SEGMENT REPORTING | NOTE 16 – SEGMENT REPORTING The Company has four reportable segments: Health Services, Digital Healthcare, ACO/MSO and Medical Distribution. The Health Services division is comprised of the operations of (i) NWC, a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology), and General Practice, (ii) 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) 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 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 MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States. The Company evaluates performance and allocates resources based on profit or loss from operations before income taxes. The accounting policies of the reportable segments are the same as those described in the summary of significant accounting policies. Segment information for the three months ended September 30, 2022 was as follows: Three Months Ended September 30, 2022 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,262,253 $ --- $ --- $ --- $ 1,262,253 Subscription, consulting and event revenue --- 1,171 88,806 --- 89,977 Product revenue --- --- --- 95,449 95,449 Total revenue 1,262,253 1,171 88,806 95,449 1,447,679 Operating Expenses Practice salaries and benefits 810,058 --- --- --- 810,058 Other practice operating expenses 695,300 --- --- --- 695,300 Medicare shared savings expenses --- --- 337,533 --- 337,533 Cost of product revenue --- --- --- 87,775 87,775 Selling, general and administrative expenses --- 1,055,178 --- 32,955 1,088,133 Depreciation and amortization 31,198 1,406 --- 176,900 209,504 Total Operating Expenses 1,536,556 1,056,584 337,533 297,630 3,228,303 (Loss) income from operations $ (274,303 ) $ (1,055,413 ) $ (248,727 ) $ (202,181 ) $ (1,780,624 ) Other Segment Information Interest expense (income) $ 2,815 $ 2,825 $ --- $ --- $ 5,640 Financing cost $ 110,000 $ --- $ --- $ --- $ 110,000 Amortization of original issue discounts on notes payable $ 18,480 $ 2,540 $ --- $ --- $ 21,020 Change in fair value of contingent acquisition consideration $ --- $ (133,483 ) $ --- $ --- $ (133,483 ) Segment information for the nine months ended September 30, 2022 was as follows: Nine Months Ended September 30, 2022 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 4,069,714 $ --- $ --- $ --- $ 4,069,714 Subscription, consulting and event revenue --- 9,433 251,058 --- 260,491 Product revenue --- --- --- 372,877 372,877 Total revenue 4,069,714 9,433 251,058 372,877 4,703,082 Operating Expenses Practice salaries and benefits 2,344,529 --- --- --- 2,344,529 Other practice operating expenses 1,897,070 --- --- --- 1,897,070 Medicare shared savings expenses --- --- 802,411 --- 802,411 Cost of product revenue --- --- --- 419,129 419,129 Selling, general and administrative expenses --- 3,529,289 --- 149,495 3,678,784 Depreciation and amortization 87,134 4,472 --- 530,700 622,306 Total Operating Expenses 4,328,733 3,533,761 802,411 1,099,324 9,764,229 Income (loss) from operations $ (259,019 ) $ (3,524,328 ) $ (551,353 ) $ (726,447 ) $ (5,061,147 ) Other Segment Information Interest expense (income) $ 8,420 $ 6,731 $ --- $ --- $ 15,151 Financing cost $ 110,000 $ --- $ --- $ --- $ 110,000 Amortization of original issue discounts on notes payable $ 18,480 $ 2,540 $ --- $ --- $ 21,020 Change in fair value of contingent acquisition consideration $ --- $ (665,573 ) $ --- $ --- $ (665,573 ) September 30, 2022 Identifiable assets $ 2,182,272 $ 507,030 $ 1,132,696 $ 2,188,509 $ 6,010,507 Goodwill $ 319,958 $ --- $ 381,856 $ 766,249 $ 1,468,063 December 31, 2021 Identifiable assets $ 2,152,533 $ 3,450,332 $ 1,167,965 $ 2,775,621 $ 9,546,451 Goodwill $ --- $ --- $ 381,856 $ 766,249 $ 1,148,105 Segment information for the three months ended September 30, 2021 was as follows: Three Months Ended September 30, 2021 Health Services Digital Healthcare ACO / MSO Medical Distribution Total Revenue Patient service revenue, net $ 1,394,356 $ --- $ --- $ --- $ 1,394,356 Medicare shared savings revenue --- --- 2,419,312 --- 2,419,312 Subscription, consulting and event revenue --- --- 69,595 --- 69,595 Product revenue --- --- --- 161,456 161,456 Total revenue 1,394,356 --- 2,488,907 161,456 4,044,719 Operating Expenses Practice salaries and benefits 739,024 --- --- --- 739,024 Other practice operating expenses 549,086 --- --- --- 549,086 Medicare shared savings expenses --- --- 1,748,585 --- 1,748,585 Cost of product revenue --- --- --- 145,432 145,432 Selling, general and administrative expenses --- 1,093,461 --- 54,130 1,147,591 Depreciation and amortization 26,196 2,215 --- 176,900 205,311 Total Operating Expenses 1,314,306 1,095,676 1,748,585 376,462 4,535,029 Loss from operations $ 80,050 $ (1,095,676 ) $ 740,322 $ (215,006 ) $ (490,310 ) Other Segment Information Interest expense (income) $ 2,706 $ 1,412 $ --- $ --- $ 4,118 Change in fair value of contingent acquisition consideration $ --- $ (126,411 ) $ --- $ --- (126,411 ) Segment information for the nine months ended September 30, 2021 was as follows: Nine Months Ended September 30, 2021 Health Digital ACO / Medical Total Revenue Patient service revenue, net $ 4,379,282 $ --- $ --- $ --- $ 4,379,282 Medicare shared savings revenue --- --- 2,419,312 --- 2,419,312 Subscription, consulting and event revenue --- 11,905 217,209 --- 229,114 Product revenue --- --- --- 512,325 512,325 Total revenue 4,379,282 11,905 2,636,521 512,325 7,540,033 Operating Expenses Practice salaries and benefits 2,305,993 --- --- --- 2,305,993 Other practice operating expenses 1,790,874 --- --- --- 1,790,874 Medicare shared savings expenses --- --- 2,157,555 --- 2,157,555 Cost of product revenue --- --- --- 474,026 474,026 Selling, general and administrative expenses --- 3,472,493 --- 188,713 3,661,206 Depreciation and amortization 83,493 3,405 --- 536,540 623,438 Total Operating Expenses 4,180,360 3,475,898 2,157,555 1,199,279 11,013,092 Income (loss) from operations $ 198,922 $ (3,463,993 ) $ 478,966 $ (686,954 ) $ (3,473,059 ) Other Segment Information Interest expense (income) $ 5,145 $ 8,038 $ --- $ (100 ) $ 13,083 (Gain) loss on extinguishment of debt $ (502,959 ) $ 5,471,884 $ --- $ (11,757 ) $ 4,957,168 Change in fair value of debt $ --- $ 19,246 $ --- $ --- $ 19,246 Change in fair value of contingent acquisition consideration $ --- $ 234,678 $ --- $ --- $ 234,678 September 30, 2021 Identifiable assets $ 2,104,819 $ 3,967,850 $ 2,850,949 $ 2,890,389 $ 11,814,007 Goodwill $ --- $ --- $ 381,856 $ 766,249 $ 1,148,105 The Digital Healthcare made intercompany sales of $180 and $400 in the three months ended September 30, 2022 and 2021, respectively, and $640 and $743 in the nine months ended September 30, 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 $3,144 and $-0- in the three months ended September 30, 2022 and 2021, respectively, and $25,214 and $-0- in the nine months ended September 30, 2022 and 2021, respectively, related to medical products sold to practices in the Company’s Health Services segment. Intercompany revenue and the related costs are eliminated on consolidation. |