UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-Q
(Mark
One)
☑ | QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For
the quarterly period ended March 31, 2024
Or
☐ | TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For
the transition period from________ to ___________
Commission
File No. 000-54090
CAREVIEW
COMMUNICATIONS, INC.
(Exact
name of registrant as specified in its charter)
Nevada |
95-4659068 |
|
|
(State or other jurisdiction of
incorporation or organization) |
(I.R.S. Employer Identification
No.) |
405
State Highway 121, Suite B-240, Lewisville, TX 75067
(Address
of principal executive offices)
(972)
943-6050
(Registrant’s
telephone number)
N/A
(Former
name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of
the Act: None
Title of each
class |
|
Trading Symbol |
|
Name
of each exchange on which registered |
Common
Stock, 0.001 par value per share |
|
CRVW |
|
OTC Markets |
|
|
|
|
|
Indicate
by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such
reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☑
No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive
Data File required to be submitted pursuant to Rule 405 of Regulation S- T (§232.405 of this chapter) during the
preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☑ No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller
reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller
reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer |
☐ |
Accelerated
filer |
☐ |
|
|
|
|
Non-accelerated filer |
☑ |
Smaller reporting
company |
☑ |
|
|
|
|
|
|
Emerging growth company |
☐ |
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for
complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ☐ No ☑
The
number of shares outstanding of each of the issuer’s classes of Common Stock as of May 14, 2024 was 583,880,748.
PART I - FINANCIAL INFORMATION
Item. 1 Financial Statements
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED BALANCE SHEETS
| |
March 31, | | |
| |
| |
2024 | | |
December 31, | |
| |
(Unaudited) | | |
2023 | |
ASSETS | |
Current Assets: | |
| | | |
| | |
Cash | |
$ | 1,249,580 | | |
$ | 1,145,871 | |
Accounts receivable | |
| 1,214,697 | | |
| 1,167,934 | |
Inventory | |
| 337,897 | | |
| 294,435 | |
Other current assets | |
| 247,153 | | |
| 335,091 | |
Total current assets | |
| 3,049,327 | | |
| 2,943,331 | |
| |
| | | |
| | |
Property and equipment, net | |
| 266,517 | | |
| 317,626 | |
| |
| | | |
| | |
Intangible assets, net | |
| 413,861 | | |
| 406,301 | |
Operating lease asset | |
| 253,956 | | |
| 292,990 | |
Other assets, net | |
| 288,853 | | |
| 302,010 | |
Total other assets | |
| 956,670 | | |
| 1,001,301 | |
Total assets | |
$ | 4,272,514 | | |
$ | 4,262,258 | |
| |
| | | |
| | |
LIABILITIES AND STOCKHOLDERS’ DEFICIT | |
Current Liabilities: | |
| | | |
| | |
Accounts payable | |
$ | 655,649 | | |
$ | 598,095 | |
Notes payable | |
| 20,000,000 | | |
| 20,000,000 | |
Notes payable - related parties | |
| 700,000 | | |
| 700,000 | |
Deferred revenue | |
| 2,221,176 | | |
| 1,752,061 | |
Accrued interest payable | |
| 17,281,264 | | |
| 16,479,139 | |
Operating lease liability | |
| 190,991 | | |
| 188,184 | |
Other current liabilities | |
| 254,086 | | |
| 489,497 | |
Total current liabilities | |
| 41,303,166 | | |
| 40,206,976 | |
| |
| | | |
| | |
Long-term Liabilities: | |
| | | |
| | |
Operating lease liability | |
| 93,426 | | |
| 139,099 | |
Other liabilities | |
| 107,601 | | |
| 178,907 | |
Total long-term liabilities | |
| 201,027 | | |
| 318,006 | |
Total liabilities | |
| 41,504,193 | | |
| 40,524,982 | |
| |
| | | |
| | |
Stockholders’ Deficit: | |
| | | |
| | |
Preferred stock - par value $0.001; 20,000,000 shares authorized; no shares issued and outstanding | |
| — | | |
| — | |
Common stock - par value $0.001; 800,000,000 shares authorized; 583,880,748 issued and outstanding, respectively | |
| 583,881 | | |
| 583,881 | |
Additional paid in capital | |
| 171,091,620 | | |
| 171,038,349 | |
Accumulated deficit | |
| (208,907,180 | ) | |
| (207,884,954 | ) |
Total stockholders’ deficit | |
| (37,231,679 | ) | |
| (36,262,724 | ) |
Total liabilities and stockholders’ deficit | |
$ | 4,272,514 | | |
$ | 4,262,258 | |
The
accompanying footnotes are an integral part of these consolidated financial statements.
CAREVIEW
COMMUNICATIONS INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
(Unaudited)
| |
| | |
| |
| |
Three Months Ended | |
| |
March 31,
2024 | | |
March 31,
2023 | |
Revenues | |
| | |
| |
Subscription-based lease revenue | |
| 1,021,599 | | |
| 1,217,497 | |
Sales-based equipment package revenue | |
| 568,394 | | |
| 136,296 | |
Sales-based software bundle revenue | |
| 613,245 | | |
| 428,466 | |
Total revenues | |
| 2,203,238 | | |
| 1,782,259 | |
| |
| | | |
| | |
Operating expenses: | |
| | | |
| | |
Cost of equipment | |
| 49,183 | | |
| 31,934 | |
Network operations | |
| 843,300 | | |
| 705,042 | |
General and administration | |
| 617,785 | | |
| 697,766 | |
Sales and marketing | |
| 327,684 | | |
| 168,419 | |
Research and development | |
| 527,475 | | |
| 518,632 | |
Depreciation and amortization | |
| 71,198 | | |
| 176,831 | |
Total operating expense | |
| 2,436,625 | | |
| 2,298,624 | |
| |
| | | |
| | |
Operating loss | |
| (233,387 | ) | |
| (516,365 | ) |
| |
| | | |
| | |
Other income and (expense) | |
| | | |
| | |
Interest expense | |
| (802,125 | ) | |
| (831,334 | ) |
Interest income | |
| 13,286 | | |
| 887 | |
Total other income (expense) | |
| (788,839 | ) | |
| (830,447 | ) |
| |
| | | |
| | |
Provision for income taxes | |
| — | | |
| — | |
| |
| | | |
| | |
Net loss | |
$ | (1,022,226 | ) | |
$ | (1,346,812 | ) |
| |
| | | |
| | |
Net loss per share | |
$ | (0.00 | ) | |
$ | (0.01 | ) |
| |
| | | |
| | |
Weighted average number of common shares outstanding, basic, and diluted | |
| 583,880,748 | | |
| 144,791,859 | |
The
accompanying footnotes are an integral part of these consolidated financial statements.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ DEFICIT
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
(Unaudited)
| |
| | |
| | |
Additional | | |
| | |
| |
| |
Common Stock | | |
Paid in | | |
Accumulated | | |
| |
| |
Shares | | |
Amount | | |
Capital | | |
Deficit | | |
Total | |
Balance, December 31, 2022 | |
| 141,880,748 | | |
$ | 141,881 | | # |
$ | 127,130,055 | | # |
$ | (203,932,665 | ) | # |
$ | (76,660,729 | ) |
Options granted as compensation | |
| — | | |
| — | | |
| 62,260 | | |
| — | | |
| 62,260 | |
Debt to equity conversion at $0.10 | |
| 262,000,000 | | |
| 262,000 | | |
| 25,938,000 | | |
| — | | |
| 26,200,000 | |
Net loss | |
| — | | |
| — | | |
| — | | |
| (1,346,812 | ) | |
| (1,346,812 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance, March 31, 2023 | |
| 403,880,748 | | |
$ | 403,881 | | |
$ | 153,130,315 | | |
$ | (205,279,477 | ) | |
$ | (51,745,281 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance, December 31, 2023 | |
| 583,880,748 | | |
$ | 583,881 | | |
$ | 171,038,349 | | |
$ | (207,884,954 | ) | |
$ | (36,262,724 | ) |
Options granted as compensation | |
| — | | |
| — | | |
| 53,271 | | |
| — | | |
| 53,271 | |
Net loss | |
| — | | |
| — | | |
| — | | |
| (1,022,226 | ) | |
| (1,022,226 | ) |
| |
| | | |
| | | |
| | | |
| | | |
| | |
Balance, March 31, 2024 | |
| 583,880,748 | | |
$ | 583,881 | | |
$ | 171,091,620 | | |
$ | (208,907,180 | ) | |
$ | (37,231,679 | ) |
The
accompanying footnotes are an integral part of these consolidated financial statements.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE THREE MONTHS ENDED MARCH 31, 2024 AND 2023
(Unaudited)
| |
| | |
| |
| |
Three Months Ended | |
| |
March 31,
2024 | | |
March 31,
2023 | |
CASH FLOWS FROM OPERATING ACTIVITES | |
| | | |
| | |
Net loss | |
$ | (1,022,226 | ) | |
$ | (1,346,812 | ) |
Adjustments to reconcile net loss to net cash flows provided by (used in) operating activities: | |
| | | |
| | |
Depreciation | |
| 60,327 | | |
| 102,509 | |
Amortization of intangible assets | |
| 5,503 | | |
| 59,879 | |
Amortization of deferred installation costs | |
| 5,368 | | |
| 14,443 | |
Non-cash lease expense | |
| 39,034 | | |
| 33,265 | |
Stock based compensation related to options granted | |
| 53,271 | | |
| 62,260 | |
Changes in operating assets and liabilities: | |
| | | |
| | |
Accounts receivable | |
| (46,762 | ) | |
| (403,515 | ) |
Inventory | |
| (43,462 | ) | |
| 15,714 | |
Other current assets | |
| 87,938 | | |
| 10,532 | |
Accounts payable | |
| 57,554 | | |
| 51,694 | |
Accrued Interest | |
| 802,125 | | |
| 802,125 | |
Other current liabilities | |
| (235,411 | ) | |
| (88,910 | ) |
Deferred revenue | |
| 405,428 | | |
| 636,451 | |
Deferred sales commissions | |
| 3,691 | | |
| 11,322 | |
Operating lease liability | |
| (42,866 | ) | |
| (35,511 | ) |
Net cash flows provided by (used in) operating activities | |
| 129,512 | | |
| (74,554 | ) |
| |
| | | |
| | |
CASH FLOWS FROM INVESTING ACTIVITIES | |
| | | |
| | |
Purchase of property and equipment | |
| (9,219 | ) | |
| — | |
Patent, trademark, and other intangible asset costs | |
| (13,062 | ) | |
| — | |
Net cash flows used in investing activities | |
| (22,281 | ) | |
| — | |
| |
| | | |
| | |
CASH FLOWS FROM FINANCING ACTIVITIES | |
| | | |
| | |
Repayment of vehicle loan | |
| (3,522 | ) | |
| (3,639 | ) |
Net cash flows used in financing activities | |
| (3,522 | ) | |
| (3,639 | ) |
| |
| | | |
| | |
Increase (decrease) in cash | |
| 103,709 | | |
| (78,193 | ) |
Cash, beginning of period | |
| 1,145,871 | | |
| 520,166 | |
Cash, end of period | |
$ | 1,249,580 | | |
$ | 441,973 | |
| |
| | | |
| | |
SUPPLEMENTAL SCHEDULE OF NON-CASH FINANCING ACTIVITES | |
| | | |
| | |
Non-cash debt-to-equity conversion | |
| — | | |
| 26,200,000 | |
The
accompanying footnotes are an integral part of these consolidated financial statements.
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE
1 – BASIS OF PRESENTATION AND RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
Interim
Financial Statements
The
accompanying unaudited interim condensed consolidated financial statements of CareView Communications, Inc. (“CareView”,
the “Company”, “we”, “us” or “our”) have been prepared in accordance with generally accepted
accounting principles in the United States of America (“GAAP”) for interim financial information and with the instructions
to Form 10-Q. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements.
In the opinion of management, such financial statements include all adjustments (consisting solely of normal recurring adjustments)
necessary for the fair statement of the financial information included herein in accordance with GAAP and the rules and regulations
of the Securities and Exchange Commission (the “SEC”). The balance sheet at December 31, 2022 has been derived from
the audited consolidated financial statements at that date but does not include all of the information and footnotes required
by GAAP for complete financial statements. The preparation of financial statements in conformity with GAAP requires management
to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent
assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period.
Actual results could differ from those estimates. Results of operations for interim periods are not necessarily indicative of
results for the full year. The accompanying unaudited condensed consolidated financial statements should be read in conjunction
with the audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended
December 31, 2023 as filed with the SEC on March 29, 2024.
Revenue
Recognition
We
recognize revenue in accordance with Accounting Standards Codification (“ASC”) Topic 606 (“ASC 606").
For our subscription service contracts, we have employed the practical expedient discussed in ASC 606-10-55-18 related to invoicing
as we have the right to consideration from our customers in the amount that corresponds directly with the value to the customer
of our performance completed to date and therefore, we recognize revenue upon invoicing as further discussed below.
In
accordance with ASC 606, revenue is recognized when a customer obtains control of promised goods or services. The amount of revenue
recognized reflects the consideration to which we expect to be entitled to receive in exchange for these goods or services. The
provisions of ASC 606 include a five-step process by which we determine revenue recognition, depicting the transfer of goods or
services to customers in amounts reflecting the payment to which we expect to be entitled in exchange for those goods or services.
ASC 606 requires us to apply the following steps: (1) identify the contract with the customer; (2) identify the performance obligations
in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the
contract; and (5) recognize revenue when, or as, we satisfy the performance obligation. For those customers for which we are required
to collect sales taxes, we record such sales taxes on a net basis which has no effect on the amount of revenue or expenses recognized
as the sales taxes are a flow through to the taxing authority.
We
enter into contracts with customers that may provide multiple combinations of our products, software solutions, and other related
services, which are generally capable of being distinct and accounted for as separate performance obligations. Performance obligations
that are not distinct at contract inception are combined.
Customer
contract fulfillment typically involves multiple procurement promises, which may include various equipment, software subscription,
project-related installation and training services, and support. We allocate the transaction price to each performance obligation
based on estimated relative standalone selling price. Revenue is then recognized for each performance obligation upon transferring
control of the hardware, software, and services to the customer and in an amount that reflects the consideration we expect to
receive and the estimated benefit the customer receives over the term of the contract.
Generally,
we recognize revenue under each of our performance obligations as follows:
| ● | Subscription
services – We recognize subscription revenues monthly over the contracted license
period. |
| ● | Equipment
packages – We recognize equipment revenues when control of the devices has been
transferred to the client (“point in time”). |
| ● | Software
bundle and related services related to sales-based contracts – We recognize our
software subscription, installation, training, and other services on a straight-line
basis over the estimated contracted license period (“over time”). |
The
Company earns sales-based contract revenue from services rendered under specific agreements, which hinge on a third-party reseller
who possesses the exclusive authority to engage directly with veteran-owned hospitals. Evaluating the Company’s role in these
contracts necessitates assessing whether it functions as the principal or agent, a determination that involves analyzing the extent
of control the Company wields over the contracts.
Following
its assessment, the Company reports revenue from services provided under such contracts on a gross basis. This decision is justified
by the Company’s primary responsibility to fulfill the contractual obligations, including delivery and installation of equipment
and software, training, and its control over other services within the contract period. Furthermore, the Company directly sets
the contract price with its customers based on the services outlined in the statement of work. As the Company is responsible for
fulling this promise and maintains control, the Company is acting as the principal.
Disaggregation
of Revenue
The
following presents gross revenues disaggregated by our business models:
| |
| | |
| |
| |
Three Months Ended March 31, | |
| |
2024 | | |
2023 | |
Sales-based contract revenue | |
| | | |
| | |
Equipment package, net (point in time) | |
$ | 568,394 | | |
$ | 136,296 | |
Software bundle (over time) | |
| 613,245 | | |
| 428,466 | |
Total sales-based contract revenue | |
| 1,181,639 | | |
| 564,762 | |
| |
| | | |
| | |
Subscription-based lease revenue | |
| 1,021,599 | | |
| 1,217,497 | |
Gross revenue | |
$ | 2,203,238 | | |
$ | 1,782,259 | |
Contract
Liabilities
Our
subscription-based contracts payment arrangements are required to be paid monthly which are recognized into revenue when received.
Some customers choose to pay their subscription fee in advance. Customer payments received in advance of satisfaction of the related
performance obligations are deferred as contract liabilities. These amounts are recorded as “deferred revenue” in
our condensed consolidated balance sheet and recognized into revenues over time.
Our
sales-based contract payment arrangements with our customers typically include an initial equipment payment due upon signing of
the contract and subsequent payments when certain performance obligations are completed. Customer payments received in advance
of satisfaction of related performance obligations are deferred as contract liabilities. These amounts are recorded as “deferred
revenue” in our condensed consolidated balance sheet and recognized into revenues as either a point in time or over time.
During
the three months ended March 31, 2024 and 2023, a total of $0 and $8,517, respectively, of subscription-based deferred
contract liability was recognized as revenue. The table below details the subscription-based contract liability activity
during the three months ended March 31, 2024 and 2023, included in the Other current liabilities.
| |
| | |
| |
| |
Three Months Ended March 31, | |
| |
2024 | | |
2023 | |
Balance, beginning of period | |
$ | — | | |
$ | 21,145 | |
Additions | |
| — | | |
| — | |
Transfer to revenue | |
| — | | |
| (8,517 | ) |
Balance, end of period | |
$ | — | | |
$ | 12,628 | |
During
the three months ended March 31, 2024 and 2023, a total of $613,245, and $550,190, respectively, of sales-based
deferred contract liability was recognized as revenue. The table below details the subscription-based contract liability
activity during the three months ended March 31, 2024 and 2023, included in the Other current liabilities.
| |
| | |
| |
| |
Three Months Ended March 31, | |
| |
2024 | | |
2023 | |
Balance, beginning of period | |
$ | 1,922,925 | | |
$ | 869,485 | |
Additions | |
| 1,014,578 | | |
| 1,184,917 | |
Transfer to revenue | |
| (613,245 | ) | |
| (550,190 | ) |
Balance, end of period | |
$ | 2,324,258 | | |
$ | 1,504,212 | |
As
of March 31, 2024, the aggregate amount of deferred revenue from subscription-based contracts and sales-based contracts allocated
to performance obligations that are unsatisfied or partially satisfied is $2,324,258 and will be recognized into revenue over
time as follows:
Years Ending December 31, | | |
Amount | |
2024 | | |
$ | 1,767,540 | |
2025 | | |
| 556,718 | |
Thereafter | | |
| — | |
| | |
$ | 2,324,258 | |
Based
on our contracts, except for initial equipment sales, we invoice customers once our performance obligations have been satisfied,
at which point payment is unconditional. Accounts receivable is recorded when the right to consideration becomes unconditional
and are reported accordingly in our consolidated financial statements.
We
defer and capitalize all costs associated with the installation of the CareView System into a healthcare facility until the CareView
System is fully operational and accepted by the healthcare facility. Installation costs are specifically identifiable based on
the amounts we are charged from third party installers or directly identifiable labor hours incurred for each installation. Upon
acceptance, the associated costs are expensed on a straight-line basis over the life of the contract with the healthcare facility.
These costs are included in network operations on the accompanying consolidated statements of operations.
The
table below details the activity in these deferred installation costs during the periods ended March 31, 2024 and 2023, included
in other assets in the accompanying unaudited consolidated balance sheet.
| |
| | |
| |
| |
Three Months Ended March 31, | |
| |
2024 | | |
2023 | |
Balance, beginning of period | |
$ | 48,309 | | |
$ | 33,461 | |
Additions | |
| — | | |
| — | |
Transfer to expense | |
| (5,368 | ) | |
| (14,443 | ) |
Balance, end of period | |
$ | 42,941 | | |
$ | 19,018 | |
Significant
Judgements When Applying Topic 606
Contracts
with our customers are typically structured similarly and include various combinations of our products, software solutions, and
related services. Determining whether the various contract promises are considered distinct performance obligations that should
be accounted for separately versus together may require significant judgment.
Contract
transaction price is allocated to distinct performance obligations using estimated standalone selling price. We determine standalone
selling price maximizing observable inputs such as standalone sales, competitor standalone sales, or substantive renewal prices
charged to customers when they exist. In instances where standalone selling price is not observable, we utilize an estimate of
standalone selling price. Such estimates are derived from various methods that include cost plus margin, and historical pricing
practices. Judgment may be required to determine standalone selling prices for each performance obligation and whether it depicts
the amount we expect to receive in exchange for the related good or service.
Contract
modifications occur when we and our customers agree to modify existing customer contracts to change the scope or price (or both)
of the contract or when a customer terminates some, or all, of the existing services provided by us. When a contract modification
occurs, it requires us to exercise judgment to determine if the modification should be accounted for as a separate contract, the
termination of the original contract and creation of a new contract, a cumulative catch-up adjustment to the original contract,
or a combination.
Contracts
with our customers include a limited warranty on our products covering materials, workmanship, or design for the duration of the
contract. We do not offer paid additional extended or lifetime warranty packages. We determined the limited warranty in our contract
is not a distinct performance obligation. We do not believe our estimates of warranty costs to be significant to our determination
of revenue recognition, and therefore, did not reserve for warranty costs.
Leases
The
Company has an operating lease primarily consisting of office space with a remaining lease term of 17 months. At the lease commencement
date, an operating lease liability and related operating lease asset are recognized. The operating lease liabilities are calculated
using the present value of lease payments. The discount rate used is either the rate implicit in the lease, when known, or our
estimated incremental borrowing rate. Operating lease assets are valued based on the initial operating lease liabilities plus
any prepaid rent and direct costs from executing the leases.
Earnings (Loss) Per Share
We
calculate earnings per share (“EPS”) in accordance with GAAP, which requires the computation and disclosure of two
EPS amounts, basic and diluted. Basic EPS is computed based on the weighted average number of common shares outstanding during
the period. Diluted EPS is computed based on the weighted average number of common shares outstanding plus all potentially dilutive
common shares outstanding during the period under the treasury stock method. Such potential dilutive common shares consist of
stock options, warrants to purchase our Common Stock (the “Warrants”) and convertible debt. Potential common shares
totaling 73,616,280 and 225,461,922 at March 31, 2024 and 2023, respectively, have been excluded from the diluted earnings per
share calculation as they are anti-dilutive due to our reported net loss. The 73,616,280 potential common shares consist of 67,921,835
stock options and 5,694,445 warrants.
New Accounting
Pronouncements
ASU
2020-06
ASU
2020-06 simplifies the accounting for convertible debt instruments and convertible preferred stock by removing the existing guidance
in ASC 470-20, Debt: Debt with Conversion and Other Options, that requires entities to account for beneficial conversion features
and cash conversion features in equity, separately from the host convertible debt or preferred stock. The guidance in ASC 470-20
applies to convertible instruments for which the embedded conversion features are not required to be bifurcated from the host
contract and accounted for as derivatives. In addition, the amendments revise the scope exception from derivative accounting in
ASC 815-40 for freestanding financial instruments and embedded features that are both indexed to the issuer’s own stock
and classified in stockholders’ equity, by removing certain criteria required for equity classification. These amendments
are expected to result in more freestanding financial instruments qualifying for equity classification (and, therefore, not accounted
for as derivatives), as well as fewer embedded features requiring separate accounting from the host contract. The amendments in
ASU 2020-06 further revise the guidance in ASC 260, Earnings Per Share, to require entities to calculate diluted earnings per
share (EPS) for convertible instruments by using the if-converted method. In addition, entities must presume share settlement
for purposes of calculating diluted EPS when an instrument may be settled in cash or shares. We, a smaller reporting company as
defined by the SEC, will adopt ASU 2020-06 effective for fiscal year 2024. As of 2024, the Company does not have any preferred
stock or convertible debt.
ASU
2022-03
ASU
2022-03 clarifies that a “contractual sale restriction prohibiting the sale of an equity security is a characteristic of
the reporting entity holding the equity security” and is not included in the equity security’s unit of account. Accordingly,
an entity should not consider the contractual sale restriction when measuring the equity security’s fair value (i.e., the
entity should not apply a discount related to the contractual sale restriction, as stated in ASC 820-10-35-36B as amended by the
ASU). In addition, the ASU prohibits an entity from recognizing a contractual sale restriction as a separate unit of account.
Under the existing guidance in ASC 820-10-35-6B, “although a reporting entity must be able to access the market, the reporting
entity does not need to be able to sell the particular asset or transfer the particular liability on the measurement date to be
able to measure fair value on the basis of the price in that market.” ASU 2022-03 clarifies that an entity should apply
this existing guidance when measuring the fair value of equity securities that are subject to contractual sale restrictions (i.e.,
a contractual sale restriction on the reporting entity that prevents the sale of an equity security in the market does not prevent
the entity from measuring the fair value of the equity security on the basis of the price in that principal market). ASU 2022-03
for the Company will be effective for fiscal year 2024. For 2024, no contractual sale restriction exists with the Company.
NOTE
2 – GOING CONCERN, LIQUIDITY AND MANAGEMENT’S PLAN
Accounting
standards require management to evaluate our ability to continue as a going concern for a period of one year after the date of
the filing of this Form 10-Q (“evaluation period”). In evaluating the Company’s ability to continue as a going
concern, management considers the conditions and events that raise substantial doubt about the Company’s ability to continue
as a going concern for a period of twelve months after the Company issues its financial statements. For the three months ended
March 31, 2024, management considers the Company’s current financial condition and liquidity sources, including current
funds available, forecasted future cash flows, and the Company’s conditional and unconditional obligations due within 12
months of the date these financial statements are issued.
The
Company is subject to risks like those of healthcare technology companies whereby revenues are generated based on both sales-based
and subscription-based models, which assume dependence on key individuals, uncertainty of product development, generation of revenues,
positive cash flow, dependence on outside sources of capital, risks associated with research, development, and successful testing
of its products, successful protection of intellectual property, ability to maintain and grow its customer base, and susceptibility
to infringement on the proprietary rights of others. 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.
As
of March 31, 2024, the Company had a working capital deficit of $38,253,839. 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 consolidated financial statements were issued. While management will look to continue funding operations by increased
sales volumes and raising additional capital from sources such as sales of its debt or equity securities or loans to meet operating
cash requirements, there is no assurance that management’s plans will be successful.
On
March 30, 2023, noteholders owning Replacement Notes in an aggregate of $26,200,000, entered into a Replacement Note Conversion
Agreement, wherein the Replacement Notes were converted into shares of the Company’s common stock at a conversion price
of $0.10 per share, resulting in the issuance of an aggregate of 262,000,000 shares (the “Conversion Shares”).
Upon
this conversion, and as of March 31, 2024, the Company’s officers and board of directors held the majority of the Company’s
outstanding voting stock. With controlling interest of the majority of outstanding shares, the Company’s majority shareholders
voted to amend its articles of incorporation to increase the authorized shares available for issuance from 500,000,000 to 800,000,000,
with an effective date of May 22, 2023.
On
May 24, 2023, noteholders owning Replacement Notes in the aggregate of $18,000,000, presented Conversion Notices, per the
terms of the Replacement Notes, to the Company to convert the Replacement Notes into 180,000,000 shares of the Company’s
common stock at a conversion price of $0.10 per share.
Management
continues to monitor the immediate and future cash flows needs of the company in a variety of ways which include forecasted net
cash flows from operations, capital expenditure control, new inventory orders, debt modifications, increases in sales outreach,
streamlining and controlling general and administrative costs, competitive industry pricing, sale of equities, debt conversions,
new product or services offerings, and new business partnerships.
The
Company’s net losses, cash outflows, and working capital deficit raise substantial doubt about the Company’s ability
to continue as a going concern. The accompanying consolidated financial statements have been prepared assuming that the Company
will continue as a going concern. This basis of accounting contemplates the recovery of the Company’s assets and the satisfaction
of liabilities in the normal course of business. A successful transition to attaining profitable operations is dependent upon
achieving a level of positive cash flows adequate to support the Company’s cost structure.
NOTE
3 – STOCKHOLDERS’ EQUITY
Warrants
to Purchase Common Stock of the Company
We
use the Black-Scholes-Merton option pricing model (“Black-Scholes Model”) to determine the fair value of Warrants.
The Black-Scholes Model requires the use of a number of assumptions including volatility of the stock price, the weighted average
risk-free interest rate, and the weighted average term of the Warrant.
The
risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period
is appropriate for the term of the Warrants and is calculated by using the average daily historical stock prices through the day
preceding the grant date. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each
year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices
(and that of peer entities whose stock prices were publicly available) over a period equal to the expected life of the awards.
A
summary of our Warrants activity and related information follows:
| |
Number of
Shares Under
Warrant | | |
Range of Warrant Price Per Share | | |
Weighted
Average
Exercise
Price | | |
Weighted Average Remaining Contractual
Life | |
Balance at December 31, 2023 | |
| 5,694,445 | | |
| $0.01-$0.03 | | |
$ | 0.024 | | |
| 3.5 | |
Granted | |
| — | | |
| — | | |
| — | | |
| — | |
Expired | |
| — | | |
| — | | |
| — | | |
| — | |
Canceled | |
| — | | |
| — | | |
| — | | |
| — | |
Balance at March 31, 2024 | |
| 5,694,445 | | |
| $0.01-$0.03 | | |
$ | 0.024 | | |
| 2.3 | |
Options
to Purchase Common Stock of the Company
During
the three months ended March 31, 2024, 30,207,858 options to purchase our Common Stock were granted having a fair value of $1,812,671
and exercise price of $0.06 per share. During the three months ended March 31, 2024, 650,000 options expired, and 120,000 options
were terminated.
A
summary of our stock option activity and related information follows:
| |
Number of
Shares
Under
Options | | |
Weighted
Average
Exercise
Price | | |
Weighted Average Remaining Contractual
Life | | |
Aggregate
Intrinsic
Value | |
Balance at December 31, 2023 | |
| 38,483,977 | | |
$ | 0.09 | | |
| 5.2 | | |
$ | 314,925 | |
Granted | |
| 30,207,858 | | |
| 0.06 | | |
| 9.6 | | |
| — | |
Forfeited/Expired | |
| (770,000 | ) | |
| 0.58 | | |
| — | | |
| — | |
Exercised | |
| — | | |
| — | | |
| — | | |
| — | |
Balance at March 31, 2024 | |
| 67,921,835 | | |
$ | 0.07 | | |
| 7.2 | | |
$ | 526,525 | |
| |
| | | |
| | | |
| | | |
| | |
Vested and Exercisable at March 31, 2024
| |
| 36,634,310 | | |
$ | 0.08 | | |
| 5.0 | | |
$ | 526,425 | |
Share-based
compensation expense for Options charged to our operating results for the three months ended March 31, 2024 and 2023 were $53,271
and $62,260, respectively. The estimate of forfeitures is to be recorded at the time of grant and revised in subsequent periods
if actual forfeitures differ from the estimates. We have not included an adjustment to our stock-based compensation expense based
on the nominal amount of the historical forfeiture rate. We do, however, revise our stock-based compensation expense based on
actual forfeitures during each reporting period.
At
March 31, 2024, total unrecognized estimated compensation expense related to non-vested Options granted prior to that date was
approximately $1,820,686, which is expected to be recognized over a weighted-average period of 2.8 years. No tax benefit was realized
due to a continued pattern of operating losses.
NOTE
4 – OTHER CURRENT ASSETS
Other
current assets consist of the following:
| |
March 31, 2024 | | |
December
31,
2023 | |
Prepaid insurance | |
$ | 98,613 | | |
$ | 180,267 | |
Other prepaid expenses | |
| 56,559 | | |
| 62,843 | |
Sales tax overpayment | |
| 91,981 | | |
| 91,981 | |
TOTAL OTHER CURRENT ASSETS | |
$ | 247,153 | | |
$ | 335,091 | |
NOTE
5 – INVENTORY
Inventory
is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed
to determine cost and net realizable value and appropriate valuation adjustments are then established.
Inventory
consists of the following:
| |
March 31, 2024 | | |
December 31, 2023 | |
Equipment components | |
$ | 337,897 | | |
$ | 294,435 | |
TOTAL INVENTORY | |
$ | 337,897 | | |
$ | 294,435 | |
NOTE
6 – PROPERTY AND EQUIPMENT
Property
and equipment consist of the following:
| |
March 31, 2024 | | |
December
31,
2023 | |
Network equipment | |
$ | 9,204,511 | | |
$ | 9,204,511 | |
Office equipment | |
| 251,173 | | |
| 241,955 | |
Vehicles | |
| 133,616 | | |
| 133,616 | |
Test equipment | |
| 230,365 | | |
| 230,365 | |
Furniture | |
| 92,097 | | |
| 92,097 | |
Warehouse equipment | |
| 18,788 | | |
| 18,788 | |
Leasehold improvements | |
| 5,121 | | |
| 5,121 | |
| |
| 9,935,671 | | |
| 9,926,453 | |
Less: accumulated depreciation | |
| (9,669,154 | ) | |
| (9,608,827 | ) |
TOTAL PROPERTY AND EQUIPMENT, NET | |
$ | 266,517 | | |
$ | 317,626 | |
Depreciation
expense for the three months ended March 31, 2024 and 2023 was $60,327 and $102,509, respectively.
NOTE
7 – INTANGIBLE ASSETS, NET
Intangible
assets consist of the following:
| |
| | | |
| | | |
| | |
| |
March 31, 2024 | |
| |
Cost | | |
Accumulated Amortization | | |
Net | |
Patents and trademarks | |
$ | 879,493 | | |
$ | 482,524 | | |
$ | 396,969 | |
Other intangible assets | |
| 33,299 | | |
| 16,407 | | |
| 16,892 | |
TOTAL INTANGIBLE ASSETS | |
$ | 912,792 | | |
$ | 498,931 | | |
$ | 413,861 | |
| |
| | | |
| | | |
| | |
| |
December
31, 2023 | |
| |
Cost | | |
Accumulated
Amortization | | |
Net | |
Patents and trademarks | |
$ | 879,492 | | |
$ | 478,250 | | |
$ | 401,242 | |
Other intangible assets | |
| 20,237 | | |
| 15,178 | | |
| 5,059 | |
TOTAL INTANGIBLE ASSETS | |
$ | 899,729 | | |
$ | 493,428 | | |
$ | 406,301 | |
Amortization expense for the three months
ended March 31, 2024 and 2023 was $5,503 and $59,879, respectively.
Other assets consist of the following:
| |
| | | |
| | | |
| | |
| |
March 31, 2024 | |
| |
Cost | | |
Accumulated Amortization | | |
Net | |
Deferred installation costs | |
$ | 1,397,720 | | |
$ | 1,354,778 | | |
$ | 42,942 | |
Deferred sales commission | |
| 505,049 | | |
| 348,978 | | |
| 156,071 | |
Prepaid license fee | |
| 249,999 | | |
| 206,283 | | |
| 43,716 | |
Security deposit | |
| 46,124 | | |
| — | | |
| 46,124 | |
TOTAL OTHER ASSETS | |
$ | 2,198,892 | | |
$ | 1,910,039 | | |
$ | 288,853 | |
| |
| | | |
| | | |
| | |
| |
December 31, 2023 | |
| |
Cost | | |
Accumulated Amortization | | |
Net | |
Deferred installation costs | |
$ | 1,397,720 | | |
$ | 1,349,410 | | |
$ | 48,310 | |
Deferred sales commissions | |
| 439,221 | | |
| 279,459 | | |
| 159,762 | |
Prepaid license fee | |
| 249,999 | | |
| 202,185 | | |
| 47,814 | |
Security deposit | |
| 46,124 | | |
| — | | |
| 46,124 | |
TOTAL OTHER ASSETS | |
$ | 2,133,064 | | |
$ | 1,831,054 | | |
$ | 302,010 | |
NOTE 8 – OTHER CURRENT LIABILITIES
Other current liabilities consist of the
following:
| |
March 31,
2024 | | |
December
31,
2023 | |
Allowance for system removal | |
| 54,802 | | |
| 54,802 | |
Accrued paid time off | |
| 66,171 | | |
| 164,566 | |
Deferred officer compensation (1) | |
| 49,528 | | |
| 49,528 | |
Other accrued liabilities | |
| 83,585 | | |
| 220,601 | |
TOTAL OTHER CURRENT LIABILITIES | |
$ | 254,086 | | |
$ | 489,497 | |
(1) | | Remaining salary payable for Steve Johnson, CEO, between February 15, 2018 and September
30, 2020. |
NOTE 9 – INCOME TAXES
Deferred income tax assets and liabilities
are determined based upon differences between the financial reporting and tax bases of assets and liabilities and are measured
using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. We do not expect to pay
any significant federal or state income tax for 2024 because of the losses recorded during the three months ended March 31, 2024
and net operating loss carry forwards from prior years. In assessing the realizability of deferred tax asset, including the net
operating loss carryforwards (NOLs), the Company assesses the available positive and negative evidence to estimate if sufficient
future taxable income will be generated to utilize its existing deferred assets. The ultimate realization of deferred tax assets
is dependent upon the generation of future taxable income during the period when those temporary differences become deductible.
Accounting standards require the consideration of a valuation allowance for deferred tax assets if it is “more likely than
not” that some component or all the benefits of deferred tax assets will not be realized. As of March 31, 2024, we maintained
a full valuation allowance for all deferred tax assets. Based on these requirements, no provision or benefit for income taxes has
been recorded. There were no recorded unrecognized tax benefits at the end of the reporting period.
The Tax Cuts and Jobs Act (the “Act”)
was signed into law on December 22, 2017. Among its numerous changes to the Internal Revenue Code, the Act reduces U.S. corporate
rates from 35% to 21%. Additionally, the Act limits the use of net operating loss carry backs, however any future net operating
losses will instead be carried forward indefinitely. Net operating losses generated from January 1, 2018 are limited to offset
80% of current income, with the remainder of the net operating loss continuing to carry forward indefinitely. Net operating losses
incurred before January 1, 2018 are not subject to the 80% limitations and will begin to expire in 2029. Based on an initial assessment
of the Act, the Company believes that the most significant impact on the Company’s unaudited condensed consolidated financial
statements will be limitations in tax deductions on interest expense. Under the Act, interest deductions disallowed from current
income will carryforward indefinitely. The Act did not impact management’s valuation allowance position.
The effective tax rate for the three months
ended March 31, 2024 was different from the federal statutory rate due primarily to change in the valuation allowance and nondeductible
interest and amortization expense.
NOTE 10 – AGREEMENT WITH PDL BIOPHARMA, INC.
On June 26, 2015, we entered into a Credit
Agreement (as subsequently amended) with PDL BioPharma, Inc. (“PDL”), as administrative agent and lender (“the Lender”)
(the “PDL Credit Agreement”). Under the PDL Credit Agreement the Lender made available to us up to $40 million in two
tranches of $20 million each. Tranche One was funded on October 8, 2015 (the “Tranche One Loan”). Pursuant to the terms
of the PDL Credit Agreement and having not met the Tranche Two Milestones by July 26, 2017, the Tranche Two funding was terminated
in full.
On February 28, 2023, the Company, the Borrower, the Subsidiary
Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Eighth Amendment to Modification Agreement (the “Twenty-Eighth
Modification Agreement Amendment”), pursuant to which the parties agreed to amend the Modification Agreement to provide that
the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July
31, 2018 and March 31, 2023 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s
(i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019,
September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments
for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would
otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until March 30, 2023 (the end of the extended
Modification Period).
On March 31, 2023, the Company, the Borrower, the Subsidiary
Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Ninth Amendment to Modification Agreement (the “Twenty-Ninth
Modification Agreement Amendment”), pursuant to which the parties agreed to amend the Modification Agreement to provide that
the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July
31, 2018 and April 30, 2023 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s
(i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019,
September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments
for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would
otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until April 30, 2023 (the end of the extended
Modification Period). Under debt modification/troubled debt guidance, we determined that the first of the eight amendments had
no cash flow impact, and therefore, had no impact on accounting. Amendments nine through ten qualified for modification accounting,
while the final nineteen amendments qualified for troubled debt restructuring accounting. As appropriate, we expensed the legal
costs paid to third parties. For the three months ended March 31, 2024 and 2023, pursuant to the terms of the PDL Modification
Agreement, as amended, $802,125 was recorded as interest expense on the accompanying unaudited condensed consolidated
financial statements.
On April 29, 2023, the Company, the Borrower, the Subsidiary
Guarantor, the Lender and the Tranche Three Lenders entered into a Thirtieth Amendment to Modification Agreement (the “Thirtieth
Modification Agreement Amendment”), pursuant to which the parties agreed to amend the Modification Agreement to provide that
the dates on which the Lender may elect, in the Lender’s sole discretion, to terminate the Modification Period would be July
31, 2018 and May 31, 2023 (with each such date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s
(i) interest payments that would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019,
September 30, 2019, December 31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments
for principal and for any other Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would
otherwise be due under the Credit Agreement on October 7, 2020, would each be deferred until May 31, 2023 (the end of the extended
Modification Period).
On May 31, 2023 (the “Effective Date”), the Company,
the Borrower, the Lender, Steven G. Johnson, President and Chief Executive Officer of the Company, and Dr. James R. Higgins, a
director of the Company, entered into a Seventh Amendment to Credit Agreement (the “Seventh Credit Agreement Amendment”),
pursuant to which the parties agreed to amend the Credit Agreement to, among other things, (i) provide that, after the Effective
Date, all accrued but unpaid interest (including interest accrued but unpaid prior to the Effective Date and excluding interest
payable on the Maturity Date, in connection with any prepayment, or in the event of an Event of Default, which interest will be
payable in cash) accruing on Tranche One Loans and Tranche Three Loans will be paid-in-kind on each Interest Payment Date by being
added to the aggregate principal balance of the respective loans in arrears on each Interest Payment Date; (ii) require certain
mandatory prepayments of the loans by the Company, including (A) quarterly prepayments in the amount, if any, that the Company’s
Excess Cash Flow exceeds $600,000, (B) monthly transfers to the Inventory Reserve Account in the amount, if any, the Company’s
cash exceeds $1,200,000, (C) prepayment in the amount, if any, the Company’s Inventory Reserve Account exceeds $600,000,
and (D) prepayment in the amount, if any, of 100% of the gross proceeds of any indebtedness incurred by the Company (other
than permitted indebtedness); and (iii) extend the Maturity Date to December 31, 2024.
On September 30, 2023 (the “Effective Date”), the
Company, the Borrower, the Lender, Steven G. Johnson, President and Chief Executive Officer of the Company, and Dr. James R. Higgins,
a director of the Company, entered into an Eighth Amendment to Credit Agreement (the “Eighth Credit Agreement Amendment”),
pursuant to which the parties agreed to amend the Credit Agreement to modify certain texts originating within the Seventh Credit
Agreement. Stricken texts include “all accrued but unpaid interest (including interest accrued but unpaid prior to the Effective
Date and excluding interest payable on the Maturity Date, in connection with any prepayment, or in the event of an Event of Default,
which interest will be payable in cash) accruing on Tranche One Loans and Tranche Three Loans will be paid-in-kind on each Interest
Payment Date by being added to the aggregate principal balance of the respective loans in arrears on each Interest Payment Date.”
Additional texts include Release of Claims, which “in consideration of the Lender’s and Agent’s agreements contained
in this Amendment, each of Holdings, the Borrower and the Subsidiary Guarantor hereby releases and discharges the Lender and the
Agent and their affiliates, subsidiaries, successors, assigns, directors, officers, employees, agents, consultants and attorneys
(each, a “Released Person”) of and from any and all other claims, suits, actions, investigations, proceedings or demands,
whether based in contract, tort, implied or express warranty, strict liability, criminal or civil statute or common law of any
kind or character, known or unknown, which Holdings, the Borrower or the Subsidiary Guarantor ever had or now has against the Agent,
any Lender or any other Released Person which relates, directly or indirectly, to any acts or omissions of the Agent, any Lender
or any other Released Person relating to the Credit Agreement or any other Loan Document on or prior to the date hereof.”
Accounting Treatment
In connection with the PDL Credit Agreement,
as amended, we issued the PDL Warrant to the Lender. As of March 31, 2024, the Amended PDL Warrant has not been exercised.
Due to the PDL Eighth Credit Agreement
Amendment, the calculations for the “interest paid-in-kind” and quarterly “prepayment(s)” were removed
effective with the year ending on December 31, 2023. The Company concluded that the Company is encountering financial hardship
and that a concession was not granted. As the Lender has not granted a concession, the guidance contained in ASC 470-50 Modification
and Extinguishment was applied. Given the present value of the cash flows under the Eighth Credit Agreement Amendment differed
by less than 10% from the present value of the remaining cash flows under the terms of the prior debt agreement, the debt was determined
to be not substantially different which resulted in modification accounting. The Company did not have any debt issuance costs,
only legal expenses.
NOTE 11 – AGREEMENT WITH HEALTHCOR
On April 21, 2011, we entered into a Note
and Warrant Purchase Agreement (as subsequently amended) with HealthCor Partners Fund, LP (“HealthCor Partners”) and
HealthCor Hybrid Offshore Master Fund, LP (“HealthCor Hybrid” and, together with HealthCor Partners, “HealthCor”)
(the “HealthCor Purchase Agreement”). Pursuant to the terms of the HealthCor Purchase Agreement, we sold and issued
Senior Secured Convertible Notes to HealthCor in the principal amount of $9,316,000 and $10,684,000, respectively (collectively
the “2011 HealthCor Notes”). The 2011 HealthCor Notes have a maturity date of April 20, 2021. We also issued Warrants
to HealthCor for the purchase of an aggregate of up to 5,488,456 and 6,294,403 shares, respectively, of our Common Stock at an
exercise price of $1.40 per share (collectively the “2011 HealthCor Warrants”). So long as no event of default has
occurred, the outstanding principal balances of the 2011 HealthCor Notes accrue interest from April 21, 2011 through April 20,
2016 (the “First Five-Year Note Period”) at the rate of 12.5% per annum, compounding quarterly and shall be added to
the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. Interest accruing from
April 21, 2016 through April 20, 2021 (the “Second Five Year Note Period”) at a rate of 10% per annum, compounding
quarterly, may be paid quarterly in arrears in cash or, at our option, such interest may be added to the outstanding principal
balances of the 2011 HealthCor Notes on the last day of each calendar quarter. For the period from April 21, 2016 through September
30, 2018 interest has been added to the outstanding principal balance. Pursuant to the terms of the Ninth Amendment, the accrual
of interest has been suspended after September 30, 2018. From the date any event of default occurs, the interest rate, then applicable,
shall be increased by five percent (5%) per annum. HealthCor has the right, upon an event of default, to declare due and payable
any unpaid principal amount of the 2011 HealthCor Notes then outstanding, plus previously accrued but unpaid interest and charges,
together with the interest then scheduled to accrue (calculated at the default rate described in the immediately preceding sentence)
through the end of the First Five Year Note Period or the Second Five Year Note Period, as applicable. Subject to the terms of
the Ninth Amendment as discussed below, HealthCor’s ability to convert any portion of the outstanding and unpaid accrued
interest on and principal balances of the 2011 HealthCor Notes into fully paid and nonassessable shares of our Common Stock has
been eliminated. The warrants issued with this Note were cancelled with the Ninth-Amendment dated July 10, 2018.
On March 30, 2023, HealthCor noteholders
owning an aggregate of $36,000,000 Replacement Notes, entered into a Replacement Note Conversion Agreement, wherein half, fifty
percent, of the HealthCor Replacement Notes were converted into shares of the Company’s common stock at a conversion price
of $0.10 per share, resulting in the issuance of an aggregate of 180,000,000 shares. The other related and non-related parties
Replacement Notes of $8,200,000 were likewise converted into shares of the Company’s common stock at a conversion price of
$0.10 per share, resulting in the issuance of a combined total aggregate of 262,000,000 shares (the “Conversion Shares”).
The shares bear a lockup legend that expires December 31, 2023.
On May 24, 2023, HealthCor noteholders owning an aggregate of $18,000,000 Replacement
Notes, presented Conversion Notices, pursuant to the terms of the Replacement Note, for the conversion of the Replacement Notes
into 180,000,000 shares of the Company’s common stock at a conversion price of $0.10 per share. The shares
bear a lockup legend that expires December 31, 2023.
Accounting Treatment
When issuing debt or equity securities convertible into common
stock at a discount to the fair value of the common stock at the date the debt or equity financing is committed, a company is required
to record a beneficial conversion feature (“BCF”) charge. We had three separate issuances of equity securities convertible
into common stock that qualify under this accounting treatment, (i) the 2011 HealthCor Notes, (ii) the 2012 HealthCor Notes and
(iii) the 2014 HealthCor Notes. Because the conversion option and the 2011 HealthCor Warrants on the 2011 HealthCor Notes were
originally classified as a liability when issued due to the down round provision and the removal of the provision requiring liability
treatment, and subsequently reclassified to equity on December 31, 2011 when the 2011 HealthCor Notes were amended, only the accrued
interest capitalized as payment in kind (’‘PIK’’) since reclassification qualifies under this accounting
treatment. We recorded an aggregate of $0 and $0 in interest for the years ended December 31, 2023 and 2022, respectively,
related to these transactions. For the years ended December 31, 2023, and 2022, we recorded $0 and $0, respectively, of PIK
related to the notes included in the HealthCor Purchase Agreement. The face amount of the 2012 HealthCor Notes, 2014 HealthCor
Notes, the Fifth Amendment Notes and the Eighth Amendment Notes and all accrued PIK interest also qualify for BCF treatment as
discussed above. Under the accounting standards, we determined that the restructuring of the HealthCor notes, pursuant to the terms
of the Ninth Amendment, resulted in a troubled debt restructuring. As the future cash flows were greater than the carrying amount
of the debt at the date of the amendment, we accounted for the change prospectively using the new effective interest rate.
Warrants were issued with the Fourth, Fifth, Eighth, Ninth,
and Allonge 3 Amendment Notes and the proceeds were allocated to the instruments based on relative fair value as the warrants did
not contain any features requiring liability treatment and therefore were classified as equity. At each amendment date, the warrants
were recorded as debt discount, as a reduction of the net carrying amount of the debt. The debt discounts are amortized into interest
expense each period under the effective interest method. The value allocated to the Ninth Amendment Warrants was $378,000. The
value allocated to the Allonge 3 Amendment Warrants was $420,000.
NOTE 12 – JOINT VENTURE AGREEMENT
On December 31, 2019, the Company and Rockwell
entered into a Second Amendment to the Rockwell Note (the “Second Rockwell Note Amendment”) pursuant to which Rockwell
agreed to extend the term of the Rockwell Note by one year, to December 31, 2020, and agreed to extend the time to make the quarterly
payment that would otherwise be due on December 31, 2019 to January 31, 2020. We have evaluated the Second Amendment to the Rockwell
Note under ASC 470 and determined that the amendment should be treated as a debt modification.
As of March 31, 2022, the Rockwell Note
was paid off.
NOTE 13 – LEASE
Under ASC Topic 842, Leases (“ASC 842"), operating
lease expense is generally recognized evenly over the term of the lease. The Company has an operating lease primarily consisting
of office space with a remaining lease term of 17 months (Lease through August 31, 2025).
On March 4, 2020, we entered into the Fourth Amendment to Commercial
Lease Agreement (the “Lease Extension”), wherein we extended the Lease through August 31, 2025. The Lease Extension
contains a renewal provision under which the Lease has been extended for an additional five-year period under the same terms
and conditions of the original Lease Agreement. Management has identified this extension as a reassessment event, as we have elected
to exercise the Lease Extension option even though the Company had previously determined that it was not reasonably certain to
do so.
The Company has further concluded that the Lease Extension has
no effects on the classification of the Lease. Rent expense for the three months ended March 31, 2024, and 2023 was $77,573 and $75,887,
respectively.
Undiscounted Cash Flows
Future lease payments included in the measurement of operating
lease liability on the condensed consolidated balance sheet as of March 31, 2024, for the following five fiscal years and thereafter
as follows:
Quarter ending March 31, 2024 | |
Operating Leases | |
Remaining 2024 | |
$ | 166,619 | |
2025 | |
| 150,679 | |
| |
| | |
Total minimum lease payments | |
| 317,298 | |
Less effects of discounting | |
| (32,881 | ) |
Present value of future minimum lease payments | |
$ | 284,417 | |
Cash Flows
The table below presents certain information
related to the cash flows for the Company’s operating lease for the three months ended March 31, 2024:
| |
Three Months Ended March 31,
2024 | |
Cash paid for amounts included in the measurement of lease liabilities: | |
| | |
| |
| | |
Operating cash flows for operating leases | |
$ | 81,405 | |
NOTE 14 – SUBSEQUENT EVENTS
The Company has evaluated subsequent events
through May 14, 2024.
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations
General
The following discussion
and analysis provide information which our management believes to be relevant to an assessment and understanding of our results
of operations and financial condition. This discussion should be read together with our condensed consolidated financial statements
and the notes to the financial statements, which are included in this Quarterly Report on Form 10-Q (the “Report”). This
information should also be read in conjunction with the information contained in our Form 10-K filed with the Securities and Exchange
Commission (the “SEC”) on March 29, 2024. The reported results will not necessarily reflect future results of operations
or financial condition.
Throughout this Report,
the terms “we,” “us,” “our,” “CareView,” or “Company” refers to CareView Communications,
Inc., a Nevada corporation, and unless otherwise specified, includes our wholly owned subsidiaries, CareView Communications, Inc.,
a Texas corporation (“CareView-TX”).
We maintain a website
at www.care-view.com and our Common Stock trades on the OTCQB under the symbol “CRVW.’’
Company Overview and Recent Developments
As
a leader in turnkey patient video monitoring solutions, CareView is redefining the standard of patient safety in hospitals and
healthcare facilities across the country. For over a decade, CareView has relentlessly pursued innovative ways to increase patient
protection, providing next generation solutions that lower operational costs and foster a culture of safety among patients, staff,
and hospital leadership. With installations in more than 150 hospitals, CareView has proven that its innovative technology is
creating a culture of patient safety where patient falls have decreased by 80% and sitter costs reduced by more than 65%. Anchored
by the CareView Patient Safety System® and CareView Patient Care SystemTM, this modular, scalable solution
delivers flexible configurations to fit any facility while significantly increasing patient safety, care, and operational savings.
All configurations feature HD cameras, high-fidelity 2-way audio/video, LCD displays for the ultimate in capability, flexibility,
and affordability.
SitterView®
and TeleMedView™ allows hospital staff to use CareView’s high-quality video cameras with pan-tilt-zoom and 2-way video
functionality to observe and communicate with patients remotely. With CareView, hospitals are safely monitoring more patients while
providing a higher level of care by leveraging CareView’s patented technology, a portfolio that includes 40 patents. TeleMedView
leverages the CareView Mobile Controller’s built-in monitor and can work with the CareView Portable Controller as well. Usage
of SitterView and TeleMedView has increased in response to a growing demand for remote patient monitoring driven by increasing
demands for care and staffing shortages in the healthcare industry.
The CareView
Patient Safety System enables virtual nursing workflows for patient observation, companionship, care concierge, and administrative
tasks can ease workloads and improve care delivery. Hybrid patient care, the combination of bedside and virtual care, allows hospitals
to keep nurses working at the top of their licenses and creates flexible and scalable workforce options. CareView’s integrations
with existing clinical workflow and patient engagement tools allow providers to access patient rooms virtually from within the
EHR workflow. CareView then becomes the centralized hub for a patient-centric, interconnected virtual care system.
In October
2022, CareView received Innovative Technology Designation after the Innovative Technology Exchange in Dallas, Texas. Every year,
healthcare experts serving on the member-led councils of Vizient, Inc., (“Vizient”), the nation’s largest healthcare
performance improvement company, review select products and technologies for their potential to enhance clinical care, patient
safety, healthcare worker safety or to improve business operations of healthcare organizations. Vizient’s diverse membership
and customer base includes academic medical centers, pediatric facilities, community hospitals, integrated health delivery networks,
and non-acute health care providers, and represents more than $130 billion in annual purchase volume. Technology designations are
awarded to previously contracted products to signal to healthcare providers the impact of these innovations on patient care and
business models of healthcare organizations.
CareView Patient Safety System
Our CareView
Patient Safety System provides innovative ways to increase patient protection, provides advanced solutions that lower operational
costs, and helps hospitals foster a culture of safety among patients, staff, and hospital leadership. We understand the importance
of providing high quality patient care in a safe environment and believe in partnering with hospitals to improve the quality of
patient care and safety by providing a system that monitors continuously. We are committed to providing an affordable video monitoring
tool to improve the practice of nursing, create a better work environment and make the patient’s hospital stay more satisfying.
Our suite of products and services can simplify and streamline the task of preventing and managing patients’ falls, enhance
patient safety, improve quality of care, and reduce costs. Our products and services can be used in all types of hospitals, nursing
homes, adult living centers, and selected outpatient care facilities domestically and internationally.
The CareView
Patient Safety System includes CareView’s SitterView, providing a clear picture of up to 40 patients at once, allowing staff
to intervene and document patient risks more quickly. SitterView features intuitive decision support pathway, guiding staff alarm
response and pan- tilt-zoom functionality, allowing staff to home in on areas of interest. CareView’s new Analytics Dashboard
provides real-time metrics on utilization, compliance, and outcome data by day, week, month, and quarter. Outcomes are automatically
compared to organizational goals to evaluate real-time ROI.
CareView’s
next generation of in-room camera; the CareView Controller features an HD camera, high-fidelity 2-way audio, and an LCD display,
harnessing increased performance to deliver the ultimate in capability, flexibility, and affordability for all types of hospitals.
Building on top of CareView’s patented Virtual Bed Rails® and Virtual Chair Rails® predictive technology, the CareView
Controller uses machine learning to differentiate between normal patient movements and behaviors of a patient at risk. This technology
results in less false alarms, faster staff intervention, and a significant reduction in patient falls.
The CareView
Controller is available in multiple configurations for permanent or temporary situations; the CareView Mobile, Portable, and Fixed
Controller. For situations that demand that the camera come to the patient, the CareView Mobile Controller on wheels comes with
an uninterrupted external power supply for situations where power may not be readily available and can operate on the facility’s
wireless network. For monitoring patients within a general care unit, the CareView Portable Controller can be easily removed from
mounts and moved where the workflow dictates, making this application perfect for general use. For high-risk patient rooms where
behavior and self-harm may be a factor, or where a patient must be continuously monitored, the CareView Fixed Controller can be
installed seamlessly in the ceiling tiles leaving no exposed wiring making it ligature resistant.
The CareView
Patient Safety System can be easily configured to meet the individual privacy and security requirements of any hospital or nursing
facility. CareView is compliant with the Health Insurance Portability and Accountability Act (“HIPAA”) and certified
by HITRUST. Additional HIPAA-compliant features allow privacy options to be enabled at any time by the patient, nurse, or physician.
CareView Patient Safety System Products
and Services Agreement with Healthcare Facilities
CareView’s
subscription-based model is offered to healthcare facilities through a Products and Services Agreement (the “P&S Agreement(s)”).
During the term of the P&S Agreement, we provide continuous monitoring of the CareView Patient Safety System products and services
deployed to a healthcare facility and maintain and service all equipment installed by us. Under the subscription-based model, terms
of each P&S Agreement require the healthcare facility to pay us a monthly fee based on the number of selected, installed, and
activated services. None of the services provided through the Primary Package are paid or reimbursed by any third-party provider
including insurance companies, Medicare, or Medicaid. We also enter into corporate-wide agreements with healthcare companies (the
“Master Agreement(s)”), wherein the healthcare companies enter into individual facility level agreements that are substantially
like our P&S Agreements.
Master Agreements
and P&S Agreements are currently negotiated for a period of three years with a provision for automatic renewal. P&S Agreements
specific to pilot programs (“P&S Pilot Agreements”) contain pricing terms substantially like P&S Agreements,
are generally three or six-months in length and can be extended on a month-to-month basis as required. Regarding the subscription-based
model, we own all rights, title, and interest in and to the equipment we install at each location and agree to maintain and repair
it; although, we may charge for repairs or replacements due to damage or misuse. We are not responsible for maintaining data arising
from use of the CareView Patient Safety System or for transmission errors, corruption or compromise of data carried over local
or interchange telecommunication carriers. We grant each healthcare facility a limited, revocable, non-transferable, and nonexclusive
license to use the software, network facilities, content, and documentation on and in the CareView Patient Safety System to the
extent, and only to the extent, necessary to access, explore and otherwise use the CareView Patient Safety System in real time.
Such non-exclusive license expires upon termination of the P&S Agreement.
We use specific
terminology to better define and track the staging and billing of the individual components of the CareView Patient Safety System.
The CareView Patient Safety System includes three components which are separately billed; the CareView Controller (previously known
as RCP), the CareView SitterView Monitor, and the CareView Application Server (each component referred to as a “unit”).
The term “bed” refers to each healthcare facility bed as part of the overall potential volume that a healthcare facility
represents. For example, if a healthcare facility has 200 beds, the aggregate of those beds is the overall potential volume of
that healthcare facility. The term “bed” is often used interchangeably with “CareView Controller” as this
component of the CareView Patient Safety System consistently resides within each room where the “bed” is located. On
average, there are six SitterView Monitors for each 100 beds. The term “deployed” means that the units have been delivered
to the healthcare facility but have not yet been installed at their respective locations within the facility. The term “installed”
means that the units have been mounted and are operational. The term “billable” refers to the aggregate of all units
on which we charge fees. Units become billable once they are installed and the required personnel have been trained in their use.
Units are only deployed upon the execution of a P&S Agreement or P&S Pilot Agreement.
CareView Patent Safety System Sales-Based
Model
CareView’s
sales-based model commenced with the introduction of our updated technology. CareView has also aligned its contracting model to
meet the preferred acquisition model in the hospital industry. CareView now sells its proprietary equipment to facilities in lieu
of lending the equipment as defined under the subscription-based model. In doing so, the facility is billed for the hardware on
acceptance of the contract. After CareView’s equipment is delivered to the facility, CareView begins the process of installing
and securely integrating the equipment and software. Upon completion of installation, training, and “go-live”; referring
to all systems in full operation, CareView bills the facility for the installation, training, and an annual software license fee.
CareView will continue to bill the facility an annual software license fee until the end of the contract. The shift to the sales-based
model has an immediate impact on our operations resulting in greater cash flow within 30 days of contract signing.
CareView
continues its dedication to provide service and support on a 24x7x365 basis for every customer under every contract.
CareView Connect
Our mission
is to be the leading provider of resident monitoring products and services for the long-term care industry. We took what we learned
in our medical facility business and applied it to developing a product to serve the long-term care market. With CareView Connect
Quality of Life® System (“CareView Connect”), CareView has again positioned itself as a technology leader with
its innovative suite of products specifically designed for all aspects of the long-term care market, including Nursing Care, Home
Care, Assisted Living and Independent Living.
With this
mission in mind, in the second quarter of 2018, the Company introduced a new sensor product with application in both the assisted
living center market and the home health market. CareView Connect leverages both passive and active sensors to track the activities
of daily life. CareView Connect provides peace of mind by using data from the resident’s activity, existing conditions, and
environment to notify a caregiver of potential emergencies and identify the need for dignified support. CareView Connect consists
of a small emergency assist button, two motion sensors, one sleep sensor, and one event sensor. Resident activity levels, medication
administration, sleep patterns, and requests for assistance can all be monitored depending on which options are selected.
The skilled
nursing home market consists of approximately 2,000,000 beds, which is double the size of the current hospital/healthcare facility
bed market. The assisted living center market is even larger at approximately 3,000,000 beds. Our products flow naturally into
the nursing home space as it is substantially the same setting as hospital rooms.
CareView
Connect is a platform consisting of several products and applications targeted at improving the level of care and efficiency. CareView
built a cohesive and tightly integrated solution that solves several problems that long-term care facilities face. We offer an
array of wearable and stationary buttons that allow a resident to summon help either for an emergency or assistance, which can
be anything from toileting help to assistance putting on their shoes. We offer a mobile app capable of delivering an alert to the
caregiver and allows them to document information around that alert, how long before the alert was handled and, what was the cause
of the alert, and if it was not acknowledged in a timely manner then the alert is escalated to another individual or group. This
ensures that every alert is responded to timely and is verifiable.
Alert Management and Monitoring System
CareView
Connect provides a suite of hardware and software that facilitate a data-driven solution for alert management and monitoring. CareView
Connect’s solution provides additional context, including location of the resident, which improves response time by the staff.
The alert system includes a documentation platform that allows the facility’s staff to classify the reason for alerts and
provides metrics around response time. CareView Connect’s solution involves several passive sensors that monitor the resident.
Caregiver Platform
The caregiver
platform includes a “Leave of Absence” component, which allows the facility to document when the resident is outside
of their room for a duration of time. This information is incorporated with known data from the workflows and sensors to improve
awareness. The Caregiver Connect mobile application provides a convenient and intuitive interface to the CareView Connect platform.
The caregiver can use the mobile app to capture important information and interface with critical workflows, such as acknowledging
and documenting alert presses by the resident. CareView Connect also provides a product focused on capturing and measuring the
mental state and pain experienced by the resident. “How are you feeling today?” provides a convenient way to capture
information about the mental state of the resident using emojis. Similarly, “What is your pain today?” allows the staff
to categorize and document pain. Connect Resident is a tablet application intended for the resident’s direct use. This product
currently supports video conferencing with a remote caregiver, becoming a communications conduit for telehealth. Connect Resident
also supports “How are you feeling today?”, which allows the resident to submit this information directly.
Quality of Life Metrics
CareView
developed its own algorithm for measuring quality of life based on “best of breed” research and leveraging the data
collected by the platform. CareView Connect’s Quality of Life Metrics focuses on several categories, including Physical Activity,
Bodily Pain, General Health, Vitality, Social Interaction, Mental Health, and Sleep Quality. Leveraging this data, the facility
and their staff have improved visibility into the health and well-being of their residents. By applying machine learning and predictive
analytics, subtle patterns and trends that may not otherwise be visible become actionable. The facility can use this information
to present a more compassionate and capable level of care, differentiating the facility from their competition. The Quality of
Life Metrics information can be made available to the family and loved ones, opening a new channel of remote awareness and care.
Because the information is collected automatically, the family gains awareness on issues of which their loved ones may normally
be unaware. The Connect Family mobile application allows family members to monitor their loved one and receive alerts and notifications
based on their preferences.
Pricing Structure and Revenue Streams
The CareView
Connect suite of products and services offers multiple pricing models. We work with each facility on pricing to offer an affordable
package based on the demographics of the residents of the facility. The pricing structure with each facility is negotiated separately.
Typically, we offer the CareView Connect basic package at a price per monitored room with varying price structures based on number
of sensors and number of residents in each facility.
Purchasing Agreement with Decisive Point
Consulting Group, LLC
On February 2, 2021,
we partnered with Decisive Point Consulting Group, a Department of Veterans Affairs Contractor Verification Enterprise (CVE) and
a Verified Service-Disabled Veteran Owned Small Business (SDVOSB), to expand our reach within the VA hospitals and Community Living
Centers space. Our partnership reflects our desire to collaborate with companies that share our vision of patient safety. We continue
to use this partnership to contract with VA hospitals and their Community Living Centers (“CLC”).
Indefinite
Delivery Indefinite Quality (IDIQ) Contract
On September 10, 2021,
the Company entered an Indefinite Delivery Indefinite Quality (IDIQ) contract for Telecare Services with, Shore Systems and Solutions,
LLC (S3). The award provides S3 with a path to providing the CareView Patient Safety System to veterans and their families receiving
care at the 1,293 Veterans Health Administration (“VHA”) facilities across the United States and Territories.
General
Service Administration Multiple Award Schedule
Pursuant
to the terms of the Company’s General Service Administration (“GSA”) Multiple Award Schedule contract (“MAS”),
the MAS allows us to sell the CareView Patient Safety System at a negotiated rate to the approximate 169 United States Department
of Veterans Affairs (“VA”) facilities with over 39,000 licensed beds and the approximate 42 DOD hospitals with over
2,600 licensed beds. The sales-based model was added to the MAS, which allows us to sell the proprietary hardware and license the
software on an annualized basis. The MAS is one of the most widely accepted government contract vehicles available to agency procurement
officers. GSA’s application process requires potential vendors to be recognized as highly credible and well established.
CareView is a sole source provider. Our products and services represent an enormous opportunity to improve the health and safety
of our Nation’s veterans.
Group Purchasing Agreement with HealthTrust
Purchasing Group, LP
On December
14, 2016, the Company entered a Group Purchasing Agreement with HealthTrust Purchasing Group, L.P. (“HealthTrust”)
(the “HealthTrust GPO Agreement”), the nation’s only committed-model Group Purchasing Organization (“GPO”)
headquartered in Nashville, Tennessee. HealthTrust serves approximately 1,600 acute care facilities and members in more than 26,000
other locations, including ambulatory surgery centers, physician practices, long-term care, and alternate care sites. The agreement
was effective on January 1, 2017 and all CareView Patient Safety System components and modules are available for purchase by HealthTrust’s
exclusive membership. HealthTrust members may order CareView’s products and services included in the agreement directly from
CareView.
On October
1, 2018, the Company added CareView Connect to the HealthTrust GPO Agreement.
On November
1, 2020, the sales-based contract model was added to the HealthTrust GPO Agreement which allows us to sell the proprietary hardware
and license the software on an annualized basis. On December 1, 2021, the HealthTrust GPO Agreement was renewed for another 3 year
term. We continue to work with HealthTrust and their members to expand contracts.
Group
Purchasing Agreement with Premier, Inc.
On June 8, 2022 the Company entered a Group Purchasing Agreement with Premier, Inc. (“Premier”), headquartered in Charlotte,
N.C. Premier is a leading healthcare improvement company, uniting an alliance of more than 4,400 U.S. hospitals and health systems
and approximately 225,000 other providers and organizations to transform healthcare. The agreement was effective on June 15, 2022
and all Gen 5 CareView Patient Safety System components and modules are available for purchase by Premier’s exclusive membership.
Premier members may order CareView’s products and services included in the agreement directly from CareView. We are continuing
to work with Premier on new contracts.
Summary of Product and Service of Sales-based
Contracts
Our contracts
typically include multiple combinations of our products, software solutions, and related services with multiple payment options.
Customers can continue to lease our equipment under our subscription model or can purchase our equipment upfront under our sales-based
contract model with an auto-renewal at the end of each contract period. The new sales-based contract offers our customers the flexibility
of capitalizing on their investment, which in turn, replenishes our cash reserves. For the years ended December 31, 2023, and 2022,
the Company executed sales-based contracts in approximate aggregated amounts of $8,223,000 and $4,309,000.
Results of Operations
Three months ended March 31, 2024 compared to three months
ended March 31, 2023
| |
Three months ended March 31, | | |
| |
| |
2024 | | |
2023 | | |
Change | |
| |
(000’s) | |
Revenue | |
$ | 2,203 | | |
$ | 1,782 | | |
$ | 421 | |
Operating expenses | |
| 2,436 | | |
| 2,298 | | |
| 138 | |
Operating income | |
| (233 | ) | |
| (516 | ) | |
| 283 | |
Other, net | |
| (789 | ) | |
| (830 | ) | |
| 41 | |
Net loss | |
$ | (1,022 | ) | |
$ | (1,346 | ) | |
$ | 324 | |
Revenue
Revenue increased approximately
$421,000 for the three months ended March 31, 2024 as compared to the same period in 2023. The increase in revenue is mainly a
result of increase in sales of our Gen5 equipment along with the associated software bundle.
Operating Expenses
Our principal operating
costs include the following items as a percentage of total operating expense.
| |
Three Months Ended March 31, | |
| |
2024 | | |
2023 | |
Human resource costs, including benefits and non-cash compensation | |
| 63 | % | |
| 54 | % |
Professional and consulting costs | |
| 6 | % | |
| 12 | % |
Depreciation and amortization | |
| 3 | % | |
| 7 | % |
Other product deployment costs, excluding human resources and travel
and entertainment costs | |
| 9 | % | |
| 2 | % |
Travel and entertainment expense | |
| 1 | % | |
| 3 | % |
Other expenses | |
| 18 | % | |
| 22 | % |
Operating expenses increased by a net 6% because of the following items:
| |
| | | |
(000’s) | |
Human resource costs, including benefits and non-cash compensation | |
| | | |
$ | 288 | |
Depreciation and amortization | |
| | | |
| (94 | ) |
Other product deployment costs, excluding human resources and travel and entertainment expense | |
| | | |
| 153 | |
Professional and consulting costs | |
| | | |
| (115 | ) |
Travel and entertainment expense | |
| | | |
| (41 | ) |
Other expenses | |
| | | |
| (53 | ) |
| |
| | | |
$ | 138 | |
Human resource related
costs (including salaries and benefits and non-cash compensation) increased approximately $288,000 due to higher payroll costs
of professional staff, overtime, commissions, fringe benefits paid out during the three months ended March 31, 2024 as compared
to the three months ended March 31, 2023. Correspondingly Professional and consulting costs decreased approximately $115,000 due
to hired employees vs. 1099 contractors. Product deployment costs increased approximately $153,000 due to increased installation
and equipment costs. Travel and entertainment costs decreased approximately $41,000 due to significantly less corporate lodging
and transportation costs. For the comparable periods, Other expenses decreased approximately $53,000, primarily as a result of
office supplies, provision for income taxes, R&D expenses, public entity costs and licenses and permits.
Other, net
Other non-operating
income and expense decreased by approximately $41,000 or 5%, for the three months ended March 31, 2024 in comparison to the same
period in 2023, primarily because of the not having any debt restructuring expenses and earning interest income on negotiated money
market account.
Net Loss
As a result of the
factors above, our first quarter 2024 net loss of approximately $1,022,000 decreased approximately $324,000 or 24%, as compared to
approximately $1,346,000 net loss for the first quarter of 2023.
Liquidity and Capital Resources
Accounting standards
require management to evaluate whether the Company can continue as a going concern for a period of one year after the date of the
filing of this Form 10-Q (“evaluation period”). In evaluating the Company’s ability to continue as a going concern,
management considers the conditions and events that raise substantial doubt about the Company’s ability to continue as a
going concern for a period of twelve months after the Company issues its financial statements. For the period ended March 31, 2024,
management considers the Company’s current financial condition and liquidity sources, including current funds available,
forecasted future cash flows, and the Company’s conditional and unconditional obligations due before March 13, 2025.
The Company is subject
to risks like those of healthcare technology companies whereby revenues are generated based on both on a sales-based and subscription-based
business model such as dependence on key individuals, uncertainty of product development, generation of revenues, positive cash
flow, dependence on outside sources of capital, risks associated with research, development, and successful testing of its products,
successful protection of intellectual property, ability to maintain and grow its customer base, and susceptibility to infringement
on the proprietary rights of others. 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 significant cash outflows from cash used in operating activities over the past years. As of and for the three months
ended March 31, 2024, the Company had an accumulated deficit of $208,907,180, loss from operations of $233,387, net cash provided
by operating activities of $129,512, and an ending cash balance of $1,249,580.
As of March 31, 2024,
the Company had a working capital deficit of $38,253,839 consisting primarily of PDL notes payables and associated interest payable.
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. While management will look to continue
funding operations by increased sales volumes and raising additional capital from sources such as sales of its debt or equity securities
or loans to meet operating cash requirements, there is no assurance that management’s plans will be successful.
On March 8, 2022, we
agreed with the HealthCor Parties to (i) amend the 2011 HealthCor Notes to extend the maturity date of the 2011 HealthCor Notes
from April 20, 2022 to April 20, 2023 by entering into Allonge No. 4 to the 2011 HealthCor Notes (the “Third 2011 Note Allonges”)
and (ii) amend the 2012 HealthCor Notes to extend the maturity date of the 2012 HealthCor Notes from April 20, 2022 to April 20,
2023 by entering into Allonge No. 4 to the 2012 HealthCor Notes (the “Fourth 2012 Note Allonges”) (such amendments
to the 2011 HealthCor Notes and 2012 HealthCor Notes together, the “HealthCor Note Extensions”). In connection with
the HealthCor Note Extensions, we issued the HealthCor parties warrants to purchase an aggregate of 3,000,000 shares of our Common
Stock at an exercise price per share equal to $0.09 per share (subject to adjustment as described therein) and with an expiration
date of March 08, 2032 (collectively the “2021 HealthCor Warrants”).
On December 30, 2022,
the Company entered into a consent and agreement to cancel and exchange existing notes and issue replacement notes and cancel warrants
(the “Cancellation Agreement”) with certain holders (the “Investors”) of senior secured convertible promissory
notes (“Notes”) and warrants (“Warrants”) to purchase the Company’s common stock, that were issued
pursuant to the Note and Warrant Purchase Agreement, dated as of April 21, 2011 (as amended, modified, or supplemented from time
to time) (the “Purchase Agreement”). The Cancellation Agreement provided for the cancellation of all outstanding Notes
and Warrants issued pursuant to the Purchase Agreement in exchange for the issuance of replacement senior secured convertible promissory
notes (the “Replacement Notes”) with an aggregate principal amount of $44,200,000. The maturity date of the Replacement
Notes was December 31, 2023. No interest accrues on the Replacement Notes. As of March 31, 2023, $18,000,000 remains of the replacement
convertible notes.
On May 24, 2023, HealthCor
noteholders owning an aggregate of $18,000,000 Replacement Notes, presented Conversion Notices, pursuant to the terms
of the Replacement Note, for the conversion of the Replacement Notes into 180,000,000 shares of the Company’s common
stock at a conversion price of $0.10 per share.
Management continues
to monitor the immediate and future cash flow needs of the Company in a variety of ways which include forecasted net cash flows
from operations, capital expenditure control, new inventory orders, debt modifications, increases sales outreach, streamlining
and controlling general and administrative costs, competitive industry pricing, sale of equities, debt conversions, new product
or services offerings, and new business partnerships.
The Company’s
net losses, cash outflows, and working capital deficit raise substantial doubt about the Company’s ability to continue as
a going concern through March 13, 2025. The accompanying condensed consolidated financial statements have been prepared assuming
that the Company will continue as a going concern. This basis of accounting contemplates the recovery of the Company’s assets
and the satisfaction of liabilities in the normal course of business. A successful transition to attaining profitable operations
is dependent upon achieving a level of positive cash flows adequate to support the Company’s cost structure.
Critical Accounting Estimates
Please refer to our
Annual Report on Form 10-K for the year ended December 31, 2023 filed with the Commission on March 29, 2024 and incorporated herein
by reference, for detailed explanation of our critical accounting estimates, which have not changed significantly during the three
months ended March 31, 2024.
Recently Issued and Newly Adopted Accounting Pronouncements
We do not expect that
the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed consolidated financial
statements.
Recent Events
None.
Item 3. Quantitative and Qualitative
Disclosures about Market Risk
None.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
Disclosure controls
and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in our reports
filed or submitted under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed,
summarized, and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures
include, without limitation, controls and procedures designed to ensure that information required to be disclosed in our reports
filed or submitted under the Exchange Act is accumulated and communicated to management, including our chief executive officer
and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.
Evaluation of Disclosure Controls and Procedures
Pursuant to Rule 13a-15(b)
under the Securities Exchange Act of 1934 (“Exchange Act”), we carried out an evaluation, with the participation of our
management, including Steve G. Johnson, our Chief Executive Officer (“CEO”) and principal executive officer, and Jason
T. Thompson, our principal financial officer and chief accounting officer, of the effectiveness of our disclosure controls and
procedures (as defined under Rule 13a-15(e) under the Exchange Act) as of the end of the period covered by this Report.
Under the supervision
and with the participation of our CEO and principal financial and chief accounting officer, our management evaluated the effectiveness
of the design and operation of our disclosure controls and procedures as of March 31, 2024. Based on that evaluation, our CEO and
principal financial and chief accounting officer concluded that our disclosure controls and procedures were not effective as of
March 31, 2024 due to the continuing existence of a material weakness in internal control over financial reporting described below
(which we view as an integral part of our disclosure controls and procedures). Based on the performance of additional procedures
designed to ensure the reliability of our financial reporting, we believe that the condensed consolidated financial statements
included in this Report fairly present, in all material respects, our financial position, results of operations and cash flows
as of the dates, and for the periods, presented, in conformity with accounting principles generally accepted in the United States
(“GAAP”).
Material Weakness and Remediation Plan
A material weakness
is a deficiency, or a combination of deficiencies, in internal controls over financial reporting, such that there is a reasonable
possibility that a material misstatement of the Company’s annual or interim financial statements will not be prevented or
detected on a timely basis. Management has determined that the Company did not maintain effective internal control over financial
reporting as of the quarter ended March 31, 2024 due to the existence of the material weaknesses described below.
Management determined
that the Company did not maintain effective internal control over financial reporting as of March 31, 2024, due to the existence
of the following material weaknesses:
• It was determined that the Company
does not have effective controls over the identification and evaluation of the GAAP accounting for certain complex transactions
in the areas of revenues, debt, and income taxes, due to a lack of technical expertise.
Based on additional procedures and post-closing
review, Management concluded that the consolidated financial statements including this report present fairly, in all material respects,
results of operations, and cash flows for the periods presented, in conformity with accounting principles accepted in the United
States.
We began to take steps to address our material
weaknesses, through our remediation plan. We implemented the following measures:
• Identify and employ additional
full-time highly qualified accounting personnel to join the corporate accounting function to enhance overall monitoring, maintain
standard internal controls, and accounting oversight within the Company.
• Implement enhanced documentation
associated with management review controls and validation of the completeness and accuracy of financial reporting and key management
financial reports.
• Provide training of standard
operating procedures and internal controls to key stakeholders within the supply chain, logistics, and inventory processes.
• Enhance and automate existing
internal control to ensure proper authorization, review, and recording of financial transactions.
• On an as-needed basis, identify
and engage certain third-party subject matter experts to assist with the preparation and reporting of complex business and accounting
transactions.
Changes in Internal Control Over Financial Reporting
Other than as described
above, there were no changes in our internal control over financial reporting identified in management’s evaluations pursuant
to Rules 13a-15(d) or 15d-15(d) of the Exchange Act during the quarter ended March 31, 2024 that materially affected, or are reasonably
likely to materially affect, our internal control over financial reporting.
Limitations on Controls
Our management can
provide no assurance that our disclosure controls and procedures or our internal control over financial reporting can prevent all
errors and all fraud under all circumstances. A control system, no matter how well conceived and operated, can provide only reasonable,
not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect
the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because
of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues
and instances of fraud, if any, within the Company have been or will be detected. The design of any system of controls also is
based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will
succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because
of changes in conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations
in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.
PART II - OTHER INFORMATION
Item 1. Legal Proceedings.
None.
Item 1A. Risk Factors.
Our Company is a “smaller
reporting company” as defined by Rule 12b-2 of the Exchange Act, and as such, is not required to provide the information
required under this Item.
Item 2. Unregistered Sales of Equity Securities and Use of
Proceeds.
None.
Item 3. Defaults Upon Senior Securities.
None.
Item 4. Mine Safety Disclosures.
Not applicable.
Item 5. Other Information.
None.
Item 6. Exhibits.
Exhibit No. |
Date of Document |
Name of Document |
31.1 |
05/14/24 |
Certification of Chief Executive Officer of Periodic Report pursuant to Rule 13a-14a and Rule 14d-14(a).* |
31.2 |
05/14/24 |
Certification of Chief Financial Officer of Periodic Report pursuant to Rule 13a-14a and Rule 15d-14(a).* |
32 |
05/14/24
|
Certifications under Section 906.* |
101.SCH |
n/a |
XBRL Taxonomy Extension Schema Document* |
101.CAL |
n/a |
XBRL Taxonomy Extension Calculation Linkbase Document* |
101.DEF |
n/a |
XBRL Taxonomy Extension Definition Linkbase Document* |
101.LAB |
n/a |
XBRL Taxonomy Extension Label Linkbase Document* |
101.PRE |
n/a |
XBRL Taxonomy Extension Presentation Linkbase Document* |
___________________
SIGNATURES
Pursuant to the requirements
of the Securities Exchange Act of 1934, the Company has duly caused this report to be signed on its behalf by the undersigned thereunto
duly authorized.
DATE: May 14, 2024
|
CAREVIEW COMMUNICATIONS, INC. |
|
|
|
|
By: |
/s/ Steven G. Johnson |
|
|
Steven G. Johnson |
|
|
Chief Executive Officer |
|
|
Principal Executive Officer |
|
|
|
|
By: |
/s/
Jason T. Thompson |
|
|
Jason T. Thompson |
|
|
Principal Financial
Officer |
|
|
Chief Accounting
Officer |
CareView Communications, Inc. 10-Q
Exhibit
31.1
CERTIFICATION
OF PRINCIPAL EXECUTIVE OFFICER PURSUANT TO
SECTION
302 OF
THE
SARBANES-OXLEY ACT OF 2002
I,
Steven G. Johnson, certify that:
| (1) | I
have reviewed this quarterly report on Form 10-Q of CareView Communications, Inc. |
| (2) | Based
on my knowledge, this report does not contain any untrue statements of a material fact
or omit to state a material fact necessary to make the statements made, in light of the
circumstances under which such statements were made, not misleading with respect to the
period covered by this report. |
| (3) | Based
on my knowledge, the financial statements, and other financial information included in
this report, fairly present in all material respects the financial condition, results
of operations and cash flows of the registrant as of, and for, the periods presented
in this report. |
| (4) | The
registrant’s other certifying officer(s) and I are responsible for establishing
and maintaining disclosure controls and procedures (as defined in Exchange Act Rules
13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in
Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
| a. | Designed
such disclosure controls and procedures, or caused such disclosure controls and procedures
to be designed under our supervision, to ensure that material information relating to
the registrant, including its consolidated subsidiaries, is made known to us by others
within those entities, particularly during the period in which this report is being prepared; |
| b. | Designed
such internal control over financial reporting, or caused such internal control over
financial reporting to be designed under our supervision, to provide reasonable assurance
regarding the reliability of financial reporting and the preparation of financial statements
for external purposes in accordance with generally accepted accounting principles; |
| c. | Evaluated
the effectiveness of the registrant’s disclosure controls and procedures and presented
in this report our conclusions about the effectiveness of the disclosure controls and
procedures, as of the end of the period covered by this report based on such evaluations;
and |
| d. | Disclosed
in this report any change in the registrant’s internal control over financial reporting
that occurred during the registrant’s most recent fiscal quarter (the registrant’s
fourth fiscal quarter in the case of an annual report) that has materially affected,
or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and |
| (5) | The
registrant’s other certifying officer(s) and I have disclosed, based on our most
recent evaluation of the internal control over financial reporting, to the registrant’s
auditors and the audit committee of the registrant’s board of directors (or persons
performing the equivalent functions): |
| a. | All
significant deficiencies and material weaknesses in the design or operation of internal
control over financial reporting which are reasonably likely to adversely affect the
registrant’s ability to record, process, summarize and report financial information;
and |
| b. | Any
fraud, whether or not material, that involves management or other employees who have
a significant role in the registrant’s internal control over financial reporting. |
May
14, 2024 |
/s/
Steven G. Johnson |
|
|
Steven
G. Johnson |
|
|
Chief
Executive Officer |
|
|
Principal
Executive Officer |
|
CareView Communications, Inc. 10-Q
Exhibit
31.2
CERTIFICATION
OF PRINCIPAL FINANCIAL OFFICER PURSUANT TO
SECTION
302 OF
THE
SARBANES-OXLEY ACT OF 2002
I,
Jason T. Thompson, certify that:
| (1) | I
have reviewed this quarterly report on Form 10-Q of CareView Communications, Inc. |
| (2) | Based
on my knowledge, this report does not contain any untrue statements of a material fact
or omit to state a material fact necessary to make the statements made, in light of the
circumstances under which such statements were made, not misleading with respect to the
period covered by this report. |
| (3) | Based
on my knowledge, the financial statements, and other financial information included in
this report, fairly present in all material respects the financial condition, results
of operations and cash flows of the registrant as of, and for, the periods presented
in this report. |
| (4) | The
registrant’s other certifying officer(s) and I are responsible for establishing
and maintaining disclosure controls and procedures (as defined in Exchange Act Rules
13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in
Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
| a. | Designed
such disclosure controls and procedures, or caused such disclosure controls and procedures
to be designed under our supervision, to ensure that material information relating to
the registrant, including its consolidated subsidiaries, is made known to us by others
within those entities, particularly during the period in which this report is being prepared; |
| b. | Designed
such internal control over financial reporting, or caused such internal control over
financial reporting to be designed under our supervision, to provide reasonable assurance
regarding the reliability of financial reporting and the preparation of financial statements
for external purposes in accordance with generally accepted accounting principles; |
| c. | Evaluated
the effectiveness of the registrant’s disclosure controls and procedures and presented
in this report our conclusions about the effectiveness of the disclosure controls and
procedures, as of the end of the period covered by this report based on such evaluations;
and |
| d. | Disclosed
in this report any change in the registrant’s internal control over financial reporting
that occurred during the registrant’s most recent fiscal quarter (the registrant’s
fourth fiscal quarter in the case of an annual report) that has materially affected,
or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and |
| (5) | The
registrant’s other certifying officer(s) and I have disclosed, based on our most
recent evaluation of the internal control over financial reporting, to the registrant’s
auditors and the audit committee of the registrant’s board of directors (or persons
performing the equivalent functions): |
| a. | All
significant deficiencies and material weaknesses in the design or operation of internal
control over financial reporting which are reasonably likely to adversely affect the
registrant’s ability to record, process, summarize and report financial information;
and |
| b. | Any
fraud, whether or not material, that involves management or other employees who have
a significant role in the registrant’s internal control over financial reporting. |
May
14, 2024 |
/s/
Jason T. Thompson |
|
|
Jason
T. Thompson |
|
|
Principal
Financial Officer |
|
|
Chief
Accounting Officer |
|
CareView Communications, Inc. 10-Q
EXHIBIT
32
CERTIFICATIONS
UNDER SECTION 906
Pursuant
to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States
Code), each of the undersigned officers of CareView Communications, Inc., a Nevada corporation (the “Company”), does
hereby certify, to such officer’s knowledge, that:
The
Quarterly Report for the quarter ended March 31, 2024 (the “Form 10-Q”) of the Company fully complies with the requirements
of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, and the information contained in the Form 10-Q fairly presents,
in all material respects, the financial condition and results of operations of the Company.
May
14, 2024 |
/s/
Steven G. Johnson |
|
|
Steven
G. Johnson |
|
|
Chief
Executive Officer |
|
|
Principal
Executive Officer |
|
|
|
|
May
14, 2024 |
/s/
Jason T. Thompson |
|
|
Jason
T. Thompson |
|
|
Chief
Accounting Officer |
|
|
Principal
Financial Officer |
|
Careview Communications (QB) (USOTC:CRVW)
過去 株価チャート
から 10 2024 まで 11 2024
Careview Communications (QB) (USOTC:CRVW)
過去 株価チャート
から 11 2023 まで 11 2024