the Managing Director of Monarch.

Note 8 – Capital Lease Obligations

The Company leases various assets under capital leases expiring through 2020 as follows. At September 30, 2017 (unaudited) and December 31, 2016, capital lease obligations consisted of the following:

  September 30, 2017  December 31, 2016 
       
Medical equipment $4,497,025  $4,497,025 
Less accumulated depreciation  (3,582,631)  (2,809,511)
         
Net $914,394  $1,687,514 

1521

 

 

RENNOVA HEALTH, INC.

Notes to Condensed ConsolidatedNote 11 – Derivative Financial Statements

(unaudited)Instruments and Fair Value

 

Aggregate future minimum rentals under capital leases are as follows:The estimated fair value of financial instruments was determined by the Company using available market information and valuation methodologies considered to be appropriate. At June 30, 2020 and December 31, 2019, the carrying value of the Company’s accounts receivable, accounts payable and accrued expenses approximated their fair values due to their short-term nature.

 

Year ended December 31,   
2017 (October through December) $493,282 
2018  1,427,375 
2019  377,919 
2020  32,611 
Total  2,331,187 
     
Less interest  103,983 
Present value of minimum lease payments  2,227,204 
     
Less current portion of capital lease obligations  1,491,666 
Capital lease obligations, net of current portion $735,538 

The following table sets forth the financial assets and liabilities carried at fair value measured on a recurring basis as of June 30, 2020 and December 31, 2019:

  Level 1  Level 2  Level 3  Total 
             
As of December 31, 2019:                
Embedded conversion options $-  $-  $455,336  $455,336 
Total $-  $-  $455,336  $455,336 
                 
As of June 30, 2020:                
Embedded conversion options $-  $-  $455,336  $455,336 
Total $-  $-  $455,336  $455,336 

The Company utilized the following methods to value its derivative liabilities as of June 30, 2020 and December 31, 2019 for embedded conversion options that were valued at $455,336. The Company determined the fair value by comparing the discounted conversion price per share (85% of market price, subject to a floor in certain cases) multiplied by the number of shares issuable at the balance sheet date to the actual price per share of the Company’s common stock multiplied by the number of shares issuable at that date with the difference in value recorded as a liability.

During the six months ended June 30, 2019, the conversion of preferred stock triggered a further reduction in the exercise prices of any debentures and warrants containing ratchet features that had not already ratcheted down to their floor. In accordance with U.S. GAAP, the incremental fair value of the debentures and warrants was measured, ignoring the down round provision, using Black Scholes. The following assumptions were utilized in the Black Scholes valuation models: risk free rates ranging from 2.4% to 2.6% and volatility ranging from 189.5% to 273.1% and weighted average life of 0.3 to 3.2 years. The incremental value of $123.9 million was recorded as a deemed dividend for the six months ended June 30, 2019. Deemed dividends are also discussed in Notes 1 and 3.

During the three and six months ended June 30, 2019, the Company recorded interest expense of $5.4 million and $9.5 million, respectively, which represented the fair value of the modification of warrants during the periods as more fully discussed in Note 13. The Company used the Black Scholes model to calculate the fair value of the warrants as of the modification dates. Using the pre-modification terms and related assumptions of risk free rates ranging from 2.44% to 2.46%, volatility ranging from 182.9% to 204.4% and weighted average remaining lives of .24 years to .36 years, and the post-modification terms and related assumptions of risk free rates ranging from 2.23% to 2.49%, volatility ranging from 198.3% to 259.4% and weighted average remaining lives of .48 years to 2.89 years, the changes in the fair value of the warrant instruments as a result of the modifications were estimated.

 

Note 912 – Redeemable Preferred Stock

The Company has 5,000,000 authorized shares of Preferred Stock at a par value of $0.01. Issuances of the Company’s Preferred Stock included as part of stockholders’ deficit are discussed in Note 13. The following is a summary of the issuances of the Company’s Redeemable Preferred Stock.

Series I-1 Convertible Preferred Stock

On October 30, 2017, the Company closed an offering of $4,960,000 stated value of 4,960 shares of a newly-authorized Series I-1 Convertible Preferred Stock (the “Series I-1 Preferred Stock”). Each share of Series I-1 Preferred Stock has a stated value of $1,000. The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $4.0 million from the offering. The Purchase Agreement gives the investors the right to participate in up to 50% of any offering of common stock or common stock equivalents by the Company. In the event of any such offering, the investors may also exchange all or some of their Series I-1 Preferred Stock for such new securities on an $0.80 stated value of Series I-1 Preferred Stock for $1.00 of new subscription amount basis. Each share of Series I-1 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-1 Preferred Stock. Upon the occurrence of certain Triggering Events, as defined in the Certificate of Designation of the Series I-1 Preferred Stock, the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-1 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation. The definition of Triggering Events includes the Company not having enough shares of common stock available to issue upon conversion, a default on certain obligations over $150,000 resulting in their acceleration and monetary judgments in excess of $200,000 that are not satisfied after 45 days.

22

Series I-2 Convertible Preferred Stock

On October 30, 2017, the Company entered into Exchange Agreements with the holders of debentures that were issued in September 2017 (the “September Debentures”) to provide that the holders may, from time to time, exchange their September Debentures for shares of a newly-authorized Series I-2 Preferred Stock. The Exchange Agreements permitted the holders of the September Debentures to exchange specified principal amounts of the September Debentures on various closing dates starting on December 2, 2017 (debentures are more fully discussed in Note 8). At the holder’s option each holder could reduce the principal amount of September Debentures exchanged on any particular closing date, or elect not to exchange any September Debentures at all on a closing date. If a holder chose to exchange less principal amount of September Debentures, or no September Debentures at all, it could carry forward such lesser amount to a future closing date and then exchange more than the originally specified principal amount for that later closing date. For each $0.80 of principal amount of September Debenture surrendered to the Company at any closing date, the Company will issue the holder a share of Series I-2 Preferred Stock with a stated value of $1.00. From December 2, 2017 through March 1, 2018, any exchange under the Exchange Agreements was at the option of the holder. Subsequent to March 2018, any exchange is at the option of the Company. Each share of Series I-2 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-2 Preferred Stock.

The Company’s Board of Directors has designated up to 21,346 shares of the 5,000,000 authorized shares of preferred stock as the Series I-2 Preferred Stock and the Company has issued 3,907.67 shares of its Series I-2 Preferred Stock. Each share of Series I-2 Preferred Stock has a stated value of $1,000. Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-2 Preferred Stock, which is the same as the definition in the Series I-1 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-2 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

During the six months ended June 30, 2020 and 2019, the holder converted 21.25 shares and 769.2276 shares of Series I-2 Preferred Stock, respectively, into 25,000 and 576,075 shares, respectively, of the Company’s common stock. As of June 30, 2020, 1,521.65 shares of the Series I-2 Preferred Stock remain outstanding.

Note 13 – Stockholders’ EquityDeficit

 

Authorized Capital

The Company has 10,000,000,000 authorized shares of Common Stock at $0.0001 par value and 5,000,000 authorized shares of Preferred Stock at a par value of $0.01.

Preferred Stock

 

The Company has 5,000,000 shares, par value $0.01, of preferred stock authorized. As of SeptemberJune 30, 2017,2020, the Company had outstanding 1,750,275 shares of preferred stock consisting of 215 shares of its Series GI-1 Preferred Stock 60and shares of its Series I-2 Preferred Stock (both of which are more fully discussed in Note 12), 10 shares of its Series H Convertible Preferred Stock and(the “Series H Preferred Stock”), 1,750,000 shares of its Series F Convertible Preferred Stock (the “Series F Preferred Stock”)., 250,000 shares of its Series L Convertible Preferred Stock and 22,000 shares of its Series M Preferred Stock.

 

During the nine months ended September 30, 2017, 7,785 shares ofThe Series H Preferred Stock were converted into 370,446 shares of common stock in accordance with the terms of the Series H Preferred Stock. Also during the nine months ended September 30, 2017, 2,174 shares of Series H Preferred Stock withhas a stated value of $2.2 million were exchanged for Exchange Debentures with an aggregate principal amount$1,000 per share and is convertible into shares of $2.7 million and warrants (see Note 6).the Company’s common stock at a conversion price of 85% of the volume weighted average price of the Company’s common stock at the time of conversion.

23

 

In connection with the acquisition of Genomas, Inc., on September 27, 2017, which is more fully discussed in Note 14, the Company issued 1,750,000 shares of its Series F Preferred Stock valued at $174,097. The following$174,097 in connection with the acquisition of Genomas Inc. Genomas Inc. is included in the Company’s discontinued operations, which are discussed in Note 17. As a summary of certain terms and provisionsresult of the Company’s Series F Preferred Stock:

Rank. The Series F PreferredReverse Stock ranks on parity to our common stock.

Conversion. Each share ofSplit, the Series F Preferred Stock is convertible into shares of our common stock (subject to adjustment as provided in the related certificate of designation of preferences, rights and limitations) at any time after the first anniversary of the issuance date at the option of the holder at a conversion price equal to the greater of $29.25 or the average closing price of the Company’s common stock for the 10 trading days immediately preceding the conversion. The maximum number of shares of common stock issuable upon the conversion of the Series F Preferred Stock is 59,829.one. Any shares of Series F Preferred Stock outstanding on the fifth anniversary of the issuance date will be mandatorily converted into common stock at the applicable conversion price on such date.

Liquidation Preference. In the event of our liquidation, dissolution or winding-up, holders of The Series F Preferred Stock will be entitled to receive the same amount that a holder of common stock would receive if the Series F Preferred Stock were fully converted into shares of our common stock at the conversion price (assuming for such purposes that the Series F Preferred Stock is then convertible) which amounts shall be paid pari passu with all holders of common stock.

Voting Rights.has voting rights. Each share of Series F Preferred Stock shall havehas one vote, and the holders of the Series F Preferred Stock shall vote together with the holders of ourthe Company’s common stock as a single class.

 

Dividends.On December 23, 2019, the Company entered into an Exchange Agreement (the “Agreement”) with Alcimede LLC (“Alcimede”), of which Seamus Lagan, our Chief Executive Officer, is the sole manager as previously stated. Pursuant to the Agreement, the Company issued to Alcimede 250,000 shares of its Series K Convertible Preferred Stock (the “Series K Preferred Stock”) in exchange for the 250,000 shares of the Company’s Series J Convertible Preferred Stock (the “Series J Preferred Stock”) held by Alcimede. The holdersholder of the Series FJ Preferred Stock will participate, on an as-if-converted-to-common stock basis, in anywas entitled to receive, when and as declared by the Board of Directors of the Company, but only out of funds that were legally available therefor, cumulative cash dividends toat the holdersrate of common stock.

Redemption. At any time, from time to time after the first anniversary8% of the issuance date, we havestated value per annum on each share of Series J Preferred Stock. The Series J Preferred Stock had been issued to Alcimede on July 23, 2018 and upon the right to redeem all or any portionissuance of the outstanding Series FK Preferred Stock at a price per share equal to $1.95 plus any accrued but unpaid dividends.

Negative Covenants. As long as anyAlcimede, the shares of Series FJ Preferred Stock are outstanding,were cancelled. Under the Company may not amend, alter or repealAgreement, Alcimede relinquished all rights to any provision of our certificate of incorporation,cumulative dividends on the certificate of designation or our bylaws in a manner that materially adversely affects the powers, preferences or rightsSeries J Preferred Stock. The terms of the Series FK Preferred Stock.Stock do not provide for cumulative dividends.

16

 

RENNOVA HEALTH, INC.

NotesOn May 4, 2020, the Company filed a Certificate of Designation with the Secretary of State of the State of Delaware to Condensed Consolidated Financial Statements

(unaudited)authorize the issuance of up to 250,000 shares of its Series L Preferred Stock. On May 5, 2020, the Company entered into an exchange agreement with Alcimede. Pursuant to the exchange agreement, the Company issued to Alcimede 250,000 shares of its Series L Preferred Stock in exchange for the 250,000 shares of the Company’s Series K Preferred Stock held by Alcimede. Upon the issuance of the Series L Preferred Stock to Alcimede, the shares of Series K Preferred Stock were cancelled. The Series L Preferred Stock is not convertible into common stock prior to December 1, 2020 and is not entitled to receive any dividends.

 

Preferred Stock Issued Subsequent to September 30, 2017

In October 2017, the Company issued its Series I-1M Convertible Preferred Stock in connectionExchanged for Loans from Mr. Diamantis

On June 9, 2020, the Company filed a certificate of designation to authorize 30,000 shares of its Series M Preferred Stock with a financing as more fully discussedstated value of $1,000 per share. On June 30, 2020, the Company and Mr. Diamantis entered into an exchange agreement wherein Mr. Diamantis agreed to the extinguishment of the Company’s indebtedness to Mr. Diamantis totaling $18.8 million, including accrued interest, on that date in exchange for 22,000 shares of the Company’s Series M Preferred Stock with a par value of $0.01 per share. As a result of the exchange, the Company recorded a deemed dividend of approximately $3.2 million in the three and six months ended June 30, 2020, which represented the difference between the $18.8 million of debt and accrued interest exchanged and the value of the Series M Preferred Stock of $22.0 million. See Note 15.7 for a discussion of the Company’s indebtedness to Mr. Diamantis.

 

The terms of the Series M Preferred Stock were set forth in the Company’s Current Report on Form 8-K filed with the SEC on June 16, 2020. In particular: (i) each holder of the Series M Preferred Stock shall be entitled to vote on all matters submitted to a vote of the holders of the Company’s common stock. Regardless of the number of shares of Series M Preferred Stock outstanding and so long as at least one share of Series M Preferred Stock is outstanding, the outstanding shares of Series M Preferred Stock shall have the number of votes, in the aggregate, equal to 51% of all votes entitled to be voted at any meeting of stockholders or action by written consent. Each outstanding share of the Series M Preferred Stock shall represent its proportionate share of the 51% allocated to the outstanding shares of Series M Preferred Stock in the aggregate. The Series M Preferred Stock shall vote with the common stock and any other voting securities as if they were a single class of securities; (ii) each share of the Series M Preferred Stock is convertible into shares of the Company’s common stock at a conversion price equal to 90% of the average closing price of the Company’s common stock on the ten trading days immediately prior to the conversion date but in any event no less than either of the par value of the Company’s common stock or the conversion price of the Series I-1 Preferred Stock; and (iii) dividends at the rate per annum of ten percent (10%) of the stated value per share shall accrue on each outstanding share of Series M Preferred Stock from and after the date of the original issuance of such share of Series M Preferred Stock (subject to appropriate adjustment in the event of any stock dividend, stock split, combination or other similar recapitalization). The dividends shall accrue from day to day, whether or not declared, and shall be cumulative and non-compounding; provided, however, that such dividend shall be payable only when, as, and if declared by the Board of Directors and the Company shall be under no obligation to pay such dividends. No cash dividends shall be paid on the Company’s common stock unless the dividends are paid on the Series M Preferred Stock.

On August 13, 2020, Mr. Diamantis entered into a Voting Agreement and Irrevocable Proxy with the Company, Mr. Lagan and Alcimede LLC (of which Mr. Lagan is the sole manager) pursuant to which Mr. Diamantis granted an Irrevocable proxy to Mr. Lagan to vote the Series M Preferred Stock held by Mr. Diamantis, Mr. Diamantis has retained all other rights under the Series M Preferred Stock.

24

Common Stock

 

The Company has authorized 10,000,000,000 shares of Common Stock, par value $.0001 per share.

The Company had 1,354,171989,894 and 186,692964,894 shares of common stock issued and outstanding at SeptemberJune 30, 20172020 and December 31, 2016,2019, respectively. The Company issued 1,167,479 shares of its common stock duringDuring the ninesix months ended SeptemberJune 30, 2017 as follows:

The February 22, 2017 reverse stock split, which is more fully described in Note 1, resulted in the issuance of 526 shares of common stock due to the rounding up of fractional shares.

On March 13, 2017,2020, the Company issued 26,667 shares of common stock in settlement of $0.4 million of outstanding notes and warrants (see Note 5).

On March 15, 2017, the Company agreed to issue 2,056 shares of common stock to the holders of a like number of warrants to purchase the Company’s common stock in exchange for the warrants valued at $57,868.

During the nine months ended September 30, 2017, the Company issued 548,93225,000 shares of its common stock upon the conversion of $4.1 million of the principal amount of the March Debentures (See Note 6).

On July 25, 2017, the Company issued 8,33321.25 shares of its common stock valued at $42,510 for severance owed to a former employee under the terms of the Company’s equity plan. The equity plan is more fully described below.Series I-2 Preferred Stock.

 

On August 14, 2017, the Company issued 181,933 shares of restricted stock to employeesShareholder Proposal Approval and directors, and later returned 4,933 shares of this stock to treasury, as more fully discussed under the headingRestrictedReverse Stock Split below.

 

On August 23, 2017,May 7, 2020, Mr. Lagan and Alcimede LLC, the Company issued 33,334 sharesholders of its common stock50.25% of the total voting power of the Company’s voting securities, approved by written consent in paymentlieu of professional service fees valued at $118,493.

Restricted Stock

On August 14, 2017,a special meeting of stockholders the following proposal, which had previously been approved and recommended to be approved by the stockholders by the Board of Directors based on the recommendation of the Compensation Committee of the Board and in accordance with the provisions of the 2007 Equity Plan, approved grants to employees and directors of the Company of an aggregate of 181,933 shares of restricted common stock of the Company. The grants fully vest on the first anniversary

Proposal 1: To approve an amendment to our Certificate of Incorporation, as amended, to effect a reverse stock split of all of the dateoutstanding shares of our common stock, at a specific ratio from 1-for-100 to 1-for-10,000, and grant authorization to our Board of Directors to determine, in its discretion, the specific ratio and timing of the reverse split at any time on or before December 31, 2020, subject to the grantee’s continued status asBoard of Directors’ discretion to abandon such amendment.

The stockholder approval of the above proposal became effective on June 9, 2020. As more fully discussed in Note 1, the Company effected the Reverse Stock Split on July 31, 2020. The Reverse Stock Split did not have an employeeeffect on the par value or director,the number of authorized shares of the Company’s common stock.

Common Stock Equivalents

The Company has outstanding options, warrants, convertible preferred stock and convertible debentures. Exercise of the options and warrants, and conversions of the convertible preferred stock and debentures could result in substantial dilution of our common stock and a decline in its market price. In addition, the terms of certain of the warrants, convertible preferred stock and convertible debentures issued by us provide for reductions in the per share exercise prices of the warrants and the per share conversion prices of the debentures and preferred stock (if applicable and subject to a floor in certain cases), in the event that we issue common stock or common stock equivalents (as that term is defined in the agreements) at an effective exercise/conversion price that is less than the then exercise/conversion prices of the outstanding warrants, preferred stock or debentures, as the case may be,be. These provisions, as well as the issuances of debentures and preferred stock with conversion prices that vary based upon the price of our common stock on the vesting date. During the nine months ended September 30, 2017, 4,933 sharesdate of the restrictedconversion, have resulted in significant dilution of our common stock were forfeited by their terms and returnedhave given rise to treasury and cancelled.reverse splits of our common stock.

 

During the nine months ended September 30, 2017, the Company recognized stock-based compensation in the amount of $82,974 for the grant of the restricted stock based on a valuation of $3.75 per share. At September 30, 2017, the Company had approximately $580,750 of unrecognized compensation cost related to the restricted stock.

Stock Options

Stock Options

The Company maintained and sponsored the Tegal Corporation 2007 Incentive Award Equity Plan (the “2007 Equity Plan”). Tegal Corporation iswas the predecessor entity toprior name of the Company. The 2007 Equity Plan, as amended, provided for the issuance of stock options and other equity awards to the Company’s officers, directors, employees and consultants. During the nine months ended September 30, 2017 and 2016, the Company recognized stock-based compensation in the amount of $34,081 and $0.7 million, respectively, for the vesting of outstanding stock options. The 2007 Equity Plan terminated pursuant to its terms in September 2017. The following table summarizesAs a result of the Company’sReverse Stock Split, the total number of outstanding stock options at June 30, 2020 was 30 and the exercise price was so high as to not be meaningful. All outstanding stock options as of June 30, 2020 were fully vested as of December 31, 2019 and, accordingly, the Company did not incur stock option activitycompensation expense during the six months ended June 30, 2020. The Company recognized stock option compensation expense of $17,300 for the ninesix months ended SeptemberJune 30, 2017:

17

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

  Number of
options
  Weighted-
average
exercise
price
  Weighted-
average
contractual
term (Yrs.)
 
Outstanding at December 31, 2016  47,268  $1,941.45   8.93 
Granted  -   -     
Expired  -   -     
Forfeit  (8,790)  -     
Exercised  -   -     
Outstanding at September 30, 2017  38,478  $2,072.75   8.68 
Exercisable at September 30, 2017  31,811  $2,445.84     

2019. As of SeptemberJune 30, 2017,2020, the Company had approximately $155,582weighted average remaining contractual life was 5.83 years for options outstanding and exercisable. The intrinsic value of unrecognized compensation cost related to stock options granted under the Company’s 2007 Equity Plan, which is expected to be recognized over a weighted-average period of 1.03 years.exercisable at June 30, 2020 was $0.

 

Warrants

The Company, as part of various debt and equity financing transactions, has issued warrants to purchase shares of the Company’s common stock.

At June 30, 2020, there were 63.5 million warrants outstanding primarily as a result of the anti-dilution provisions of outstanding warrants that were issued in connection with the issuances of debentures, which are more fully discussed in Note 8. The number of warrants issued and outstanding as well as the exercise prices of the warrants reflected in the table below have been adjusted to reflect the full ratchet and other dilutive and down round provisions pursuant to the warrant agreements. As a result of the current exercise prices for the majority of the outstanding warrants (subject to a floor in some cases), as well as the full ratchet provisions of the majority of the outstanding warrants (again, subject to a floor in some cases), subsequent decreases in the price of the Company’s common stock and subsequent issuances of the Company’s common stock or common stock equivalents at prices below the current exercise prices of the warrants will result in (1) increases in the number of shares issuable pursuant to the warrants and (2) decreases in the exercise prices of the warrants.

25

The following summarizes the information related to warrants issued and the activity during the ninesix months ended SeptemberJune 30, 2017:2020:

 

  Number of
warrants
  Weighted
average
exercise price
 
Balance at December 31, 2016  93,843  $175.50 
Warrants issued during the period  17,900,999  $4.58 
Warrants exchanged/exercised during period  (6,500)    
Warrants expired during the period  -     
Balance at September 30, 2017  17,988,342  $5.40 

During the nine-months ended September 31, 2017, the Company issued 16,350,132 warrants with a weighted average exercise price of $5.03 per share in connection with the issuances of debentures as more fully discussed in Note 6.

  Number of warrants  Weighted average exercise price 
Balance at December 31, 2019  63,458,546  $1.44 
Warrants expired  (1) $(3,150.00)
Balance at June 30, 2020  63,458,545  $1.44 

 

BasicOn March 27, 2019, the expiration dates of certain warrants issued in March 2017 and Diluted Loss per Share

Basic loss per share excludes dilutionSeptember 2017 with convertible debentures, referred to as the March 2017 Series B Warrants and is computed by dividing loss attributablethe September 2017 Series B Warrants, were extended from June 2019 to common stockholders bySeptember 2019. On May 12, 2019, the weighted-average numberexpiration date of common shares outstanding duringthese warrants was further extended to March 31, 2022. The Company used the period. Diluted loss per share reflectsBlack Scholes model to calculate the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the incomefair value of the Company. Forwarrants as of the modification date. Using the pre-modification terms and related assumptions, and the post-modification terms and related assumptions, the Company determined that the change in fair value of the warrants as a result of the March 27th modification was $4.1 million and the May 12th modification was $5.4 million. Accordingly, the Company recorded the modification value of $5.4 and $9.5 million as interest expense in the three and ninesix months ended SeptemberJune 30, 2017 and 2016, basic loss per share is2019, respectively. See Note 11 for the same as diluted loss per share.

Diluted loss per share excludes all dilutive potential shares if their effect is anti-dilutive. As of September 30, 2017 and 2016,assumptions used in the following potential common stock equivalents were excluded from the calculation of diluted loss per share as their effect was anti-dilutive:

  As of September 30, 
  2017  2016 
Warrants  17,988,342   78,102 
Convertible preferred stock  71,147   47,463 
Convertible debt  4,353,898   3,911 
Stock options  38,478   49,331 
   22,451,865   178,807 

18

RENNOVA HEALTH, INC.Black Scholes valuation models.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 1014 – Supplemental Disclosure of Cash Flow Information

 

The supplemental cash flow information for the nine months ended September 30, 2017 and 2016 (unaudited) is as follows:

   Nine Months Ended September 30, 
   2017   2016 
Cash paid for interest $1,106,835  $1,237,622 
Cash paid for income taxes $506,313  $- 
         
Non-cash investing and financing activities:        
Services and severance settled through issuance of common stock $161,003  $2,131,829 
Exchange of convertible debentures for convertible debentures and warrants $10,734,336  $- 
Series F Preferred Stock issued for business acquisition $174,097  $- 
Note payable and warrants settled through issuance of common stock $440,000  $- 
Convertible debenture issued in exchange of Series H Preferred Stock $2,695,760  $- 
Debentures converted into common stock $4,064,162  $- 
Deemed dividend for trigger of down round provision feature $53,341,619  $- 
  Six Months Ended June 30, 
  2020  2019 
Cash paid for interest $9,455  $- 
Cash paid for income taxes $-  $45,000 
         
Acquisition of Jellico Community Hospital and CarePlus Center:        
Inventory $-  $317,427 
Property and equipment  -   500,000 
Intangible assets  -   250,000 
Accrued expenses  -   158,890 
         
Non-cash investing and financing activities:        
Series I-2 Preferred Stock converted into common stock $25,000  $904,973 
Issuance of Series M Preferred Stock in exchange for related party loans and accrued interest  22,000,000   - 
Loans and accrued interest exchanged for Series M Preferred Stock  18,849,632   - 
Deemed dividend  3,150,368   123,861,587 
Exchange of Series K Preferred Stock for Series L Preferred Stock  (2,500)  - 
Issuance of Series L Preferred Stock  2,500   - 
Original issue discounts on debt  122,885   100,000 

 

Note 1115 – Commitments and Contingencies

Concentration of Credit Risk

Credit risk with respect to accounts receivable is generally diversified due to the large number of patients comprising the client base. Generally, the Company does not require collateral or other security to support customer receivables. However, the Company continually monitors its accounts receivable and establishes an allowance for uncollectible accounts and as a consequence, believes that its accounts receivable credit risk exposure beyond such allowance is not material to the financial statements.

A number of proposals for legislation continue to be under discussion which could substantially reduce Medicare and Medicaid (CMS) reimbursements to hospitals and clinical laboratories. Depending upon the nature of regulatory action, and the content of legislation, the Company could experience a significant decrease in revenues from Medicare and Medicaid (CMS), which could have a material adverse effect on the Company. The Company is unable to predict, however, the extent to which such actions will be taken.

The Company maintains its cash balances in high credit quality financial institutions. The Company’s cash balances may, at times, exceed the deposit insurance limits provided by the Federal Deposit Insurance Corp.

26

 

Legal Matters

 

From time to time,time-to-time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company’s financial position or results of operations. The Company’s policy is to expense legal fees and expenses incurred in connection with the legal proceedings in the period in which the expense is incurred. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims below.

 

Biohealth Medical Laboratory, Inc,Inc. and PB Laboratories, LLC (the “Companies”) filed suit against CIGNA Health in 2015 alleging that CIGNA failed to pay claims for laboratory services the Companies provided to patients pursuant to CIGNA - issued and CIGNA - administered plans. In 2016, the U.S. District Court dismissed part of the Companies’ claims for lack of standing. The Companies appealed that decision to the Eleventh Circuit Court of Appeals, which recentlyin late 2017 reversed the District Court’s decision and found that the Companies have standing to raise claims arising out of traditional insurance plans as well as self-funded plans. In July 2019, the Companies and EPIC Reference Labs, Inc. filed suit against CIGNA Health for failure to pay claims for laboratory services provided. Cigna Health, in turn, sued for improper billing practices. CIGNA’s case was dismissed on June 22, 2020; the Company’s case remains in the early stages.

 

The Company’s Epinex Diagnostics Laboratories, Inc. subsidiary was sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016. In October of 2016, the plaintiffs in this matter filed a motion with the court seeking payment for attorneys’ fees in the approximate amount of $0.7 million. On March 24, 2017, the court granted plaintiffs’ motion for payment of attorneys’ fees in the amount of $0.3 million, and the Company has accrued this amount in its condensed consolidated financial statements. Additionally, the Company is seeking indemnification for these amounts from Epinex Diagnostics, Inc. (“EDI”), the seller of Epinex Diagnostic Laboratories, Inc. (“EDL”), pursuant to a Stock Purchase Agreement entered into by and among the parties.

 

In February 2016, the Company received notice that the Internal Revenue Service (the “IRS”) placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, in the amount of $5.0 million. The Company paid $0.1 million toward its 2014 tax liability onin March 2016. The Company filed its 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released, and onin September of 2016 the Company received a refund from the IRS in the amount of $1.9 million. In November of 2016, the IRS commenced an audit of the Company’s 2015 Federal tax return. Based upon the audit results, the Company has made provisions of approximately $1.0 million as a liability in its financial statements as well as an estimated $0.6 million of receivables for an additional refund that it believes is due. The Company is currently unable to predict the outcomealso due a refund as a result of the audit or any liability tofive-year carryback privilege for federal net operating tax losses per the Company that may result from the audit.CARES Act, which is more fully discussed in Note 4.

 

On September 27, 2016, a tax warrant was issued against the Company by the Florida Department of Revenue (the “DOR”) for unpaid 2014 state income taxes in the approximate amount of $0.9 million, including penalties and interest. On January 25, 2017, the Company paid the DOR $250,000 as partial payment on this liability, and in February 2017 theThe Company entered into a Stipulation Agreement with the DOR which will allowallowing the Company to make monthly installmentinstallments until July 2019. The Company has made payments of $35,000 until February 2018 and negotiate a new payment agreement then, ifto reduce the balance of $0.3 million cannotamount owed. The Company intends to renegotiate another Stipulation agreement. However, there can be satisfied in a lump sum. If at any time during the Stipulation periodno assurance the Company failswill be successful. The balance accrued of approximately $0.4 million remained outstanding to timely file any required tax returns with the DOR or does not meet the payment obligations under the Stipulation Agreement, the entire amount due will be accelerated. The Company is current with the agreed payment plan.

19

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

at June 30, 2020.

 

In December of 2016, TCS-Florida, L.P. (“Tetra”), filed suit against the Company for failure to make the required paymentspayment under an equipment leasing contract that the Company had with Tetra (see Note 8). On January 3, 2017, Tetraand received a Default Judgmentjudgment against the Company in the amount of $2.6 million, representing the balance owed on the leases, as well as additional interest, penaltiesCompany. In May 2018, Tetra and fees. The Company has recognized this amount in its consolidated financial statements as of December 31, 2016. In January and February of 2017, the Company made paymentsagreed to Tetra in connection with this judgment aggregatingdispose of certain equipment and the proceeds from the sale were applied to $0.7 million, and on February 15, 2017the outstanding balance. In July 2020, the Company entered into a forbearance agreementsettlement with Tetra wherebyand paid $100,000 as full and final settlement of all liability to Tetra. As a result of the remaining $1.9settlement, the Company recorded a gain on settlement of approximately $0.9 million due will be paid in 24 equal monthly installments. Payments commenced on May 1, 2017. The Company is current with its payments.the three and six months ended June 30, 2020.

27

 

In December of 2016, DeLage Landen Financial Services, Inc. (“DeLage”), filed suit against the Company for failure to make the required payments under an equipment leasing contract that the Company had with DeLage (see Note 8)10). On January 24, 2017, DeLage received a default judgment against the Company in the approximate amount of $1.0 million, representing the balance owed on the lease, as well as additional interest, penalties and fees. The Company has recognized this amount in its consolidated financial statements as of December 31, 2016. On February 8, 2017, a Stay of Execution was filed and under its terms the balance due willwas to be paid in variable monthly installments through January of 2019, with an implicit interest rate of 4.97%. The Company is current in its payments.and DeLage have now disposed of certain equipment and reduced the balance owed to DeLage. A balance of $0.2 million remained outstanding at June 30, 2020.

 

On December 7, 2016, the holders of the Tegal Notes (see Note 5)7) filed suit against the Company seeking payment for the amounts due under the notes in the aggregate of $0.4 million, includingthe principal of $341,612, and accrued interest.interest of $43,000. A request for entry of default judgment was filed on January 24, 2017. A Case Management Conference is scheduled for December 5, 2017. The Company has submitted a settlement agreement proposal toOn April 23, 2018, the holders of the Tegal Notes received a judgment against the Company. As of June 30, 2020, the Company has repaid $27,510 of this amount.

Two former employees of the Company’s CollabRx, Inc. subsidiary filed suits in a California state court in connection with amounts claimed to be owed under their respective employment agreements with the subsidiary. One former employee received a judgment in October 2018 for approximately $253,000. The other former employee received a judgment in December 2018 for approximately $173,000. While the Company has accrued these amounts claimed, it is considering its options to refute these matters and believes the claims against the Company to be frivolous and outside of entitlement and contractual agreements.

The Company, as well as many of our subsidiaries, are defendants in a case filed in Broward County Circuit Court by TCA Global Credit Master Fund, L.P. The plaintiff alleges a breach by Medytox Solutions, Inc. of its obligations under a debenture and claims damages of approximately $2,030,000 plus interest, costs and fees. The Company and the other subsidiaries are sued as alleged guarantors of the debenture. The complaint was filed on August 1, 2018. The Company has recorded the principal balance and interest owed under the debenture agreement for the period ended June 30, 2020 (see Note 7). The Company and all defendants have filed a motion to dismiss the complaint, but have not recorded any potential liability related to any further damages. In May 2020, the SEC appointed a Receiver to close down the TCA Global Master Fund, LP over allegations of accounting fraud. The amount recorded by the Company as being owed to TCA was based on TCA’s application of prior payments made by the Company. The Company believes that prior payments of principal and interest may have been applied to unenforceable investment banking and other fees and charges. It is the Company’s position that the amount owed to TCA is less than what is set forth in Note 7 above.

On September 13, 2018, Laboratory Corporation of America sued EPIC Reference Labs, Inc., a subsidiary of the Company, in Palm Beach County Circuit Court for amounts claimed to be owed. The court awarded a judgment against EPIC Reference Labs, Inc. in May 2019 for approximately $155,000. The Company has recorded the amount owed as a liability as of June 30, 2020.

In July 2019, Roche Diagnostics Corporation sued EPIC Reference Labs, Inc. in the Circuit Court for Palm Beach County claiming approximately $240,000 under an agreement to lease equipment and purchase supplies. The amount of the settlement in this case of $110,000 was accrued in 2019 and paid in full during the six months ended June 30, 2020.

In August 2019, EPIC Reference Labs, Inc. and Medytox Diagnostics, Inc. were sued by Beckman Coulter, Inc. in the same court under an agreement to purchase laboratory supplies. The plaintiff claims damages of approximately $124,000. The Company has disputed the amount owed, and has entered settlement discussions to settle the matter, but has recorded this liability as of June 30, 2020.

In July 2019, the landlord of Medytox Solutions, Inc. received a judgment in the amount of approximately $413,000 in connection with failure to pay under an office lease in West Palm Beach, Florida. The Company reached a settlement in May 2020 to resolve the judgment in the amount of $300,000, which is being paid under a payment plan.

In February 2020, Anthony O. Killough sued the Company and Mr. Diamantis, as guarantor, in New York State Court for the County of New York, for approximately $2.0 million relating to the promissory note issued by the Company in September 2019. In May 2020, the parties entered into a Stipulation providing for a payment of a total of $2,158,168 (which includes accrued interest) in installments through November 1, 2020. (See Note 7).

Following the Company’s decision to suspend operations at Jamestown Regional Medical Center in June 2019 a number of vendors remain unpaid. A number have initiated or threatened legal actions. The Company believes it will come to satisfactory arrangements with these parties as it works toward reopening the hospital. The Company has taken steps to re-enter the Medicare program and is awaitingcurrently planning the reopening of the hospital. Plans and timing have been disrupted by the current pandemic.

In June 2019 CHSPSC, the former owners of Jamestown Regional Medical Center, obtained a response.judgment against the Company in the amount of $592,650. The Company believes that a number of insurance payments were made to CHSPCS after the change of ownership and will likely offset the majority of the claim made by CHSPCS.

28

In August 2019, Morrison Management Specialists, Inc. obtained a judgment against Jamestown Regional Medical Center and the Company in Fentress County, Tennessee in the amount of $194,455 in connection with the housekeeping and dietary services. The Company has recorded this liability as of June 30, 2020.

In November 2019, Newstat, PLLC obtained a judgment against Big South Fork Medical Center in Knox County, Tennessee in the amount of $190,600 in connection with the provision of medical services. The Company has recorded this liability as of June 30, 2020.

 

Note 12 –16– Segment InformationReporting

 

Operating segments are defined under U.S. GAAP as components of an enterprise for which discrete financial information is available and are evaluated regularly by the enterprise’s chief operating decision maker in determining how to allocate resources and assess performance. The Company operates in fourtwo reportable business segments:

 

Hospital Operations, which reflects the operations of Jamestown Regional Medical Center, Big South Fork Medical Center, Jellico Community Hospital and CarePlus Center.
 Clinical Laboratory Operations, which specializes in providing urine and blood toxicology and pain medication testing to physicians, clinics and rehabilitation facilities in the United States.
Supportive Software Solutions, including EHR and medical billing and laboratory information management systems.
Hospital Operations, which reflects the purchase of the Hospital Assets (see Note 3) and the operations of Scott County Community Hospital, which has since been renamed as Big South Fork Medical Center.
Corporate,which reflects consolidated company wide support services such as finance, legal counsel, human resources, and payroll.

 

The Company’s Decision SupportCorporate expenses reflect consolidated company-wide support services such as finance, legal counsel, human resources, and Informatics segment is now included in discontinued operations as it has been classified as held for sale as of September 30, 2017. The accounting policies of the reportable segments are the same as those described in Note 2, Summary of Significant Accounting Policies, of the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016 and in Note 1 for the adoption to ASU 2017-11. payroll.

Selected financial information for the Company’s operating segments iswas as follows:

 

20
  Three Months Ended June 30,  Six Months Ended June 30, 
  2020  2019  2020  2019 
Net revenues - External                
Hospital Operations $2,069,019  $4,055,774  $3,909,110  $9,161,039 
Clinical Laboratory Operations  -   5,415   1,440   90,800 
  $2,069,019  $4,061,189  $3,910,550  $9,251,839 
Net income (loss) from continuing operations before income taxes                
Hospital Operations $(2,323,338) $(4,002,213) $(5,416,271) $(7,177,320)
Clinical Laboratory Operations  (293,456)  (180,028)  (406,842)  (405,558)
Corporate  (696,510)  (914,074)  (1,342,376)  (1,986,909)
Other income (expense), net  5,418,759   (8,183,261)  2,400,456   (16,642,584)
Benefit from income taxes  -   -   1,118,485   - 
  $2,105,455  $(13,279,576) $(3,646,548) $(26,212,371)
Depreciation and amortization                
Hospital Operations $176,998  $176,371  $359,313  $350,147 
Clinical Laboratory Operations  4,041   9,683   (13,702)  59,345 
Corporate  52   182   187   330 
  $181,091  $186,236  $345,798  $409,822 
Capital expenditures                
Hospital Operations $10,435  $1,398  $10,435  $43,715 
  $10,435  $1,398  $10,435  $43,715 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2017  2016  2017  2016 
Net revenues - External                
Clinical Laboratory Operations $586,663  $(9,085) $1,994,639  $3,461,987 
Supportive Software Solutions  208,070   50,447   698,359   605,575 
Hospital Operations  619,478   -   619,478   - 
  $1,414,211  $41,362  $3,312,476  $4,067,562 
Net revenues - Intersegment (***)                
Supportive Software Solutions  217,431   502,055   501,924   1,036,396 
  $217,431  $502,055  $501,924  $1,036,396 
(Loss) income from operations                
Clinical Laboratory Operations $(1,039,118) $(7,364,096) $(3,809,146) $(10,590,435)
Supportive Software Solutions  (660,800)  (1,253,386)  (1,721,694)  (3,800,893)
Hospital Operations  (2,093,805)  -   (3,114,473)  - 
Corporate  (1,369,765)  (2,940,956)  (5,058,565)  (7,059,644)
Eliminations  -   33,663   8,181   100,987 
  $(5,163,488) $(11,524,775) $(13,695,697) $(21,349,985)
Depreciation and amortization                
Clinical Laboratory Operations $410,801  $549,748  $1,265,174  $1,646,167 
Supportive Software Solutions  25,015   163,749   227,999   490,236 
Hospital Operations  15,436   -   22,045   - 
Corporate  345   745   1,005   2,494 
Eliminations  -   (33,663)  (8,181)  (100,987)
  $451,597  $680,579  $1,508,042  $2,037,910 
Capital expenditures                
Clinical Laboratory Operations $-  $-  $-  $6,000 
Supportive Software Solutions  -   -   -   9,998 
Hospital Operations  160,413   -   1,554,499   - 
  $160,413  $-  $1,554,499  $15,998 

***`Intersegment revenues are eliminated in consolidation.

  September 30, 2017  December 31, 2016 
Total assets        
Clinical Laboratory Operations $1,686,167  $3,986,126 
Supportive Software Solutions  1,767,251   2,602,428 
Decision Support and Informatics  -   60,000 
Hospital Operations  1,748,986   - 
Corporate  3,037,112   2,130,191 
Assets of AMSG classified as held for sale  997,497   414,662 
Eliminations  (2,871,080)  (2,711,014)
  $6,365,933  $6,482,393 

21

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Note 13 – Recently Issued Accounting Standards

The following table provides a brief description of recently issued accounting standards:

Title and referencePrescribedCommentary
Effective Date
ASU No. 2015-11, “Inventory” (Topic 330): Simplifying the Measurement of Inventory.Fiscal years beginning after December 15, 2016 and for interim periods therein.In July 2015, the FASB issued ASU No. 2015-11, “Inventory” (Topic 330): Simplifying the Measurement of Inventory (“ASU 2015-11”). ASU 2015-11 simplifies the measurement of inventory by requiring certain inventory to be subsequently measured at the lower of cost and net realizable value. The amendments in this guidance are effective for fiscal years beginning after December 15, 2016 and for interim periods therein and did not have a significant impact on the Company’s consolidated financial statements upon adoption.
ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)”Fiscal years beginning after December 15, 2017 and for interim periods therein.In May 2014, the FASB issued guidance that outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes most recent current revenue recognition guidance, including industry-specific guidance. The core principle of the revenue model is that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The guidance also specifies the accounting for certain incremental costs of obtaining a contract and costs to fulfill a contract with a customer. Entities have the option of applying either a full retrospective approach to all periods presented or a modified approach that reflects differences prior to the date of adoption as an adjustment to equity. In April 2015, FASB deferred the effective date of this guidance until January 1, 2018 and the Company is currently assessing the impact of this guidance on its consolidated financial statements.
ASU No. 2014-15, “Presentation of Financial Statements - Going Concern” (Subtopic 205-40): Disclosure of Uncertainty about an Entity’s Ability to Continue as a Going Concern.Fiscal years, and interim periods within those years, beginning on or after December 15, 2016, with early adoption permitted.In August 2014, the FASB issued ASU No. 2014-15, “Presentation of Financial Statements - Going Concern” (Subtopic 205-40): Disclosure of Uncertainty about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”). ASU 2014-15 provides guidance that establishes management’s responsibility to evaluate whether there is substantial doubt about an entity’s ability to continue as a going concern and setting rules for how this information should be disclosed in the financial statements. Adoption of this new standard did not have a significant impact on the Company’s consolidated financial statements. See Note 1 regarding management’s current disclosures regarding the Company’s ability to continue as a going concern.
ASU No. 2015-17, “Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes”Fiscal years beginning on or after December 15, 2016, with early adoption permitted.In November 2015, the FASB issued ASU No. 2015-17, “Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes” (“ASU 2015-17”). Topic 740, Income Taxes, requires an entity to separate deferred income tax liabilities and assets into current and noncurrent amounts in a classified statement of financial position. Deferred tax liabilities and assets are classified as current or noncurrent based on the classification of the related asset or liability for financial reporting. Deferred tax liabilities and assets that are not related to an asset or liability for financial reporting are classified according to the expected reversal date of the temporary difference. To simplify the presentation of deferred income taxes, the amendments in ASU 2015-17 require that deferred income tax liabilities and assets be classified as noncurrent in a classified statement of financial position. For public business entities, the amendments in this update are effective for financial statements issued for annual periods beginning after December 15, 2016, and interim periods within those annual periods. Adoption of ASU 2015-17 did not have a material impact on the Company’s consolidated financial statements.

22

Accounting Standards Update (“ASU”) No. 2016-02, “Leases (Topic 842)” Annual and interim periods within the annual period beginning after December 15, 2018.In February 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-02, “Leases (Topic 842)” (“ASU 2016-02”). The amendments in this update create Topic 842, Leases, and supersede the leases requirements in Topic 840, Leases. Topic 842 specifies the accounting for leases. The objective of Topic 842 is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. The main difference between Topic 842 and Topic 840 is the recognition of lease assets and lease liabilities for those leases classified as operating leases under Topic 840. Topic 842 retains a distinction between finance leases and operating leases. The classification criteria for distinguishing between finance leases and operating leases are substantially similar to the classification criteria for distinguishing between capital leases and operating leases in the previous leases guidance. The result of retaining a distinction between finance leases and operating leases is that under the lessee accounting model in Topic 842, the effect of leases in the statement of comprehensive income and the statement of cash flows is largely unchanged from previous GAAP. The amendments in ASU 2016-02 are effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years for public business entities. Early application of the amendments in ASU 2016-02 is permitted. The Company has not yet determined the impact that adoption of ASU 2016-02 will have on its consolidated financial statements.
ASU No. 2017-11, “Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815)” (“ASU 2017-11”)Fiscal years beginning on or after December 15, 2018, with early adoption permitted.The Company adopted this amendment as of its period ended June 30, 2017 (see Note 1).

23

ASU No. 2017-12, “Derivatives and Hedging (Topic 815)”(“ASU 2017-12”)For public business entities, the amendments in this ASU 2017-12 are effective for fiscal years beginning after December 15, 2018, and interim periods within those fiscal years. Early adoption permitted in any interim period after issuance of this ASU.The amendments in ASU 2017-12 (“Update”) provide recognition and presentation guidance for qualifying hedges. The amendments in this Update more closely align the results of cash flow and fair value hedge accounting with risk management activities through changes to both the designation and measurement guidance for qualifying hedging relationships and the presentation of hedge results in the financial statements. The amendments address specific limitations in current U.S. GAAP by expanding hedge accounting for both nonfinancial and financial risk components and by refining the measurement of hedge results to better reflect an entity’s hedging strategies. Thus, the amendments will enable an entity to report more faithfully the economic results of hedging activities for certain fair value and cash flow hedges and will avoid mismatches in earnings by allowing for greater precision when measuring change in fair value of the hedged item for certain fair value hedges. Additionally, by aligning the timing of recognition of hedge results with the earnings effect of the hedged item for cash flow and net investment hedges, and by including the earnings effect of the hedging instrument in the same income statement line item in which the earnings effect of the hedged item is presented, the results of an entity’s hedging program and the cost of executing that program will be more visible to users of financial statements. Additionally, the amendments in this Update should ease the operational burden of applying hedge accounting by allowing more time to prepare hedge documentation and allowing effectiveness assessments to be performed on a qualitative basis after hedge inception. The Company has not yet determined the impact that adoption of ASU 2017-12 will have on its consolidated financial statements.
  As of 
  June 30, 2020  December 31, 2019 
Total assets        
Hospital Operations $12,813,219  $14,275,256 
Clinical Laboratory Operations  450,212   330,381 
Corporate  4,457,937   2,305,380 
Assets of AMSG and HTS classified as held for sale  212,018   514,772 
Eliminations  (2,718,130)  (2,718,130)
  $15,215,256  $14,707,659 

 

Note 1417 – Discontinued Operations

 

On July 12, 2017, the Company announced plans to spin off AMSG and in the third quarter 2017 our Board of Directors voted unanimously to spin off the Company’s wholly-owned subsidiary, HTS, as an independent publicly traded companycompanies by way of a tax-free distributiondistributions to the Company’s stockholders. On June 10, 2020, the Company signed an agreement for the separation of these divisions into a public company. The agreement is with TPT Global Tech, Inc. (OTC: TPTW), a California-based public company, to merge HTS and AMSG into a public company after TPT completes a merger of its wholly-owned subsidiary, InnovaQor, Inc. with this public company. The public company will be known as InnovaQor going forward. Completion of the spinoff is expected to occur in the first quarter of 2018 andagreement is subject to numerous conditions, including effectivenessa number of a Registration Statement on Form 10approvals and consents which need to be filed withsecured to complete the Securitiestransaction. Subject to closing and Exchange Commission, and consents, including under various funding agreements previously entered into by the Company. A record date to determine those stockholders entitled torelevant SEC approvals it is intended that Rennova will receive approximately $22 million of preferred shares in the spin off shouldtransaction, $5 million of which will be approximately 30converted to 60 days priorcommon shares in the public company, and distributed to the dateRennova shareholders upon completion of the spinoff.relevant registration/approvals with the SEC. The strategic goalremaining approximately $17 million of preferred shares held by Rennova as an investment in InnovaQor will be convertible to common shares on achievement of certain milestones going forward. There can be no assurance that the spinoff is to create two public companies, each of which can focus on its own strengths and operational plans. In addition, after the spinoff, each companytransaction as described will provide a distinct and targeted investment opportunity.be consummated or that terms including numbers or values for consideration shares will not change significantly before closing.

29

 

In accordance with ASC 205-20 and having met the criteria for “held for sale”, as the Company reached this decision prior to September 30, 2017,January 1, 2019, the Company has reflected amounts relating to AMSG and HTS as a disposal groupgroups classified as held for sale and included as part of discontinued operations. AMSG had been included in the Decision Support and Informatics segment, except for the Company’s subsidiary, Alethea Laboratories, Inc., which had been included in the Clinical Laboratory Operations segment. Segment operation disclosures in Note 1216 no longer include amounts relating to AMSG and HTS following the reclassification to discontinued operations.

 

Carrying amounts of major classes of assets and liabilities classified as held for sale and included as part of discontinued operations in the condensed consolidated balance sheets consisted of the following:

 

AMSG Assets and Liabilities:

  June 30, 2020  December 31, 2019 
  (unaudited)    
Cash $1,093  $452 
Accounts receivable, net  -   - 
Prepaid expenses and other current assets  -   - 
Current assets classified as held for sale $1,093  $452 
         
Property and equipment, net $-  $- 
Deposits  -   - 
Non-current assets classified as held for sale $-  $- 
         
Accounts payable $491,566  $491,206 
Accrued expenses  544,410   565,943 
Current portion of notes payable  134,118   256,274 
Current liabilities classified as held for sale $1,170,094  $1,313,423 

2430

 

 

RENNOVA HEALTH, INC.HTS Assets and Liabilities:

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

 September 30, 2017 December 31, 2016  June 30, 2020  December 31, 2019 
 (unaudited) (unaudited)  (unaudited)    
Cash $8,690  $2,962  $28,208  $17,315 
Accounts receivable, net  6,503   267,681   177,144   482,472 
Prepaid expenses and other current assets  53,582   67,257   3,433   5,150 
Current assets classified as held for sale $68,775  $337,900  $208,785  $504,937 
                
Property and equipment, net $-  $53,012  $2,140  $3,354 
Goodwill  914,972   - 
Deposits  13,750   23,750   -   6,029 
Non-current assets classified as held for sale $928,722  $76,762  $2,140  $9,383 
                
Accounts payable (includes related parties) $837,989  $422,864 
Accounts payable $355,375  $668,895 
Accrued expenses  253,991   1,253,117   777,634   810,184 
Current portion of notes payable  276,632   - 
Current liabilities classified as held for sale $1,368,612  $1,675,981  $1,133,009  $1,479,079 
        
Non-current liabilities classified as held for sale $-  $26,598 

Consolidated Discontinued Operations Assets and Liabilities:

  June 30, 2020  December 31, 2019 
  (unaudited)    
Cash $29,301  $17,767 
Accounts receivable, net  177,144   482,472 
Prepaid expenses and other current assets  3,433   5,150 
Current assets classified as held for sale $209,878  $505,389 
         
Property and equipment, net $2,140  $3,354 
Deposits  -   6,029 
Non-current assets classified as held for sale $2,140  $9,383 
         
Accounts payable $846,941  $1,160,101 
Accrued expenses  1,322,044   1,376,127 
Current portion of notes payable  134,118   256,274 
Current liabilities classified as held for sale $2,303,103  $2,792,502 

31

 

Major line items constituting lossincome (loss) from discontinued operations in the unaudited condensed consolidated statements of operations for the ninethree months ended SeptemberJune 30, 20172020 and 20162019 consisted of the following:

 

  September 30, 2017  September 30, 2016 
   (unaudited)   (unaudited) 
Revenue from services $224,224  $1,154,967 
Cost of services  9,282   162,266 
Gross profit  214,942   992,701 
Operating expenses  1,225,638   4,073,873 
Other income (expenses)  42,775   (253,142)
Loss from discontinued operations $(1,053,471) $(2,828,030)

Acquisition of Genomas, Inc. on September 27, 2017AMSG Income (Loss) from Discontinued Operations:

 

  Three Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $-  $25,500 
Cost of services  -   7,105 
Gross profit  -   18,395 
Operating expenses  14,624   74,008 
Other expense  17,294   3,002 
Provision for income taxes  -   - 
Loss from discontinued operations $(31,918) $(58,615)

On September 29, 2016, the Company announced that it had entered into a Stock Purchase Agreement (the “Purchase Agreement”) to acquire the remaining outstanding equity securities of Genomas, Inc. (“Genomas”) that the Company did not already own, representing approximately 85% of the outstanding equity interests in Genomas, for 1,750,000 shares of the Company’s newly - designated Series F Preferred Stock. (The Series F Preferred Stock is more fully described in Note 9 and below.) Genomas is a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes. The Company had previously announced that on July 19, 2016 it acquired approximately 15% of the outstanding equity of Genomas

HTS Income (Loss) from Hartford Healthcare Corporation (“Hartford”), along with approximately $1.5 million of notes payable to Hartford and certain rights to and license participation in technology that is used by Genomas, for $250,000 in cash. Under the terms of the Purchase Agreement, the Company also agreed to assume approximately $0.8 million of indebtedness and other obligations of Genomas. The closing of this acquisition, which was subject to, among other things, receipt of regulatory and licensure approvals as well as other customary closing conditions, did not occur until September 27, 2017. As a result of delays in the closing of the transaction, the Company expensed all amounts previously paid for the company during the fourth quarter of 2016, including outstanding advances to Genomas in the amount of $0.4 million. Genomas will be spun-off as part of AMSG, so it is presented here in discontinued operations.Discontinued Operations:

  Three Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $103,110  $351,380 
Cost of services  2,212   31,304 
Gross profit  100,898   320,076 
Operating expenses  52,807   406,712 
Other expense  -   - 
Provision for income taxes  -   - 
Income (loss) from discontinued operations $48,091  $(86,636)

Consolidated Income (Loss) from Discontinued Operations:

  Three Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $103,110  $376,880 
Cost of services  2,212   38,409 
Gross profit  100,898   338,471 
Operating expenses  67,431   480,720 
Other expense  17,294   3,002 
Provision for income taxes  -   - 
Income (loss) from discontinued operations $16,173  $(145,251)

 

2532

 

Major line items constituting income (loss) from discontinued operations in the unaudited condensed consolidated statements of operations for the six months ended June 30, 2020 and 2019 consisted of the following:

 

RENNOVA HEALTH, INC.AMSG Income (Loss) from Discontinued Operations:

  Six Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $-  $48,482 
Cost of services  -   23,760 
Gross profit  -   24,722 
Operating expenses  15,587   176,618 
Other expense  23,591   28,962 
Provision for income taxes  -   - 
Loss from discontinued operations $(39,178) $(180,858)

Notes to Condensed Consolidated Financial StatementsHTS Income (Loss) from Discontinued Operations:

  Six Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $262,178  $471,469 
Cost of services  10,989   63,494 
Gross profit  251,189   407,975 
Operating expenses  235,613   880,977 
Other expense  -   - 
Provision for income taxes  -   - 
Income (loss) from discontinued operations $15,576  $(473,002)

(unaudited)Consolidated Income (Loss) from Discontinued Operations:

  Six Months Ended 
  June 30, 2020  June 30, 2019 
  (unaudited)  (unaudited) 
Revenue from services $262,178  $519,951 
Cost of services  10,989   87,254 
Gross profit  251,189   432,697 
Operating expenses  251,200   1,057,595 
Other expense  23,591   28,962 
Provision for income taxes  -   - 
Loss from discontinued operations $(23,602) $(653,860)

Note 18 – Recent Accounting Pronouncements

 

The Series F Preferred StockIn August 2018, the FASB issued effective September 27, 2017 has an aggregate statedASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. This standard will require entities to disclose the amount of total gains or losses for the period recognized in other comprehensive income that is attributable to fair value of $1,750,000,changes in assets and is convertible into sharesliabilities held as of the Company’s common stock at any time after the one-year anniversarybalance sheet date and categorized within Level 3 of the closing date at a conversion price per common share equal tofair value hierarchy. This ASU will be effective for us for annual and interim periods beginning after December 31, 2020. Early adoption of this standard is permitted. We have not yet determined the greater of $29.25 or the average closing sales priceimpact of the Company’s common stockadoption of this ASU on our results of operations, financial position and cash flows.

In August 2018, the FASB issued ASU 2018-15, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract. Under this standard customers will apply the 10 trading days immediately precedingsame criteria for capitalizing implementation costs as they would for an arrangement that has a software license. The adoption of this new guidance prescribes the conversion. The maximum number of common shares issuable upon the conversionbalance sheet, income statement, and cash flow classification of the Series F Preferred Stockcapitalized implementation costs and related amortization expense, and additional quantitative and qualitative disclosures. This ASU will be effective for us for annual and interim periods beginning after December 30, 2020. Early adoption of this standard is 59,829. The Company valued the Series F Preferred Stock basedpermitted and may be applied either prospectively to eligible costs incurred on the value of the common stock issuable upon conversion onor after the date of the acquisition, which was $174,097.

The following table summarizesnew guidance or retrospectively. We have not yet determined the (preliminary) fair valuesimpact of assets acquired and liabilities assumed at the acquisition dateadoption of Genomas. The Fair Market Value appears to equal cost. The Company has one year to revalue goodwill and other intangible assets in accordance with GAAP per ASC 850-10-25-14.

Cash $7,990 
Accounts receivable, net  6,503 
Accounts payable and accrued expenses  (458,736)
Deferred revenue  (20,000)
Loans payable short-term  (142,514)
Note payable long-term  (134,118)
Total identifiable net liabilities  (740,875)
Goodwill  914,972 
Total consideration $174,097 

The acquisition of Genomas was accounted for under the purchase method of accounting and, accordingly, the unaudited condensed consolidated financial statements reflect thethis ASU on our results of operations, financial position and cash flows.

33

In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes. The new guidance simplifies the accounting for income taxes by removing certain exceptions to the general principles and also simplification of Genomas fromareas such as franchise taxes, step-up in tax basis goodwill, separate entity financial statements and interim recognition of enactment of tax laws or rate changes. This standard will be effective for us for annual periods beginning on January 1, 2021, including interim periods within those fiscal years. Early adoption of this standard is permitted, including adoption of all amendments in any interim period for which financial statements have not yet been issued. We are evaluating the dateimpact of acquisition. Unaudited pro forma resultsadopting this new accounting guidance on our consolidated financial statements.

Other recent accounting standards issued by the FASB, including its Emerging Issues Task Force, the American Institute of operations for the three-months ended September 30, 2017 and 2016Certified Public Accountants, and the nine-months ended September 30, 2017 and 2016 are included below. Such pro forma information assumes that the Genomas acquisition had occurred as of January 1, 2017 and 2016, respectively, and revenue is presented in accordance with our accounting policies. These unaudited pro forma statements have been prepared for comparative purposes only andSEC did not, or are not, intendedbelieved by management to be indicative of what our results would have been hada material impact on the acquisition occurred at the beginning of the periods presentedCompany’s present or the results which may occur in the future.future consolidated financial statements.

  Three Months Ended September 30,  Nine Months Ended September 30, 
  (unaudited)  (unaudited) 
  2017  2016  2017  2016 
Net Revenue $1,439,151  $122,432  $3,460,125  $4,251,890 
Loss from discontinued operations  (475,065)  452,083   (1,070,620)  (1,871,057)
Net loss  (10,930,151)  (10,770,201)  (31,189,252)  (21,158,568)
Deemed dividend from triggher of down            
round provision feature  (2,280,280)  -  (53,341,619)  - 
Net loss to common shareholders $(13,210,431) $(10,770,201) $(84,530,871) $(21,158,568)
Loss per share basic and diluted:                
Loss per share – discontinued operations $(0.40) $(4.92) $(1.57) $(35.71)
Net loss per common share $(10.99) $(117.32) $(123.69) $(403.88)

 

Note 1519 – Subsequent Events

 

Common Stock Listing

As previously announced, on April 18, 2017, the Company was notified by Nasdaq that the stockholders’ equity balance reported on the Company’s Form 10-K for the year ended December 31, 2016 fell below the $2.5 million minimum requirement for continued listing under the Nasdaq Capital Market’s Listing Rule 5550(b)(1) (the “Rule”). As of September 30, 2017, the Company reported a stockholders’ deficit of $18.8 million.

In accordance with the Rule, the Company submitted a plan to Nasdaq outlining how it intended to regain compliance. On August 17, 2017, Nasdaq notified the Company that its plan to correct the stockholders’ equity deficiency did not contain sufficient evidence to support a correction being achieved in the required time frame. The Company appealed this decision to a Hearing Panel which, on October 23, 2017, maintained this position and denied the Company a continued listing. Effective October 25, 2017, the Company’s common stock (RNVA) and warrants to purchase common stock (RNVAW) were no longer listed on the Nasdaq Stock Market but began trading on the OTCQB instead.

Subsequent to SeptemberJune 30, 2017, the Company has issued an aggregate of 4.32020 and through August 10, 2020, we received approximately $5.0 million shares of common stock upon the conversion of debentures and exercise of warrants.

26

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Series I-1 Convertible Preferred Stockfrom HHS Provider Relief Funds.

 

On October 30, 2017,August 13, 2020, Mr. Diamantis entered into a Voting Agreement and Irrevocable Proxy with the Company, closedMr. Lagan and Alcimede LLC (of which Mr. Lagan is the sole manager) pursuant to which Mr. Diamantis granted an offering of $4,960,000 stated value of its newly-authorizedIrrevocable proxy to Mr. Lagan to vote the Series I-1 ConvertibleM Preferred Stock (the “Series I-1 Preferred Stock”). The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017 (the “Purchase Agreement”), between the Company and certain existing institutional investors of the Company. The Company received proceeds of $4,000,000 from the offering.

The Purchase Agreement gives the investors the right to participate in up to 50% of any offering of common stock or common stock equivalentsheld by the Company. In the event of any such offering, the investors may also exchangeMr. Diamantis, Mr. Diamantis has retained all or some of their Series I-1 Preferred Stock for such new securities on an $0.80 stated value of Series I-1 Preferred Stock for $1.00 of new subscription amount basis.

The following is a summary of certain terms and provisions ofother rights under the Series I-1 Preferred Stock:

General.The Company’s board of directors has designated up to 4,960 shares of the 5,000,000 authorized shares of preferred stock as the Series I-1M Preferred Stock. Each share of Series I-1 Preferred Stock has a stated value of $1,000.

Rank.The Series I-1M Preferred Stock is senior in right of payment, including dividend rights and liquidation preference, to the Company’s Series G Preferred Stock and Series H Preferred Stock.

Conversion.Each share of Series I-1 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-1 Preferred Stock.

Liquidation Preference.Upon any liquidation, dissolution or winding-up of the Company, the holders of Series I-1 Preferred Stock shall be entitled to receive an amount equal to the stated value of the Series I-1 Preferred Stock, plus any accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing for each share of Series I-1 Preferred Stock, before any distribution or payment shall be made on any junior securities.

Voting Rights.Shares of Series I-1 Preferred Stock generally have no voting rights, except as required by law and except that the affirmative vote of the holders of a majority of the then outstanding shares of Series I-1 Preferred Stock is required to (a) alter or change adversely the powers, preferences or rights given to the Series I-1 Preferred Stock or alter or amend the Certificate of Designation of the Series I-1 Preferred Stock, (b) authorize or create any class of stock ranking as to dividends, redemption or distribution of assets upon liquidation senior to, or otherwise pari passu with, the Series I-1 Preferred Stock, (c) amend the Company’s certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders, (d) increase the number of authorized shares of Series I-1 Preferred Stock, or (e) enter into any agreement with respect to any of the foregoing.

Dividends.Holders of Series I-1 Preferred Stock shall be entitled to receive dividends on shares of Series I-1 Preferred Stock equal (on an as-converted to common stock basis) to and in the same form as dividends actually paid on shares of common stock when, as and if dividends are paid on shares of common stock. No other dividends shall be paid on shares of Series I-1 Preferred Stock.

Redemption.Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-1 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-1 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Negative Covenants.As long as at least a specified number of shares of Series I-1 Preferred Stock are outstanding, unless the holders of 67% of the then outstanding shares of Series I-1 Preferred Stock shall have given prior written consent, the Company and its subsidiaries are, with certain exceptions, limited from (a) incurring indebtedness, (b) creating liens, (c) amending its charter documents, (d) repurchasing or acquiring shares of common stock or common stock equivalents, (e) paying cash dividends on junior securities, (f) entering into transactions with affiliates, or (g) entering into any agreement with respect to the foregoing.

27

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

Series I-2 Convertible Preferred Stock

On October 30, 2017, the Company entered into exchange agreements with the holders of the September Debentures to provide that the holders may, from time to time, exchange their September Debentures for shares of a newly-authorized Series I-2 Convertible Preferred Stock of the Company (the “Series I-2 Preferred Stock”). The exchange agreements permit the holders of the September Debentures to exchange specified principal amounts of the September Debentures on various closing dates from December 2, 2017 through March 1, 2018. Any exchange is at the option of the holders. Each holder may reduce the principal amount of September Debentures exchanged on any particular closing date, or elect not to exchange any September Debentures at all on a closing date. If a holder does choose to exchange less principal amount of September Debentures, or no September Debentures at all, it can carry forward such lesser amount to a future closing date and then exchange more than the originally specified principal amount for that later closing date. For each $0.80 of principal amount of September Debenture surrendered to the Company at any closing date, the Company will issue the holder a share of Series I-2 Preferred Stock with a stated value of $1.00. Each share of Series I-2 Preferred Stock is convertible into shares of the Company’s common stock at any time at the option of the holder at a conversion price equal to the lesser of (i) $1.00, subject to adjustment, and (ii) 85% of the lesser of the volume weighted average market price of the common stock on the day prior to conversion or on the day of conversion. The conversion price is subject to “full ratchet” and other customary anti-dilution protections as more fully described in the Certificate of Designation of the Series I-2 Preferred Stock.

The following is a summary of certain terms and provisions of the Series I-2 Preferred Stock.

General.The Company’s board of directors has designated up to 12,000 shares of the 5,000,000 authorized shares of preferred stock as the Series I-2 Preferred Stock. Each share of Series I-2 Preferred Stock has a stated value of $1,000.

Rank.The Series I-2 Preferred Stock is senior in right of payment, including dividend rights and liquidation preference, to the Company’s Series G Preferred Stock and Series H Preferred Stock.

Liquidation Preference. Upon any liquidation, dissolution or winding-up of the Company, the holders of Series I-2 Preferred Stock shall be entitled to receive an amount equal to the stated value of the Series I-2 Preferred Stock, plus any accrued and unpaid dividends thereon and any other fees or liquidated damages then due and owing for each share of Series I-2 Preferred Stock, before any distribution or payment shall be made on any junior securities.

Voting Rights. Shares of Series I-2 Preferred Stock generally have no voting rights, except as required by law and except that the affirmative vote of the holders of a majority of the then outstanding shares of Series I-2 Preferred Stock is required to (a) alter or change adversely the powers, preferences or rights given to the Series I-2 Preferred Stock or alter or amend the Certificate of Designation of the Series I-2 Preferred Stock, (b) authorize or create any class of stock ranking as to dividends, redemption or distribution of assets upon liquidation senior to, or otherwise pari passu with, the Series I-2 Preferred Stock, (c) amend the Company’s certificate of incorporation or other charter documents in any manner that adversely affects any rights of the holders, (d) increase the number of authorized shares of Series I-2 Preferred Stock, or (e) enter into any agreement with respect to any of the foregoing.

Dividends. Holders of Series I-2 Preferred Stock shall be entitled to receive dividends on shares of Series I-2 Preferred Stock equal (on an as-converted to common stock basis) to and in the same form as dividends actually paid on shares of common stock when, as and if dividends are paid on shares of common stock. No other dividends shall be paid on shares of Series I-2 Preferred Stock.

Redemption.Upon the occurrence of certain Triggering Events (as defined in the Certificate of Designation of the Series I-2 Preferred Stock), the holder shall, in addition to any other right it may have, have the right, at its option, to require the Company to either redeem the Series I-2 Preferred Stock in cash or in certain circumstance in shares of common stock at the redemption prices set forth in the Certificate of Designation.

Negative Covenants.As long as at least a specified number of shares of Series I-2 Preferred Stock are outstanding, unless the holders of 67% of the then outstanding shares of Series I-2 Preferred Stock shall have given prior written consent, the Company and its subsidiaries are, with certain exceptions, limited from (a) incurring indebtedness, (b) creating liens, (c) amending its charter documents, (d) repurchasing or acquiring shares of common stock or common stock equivalents, (e) paying cash dividends on junior securities, (f) entering into transactions with affiliates, or (g) entering into any agreement with respect to the foregoing.

Modification of Anti-Dilution Provisions of the March Debentures and March Warrants

On October 30, 2017, the Company agreed to amend the March Debentures and March Warrants, which are more fully discussed in Note 6, to remove the floor in the anti-dilution provisions therein.13.

Conversions of March Debentures and Exercises of Warrants

During the month of October 2017, $2,185,464.02 aggregate principal amount of March Debentures were exercised for 1,924,037 shares of common stock and the Company received $633,000 upon the exercise of Class B Warrants issued in March 2017 for the issuance of 600,000 shares of common stock.

28

RENNOVA HEALTH, INC.

 

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

 

SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS

 

Certain statements made in this Form 10-Q are “forward-looking statements” (within the meaning of the Private Securities Litigation Reform Act of 1995) regarding the plans and objectives of management for future operations. Such statements involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. The forward-looking statements included herein are based on current expectations that involve numerous risks and uncertainties. The Company’s plans and objectives are based, in part, on assumptions involving its continued business operations. Assumptions related to the foregoing involve judgments with respect to, among other things, future economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond the control of the Company. Although the Company believes its assumptions underlying the forward-looking statements are reasonable, any of the assumptions could prove to be inaccurate and, therefore, there can be no assurance the forward-looking statements included in this report will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements included herein, the inclusion of such information should not be regarded as a representation by the Company or any other person that the objectives and plans of the Company will be achieved.

 

The forward-looking statements included in this Form 10-Q and referred to elsewhere are related to future events or our strategies or future financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “should,” “believe,” “anticipate,” “future,” “potential,” “estimate,” “expect,” “intend,” “plan,” or the negative of such terms or comparable terminology. All forward-looking statements included in this Form 10-Q are based on information available to us as of the filing date of this report, and the Company assumes no obligation to update any such forward-looking statements, except as required by law. Our actual results could differ materially from the forward-looking statements.

 

Important factors that might cause our actual results to differ materially from the results contemplated by the forward-looking statements are contained in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 20162019 (the “2016“2019 Form 10-K”) and in our subsequent filings with the Securities and Exchange Commission. The following discussion of our results of operations should be read in conjunction with the audited financial statements contained within the 20162019 Form 10-K and with our unaudited condensed consolidated financial statements and related notes thereto included elsewhere in this report.

34

 

COMPANY OVERVIEW

We are a healthcare enterprise that delivers products and services to healthcare providers, their patients and individuals. We currently operate in three synergistic divisions: 1) Clinical diagnostics through our clinical laboratories; 2) supportive software solutions to healthcare providers including Electronic Health Records (“EHR”), Laboratory Information Systems and Medical Billing services; and 3) the recent addition of a rural critical access hospital in Tennessee. We aspire to create a more sustainable relationship with our customers by offering needed and interoperable solutions to capture multiple revenue streams from medical providers.

 

Our Services

 

We operate in two business segments: Hospital Operations and Clinical Laboratory Operations.

Our Hospital Operations represented virtually all of our revenues for the three and six months ended June 30, 2020 and 2019. Our hospital operations began with the opening of our Big South Fork Medical Center on August 8, 2017, following the receipt of the required licenses and regulatory approvals.

On January 31, 2018, the Company entered into an asset purchase agreement to acquire from Community Health Systems, Inc. certain assets related to an acute care hospital located in Jamestown, Tennessee, referred to as Jamestown Regional Medical Center. The purchase was completed on June 1, 2018 for a purchase price of $0.7 million. The hospital was acquired by a newly formed subsidiary, Jamestown TN Medical Center, Inc., and is an 85-bed facility of approximately 90,000 square feet on over eight acres of land, which offers a 24-hour Emergency Department with two spacious trauma bays and seven private exam rooms, inpatient and outpatient medical services and a Progressive Care Unit which provides telemetry services. The acquisition also included a separate physician practice known as Mountain View Physician Practice, Inc. Jamestown is located 38 miles west of Big South Fork Medical Center. The Company has suspended operations at the Jamestown hospital but plans to reopen it upon receiving Medicare approval and securing adequate capital to do so.

In addition, on March 5, 2019, we closed an asset purchase agreement (the “Purchase Agreement”) whereby we acquired certain assets related to an acute care hospital located in Jellico, Tennessee and an outpatient clinic located in Williamsburg, Kentucky. The hospital is known as Jellico Community Hospital and the clinic is known as the CarePlus Center. The hospital and the clinic and their associated assets were acquired from Jellico Community Hospital, Inc. and CarePlus Rural Health Clinic, LLC, respectively. Jellico Community Hospital is a fully operational 54-bed acute care facility that offers comprehensive services, including diagnostic imaging, radiology, surgery (general, gynecological and vascular), nuclear medicine, wound care and hyperbaric medicine, intensive care, emergency care and physical therapy. Jellico is located 33 miles east of our Big South Fork Medical Center. The CarePlus Center offers sophisticated testing capabilities and compassionate care, all in a modern, patient-friendly environment. Services include diagnostic imaging services, x-ray, mammography, bone densitometry, computed tomography (CT), ultrasound, physical therapy and laboratory services on a walk-in basis. We refer to the Jellico Community Hospital and CarePlus Center collectively as Jellico Community Hospital. The purchase price was approximately $0.7 million. This purchase price was made available by Mr. Diamantis, a former member of our Board of Directors.

Our Hospital Operations generated revenues of approximately $2.1 million and $4.1 million during the three months ended June 30, 2020 and 2019, respectively, and approximately $3.9 million and $9.2 million during the six months ended June 30, 2020 and 2019, respectively. Going forward, we expect our Hospital Operations to provide us with a stable revenue base.

Prior to our focus on our Hospital Operations, our principal line of business to date ishad been clinical laboratory blood and urine testing services, performed by our Clinical Laboratory Operations business segment, with a particular emphasis on the provision of urine drug toxicology testing to physicians, clinics and rehabilitation facilities in the United States. Testing services to rehabilitation facilities represented approximately 60%Our Clinical Laboratory Operations did not provide any revenue for the three months ended June 30, 2020 and 85% of ourprovided a de minimis amount for the six months ended June 30, 2020. Clinical Laboratory Operations revenues for the ninethree and six months ended SeptemberJune 30, 20172019 were $5,415 and 2016,$0.1 million, respectively.

Our Supportive Software Solutions segment provides a customizable EHR and revenue cycle management services providing a full suite of billing services to substance abuse and behavioral health providers, as well as a dictation-based ambulatory EHR for physician practices and advanced transcription services.Discontinued Operations

 

On January 13,July 12, 2017, we closedannounced plans to spin off our Advanced Molecular Services Group (“AMSG”) and in the third quarter 2017 our Board of Directors voted unanimously to spin off the Company’s wholly-owned subsidiary, Health Technology Solutions, Inc. (“HTS”), as independent publicly traded companies by way of tax-free distributions to the Company’s stockholders. On June 10, 2020, the Company signed an agreement for the separation of these divisions into a public company. The agreement is with TPT Global Tech, Inc. (OTC: TPTW), a California-based public company, to merge HTS and AMSG into a public company after TPT completes a merger of its wholly-owned subsidiary, InnovaQor, Inc. with this public company. The public company will be known as InnovaQor going forward. Completion of the agreement is subject to a number of approvals and consents which need to be secured to complete the transaction. Subject to closing and the relevant SEC approvals it is intended that Rennova will receive approximately $22 million of preferred shares in the transaction, $5 million of which will be converted to common shares in the public company, and distributed to Rennova shareholders upon completion of the relevant registration/approvals with the SEC. The remaining approximately $17 million of preferred shares held by Rennova as an investment in InnovaQor will be convertible to common shares on an asset purchase agreementachievement of certain milestones going forward. There can be no assurance that the transaction as described will be consummated or that the terms, including numbers or values for consideration shares, will not change significantly before closing. The strategic goal of this transaction is to acquire certain assets relatedcreate a separate public company which can focus on its own strengths and operational plans and create value for Rennova and its shareholders. The Company has reflected the amounts relating to Scott County Community Hospital, based in Oneida, Tennessee (the “Hospital Assets”). The Hospital Assets include a 52,000 square foot hospital buildingAMSG and 6,300 square foot professional building on approximately 4.3 acres. Scott County Community Hospital isHTS as disposal groups classified as held for sale and included in discontinued operations in the Company’s accompanying unaudited condensed consolidated financial statements.

Voting Agreement

On August 13, 2020, Mr. Diamantis entered into a Critical Access Hospital (rural) with 25 beds, a 24/7 emergency department, operating roomsVoting Agreement and a laboratory that provides a range of diagnostic services. Scott County Community Hospital closed in July 2016 in connectionIrrevocable Proxy (the “Voting Agreement”) with the bankruptcy filingCompany, Mr. Lagan and Alcimede LLC (of which Mr. Lagan is the sole manager) pursuant to which Mr. Diamantis granted an Irrevocable proxy to Mr. Lagan to vote the Series M Preferred Stock held by Mr. Diamantis, Mr. Diamantis has retained all other rights under the Series M Preferred Stock. The foregoing description of its parent company, Pioneer Health Services, Inc. We acquired the Hospital Assets outVoting Agreement does not purport to be completes and is qualified by reference to the Voting Agreement, a copy of bankruptcy for a purchase price of $1.0 million. The hospital, which has been renamed Big South Fork Medical Center, became operationalis filed as an exhibit to this Quarterly Report on August 8, 2017. We believe that the hospital will provide us with a stable revenue base, as well as the potential for significant synergistic opportunities with our Clinical Laboratory Operations business segment. The CompanyForm 10-Q and is also actively seeking opportunities regarding other similar rural hospitals.incorporated herein by reference.

 

2935

 

 

RENNOVA HEALTH, INC.Outlook

 

Our Decision Support and InformaticsWe believe that the transition of our business segment develops and markets medical information and clinical decision support products and services intended to set a standard for the clinical interpretation of genomics-based, precision medicine. CollabRx offers interpretation and decision support solutions that enhance cancer diagnoses and treatment through actionable data analytics and reporting for oncologists and their patients. This segmentmodel from diagnostics is now considered partcomplete and once stabilized will create more predictable and stable revenue. Rural hospitals provide a much-needed service to their local communities and reduce our reliance on commission based sales employees to generate sales. We currently operate two hospitals and a rural clinic in the same general geographic location and own another hospital and physician’s office at which operations are currently suspended. Owning a number of our discontinued operations.facilities in the same geographic location will create numerous efficiencies in purchasing and staffing and will enable the provision of additional, specialized and more valuable services that are needed by rural communities but cannot be sustained by a standalone rural hospital. While 2019 was a difficult year with unexpected disruption to revenue causing us to suspend operations at the Jamestown facility, we believe we will be successful in reopening this facility in the near future and expect to achieve more stable and predictable revenues and relative costs before the current year end. We remain confident that this is a sustainable model we can continue to grow through acquisition and development and believe that we can benefit from the compliance and IT and software capabilities we already have in place. The progress of the coronavirus (“COVID-19”) pandemic, which is more fully discussed below, may, however, cause such expectations not to be achieved or, even if achieved, not to be done in the expected timeframe.

 

RESULTS OF OPERATIONSImpact of the Pandemic

 

Critical Accounting PoliciesThe COVID-19 pandemic was declared a global pandemic by the World Health Organization on March 11, 2020. We have been closely monitoring the COVID-19 pandemic and Estimates

Our discussionits impact on our operations and analysiswe have taken steps intended to minimize the risk to our employees and patients. These steps have increased our costs and our revenues have been significantly adversely affected. Demand for hospital services has substantially decreased. As noted in Notes 1 and 7 to the accompanying unaudited condensed consolidated financial statements, we have received Paycheck Protection Program (“PPP”) loans as well as Health and Human Services (“HHS”) Provider Relief Funds from the federal government. If the COVID-19 pandemic continues for a further extended period, we expect to incur significant losses and additional financial assistance may be required. Going forward, we are unable to determine the extent to which the COVID-19 pandemic will continue to affect our business. The nature and effect of financial conditionthe COVID-19 pandemic on our balance sheet and results of operations are basedwill depend on the severity and length of the pandemic in our service areas; government activities to mitigate the pandemic’s effect; regulatory changes in response to the pandemic, especially those affecting rural hospitals; and existing and potential government assistance that may be provided.

The COVID-19 pandemic and the steps taken by governments to seek to reduce its spread have severely impacted the economy and the health care industry in particular. Hospitals have especially been affected. Small rural hospitals, such as ours, may be overwhelmed by patients if conditions worsen in their local areas. Staffing costs, and concerns due to the potential exposure to infections, may increase, as may the costs of needed medical supplies necessary to keep the hospitals open. Doctors and patients may defer elective procedures and other health care services. Travel bans, social distancing and quarantines may limit access to our facilities. Business closings and layoffs in our local areas may result in the loss of insurance and adversely affect demand for our services, as well as the ability of patients and other payers to pay for services as rendered.

Our Clinical Laboratory Operations revenues have decreased significantly over the past few years. This decline in revenues has had a material adverse impact on our condensed consolidatedliquidity, results of operations and financial statements, which have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). The preparation of these financial statements requires us to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements. Such estimates and assumptions affect the reported amounts of revenues and expenses during the reporting period. We base our estimates on historical experiences and on various other assumptions that we believe to be reasonable under the circumstances. Actual results may differ materially from these estimates under different assumptions and conditions. We continue to monitor significant estimates made during the preparation of our financial statements. On an ongoing basis, we evaluate estimates and assumptions based upon historical experience and various other factors and circumstances. We believe our estimates and assumptions are reasonable in the circumstances; however, actual results may differ from these estimates under different future conditions.condition.

 

We believe that a successful separation of AMSG and HTS will allow each to focus on its own strengths and operational plans. We have identifiedagreed to terms that will combine these divisions into one publicly traded entity and believe this will provide a distinct and targeted investment opportunity. The Company believes it will be able to recognize the policiesexpenditures to date with regard to AMSG and significant estimation processes discussed belowHTS, which are in excess of $20 million, as criticalan investment after the separation is complete.

Our loss from continuing operations before other income and (expense) and income taxes for the three months ended June 30, 2020 was $3.3 million compared to our businessa loss of $5.1 million for the same period of a year ago. Our loss from continuing operations before other income and (expense) and income taxes for the six months ended June 30, 2020 was $7.2 million compared to a loss of $9.6 million for the same period a year ago. Our hospitals have generated losses and therefore, we attribute the decreases in the operating losses in the 2020 periods primarily to the understandingtemporary suspension of operations at Jamestown Regional Medical Center and a reduction in patients and services at our results of operations. For a detailed application of these and other accounting policies, see Note 2 to the audited consolidated financial statements as of and for the year ended December 31, 2016 included in the 2016 Form 10-K.

Revenue Recognition

Service revenues are principally generated from laboratory testing services, including chemical diagnostic tests such as blood analysis and urine analysis. Laboratory service revenues are recognized at the time the testing services are performed and billed and are reported at their estimated net realizable amounts.

Net service revenues are determined utilizing gross service revenues net of contractual adjustments and discounts. Even though it is the responsibility of the patient to pay for laboratory service bills, most individuals in the United States have an agreement with a third-party payer such as a commercial insurance provider, Medicaid or Medicare to pay all or a portion of their healthcare expenses; the majority of services provided by us are to patients covered under a third-party payer contract. In most cases, the Company is provided the third-party billing information and seeks payment from the third party in accordance with the terms and conditions of the third party payer for health service providers like us. Each of these third-party payers may differ not only in terms of rates, but also with respect to terms and conditions of payment and providing coverage (reimbursement) for specific tests. Estimated revenues are established based on a series of procedures and judgments that require industry specific healthcare experience and an understanding of payer methods and trends. Despite follow up billing efforts, the Company does not currently anticipate collection of a significant portion of self-pay billings, including the patient responsibility portion of the billing for patients covered by third party payers. The Company currently does not have any capitated agreements.hospitals.

 

We review our calculationsrecorded net income from continuing operations for the realizabilitythree months ended June 30, 2020 of gross service revenues on$2.1 million, as compared to a monthly basis in order to make certain that we are properly allowingloss of $13.3 million for the uncollectable portionsame period of our gross billings and that our estimates remain sensitivea year ago. The improvement was primarily due to variances and changes within our payer groups. The contractual allowance calculation is made on the basis of historical allowance rates for the various specific payer groups on a monthly basis with a greater weight being given to the most recent trends; this process is adjusted based on recent changes in underlying contract provisions and shiftsdecrease in the testing being performed. This calculation is routinely analyzed by us on the basisloss from operations before other income (expense) and income taxes of actual allowances issued by payers and the actual payments made to determine what adjustments, if any, are needed. Based on the calculations at September 30, 2017 and 2016, we determined that the collectible portion of our gross billings that should be reflected in net revenues was approximately 13% and 15%$1.8 million, other income (expense), respectively, of the outgoing gross billings.

Contractual Allowances and Doubtful Accounts

Accounts receivable are reported at realizable value, net of allowances for credits and doubtful accounts, which are estimated and recordedapproximately $6.8 million in the three months ended June 30, 2020 compared to other income (expense), net of ($0.3) million in the comparable 2019 period, a $1.2 million gain from legal settlements in the related revenue is recorded. The Company hasthree months ended June 30, 2020 and a standardized approach to estimating and reviewing the collectabilitydecrease in interest expense of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for contractual credits and doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues which may impact the collectability of these receivables or reserve estimates. Receivables deemed to be uncollectible are charged against the allowance for doubtful accounts at the time such receivables are written-off. Recoveries of receivables previously written-off are recorded as credits to the allowance for doubtful accounts. Revisions to the allowances for doubtful accounts estimates are recorded as an adjustment to provision for bad debts.$5.2 million.

 

3036

 

 

RENNOVA HEALTH, INC.

Impairment or Disposal of Long-Lived Assets

The Company accountsWe recorded a net loss from continuing operations for the impairment or disposalsix months ended June 30, 2020 of long-lived assets according$3.6 million, as compared to the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASC”) Topic 360,Property, Plant and Equipment(“ASC 360”). ASC 360 clarifies the accountinga loss of $26.2 million for the impairmentsame period of long-lived assetsa year ago. The improvement was primarily due to a decrease in the loss from operations before other income (expense) and for long-lived assets to be disposedincome taxes of includingapproximately $2.4 million, other income (expense), net of approximately $6.7 million in the disposal of business segments and major lines of business. Long-lived assets are reviewed when facts and circumstances indicate that the carrying value of the asset may not be recoverable. When necessary, impaired assets are written down to estimated fair value based on the best information available. Estimated fair value is generally based on either appraised value or measured by discounting estimated future cash flows. Considerable management judgment is necessary to estimate discounted future cash flows. Accordingly, actual results could vary significantly from such estimates. We did not record any impairment charges during the ninesix months ended SeptemberJune 30, 2017 and 2016.

Derivative Financial Instruments and Fair Value

We account for warrants issued in conjunction with the issuance2020 compared to other income (expense), net of common stock and certain convertible debt instruments in accordance with the guidance contained in ASC Topic 815,Derivatives and Hedging (“ASC 815”) and ASC Topic 480,Distinguishing Liabilities from Equity (“ASC 480”). For warrant instruments and conversion options embedded in promissory notes that are not deemed to be indexed to the Company’s own stock, we classified such instruments as liabilities at their fair values at the time of issuance and adjusted the instruments to fair value at each reporting period. These liabilities were subject to re-measurement at each balance sheet date until extinguished either through conversion or exercise, and any change in fair value was recognized in our statement of operations. The fair values of these derivative and other financial instruments had been estimated using a Black-Scholes model and other valuation techniques.

In July 2017, the FASB issued ASU 2017-11“Earnings Per Share (Topic 260) Distinguishing Liabilities from Equity (Topic 480) Derivatives and Hedging (Topic 815).” The amendments in Part I of this Update change the classification analysis of certain equity-linked financial instruments (or embedded features) with down round features. When determining whether certain financial instruments should be classified as liabilities or equity instruments, a down round feature no longer precludes equity classification when assessing whether the instrument is indexed to an entity’s own stock. The amendments also clarify existing disclosure requirements for equity-classified instruments. As a result, a freestanding equity-linked financial instrument (or embedded conversion option) no longer would be accounted for as a derivative liability at fair value as a result of the existence of a down round feature. For freestanding equity classified financial instruments, the amendments require entities that present earnings per share (EPS) in accordance with Topic 260 to recognize the effect of the down round feature when it is triggered. That effect is treated as a dividend and as a reduction of income available to common shareholders in basic EPS. Convertible instruments with embedded conversion options that have down round features are now subject to the specialized guidance for contingent beneficial conversion features (in Subtopic 470-20, Debt—Debt with Conversion and Other Options), including related EPS guidance (in Topic 260). The amendments in Part II of this Update recharacterize the indefinite deferral of certain provisions of Topic 480 that now are presented as pending content($1.2) million in the Codification, tocomparable 2019 period, a scope exception. Those amendments do not have an accounting effect.

Under current GAAP, an equity-linked financial instrument with a down round feature that otherwise is not required to be classified as a liability under the guidance in Topic 480 is evaluated under the guidance in Topic 815, Derivatives and Hedging, to determine whether it meets the definition of a derivative. If it meets that definition, the instrument (or embedded feature) is evaluated to determine whether it is indexed to an entity’s own stock as part of the analysis of whether it qualifies for a scope exception$1.2 million gain from derivative accounting. Generally, for warrants and conversion options embedded in financial instruments that are deemed to have a debt host (assuming the underlying shares are readily convertible to cash or the contract provides for net settlement such that the embedded conversion option meets the definition of a derivative), the existence of a down round feature results in an instrument not being considered indexed to an entity’s own stock. This results in a reporting entity being required to classify the freestanding financial instrument or the bifurcated conversion option as a liability, which the entity must measure at fair value initially and at each subsequent reporting date.

The amendments in this Update revise the guidance for instruments with down round features in Subtopic 815-40, Derivatives and Hedging—Contracts in Entity’s Own Equity, which is considered in determining whether an equity-linked financial instrument qualifies for a scope exception from derivative accounting. An entity still is required to determine whether instruments would be classified in equity under the guidance in Subtopic 815-40 in determining whether they qualify for that scope exception. If they do qualify, freestanding instruments with down round features are no longer classified as liabilities and embedded conversion options with down round features are no longer bifurcated.

31

RENNOVA HEALTH, INC.

For entities that present EPS in accordance with Topic 260, and when the down round feature is included in an equity-classified freestanding financial instrument, the value of the effect of the down round feature is treated as a dividend when it is triggered and as a numerator adjustmentlegal settlements in the basic EPS calculation. This reflects the occurrencesix months ended June 30, 2020 and a decrease in interest expense of an economic transfer of value to the holder of the instrument, while alleviating the complexity and income statement volatility associated with fair value measurement on an ongoing basis. Convertible instruments are unaffected by the Topic 260 amendments in this Update.

The amendments in Part 1 of this Update are a cost savings relative to current GAAP. This is because, assuming the required criteria for equity classification in Subtopic 815-40 are met, an entity that issued such an instrument no longer measures the instrument at fair value at each reporting period (in the case of warrants) or separately accounts for a bifurcated derivative (in the case of convertible instruments) on the basis of the existence of a down round feature. For convertible instruments with embedded conversion options that have down round features, applying specialized guidance such as the model for contingent beneficial conversion features rather than bifurcating an embedded derivative also reduces cost and complexity. Under that specialized guidance, the issuer recognizes the intrinsic value of the feature only when the feature becomes beneficial instead of bifurcating the conversion option and measuring it at fair value each reporting period.

The amendments in Part II of this Update replace the indefinite deferral of certain guidance in Topic 480 with a scope exception. This has the benefit of improving the readability of the Codification and reducing the complexity associated with navigating the guidance in Topic 480.

We have early adopted this amendment as it has a material impact on our condensed consolidated financial statements.

Stock Based Compensation

We account for Stock-Based Compensation under ASC 718 “Compensation – Stock Compensation”, which addresses the accounting for transactions in which an entity exchanges its equity instruments for goods or services, with a primary focus on transactions in which an entity obtains employee services in share-based payment transactions. ASC 718 requires measurement of the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized.

The Company accounts for stock-based compensation awards to non-employees in accordance with ASC 505-50, Equity-Based Payments to Non-Employees. Under ASC 505-50, the Company determines the fair value of the options, warrants or stock-based compensation awards granted as either the fair value of the consideration received or the fair value of the equity instruments issued, whichever is more reliably measurable. Any stock options or warrants issued to non-employees are recorded in expense and additional paid-in capital in stockholders’ equity (deficit) over the applicable service periods using variable accounting through the vesting dates based on the fair value of the options or warrants at the end of each period.$10.0 million

 

Three months ended SeptemberJune 30, 20172020 compared to the three months ended SeptemberJune 30, 20162019

 

The following table summarizes the results of our consolidated continuing operations for the three months ended SeptemberJune 30, 20172020 and 2016 (unaudited):2019:

 

  Three Months Ended September 30, 
  2017  2016 
  $   % $   %
Net revenues $1,414,211   100.0% $41,362   100.0%
Operating expenses:                
Direct costs of revenue  309,347   21.9%  305,157   737.8%
General and administrative expenses  5,169,478   365.5%  6,497,718   15709.4%
Sales and marketing expenses  170,028   12.0%  415,976   1005.7%
Bad debt expense  477,249   33.7%  3,666,707   8864.9%
Depreciation and amortization  451,597   31.9%  680,579   1645.4%
Loss from operations  (5,163,488)  -365.1%  (11,524,775)  -27863.2%
Interest expense  (5,331,681)  -377.0%  (1,651,629)  -3993.1%
Other income, net  40,455   2.9%  127,008   307.1%
Change in fair value of derivative instruments  -  0.0%  1,827,112  4417.4%
Gain on extinguishment of debt  -   0.0%  -   0.0%
Net loss $(10,454,714)  -739.3% $(11,222,284)  -27131.9%

32

RENNOVA HEALTH, INC.

  Three Months Ended June 30, 
  2020  2019 
  $  %  $  % 
Net revenues $2,069,019   100.0% $4,061,189   100.0%
Operating expenses:                
Direct costs of revenue  2,779,369   134.3%  4,680,333   115.2%
General and administrative expenses  2,421,863   117.1%  4,290,935   105.7%
Depreciation and amortization  181,091   8.8%  186,236   4.6%
Loss from operations  (3,313,304)  -160.1%  (5,096,315)  -125.5%
Other income (expense), net  6,847,209   330.9%  (311,463)  -7.7%
Gain from legal settlements  1,230,522   59.5%  -   0.0%
Interest expense  (2,658,972)  -128.5%  (7,871,798)  -193.8%
Benefit from income taxes  -   0.0%  -   0.0%
Net income (loss) from continuing operations $2,105,455   101.8% $(13,279,576)  -327.0%

 

Net Revenues

 

Consolidated net revenues were $1.4$2.1 million for the three months ended SeptemberJune 30, 2017,2020, as compared to $41 thousand for the three months ended September 30, 2016, an increase of $1.4 million. The increase is mainly the result of two factors; (1) the opening of the Hospital which resulted in net revenues of $0.6$4.1 million for the three months ended SeptemberJune 30, 20172019, a decrease of $2.0 million. The decrease in net revenues was due to a reduction in revenue from Jamestown Regional Medical Center of $0.8 million in the three months ended June 30, 2020 compared to the 2019 period. Operations at Jamestown Regional Medical Center were temporarily suspended beginning in June 2019 pending reinstatement of the hospital’s Medicare agreement, which the Company is hoping to get reinstated in the near future. The decrease in net revenues in the three months ended June 30, 2020, as compared to the 2019 period was also a result of the COVID-19 pandemic, which we attribute, in part, to decreasing net revenues from Jellico Community Hospital and (2)CarePlus Center of $1.4 million. As a result of the COVID-19 pandemic, we believe demand for our services was reduced. Also reducing revenues at Jellico Community Hospital and CarePlus Center were staffing issues during the 2020 period, which required us to divert patients to third party facilities. Partially offsetting the decrease in Hospital Operations revenue was a $0.3 million increase in revenue at Big South Fork in the Clinical Laboratory Operations business segment revenue of $0.6 millionthree months ended June 30, 2020 compared to last year, even though therethe 2019 period as certain diagnostic equipment was a 75% decline in insured test volumes. The netinoperable during the 2019 period.

Net revenue decline for the three months ended SeptemberJune 30, 2016 was due2020 and 2019 included bad debt expense elimination of $2.7 million and $2.3 million, respectively, for doubtful accounts and $8.4 million and $29.1 million, respectively, for contractual allowances. In a continued effort to refine our revenue recognition estimates, the determination thatCompany practices the collectible portionfull retrospective approach, evaluating and analyzing the realizability of gross billings should be reflected at 15%, as comparedservice revenues quarterly, to 20% from earlier in 2016. This change in estimate resulted in a reduction in net revenues in the amount of $1.7 million. Net revenues in our Supportive Software Solutions increased by $0.2 millionmake certain that we are properly allowing for the three months ended September 30, 2017 compared to the same period a year ago.bad debt and contractual adjustments.

37

 

Direct CostCosts of Revenue

 

Direct costs of revenue is essentially unchanged indecreased by $1.9 million for the three months ended SeptemberJune 30, 2017, as2020 compared to the three months ended SeptemberJune 30, 2016.2019. The decrease was related to our Hospital Operations. We attribute the decrease primarily to Jamestown Regional Medical Center, which was temporarily suspended beginning in June 2019, as well as decreases in the number of patients served at Jellico Community Hospital and CarePlus Center. As a percentage of net revenues, direct costs increased to 134.3% in the three months ended June 30, 2020 compared to 115.2% in the comparable 2019 period. We attribute the increase in the direct costs as a percentage of net revenues to the COVID-19 pandemic and the diversion of patients to third party facilities due to staffing issues during the three months ended June 30, 2020. While the number of patients served decreased, certain direct costs of revenue remained.

 

General and Administrative Expenses

 

General and administrative expenses decreased by $1.3$1.9 million, or 20%43.6%, in the third quarter of 2017 as compared to the same period a year ago. The decrease is mainly the result of a $1.1 million reduction in employee compensation and related costs, as we significantly reduced our headcount throughout the latter half of 2016 and 2017 in response to the decline in revenues, and a $0.2 million reduction in maintenance costs for our laboratory equipment.

Sales and Marketing Expenses

The decline in sales and marketing expenses of $0.2 million, or 59%, for the three months ended September 30, 2017 as compared to the three months ended September 30, 2016 was primarily due to a reduction in sales employee and contractor compensation expenses in the amount of $0.2 million, as well as reduced travel, advertising and commissionable collections related to the decline in net revenues.

Bad Debt Expense

Bad debt expense for the three months ended September 30, 2017 was $0.5 million, as compared to $3.7 million for the three months ended September 30, 2016.

During the three months ended September 30, 2016, we recorded a charge of $3.5 million related to receivablesdecrease in our Clinical LaboratoryHospital Operations segment that were deemed uncollectible. The primary factorsgeneral and administrative expenses of approximately $1.7 million and a decrease in rendering these receivables uncollectible were our failure to obtain preauthorization from the third party prior to rendering servicesCorporate’s general and the lackadministrative expenses of an existing preferred provider contract with the third-party payer. We also increased the allowance for doubtful accounts for our Supportive Software Solutions segment byapproximately $0.2 million.

During the three months ended September 30, 2017, the Hospital business segment deemed uncollectible $0.4 million related to the August and September receivables since their Medicare & Medicaid certification was not approved until October 11, 2017. The Company will submit all claims for services rendered for payment since the opening of the hospital. We also increased the allowance for doubtful accounts for our Supportive Software Solutions segment by $0.1 million.

 

Depreciation and Amortization Expenses

 

Depreciation and amortization expense was $0.5$0.2 million for the three months ended SeptemberJune 30, 20172020 as compared to $0.7$0.2 million for the same period a year ago, as some of our property and equipment became fully depreciated during 2016 and our capital expenditures have been minimal due to the reduced sample volume at our laboratories.ago.

 

Loss from Continuing Operations Before Other Income (Expense) and Income Taxes

 

Our operating loss decreased by $6.4 million, to $5.2$1.8 million for the three months ended SeptemberJune 30, 2017,2020, as compared to $11.5the 2019 period. Our Hospital Operations operating loss decreased by $1.7 million and Corporate’s loss decreased by $0.2 million, partially offset by an increase in the loss from our Clinical Laboratory Operations of $0.1 million.

Other Income (Expense), net

Other income (expense), net for the three months ended SeptemberJune 30, 2016. The decrease is2020 includes $7.5 million of HHS Provider Relief Funds from the federal government, partially offset by ($0.4) million in penalties and interest associated with non-payment of payroll taxes and ($0.2) million of loss on the sale of accounts receivable under a sales agreement. Other income (expense), net for the three months ended June 30, 2019 was due to the $5.0loss on the sale of accounts receivable under a sales agreement.

Gain from Legal Settlements

We settled several legal proceedings during the three months ended June 30, 2020, which resulted in a gain from legal settlements of $1.2 million. The settlement of obligations under a financing lease for property and equipment resulted in $0.9 million decrease in total operating expenses andof the $1.4 million increase in net revenues.gain.

 

Interest Expense

 

Interest expense for the three months ended SeptemberJune 30, 20172020 was $5.3$2.7 million, as compared to $1.7$7.9 million for the three months ended SeptemberJune 30, 2016.2019. Interest expense infor the three months ended SeptemberJune 30, 2017 includes2020 included $2.0 million for interest on past due debentures and note payable, $0.3 million for interest incurred by Mr. Diamantis, a $4.8 million non-cash interest charge relatedformer member of our Board of Directors, on borrowings he procured in order to lend funds to the issuanceCompany and $0.2 million of convertible debentures and warrants during the period.interest on loans from Mr. Diamantis. Interest expense infor the three months ended SeptemberJune 30, 2016 mainly consists2019 included $0.6 million for interest on loans from Mr. Diamantis, $1.5 million for the amortization of an interest charge of $0.5 milliondebt discount and deferred financing costs related to the $5debentures and $5.4 million prepaid forward purchase contract and $0.4 million of non-cashin interest expense related toassociated with the accretionmodification of debt discounts.

33

RENNOVA HEALTH, INC.

Other income (expense)

Other income decreased by $1.9 million for three months ended September 30, 2017 as compared to same period a year ago. The decrease consists primarily of $2.1 million in non-cash gains on the change in fair value of derivative financial instruments related to convertible notes and warrants recorded in 2016.warrants.

 

Net LossIncome (Loss) from Continuing Operations

 

OurWe recorded net lossincome from continuing operations for the three months ended SeptemberJune 30, 2017 was $10.52020 of $2.1 million, as compared to $11.2a loss of $13.3 million for the same period of a year ago, a decrease of $0.8 million.ago. The change isimprovement was primarily due to thea decrease in operating expensesthe loss from operations before other income (expense) and income taxes of $5.0approximately $1.8 million, an increaseother income (expense), net of $3.6approximately $6.8 million in the three months ended June 30, 2020 compared to other income (expense), net of ($0.3) million in the comparable 2019 period, a $1.2 million gain from legal settlements in the three months ended June 30, 2020 and a decrease in interest expense of $5.2 million.

38

The following table presents key financial metrics for our Hospital Operations segment:

  Three Months Ended June 30,       
 2020  2019  Change  % 
Hospital Operations            
             
Net revenues $2,069,019  $4,055,774  $(1,986,755)  -49.0%
Operating expenses:                
Direct costs of revenue  2,669,112   4,680,333   (2,011,221)  -43.0%
General and administrative expenses  1,546,247   3,201,283   (1,655,036)  -51.7%
Depreciation and amortization  176,998   176,371   627   0.4%
                 
Loss from operations $(2,323,338) $(4,002,213) $1,678,875   -41.9%
                 
Number of Patients Served  3,656   12,737   (9,081)  -71.3%
                 
Key Operating Measures - Net revenues per patient served: $565.92  $318.42  $247.50   77.7%
                 
Key Operating Measures - Direct costs per patient served: $730.06  $367.46  $362.60   98.7%

Our Hospital Operations have historically generated operating losses. We served less patients during the three months ended June 30, 2020 compared to the three months ended June 30, 2019 as a result of the suspension of operations at Jamestown Regional Medical Center, which did not operate during the three months ended June 30, 2020 following the termination of the Medicare program in June 2019. Also, reducing the number of patients served were the COVID-19 pandemic and a decrease of $2.0 millionstaffing issues that resulted in other income (expense), offset byus having to divert patients to third-party facilities during the three months ended June 30, 2020. The increase in revenuethe net revenues and direct costs per patient in the three months ended June 30, 2020 compared to the 2019 period was due to the performance of $1.4 million.more diagnostic testing as more diagnostic machines were operational at Big South Fork during 2020.

 

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:

 

  Three Months Ended September 30,       
Clinical Laboratory Operations 2017  2016  Change  % 
             
Net revenues $586,663  $(9,085) $595,748   6557.5%
Operating expenses:                
Direct costs of revenue  191,537   224,285   (32,748)  -14.6%
Bad debt expense  (43,887)  3,475,252   (3,519,139)  -101.3%
General and administrative expenses  897,038   2,691,078   (1,794,040)  -66.7%
Sales and marketing expenses  170,292   414,648   (244,356)  -58.9%
Depreciation and amortization  410,801   549,748   (138,947)  -25.3%
                 
Loss from operations $(1,039,118) $(7,364,096) $6,324,978   -85.9%
                 
Key Operating Measures - Revenues:                
Insured tests performed  15,415   61,106   (45,691)  -74.8%
Net revenue per insured test $38.06  $(0.15) $38.21   25697.9%
Revenue recognition percent of gross billings  13.0%  15.0%  -2.0%    
                 
Key Operating Measures - Direct Costs:                
Total samples processed  5,320   7,850   (2,530)  -32.2%
Direct costs per sample $36.00  $28.57  $7.43   26.0%
  Three Months Ended June 30,       
  2020  2019  Change  % 
Clinical Laboratory Operations                
                 
Net revenues (1) $-  $5,415  $(5,415)  -100.0%
Operating expenses:                
Direct costs of revenue (2)  110,257   -   110,257   NM 
General and administrative expenses  179,158   175,760   3,398   1.9%
Depreciation and amortization  4,041   9,683   (5,642)  -58.3%
                 
Loss from operations $(293,456) $(180,028) $(113,428)  63.0%

(1)Net revenue for the three months ended June 30, 2019 related to the recovery of bad debt.
(2)The direct costs of revenue for the three months ended June 30, 2020 resulted from the reclassification of a previously recorded gain on legal settlement during the period.

 

During the three months ended June 30, 2020 and 2019, our Clinical Laboratory segment did not perform any laboratory tests. During 2019, the Company experienced a substantial decline in the volume of samples processed at its laboratories and continued difficulty in receiving reimbursement for certain diagnostics. As a result, in an effort to reduce costs, the Company is currently operating its Clinical Laboratory Operations business segment out of its EPIC Reference Labs, Inc. (“EPIC”) laboratory, and cost reduction efforts are continuing in response to the operating losses incurred. The following table presents key financial metrics for our Supportive Software Solutions segment:Company intends to sell EPIC, meaning the Company would no longer own or operate clinical laboratories outside of the hospital labs.

  Three Months Ended September 30,       
Supportive Software Solutions 2017  2016  Change  % 
             
Net revenues $208,070  $50,447  $157,623   312.5%
Operating expenses:                
Direct costs of revenue  47,347   80,872   (33,525)  -41.5%
General and administrative expenses  722,790   865,143   (142,353)  -16.5%
Sales and marketing expenses  491   1,329   (838)  -63.1%
Bad debt expense  73,227   192,740   (119,513)  -62.0%
Depreciation and amortization  25,015   163,749   (138,734)  -84.7%
                 
Loss from operations $(660,800) $(1,253,386) $592,586   -47.3%

 

3439

 

RENNOVA HEALTH, INC.

The following table presents key financial metrics for our Hospital segment:

  Three Months Ended September 30,       
Hospital 2017  2016  Change  % 
             
Net revenues $619,478  $-  $619,478   - 
Operating expenses:                
Direct costs of revenue  69,145   -   69,145   - 
General and administrative expenses  2,180,793   -   2,180,793   - 
Bad debt expense  447,909   -   447,909   - 
Depreciation and amortization  15,436   -   15,436   - 
                 
Loss from operations $(2,093,805) $-  $(2,093,805)  - 

 

The following table presents key financial metrics for our Corporate group:

 

  Three Months Ended September 30,       
Corporate 2017  2016  Change  % 
             
Operating expenses:                
General and administrative expenses $1,364,927  $2,940,211  $(1,575,284)  -53.6%
Direct costs of revenue  1,319   -   1,319   - 
Sales and marketing expenses  3,174   -   3,174   - 
Depreciation and amortization  345   745   (400)  -53.7%
                 
Loss from operations $(1,369,765) $(2,940,956) $1,571,191   -53.4%

35

  Three Months Ended June 30,       
  2020  2019  Change  % 
Corporate                
Operating expenses:                
General and administrative expenses $696,458  $913,892  $(217,434)  -23.8%
Depreciation and amortization  52   182   (130)  -71.4%
                 
Loss from operations $(696,510) $(914,074) $217,564   -23.8%

 

RENNOVA HEALTH, INC.The decrease in Corporate’s general and administrative expenses in the three months ending June 30, 2020 compared to the prior period was mainly the result of reductions in insurance expense, rent, compensation related expenses and directors fees.

 

NineSix months ended SeptemberJune 30, 20172020 compared to Ninethe six months ended SeptemberJune 30, 20162019

 

The following table summarizes the results of our consolidated continuing operations for the ninesix months ended SeptemberJune 30, 20172020 and 2016:2019:

 

 Nine Months Ended September 30,  Six Months Ended June 30, 
 2017  2016  2020  2019 
 $   % $   % $ % $ % 
Net revenues $3,312,476   100.0% $4,067,562   100.0% $3,910,550   100.0% $9,251,839   100.0%
Operating expenses:                                
Direct costs of revenue  849,632   25.6%  1,128,060   27.7%  5,345,649   136.7%  8,844,733   95.6%
General and administrative expenses  12,978,349   391.8%  17,142,263   421.4%  5,384,592   137.7%  9,567,071   103.4%
Sales and marketing expenses  620,560   18.7%  1,441,322   35.4%
Bad debt expense  1,051,590   31.7%  3,667,992   90.2%
Depreciation and amortization  1,508,042   45.5%  2,037,910   50.1%  345,798   8.8%  409,822   4.4%
Loss from operations  (13,695,697)  -413.5%  (21,349,985)  -524.9%  (7,165,489)  -183.2%  (9,569,787)  -103.4%
Other income (expense), net  6,719,166   171.8%  (1,195,742)  -12.9%
Gain from legal settlements  1,230,522   31.5%  -   0.0%
Gain on bargain purchase  -   0.0%  250,000   2.7%
Change in fair value of derivative instruments  -   0.0%  (105,076)  -1.1%
Interest expense  (16,510,525)  -498.4%  (4,700,664)  -115.6%  (5,549,232)  -141.9%  (15,591,766)  -168.5%
Other income, net  91,212   2.8%  6,763,138   166.3%
Change in fair value of derivative instruments  (42,702,815)  -1289.2%  -   0.0%
Gain on extinguishment of debt  42,702,815   1289.2%  -   0.0%
Income tax expense  3,622   0.1%  -   0.0%
Net loss $(30,118,632)  -909.2% $(19,287,511)  -474.2%
Benefit from income taxes  1,118,485   28.6%  -   0.0%
Net loss from continuing operations $(3,646,548)  -93.2% $(26,212,371)  -283.3%

 

Net Revenues

 

Consolidated net revenues were $3.3$3.9 million for the ninesix months ended SeptemberJune 30, 2017,2020, as compared to $4.1$9.3 million for the ninesix months ended SeptemberJune 30, 2016,2019, a decrease of $0.8 million, or 19%.$5.4 million. The decrease is mainlyin net revenues was due to a reduction in revenue from Jamestown Regional Medical Center of $3.0 million in the result of a 72% declinesix months ended June 30, 2020 compared to the 2019 period. Operations at Jamestown Regional Medical Center were temporarily suspended beginning in insured test volumes in our Clinical Laboratory Operations business segment, offset by the net revenueJune 2019 pending reinstatement of the Hospitalhospital’s Medicare agreement, which the Company is hoping to get reinstated in the amount of $0.6 million. Netnear future. The decrease in net revenues in our Supportive Software Solutions increased by $0.1 million or 15% for the ninesix months ended SeptemberJune 30, 20172020, as compared to the same2019 period was also a year ago.result of the COVID-19 pandemic, which we attribute, in part, to decreasing net revenues from Jellico Community Hospital and CarePlus Center of approximately $1.8 million and net revenues from Big South Fork Medical Center of $0.5 million. As a result of the COVID-19 pandemic, we believe demand for our services was reduced. Also reducing revenue were staffing issues and supply shortages caused by cash constraints during the 2020 period, which required us to divert patients to third party facilities. Clinical Laboratory Operations revenue also decreased by $0.1 million in the six months ended June 30, 2020 compared to the 2019 period.

Net revenues for the six months ended June 30, 2020 and 2019 include bad debt expense elimination of $4.0 million and $3.9 million, respectively, for doubtful accounts and $18.9 million and $60.9 million, respectively, for contractual allowances. In a continued effort to refine our revenue recognition estimates, the Company practices the full retrospective approach, evaluating and analyzing the realizability of gross service revenues quarterly, to make certain that we are properly allowing for bad debt and contractual adjustments.

40

 

Direct CostCosts of Revenue

 

Direct costs of revenue decreased by 25%, from $1.1$3.5 million infor the ninesix months ended SeptemberJune 30, 20162020 compared to $0.8 million in the ninesix months ended SeptemberJune 30, 2017.2019. The decrease is a result of reduced expenses for transcription, data storage and software licensewas related to our Supportive Software Solutions segmentHospital Operations. We attribute the decrease primarily to Jamestown Regional Medical Center, which was temporarily suspended beginning in June 2019, as well as decreases in the number of patients served at Jellico Community Hospital and CarePlus Center and Big South Fork Medical Center. As a decreasepercentage of net revenues, direct costs increased to 136.7% in reagents and supplies at our laboratories offset by anthe six months ended June 30, 2020 compared to 95.6% in the comparable 2019 period. We attribute the increase in the direct costs as a percentage of $0.1 million relatednet revenues to the Hospital.COVID-19 pandemic and the diversion of patients to third party facilities due to staffing issues and supply shortages caused by cash constraints during the six months ended June 30, 2020. While the number of patients served decreased, certain direct costs of revenue remained.

 

General and Administrative Expenses

 

General and administrative expenses decreased by $4.2 million, or 24%43.7%, for the nine months ended September 30, 2017, compared to the same period a year ago. The decrease is mainly the result of a $3.0 million reduction in employee compensation and related costs, net of Hospital employee compensation of $1.6 million, as we significantly reduced our headcount throughout the latter half of 2016 and 2017 in response to the decline in revenues in our Clinical and Supportive Software, and a $0.2 million reduction in maintenance costs for our laboratory equipment and a $0.8 million decrease in stock compensation expense.

Sales and Marketing Expenses

The decline in sales and marketing expenses of $0.8 million, or 57%, for the nine months ended September 30, 2017 as compared to the nine months ended September 30, 2016 was primarily due to a reductiondecrease in sales employeeour Hospital Operations general and contractor compensationadministrative expenses in the amount of $0.8 million, as well as reduced travel, advertising and commissionable collections related to the decline in net revenues.

Bad Debt Expense

Bad debt expense for the nine months ended September 30, 2017 was $1.1 million, as compared to $3.7 million for the same period of a year ago. The decrease is mainly due to theapproximately $3.5 million bad debt charge in 2016 related to receivablesand a decrease in our Clinical Laboratory Operations segment.

36

RENNOVA HEALTH, INC.Corporate’s general and administrative expenses of approximately $0.6 million.

 

Depreciation and Amortization Expenses

 

Depreciation and amortization expense was $1.5$0.3 million for the ninesix months ended SeptemberJune 30, 20172020 as compared to $2.0$0.4 million for the same period a year ago, as some of our property and equipment became fully depreciated during 2016 and our capital expenditures have been minimal due to the reduced sample volume at our laboratories. Most of the capital expenditures for the Hospital in the amount of $1.5 million, started depreciating at the time the Hospital was opened in August 2017.ago.

 

Loss from Continuing Operations Before Other Income (Expense) and Income Taxes

 

Our operating loss decreased by $7.7 million, to $13.7$2.4 million for the ninesix months ended SeptemberJune 30, 2017,2020, as compared to $21.3the 2019 period. Our Hospital Operations operating loss decreased by $1.8 million and Corporate’s loss decreased by $0.6 million.

Other Income (Expense), net

Other income (expense), net of $6.7 million for the ninesix months ended SeptemberJune 30, 2016. The decrease is due to the $8.42020 included $7.5 million decrease in total operating expensesof HHS Provider Relief Funds, partially offset by ($0.6) million in penalties and interest associated with non-payment of payroll taxes and ($0.2) million of loss on the $0.8sale of accounts receivable under a sales agreement. Other income (expense), net of ($1.2) million decreasefor the six months ended June 30, 2019 included a ($0.6) million penalty for non-payment of a debenture that was due in net revenues.March 2019 and ($0.7) million from the loss on sales of accounts receivable under sales agreements.

Gain from Legal Settlements

We settled several legal proceedings during the six months ended June 30, 2020, which resulted in a gain from legal settlements of $1.2 million. The settlement of obligations under a financing lease for property and equipment resulted in $0.9 million of the gain.

Gain on Bargain Purchase

In the six months ended June 30, 2019, we realized a $0.3 million gain on the bargain purchase of Jellico Community Hospital, which was acquired on March 5, 2019. The gain was associated with the intangible asset acquired in the acquisition.

Change in Fair Value of Derivative Instruments

The change in the fair value of derivative instruments for the six months ended June 30, 2019 was $0.1 million and related to the reduction in the conversion price of an outstanding debenture. We did not incur a change in the fair value of derivative instruments during the six months ended June 30, 2020.

 

Interest Expense

 

Interest expense for the ninesix months ended SeptemberJune 30, 20172020 was $16.5$5.5 million, as compared to $4.7$15.6 million for the ninesix months ended SeptemberJune 30, 2016.2019. Interest expense infor the ninesix months ended SeptemberJune 30, 2017 includes2020 included $4.0 million for default interest on past due debentures and note payable, $0.7 million for interest incurred by Mr. Diamantis, a $8.5 million non-cash interest charge relatedformer member of our Board of Directors, on borrowings he procured in order to lend funds to the issuanceCompany and $0.5 million of convertible debentures and warrants duringinterest on loans from Mr. Diamantis. Interest expense for the period, and $6.2six months ended June 30, 2019 included $0.7 million for interest on loans from Mr. Diamantis, $5.0 million for the amortization of debt discount.discount and deferred financing costs related to debentures and $9.5 million of interest expense associated with the modification of warrants.

41

 

Other income (expense)Benefit from Income Taxes

 

Other income (expense) decreased by $6.8 million for nineDuring the six months ended SeptemberJune 30, 2017 as compared to2020, the same periodU.S. Congress approved the Coronavirus Aid, Relief and Economic Security Act (the “CARES Act”). The CARES Act allows a five-year carryback privilege for federal net operating tax losses that arose in a tax year ago. The decrease consists ofbeginning in 2018 and through the $6.8current tax year, that is, 2020. As a result, during the six months ended June 30, 2020, we recorded approximately $1.1 million in non-cash gains onrefunds from the change in fair valuecarryback of derivative financial instruments related to convertible notes and warrants recorded in 2016.certain of our federal net operating losses.

 

Net Loss from Continuing Operations

 

Our net loss from continuing operations decreased by $22.6 million, to $3.6 million for the ninesix months ended SeptemberJune 30, 2017 was $30.1 million,2020, as compared to $19.3a net loss from continuing operations of $26.2 million for the same period a year ago, an increase of $10.8 million.six months ended June 30, 2019. The change isdecrease was primarily due to the increase of $12.2 million in non-cash interest and amortization of debt discount charge, and a decrease in the loss from operations before other income (expense), net and income taxes of approximately $2.4 million, other income of approximately $6.8 million in the six months ended June 30, 2020 compared to other income (expense), offset byexpense of $1.2 million in the comparable period, a $1.2 million gain from legal settlements in the six months ended June 30, 2020, a decrease in loss frominterest expense of $10.0 million in the 2020 period and a $1.1 million income tax benefit in the six months ended June 30, 2020.

The following table presents key financial metrics for our Hospital Operations segment:

  Six Months Ended June 30,       
  2020  2019  Change  % 
Hospital Operations                
Net revenues $3,909,110  $9,161,039  $(5,251,929)  -57.3%
Operating expenses:                
Direct costs of revenue  5,345,649   8,841,951   (3,496,302)  -39.5%
General and administrative expenses  3,620,419   7,146,261   (3,525,842)  -49.3%
Depreciation and amortization  359,313   350,147   9,166   2.6%
                 
Loss from operations $(5,416,271) $(7,177,320) $1,761,049   -24.5%
                 
Number of Patients Served  9,825   23,692   (13,867)  -58.5%
                 
Key Operating Measures - Net revenues per patient served: $397.87  $386.67  $11.20   2.9%
                 
Key Operating Measures - Direct costs per patient served: $544.09  $373.20  $170.88   45.8%

Our Hospital Operations have historically generated operating losses. We served less patients during the six months ended June 30, 2020 compared to the six months ended June 30, 2019 as a result of the suspension of operations at Jamestown Regional Medical Center, which did not operate during the six months ended June 30, 2020 following the termination of $7.7 million.the Medicare program in June 2019. Also, reducing the number of patients served was the COVID-19 pandemic, as well as staffing issues and shortages of hospital supplies due to cash constraints, which required us to divert patients to third-party facilities during the six months ended June 30, 2020.

42

 

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:

 

 Six Months Ended June 30,      
 Nine Months Ended September 30,       2020  2019  Change  % 
Clinical Laboratory Operations 2017 2016 Change %                 
         
Net revenues $1,994,639  $3,461,987  $(1,467,348)  -42.4% $1,440  $90,800  $(89,360)  -98.4%
Operating expenses:                                
Direct costs of revenue  605,593   898,444   (292,851)  -32.6%  -   2,782   (2,782)  -100.0%
Bad debt expense  526,934   3,475,252   (2,948,318)  -84.8%
General and administrative expenses  2,794,143   6,592,565   (3,798,422)  -57.6%  421,984   434,231   (12,247)  -2.8%
Sales and marketing expenses  611,941   1,439,994   (828,053)  -57.5%
Depreciation and amortization  1,265,174   1,646,167   (380,993)  -23.1%
Depreciation and amortization (1)  (13,702)  59,345   (73,047)  -123.1%
                                
(Loss) income from operations $(3,809,146) $(10,590,435) $6,781,289   -64.0%
Loss from operations $(406,842) $(405,558) $(1,284)  0.3%
                                
Key Operating Measures - Revenues:                                
Insured tests performed  52,374   187,283   (134,909)  -72.0%  -   78   (78)  -100.0%
Net revenue per insured test $38.08  $18.49  $19.60   106.0%
Net revenue per insured test (2) $-  $1,164.10  $(1,164.10)  -100.0%
Revenue recognition percent of gross billings  13.0%  15.0%  -2.0%      0.0%  11.0%        
                                
Key Operating Measures - Direct Costs:                                
Total samples processed  16,246   19,039   (2,793)  -14.7%  -   19   (19)  -100.0%
Direct costs per sample $37.28  $47.19  $(9.91)  -21.0% $-  $146.42  $(146.42)  -100.0%

 

37(1)Accumulated depreciation that was previously overstated was adjusted in the six months ended June 30, 2020.
(2)Net revenue per insured test was impacted by the recovery of bad debt in the six months ended June 30, 2019. Excluding the effect of the recovery of bad debt, the net revenue per insured test was approximately $210.00 per test.

 

RENNOVA HEALTH, INC.

The following table presents key financial metricsDuring the six months ended June 30, 2020, our Clinical Laboratory segment did not perform any laboratory tests. During 2019, the Company experienced a substantial decline in the volume of samples processed at its laboratories and continued difficulty in receiving reimbursement for our Supportive Software Solutions segment:

  Nine Months Ended September 30,       
Supportive Software Solutions 2017  2016  Change  % 
             
Net revenues $698,359  $605,575  $92,784   15.3%
Operating expenses:                
Direct costs of revenue  122,728   229,616   (106,888)  -46.6%
General and administrative expenses  1,992,088   3,492,547   (1,500,459)  -43.0%
Sales and marketing expenses  491   1,329   (838)  -63.1%
Bad debt expense  76,747   192,740   (115,993)  -60.2%
Depreciation and amortization  227,999   490,236   (262,237)  -53.5%
                 
Loss from operations $(1,721,694) $(3,800,893) $2,079,199   -54.7%

The decreasecertain diagnostics. As a result, in generalan effort to reduce costs, the Company is currently operating its Clinical Laboratory Operations business segment out of its EPIC Reference Labs, Inc. (“EPIC”) laboratory, and administrative expenses relates primarilycost reduction efforts are continuing in response to the reduction in employee compensation and related costs, as we significantly reduced our headcount.

operating losses incurred. The following table presents key financial metrics for our Hospital segment:Company intends to sell EPIC, meaning the Company would no longer own or operate clinical laboratories outside of the hospital labs.

  Nine Months Ended September 30,       
Hospital 2017  2016  Change  % 
             
Net revenues $619,478  $-  $619,478   - 
Operating expenses:                
Direct costs of revenue  78,815   -   78,815   - 
General and administrative expenses  3,185,182   -   3,185,182   - 
Bad debt expense  447,909   -   447,909   - 
Depreciation and amortization  22,045   -   22,045   - 
                 
Loss from operations $(3,114,473) $-  $(3,114,473)  - 

 

The following table presents key financial metrics for our Corporate group:

 

 Six Months Ended June 30,      
 Nine Months Ended September 30,       2020  2019  Change  % 
Corporate 2017  2016  Change  %                 
         
Operating expenses:                                
General and administrative expenses $5,006,936  $7,057,150  $(2,050,214)  -29.1% $1,342,189  $1,986,579  $(644,390)  -32.4%
Direct costs of revenue  42,496   -   42,496   - 
Sales and marketing expenses  8,128   -   8,128   - 
Depreciation and amortization  1,005   2,494   (1,489)  -59.7%  187   330   (143)  -43.3%
                                
Loss from operations $(5,058,565) $(7,059,644) $2,001,079   -28.3% $(1,342,376) $(1,986,909) $644,533   -32.4%

 

The decrease in general and administrative expenses is mainly due to reductions in stock-based compensation in 2017 asthe six months ended June 30, 2020 compared to the prior yearperiod was mainly the result of acquisition costs incurred in the amount2019 period for the acquisition of $0.8 million, $0.7 million of interestJellico Community Hospital and penalties thatCarePlus Center on March 5, 2019. Also reducing general and administrative expenses in the six months ended June 30, 2020 compared to the 2019 period were recognizedreductions in 2016 in connection with unpaid taxes,insurance expense, rent, compensation related expenses and a $0.3 million decrease in salaries due to headcount reduction.directors fees.

 

3843

 

RENNOVA HEALTH, INC.

 

LIQUIDITY AND CAPITAL RESOURCES

 

For the six months ended June 30, 2020 and the year ended December 31, 2016 and through September 30, 2017,2019, we have financed our operations primarily from the issuances of equity, debentures and notes payable, loans from a related party and the sale of our equity securities, short-term advances from related parties,accounts receivable under sales agreements. Also, during the issuance of debentures and the proceedssix months ended June 30, 2020 we received approximately $2.4 million from pledging certainPPP notes payable (“PPP Notes”) and approximately $7.5 million from HHS Provider Relief Funds. On June 30, 2020, we entered into an exchange agreement with Mr. Diamantis, a former member of our accounts receivable asBoard of Directors, wherein we exchanged the amount owed to Mr. Diamantis for principal and interest on that date, which totaled $18.8 million, for shares of the Company’s Series M Convertible Preferred Stock. Subsequent to June 30, 2020 and through August 10, 2020, we received approximately $5.0 million from HHS Provider Relief Funds. Each of these financing transactions is more fully discussed below. in Notes 1, 4, 7, 8, 13 and 19 to our accompanying unaudited condensed consolidated financial statements.

Future cash needs for working capital, capital expenditures, debt obligations and potential acquisitions will require management to seek additional equity or obtain additional credit facilities. The salesale/issuances of additional equity will result in additional dilution to our stockholders. A portion of our cash may be used to acquire or invest in complementary businesses or products or to obtain the right to use complementary technologies. From time to time,time-to-time, in the ordinary course of business, we evaluate potential acquisitions of such businesses, products or technologies.

 

At SeptemberGoing Concern and Liquidity

Under Accounting Standards Update, or ASU, 2014-15, Presentation of Financial Statements—Going Concern (Subtopic 205-40) (“ASC 205-40”), the Company has the responsibility to evaluate whether conditions and/or events raise substantial doubt about its ability to meet its future financial obligations as they become due within one year after the date that the financial statements are issued. As required by ASC 205-40, this evaluation shall initially not take into consideration the potential mitigating effects of plans that have not been fully implemented as of the date the financial statements are issued. Management has assessed the Company’s ability to continue as a going concern in accordance with the requirement of ASC 205-40.

As reflected in the accompanying unaudited condensed consolidated financial statements, at June 30, 2017,2020, we had $0.8 million cash on hand from continuing operations, of approximately $41,019, a working capital deficit of $18.0$61.2 million, an accumulated deficit of $593.8 million and a stockholders’ deficit of $18.8$61.3 million. In addition, we incurred a loss from continuing operations of $30.1$3.6 million for the ninesix months ended SeptemberJune 30, 2017.2020 and we used cash of $9.1 million to fund our operations. As of the date of this report, our cash position is critically deficientdeficient; and payments critical tofor our ability to operateoperations in the ordinary course are not being made in the ordinary course.made. In addition, we have not repaid approximately $35.1 million of outstanding principal balance of debentures, including default penalties and accrued interest, which is past due and for which we have received a payment demand notice. Our fixed operating expenses includinginclude payroll, rent, capital lease payments and other fixed expenses, includingas well as the costs required to operate Big South Fork Medical Center, areour Hospital Operations. Our fixed operating expenses were approximately $1.5-$2.0$3.0 million per month.month for the six months ended June 30, 2020.

 

On October 30, 2017, we raised $4.0 million from the issuance of our Series I-1 Convertible Preferred Stock (the “Series I-1 Preferred Stock”) as more fully discussed below. However, our failureWe need to raise additional capital in the coming months will have a material adverse effect on our abilityfunds immediately and continue to operate our business. In addition,do so until we will be requiredbegin to raise additional capital in order to fund our operations for the next twelve months.realize positive cash flow from operations. There can be no assurancesassurance that we will be able to achieve our business plan, which is to acquire and operate clusters of rural hospitals, raise any additional capital or secure the additional financing necessary capital on termsto implement our current operating plan. Our ability to continue as a going concern is dependent upon our ability to significantly reduce our operating costs, increase our revenues and eventually achieve profitable operations. The accompanying unaudited condensed consolidated financial statements do not include any adjustments that are acceptable to us, or at all. Ifmight be necessary if we are unable to secure the necessary funding as and when required, it will have a material adverse effect on our business and we may be required to downsize, further reduce our workforce, sell some of our assets or possibly curtail or even cease operations, raising substantial doubt about our ability to continue as a going concern.

 

On July 12, 2017Also, during the six months ended June 30, 2020 we announced that we plan to spin offreceived approximately $2.4 million from PPP Notes. As of August 10, 2020, Company-owned facilities have received approximately $12.5 million of HHS Provider Relief Funds, $7.5 million of which were received during the Advanced Molecular Services Group (“AMSG”)six months ended June 30, 2020. A portion of the PPP Notes and accrued interest are forgivable as an independent publicly traded company by waylong as the borrower uses the loan proceeds for eligible purposes, including payroll, benefits, rent and utilities, and maintains its payroll levels. The amount of loan forgiveness will be reduced if the borrower terminates employees or reduces salaries. The HHS Provider Relief Funds are grants, not loans, and HHS will not require repayment, but providers are restricted and the funds must be used only for grant approved purposes. We received approximately $1.1 million in cash from the issuance of a tax-free distribution to our shareholders. Completion of the spinoff is expected to occurpromissory note during the first quartersix months ended June 30, 2020, which was used to repay amounts due under accounts receivable sales agreements and $0.5 million from the sale of 2018, and is subject to numerous conditions, including effectiveness ofaccounts receivable under a Registration Statement on Form 10 to be filed withsales agreement. In addition, during the Securities and Exchange Commission and consents, including under various funding agreements previously entered into by the Company. The intent of the spinoff is to create two public companies, each of which can focus on its own strengths and operational plans. We also announced on July 24, 2017 that the Big South Fork Medical Center received CMS regional office licensure approval. The hospital opened in August 2017. We expect that the hospital will provide us additional revenue and cash flow sources.

During 2017, we entered into financings as follows:

In 2017, we received short-term advances from Christophersix months ended June 30, 2020, Mr. Diamantis, a former member of our Board of Directors, inloaned the amountCompany $4.6 million, the majority of $3.3 million. On March 7, 2017 we issued a promissory note to Mr. Diamantis in the amount of $3.8 million (the “2017 Diamantis Note”) in connection with the advances we received in 2017, plus accrued and unpaid interest reflecting the advances we received in both fiscal 2016 and 2017, in the amount of $0.5 million.which was used for working capital purposes.

 

On February 2, 2017,As of June 30, 2020, we issued $1.59 million of convertible debentures (the “February Debentures”) and warrantswere party to purchase 6,667 shares of our common stock and received cash proceeds of $1.5 million.

On March 21, 2017, we issued $10.85 million aggregate principal amount of Senior Secured Original Issue Discount Convertible Debentures due two years fromlegal proceedings, which are presented in Note 15 to the date of issuance (the “Convertible Debentures”) and three series of warrants to purchase shares of our common stock to several accredited investors. We received net proceeds from this transaction in the approximate amount of $8.4 million. We used $3.8 million of the net proceeds to repay the 2017 Diamantis Note and $0.75 million of the net proceeds to make a partial repayment on the TCA Debenture (as defined below). The remainder of the net proceeds were used for general corporate purposes. In conjunction with the issuance of the Convertible Debentures, the holder of the February Debentures exchanged these debentures for $2.7 million of new debentures (the “Exchange Debentures” and, collectively with the Convertible Debentures, the “March Debentures”) on the same terms as, and pari passu with, the Convertible Debentures and warrants. Additionally, the holders of an aggregate of $2.2 million stated value of our Series H Convertible Preferred Stock (the “Series H Preferred Stock”) exchanged such preferred stock into $2.5 million principal amount of Exchange Debentures and warrants. All of the March Debentures contain a 24% original issue discount.

On June 2, 2017 and June 22, 2017, we issued $1.9 million aggregate principal amount of Original Issue Discount Debentures due three months from the date of issuance of these two issuances (collectively, the “June Debentures”) and warrants to purchase an aggregate of 100,000 shares of common stock to accredited investors for a purchase price of $1.8 million and cash proceeds of $1.5 million.accompanying unaudited condensed consolidated financial statements.

 

3944

 

RENNOVA HEALTH, INC.

On July 17, 2017, we closed an offering of $4,136,862 aggregate principal amount of Original Issue Discount Debentures due October 17, 2017 and warrants to purchase an aggregate of 141,333 shares of common stock for consideration of $2,000,000 in cash and the exchange of the $1,902,700 aggregate principal amount of Original Issue Discount Debentures due September 22, 2017 issued by us on June 22, 2017.

On September 19, 2017, we closed an offering of $2,604,000 principal amount of Senior Secured Original Issue Discount Convertible Debentures due September 19, 2019 (the “New Debentures”) and three series of warrants to purchase shares of our common stock. The offering was pursuant to the terms of a Securities Purchase Agreement, dated as of August 31, 2017, between us and certain of our existing institutional investors. We received proceeds of $2,100,000 from the offering.

Also on September 19, 2017, we closed exchanges by which the holders of our July Debentures exchanged $4,136,862 principal amount of such debentures for $6,412,136 principal amount of new debentures and warrants on the same items as, and pari passu with, the New Debentures (the “September Exchange Debentures” and, together with the New Debentures, the “September Debentures”). All issuance amounts of the September Debentures reflect a 24% original issue discount.

On October 30, 2017, we closed an offering of $4,960,000 stated value of our newly-authorized Series I-1 Preferred Stock. The offering was pursuant to the terms of the Securities Purchase Agreement, dated as of October 30, 2017, between us and certain of our existing institutional investors. We received proceeds of $4,000,000 from the offering.

In September of 2016, we received $0.4 million from the sale of convertible notes and warrants with a maturity date of March 15, 2017. On March 13, 2017, these securities were exchanged for 26,666 shares of our common stock.

On March 31, 2016, we entered into an agreement to pledge certain of our accounts receivable as collateral against a prepaid forward purchase contract. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $1.5 million and $0 on our balance sheet as of December 31, 2016 and September 30, 2017, respectively. The consideration received was $5.0 million. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from us on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months, or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty has not been paid $6.0 million, we were required to pay the difference, plus 30% interest per annum on the total balance. As of September 30, 2017, and the date of this report, we had not collected any amounts due on these receivables, and $6.9 million, including accrued interest, is currently due to the counterparty. We currently do not have the financial resources to satisfy this obligation. Mr. Diamantis has guaranteed our payment obligation under this agreement.

On November 3, 2016, we received a Notice of Default from TCA Global Credit Master Fund, LP (“TCA”), the holder of a secured convertible debenture with an original outstanding principal amount of $3.0 million (the “TCA Debenture”), related to our failure to pay the monthly principal and interest payments required under the TCA Debenture. Prior to our issuance of the March Debentures on March 21, 2017, we had not made the last nine required payments under the TCA Debenture, other than a $0.4 million payment we made in February of 2017. In conjunction with the issuance of the March Debentures on March 21, 2017, we entered into a letter agreement with TCA, which (i) waived any non-payment default through March 21, 2017; (ii) provided for the $0.75 million payment discussed above; (iii) set forth a revised repayment schedule whereby the remaining principal plus interest aggregating to approximately $2.6 million was to be repaid in various monthly installments from April of 2017 through September of 2017; and (iv) provided for payment of an additional service fee in the amount of $150,000, which was due on June 27, 2017, the day after the effective date of the registration statement filed by us; which amount is reflected in accrued expenses in the accompanying consolidated balance sheet at September 30, 2017. In addition, TCA entered into an intercreditor agreement with the purchasers of the March Debentures which sets forth rights, preferences and priorities with respect to the security interests in our assets. On September 19, 2017, the Company entered into a new agreement with TCA, which extended the repayment schedule through to December 31, 2017. The Company is current with its payments.

As of September 30, 2017, we were party to the following legal matters:

Biohealth Medical Laboratory, Inc, and PB Laboratories, LLC (the “Companies”) filed suit against CIGNA Health in 2015 alleging that CIGNA failed to pay claims for laboratory services the Companies provided to patients pursuant to CIGNA - issued and CIGNA - administered plans. In 2016, the U.S. District Court dismissed part of the Companies’ claims for lack of standing. The Companies appealed that decision to the Eleventh Circuit Court of Appeals, which recently reversed the District Court’s decision and found that the Companies have standing to raise claims arising out of traditional insurance plans as well as self-funded plans.

Our Epinex Diagnostics Laboratories, Inc. subsidiary had been sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016. In October of 2016, the plaintiffs in this matter filed a motion with the court seeking payment for attorneys’ fees in the approximate amount of $0.7 million. On March 24, 2017, the court granted plaintiffs’ motion for payment of attorneys’ fees in the amount of $0.3 million, and we have accrued this amount in its condensed consolidated financial statements. Additionally, we are seeking indemnification for these amounts from Epinex Diagnostics, Inc. (“EDI”), the seller of Epinex Diagnostic Laboratories, Inc. (“EDL”), pursuant to a Stock Purchase Agreement entered into by and among the parties.

40

RENNOVA HEALTH, INC.

InFebruary 2016, we received notice that the Internal Revenue Service (the “IRS”) had placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, in the amount of $5.0 million. We paid $0.1 million toward the 2014 tax liability on March 2016. We filed our 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released, and in September of 2016, we received a refund from the IRS in the amount of $1.9 million. In November of 2016, the IRS commenced an audit of our 2015 Federal tax return. We are currently unable to predict the outcome of the audit or any liability to us that may result from the audit.

On September 27, 2016, a tax warrant was issued against us by the Florida Department of Revenue (the “DOR”) for unpaid 2014 state income taxes in the approximate amount of $0.9 million, including penalties and interest. On January 25, 2017, we paid the DOR $250,000 as partial payment on this liability, and in February 2017, we entered into a Stipulation Agreement with the DOR which will allow us to make monthly installment payments of $35,000 until February 2018 and negotiate a new payment agreement then, if the balance of $0.3 million cannot be satisfied in a lump sum. If at any time during the Stipulation period we fail to timely file any required tax returns with the DOR or do not meet the payment obligations under the Stipulation Agreement, the entire amount due will be accelerated. The Company is current with the agreed payment plan.

InDecember of 2016, TCS-Florida, L.P. (“Tetra”), filed suit against us for failure to make the required payments under an equipment leasing contract that we had with Tetra. On January 3, 2017, Tetra received a Default Judgment against us in the amount of $2.6 million, representing the balance owed on the leases, as well as additional interest, penalties and fees. We have recognized this amount in our consolidated financial statements as of December 31, 2016. In January and February of 2017, we made payments to Tetra in connection with this judgment aggregating to $0.7 million, and on February 15, 2017, we entered into a forbearance agreement with Tetra whereby the remaining $1.9 million due will be paid in 24 equal monthly installments. Payments commenced on May 1, 2017. The Company is current with its payments.

InDecember of 2016, DeLage Landen Financial Services, Inc. (“DeLage”), filed suit against us for failure to make the required payments under an equipment leasing contract that we had with DeLage. On January 24, 2017, DeLage received a default judgment against us in the approximate amount of $1.0 million, representing the balance owed on the lease, as well as additional interest, penalties and fees. We have recognized this amount in our consolidated financial statements as of December 31, 2016. On February 8, 2017, a Stay of Execution was filed and under its terms the balance due will be paid in variable monthly installments through January of 2019, with an implicit interest rate of 4.97%. The Company is current with its payments.

On December 7, 2016, the holders of the notes payable to CommerceNet and Jay Tannenbaum (the “Tegal Notes”) filed suit against us seeking payment for the amounts due under the notes in the aggregate of $0.4 million, including accrued interest. A request for entry of default judgment was filed on January 24, 2017. A Case Management Conference is scheduled for December 5, 2017.

 

The following table presents our capital resources as of SeptemberJune 30, 20172020 and December 31, 2016:2019:

 

  September 30, 2017  December 31, 2016  Change 
          
Cash $41,019  $75,017  $(33,998)
Working capital  (17,990,110)  (16,344,128)  (1,645,982)
Total debt, excluding discounts and deferred financing fees  28,484,822   9,339,747   19,145,075 
Capital lease obligations  2,227,204   3,570,174   (1,342,970)
Stockholders’ deficit $(18,788,423) $(14,885,896) $(3,902,527)

41

RENNOVA HEALTH, INC.

  June 30,  December 31,    
  2020  2019  Change 
          
Cash $810,848  $16,933  $793,915 
Working capital deficit  (61,188,591)  (78,073,092)  16,884,501 
Total debt, excluding discounts and derivative liabilities  35,905,834   49,010,905   (13,105,071)
Finance lease obligations  349,987   1,119,418   (769,431)
Stockholders' deficit $(61,315,239) $(76,519,721) $15,204,482 

 

The following table presents the major sources and uses of cash for the ninesix months ended SeptemberJune 30, 20172020 and 2016:2019:

 

 Nine Months Ended September 30,     Six Months Ended June 30,    
 2017  2016  Change  2020  2019  Change 
              
Cash used in operations $(11,783,441) $(17,040,274) $5,256,833  $(9,071,779) $(5,426,560) $(3,645,219)
Cash used in investing activities  (1,552,563)  63,273   (1,615,836)  (10,435)  (702,252)  691,817 
Cash provided by financing activities  13,302,006   8,658,115   4,643,891   9,876,129   6,553,256   3,322,873 
                        
Net change in cash $(33,998) $(8,318,886) $8,284,888   793,915   424,444   369,471 
Cash and cash equivalents, beginning of the year  16,933   6,870   10,063 
Cash and cash equivalents, end of the period $810,848  $431,314  $379,534 

 

The decrease incomponents of cash used in operations for the ninesix months ended SeptemberJune 30, 20172020 and 2016 is2019 are presented in the following table:

 

 Nine Months Ended September 30,     Six Months Ended June 30,    
 2017  2016  Change  2020  2019  Change 
              
Net loss $(30,118,632) $(19,287,511) $(10,831,121)
Net loss from continuing operations $(3,646,548) $(26,212,371) $22,565,823 
Non-cash adjustments to income  17,475,571   2,320,100   15,155,471   (8,055,359)  16,003,231   (24,058,592)
Accounts receivable  (252,717)  1,878,086   (2,130,803)  1,328,369   (2,114,913)  3,443,282 
Accounts payable and accrued expenses  3,449,565   (1,348,163)  4,797,728 
Inventory  (75,732)  35,292   (111,024)
Accounts payable, checks issued in excess of bank balance and accrued expenses  2,649,632   7,401,704   (4,752,070)
Loss from discontinued operations  (1,053,471)  (2,828,030)  1,774,559   (23,602)  (653,860)  630,258 
Income tax assets and liabilities  (1,118,485)  (45,000)  (1,073,485)
Other  (539,116)  2,441,858   (2,980,974)  (7,063)  5,874   (12,937)
Net cash used in operating activities  (11,038,800)  (16,823,660)  5,784,860   (8,948,788)  (5,580,043)  (3,368,745)
Cash used in discontinued operations  (744,641)  (216,614)  (528,027)
Cash (used in) provided by discontinued operations  (122,991)  153,483   (276,474)
Cash used in operations $(11,783,441) $(17,040,274) $5,256,833  $(9,071,779) $(5,426,560) $(3,645,219)

 

Cash used by investing activities for the six months ended June 30, 2020 was to purchase $10,435 of hospital equipment. The increase in cash used in investing activities isfor the six months ended June 30, 2019, was due to $0.7 million used for the acquisition of theJellico Community Hospital Assets in Januaryand approximately $43,715 for purchases of 2017. Cash provided by investing activities for the nine months ended September 30, 2017 consists of $1.6 million.hospital equipment.

 

Cash provided by financing activities for the ninesix months ended SeptemberJune 30, 2017 consists2020 totaled $9.9 million and primarily included $4.6 million in loans from a related party, $2.4 million from PPP Notes, $7.5 million from HHS Provider Relief Funds, $0.5 million from the sale of the $15.7accounts receivable and $1.1 million of net proceeds received in connection withfrom the issuance of an installment note payable. Partially offsetting these cash receipts were $0.7 million in payments of debentures, and warrants and $1.1$0.8 million of notes payable payments, $3.3 million in payments of related party payments netloans and $0.1 million of advances, partially offset by payments on capitalfinance lease obligations in the amount of $1.3 million.

obligation payments. Cash provided by financing activities for the ninesix months ended SeptemberJune 30, 2016 consists2019 of the $5.0$6.6 million receivedprimarily included $9.1 million in loans from a related party, $3.8 million from the prepaid forward purchase contractissuances of debentures and the $7.5$1.2 million in proceeds from a public offering, partially offset by the $3.4sale of accounts receivable under sales agreements. Partially offsetting these cash receipts were $1.5 million in payments of related party loans, $0.8 million in payments net of advances,accounts receivable under sales agreements and repayment$0.1 million of capitalfinance lease obligationsobligation payments.

45

The terms of certain of the warrants, convertible preferred stock and convertible debentures issued by the Company provide for reductions in the amountper share exercise prices of $0.8 million.the warrants and the per share conversion prices of the debentures and preferred stock (if applicable and subject to a floor in certain cases), in the event that the Company issues common stock or common stock equivalents (as that term is defined in the agreements) at an effective exercise/conversion price that is less than the then exercise/conversion price of the outstanding warrants, preferred stock or debentures, as the case may be. In addition, the majority of these equity-based securities contain exercise/conversion prices that vary based upon the price of the Company’s common stock on the date of exercise/conversion (see Notes 3, 8 11, 12, 13 and 19 to the accompanying unaudited condensed consolidated financial statements). These provisions have resulted in significant dilution of the Company’s common stock and have given rise to reverse splits of the Company’s common stock, including a reverse stock split effected on July 31, 2020, which is more fully described in Note 1 to the accompanying unaudited condensed consolidated financial statements.

 

OTHER MATTERS

 

Inflation

 

We do not believe inflation has a significant effect on the Company’s operations at this time.

 

Off Balance Sheet Arrangements

 

Under SEC regulations, we are required to disclose the Company’s off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that are material to investors. Off-balance sheet arrangements consist of transactions, agreements or contractual arrangements to which any entity that is not consolidated with us is a party, under which we have:

 

 Any obligation under certain guarantee contracts.
   
 Any retained or contingent interest in assets transferred to an unconsolidated entity or similar arrangement that serves as credit, liquidity or market risk support to that entity for such assets.
   
 Any obligation under a contract that would be accounted for as a derivative instrument, except that it is both indexed to the Company’s stock and classified in stockholder’s equity in the Company’s statement of financial position.
   
 Any obligation arising out of a material variable interest held by us in an unconsolidated entity that provides financing, liquidity, market risk or credit risk support to us, or engages in leasing, hedging or research and development services with us.

 

42

RENNOVA HEALTH, INC.

As of SeptemberJune 30, 2017,2020, the Company had no off-balance sheet arrangements that have, or are reasonably likely to have, a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

 

Not applicable

46

 

Item 4. Controls and Procedures.

 

(a)Evaluation of Disclosure Controls and Procedures

(a) Evaluation of Disclosure Controls and Procedures

 

In connection with the preparation of this Quarterly Report on Form 10-Q, an evaluation was carried out by the Company’s management, with the participation of our chief executive officer and interim chief financial officer, of the effectiveness of the Company’sWe maintain disclosure controls and procedures (as definedthat are designed to ensure that material information required to be disclosed in Rules 13a-15(e) and 15d-15(e)our periodic reports filed under the Securities Exchange Act of 1934, (“Exchangeas amended (the “Exchange Act”)) as of September 30, 2017. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act, is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and to ensure that such information is accumulated and communicated to our management, including the chief executive officer,our Chief Executive Officer and Interim Chief Financial Officer as appropriate, to allow timely decisions regarding required disclosures.

disclosure. Under the supervision and with the participation of our management, including our Chief Executive Officer, who also serves as our Interim Chief Financial Officer, we conducted an evaluation of our disclosure controls and procedures. Based on thatthe foregoing evaluation, our management concluded that, as of June 30, 2020, our disclosure controls and procedures were not effective to provide reasonable assurance that the end ofinformation required to be disclosed by us in reports that we file or submit under the period covered by this report,Exchange Act is recorded, processed, summarized, and reported within the time periods specified in SEC rules and forms, and is accumulated and communicated to our management, including our Chief Executive Officer and Interim Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. Our management, including our Chief Executive Officer (Principal Executive Officer), who also serves as our Interim Chief Financial Officer (Principal Financial Officer), does not expect that our disclosure controls and procedures (as defined in Rules 13a-15(e)will prevent all errors and 15d-15(e) under the Exchange Act) wereall fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not effective. In connection with such evaluation, management concludedabsolute, assurance that the material weaknessobjectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in internalall control over financial reporting identifiedsystems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within our Company have been detected. These inherent limitations include, but are not limited to, the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

In our Annual Report on Form 10-K for the year ended December 31, 2016 continued to exist, and as such2019, we identified material weaknesses in our disclosure controls and procedures were not effective as of September 30, 2017.internal control over financial reporting. Insufficient staffing, accounting processes and procedures led to a lack of contemporaneous documentation supporting the accounting for certain transactions and the approval of certain cash disbursements. With the acquisitions of our hospitals, there are risks related to the timing and accuracy of the integration of information from various accounting systems whereby the Company has experienced delays in receiving information in a timely manner from its subsidiaries. Based on these material weaknesses in internal control over financial reporting, management concluded the Company did not maintain effective internal control over financial reporting as of December 31, 2019. As of June 30, 2020, we concluded that these material weaknesses continued to exist.

The Company expects improvements to be made on the integration of information issues during 2020 as we plan to move towards securing a prompt and accurate reporting system. The Company is continuing to further remediate the material weaknesses identified above as its resources permit. The Company is in the process of taking the following steps to remediate these material weaknesses: (i) increasing the staffing of its internal accounting department, including the addition of a full time Chief Financial Officer;department; (ii) beginningcontinuing the process of converting tomoving towards securing a new integratedprompt and accurate accounting system to enhance controls and procedures for recording accounting transactions; and (iii) implementing enhanced documentation procedures to be followed by the internal accounting department, including independent review of material cash disbursements.

 

Notwithstanding such material weakness,weaknesses, management believes that the unaudited condensed consolidated financial statements included in this Form 10-Q fairly present in all material respects the Company’s financial condition, results of operations and cash flows for the periods and dates presented.

 

(b)Changes in Internal Control over Financial Reporting

(b) Changes in Internal Control over Financial Reporting

 

During the ninethree months ended SeptemberJune 30, 2017,2020, there werehave been no changes in our internal control over financial reporting that have materially affected or are reasonably likely to materially affect our internal control over financial reporting.reporting except as disclosed above.

 

PART II – OTHER INFORMATION

 

Item 1. Legal Proceedings.

 

From time to time,time-to-time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company’s financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims, which are presented in Note 1115 to the accompanying unaudited condensed consolidated financial statements.

43

RENNOVA HEALTH, INC.

 

Item 1A. Risk Factors.

 

In addition to the other information set forth in this report, you should carefully consider the risk factors discussed in Part I, Item 1A of the 20162019 Form 10-K which could materially affect our business, financial condition, or future results. There have been no material changes to the risk factors previously disclosed in our 20162019 Form 10-K.

47

 

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

 

During the three-months ended September 30, 2017, the Company had the following issuance of unregistered sales of equity securities that was not previously disclosed on a Current Report on Form 8-K:None.

On August 15, 2017, the Company issued 33,334 shares of its common stock in payment of professional service fees valued at $118,493. These securities were issued without registration in reliance upon the exemption provided by Section 4(2) of the Securities Act of 1933, as amended, as a transaction by an issuer not involving a public offering.

 

Item 3. Defaults Upon Senior Securities.

 

None.

 

Item 4. Mine Safety Disclosures.

 

Not applicable.

 

Item 5. Other Information.

 

None.

 

Item 6. Exhibits

 

3.13.22Amended Certificate of Designation for Series FL Convertible Preferred Stock (incorporated by reference to Exhibit 3.113.22 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange CommissionSEC on September 25, 2017)May 5, 2020).
  
3.23.23Certificate of Amendment to Certificate of Incorporation of Rennova Health, Inc., filed October 5, 2017.
4.1Form of CommonDesignation for Series M Convertible Preferred Stock Purchase Warrant (incorporated by reference to Exhibit 10.1463.23 of the Company’s Current Report on Form 8-K filed with the SecuritiesSEC on June 16, 2020).
10.1Voting Agreement and Exchange Commission on July 20, 2017).Irrevocable Proxy, dated as of August 13, 2020, by and among Rennova Health, Inc., Seamus Lagan, Alcimede LLC and Christopher Diamantis
  
4.210.92FormExchange Agreement, dated as of Series A/B/C Common Stock Purchase WarrantMay 5, 2020, between Rennova Health, Inc. and Alcimede LLC (incorporated by reference to Exhibit 10.14910.178 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange CommissionSEC on September 1, 2017)May 5, 2020).
  
10.110.93Amendment, dated July 10, 2017, among Rennova Health, Inc. and Sabby Healthcare Master Fund, Ltd. and Sabby Volatility Warrant Master Fund, Ltd. (incorporated by reference to Exhibit 10.143 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2017).
10.2Securities Purchase Agreement, dated as of July 16, 2017, between Rennova Health Inc. and each purchaser identified on the signature pages thereto (incorporated by reference to Exhibit 10.144 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2017).
10.3Form of Original Issue Discount Debenture (incorporated by reference to Exhibit 10.145 of the Company’s Current Report on Form 8-K filedPromissory Note, with the Securities and Exchange Commission on July 17, 2017).
10.4Form of Subsidiary Guarantee (incorporated by reference to Exhibit 10.147 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2017).
10.5Form of Grant AgreementEvolve Bank & Trust (incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange CommissionSEC on August 21, 2017)May 12, 2020).

44

RENNOVA HEALTH, INC.

10.6Securities Purchase Agreement, dated as of August 31, 2017, between Rennova Health Inc. and each purchaser identified on the signature pages thereto (incorporated by reference to Exhibit 10.147 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.7Form of Senior Secured Original Issue Discount Convertible Debenture (incorporated by reference to Exhibit 10.148 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.8Form of Exchange Agreement, dated as of August 31, 2017, between Rennova Health Inc. and the investor signatory thereto (incorporated by reference to Exhibit 10.150 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 1, 2017).
10.9Form of Security Agreement, dated March 21, 2017 (incorporated by reference to Exhibit 10.154 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
10.10Subsidiary Guarantee, dated as of September 19, 2017, by the Subsidiary Guarantors party thereto, in favor of the Purchasers (incorporated by reference to Exhibit 10.156 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
10.11Consent, dated as of September 19, 2017, by TCA Global Credit Master Fund, LP (incorporated by reference to Exhibit 10.157 of the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25, 2017).
  
31.1Rule 13a-14(a) Certification by the Principal Executive Officer and InterimOfficer.
31.2Rule 13a-14(a) Certification by the Principal Financial OfficerOfficer.
  
32.1Certification by the Principal Executive Officer and Interimpursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*
32.2Certification by the Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002*2002.*
  

101.INS

XBRL Instance Document

  
101.SCHXBRL Schema Document
  
101.CALXBRL Calculation Link base Document
  
101.DEFXBRL Definition Link base Document
  
101.LABXBRL Label Link base Document
  
101.PREXBRL Presentation Link base Document

 

*Furnished herewith

 

4548

 

 

RENNOVA HEALTH, INC.

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.

 

 RENNOVA HEALTH, INC.
   
Date: November 20, 2017August 13, 2020By:/s/ Seamus Lagan
  Seamus Lagan
  

Chief Executive Officer, President and Interim Chief Financial Officer

(Principal Executive Officer and Interim Principal Financial Officer)

 

4649