Document And Entity Information
Document And Entity Information - shares | 3 Months Ended | |
Mar. 31, 2022 | May 13, 2022 | |
Document Information Line Items | ||
Entity Registrant Name | HealthLynked Corp. | |
Document Type | 10-Q | |
Current Fiscal Year End Date | --12-31 | |
Entity Common Stock, Shares Outstanding | 238,983,761 | |
Amendment Flag | false | |
Entity Central Index Key | 0001680139 | |
Entity Current Reporting Status | Yes | |
Entity Filer Category | Non-accelerated Filer | |
Document Period End Date | Mar. 31, 2022 | |
Document Fiscal Year Focus | 2022 | |
Document Fiscal Period Focus | Q1 | |
Entity Small Business | true | |
Entity Emerging Growth Company | true | |
Entity Shell Company | false | |
Entity Ex Transition Period | false | |
Document Quarterly Report | true | |
Document Transition Report | false | |
Entity File Number | 000-55768 | |
Entity Incorporation, State or Country Code | NV | |
Entity Tax Identification Number | 47-1634127 | |
Entity Address, Address Line One | 1265 Creekside Parkway | |
Entity Address, Address Line Two | Suite 302 | |
Entity Address, City or Town | Naples | |
Entity Address, State or Province | FL | |
Entity Address, Postal Zip Code | 34108 | |
City Area Code | (800) | |
Local Phone Number | 928-7144 | |
Entity Interactive Data Current | Yes |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheets - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Current Assets | ||
Cash | $ 1,926,714 | $ 3,291,646 |
Accounts receivable, net of allowance for doubtful accounts of $13,972 and $13,972 as of March 31, 2022 and December 31, 2021, respectively | 78,127 | 86,287 |
Inventory | 155,153 | 134,930 |
Prepaid expenses and other | 85,695 | 137,630 |
Total Current Assets | 2,245,689 | 3,650,493 |
Property, plant and equipment, net of accumulated depreciation of $308,480 and $283,512 as of March 31, 2022 and December 31, 2021, respectively | 347,528 | 350,482 |
Intangible assets, net of accumulated amortization of $1,052,338 and $873,417 as of March 31, 2022 and December 31, 2021, respectively | 4,701,200 | 4,880,121 |
Goodwill | 1,148,105 | 1,148,105 |
Right of use lease assets | 499,144 | 526,730 |
Deferred equity compensation and deposits | 130,188 | 138,625 |
Total Assets | 9,071,854 | 10,694,556 |
Current Liabilities | ||
Accounts payable and accrued expenses | 760,390 | 790,843 |
Contract liabilities | 33,348 | 72,838 |
Lease liability, current portion | 294,442 | 288,966 |
Due to related party, current portion | 300,600 | 300,600 |
Liability-classified equity instruments, current portion | 35,625 | 61,250 |
Contingent acquisition consideration, current portion | 317,757 | 403,466 |
Total Current Liabilities | 1,742,162 | 1,917,963 |
Long-Term Liabilities | ||
Government and vendor notes payable, long term portion | 450,000 | 450,000 |
Liability-classified equity instruments, long term portion | 101,250 | 101,250 |
Contingent acquisition consideration, long term portion | 429,611 | 782,224 |
Lease liability, long term portion | 204,762 | 239,225 |
Total Liabilities | 2,927,785 | 3,490,662 |
Shareholders’ Equity | ||
Common stock, par value $0.0001 per share, 500,000,000 shares authorized, 238,033,117 and 237,893,473 shares issued and outstanding as of March 31, 2022 and December 31, 2021, respectively | 23,803 | 23,789 |
Series B convertible preferred stock, par value $0.001 per share, 20,000,000 shares authorized, 2,750,000 and 2,750,000 shares issued and outstanding as of March 31, 2022 and December 31, 2021, respectively | 2,750 | 2,750 |
Common stock issuable, $0.0001 par value; 938,191 and 719,366 shares as of March 31, 2022 and December 31, 2021, respectively | 318,040 | 282,347 |
Additional paid-in capital | 39,172,788 | 39,100,197 |
Accumulated deficit | (33,373,312) | (32,205,189) |
Total Shareholders’ Equity | 6,144,069 | 7,203,894 |
Total Liabilities and Shareholders’ Equity | $ 9,071,854 | $ 10,694,556 |
Condensed Consolidated Balanc_2
Condensed Consolidated Balance Sheets (Parentheticals) - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Accounts receivable, net of allowance for doubtful accounts (in Dollars) | $ 13,972 | $ 13,972 |
Property, plant and equipment, net of accumulated depreciation (in Dollars) | 308,480 | 283,512 |
Intangible assets, net of accumulated amortization (in Dollars) | $ 1,052,338 | $ 873,417 |
Common stock, par value (in Dollars per share) | $ 0.0001 | $ 0.0001 |
Common stock, shares authorized | 500,000,000 | 500,000,000 |
Common stock, shares issued | 238,033,117 | 237,893,473 |
Common stock, shares outstanding | 238,033,117 | 237,893,473 |
Common stock issuable, par value (in Dollars per share) | $ 0.0001 | $ 0.0001 |
Common stock issuable, shares | 938,191 | 719,366 |
Series B Convertible Preferred Stock | ||
Preferred stock, par value (in Dollars per share) | $ 0.001 | $ 0.001 |
Preferred stock, shares authorized | 20,000,000 | 20,000,000 |
Preferred stock, shares issued | 2,750,000 | 2,750,000 |
Preferred stock, shares outstanding | 2,750,000 | 2,750,000 |
Condensed Consolidated Statemen
Condensed Consolidated Statement of Operations (Unaudited) - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Revenue | ||
Patient service revenue, net | $ 1,375,685 | $ 1,514,376 |
Subscription, consulting and event revenue | 84,218 | 87,655 |
Product revenue | 146,969 | 182,663 |
Total revenue | 1,606,872 | 1,784,694 |
Operating Expenses and Costs | ||
Practice salaries and benefits | 718,073 | 663,937 |
Other practice operating expenses | 562,651 | 730,784 |
Medicare shared savings expenses | 227,729 | 211,507 |
Cost of product revenue | 160,811 | 168,596 |
Selling, general and administrative expenses | 1,335,140 | 1,366,137 |
Depreciation and amortization | 203,890 | 211,658 |
Total Operating Expenses and Costs | 3,208,294 | 3,352,619 |
Loss from operations | (1,601,422) | (1,567,925) |
Other Income (Expenses) | ||
Loss on extinguishment of debt | (5,589,994) | |
Change in fair value of debt | (19,246) | |
Change in fair value of contingent acquisition consideration | 438,322 | (635,700) |
Interest expense | (5,023) | (10,588) |
Total other income (expenses) | 433,299 | (6,255,528) |
Net loss before provision for income taxes | (1,168,123) | (7,823,453) |
Provision for income taxes | ||
Net loss | (1,168,123) | (7,823,453) |
Deemed dividend - amortization of beneficial conversion feature and down round adjustment to warrants | (88,393) | (88,393) |
Net loss to common shareholders | $ (1,256,516) | $ (7,911,846) |
Net loss per share to common shareholders, basic and diluted: | ||
Basic (in Dollars per share) | $ (0.01) | $ (0.04) |
Fully diluted (in Dollars per share) | $ (0.01) | $ (0.04) |
Weighted average number of common shares: | ||
Basic (in Shares) | 238,008,478 | 213,279,052 |
Fully diluted (in Shares) | 238,008,478 | 213,279,052 |
Condensed Consolidated Statem_2
Condensed Consolidated Statement of Changes in Shareholders' Equity (Deficit) (Unaudited) - USD ($) | Common Stock | Preferred Stock | Common Stock Issuable | Additional Paid-in Capital | Accumulated Deficit | Total |
Balance at Dec. 31, 2020 | $ 18,797 | $ 2,750 | $ 262,273 | $ 22,851,098 | $ (21,784,910) | $ 1,350,008 |
Balance (in Shares) at Dec. 31, 2020 | 187,967,881 | 2,750,000 | ||||
Sales of common stock | $ 1,479 | 2,981,367 | 2,982,846 | |||
Sales of common stock (in Shares) | 14,793,864 | |||||
Fair value of warrants allocated to proceeds of common stock | 1,406,515 | 1,406,515 | ||||
Conversion of convertible notes payable to common stock | $ 1,354 | 4,060,194 | 4,061,548 | |||
Conversion of convertible notes payable to common stock (in Shares) | 13,538,494 | |||||
Fair value of warrants issued in connection with conversion and retirement of convertible notes payable | 3,201,138 | 3,201,138 | ||||
Fair value of warrants issued for professional services | 32,426 | 32,426 | ||||
Consultant and director fees payable with common shares and warrants | $ 48 | 114,500 | 122,781 | 237,329 | ||
Consultant and director fees payable with common shares and warrants (in Shares) | 475,000 | |||||
Shares and options issued pursuant to employee equity incentive plan | $ 24 | (14,956) | 52,337 | 37,405 | ||
Shares and options issued pursuant to employee equity incentive plan (in Shares) | 240,310 | |||||
Exercise of stock warrants | $ 905 | 62,500 | 613,316 | 676,721 | ||
Exercise of stock warrants (in Shares) | 9,047,332 | |||||
Exercise of stock options | $ 1 | 3,149 | 3,150 | |||
Exercise of stock options (in Shares) | 12,500 | |||||
Net loss | (7,823,453) | (7,823,453) | ||||
Balance at Mar. 31, 2021 | $ 22,608 | $ 2,750 | 424,317 | 35,324,321 | (29,608,363) | 6,165,633 |
Balance (in Shares) at Mar. 31, 2021 | 226,075,381 | 2,750,000 | ||||
Balance at Dec. 31, 2021 | $ 23,789 | $ 2,750 | 282,347 | 39,100,197 | (32,205,189) | 7,203,894 |
Balance (in Shares) at Dec. 31, 2021 | 237,893,473 | 2,750,000 | ||||
Consultant and director fees payable with common shares and warrants | $ 1 | 73,470 | 8,044 | 81,515 | ||
Consultant and director fees payable with common shares and warrants (in Shares) | 5,250 | |||||
Shares and options issued to employees | $ 13 | (37,777) | 64,547 | 26,783 | ||
Shares and options issued to employees (in Shares) | 133,000 | |||||
Exercise of stock options (in Shares) | 1,394 | |||||
Net loss | (1,168,123) | (1,168,123) | ||||
Balance at Mar. 31, 2022 | $ 23,803 | $ 2,750 | $ 318,040 | $ 39,172,788 | $ (33,373,312) | $ 6,144,069 |
Balance (in Shares) at Mar. 31, 2022 | 238,033,117 | 2,750,000 |
Condensed Consolidated Statem_3
Condensed Consolidated Statement of Cash Flows (Unaudited) - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Cash Flows from Operating Activities | ||
Net loss | $ (1,168,123) | $ (7,823,453) |
Adjustments to reconcile net loss to net cash used in operating activities: | ||
Depreciation and amortization | 203,890 | 211,658 |
Stock based compensation, including amortization of deferred equity compensation | 116,735 | 307,160 |
Loss on extinguishment of debt | 5,589,994 | |
Change in fair value of debt | 19,246 | |
Change in fair value of contingent acquisition consideration | (438,322) | 635,700 |
Changes in operating assets and liabilities: | ||
Accounts receivable | 8,160 | (38,152) |
Inventory | (20,223) | (16,202) |
Prepaid expenses and deposits | 26,310 | 4,032 |
ROU lease assets | 33,309 | 24,234 |
Accounts payable and accrued expenses | (30,455) | (83,854) |
Lease liability | (34,710) | (24,956) |
Contract liabilities | (39,489) | (22,366) |
Net cash used in operating activities | (1,342,918) | (1,216,959) |
Cash Flows from Investing Activities | ||
Acquisition of property and equipment | (22,014) | (7,399) |
Net cash used in investing activities | (22,014) | (7,399) |
Cash Flows from Financing Activities | ||
Proceeds from sale of common stock | 4,389,361 | |
Proceeds from exercise of options and warrants | 65,650 | |
Repayment of vendor loans payable | (51,109) | |
Net cash provided by financing activities | 4,403,902 | |
Net increase (decrease) in cash | (1,364,932) | 3,179,544 |
Cash, beginning of period | 3,291,646 | 162,184 |
Cash, end of period | 1,926,714 | 3,341,728 |
Supplemental disclosure of cash flow information: | ||
Cash paid during the period for interest | 232 | |
Cash paid during the period for income tax | ||
Schedule of non-cash investing and financing activities: | ||
Common stock issuable issued during period | 37,778 | 66,161 |
Incremental fair value of warrants modified to extend maturity date of convertible notes payable | 126,502 | |
Conversion of convertible note payable to common shares | 4,061,549 | |
Fair value of warrants issued in connection with conversion of convertible notes payable | 3,074,637 | |
Accrued liabilities relieved upon cashless exercise of warrants | 614,221 | |
Fair value of liability-classified equity instruments cancelled (net of earned) | $ 25,625 |
Business and Business Presentat
Business and Business Presentation | 3 Months Ended |
Mar. 31, 2022 | |
Accounting Policies [Abstract] | |
BUSINESS AND BUSINESS PRESENTATION | NOTE 1 - BUSINESS AND BUSINESS PRESENTATION HealthLynked Corp. (the “Company”) was incorporated in the State of Nevada on August 4, 2014. On September 2, 2014, the Company filed Amended and Restated Articles of Incorporation with the Secretary of State of Nevada setting the total number of authorized shares at 250,000,000 shares, which included up to 230,000,000 shares of common stock and 20,000,000 shares of “blank check” preferred stock. On February 5, 2018, the Company filed an Amendment to its Amended and Restated Articles of Incorporation with the Secretary of State of Nevada to increase the number of authorized shares of common stock to 500,000,000 shares. We currently operate in four distinct divisions: the Health Services Division, the Digital Healthcare Division, the ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, and the Medical Distribution Division. The Health Services division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology) and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice engaged in improving the health of its patients through individualized and integrative health care, and (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, FL that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery. The Digital Healthcare division develops and operates an online personal medical information and record archive system, the “HealthLynked Network,” which enables patients and doctors to keep track of medical information via the Internet in a cloud-based system. The ACO/MSO Division is comprised of the operations of Cura Health Management LLC (“CHM”) and its subsidiary ACO Health Partners LLC (“AHP”), which were acquired by the Company on May 18, 2020. CHM and AHP operate an Accountable Care Organization (“ACO”) and Managed Service Organization (“MSO”) that assists physician practices in providing coordinated and more efficient care to patients via the Medicare Shared Savings Program (“MSSP”) as administered by the Centers for Medicare and Medicaid Services (the “CMS”), which rewards providers for efficiency in patient care. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States acquired by the Company on October 19, 2020. These unaudited condensed consolidated financial statements reflect all adjustments including normal recurring adjustments, which, in the opinion of management, are necessary to present fairly the financial position, results of operations and cash flows for the periods presented in accordance with the accounting principles generally accepted in the United States of America (“GAAP”). These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the years ended December 31, 2021 and 2020, respectively, which are included in the Company’s Form 10-K, filed with the United States Securities and Exchange Commission on March 31, 2022. The Company assumes that the users of the interim financial information herein have read, or have access to, the audited consolidated financial statements for the preceding period, and that the adequacy of additional disclosure needed for a fair presentation may be determined in that context. The results of operations for the three months ended March 31, 2022 are not necessarily indicative of results for the entire year ending December 31, 2022. On a consolidated basis, the Company’s operations are comprised of the parent company, HealthLynked Corp., and its six subsidiaries: NWC, NCFM, BTG, CHM, AHP and MOD. All significant intercompany transactions and balances have been eliminated upon consolidation. In addition, certain amounts in the prior periods’ consolidated financial statements have been reclassified to conform to the current period presentation. |
Significant Accounting Policies
Significant Accounting Policies | 3 Months Ended |
Mar. 31, 2022 | |
Accounting Policies [Abstract] | |
SIGNIFICANT ACCOUNTING POLICIES | NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES A summary of the significant accounting policies applied in the presentation of the accompanying consolidated financial statements follows: Basis of Presentation The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP. All amounts referred to in the notes to the consolidated financial statements are in United States Dollars ($) unless stated otherwise. Use of Estimates The preparation of the condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect certain reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Accordingly, actual results could differ from those estimates. Significant estimates include assumptions about fair valuation of acquired intangible assets, cash flow and fair value assumptions associated with measurements of contingent acquisition consideration and impairment of intangible assets and goodwill, valuation of inventory, collection of accounts receivable, the valuation and recognition of stock-based compensation expense, valuation allowance for deferred tax assets, borrowing rate consideration for right-of-use (“ROU”) lease assets including related lease liability and useful life of fixed assets. Revenue Recognition Patient service revenue Patient service revenue is reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for providing patient care. These amounts are due from patients and third-party payors (including health insurers and government programs) and include variable consideration for retroactive revenue adjustments due to settlement of audits, reviews, and investigations. Generally, the Company bills patients and third-party payors within days after the services are performed and/or the patient is discharged from the facility. Revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected charges. The Company believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Revenue for performance obligations satisfied at a point in time is recognized when goods or services are provided, and the Company does not believe it is required to provide additional goods or services to the patient. The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. The Company determines its estimates of contractual adjustments and discounts based on contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Agreements with third-party payors typically provide for payments at amounts less than established charges. A summary of the payment arrangements with major third-party payors follows: ● Medicare: ● Medicaid: ● Other: Laws and regulations concerning government programs, including Medicare and Medicaid, are complex and subject to varying interpretation. As a result of investigations by governmental agencies, various health care organizations have received requests for information and notices regarding alleged noncompliance with those laws and regulations, which, in some instances, have resulted in organizations entering into significant settlement agreements. Compliance with such laws and regulations may also be subject to future government review and interpretation as well as significant regulatory action, including fines, penalties, and potential exclusion from the related programs. There can be no assurance that regulatory authorities will not challenge the Company’s compliance with these laws and regulations, and it is not possible to determine the impact, if any, such claims or penalties would have upon the Company. In addition, the contracts the Company has with commercial payors also provide for retroactive audit and review of claims. Settlements with third-party payors for retroactive adjustments due to audits, reviews or investigations are considered variable consideration and are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the payment agreement with the payor, correspondence from the payor and the Company’s historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are adjusted in future periods as adjustments become known, or as years are settled or are no longer subject to such audits, reviews, and investigations. The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM and BTG are provided on a cash basis and not submitted through third party insurance providers. Contract liabilities related to prepaid BTG patient service revenue were $22,461 and $42,530 as of March 31, 2022 and December 31, 2021, respectively. Medicare Shared Savings Revenue The Company earns Medicare shared savings revenue based on performance of the population of patient lives for which it is accountable as an ACO against benchmarks established by the MSSP. Because the MSSP, which was formed in 2012, is relatively new and has limited historical experience, the Company cannot accurately predict the amount of shared savings that will be determined by CMS. Such amounts are determined annually when the Company is notified by CMS of the amount of shared savings earned. Accordingly, the Company recognizes Medicare shared savings revenue in the period in which the CMS notifies the Company of the exact amount of shared savings to be paid, which historically has occurred during the fiscal quarter ended September 30 for the program year ended December 31 of the previous year. Based on the ACO operating agreements, the Company bears all costs of the ACO operations until revenue is recognized. At that point, the Company shares in up to 100% of the revenue to recover its costs incurred. Because of the timing of recognition of Medicare shared savings revenue, no Medicare shared savings revenue was recognized in the three months ended March 31, 2022 and 2021. Consulting and Event Revenue Also pursuant to ASC 606, the Company recognizes service revenue as services are provided, with any unearned but paid amounts recorded as a contract liability at each balance sheet date. Contract liabilities related to consulting revenue were $-0- and $25,000 as of March 31, 2022 and December 31, 2021, respectively. Event revenue, comprised of admission fees for summit events, is recognized when an event is held. Product Revenue Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue were $10,887 and $5,308 as of March 31, 2022 and December 31, 2021, respectively. There were no contract assets as of March 31, 2022 or December 31, 2021. Sales are made inclusive of sales tax, where such sales tax is applicable. Sales tax is applicable on sales made in the state of Florida, where the Company has physical nexus. The Company has determined that it does not have economic nexus in any other states. The Company does not sell products outside of the United States. The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products. Product return allowance was $9,526 and $14,834 and as of March 31, 2022 and December 31, 2021, respectively. Contract Liabilities Contract liabilities represent payments from customers for consulting services, patient services and medical products that precede the Company’s service or product fulfillment performance obligation. The Company’s contract liabilities balance was $33,348 and $72,838 as of March 31, 2022 and December 31, 2021, respectively. Provider shared savings expense Provider shared savings expense represents payments made to the ACO’s participating providers. The pool of provider shared savings expense paid to all participating providers, as well as the amounts paid to each individual participating provider from the pool, is determined by ACO management. Shared Savings expense is recognized in the period in which the size of the payment pool is determined, which typically corresponds to the period in which the shared saving payment is received from CMS and shared savings revenue is recognized. This typically occurs in the second half of the year following the completion of the program year. Because of the timing of recognition of Medicare shared savings revenue, there was no Medicare shared savings revenue or related provider shared savings expense recognized in the three months ended March 31, 2022 and 2021. Cash and Cash Equivalents For financial statement purposes, the Company considers all highly liquid investments with original maturities of three months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. As of March 31, 2022 and December 31, 2021, the Company had $1,666,580 and $2,957,040 in excess of the FDIC insured limit, respectively. Accounts Receivable Trade receivables are carried at their estimated collectible amounts. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 48% of total billings. Trade accounts receivable are recorded at this net amount. As of March 31, 2022 and December 31, 2021, the Company’s gross patient services accounts receivable were $174,493 and $193,363, respectively, and net patient services accounts receivable were $76,890 and $86,287, respectively, based upon net reporting of accounts receivable. As of March 31, 2022 and December 31, 2021, the Company’s allowance of doubtful accounts was $13,972 and $13,972, respectively. Leases Upon transition under ASU 2016-02, the Company elected the suite of practical expedients as a package applied to all of its leases, including (i) not reassessing whether any expired or existing contracts are or contain leases, (ii) not reassessing the lease classification for any expired or existing leases, and (iii) not reassessing initial direct costs for any existing leases. For new leases, the Company will determine if an arrangement is or contains a lease at inception. Leases are included as ROU assets within other assets and ROU liabilities within accrued expenses and other liabilities and within other long-term liabilities on the Company’s consolidated balance sheets. ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. The Company adopted ASU 2016-02 in the first quarter of 2019. See Note 7 for more complete details on balances as of the reporting periods presented herein. The adoption had no material impact on cash provided by or used in operating, investing or financing activities on the Company’s consolidated statements of cash flows. Inventory Inventory consisting of supplements, is stated at the lower of cost or net realizable value. Cost is determined by the first-in, first-out method. Outdated inventory is directly charged to cost of goods sold. Goodwill and Intangible Assets Goodwill is recognized as the excess cost of an acquired entity over the net amount assigned to assets acquired and liabilities assumed. Goodwill is not amortized, but rather tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of goodwill is less than its carrying value. The Company recognizes an acquired intangible apart from goodwill whenever the intangible arises from contractual or other legal rights, or whenever it can be separated or divided from the acquired entity and sold, transferred, licensed, rented or exchanged, either individually or in combination with a related contract, asset or liability. Such intangibles are amortized over their estimated useful lives unless the estimated useful life is determined to be indefinite. Amortizable intangible assets are being amortized primarily over useful lives of five years. The straight-line method of amortization is used as it has been determined to approximate the use pattern of the assets. Impairment losses are recognized if the carrying amount of an intangible that is subject to amortization is not recoverable from expected future cash flows and its carrying amount exceeds its fair value. The Company also maintains intangible assets with indefinite lives, which are not amortized. These intangibles are tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of these assets is less than their carrying value. No impairment charges were recognized in the three months ended March 31, 2022 and 2021. Concentrations of Credit Risk The Company’s financial instruments that are exposed to a concentration of credit risk are cash and accounts receivable. There are no patients/customers that represent 10% or more of the Company’s revenue or accounts receivable. Generally, the Company’s cash and cash equivalents are in checking accounts. The Company relies on a sole supplier for the fulfillment of all of its product sales made through MOD. Property and Equipment Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For consolidated financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 5 to 7 years. The cost of repairs and maintenance is expensed as incurred; major replacements and improvements are capitalized. The Company examines the possibility of decreases in the value of fixed assets when events or changes in circumstances reflect the fact that their recorded value may not be recoverable. The Company recognizes an impairment loss when the sum of expected undiscounted future cash flows is less than the carrying amount of the asset. The amount of impairment is measured as the difference between the asset’s estimated fair value and its book value. Convertible Notes Convertible notes are regarded as compound instruments, consisting of a liability component and an equity component. The component parts of compound instruments are classified separately as financial liabilities and equity in accordance with the substance of the contractual arrangement. At the date of issue, the fair value of the liability component is estimated using the prevailing market interest rate for a similar non-convertible instrument. This amount is recorded as a liability on an amortized cost basis until extinguished upon conversion or at the instrument’s maturity date. The equity component is determined by deducting the amount of the liability component from the fair value of the compound instrument as a whole. This is recognized as additional paid-in capital and included in equity, net of income tax effects, and is not subsequently remeasured. After initial measurement, they are carried at amortized cost using the effective interest method. Convertible notes for which the maturity date has been extended and that qualify for debt extinguishment treatment are recorded at fair value on the extinguishment date and then revalued at the end of each reporting period, with the change recorded to the statement of operations under “Change in Fair Value of Debt.” Government Notes Payable During 2020, the Company and certain of its subsidiaries received loans under the Paycheck Protection Program (the “PPP”). The PPP loans, administered by the U.S. Small Business Administration (the “SBA”), were issued under the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. Pursuant to the terms of the PPP, principal amounts may be forgiven if loan proceeds are used for qualifying expenses as described in the CARES Act, including costs such as payroll, benefits, employer payroll taxes, rent and utilities. The Company accounts for forgiveness of government loans pursuant to FASB ASC 470, “Debt,” (“ASC 470”). Pursuant to ASC 470, loan forgiveness is recognized in earnings as a gain on extinguishment of debt when the debt is legally released by the lender. Fair Value of Assets and Liabilities Fair value is the price that would be received from the sale of an asset or paid to transfer a liability (i.e. an exit price) in the principal or most advantageous market in an orderly transaction between market participants. In determining fair value, the accounting standards have established a three-level hierarchy that distinguishes between (i) market data obtained or developed from independent sources (i.e., observable data inputs) and (ii) a reporting entity’s own data and assumptions that market participants would use in pricing an asset or liability (i.e., unobservable data inputs). Financial assets and financial liabilities measured and reported at fair value are classified in one of the following categories, in order of priority of observability and objectivity of pricing inputs: ● Level 1 – ; ● Level 2 ● Level 3 The fair value measurement level for an asset or liability is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques should maximize the use of observable inputs and minimize the use of unobservable inputs. The Company utilizes a binomial lattice option pricing model to estimate the fair value of options, warrants, beneficial conversion features and other Level 3 financial assets and liabilities. The Company believes that the binomial lattice model results in the best estimate of fair value because it embodies all of the requisite assumptions (including the underlying price, exercise price, term, volatility, and risk-free interest-rate) necessary to fairly value these instruments and, unlike less sophisticated models like the Black-Scholes model, it also accommodates assumptions regarding investor exercise behavior and other market conditions that market participants would likely consider in negotiating the transfer of such an instruments. Stock-Based Compensation The Company accounts for stock-based compensation to employees and nonemployees under ASC 718 “Compensation – Stock Compensation” using the fair value-based method. Under this method, compensation cost is measured at the grant date based on the value of the award and is recognized over the service period, which is usually the vesting period. This guidance establishes standards for the accounting for transactions in which an entity exchanges its equity instruments for goods or services. It also addresses transactions in which an entity incurs liabilities in exchange for goods or services that are based on the fair value of the entity’s equity instruments or that may be settled by the issuance of those equity instruments. The Company uses a binomial lattice pricing model to estimate the fair value of options and warrants granted. Income Taxes The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No income tax has been provided for the three months ended March 31, 2022 and 2021, since the Company has sustained a loss for both periods. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable. Recurring Fair Value Measurements The carrying value of the Company’s financial assets and financial liabilities is their cost, which may differ from fair value. The carrying value of cash held as demand deposits, money market and certificates of deposit, marketable investments, accounts receivable, short-term borrowings, accounts payable, accrued liabilities, and derivative financial instruments approximated their fair value. Deemed Dividend The Company incurs a deemed dividend on Series B Convertible Preferred Voting Stock (the “Series B Preferred”). As the intrinsic price per share of the Series B Preferred was less than the deemed fair value of the Company’s common stock on the date of issuance of the Series B Preferred, the Series B Preferred contains a beneficial conversion feature as described in FASB ASC 470-20, “Debt with Conversion and Other Options.” The difference in the stated conversion price and estimated fair value of the common stock is accounted for as a beneficial conversion feature and affects income or loss available to common stockholders for purposes of earnings per share available to common stockholders. The Company incurs further deemed dividends on certain of its warrants containing a down round provision equal to the difference in fair value of the warrants before and after the triggering of the down round adjustment. Net Loss per Share Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three months ended March 31, 2022 and 2021, the Company reported a net loss and excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of March 31, 2022 and December 31, 2021, potentially dilutive securities were comprised of (i) 59,366,992 and 59,796,992 warrants outstanding, respectively, (ii) 3,306,250 and 3,456,250 stock options outstanding, respectively, (iii) 232,036 and 302,050 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, and (iv) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. Common stock awards The Company grants common stock awards to non-employees in exchange for services provided. The Company measures the fair value of these awards using the fair value of the services provided or the fair value of the awards granted, whichever is more reliably measurable. The fair value measurement date of these awards is generally the date the performance of services is complete. The fair value of the awards is recognized on a straight-line basis as services are rendered. The share-based payments related to common stock awards for the settlement of services provided by non-employees is recorded on the consolidated statement of comprehensive loss in the same manner and charged to the same account as if such settlements had been made in cash. From time to time, the Company also issues stock awards settleable in a variable number of common shares. Such awards are classified as liabilities until such time as the number of shares underlying the grant is determinable. Warrants In connection with certain financing, consulting and collaboration arrangements, the Company has issued warrants to purchase shares of its common stock. The outstanding warrants are standalone instruments that are not puttable or mandatorily redeemable by the holder and are classified as equity awards. The Company measures the fair value of the awards using the Black-Scholes pricing model as of the measurement date. The Company uses a binomial lattice pricing model to estimate the fair value of compensation options and warrants. Warrants issued in conjunction with the issuance of common stock are initially recorded at fair value as a reduction in additional paid-in capital of the common stock issued. All other warrants are recorded at fair value as expense over the requisite service period, or at the date of issuance, if there is not a service period. Certain of the Company’s warrants include a so-called down round provision. The Company accounts for such provisions pursuant to ASU No. 2017-11, Earnings Per Share, Distinguishing Liabilities from Equity and Derivatives and Hedging Shareholders’ Equity Business Segments The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has four operating segments: Health Services (multi-specialty medical group including the NWC OB/GYN practice, the NCFM practice acquired in April 2019 and the BTG physical therapy practice launched in 2020), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), ACO/MSO (comprised of the ACO/MSO business acquired with CHM in May 2020, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices acquired by the Company on October 19, 2020). Recently Issued Accounting Pronouncements In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments”: The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company is currently evaluating the impact the adoption of this guidance may have on its consolidated financial statements. In August 2020, the FASB issued ASU 2020-06 Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40) In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers Recently Adopted Pronouncements In December 2019, the FASB issued ASU 2019-12 Simplifying the Accounting for Income Taxes In May 2021, the Financial Accounting Standards Board (“FASB”) issued ASU 2021-04, Earnings Per Share (Topic 260), Debt—Modifications and Extinguishments (Subtopic 470-50), Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2021-04 clarifies and reduces diversity in an issuer’s accounting for modifications or exchanges of freestanding equity-classified written call options (for example, warrants) that remain equity classified after modification or exchange. The ASU provides guidance to clarify whether an issuer should account for a modification or an exchange of a freestanding equity-classified written call option that remains equity classified after modification or exchange as (1) an adjustment to equity and, if so, the related earnings per share effects, if any, or (2) an expense and, if so, the manner and pattern of recognition. ASU 2021-04 is effective for annual periods beginning after December 15, 2021, including interim periods within those fiscal years. Early adoption is permitted, including adoption in an interim period. The Company is currently evaluating the impact that this standard will have on its consolidated financial statements. The Company adopted this standard for the year ended December 31, 2022. The adoption did not have a material effect on the Company’s consolidated financial statements. No other new accounting pronouncements were issued or became effective in the period that had, or are expected to have, a material impact on our consolidated Financial Statements. |
Liquidity and Going Concern Ana
Liquidity and Going Concern Analysis | 3 Months Ended |
Mar. 31, 2022 | |
Liquidity And Going Concern Analysis [Abstract] | |
LIQUIDITY AND GOING CONCERN ANALYSIS | NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS Liquidity and Going Concern During the second quarter of 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. This update provided U.S. GAAP guidance on management’s responsibility in evaluating whether there is substantial doubt about a company’s ability to continue as a going concern and about related footnote disclosures. Under this standard, the Company is required to evaluate whether there is substantial doubt about its ability to continue as a going concern each reporting period, including interim periods. In evaluating the Company’s ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about the Company’s ability to continue as a going concern within 12 months after the Company’s financial statements were issued (May 16, 2022). Management considered the Company’s current financial condition and liquidity sources, including current funds available, forecasted future cash flows and the Company’s obligations due before May 16, 2023. The Company is subject to a number of risks, including uncertainty related to product development and generation of revenues and positive cash flow from its Digital Healthcare division and a dependence on outside sources of capital. The attainment of profitable operations is dependent on future events, including obtaining adequate financing to fulfill the Company’s growth and operating activities and generating a level of revenues adequate to support the Company’s cost structure. The Company has experienced net losses and cash outflows from operating activities since inception. As of March 31, 2022, the Company had cash balances of $1,926,714, working capital of $503,527 and an accumulated deficit of $33,373,312. For the three months ended March 31, 2022, the Company had a net loss of $1,168,123, net cash used by operating activities of $1,342,918, and no cash provided by financing activities. The Company expects to continue to incur net losses and have significant cash outflows for at least the next 12 months. Management has evaluated the significance of the conditions described above in relation to the Company’s ability to meet its obligations and concluded that, without additional funding, the Company will not have sufficient funds to meet its obligations within one year from the date the condensed consolidated financial statements were issued. On April 20, 2021, the Company filed a shelf registration statement on form S-3 that was declared effective by the Securities and Exchange Commission on April 26, 2021 (the “Shelf Registration”). The Shelf Registration registered for resale up to $50,000,000 of the Company’s common stock. During August 2021, the Company sold 3,703,704 common shares and 1,851,852 five-year warrants with an exercise price of $0.65 to an institutional investor at an offering price of $0.54 per share pursuant to the Shelf Registration, generating gross proceeds of $2,000,000. The Company may still make sales of common stock up to an additional $48,000,000 under the Shelf Registration. Management intends to alleviate the conditions described above by raising additional capital from the Shelf Registration. However, there is no assurance that management’s plans will be successful. The Company’s ability to obtain additional financing in the debt and equity capital markets is subject to several factors, including market and economic conditions, the Company’s performance and investor sentiment with respect to the Company and its industry. Without raising additional capital, either via the Shelf Registration or from other sources, there is substantial doubt about the Company’s ability to continue as a going concern through May 16, 2023. The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. This basis of presentation contemplates the recovery of the Company’s assets and the satisfaction of liabilities in the normal course of business. COVID-19 A novel strain of coronavirus, COVID-19, that was first identified in China in December 2019, has surfaced in several regions across the world and resulted in travel restrictions and business slowdowns or shutdowns in affected areas. In March 2020, the World Health Organization declared the outbreak of COVID-19 a pandemic. The outbreak of the pandemic is materially adversely affecting the Company’s employees, patients, communities and business operations, as well as the U.S. economy and financial markets. The further spread of COVID-19, and the requirement to take action to limit the spread of the illness, may impact our ability to carry out our business as usual and may materially adversely impact global economic conditions, our business and financial condition, including our potential to conduct financings on terms acceptable to us, if at all. The extent to which COVID-19 may impact our business will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the ultimate geographic spread of the disease, the duration of the outbreak, travel restrictions and social distancing in the United States and other countries, business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and treat the disease. In response to COVID-19, the Company implemented additional safety measures in its patient services locations and its corporate headquarters. |
Prepaid Expenses and Other
Prepaid Expenses and Other | 3 Months Ended |
Mar. 31, 2022 | |
Prepaid Expenses And Other Current Assets [Abstract] | |
PREPAID EXPENSES AND OTHER | NOTE 4 – PREPAID EXPENSES AND OTHER Prepaid and other expenses as of March 31, 2022 and December 31, 2021 were as follows: March 31, December 31, 2022 2021 Insurance prepayments $ 17,733 $ 25,020 Other expense prepayments 31,837 50,860 Rent deposits 49,125 49,125 Deferred equity compensation 117,188 151,250 Total prepaid expenses and other 215,883 276,255 Less: long term portion (130,188 ) (138,625 ) Prepaid expenses and other, current portion $ 85,695 $ 137,630 Deferred equity compensation reflects common stock grants made in 2021 from the Company’s 2021 Equity Incentive Plan that vest over a four-year period and that are settleable for a fixed dollar amount rather than a fixed number of shares. The original grant date fair value of the equity compensation was $165,000. Amortization in the three months ended March 31, 2022 and 2021 was $9,063 and $-0-, respectively. At inception, the Company recorded a corresponding liability captioned “Liability-classified equity instruments.” |
Property, Plant, and Equipment
Property, Plant, and Equipment | 3 Months Ended |
Mar. 31, 2022 | |
Property, Plant and Equipment [Abstract] | |
PROPERTY, PLANT, AND EQUIPMENT | NOTE 5 – PROPERTY, PLANT, AND EQUIPMENT Property, plant and equipment as of March 31, 2022 and December 31, 2021 were as follows: March 31, December 31, 2022 2021 Medical equipment $ 493,854 $ 484,126 Furniture, office equipment and leasehold improvements 162,154 149,868 Total property, plant and equipment 656,008 633,994 Less: accumulated depreciation (308,480 ) (283,512 ) Property, plant and equipment, net $ 347,528 $ 350,482 Depreciation expense during the three months ended March 31, 2022 and 2021 was $24,969 and $26,896, respectively. |
Intangible Assets and Goodwill
Intangible Assets and Goodwill | 3 Months Ended |
Mar. 31, 2022 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
INTANGIBLE ASSETS AND GOODWILL | NOTE 6 – INTANGIBLE ASSETS AND GOODWILL Intangible assets as of March 31, 2022 and December 31, 2021 were as follows: March 31, December 31, 2022 2021 NCFM: Medical database $ 1,101,538 $ 1,101,538 NCFM: Website 41,000 41,000 CHM: ACO physician contracts 1,073,000 1,073,000 MOD: Website 3,538,000 3,538,000 Total intangible assets 5,753,538 5,753,538 Less: accumulated amortization (1,052,338 ) (873,417 ) Intangible assets, net $ 4,701,200 $ 4,880,121 Goodwill and intangible assets arose from the acquisitions of NCFM in April 2019, CHM in May 2020, and MOD in October 2020. The NCFM medical database is assumed to have an indefinite life and is not amortized and the website is being amortized on a straight-line basis over its estimated useful life of five years. The CHM ACO physician contracts are assumed to have an indefinite life and are not amortized. The MOD website is being amortized on a straight-line basis over its estimated useful life of five years. Goodwill represents the excess of consideration transferred over the fair value of the net identifiable assets acquired related to the acquisition of CHM and MOD and amounts to $1,148,105 as of March 31, 2022 and December 31, 2021. Amortization expense in the three months ended March 31, 2022 and 2021 was $178,921 and $184,762, respectively. No impairment charges were recognized related to goodwill and intangible assets in the three months ended March 31, 2022 and 2021. |
Leases
Leases | 3 Months Ended |
Mar. 31, 2022 | |
Leases [Abstract] | |
LEASES | NOTE 7 – LEASES The Company has separate operating leases for office space related to its NWC, NCFM and BTG practices, two separate leases relating to its corporate headquarters, and a copier lease that expire in July 2023, May 2022, March 2023, November 2023, November 2023 and January 2027, respectively. As of March 31, 2022, the Company’s weighted-average remaining lease term relating to its operating leases was 1.9 years, with a weighted-average discount rate of 18.39%. The table below summarizes the Company’s lease-related assets and liabilities as of March 31, 2022 and December 31, 2021: March 31, December 31, 2022 2021 Lease assets $ 499,144 $ 526,730 Lease liabilities Lease liabilities (short term) $ 294,442 $ 288,966 Lease liabilities (long term) 204,762 239,225 Total lease liabilities $ 499,204 $ 528,191 Lease expense was $101,394 and $65,511 in the three months ended March 31, 2022 and 2021, respectively. Maturities of operating lease liabilities were as follows as of March 31, 2022: 2022 (April to December) $ 284,905 2023 285,721 2024 11,877 2025 11,877 2026 11,877 2027 990 Total lease payments 607,247 Less interest (108,043 ) Present value of lease liabilities $ 499,204 |
Accounts Payable and Accrued Ex
Accounts Payable and Accrued Expenses | 3 Months Ended |
Mar. 31, 2022 | |
Payables and Accruals [Abstract] | |
ACCOUNTS PAYABLE AND ACCRUED EXPENSES | NOTE 8 – ACCOUNTS PAYABLE AND ACCRUED EXPENSES Amounts related to accounts payable and accrued expenses as of March 31, 2022 and December 31, 2021 were as follows: March 31, December 31, 2022 2021 Trade accounts payable $ 356,832 $ 306,220 Accrued payroll liabilities 66,282 172,500 Accrued operating expenses 286,345 265,411 Accrued interest 50,931 46,712 $ 760,390 $ 790,843 |
Contract Liabilities
Contract Liabilities | 3 Months Ended |
Mar. 31, 2022 | |
Contract Liabilities [Abstract] | |
CONTRACT LIABILITIES | NOTE 9 – CONTRACT LIABILITIES Amounts related to contract liabilities as of March 31, 2022 and December 31, 2021 were as follows: March 31, December 31, 2022 2021 Patient services paid but not provided $ 22,461 $ 42,530 Consulting services paid but not provided — 25,000 Unshipped products 10,887 5,308 $ 33,348 $ 72,838 Contract liabilities relate to contracted consulting services at CHM for which payment has been made but services have not yet been rendered as of the measurement date, physical therapy services purchased as a prepaid bundle for which services have not yet been provided, and MOD products that have been ordered and paid for by the customer, but which have not been shipped as of the measurement date. The Company typically satisfies its performance obligations related to such contracts upon completion of service or shipment of product. Payment is typically made in the period prior to the services being provided. |
Amounts Due to Related Party an
Amounts Due to Related Party and Related Party Transactions | 3 Months Ended |
Mar. 31, 2022 | |
Related Party Transactions [Abstract] | |
AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS | NOTE 10 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS Amounts due to related parties as of March 31, 2022 and December 31, 2021 were comprised of deferred compensation payable to the Company’s founder and CEO, Dr. Michael Dent, in the amount of $300,600. During the three months ended March 31, 2022 and 2021, the Company paid Dr. Dent’s spouse $22,308 and $33,462, respectively, in consulting fees pursuant to a consulting agreement. |
Government and Vendor Notes Pay
Government and Vendor Notes Payable | 3 Months Ended |
Mar. 31, 2022 | |
Government and Vendor Notes Payable [Abstract] | |
GOVERNMENT AND VENDOR NOTES PAYABLE | NOTE 11 – GOVERNMENT AND VENDOR NOTES PAYABLE During May and June 2020, the Company and certain of its subsidiaries received an aggregate of $621,069 in loans under the PPP. The Company also acquired a PPP loan in the MOD acquisition with an inception date of April 3, 2020 and a face value of $11,757. The PPP loans, administered by SBA, were issued under the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. The loans bore interest at 1% per annum and were scheduled to mature in May and June 2022. Principal and interest payments were deferred for the first nine months of the loans. Pursuant to the terms of the PPP, principal amounts may be forgiven if loan proceeds are used for qualifying expenses as described in the CARES Act, including costs such as payroll, benefits, employer payroll taxes, rent and utilities. The entirety of the PPP loans outstanding, comprised of $632,826 principal and $6,503 accrued interest, was forgiven in May 2021. During June, July and August 2020, the Company and its subsidiaries received an aggregate of $450,000 in Disaster Relief Loans from the SBA. The loans bear interest at 3.75% per annum and mature 30 years from issuance. Mandatory principal and interest payments were originally scheduled to begin 12 months from the inception date of each loan and were subsequently extended by the SBA until 30 months from the inception date. Installment payments are now scheduled to begin in December 2022. In connection with the October 19, 2020 acquisition of MOD, the Company acquired a note payable to MOD’s primary product vendor with a remaining principal balance of $79,002 as of the acquisition date and $51,109 as of December 31, 2020. The vendor note was paid in full during the first quarter of 2021. Interest accrued on government and vendor notes payable as of March 31, 2022 and December 31, 2021 was $28,942 and $24,723, respectively. Interest expense on the loans was $4,219 and $7,605 for the three months ended March 31, 2022 and 2021, respectively. |
Convertible Notes Payable
Convertible Notes Payable | 3 Months Ended |
Mar. 31, 2022 | |
Debt Disclosure [Abstract] | |
CONVERTIBLE NOTES PAYABLE | NOTE 12 – CONVERTIBLE NOTES PAYABLE The Company had no convertible notes payable as of March 31, 2022 or December 31, 2021. On January 6, 2021, the holder of the Company’s four remaining fixed rate convertible promissory notes with a face value of $1,038,500 – comprised of a $550,000 6% fixed convertible secured promissory note dated July 7, 2016 (the “$550k Note”), a $50,000 10% fixed convertible commitment fee promissory note dated July 7, 2016 (the “$50k Note”), $81,000 of principal remaining on a $111,000 10% fixed convertible secured promissory note dated May 22, 2017 (the “$111k Note”), and a $357,500 10% fixed convertible note dated April 15, 2019 (the “$357.5k Note” and together with the $550k Note, the $50k Note and the $111k Note, the “Remaining Notes”) – agreed to extend the maturity date on the Remaining Notes to January 14, 2021. In exchange for the extension, the Company agreed to extend the expiration date of 3,508,333 existing warrants held by the holder (the “Extended Warrants”) from dates between July 2021 and March 2022 until March 2023. Because the fair value of consideration issued was greater than 10% of the present value of the remaining cash flows under the modified Remaining Notes, the transaction was treated as a debt extinguishment and reissuance of new debt instruments pursuant to the guidance of ASC 470-50. A loss on debt extinguishment was recorded in the amount of $126,502 in the year ended December 31, 2021, equal to the incremental fair value of the Extended Warrants before and after the modification. On January 14, 2021, the Company and the holder of the Remaining Notes entered into a series of agreements pursuant to which (i) the holder agreed to convert the full face value of $1,038,500 and $317,096 of accrued interest on the Remaining Notes into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes, (ii) the holder agreed to a 180-day leak out provision, whereby, from and after January 14, 2021, it may not sell in shares of the Company’s common stock in excess of 5% of the Company’s daily trading volume for the first 90 days and 10% of the Company’s daily volume for the next 90 days, subject to certain exceptions, (iii) the holder agreed to release all security interests and share reserves related to the Remaining Notes, and (iv) the Company issued to the holder a new five-year warrant to purchase 13,538,494 shares of common stock at an exercise price of $0.30 per share. In connection with the conversion, the Company recognized a loss on debt extinguishment of $5,463,492 in the three months ended March 31, 2021, representing the excess of the fair value of the shares and warrant issued at conversion over the carrying value of the host instrument and accrued interest. Prior to conversion, the Remaining Notes were carried at fair value and revalued at each period end, with changes to fair value recorded to the statement of operations under “Change in Fair Value of Debt.” The changes in fair value during the three months ended March 31, 2022 and 2021 were $-0- and $19,246, respectively. Interest expense on convertible notes outstanding during the three months ended March 31, 2022 and 2021 was $-0- and $4,372, respectively. |
Shareholders' Equity
Shareholders' Equity | 3 Months Ended |
Mar. 31, 2022 | |
Stockholders' Equity Note [Abstract] | |
SHAREHOLDERS’ EQUITY | NOTE 13 – SHAREHOLDERS’ EQUITY Private Placements During the three months ended March 31, 2021, the Company sold 11,787,766 shares of common stock in 46 separate private placement transactions. The Company received $3,488,725 in proceeds from the sales. In connection with the stock sales, the Company also issued 5,893,889 five-year warrants to purchase shares of common stock at exercise prices between $0.27 and $1.05 per share. Investment Agreement Draws During the three months ended March 31, 2021, the Company issued 3,006,098 common shares pursuant to draws made by the Company under the Investment Agreement and received an aggregate of $900,636 in net proceeds from the draws. Shares issued to Consultants During the three months ended March 31, 2022 and 2021, the Company issued 5,250 and 475,000 common shares, respectively, to consultants for services rendered. In connection with the issuances, the Company recognized expenses totaling $8,044 and $122,829 in the three months ended March 31, 2022 and 2021, respectively. Common Stock Issuable As of March 31, 2022 and December 31, 2021, the Company was obligated to issue the following shares: March 31, 2022 December 31, 2020 Amount Shares Amount Shares Shares issuable to consultants, employees and directors $ 318,040 938,191 282,347 719,366 Stock Warrants Transactions involving our stock warrants during the three months ended March 31, 2022 and 2021 are summarized as follows: 2022 2021 Weighted Weighted Average Average Exercise Exercise Number Price Number Price Outstanding at beginning of the period 59,796,992 $ 0.25 51,352,986 $ 0.14 Granted during the period — $ 0.00 19,585,790 $ 0.34 Exercised during the period — $ 0.00 (11,196,742 ) $ (0.06 ) Expired during the period (430,000 ) $ (0.44 ) — $ — Outstanding at end of the period 59,366,992 $ 0.25 59,742,034 $ 0.22 Exercisable at end of the period 59,366,992 $ 0.25 59,742,034 $ 0.22 Weighted average remaining life 3.0 years 3.7 years The following table summarizes information about the Company’s stock warrants outstanding as of March 31, 2022: Warrants Outstanding Warrants Exercisable Weighted- Average Weighted- Weighted- Remaining Average Average Exercise Number Contractual Exercise Number Exercise Prices Outstanding Life (years) Price Exercisable Price $ 0.0001 to 0.09 14,789,573 2.8 $ 0.07 14,789,573 $ 0.07 $ 0.10 to 0.24 9,474,380 2.5 $ 0.17 9,474,380 $ 0.17 $ 0.25 to 0.49 31,486,448 3.1 $ 0.31 31,486,448 $ 0.31 $ 0.50 to 1.05 3,616,591 4.1 $ 0.69 3,616,591 $ 0.69 $ 0.05 to 1.00 59,366,992 3.0 $ 0.25 59,366,992 $ 0.25 During the three months ended March 31, 2022 and 2021, the Company issued -0- and 19,585,790 warrants, respectively, the aggregate grant date fair value of which was $-0- and $4,496,555, respectively. The fair value of the warrants was calculated using the following range of assumptions: 2022 2021 Pricing model utilized No warrants issued Binomial Lattice Risk free rate range No warrants issued 0.38% to 0.86% Expected life range (in years) No warrants issued 3.00 to 5.00 years Volatility range No warrants issued 170.58% to 193.21% Dividend yield No warrants issued 0.00% There were no warrants exercised during the three months ended March 31, 2022. During the three months ended March 31, 2021, the Company received $62,500 upon the exercise of 625,000 warrants with an exercise price of $0.10. Additionally, the Company issued 9,047,332 shares upon cashless exercise of 10,571,742 warrant shares exercised using a cashless exercise feature in settlement of litigation and other disputes in amounts totaling $614,221 that had been accrued in 2020. Employee Equity Incentive Plans On January 1, 2016, the Company adopted the 2016 Employee Equity Incentive Plan (the “2016 EIP”) for the purpose of having equity awards available to allow for equity participation by its employees. The 2016 EIP allowed for the issuance of up to 15,503,680 shares of the Company’s common stock to employees, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2016 EIP is governed by the Company’s board, or a committee that may be appointed by the board in the future. The 2016 EIP expired during 2021 but allows for the prospective issuance of shares of common stock subject to vesting of awards made prior to expiration of the 2016 EIP. On September 9, 2021, the Company adopted the 2021 Employee Equity Incentive Plan (the “2021 EIP” and, together with the 2016 EIP, the “EIPs”) for the purpose of having equity awards available to allow for equity participation by its employees. The 2021 EIP allows for the issuance of up to 20,000,000 shares of the Company’s common stock to employees, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2021 EIP is governed by the Company’s board, or a committee that may be appointed by the board in the future. Amounts recognized in the financial statements with respect to the EIPs in the three months ended March 31, 2022 and 2021 were as follows: 2022 2021 Total cost of share-based payment plans during the period $ 100,422 $ 307,160 Amounts capitalized in deferred equity compensation during period $ — $ — Amounts charged against income for amounts previously capitalized $ 8,438 $ — Amounts charged against income, before income tax benefit $ 108,860 $ 307,160 Amount of related income tax benefit recognized in income $ — $ — Stock Options Stock options granted under the EIPs typically vest over a period of three to four years or based on achievement of Company and individual performance goals. The following table summarizes stock option activity as of and for the three months ended March 31, 2022 and 2021: 2022 2021 Weighted Weighted Average Average Exercise Exercise Stock options Number Price Number Price Outstanding at beginning of period 3,456,250 $ 0.23 3,111,750 $ 0.20 Granted during the period — $ — — $ — Exercised during the period (12,500 ) $ (0.26 ) (12,500 ) $ (0.25 ) Forfeited during the period (137,500 ) $ (0.35 ) (32,500 ) $ (0.16 ) Outstanding at end of period 3,306,250 $ 0.22 3,066,750 $ 0.20 Options exercisable at period-end 2,535,000 $ 0.20 2,276,750 $ 0.17 As of March 31, 2022, there was $108,313 of total unrecognized compensation cost related to options granted under the EIPs. That cost is expected to be recognized over a weighted-average period of 2.4 years. The total fair value of options vested during the three months ended March 31, 2022 and 2021 was $2,627 and $46,746, respectively. The aggregate intrinsic value of share options exercised during the three months ended March 31, 2022 and 2021 was $388 and $9,725, respectively. During the three months ended March 31, 2022, the Company issued 1,394 shares upon cashless exercise of 12,500 option shares exercised using a cashless exercise feature. During the three months ended March 31, 2021, the Company received $3,150 upon the exercise of 12,500 options with an exercise price of $0.252. The fair value of each stock option award is estimated on the date of grant using a binomial lattice option-pricing model based on the assumptions noted in the following table. No options were granted during the three months ended March 31, 2022 and 2021. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period. The following table summarizes the status and activity of nonvested options issued pursuant to the EIPs as of and for the three months ended March 31, 2022 and 2021: 2022 2021 Weighted Weighted Average Average Grant Date Grant Date Stock options Shares Fair Value Shares Fair Value Nonvested options at beginning of period 858,750 $ 0.23 1,044,375 $ 0.21 Granted — $ — — $ — Vested (12,500 ) $ (0.21 ) (225,000 ) $ (0.21 ) Forfeited (75,000 ) $ (0.32 ) (29,375 ) $ (0.12 ) Nonvested options at end of period 771,250 $ 0.22 790,000 $ 0.22 Stock Grants Stock grant awards made under the EIPs typically vest either immediately or over a period of up to four years. The following table summarizes stock grant activity as of and for the three months ended March 31, 2022 and 2021: 2022 2021 Weighted Weighted Average Average Grant Date Grant Date Stock Grants Shares Fair Value Shares Fair Value Nonvested grants at beginning of period 302,050 $ 0.07 200,000 $ 0.17 Granted 157,454 $ 0.19 87,500 $ 0.11 Vested (122,514 ) $ (0.12 ) (87,500 ) $ (0.12 ) Forfeited (104,954 ) $ (0.19 ) — $ — Nonvested grants at end of period 232,036 $ 0.07 200,000 $ 0.17 As of December 31, 2021, there was $33,618 of total unrecognized compensation cost related to stock grants made under the EIPs. That cost is expected to be recognized over a weighted-average period of 0.2 years. The weighted-average grant-date fair value of share grants made during the three months ended March 31, 2022 and 2021 was $0.19 per share and $0.11 per share, respectively. The aggregate fair value of share grants that vested during the three months ended March 31, 2022 and 2021 was $15,138 and $10,810, respectively. The fair value of each stock grant is calculated using the closing sale price of the Company’s common stock on the date of grant using. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period. Liability-Classified Equity Instruments During 2021, the Company made certain stock grants from the 2021 EIP that vest over a four-year period and that are settleable for a fixed dollar amount rather than a fixed number of shares. The original grant date fair value of the equity compensation was $165,000. The Company recognized an asset captioned “Deferred equity compensation” and an offsetting liability captioned as a “Liability-classified equity instrument.” During the three months ended March 31, 2022, the Company replaced certain variable share contracts with a new fixed share compensation structure. As a result, the Company de-recognized $25,000 of deferred stock compensation and liability-classified equity instruments. Amortization of the remaining deferred stock compensation assets in the three months ended March 31, 2022 and 2021 was $9,063 and $-0-, respectively. The liability will be converted to equity when shares are issued pursuant to prescribed vesting events. |
Contingent Acquisition Consider
Contingent Acquisition Consideration | 3 Months Ended |
Mar. 31, 2022 | |
Loss Contingency [Abstract] | |
CONTINGENT ACQUISITION CONSIDERATION | NOTE 14 – CONTINGENT ACQUISITION CONSIDERATION Contingent acquisition consideration relates to future earn-out payments potentially payable related to the Company’s acquisitions of Hughes Center for Functional Medicine (“HCFM”) in 2019 and CHM and MOD in 2020. The terms of the earn-outs related to each acquisition require the Company to pay the former owners additional acquisition consideration for the achievement of prescribed revenue and/or earnings targets for performance of the underlying business for up to four years after the respective acquisition date. Contingent acquisition consideration for each entity is recorded at fair value using a probability-weighted discounted cash flow projection. The fair value of the contingent acquisition consideration is remeasured at the end of each reporting period and changes are included in the statement of operations under the caption “Change in fair value of contingent acquisition consideration.” Contingent acquisition consideration as of March 31, 2022 and December 31, 2021 was comprised of the following: March 31, December 31, 2022 2021 Fair value of HCFM contingent acquisition consideration $ 176,263 $ 172,124 Fair value of CHM contingent acquisition consideration 270,152 276,529 Fair value of MOD contingent acquisition consideration 300,953 737,037 Total contingent acquisition consideration 747,368 1,185,690 Less: long term portion (429,611 ) (782,224 ) Contingent acquisition consideration, current portion $ 317,757 $ 403,466 During the three months ended March 31, 2022 and 2021, the Company recognized gains (losses) on the change in the fair value of contingent acquisition consideration as follows: Three Months Ended 2022 2021 Change in fair value of HCFM contingent acquisition consideration $ (4,139 ) $ (11,308 ) Change in fair value of CHM contingent acquisition consideration 6,376 (33,252 ) Change in fair value of MOD contingent acquisition consideration 436,085 (591,140 ) $ 438,322 $ (635,700 ) Maturities of contingent acquisition consideration were as follows as of March 31, 2022: 2022 (April to December) $ 317,756 2023 218,227 2024 211,385 $ 747,368 Hughes Center for Functional Medicine Acquisition – April 2019 On April 12, 2019, the Company acquired a 100% interest in HCFM, a medical practice engaged in improving the health of its patients through individualized and integrative health care. Following the acquisition, HCFM was rebranded as NCFM and was combined with NWC to form the Company’s Health Services segment. Under the terms of acquisition, the Company paid HCFM shareholders $500,000 in cash, issued 3,968,254 shares of the Company’s common stock and agreed to an earn-out provision of $500,000 that may be earned based on the performance of NCFM in the years ended on the first, second and third anniversary dates of the acquisition closing. The total consideration fair value represented a transaction fair value of $1,764,672. In May 2020, the Company paid the seller $47,000 in satisfaction of the year 1 earn out. In May 2021, the Company paid the seller $196,000 in satisfaction of the year 2 earn out. Cura Health Management LLC Acquisition – May 2020 On May 18, 2020, the Company acquired a 100% interest in CHM and its wholly owned subsidiary AHP. CHM and AHP assist physician practices in providing coordinated and more efficient care to patients via the MSSP. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition, the business of CHM comprised the Company’s ACO/MSO Division. Under the terms of acquisition, the Company paid CHM shareholders the following consideration: (i) $214,000 in cash paid at closing, (ii) 2,240,838 shares of the Company’s common stock issued at closing, (iii) up to $223,500 additional cash and $660,000 in additional shares of the Company’s common stock payable at the time CHM receives the final assessment of the calculation of MSSP savings for the 2019 program year, with this amount prorated based on a target MSSP payment (plus other ancillary revenue) of $1,725,000, and (iv) up to $437,500 based on the business achieving annual revenue of $2,250,000 and annual profit of $500,000 in each of the four years following closing. The terms of the earn out require the Company to pay the former owners of CHM (i) up to $223,500 additional cash and to $660,000 of additional shares of Company common stock when CHM receives the final assessment of the calculation of 2019 plan year MSSP revenue (the “Current Earnout”), and (ii) up to $62,500, $125,000, $125,000 and $125,000 on the first, second, third and fourth anniversary, respectively, based on achievement by the underlying business of revenue of at least $2,250,000 (50% weighting) and profit of at least $500,000 (50% weighting) in the year preceding each anniversary date (the “Future Earnout”). During September 2020, pursuant to a Second Amendment to the Agreement and Plan of Merger (the “Second Amendment”) and in satisfaction of the Current Earnout, the Company paid $90,389 cash, issued 1,835,625 shares of the Company’s common stock and agreed that the balance of the Current Earnout that was not earned in 2020, being $124,043 cash and $366,300 in shares of Company common stock, would be deferred until the first future earnout year in which MSSP revenue exceeds $1.725 million and revenue from other services exceeds $605,000 (the “Residual Earnout”). During September 2021, the Company was notified of the amount of Medicare shared savings and received payment for plan year 2020 in the amount of $2,419,312. Because the shared saving payment exceeded $1.725 million, the sellers were paid $124,043 cash and issued 806,828 shares of Company common stock with a value of $366,300 pursuant to the Residual Earnout. Following the payments, the Company had no further obligations under the Residual Earnout. The Company also determined that the sellers did not earn any of the $62,500 year-one Future Earnout related to the performance period May 19, 2020 to May 18, 2021. MedOffice Direct LLC Acquisition – October 2020 On October 19, 2020, the Company acquired a 100% interest in MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States. With over 13,000 name brand medical products in over 150 different categories, MOD leverages pricing discounts with a small unit-of-measure direct-to-consumer shipping model to make ordering medical supplies more convenient and cost effective for its users. The Company accounted for the transaction as an acquisition of a business pursuant to ASC 805. Following the acquisition, the business of MOD comprised the Company’s Medical Distribution Division. Under the terms of acquisition, the Company paid the following consideration: (i) 19,045,563 shares of Company common stock issued at closing, (ii) partial satisfaction of certain outstanding debt obligations of MOD in the amount of $703,200 in cash paid by the Company, and (iii) up to 10,004,749 restricted shares of the Company’s common stock over a four-year period based on MOD achieving revenue targets in calendar years 2021 through 2024 of $1,500,000, $1,875,000, $2,344,000, and $2,930,000, respectively. |
Commitments and Contingencies
Commitments and Contingencies | 3 Months Ended |
Mar. 31, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
COMMITMENTS AND CONTINGENCIES | NOTE 15 – COMMITMENTS AND CONTINGENCIES Contracts Related to Medicare Shared Savings Revenue The Company acquired CHM and its subsidiary AHP on May 18, 2020. CHM and AHP combine to operate an ACO under the terms of the MSSP as administered by the CMS. The MSSP is a program created under the Affordable Care Act (the “ACA,” also known as “Obamacare”) designed to enhance the efficiency of healthcare provided to patients covered by Medicare. The program allows for the creation of ACOs, which are organizations that agree to take responsibility for the efficiency of healthcare services provided by a group of participating healthcare providers under Medicare. The ACO is held accountable for the efficiency of the healthcare services of its participating providers as measured against benchmarks prescribed in the MSSP and earns shared savings payments if such benchmarks are met. The Company, via AHP, is party to a Medicare Shared Savings Program Accountable Care Organization Participation Agreement with the CMS that establishes AHP as an ACO. The agreement is effective through December 31, 2024. The Company must comply with the terms and conditions of the agreement in order to maintain its status as an ACO and generate shared savings revenue. The Company, via CHM, is party to 33 separate participant agreements with participating providers that are members of the Company’s ACO with expiration dates through 2024. These agreements include certain restrictions and requirements to which the participating providers must adhere in order to maintain participation in the ACO. Supplier Concentration The Company relies on a sole supplier for the fulfillment of all of its product sales made through MOD. Service contracts The Company carries various service contracts on its office buildings & certain copier equipment for repairs, maintenance and inspections. All contracts are short term and can be cancelled. Litigation None. Leases Maturities of operating lease liabilities were as follows as of March 31, 2022: 2022 $ 284,905 2023 285,721 2024 11,877 2025 11,877 2026 11,877 2027 990 Total lease payments 607,247 Less interest (108,043 ) Present value of lease liabilities $ 499,204 Employment/Consulting Agreements The Company has employment agreements with certain of its physicians, nurse practitioners and physical therapists in the Health Services division. The agreements generally call for a fixed salary at the beginning of the contract with a transaction to performance-based pay later in the contract. On July 1, 2016, the Company entered into an employment agreement with Dr. Michael Dent, Chief Executive Officer and a member of the Board of Directors. Dr. Dent’s employment agreement continues until terminated by Dr. Dent or the Company. If Dr. Dent’s employment is terminated by the Company (unless such termination is “For Cause” as defined in his employment agreement), then upon signing a general waiver and release, Dr. Dent will be entitled to severance in an amount equal to 12 months of his then-current annual base salary, as well as the pro-rata portion of any bonus that would be due and payable to him. In the event that Dr. Dent terminates the employment agreement, he shall be entitled to any accrued but unpaid salary and other benefits up to and including the date of termination, and the pro-rata portion of any unvested time-based options up until the date of termination. On July 1, 2018, the Company entered into an agreement with Mr. George O’Leary, the Company’s Chief Financial Officer and a member of the Board of Directors. If Mr. O’Leary’s employment is terminated by the Company (unless such termination is “For Cause” as defined in his employment agreement), then upon signing a general waiver and release, Mr. O’Leary will be entitled to receive his base salary for a period of six months beginning on the date of termination. The agreement expires on June 30, 2022. In addition to a base salary, the agreement provided Mr. O’Leary with certain performance-based cash bonuses, stock grants, and stock option grants. On May 18, 2020, the Company entered into separate 4-year consulting services agreements with each of the two principals of the ACO/MSO business acquired in May 2020 that call for each person to earn fixed annual consulting fees and a share of Medicare shared savings revenue, consulting revenue and overall profits generated by the underlying business. Litigation From time to time, the Company may become involved in various lawsuits and legal proceedings, which arise, in the ordinary course of business. However, litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may harm the Company’s business. The Company is not aware of any such legal proceedings that will have, individually or in the aggregate, a material adverse effect on its business, financial condition or operating results. |
Segment Reporting
Segment Reporting | 3 Months Ended |
Mar. 31, 2022 | |
Segment Reporting [Abstract] | |
SEGMENT REPORTING | NOTE 16 – SEGMENT REPORTING The Company has four reportable segments: Health Services, Digital Healthcare, ACO/MCO and Medical Distribution. Health Services division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology), and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, and (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, FL that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery. The Company’s Digital Healthcare segment develops and plans to operate an online personal medical information and record archive system, the “HealthLynked Network,” which will enable patients and doctors to keep track of medical information via the Internet in a cloud-based system. The ACO/MSO Division is comprised of the business acquired with CHM, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP as administered by the CMS, which rewards providers for efficiency in patient care. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States acquired by the Company on October 19, 2020. The Company evaluates performance and allocates resources based on profit or loss from operations before income taxes. The accounting policies of the reportable segments are the same as those described in the summary of significant accounting policies. Segment information for the three months ended March 31, 2022 was as follows: Three Months Ended March 31, 2022 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,375,685 $ — $ — $ — $ 1,375,685 Medicare shared savings revenue — — — — — Subscription, consulting and event revenue — 6,624 77,594 — 84,218 Product revenue — — — 146,969 146,969 Total revenue 1,375,685 6,624 77,594 146,969 1,606,872 Operating Expenses Practice salaries and benefits 718,073 — — — 718,073 Other practice operating expenses 562,651 — — — 562,651 Medicare shared savings expenses — — 227,729 — 227,729 Cost of product revenue — — — 160,811 160,811 Selling, general and administrative expenses — 1,264,876 — 70,264 1,335,140 Depreciation and amortization 25,518 1,472 — 176,900 203,890 Total Operating Expenses 1,306,242 1,266,348 227,729 407,975 3,208,294 Income (loss) from operations $ 69,443 $ (1,259,724 ) $ (150,135 ) $ (261,006 ) $ (1,601,422 ) Other Segment Information Interest expense (income) $ 2,812 $ 2,211 $ — $ — $ 5,023 Change in fair value of contingent acquisition consideration $ — $ (438,322 ) $ — $ — $ (438,322 ) March 31, 2022 Identifiable assets $ 2,056,661 $ 2,208,771 $ 1,115,871 $ 2,542,446 $ 7,923,749 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 December 31, 2021 Identifiable assets $ 2,152,533 $ 3,450,332 $ 1,167,965 $ 2,775,621 $ 9,546,451 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 Segment information for the three months ended March 31, 2021 was as follows: Three Months Ended March 31, 2021 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,514,376 $ — $ — $ — $ 1,514,376 Consulting and event revenue — 11,113 76,542 — 87,655 Product revenue — — — 182,663 182,663 Total revenue 1,514,376 11,113 76,542 182,663 1,784,694 Operating Expenses Practice salaries and benefits 663,937 — — — 663,937 Other practice operating expenses 730,784 — — — 730,784 Medicare shared savings expenses — — 211,507 — 211,507 Cost of product revenue — — — 168,596 168,596 Selling, general and administrative expenses — 1,305,320 — 60,817 1,366,137 Depreciation and amortization 28,323 595 0 182,740 211,658 Total Operating Expenses 1,423,044 1,305,915 211,507 412,153 3,352,619 Income (loss) from operations $ 91,332 $ (1,294,802 ) $ (134,965 ) $ (229,490 ) $ (1,567,925 ) Other Segment Information Interest expense $ 4,197 $ 6,282 $ — $ 109 $ 10,588 Loss on extinguishment of debt $ — $ 5,589,994 $ — $ — $ 5,589,994 Change in fair value of debt $ — $ 19,246 $ — $ — $ 19,246 Change in fair value of contingent acquisition consideration $ — $ 635,700 $ — $ — $ 635,700 March 31, 2021 Identifiable assets $ 2,411,744 $ 3,043,929 $ 1,128,491 $ 3,287,628 $ 9,871,792 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 The Digital Healthcare made intercompany sales of $280 and $180 in the three months ended March 31, 2022 and 2021, respectively, related to subscription revenue billed to and paid for by the Company’s physicians for access to the HealthLynked Network. The Medical Distribution segment made intercompany sales of $13,533 and $-0- in the three months ended March 31, 2022 and 2021, respectively, related to medical products sold to practices in the Company’s Health Services segment. Intercompany revenue and the related costs are eliminated on consolidation. |
Fair Value of Financial Instrum
Fair Value of Financial Instruments | 3 Months Ended |
Mar. 31, 2022 | |
Fair Value Disclosures [Abstract] | |
FAIR VALUE OF FINANCIAL INSTRUMENTS | NOTE 17 – FAIR VALUE OF FINANCIAL INSTRUMENTS The carrying amounts of certain financial instruments, including cash and cash equivalents, accounts receivable and accounts payable, approximate their respective fair values due to the short-term nature of such instruments. The Company measures certain financial instruments at fair value on a recurring basis, including certain convertible notes payable and related party loans, which were extinguished and reissued and are therefore subject to fair value measurement, derivative financial instruments arising from conversion features embedded in convertible promissory notes for which the conversion rate was not fixed, and equity-class. All financial instruments carried at fair value fall within Level 3 of the fair value hierarchy as their value is based on unobservable inputs. The Company evaluates its financial assets and liabilities subject to fair value measurements on a recurring basis to determine the appropriate level in which to classify them for each reporting period. This determination requires significant judgments to be made. The following table summarizes the conclusions reached regarding fair value measurements as of March 31, 2022 and December 31, 2021: As of March 31, 2022 As of December 31, 2021 Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total Liability-classified equity instruments $ — $ — $ 136,875 $ 136,875 $ — $ — $ 162,500 $ 162,500 Contingent acquisition consideration — — 747,368 747,368 — — 1,185,690 1,185,690 Total $ — $ — $ 884,243 $ 884,243 $ — $ — $ 1,348,190 $ 1,348,190 The changes in Level 3 financial instruments that are measured at fair value on a recurring basis during the three months ended March 31, 2022 and 2021 were as follows: Three Months Ended 2022 2021 Convertible notes payable $ — $ (19,246 ) Contingent acquisition consideration 438,322 (635,700 ) Total $ 438,322 $ (654,946 ) |
Subsequent Events
Subsequent Events | 3 Months Ended |
Mar. 31, 2022 | |
Subsequent Events [Abstract] | |
SUBSEQUENT EVENTS | NOTE 18 – SUBSEQUENT EVENTS On May 13, 2022, the Company entered into an agreement to acquire Aesthetic Enhancements Unlimited (“AEU”), a patient service facility specializing in minimally and non-invasive cosmetic services including fat reduction, body sculpting, wrinkle reduction, hair removal, IV hydration, and feminine rejuvenation. The purchase price includes $325,000 cash, 792,394 shares of Company common stock, and the assumption of up to $75,000 in liabilities. AEU will be incorporated into the Company’s Health Services segment. Closing is expected to be completed the week of May 16, 2022. |
Accounting Policies, by Policy
Accounting Policies, by Policy (Policies) | 3 Months Ended |
Mar. 31, 2022 | |
Accounting Policies [Abstract] | |
Basis of Presentation | Basis of Presentation The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP. All amounts referred to in the notes to the consolidated financial statements are in United States Dollars ($) unless stated otherwise. |
Use of Estimates | Use of Estimates The preparation of the condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect certain reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Accordingly, actual results could differ from those estimates. Significant estimates include assumptions about fair valuation of acquired intangible assets, cash flow and fair value assumptions associated with measurements of contingent acquisition consideration and impairment of intangible assets and goodwill, valuation of inventory, collection of accounts receivable, the valuation and recognition of stock-based compensation expense, valuation allowance for deferred tax assets, borrowing rate consideration for right-of-use (“ROU”) lease assets including related lease liability and useful life of fixed assets. |
Revenue Recognition | Revenue Recognition Patient service revenue Patient service revenue is reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for providing patient care. These amounts are due from patients and third-party payors (including health insurers and government programs) and include variable consideration for retroactive revenue adjustments due to settlement of audits, reviews, and investigations. Generally, the Company bills patients and third-party payors within days after the services are performed and/or the patient is discharged from the facility. Revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected charges. The Company believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Revenue for performance obligations satisfied at a point in time is recognized when goods or services are provided, and the Company does not believe it is required to provide additional goods or services to the patient. The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. The Company determines its estimates of contractual adjustments and discounts based on contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Agreements with third-party payors typically provide for payments at amounts less than established charges. A summary of the payment arrangements with major third-party payors follows: ● Medicare: ● Medicaid: ● Other: Laws and regulations concerning government programs, including Medicare and Medicaid, are complex and subject to varying interpretation. As a result of investigations by governmental agencies, various health care organizations have received requests for information and notices regarding alleged noncompliance with those laws and regulations, which, in some instances, have resulted in organizations entering into significant settlement agreements. Compliance with such laws and regulations may also be subject to future government review and interpretation as well as significant regulatory action, including fines, penalties, and potential exclusion from the related programs. There can be no assurance that regulatory authorities will not challenge the Company’s compliance with these laws and regulations, and it is not possible to determine the impact, if any, such claims or penalties would have upon the Company. In addition, the contracts the Company has with commercial payors also provide for retroactive audit and review of claims. Settlements with third-party payors for retroactive adjustments due to audits, reviews or investigations are considered variable consideration and are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the payment agreement with the payor, correspondence from the payor and the Company’s historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are adjusted in future periods as adjustments become known, or as years are settled or are no longer subject to such audits, reviews, and investigations. The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM and BTG are provided on a cash basis and not submitted through third party insurance providers. Contract liabilities related to prepaid BTG patient service revenue were $22,461 and $42,530 as of March 31, 2022 and December 31, 2021, respectively. Medicare Shared Savings Revenue The Company earns Medicare shared savings revenue based on performance of the population of patient lives for which it is accountable as an ACO against benchmarks established by the MSSP. Because the MSSP, which was formed in 2012, is relatively new and has limited historical experience, the Company cannot accurately predict the amount of shared savings that will be determined by CMS. Such amounts are determined annually when the Company is notified by CMS of the amount of shared savings earned. Accordingly, the Company recognizes Medicare shared savings revenue in the period in which the CMS notifies the Company of the exact amount of shared savings to be paid, which historically has occurred during the fiscal quarter ended September 30 for the program year ended December 31 of the previous year. Based on the ACO operating agreements, the Company bears all costs of the ACO operations until revenue is recognized. At that point, the Company shares in up to 100% of the revenue to recover its costs incurred. Because of the timing of recognition of Medicare shared savings revenue, no Medicare shared savings revenue was recognized in the three months ended March 31, 2022 and 2021. Consulting and Event Revenue Also pursuant to ASC 606, the Company recognizes service revenue as services are provided, with any unearned but paid amounts recorded as a contract liability at each balance sheet date. Contract liabilities related to consulting revenue were $-0- and $25,000 as of March 31, 2022 and December 31, 2021, respectively. Event revenue, comprised of admission fees for summit events, is recognized when an event is held. Product Revenue Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue were $10,887 and $5,308 as of March 31, 2022 and December 31, 2021, respectively. There were no contract assets as of March 31, 2022 or December 31, 2021. Sales are made inclusive of sales tax, where such sales tax is applicable. Sales tax is applicable on sales made in the state of Florida, where the Company has physical nexus. The Company has determined that it does not have economic nexus in any other states. The Company does not sell products outside of the United States. The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products. Product return allowance was $9,526 and $14,834 and as of March 31, 2022 and December 31, 2021, respectively. Contract Liabilities Contract liabilities represent payments from customers for consulting services, patient services and medical products that precede the Company’s service or product fulfillment performance obligation. The Company’s contract liabilities balance was $33,348 and $72,838 as of March 31, 2022 and December 31, 2021, respectively. Provider shared savings expense Provider shared savings expense represents payments made to the ACO’s participating providers. The pool of provider shared savings expense paid to all participating providers, as well as the amounts paid to each individual participating provider from the pool, is determined by ACO management. Shared Savings expense is recognized in the period in which the size of the payment pool is determined, which typically corresponds to the period in which the shared saving payment is received from CMS and shared savings revenue is recognized. This typically occurs in the second half of the year following the completion of the program year. Because of the timing of recognition of Medicare shared savings revenue, there was no Medicare shared savings revenue or related provider shared savings expense recognized in the three months ended March 31, 2022 and 2021. |
Cash and Cash Equivalents | Cash and Cash Equivalents For financial statement purposes, the Company considers all highly liquid investments with original maturities of three months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. As of March 31, 2022 and December 31, 2021, the Company had $1,666,580 and $2,957,040 in excess of the FDIC insured limit, respectively. |
Accounts Receivable | Accounts Receivable Trade receivables are carried at their estimated collectible amounts. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 48% of total billings. Trade accounts receivable are recorded at this net amount. As of March 31, 2022 and December 31, 2021, the Company’s gross patient services accounts receivable were $174,493 and $193,363, respectively, and net patient services accounts receivable were $76,890 and $86,287, respectively, based upon net reporting of accounts receivable. As of March 31, 2022 and December 31, 2021, the Company’s allowance of doubtful accounts was $13,972 and $13,972, respectively. |
Leases | Leases Upon transition under ASU 2016-02, the Company elected the suite of practical expedients as a package applied to all of its leases, including (i) not reassessing whether any expired or existing contracts are or contain leases, (ii) not reassessing the lease classification for any expired or existing leases, and (iii) not reassessing initial direct costs for any existing leases. For new leases, the Company will determine if an arrangement is or contains a lease at inception. Leases are included as ROU assets within other assets and ROU liabilities within accrued expenses and other liabilities and within other long-term liabilities on the Company’s consolidated balance sheets. ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. The Company adopted ASU 2016-02 in the first quarter of 2019. See Note 7 for more complete details on balances as of the reporting periods presented herein. The adoption had no material impact on cash provided by or used in operating, investing or financing activities on the Company’s consolidated statements of cash flows. |
Inventory | Inventory Inventory consisting of supplements, is stated at the lower of cost or net realizable value. Cost is determined by the first-in, first-out method. Outdated inventory is directly charged to cost of goods sold. |
Goodwill and Intangible Assets | Goodwill and Intangible Assets Goodwill is recognized as the excess cost of an acquired entity over the net amount assigned to assets acquired and liabilities assumed. Goodwill is not amortized, but rather tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of goodwill is less than its carrying value. The Company recognizes an acquired intangible apart from goodwill whenever the intangible arises from contractual or other legal rights, or whenever it can be separated or divided from the acquired entity and sold, transferred, licensed, rented or exchanged, either individually or in combination with a related contract, asset or liability. Such intangibles are amortized over their estimated useful lives unless the estimated useful life is determined to be indefinite. Amortizable intangible assets are being amortized primarily over useful lives of five years. The straight-line method of amortization is used as it has been determined to approximate the use pattern of the assets. Impairment losses are recognized if the carrying amount of an intangible that is subject to amortization is not recoverable from expected future cash flows and its carrying amount exceeds its fair value. The Company also maintains intangible assets with indefinite lives, which are not amortized. These intangibles are tested for impairment on an annual basis and more often if circumstances require. Impairment losses are recognized whenever the implied fair value of these assets is less than their carrying value. No impairment charges were recognized in the three months ended March 31, 2022 and 2021. |
Concentrations of Credit Risk | Concentrations of Credit Risk The Company’s financial instruments that are exposed to a concentration of credit risk are cash and accounts receivable. There are no patients/customers that represent 10% or more of the Company’s revenue or accounts receivable. Generally, the Company’s cash and cash equivalents are in checking accounts. The Company relies on a sole supplier for the fulfillment of all of its product sales made through MOD. |
Property and Equipment | Property and Equipment Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For consolidated financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 5 to 7 years. The cost of repairs and maintenance is expensed as incurred; major replacements and improvements are capitalized. The Company examines the possibility of decreases in the value of fixed assets when events or changes in circumstances reflect the fact that their recorded value may not be recoverable. The Company recognizes an impairment loss when the sum of expected undiscounted future cash flows is less than the carrying amount of the asset. The amount of impairment is measured as the difference between the asset’s estimated fair value and its book value. |
Convertible Notes | Convertible Notes Convertible notes are regarded as compound instruments, consisting of a liability component and an equity component. The component parts of compound instruments are classified separately as financial liabilities and equity in accordance with the substance of the contractual arrangement. At the date of issue, the fair value of the liability component is estimated using the prevailing market interest rate for a similar non-convertible instrument. This amount is recorded as a liability on an amortized cost basis until extinguished upon conversion or at the instrument’s maturity date. The equity component is determined by deducting the amount of the liability component from the fair value of the compound instrument as a whole. This is recognized as additional paid-in capital and included in equity, net of income tax effects, and is not subsequently remeasured. After initial measurement, they are carried at amortized cost using the effective interest method. Convertible notes for which the maturity date has been extended and that qualify for debt extinguishment treatment are recorded at fair value on the extinguishment date and then revalued at the end of each reporting period, with the change recorded to the statement of operations under “Change in Fair Value of Debt.” |
Government Notes Payable | Government Notes Payable During 2020, the Company and certain of its subsidiaries received loans under the Paycheck Protection Program (the “PPP”). The PPP loans, administered by the U.S. Small Business Administration (the “SBA”), were issued under the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. Pursuant to the terms of the PPP, principal amounts may be forgiven if loan proceeds are used for qualifying expenses as described in the CARES Act, including costs such as payroll, benefits, employer payroll taxes, rent and utilities. The Company accounts for forgiveness of government loans pursuant to FASB ASC 470, “Debt,” (“ASC 470”). Pursuant to ASC 470, loan forgiveness is recognized in earnings as a gain on extinguishment of debt when the debt is legally released by the lender. |
Fair Value of Assets and Liabilities | Fair Value of Assets and Liabilities Fair value is the price that would be received from the sale of an asset or paid to transfer a liability (i.e. an exit price) in the principal or most advantageous market in an orderly transaction between market participants. In determining fair value, the accounting standards have established a three-level hierarchy that distinguishes between (i) market data obtained or developed from independent sources (i.e., observable data inputs) and (ii) a reporting entity’s own data and assumptions that market participants would use in pricing an asset or liability (i.e., unobservable data inputs). Financial assets and financial liabilities measured and reported at fair value are classified in one of the following categories, in order of priority of observability and objectivity of pricing inputs: ● Level 1 – ; ● Level 2 ● Level 3 The fair value measurement level for an asset or liability is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques should maximize the use of observable inputs and minimize the use of unobservable inputs. The Company utilizes a binomial lattice option pricing model to estimate the fair value of options, warrants, beneficial conversion features and other Level 3 financial assets and liabilities. The Company believes that the binomial lattice model results in the best estimate of fair value because it embodies all of the requisite assumptions (including the underlying price, exercise price, term, volatility, and risk-free interest-rate) necessary to fairly value these instruments and, unlike less sophisticated models like the Black-Scholes model, it also accommodates assumptions regarding investor exercise behavior and other market conditions that market participants would likely consider in negotiating the transfer of such an instruments. |
Stock-Based Compensation | Stock-Based Compensation The Company accounts for stock-based compensation to employees and nonemployees under ASC 718 “Compensation – Stock Compensation” using the fair value-based method. Under this method, compensation cost is measured at the grant date based on the value of the award and is recognized over the service period, which is usually the vesting period. This guidance establishes standards for the accounting for transactions in which an entity exchanges its equity instruments for goods or services. It also addresses transactions in which an entity incurs liabilities in exchange for goods or services that are based on the fair value of the entity’s equity instruments or that may be settled by the issuance of those equity instruments. The Company uses a binomial lattice pricing model to estimate the fair value of options and warrants granted. |
Income Taxes | Income Taxes The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No income tax has been provided for the three months ended March 31, 2022 and 2021, since the Company has sustained a loss for both periods. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable. |
Recurring Fair Value Measurements | Recurring Fair Value Measurements The carrying value of the Company’s financial assets and financial liabilities is their cost, which may differ from fair value. The carrying value of cash held as demand deposits, money market and certificates of deposit, marketable investments, accounts receivable, short-term borrowings, accounts payable, accrued liabilities, and derivative financial instruments approximated their fair value. |
Deemed Dividend | Deemed Dividend The Company incurs a deemed dividend on Series B Convertible Preferred Voting Stock (the “Series B Preferred”). As the intrinsic price per share of the Series B Preferred was less than the deemed fair value of the Company’s common stock on the date of issuance of the Series B Preferred, the Series B Preferred contains a beneficial conversion feature as described in FASB ASC 470-20, “Debt with Conversion and Other Options.” The difference in the stated conversion price and estimated fair value of the common stock is accounted for as a beneficial conversion feature and affects income or loss available to common stockholders for purposes of earnings per share available to common stockholders. The Company incurs further deemed dividends on certain of its warrants containing a down round provision equal to the difference in fair value of the warrants before and after the triggering of the down round adjustment. |
Net Loss per Share | Net Loss per Share Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three months ended March 31, 2022 and 2021, the Company reported a net loss and excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of March 31, 2022 and December 31, 2021, potentially dilutive securities were comprised of (i) 59,366,992 and 59,796,992 warrants outstanding, respectively, (ii) 3,306,250 and 3,456,250 stock options outstanding, respectively, (iii) 232,036 and 302,050 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, and (iv) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. |
Common stock awards | Common stock awards The Company grants common stock awards to non-employees in exchange for services provided. The Company measures the fair value of these awards using the fair value of the services provided or the fair value of the awards granted, whichever is more reliably measurable. The fair value measurement date of these awards is generally the date the performance of services is complete. The fair value of the awards is recognized on a straight-line basis as services are rendered. The share-based payments related to common stock awards for the settlement of services provided by non-employees is recorded on the consolidated statement of comprehensive loss in the same manner and charged to the same account as if such settlements had been made in cash. From time to time, the Company also issues stock awards settleable in a variable number of common shares. Such awards are classified as liabilities until such time as the number of shares underlying the grant is determinable. |
Warrants | Warrants In connection with certain financing, consulting and collaboration arrangements, the Company has issued warrants to purchase shares of its common stock. The outstanding warrants are standalone instruments that are not puttable or mandatorily redeemable by the holder and are classified as equity awards. The Company measures the fair value of the awards using the Black-Scholes pricing model as of the measurement date. The Company uses a binomial lattice pricing model to estimate the fair value of compensation options and warrants. Warrants issued in conjunction with the issuance of common stock are initially recorded at fair value as a reduction in additional paid-in capital of the common stock issued. All other warrants are recorded at fair value as expense over the requisite service period, or at the date of issuance, if there is not a service period. Certain of the Company’s warrants include a so-called down round provision. The Company accounts for such provisions pursuant to ASU No. 2017-11, Earnings Per Share, Distinguishing Liabilities from Equity and Derivatives and Hedging Shareholders’ Equity |
Business Segments | Business Segments The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has four operating segments: Health Services (multi-specialty medical group including the NWC OB/GYN practice, the NCFM practice acquired in April 2019 and the BTG physical therapy practice launched in 2020), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), ACO/MSO (comprised of the ACO/MSO business acquired with CHM in May 2020, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices acquired by the Company on October 19, 2020). |
Recently Issued Accounting Pronouncements | Recently Issued Accounting Pronouncements In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments”: The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company is currently evaluating the impact the adoption of this guidance may have on its consolidated financial statements. In August 2020, the FASB issued ASU 2020-06 Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40) In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers |
Recently Adopted Pronouncements | Recently Adopted Pronouncements In December 2019, the FASB issued ASU 2019-12 Simplifying the Accounting for Income Taxes In May 2021, the Financial Accounting Standards Board (“FASB”) issued ASU 2021-04, Earnings Per Share (Topic 260), Debt—Modifications and Extinguishments (Subtopic 470-50), Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40). ASU 2021-04 clarifies and reduces diversity in an issuer’s accounting for modifications or exchanges of freestanding equity-classified written call options (for example, warrants) that remain equity classified after modification or exchange. The ASU provides guidance to clarify whether an issuer should account for a modification or an exchange of a freestanding equity-classified written call option that remains equity classified after modification or exchange as (1) an adjustment to equity and, if so, the related earnings per share effects, if any, or (2) an expense and, if so, the manner and pattern of recognition. ASU 2021-04 is effective for annual periods beginning after December 15, 2021, including interim periods within those fiscal years. Early adoption is permitted, including adoption in an interim period. The Company is currently evaluating the impact that this standard will have on its consolidated financial statements. The Company adopted this standard for the year ended December 31, 2022. The adoption did not have a material effect on the Company’s consolidated financial statements. No other new accounting pronouncements were issued or became effective in the period that had, or are expected to have, a material impact on our consolidated Financial Statements. |
Prepaid Expenses and Other (Tab
Prepaid Expenses and Other (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Prepaid Expenses And Other Current Assets [Abstract] | |
Schedule of prepaid and other expenses | March 31, December 31, 2022 2021 Insurance prepayments $ 17,733 $ 25,020 Other expense prepayments 31,837 50,860 Rent deposits 49,125 49,125 Deferred equity compensation 117,188 151,250 Total prepaid expenses and other 215,883 276,255 Less: long term portion (130,188 ) (138,625 ) Prepaid expenses and other, current portion $ 85,695 $ 137,630 |
Property, Plant, and Equipment
Property, Plant, and Equipment (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Property, Plant and Equipment [Abstract] | |
Schedule of property, plant and equipment | March 31, December 31, 2022 2021 Medical equipment $ 493,854 $ 484,126 Furniture, office equipment and leasehold improvements 162,154 149,868 Total property, plant and equipment 656,008 633,994 Less: accumulated depreciation (308,480 ) (283,512 ) Property, plant and equipment, net $ 347,528 $ 350,482 |
Intangible Assets and Goodwill
Intangible Assets and Goodwill (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Schedule of intangible assets | March 31, December 31, 2022 2021 NCFM: Medical database $ 1,101,538 $ 1,101,538 NCFM: Website 41,000 41,000 CHM: ACO physician contracts 1,073,000 1,073,000 MOD: Website 3,538,000 3,538,000 Total intangible assets 5,753,538 5,753,538 Less: accumulated amortization (1,052,338 ) (873,417 ) Intangible assets, net $ 4,701,200 $ 4,880,121 |
Leases (Tables)
Leases (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Leases [Abstract] | |
Schedule of lease-related assets and liabilities | March 31, December 31, 2022 2021 Lease assets $ 499,144 $ 526,730 Lease liabilities Lease liabilities (short term) $ 294,442 $ 288,966 Lease liabilities (long term) 204,762 239,225 Total lease liabilities $ 499,204 $ 528,191 |
Schedule of maturities of operating lease liabilities | 2022 (April to December) $ 284,905 2023 285,721 2024 11,877 2025 11,877 2026 11,877 2027 990 Total lease payments 607,247 Less interest (108,043 ) Present value of lease liabilities $ 499,204 |
Accounts Payable and Accrued _2
Accounts Payable and Accrued Expenses (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Payables and Accruals [Abstract] | |
Schedule of accounts payable and accrued expenses | March 31, December 31, 2022 2021 Trade accounts payable $ 356,832 $ 306,220 Accrued payroll liabilities 66,282 172,500 Accrued operating expenses 286,345 265,411 Accrued interest 50,931 46,712 $ 760,390 $ 790,843 |
Contract Liabilities (Tables)
Contract Liabilities (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Contract Liabilities [Abstract] | |
Schedule of amounts related to contract liabilities | March 31, December 31, 2022 2021 Patient services paid but not provided $ 22,461 $ 42,530 Consulting services paid but not provided — 25,000 Unshipped products 10,887 5,308 $ 33,348 $ 72,838 |
Shareholders' Equity (Tables)
Shareholders' Equity (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Shareholders' Equity (Tables) [Line Items] | |
Schedule of common stock issuable | March 31, 2022 December 31, 2020 Amount Shares Amount Shares Shares issuable to consultants, employees and directors $ 318,040 938,191 282,347 719,366 |
Schedule of stock warrants | 2022 2021 Weighted Weighted Average Average Exercise Exercise Number Price Number Price Outstanding at beginning of the period 59,796,992 $ 0.25 51,352,986 $ 0.14 Granted during the period — $ 0.00 19,585,790 $ 0.34 Exercised during the period — $ 0.00 (11,196,742 ) $ (0.06 ) Expired during the period (430,000 ) $ (0.44 ) — $ — Outstanding at end of the period 59,366,992 $ 0.25 59,742,034 $ 0.22 Exercisable at end of the period 59,366,992 $ 0.25 59,742,034 $ 0.22 Weighted average remaining life 3.0 years 3.7 years |
Schedule of fair value of the warrant | 2022 2021 Pricing model utilized No warrants issued Binomial Lattice Risk free rate range No warrants issued 0.38% to 0.86% Expected life range (in years) No warrants issued 3.00 to 5.00 years Volatility range No warrants issued 170.58% to 193.21% Dividend yield No warrants issued 0.00% |
Schedule of shares issued and outstanding under the EIP outstanding | 2022 2021 Total cost of share-based payment plans during the period $ 100,422 $ 307,160 Amounts capitalized in deferred equity compensation during period $ — $ — Amounts charged against income for amounts previously capitalized $ 8,438 $ — Amounts charged against income, before income tax benefit $ 108,860 $ 307,160 Amount of related income tax benefit recognized in income $ — $ — |
Employee Equity Incentive Plan [Member] | |
Shareholders' Equity (Tables) [Line Items] | |
Schedule of stock options outstanding | 2022 2021 Weighted Weighted Average Average Exercise Exercise Stock options Number Price Number Price Outstanding at beginning of period 3,456,250 $ 0.23 3,111,750 $ 0.20 Granted during the period — $ — — $ — Exercised during the period (12,500 ) $ (0.26 ) (12,500 ) $ (0.25 ) Forfeited during the period (137,500 ) $ (0.35 ) (32,500 ) $ (0.16 ) Outstanding at end of period 3,306,250 $ 0.22 3,066,750 $ 0.20 Options exercisable at period-end 2,535,000 $ 0.20 2,276,750 $ 0.17 |
Schedule of nonvested shares issued | 2022 2021 Weighted Weighted Average Average Grant Date Grant Date Stock Grants Shares Fair Value Shares Fair Value Nonvested grants at beginning of period 302,050 $ 0.07 200,000 $ 0.17 Granted 157,454 $ 0.19 87,500 $ 0.11 Vested (122,514 ) $ (0.12 ) (87,500 ) $ (0.12 ) Forfeited (104,954 ) $ (0.19 ) — $ — Nonvested grants at end of period 232,036 $ 0.07 200,000 $ 0.17 |
Employee Stock [Member] | |
Shareholders' Equity (Tables) [Line Items] | |
Schedule of non-vested shares issued | 2022 2021 Weighted Weighted Average Average Grant Date Grant Date Stock options Shares Fair Value Shares Fair Value Nonvested options at beginning of period 858,750 $ 0.23 1,044,375 $ 0.21 Granted — $ — — $ — Vested (12,500 ) $ (0.21 ) (225,000 ) $ (0.21 ) Forfeited (75,000 ) $ (0.32 ) (29,375 ) $ (0.12 ) Nonvested options at end of period 771,250 $ 0.22 790,000 $ 0.22 |
Warrant [Member] | |
Shareholders' Equity (Tables) [Line Items] | |
Schedule of stock options outstanding | Warrants Outstanding Warrants Exercisable Weighted- Average Weighted- Weighted- Remaining Average Average Exercise Number Contractual Exercise Number Exercise Prices Outstanding Life (years) Price Exercisable Price $ 0.0001 to 0.09 14,789,573 2.8 $ 0.07 14,789,573 $ 0.07 $ 0.10 to 0.24 9,474,380 2.5 $ 0.17 9,474,380 $ 0.17 $ 0.25 to 0.49 31,486,448 3.1 $ 0.31 31,486,448 $ 0.31 $ 0.50 to 1.05 3,616,591 4.1 $ 0.69 3,616,591 $ 0.69 $ 0.05 to 1.00 59,366,992 3.0 $ 0.25 59,366,992 $ 0.25 |
Contingent Acquisition Consid_2
Contingent Acquisition Consideration (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Loss Contingency [Abstract] | |
Schedule of fair value of contingent acquisition | March 31, December 31, 2022 2021 Fair value of HCFM contingent acquisition consideration $ 176,263 $ 172,124 Fair value of CHM contingent acquisition consideration 270,152 276,529 Fair value of MOD contingent acquisition consideration 300,953 737,037 Total contingent acquisition consideration 747,368 1,185,690 Less: long term portion (429,611 ) (782,224 ) Contingent acquisition consideration, current portion $ 317,757 $ 403,466 |
Schedule of change in the fair value of contingent acquisition | Three Months Ended 2022 2021 Change in fair value of HCFM contingent acquisition consideration $ (4,139 ) $ (11,308 ) Change in fair value of CHM contingent acquisition consideration 6,376 (33,252 ) Change in fair value of MOD contingent acquisition consideration 436,085 (591,140 ) $ 438,322 $ (635,700 ) |
Schedule of maturities of contingent acquisition | 2022 (April to December) $ 317,756 2023 218,227 2024 211,385 $ 747,368 |
Commitments and Contingencies (
Commitments and Contingencies (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
Schedule of maturities operating lease liabilities | 2022 $ 284,905 2023 285,721 2024 11,877 2025 11,877 2026 11,877 2027 990 Total lease payments 607,247 Less interest (108,043 ) Present value of lease liabilities $ 499,204 |
Segment Reporting (Tables)
Segment Reporting (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Segment Reporting [Abstract] | |
Schedule of segment information | Three Months Ended March 31, 2022 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,375,685 $ — $ — $ — $ 1,375,685 Medicare shared savings revenue — — — — — Subscription, consulting and event revenue — 6,624 77,594 — 84,218 Product revenue — — — 146,969 146,969 Total revenue 1,375,685 6,624 77,594 146,969 1,606,872 Operating Expenses Practice salaries and benefits 718,073 — — — 718,073 Other practice operating expenses 562,651 — — — 562,651 Medicare shared savings expenses — — 227,729 — 227,729 Cost of product revenue — — — 160,811 160,811 Selling, general and administrative expenses — 1,264,876 — 70,264 1,335,140 Depreciation and amortization 25,518 1,472 — 176,900 203,890 Total Operating Expenses 1,306,242 1,266,348 227,729 407,975 3,208,294 Income (loss) from operations $ 69,443 $ (1,259,724 ) $ (150,135 ) $ (261,006 ) $ (1,601,422 ) Other Segment Information Interest expense (income) $ 2,812 $ 2,211 $ — $ — $ 5,023 Change in fair value of contingent acquisition consideration $ — $ (438,322 ) $ — $ — $ (438,322 ) March 31, 2022 Identifiable assets $ 2,056,661 $ 2,208,771 $ 1,115,871 $ 2,542,446 $ 7,923,749 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 December 31, 2021 Identifiable assets $ 2,152,533 $ 3,450,332 $ 1,167,965 $ 2,775,621 $ 9,546,451 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 Three Months Ended March 31, 2021 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,514,376 $ — $ — $ — $ 1,514,376 Consulting and event revenue — 11,113 76,542 — 87,655 Product revenue — — — 182,663 182,663 Total revenue 1,514,376 11,113 76,542 182,663 1,784,694 Operating Expenses Practice salaries and benefits 663,937 — — — 663,937 Other practice operating expenses 730,784 — — — 730,784 Medicare shared savings expenses — — 211,507 — 211,507 Cost of product revenue — — — 168,596 168,596 Selling, general and administrative expenses — 1,305,320 — 60,817 1,366,137 Depreciation and amortization 28,323 595 0 182,740 211,658 Total Operating Expenses 1,423,044 1,305,915 211,507 412,153 3,352,619 Income (loss) from operations $ 91,332 $ (1,294,802 ) $ (134,965 ) $ (229,490 ) $ (1,567,925 ) Other Segment Information Interest expense $ 4,197 $ 6,282 $ — $ 109 $ 10,588 Loss on extinguishment of debt $ — $ 5,589,994 $ — $ — $ 5,589,994 Change in fair value of debt $ — $ 19,246 $ — $ — $ 19,246 Change in fair value of contingent acquisition consideration $ — $ 635,700 $ — $ — $ 635,700 March 31, 2021 Identifiable assets $ 2,411,744 $ 3,043,929 $ 1,128,491 $ 3,287,628 $ 9,871,792 Goodwill $ — $ — $ 381,856 $ 766,249 $ 1,148,105 |
Fair Value of Financial Instr_2
Fair Value of Financial Instruments (Tables) | 3 Months Ended |
Mar. 31, 2022 | |
Fair Value Disclosures [Abstract] | |
Schedule of fair value measurements | As of March 31, 2022 As of December 31, 2021 Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total Liability-classified equity instruments $ — $ — $ 136,875 $ 136,875 $ — $ — $ 162,500 $ 162,500 Contingent acquisition consideration — — 747,368 747,368 — — 1,185,690 1,185,690 Total $ — $ — $ 884,243 $ 884,243 $ — $ — $ 1,348,190 $ 1,348,190 |
Schedule of level 3 financial instruments measured at fair value on recurring basis | Three Months Ended 2022 2021 Convertible notes payable $ — $ (19,246 ) Contingent acquisition consideration 438,322 (635,700 ) Total $ 438,322 $ (654,946 ) |
Business and Business Present_2
Business and Business Presentation (Details) - shares | Feb. 05, 2018 | Sep. 02, 2014 |
Accounting Policies [Abstract] | ||
Number of authorized shares | 250,000,000 | |
Shares of common stock | 230,000,000 | |
Shares of preferred stock | 20,000,000 | |
Increase authorized shares of common stock | 500,000,000 |
Significant Accounting Polici_2
Significant Accounting Policies (Details) - USD ($) | 3 Months Ended | 12 Months Ended |
Mar. 31, 2022 | Dec. 31, 2021 | |
Significant Accounting Policies (Details) [Line Items] | ||
Contract liabilities | $ 33,348 | $ 72,838 |
Product return allowance | 9,526 | 14,834 |
FDIC insurance amount | 250,000 | |
Insured excess | $ 1,666,580 | 2,957,040 |
Percentage of customers accounts receivable billings | 48.00% | |
Accounts receivable net | $ 174,493 | 193,363 |
Net patient services accounts receivable | 76,890 | 86,287 |
Allowance of doubtful accounts | $ 13,972 | $ 13,972 |
Concentration risk percentage | 10.00% | |
Warrant [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Anti-dilutive securities (in Shares) | 59,366,992 | 59,796,992 |
Unissued [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Anti-dilutive securities (in Shares) | 232,036 | 302,050 |
Common Stock Issuable [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Anti-dilutive securities (in Shares) | 13,750,000 | 13,750,000 |
Minimum [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Estimated useful lives | 5 years | |
Maximum [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Estimated useful lives | 7 years | |
BTG patient service revenue [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Contract liabilities | $ 22,461 | $ 42,530 |
Consulting revenue [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Contract liabilities | $ 25,000 | |
Stock Options [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Anti-dilutive securities (in Shares) | 3,306,250 | 3,456,250 |
Product revenue [Member] | ||
Significant Accounting Policies (Details) [Line Items] | ||
Contract liabilities | $ 10,887 | $ 5,308 |
Liquidity and Going Concern A_2
Liquidity and Going Concern Analysis (Details) - USD ($) | 1 Months Ended | 3 Months Ended | |||
Aug. 31, 2021 | Apr. 20, 2021 | Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 | |
Liquidity and Going Concern Analysis (Details) [Line Items] | |||||
Cash | $ 1,926,714 | $ 3,291,646 | |||
Working capital deficit | 503,527 | ||||
Accumulated deficit | (33,373,312) | $ (32,205,189) | |||
Net loss | 1,168,123 | ||||
Net cash used by operating activities | (1,342,918) | $ (1,216,959) | |||
Exercise price (in Dollars per share) | $ 0.65 | ||||
Offering price (in Dollars per share) | $ 0.54 | ||||
Gross proceeds | $ 2,000,000 | ||||
Sale of additional common stock | $ 48,000,000 | ||||
Common Stock [Member] | |||||
Liquidity and Going Concern Analysis (Details) [Line Items] | |||||
Resale of common stock | $ 50,000,000 | ||||
Sales of common stock (in Shares) | 3,703,704 | ||||
Five-Year Warrants [Member] | |||||
Liquidity and Going Concern Analysis (Details) [Line Items] | |||||
Sales of common stock (in Shares) | 1,851,852 |
Prepaid Expenses and Other (Det
Prepaid Expenses and Other (Details) - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Prepaid Expenses And Other Current Assets [Abstract] | ||
Equity compensation | $ 165,000 | |
Amortization | $ 9,063 | $ 0 |
Prepaid Expenses and Other (D_2
Prepaid Expenses and Other (Details) - Schedule of prepaid and other expenses - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Schedule of prepaid and other expenses [Abstract] | ||
Insurance prepayments | $ 17,733 | $ 25,020 |
Other expense prepayments | 31,837 | 50,860 |
Rent deposits | 49,125 | 49,125 |
Deferred equity compensation | 117,188 | 151,250 |
Total prepaid expenses and other | 215,883 | 276,255 |
Less: long term portion | (130,188) | (138,625) |
Prepaid expenses and other, current portion | $ 85,695 | $ 137,630 |
Property, Plant, and Equipmen_2
Property, Plant, and Equipment (Details) - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Property, Plant and Equipment [Member] | ||
Property, Plant, and Equipment (Details) [Line Items] | ||
Depreciation expense | $ 24,969 | $ 26,896 |
Property, Plant, and Equipmen_3
Property, Plant, and Equipment (Details) - Schedule of property, plant and equipment - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Property, Plant and Equipment [Line Items] | ||
Total property, plant and equipment | $ 656,008 | $ 633,994 |
Less: accumulated depreciation | (308,480) | (283,512) |
Property, plant and equipment, net | 347,528 | 350,482 |
Medical equipment [Member] | ||
Property, Plant and Equipment [Line Items] | ||
Total property, plant and equipment | 493,854 | 484,126 |
Furniture, office equipment and leasehold improvements [Member] | ||
Property, Plant and Equipment [Line Items] | ||
Total property, plant and equipment | $ 162,154 | $ 149,868 |
Intangible Assets and Goodwil_2
Intangible Assets and Goodwill (Details) - USD ($) | 3 Months Ended | 12 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |||
Estimated useful life | 5 years | ||
Goodwill amount | $ 1,148,105 | $ 1,148,105 | |
Amortization expense | $ 178,921 | $ 184,762 |
Intangible Assets and Goodwil_3
Intangible Assets and Goodwill (Details) - Schedule of intangible assets - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Finite-Lived Intangible Assets [Line Items] | ||
Total intangible assets | $ 5,753,538 | $ 5,753,538 |
Less: accumulated amortization | (1,052,338) | (873,417) |
Intangible assets, net | 4,701,200 | 4,880,121 |
NCFM: Medical database [Member] | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total intangible assets | 1,101,538 | 1,101,538 |
NCFM: Website [Member] | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total intangible assets | 41,000 | 41,000 |
CHM: ACO physician contracts [Member] | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total intangible assets | 1,073,000 | 1,073,000 |
MOD: Website [Member] | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total intangible assets | $ 3,538,000 | $ 3,538,000 |
Leases (Details)
Leases (Details) - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Leases [Abstract] | ||
Operating leases, description | The Company has separate operating leases for office space related to its NWC, NCFM and BTG practices, two separate leases relating to its corporate headquarters, and a copier lease that expire in July 2023, May 2022, March 2023, November 2023, November 2023 and January 2027, respectively. | |
Finance leases, description | the Company’s weighted-average remaining lease term relating to its operating leases was 1.9 years, with a weighted-average discount rate of 18.39%. | |
Lease expense | $ 101,394 | $ 65,511 |
Leases (Details) - Schedule of
Leases (Details) - Schedule of lease-related assets and liabilities - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Schedule of lease-related assets and liabilities [Abstract] | ||
Lease assets | $ 499,144 | $ 526,730 |
Lease liabilities | ||
Lease liabilities (short term) | 294,442 | 288,966 |
Lease liabilities (long term) | 204,762 | 239,225 |
Total lease liabilities | $ 499,204 | $ 528,191 |
Leases (Details) - Schedule o_2
Leases (Details) - Schedule of maturities of operating lease liabilities - Operating Leases [Member] | Mar. 31, 2022USD ($) |
Leases (Details) - Schedule of maturities of operating lease liabilities [Line Items] | |
2022 (April to December) | $ 284,905 |
2023 | 285,721 |
2024 | 11,877 |
2025 | 11,877 |
2026 | 11,877 |
2027 | 990 |
Total lease payments | 607,247 |
Less interest | (108,043) |
Present value of lease liabilities | $ 499,204 |
Accounts Payable and Accrued _3
Accounts Payable and Accrued Expenses (Details) - Schedule of accounts payable and accrued expenses - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Schedule of accounts payable and accrued expenses [Abstract] | ||
Trade accounts payable | $ 356,832 | $ 306,220 |
Accrued payroll liabilities | 66,282 | 172,500 |
Accrued operating expenses | 286,345 | 265,411 |
Accrued interest | 50,931 | 46,712 |
Total | $ 760,390 | $ 790,843 |
Contract Liabilities (Details)
Contract Liabilities (Details) - Schedule of amounts related to contract liabilities - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Contract Liabilities (Details) - Schedule of amounts related to contract liabilities [Line Items] | ||
Contract liabilities | $ 33,348 | $ 72,838 |
Patient services paid but not provided [Member] | ||
Contract Liabilities (Details) - Schedule of amounts related to contract liabilities [Line Items] | ||
Contract liabilities | 22,461 | 42,530 |
Consulting services paid but not provided [Member] | ||
Contract Liabilities (Details) - Schedule of amounts related to contract liabilities [Line Items] | ||
Contract liabilities | 25,000 | |
Unshipped products [Member] | ||
Contract Liabilities (Details) - Schedule of amounts related to contract liabilities [Line Items] | ||
Contract liabilities | $ 10,887 | $ 5,308 |
Amounts Due to Related Party _2
Amounts Due to Related Party and Related Party Transactions (Details) - USD ($) | 3 Months Ended | ||
Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 | |
Related Party Transactions [Abstract] | |||
Deferred compensation | $ 300,600 | $ 300,600 | |
consulting fees | $ 22,308 | $ 33,462 |
Government and Vendor Notes P_2
Government and Vendor Notes Payable (Details) - USD ($) | 3 Months Ended | 12 Months Ended | ||||||||
Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2021 | May 31, 2021 | Aug. 31, 2020 | Jul. 31, 2020 | Jun. 30, 2020 | May 31, 2020 | Apr. 03, 2020 | |
Government and Vendor Notes Payable (Details) [Line Items] | ||||||||||
Maturity term | 30 years | |||||||||
Principal balance | $ 51,109 | |||||||||
Subsidiaries [Member] | ||||||||||
Government and Vendor Notes Payable (Details) [Line Items] | ||||||||||
Disaster relief loan | $ 450,000 | $ 450,000 | $ 450,000 | |||||||
Loans interest rate | 3.75% | |||||||||
MOD’s [Member] | ||||||||||
Government and Vendor Notes Payable (Details) [Line Items] | ||||||||||
Principal balance | $ 79,002 | |||||||||
PPP Loans [Member] | ||||||||||
Government and Vendor Notes Payable (Details) [Line Items] | ||||||||||
Loans face amount | $ 621,069 | $ 621,069 | $ 11,757 | |||||||
Maturity date, description | The loans bore interest at 1% per annum and were scheduled to mature in May and June 2022. | |||||||||
Principal amount | $ 632,826 | |||||||||
Accrued Interest | $ 6,503 | |||||||||
Accrued on government and vendor notes payable | $ 28,942 | $ 24,723 | ||||||||
Interest expense | $ 4,219 | $ 7,605 |
Convertible Notes Payable (Deta
Convertible Notes Payable (Details) - USD ($) | Jan. 14, 2021 | Jan. 06, 2021 | Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 |
Convertible Notes Payable (Details) [Line Items] | |||||
Recognized a loss on debt | $ 5,463,492 | ||||
Changes in fair value | $ 0 | $ 19,246 | |||
Interest expenses on convertible notes outstanding | $ 0 | $ 4,372 | |||
Extension and Conversion – January 2021 [Member] | |||||
Convertible Notes Payable (Details) [Line Items] | |||||
Debt instrument description | On January 14, 2021, the Company and the holder of the Remaining Notes entered into a series of agreements pursuant to which (i) the holder agreed to convert the full face value of $1,038,500 and $317,096 of accrued interest on the Remaining Notes into 13,538,494 shares of common stock pursuant to the original conversion terms of the underlying notes, (ii) the holder agreed to a 180-day leak out provision, whereby, from and after January 14, 2021, it may not sell in shares of the Company’s common stock in excess of 5% of the Company’s daily trading volume for the first 90 days and 10% of the Company’s daily volume for the next 90 days, subject to certain exceptions, (iii) the holder agreed to release all security interests and share reserves related to the Remaining Notes, and (iv) the Company issued to the holder a new five-year warrant to purchase 13,538,494 shares of common stock at an exercise price of $0.30 per share. | the holder of the Company’s four remaining fixed rate convertible promissory notes with a face value of $1,038,500 – comprised of a $550,000 6% fixed convertible secured promissory note dated July 7, 2016 (the “$550k Note”), a $50,000 10% fixed convertible commitment fee promissory note dated July 7, 2016 (the “$50k Note”), $81,000 of principal remaining on a $111,000 10% fixed convertible secured promissory note dated May 22, 2017 (the “$111k Note”), and a $357,500 10% fixed convertible note dated April 15, 2019 (the “$357.5k Note” and together with the $550k Note, the $50k Note and the $111k Note, the “Remaining Notes”) – agreed to extend the maturity date on the Remaining Notes to January 14, 2021. In exchange for the extension, the Company agreed to extend the expiration date of 3,508,333 existing warrants held by the holder (the “Extended Warrants”) from dates between July 2021 and March 2022 until March 2023. Because the fair value of consideration issued was greater than 10% of the present value of the remaining cash flows under the modified Remaining Notes, the transaction was treated as a debt extinguishment and reissuance of new debt instruments pursuant to the guidance of ASC 470-50. A loss on debt extinguishment was recorded in the amount of $126,502 in the year ended December 31, 2021, equal to the incremental fair value of the Extended Warrants before and after the modification. |
Shareholders' Equity (Details)
Shareholders' Equity (Details) - USD ($) | 3 Months Ended | 12 Months Ended | ||||
Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 | Sep. 09, 2021 | Aug. 31, 2021 | Jan. 01, 2016 | |
Shareholders' Equity (Details) [Line Items] | ||||||
Exercise price (in Dollars per share) | $ 0.65 | |||||
Issued common stock to consultant (in Shares) | 5,250 | 475,000 | ||||
Issuance of common stock (in Shares) | 20,000,000 | |||||
Total unrecognized compensation cost | $ 33,618 | |||||
Weighted-average period | 2 months 12 days | |||||
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Exercisable, Aggregate Intrinsic Value | $ 15,138 | $ 10,810 | ||||
Stock options exercised (in Shares) | 12,500 | 12,500 | ||||
Exercise amount | $ 3,150 | |||||
Exercise price (in Dollars per share) | $ 0.252 | |||||
Equity compensation | $ 165,000 | |||||
Liability-classified equity instruments | $ 25,000 | |||||
Deferred stock compensation assets | $ 9,063 | $ 0 | ||||
Warrant [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Issued warrants (in Shares) | 0 | 19,585,790 | ||||
Aggregate grant fair value | $ 0 | $ 4,496,555 | ||||
Issued common shares upon exercise (in Shares) | 62,500 | |||||
Warrants shares exercised (in Shares) | 625,000 | |||||
Exercise price (in Dollars per share) | $ 0.1 | |||||
Cashless exercise (in Shares) | 9,047,332 | |||||
Warrant shares exercised (in Shares) | 10,571,742 | |||||
Litigation and other disputes amounts | $ 614,221 | |||||
Three Separate Private Placement [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Sales of stock, shares (in Shares) | 11,787,766 | |||||
Proceeds from sale | $ 3,488,725 | |||||
Three Separate Private Placement [Member] | Five-year warrants [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Warrants to purchase shares of common stock (in Shares) | 5,893,889 | |||||
Private Placement [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Exercise price (in Dollars per share) | $ 1.05 | |||||
Private Placement [Member] | Five-year warrants [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Exercise price (in Dollars per share) | $ 0.27 | |||||
Common Stock [Member] | Employee Equity Incentives Plans [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Common shares, issued (in Shares) | 15,503,680 | |||||
Common Stock [Member] | Investment Agreement [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Common shares, issued (in Shares) | 3,006,098 | |||||
Net proceeds | $ 900,636 | |||||
Employee Equity Incentives Plans [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Total unrecognized compensation cost | $ 108,313 | |||||
Weighted-average period | 2 years 4 months 24 days | |||||
Stock based compensation recognized for grants | $ 2,627 | 46,746 | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Exercisable, Aggregate Intrinsic Value | $ 388 | 9,725 | ||||
Shares issued (in Shares) | 1,394 | |||||
Stock options exercised (in Shares) | 12,500 | |||||
Employee Stock Option [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Stock based compensation recognized for grants | $ 0.19 | 0.11 | ||||
Consultant [Member] | ||||||
Shareholders' Equity (Details) [Line Items] | ||||||
Recognized expenses | $ 8,044 | $ 122,829 |
Shareholders' Equity (Details)
Shareholders' Equity (Details) - Schedule of common stock issuable - Shares issuable to consultants, employees and directors [Member] - USD ($) | Mar. 31, 2022 | Dec. 31, 2020 |
Shareholders' Equity (Details) - Schedule of common stock issuable [Line Items] | ||
Common stock issuable, amount | $ 318,040 | $ 282,347 |
Common stock issuable, shares | 938,191 | 719,366 |
Shareholders' Equity (Details_2
Shareholders' Equity (Details) - Schedule of stock warrants - Warrant [Member] - $ / shares | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Shareholders' Equity (Details) - Schedule of stock warrants [Line Items] | ||
Outstanding at beginning of the period (in Shares) | 59,796,992 | 51,352,986 |
Weighted Average Exercise Price, Outstanding at beginning of the period | $ 0.25 | $ 0.14 |
Granted during the period (in Shares) | 19,585,790 | |
Weighted Average Exercise Price, Granted during the period | 0 | $ 0.34 |
Exercised during the period (in Shares) | (11,196,742) | |
Weighted Average Exercise Price, Exercised during the period | $ 0 | $ (0.06) |
Expired during the period (in Shares) | (430,000) | |
Weighted Average Exercise Price, expired during the period | $ (0.44) | |
Outstanding at end of the period (in Shares) | 59,366,992 | 59,742,034 |
Weighted Average Exercise Price, Outstanding at end of the period | $ 0.25 | $ 0.22 |
Exercisable at end of the period (in Shares) | 59,366,992 | 59,742,034 |
Weighted Average Exercise Price, Exercisable at end of the period | $ 0.25 | $ 0.22 |
Weighted average remaining life | 3 years | 3 years 8 months 12 days |
Shareholders' Equity (Details_3
Shareholders' Equity (Details) - Schedule of stock options outstanding - Warrant [Member] | 3 Months Ended |
Mar. 31, 2022$ / sharesshares | |
Exercise Prices One [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding Number Outstanding (in Shares) | shares | 14,789,573 |
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) | 2 years 9 months 18 days |
Warrants Outstanding Weighted-Average Exercise Price | $ 0.07 |
Warrants Exercisable Number Exercisable (in Shares) | shares | 14,789,573 |
Warrants Exercisable Weighted-Average Exercise Price | $ 0.07 |
Exercise Prices One [Member] | Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | 0.0001 |
Exercise Prices One [Member] | Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | $ 0.09 |
Exercise Prices Two [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding Number Outstanding (in Shares) | shares | 9,474,380 |
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) | 2 years 6 months |
Warrants Outstanding Weighted-Average Exercise Price | $ 0.17 |
Warrants Exercisable Number Exercisable (in Shares) | shares | 9,474,380 |
Warrants Exercisable Weighted-Average Exercise Price | $ 0.17 |
Exercise Prices Two [Member] | Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | 0.1 |
Exercise Prices Two [Member] | Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | $ 0.24 |
Exercise Prices Three [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding Number Outstanding (in Shares) | shares | 31,486,448 |
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) | 3 years 1 month 6 days |
Warrants Outstanding Weighted-Average Exercise Price | $ 0.31 |
Warrants Exercisable Number Exercisable (in Shares) | shares | 31,486,448 |
Warrants Exercisable Weighted-Average Exercise Price | $ 0.31 |
Exercise Prices Three [Member] | Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | 0.25 |
Exercise Prices Three [Member] | Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | $ 0.49 |
Exercise Prices Four [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding Number Outstanding (in Shares) | shares | 3,616,591 |
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) | 4 years 1 month 6 days |
Warrants Outstanding Weighted-Average Exercise Price | $ 0.69 |
Warrants Exercisable Number Exercisable (in Shares) | shares | 3,616,591 |
Warrants Exercisable Weighted-Average Exercise Price | $ 0.69 |
Exercise Prices Four [Member] | Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | 0.5 |
Exercise Prices Four [Member] | Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | $ 1.05 |
Exercise Prices Five [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding Number Outstanding (in Shares) | shares | 59,366,992 |
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) | 3 years |
Warrants Outstanding Weighted-Average Exercise Price | $ 0.25 |
Warrants Exercisable Number Exercisable (in Shares) | shares | 59,366,992 |
Warrants Exercisable Weighted-Average Exercise Price | $ 0.25 |
Exercise Prices Five [Member] | Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | 0.05 |
Exercise Prices Five [Member] | Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of stock options outstanding [Line Items] | |
Warrants Outstanding, Exercise Prices | $ 1 |
Shareholders' Equity (Details_4
Shareholders' Equity (Details) - Schedule of fair value of the warrant - Warrant [Member] | 3 Months Ended |
Mar. 31, 2021 | |
Shareholders' Equity (Details) - Schedule of fair value of the warrant [Line Items] | |
Pricing model utilized | Binomial Lattice |
Dividend yield | 0.00% |
Minimum [Member] | |
Shareholders' Equity (Details) - Schedule of fair value of the warrant [Line Items] | |
Risk free rate range | 0.38% |
Expected life range (in years) | 3 years |
Volatility range | 170.58% |
Maximum [Member] | |
Shareholders' Equity (Details) - Schedule of fair value of the warrant [Line Items] | |
Risk free rate range | 0.86% |
Expected life range (in years) | 5 years |
Volatility range | 193.21% |
Shareholders' Equity (Details_5
Shareholders' Equity (Details) - Schedule of shares issued and outstanding under the EIP outstanding - Employee Equity Incentives Plans [Member] - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Class of Warrant or Right [Line Items] | ||
Total cost of share-based payment plans during the period | $ 100,422 | $ 307,160 |
Amounts capitalized in deferred equity compensation during period | ||
Amounts charged against income for amounts previously capitalized | 8,438 | |
Amounts charged against income, before income tax benefit | 108,860 | 307,160 |
Amount of related income tax benefit recognized in income |
Shareholders' Equity (Details_6
Shareholders' Equity (Details) - Schedule of stock options outstanding - $ / shares | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Schedule of stock options outstanding [Abstract] | ||
Outstanding at beginning of the period | 3,456,250 | 3,111,750 |
Weighted Average Exercise Price, Outstanding at beginning of the period | $ 0.23 | $ 0.2 |
Granted during the period | ||
Weighted Average Exercise Price, Granted during the period | ||
Exercised during the period | (12,500) | (12,500) |
Weighted Average Exercise Price, Exercised during the period | $ (0.26) | $ (0.25) |
Forfeited during the period | (137,500) | (32,500) |
Weighted Average Exercise Price, Forfeited during the period | $ (0.35) | $ (0.16) |
Outstanding at end of the period | 3,306,250 | 3,066,750 |
Weighted Average Exercise Price, Outstanding at end of the period | $ 0.22 | $ 0.2 |
Options exercisable at period-end | 2,535,000 | 2,276,750 |
Weighted Average Exercise Price, Options exercisable at period-end | $ 0.2 | $ 0.17 |
Shareholders' Equity (Details_7
Shareholders' Equity (Details) - Schedule of non-vested shares issued - $ / shares | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Schedule of non-vested shares issued [Abstract] | ||
Nonvested at beginning of period | 858,750 | 1,044,375 |
Weighted Average Grant Date Fair Value, Nonvested at beginning of period | $ 0.23 | $ 0.21 |
Granted | ||
Weighted Average Grant Date Fair Value, Granted | ||
Vested | (12,500) | (225,000) |
Weighted Average Grant Date Fair Value, Vested | $ (0.21) | $ (0.21) |
Forfeited | (75,000) | (29,375) |
Weighted Average Grant Date Fair Value, Forfeited | $ (0.32) | $ (0.12) |
Nonvested at end of period | 771,250 | 790,000 |
Weighted Average Grant Date Fair Value, Nonvested at end of period | $ 0.22 | $ 0.22 |
Shareholders' Equity (Details_8
Shareholders' Equity (Details) - Schedule of nonvested shares issued - $ / shares | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Schedule of nonvested shares issued [Abstract] | ||
Nonvested at beginning of period Shares | 302,050 | 200,000 |
Nonvested at beginning of period Weighted average grant date fair value | $ 0.07 | $ 0.17 |
Granted Shares | 157,454 | 87,500 |
Granted Weighted average grant date fair value | $ 0.19 | $ 0.11 |
Vested Shares | (122,514) | (87,500) |
Vested Weighted average grant date fair value | $ (0.12) | $ (0.12) |
Forfeited Shares | (104,954) | |
Forfeited Weighted average grant date fair value | $ (0.19) | |
Nonvested at end of period Shares | 232,036 | 200,000 |
Nonvested at end of period Weighted average grant date fair value | $ 0.07 | $ 0.17 |
Contingent Acquisition Consid_3
Contingent Acquisition Consideration (Details) - USD ($) | Apr. 12, 2019 | May 31, 2021 | Oct. 19, 2020 | May 31, 2020 | May 18, 2020 | May 18, 2021 |
Hughes Center for Functional Medicine Acquisition [Member] | ||||||
Contingent Acquisition Consideration (Details) [Line Items] | ||||||
Acquired interest | 100.00% | |||||
Cash paid | $ 500,000 | |||||
Earn-out amount | 500,000 | |||||
Fair value transaction | $ 1,764,672 | |||||
Paid to sellers | $ 196,000 | $ 47,000 | ||||
Hughes Center for Functional Medicine Acquisition [Member] | Common Stock [Member] | ||||||
Contingent Acquisition Consideration (Details) [Line Items] | ||||||
Share issued (in Shares) | 3,968,254 | |||||
Cura Health Management LLC Acquisition [Member] | ||||||
Contingent Acquisition Consideration (Details) [Line Items] | ||||||
Acquired interest | 100.00% | |||||
Earn-out amount | $ 366,300 | $ 62,500 | ||||
Paid to sellers | $ 124,043 | |||||
Terms of acquisition, description | Under the terms of acquisition, the Company paid CHM shareholders the following consideration: (i) $214,000 in cash paid at closing, (ii) 2,240,838 shares of the Company’s common stock issued at closing, (iii) up to $223,500 additional cash and $660,000 in additional shares of the Company’s common stock payable at the time CHM receives the final assessment of the calculation of MSSP savings for the 2019 program year, with this amount prorated based on a target MSSP payment (plus other ancillary revenue) of $1,725,000, and (iv) up to $437,500 based on the business achieving annual revenue of $2,250,000 and annual profit of $500,000 in each of the four years following closing. | |||||
Terms of earn out, description | the Company to pay the former owners of CHM (i) up to $223,500 additional cash and to $660,000 of additional shares of Company common stock when CHM receives the final assessment of the calculation of 2019 plan year MSSP revenue (the “Current Earnout”), and (ii) up to $62,500, $125,000, $125,000 and $125,000 on the first, second, third and fourth anniversary, respectively, based on achievement by the underlying business of revenue of at least $2,250,000 (50% weighting) and profit of at least $500,000 (50% weighting) in the year preceding each anniversary date (the “Future Earnout”). During September 2020, pursuant to a Second Amendment to the Agreement and Plan of Merger (the “Second Amendment”) and in satisfaction of the Current Earnout, the Company paid $90,389 cash, issued 1,835,625 shares of the Company’s common stock and agreed that the balance of the Current Earnout that was not earned in 2020, being $124,043 cash and $366,300 in shares of Company common stock, would be deferred until the first future earnout year in which MSSP revenue exceeds $1.725 million and revenue from other services exceeds $605,000 (the “Residual Earnout”). During September 2021, the Company was notified of the amount of Medicare shared savings and received payment for plan year 2020 in the amount of $2,419,312. | |||||
Saving payment exceeded | $ 1,725,000 | |||||
Cura Health Management LLC Acquisition [Member] | Common Stock [Member] | ||||||
Contingent Acquisition Consideration (Details) [Line Items] | ||||||
Share issued (in Shares) | 806,828 | |||||
MedOffice Direct LLC Acquisition [Member] | ||||||
Contingent Acquisition Consideration (Details) [Line Items] | ||||||
Acquired interest | 100.00% | |||||
Terms of acquisition, description | the Company paid the following consideration: (i) 19,045,563 shares of Company common stock issued at closing, (ii) partial satisfaction of certain outstanding debt obligations of MOD in the amount of $703,200 in cash paid by the Company, and (iii) up to 10,004,749 restricted shares of the Company’s common stock over a four-year period based on MOD achieving revenue targets in calendar years 2021 through 2024 of $1,500,000, $1,875,000, $2,344,000, and $2,930,000, respectively. |
Contingent Acquisition Consid_4
Contingent Acquisition Consideration (Details) - Schedule of fair value of contingent acquisition - USD ($) | Mar. 31, 2022 | Dec. 31, 2021 |
Contingent Acquisition Consideration (Details) - Schedule of fair value of contingent acquisition [Line Items] | ||
Total contingent acquisition consideration | $ 747,368 | $ 1,185,690 |
Less: long term portion | (429,611) | (782,224) |
Contingent acquisition consideration, current portion | 317,757 | 403,466 |
Fair Value of HCFM Contingent Acquisition Consideration [Member] | ||
Contingent Acquisition Consideration (Details) - Schedule of fair value of contingent acquisition [Line Items] | ||
Total contingent acquisition consideration | 176,263 | 172,124 |
Fair Value of CHM Contingent Acquisition Consideration [Member] | ||
Contingent Acquisition Consideration (Details) - Schedule of fair value of contingent acquisition [Line Items] | ||
Total contingent acquisition consideration | 270,152 | 276,529 |
Fair Value of MOD Contingent Acquisition Consideration [Member] | ||
Contingent Acquisition Consideration (Details) - Schedule of fair value of contingent acquisition [Line Items] | ||
Total contingent acquisition consideration | $ 300,953 | $ 737,037 |
Contingent Acquisition Consid_5
Contingent Acquisition Consideration (Details) - Schedule of change in the fair value of contingent acquisition - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Business Acquisition, Contingent Consideration [Line Items] | ||
Total change in fair value of contingent acquisition consideration | $ 438,322 | $ (635,700) |
Change in Fair Value of HCFM Contingent Acquisition Consideration [Member] | ||
Business Acquisition, Contingent Consideration [Line Items] | ||
Total change in fair value of contingent acquisition consideration | (4,139) | (11,308) |
Change in Fair Value of CHM Contingent Acquisition Consideration [Member] | ||
Business Acquisition, Contingent Consideration [Line Items] | ||
Total change in fair value of contingent acquisition consideration | 6,376 | (33,252) |
Change in Fair Value of MOD Contingent Acquisition Consideration [Member] | ||
Business Acquisition, Contingent Consideration [Line Items] | ||
Total change in fair value of contingent acquisition consideration | $ 436,085 | $ (591,140) |
Contingent Acquisition Consid_6
Contingent Acquisition Consideration (Details) - Schedule of maturities of contingent acquisition | 3 Months Ended |
Mar. 31, 2022USD ($) | |
Schedule of maturities of contingent acquisition [Abstract] | |
2022 (April to December) | $ 317,756 |
2023 | 218,227 |
2024 | 211,385 |
Total | $ 747,368 |
Commitments and Contingencies_2
Commitments and Contingencies (Details) | Jul. 01, 2018 | May 18, 2020 | Mar. 31, 2022 |
Commitments and Contingencies Disclosure [Abstract] | |||
Cash payment, description | On July 1, 2018, the Company entered into an agreement with Mr. George O’Leary, the Company’s Chief Financial Officer and a member of the Board of Directors. | ||
Description of agreement | The agreement expires on June 30, 2022. In addition to a base salary, the agreement provided Mr. O’Leary with certain performance-based cash bonuses, stock grants, and stock option grants. | ||
Description of commitment | On May 18, 2020, the Company entered into separate 4-year consulting services agreements with each of the two principals of the ACO/MSO business acquired in May 2020 that call for each person to earn fixed annual consulting fees and a share of Medicare shared savings revenue, consulting revenue and overall profits generated by the underlying business. |
Commitments and Contingencies_3
Commitments and Contingencies (Details) - Schedule of maturities operating lease liabilities - Operating Leases [Member] | Mar. 31, 2022USD ($) |
Commitments and Contingencies (Details) - Schedule of maturities operating lease liabilities [Line Items] | |
2022 | $ 284,905 |
2023 | 285,721 |
2024 | 11,877 |
2025 | 11,877 |
2026 | 11,877 |
2027 | 990 |
Total lease payments | 607,247 |
Less interest | (108,043) |
Present value of lease liabilities | $ 499,204 |
Segment Reporting (Details)
Segment Reporting (Details) | 3 Months Ended | |
Mar. 31, 2022USD ($) | Mar. 31, 2021USD ($) | |
Segment Reporting (Details) [Line Items] | ||
Number of reportable segments | 4 | |
Subscription revenue billed and paid | $ 280 | $ 180 |
Medical Distribution Segment [Member] | ||
Segment Reporting (Details) [Line Items] | ||
Subscription revenue billed and paid | $ 13,533 | $ 0 |
Segment Reporting (Details) - S
Segment Reporting (Details) - Schedule of segment information - USD ($) | 3 Months Ended | ||
Mar. 31, 2022 | Mar. 31, 2021 | Dec. 31, 2021 | |
Health Services [Member] | |||
Revenue | |||
Patient service revenue, net | $ 1,375,685 | $ 1,514,376 | |
Medicare shared savings revenue | |||
Consulting and event revenue | |||
Product revenue | |||
Total revenue | 1,375,685 | 1,514,376 | |
Operating Expenses | |||
Practice salaries and benefits | 718,073 | 663,937 | |
Other practice operating expenses | 562,651 | 730,784 | |
Medicare shared savings expenses | |||
Cost of product revenue | |||
Selling, general and administrative expenses | |||
Depreciation and amortization | 25,518 | 28,323 | |
Total Operating Expenses | 1,306,242 | 1,423,044 | |
Income (loss) from operations | 69,443 | 91,332 | |
Other Segment Information | |||
Interest expense (income) | 2,812 | 4,197 | |
Loss on extinguishment of debt | |||
Change in fair value of debt | |||
Change in fair value of contingent acquisition consideration | |||
Identifiable assets | 2,056,661 | 2,411,744 | $ 2,152,533 |
Goodwill | |||
Digital Healthcare [Member] | |||
Revenue | |||
Patient service revenue, net | |||
Medicare shared savings revenue | |||
Consulting and event revenue | 6,624 | 11,113 | |
Product revenue | |||
Total revenue | 6,624 | 11,113 | |
Operating Expenses | |||
Practice salaries and benefits | |||
Other practice operating expenses | |||
Medicare shared savings expenses | |||
Cost of product revenue | |||
Selling, general and administrative expenses | 1,264,876 | 1,305,320 | |
Depreciation and amortization | 1,472 | 595 | |
Total Operating Expenses | 1,266,348 | 1,305,915 | |
Income (loss) from operations | (1,259,724) | (1,294,802) | |
Other Segment Information | |||
Interest expense (income) | 2,211 | 6,282 | |
Loss on extinguishment of debt | 5,589,994 | ||
Change in fair value of debt | 19,246 | ||
Change in fair value of contingent acquisition consideration | (438,322) | 635,700 | |
Identifiable assets | 2,208,771 | 3,043,929 | 3,450,332 |
Goodwill | |||
ACO / MSO [Member] | |||
Revenue | |||
Patient service revenue, net | |||
Medicare shared savings revenue | |||
Consulting and event revenue | 77,594 | 76,542 | |
Product revenue | |||
Total revenue | 77,594 | 76,542 | |
Operating Expenses | |||
Practice salaries and benefits | |||
Other practice operating expenses | |||
Medicare shared savings expenses | 227,729 | 211,507 | |
Cost of product revenue | |||
Selling, general and administrative expenses | |||
Depreciation and amortization | 0 | ||
Total Operating Expenses | 227,729 | 211,507 | |
Income (loss) from operations | (150,135) | (134,965) | |
Other Segment Information | |||
Interest expense (income) | |||
Loss on extinguishment of debt | |||
Change in fair value of debt | |||
Change in fair value of contingent acquisition consideration | |||
Identifiable assets | 1,115,871 | 1,128,491 | 1,167,965 |
Goodwill | 381,856 | 381,856 | 381,856 |
Medical Distribution [Member] | |||
Revenue | |||
Patient service revenue, net | |||
Medicare shared savings revenue | |||
Consulting and event revenue | |||
Product revenue | 146,969 | 182,663 | |
Total revenue | 146,969 | 182,663 | |
Operating Expenses | |||
Practice salaries and benefits | |||
Other practice operating expenses | |||
Medicare shared savings expenses | |||
Cost of product revenue | 160,811 | 168,596 | |
Selling, general and administrative expenses | 70,264 | 60,817 | |
Depreciation and amortization | 176,900 | 182,740 | |
Total Operating Expenses | 407,975 | 412,153 | |
Income (loss) from operations | (261,006) | (229,490) | |
Other Segment Information | |||
Interest expense (income) | 109 | ||
Loss on extinguishment of debt | |||
Change in fair value of debt | |||
Change in fair value of contingent acquisition consideration | |||
Identifiable assets | 2,542,446 | 3,287,628 | 2,775,621 |
Goodwill | 766,249 | 766,249 | 766,249 |
Total [Member] | |||
Revenue | |||
Patient service revenue, net | 1,375,685 | 1,514,376 | |
Medicare shared savings revenue | |||
Consulting and event revenue | 84,218 | 87,655 | |
Product revenue | 146,969 | 182,663 | |
Total revenue | 1,606,872 | 1,784,694 | |
Operating Expenses | |||
Practice salaries and benefits | 718,073 | 663,937 | |
Other practice operating expenses | 562,651 | 730,784 | |
Medicare shared savings expenses | 227,729 | 211,507 | |
Cost of product revenue | 160,811 | 168,596 | |
Selling, general and administrative expenses | 1,335,140 | 1,366,137 | |
Depreciation and amortization | 203,890 | 211,658 | |
Total Operating Expenses | 3,208,294 | 3,352,619 | |
Income (loss) from operations | (1,601,422) | (1,567,925) | |
Other Segment Information | |||
Interest expense (income) | 5,023 | 10,588 | |
Loss on extinguishment of debt | 5,589,994 | ||
Change in fair value of debt | 19,246 | ||
Change in fair value of contingent acquisition consideration | (438,322) | 635,700 | |
Identifiable assets | 7,923,749 | 9,871,792 | 9,546,451 |
Goodwill | $ 1,148,105 | $ 1,148,105 | $ 1,148,105 |
Fair Value of Financial Instr_3
Fair Value of Financial Instruments (Details) - Schedule of fair value measurements - USD ($) | Mar. 31, 2022 | Mar. 31, 2021 |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | $ 884,243 | $ 1,348,190 |
Fair Value Inputs Level 1 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Fair Value Inputs Level 2 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Fair Value Inputs Level 3 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | 884,243 | 1,348,190 |
Liability-classified equity instruments [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | 136,875 | 162,500 |
Liability-classified equity instruments [Member] | Fair Value Inputs Level 1 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Liability-classified equity instruments [Member] | Fair Value Inputs Level 2 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Liability-classified equity instruments [Member] | Fair Value Inputs Level 3 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | 136,875 | 162,500 |
Contingent acquisition consideration [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | 747,368 | 1,185,690 |
Contingent acquisition consideration [Member] | Fair Value Inputs Level 1 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Contingent acquisition consideration [Member] | Fair Value Inputs Level 2 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | ||
Contingent acquisition consideration [Member] | Fair Value Inputs Level 3 [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total | $ 747,368 | $ 1,185,690 |
Fair Value of Financial Instr_4
Fair Value of Financial Instruments (Details) - Schedule of level 3 financial instruments measured at fair value on recurring basis - USD ($) | 3 Months Ended | |
Mar. 31, 2022 | Mar. 31, 2021 | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||
Total | $ 438,322 | $ (654,946) |
Convertible notes payable [Member] | ||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||
Total | (19,246) | |
Contingent acquisition consideration [Member] | ||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||
Total | $ 438,322 | $ (635,700) |
Subsequent Events (Details)
Subsequent Events (Details) - Subsequent Event [Member] | May 13, 2022USD ($)shares |
Subsequent Events (Details) [Line Items] | |
Cash | $ 325,000 |
Common stock shares (in Shares) | shares | 792,394 |
Assumption of liabilities | $ 75,000 |