UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10–Q

 

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

 

For the quarterly period ended 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 number: 000-55768

 

HealthLynked Corp.
(Exact name of registrant as specified in its charter)
     
Nevada   47-1634127
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)
     
1265 Creekside Parkway, Suite 302, Naples FL 34108
(Address of principal executive offices)
 
(800) 928-7144
(Registrant’s telephone number, including area code)
 
 
(Former name, former address and former fiscal year, if changed since last report)

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

As of May 15, 2024, there were 281,942,151 shares of the issuer’s common stock, par value $0.0001, outstanding.

 

 

 

 

 

TABLE OF CONTENTS

 

    PAGE NO.
     
PART I FINANCIAL INFORMATION 1
Item 1 Financial Statements (Unaudited) 1
Item 2 Management’s Discussion and Analysis of Financial Condition and Results of Operations 35
Item 3 Quantitative and Qualitative Disclosures about Market Risk 41
Item 4 Controls and Procedures 41
     
Part II OTHER INFORMATION 42
Item 1 Legal Proceedings 42
Item 1A Risk Factors 42
Item 2 Unregistered Sales of Equity Securities and Use of Proceeds 42
Item 3 Defaults upon Senior Securities 43
Item 4 Mine Safety Disclosure 43
Item 5 Other Information 43
Item 6 Exhibits 43

 

i

 

 

PART I. FINANCIAL INFORMATION

 

Item 1. Financial Statements

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED BALANCE SHEETS

 

   March 31,   December 31, 
   2024   2023 
ASSETS  (Unaudited)     
Current Assets        
Cash  $23,491   $247,222 
Accounts receivable, net of allowance for doubtful accounts of $-0- and $-0- as of March 31, 2024 and December 31, 2023, respectively   33,620    20,861 
Inventory, net   136,205    133,222 
Prepaid expenses and other current assets   40,016    55,210 
Contingent sale consideration receivable, current portion   1,663,163    199,645 
Total Current Assets   1,896,495    656,160 
          
Property and equipment, net of accumulated depreciation of $550,531 and $521,062 as of March 31, 2024 and December 31, 2023, respectively   263,884    290,755 
Intangible assets, net of accumulated amortization of $315,730 and  $258,690 as of March 31, 2024 and December 31, 2023, respectively   826,808    883,848 
Right of use lease assets   853,525    935,812 
Deposits, long term portion   50,047    50,047 
Contingent sale consideration receivable, long term portion   
---
    1,463,518 
           
Total Assets  $3,890,759   $4,280,140 
           
LIABILITIES AND SHAREHOLDERS’ EQUITY          
Current Liabilities          
Accounts payable, accrued expenses and other current liabilities  $705,124   $614,178 
Contract liabilities   331,440    271,774 
Lease liability, current portion   332,692    326,033 
Notes payable and other amounts due to related party, net of unamortized original issue discount of $281,579 and $34,834 as of March 31, 2024 and December 31, 2023, respectively   718,642    471,742 
Notes payable, current portion, net of unamortized original issue discount of $104,288 and $166,487 as of March 31, 2024 and December 31, 2023, respectively   462,847    584,323 
Indemnification liability   143,974    143,974 
Total Current Liabilities   2,694,719    2,412,024 
           
Long-Term Liabilities          
Lease liability, long-term portion   524,546    613,386 
Government notes payable, long-term portion   450,000    450,000 
           
Total Liabilities   3,669,265    3,475,410 
           
Commitments and contingencies (Note 14)   
 
    
 
 
           
Shareholders’ Equity          
Common stock, par value $0.0001 per share, 500,000,000 shares authorized, 281,064,958 and 275,964,958 shares issued and outstanding as of March 31, 2024 and December 31, 2023, respectively   28,107    27,597 
Series B convertible preferred stock, par value $0.001 per share, 20,000,000 shares authorized, 2,750,000 and 2,750,000 shares issued and outstanding as of March 31, 2024 and December 31, 2023, respectively   2,750    2,750 
Common stock issuable, $0.0001 par value; 1,055,536 and 2,764,352 as of March 31, 2024 and December 31, 2023, respectively   54,570    281,682 
Additional paid-in capital   43,556,921    42,525,837 
Accumulated deficit   (43,420,854)   (42,033,136)
Total Shareholders’ Equity   221,494    804,730 
           
Total Liabilities and Shareholders’ Equity  $3,890,759   $4,280,140 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 

1

 

 

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

 

   Three Months Ended
March 31,
 
   2024   2023 
Revenue        
Patient service revenue, net  $963,621   $1,700,281 
Subscription revenue   7,628    16,299 
Product revenue   32,983    38,574 
Total revenue   1,004,232    1,755,154 
           
Operating Expenses and Costs          
Practice salaries and benefits   583,156    963,657 
Other practice operating expenses   482,583    624,247 
Cost of product revenue   30,579    32,060 
Selling, general and administrative expenses   999,443    1,103,748 
Depreciation and amortization   86,509    88,077 
Total Operating Expenses and Costs   2,182,270    2,811,789 
           
Loss from operations   (1,178,038)   (1,056,635)
           
Other Income (Expenses)          
Loss on extinguishment of debt   (96,660)   (44,763)
Amortization of original issue discounts on notes payable   (108,265)   (63,360)
Change in fair value of contingent acquisition consideration   76    (1,706)
Interest expense and other   (4,831)   (11,381)
Total other income (expenses)   (209,680)   (121,210)
           
Loss from continuing operations before provision for income taxes   (1,387,718)   (1,177,845)
           
Provision for income taxes   
---
    
---
 
           
Loss from continuing operations   (1,387,718)   (1,177,845)
           
Discontinued operations (Note 4)          
Loss from operations of discontinued operations   
---
    (44,289)
Gain from disposal of discontinued operations   
---
    2,674,069 
Gain on discontinued operations   
---
    2,629,780 
           
Net income (loss)  $(1,387,718)  $1,451,935 
           
Loss per share from continuing operations, basic and diluted:          
Basic  $(0.00)  $(0.00)
Fully diluted   (0.00)   (0.00)
           
Gain (loss) on discontinued operations, basic and diluted:          
Basic  $0.00   $0.01 
Fully diluted   0.00    0.01 
           
Net loss per share, basic and diluted:          
Basic  $(0.00)  $0.01 
Fully diluted   (0.00)   0.01 
           
Weighted average number of common shares:          
Basic   280,484,268    257,131,222 
Fully diluted   280,484,268    257,131,222 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 

2

 

 

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN SHAREHOLDERS’ EQUITY

THREE MONTHS ENDED MARCH 31, 2024 AND 2023

(UNAUDITED)

 

   Number of Shares           Common   Additional       Total 
   Common   Preferred   Common   Preferred   Stock   Paid-in   Accumulated   Shareholders’ 
   Stock   Stock   Stock   Stock   Issuable   Capital   Deficit   Equity 
   (#)   (#)   ($)   ($)   ($)   ($)   ($)   ($) 
Balance at December 31, 2023   275,964,958    2,750,000    27,597    2,750    281,682    42,525,837    (42,033,136)   804,730 
                                         
Sales of common stock   5,100,000         510    
 
    
---
    255,413    
 
    255,923 
Fair value of warrants allocated to proceeds of common stock   ---    ---    
---
    
---
    
---
    99,077    
---
    99,077 
Fair value of warrants allocated to proceeds of related party debt   ---    ---    
---
    
---
    
---
    209,943    
---
    209,943 
Fair value of beneficial conversion feature allocated to proceeds of related party debt   ---    ---    
---
    
---
    
---
    146,405    
---
    146,405 
Consultant and director fees payable
with common shares and warrants
   ---    ---    
---
    
---
    43,437         
---
    43,437 
Shares and options issued to employees   ---    ---    
---
    
---
    (270,549)   320,246    
---
    49,697 
Net loss   ---    ---    ---    ---    ---    ---    (1,387,718)   (1,387,718)
                                         
Balance at March 31, 2024   281,064,958    2,750,000    28,107    2,750    54,570    43,556,921    (43,420,854)   221,494 
                                         
Balance at December 31, 2022   255,940,389    2,750,000    25,594    2,750    225,584    41,081,455    (41,020,933)   314,450 
                                         
Sales of common stock pursuant to Standby Equity Purchase Agreement   225,000    ---    22    
---
    
---
    18,743    
---
    18,765 
Other sales of common stock   2,000,000         200    
 
    
---
    125,998    
 
    126,198 
Fair value of warrants allocated to proceeds of common stock   ---    ---    
---
    
---
    
---
    73,802    
---
    73,802 
Fair value of warrants allocated to proceeds of related party debt   ---    ---    
---
    
---
    
---
    95,393    
---
    95,393 
Consultant and director fees payable
with common shares and warrants
   ---    ---    
---
    
---
    54,972         
---
    54,972 
Shares and options issued to employees   987,500    ---    99    
---
    (34,200)   67,229    
---
    33,128 
Net income   ---    ---    ---    ---    ---    ---    1,451,935    1,451,935 
                                         
Balance at March 31, 2023   259,152,889    2,750,000    25,915    2,750    246,356    41,462,620    (39,568,998)   2,168,643 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 

3

 

 

HEALTHLYNKED CORP.

CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS

(UNAUDITED)

   Three Months Ended
March 31,
 
   2024   2023 
Cash Flows from Operating Activities        
Net income (loss)  $(1,387,718)  $1,451,935 
Loss from discontinued operations   ---    44,289 
Adjustments to reconcile net loss to net cash used in operating activities:          
Gain from disposal of discontinued operations   ---    (2,674,069)
Depreciation and amortization   86,509    88,077 
Stock based compensation, including amortization of deferred equity compensation   93,133    88,101 
Amortization of debt discount   108,265    63,360 
Loss on extinguishment of debt   96,660    44,763 
Change in fair value of contingent acquisition consideration   (76)   1,706 
Changes in operating assets and liabilities:          
Accounts receivable   (12,760)   811 
Inventory   (2,983)   (97)
Prepaid expenses and other current assets   15,194    56,566 
Right of use lease assets   82,287    334,157 
Accounts payable and accrued expenses   89,149    (219,064)
Lease liability   (82,181)   (333,881)
Contract liabilities   59,666    996 
Net cash used in continuing operating activities   (854,855)   (1,052,350)
Net cash used in discontinued operating activities   ---    (47,163)
Net cash used in operating activities   (854,855)   (1,099,513)
           
Cash Flows from Investing Activities          
Proceeds from sale of discontinued operations   ---    781,381 
Acquisition of property and equipment   (2,598)   --- 
Net cash provided by (used in) continuing investing activities   (2,598)   781,381 
Net cash used in discontinued investing activities   
---
    
---
 
Net cash provided by (used in) investing activities   (2,598)   781,381 
           
Cash Flows from Financing Activities          
Proceeds from sale of common stock   355,000    200,000 
Proceeds from related party notes payable   500,000    455,000 
Proceeds from third party notes payable   ---    100,000 
Repayment of related party notes payable   (37,602)   (229,500)
Repayment of third party notes payable   (183,676)   (200,593)
Net cash provided by continuing financing activities   633,722    324,907 
Net cash provided by discontinued financing activities   
---
    
---
 
Net cash provided by financing activities   633,722    324,907 
           
Net increase (decrease) in cash   (223,731)   6,775 
Cash, beginning of period   247,222    61,891 
           
Cash, end of period  $23,491   $68,666 
           
Supplemental disclosure of cash flow information:          
Cash paid during the period for interest  $6,579   $3,272 
Cash paid during the period for income tax  $
---
   $
---
 
Schedule of non-cash investing and financing activities:          
Common stock issuable issued during period  $---   $34,105 
Fair value of options issued in satisfaction of common stock issuable   270,549    --- 
Fair value of warrants allocated to proceeds of related party notes payable  $209,943   $95,393 
Fair value of beneficial conversion feature allocated to proceeds of related party notes payable  $146,405   $--- 
Net carrying value of equity liabilities (assets) written off  $---   $2,350 
Proceeds from sale of common stock under Standby Equity Purchase Agreement applied to note payable balance  $---   $18,743 
Incremental fair value of convertible note payable to related party resulting from refinancing  $33,121   $-- 
Note payable to related party balance classified as accrued interest  $1,875   $-- 

 

See the accompanying notes to these Unaudited Condensed Consolidated Financial Statements

 

4

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 1 – BUSINESS AND BUSINESS PRESENTATION

 

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

 

The Company currently operates in three distinct divisions: the Health Services Division, the Digital Healthcare Division, and the Medical Distribution Division. The Health Services Division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology) and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice engaged in improving the health of its patients through individualized and integrative health care, (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, Florida that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery, and (iv) Aesthetic Enhancements Unlimited (“AEU”), a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. The Digital Healthcare Division develops and operates an online personal medical information and record archive system, the “HealthLynked Network,” which enables patients and doctors to keep track of medical information via the Internet in a cloud-based system. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States.

 

During October 2022, the Company’s Board of Directors (the “Board”) approved a plan to sell the Company’s ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, comprised of the operations of Cura Health Management LLC (“CHM”) and its subsidiary ACO Health Partners LLC (“AHP”), which operates an Accountable Care Organization (“ACO”) and Managed Service Organization (“MSO”) that assists physician practices in providing coordinated and more efficient care to patients via the Medicare Shared Savings Program (“MSSP”) as administered by the Centers for Medicare and Medicaid Services (the “CMS”). On January 17, 2023, the Company entered into an Agreement and Plan of Merger (the “AHP Merger Agreement”) pursuant to which PBACO Holding, LLC, an operator of ACOs, (“Buyer”) agreed to buy, and the Company agreed to sell, AHP. See Note 4, “Discontinued Operations,” for additional information.

 

These unaudited condensed consolidated financial statements reflect all adjustments including normal recurring adjustments, which, in the opinion of management, are necessary to present fairly the financial position, results of operations and cash flows for the periods presented in accordance with the accounting principles generally accepted in the United States of America (“GAAP”). These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the years ended December 31, 2023 and 2022, respectively, which are included in the Company’s Form 10-K, filed with the United States Securities and Exchange Commission (the “Commission”) on April 1, 2024. The Company assumes that the users of the interim financial information herein have read, or have access to, the audited consolidated financial statements for the preceding period, and that the adequacy of additional disclosure needed for a fair presentation may be determined in that context. The results of operations for the three months ended March 31, 2024 are not necessarily indicative of results for the entire year ending December 31, 2024.

 

On a consolidated basis, the Company’s operations are comprised of the parent company, HealthLynked Corp., and its five subsidiaries: NWC, NCFM, BTG, MOD and AEU. Results through January 17, 2023 also include operations of AHP, which was sold, and CHM, which was discontinued, both effective as of January 17, 2023. All significant intercompany transactions and balances have been eliminated upon consolidation. In addition, certain amounts in the prior periods’ consolidated financial statements have been reclassified to conform to the current period presentation.

 

Uncertainty Due to Geopolitical Events

 

Due to the Hamas-Israel and Russia-Ukraine conflicts, there has been uncertainty and disruption in the global economy. Although these events did not have a direct material adverse impact on the Company’s financial results for the three months ended March 31, 2024, at this time the Company is unable to fully assess the aggregate impact the Hamas-Israel and Russia-Ukraine conflicts will have on its business due to various uncertainties, which include, but are not limited to, the duration of the conflicts, the conflicts’ effect on the economy, the impact on the Company’s businesses and actions that may be taken by governmental authorities related to the conflicts. 

 

5

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES

 

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

 

Basis of Presentation

 

The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP. All amounts referred to in the notes to the condensed consolidated financial statements are in United States Dollars ($) unless stated otherwise.

 

Use of Estimates

 

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

 

Revenue Recognition

 

Patient service revenue

 

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

 

Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time includes revenue from NCFM annual access contracts (called the Medical Membership and Concierge Program prior to October 1, 2023 and Optimal Health 365 Access Plan thereafter), NWC annual administration fees, and BTG physical therapy bundles. Revenue from NCFM Medical Memberships and Concierge contracts and NWC annual administration fees, which include bundled products and services that have substantially the same pattern of transfer to the customer, is recognized over the period of delivery, which is the same as the period of the contract (typically, one year). Revenue from prepaid BTG physical therapy bundles, for which performance obligations are satisfied over time as visits are incurred, is recognized based on actual visits incurred in relation to total expected visits. At inception of such contracts, the Company recognizes contract liabilities for the value of services to be provided and, where applicable, contract assets for recoverable amounts incurred to obtain a customer contract that would not have incurred if the contract had not been obtained. The Company believes that these methods provide a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligation.

 

Revenue for performance obligations satisfied at a point in time, which includes all patient service revenue other than NCFM annual access contracts, NWC annual administration fees, and BTG physical therapy bundles, is recognized when goods or services are provided at the time of the patient visit, and at which time the Company is not required to provide additional goods or services to the patient.

 

6

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. Estimates of contractual adjustments and discounts require significant judgment and are based on the Company’s current contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. There were no material changes during the three months ended March 31, 2024 or 2023 to the judgments applied in determining the amount and timing of patient service revenue.

 

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

 

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

 

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

 

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

 

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

 

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

 

The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM, BTG and AEU are provided on a cash basis and not submitted through third party insurance providers.

 

7

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Product and Other Revenue

 

Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue are recognized when payment is received but for which the Company has not met its product fulfillment performance obligation.

 

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

 

The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products.

 

Cash and Cash Equivalents

 

For financial statement purposes, the Company considers all highly liquid investments with original maturities of six months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. The Company had $-0- and $-0- in cash balances in excess of the FDIC insured limit as of March 31, 2024 and December 31, 2023, respectively.

 

Accounts Receivable

 

Trade receivables related to NWC services billed to third party payors are carried at the estimated collectible amount. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 61% of total billings. Trade accounts receivable are recorded at this net amount. As of March 31, 2024 and December 31, 2023, the Company’s gross patient services accounts receivable were $40,295 and $34,481, respectively, and net patient services accounts receivable were $33,620 and $20,861, respectively, based upon net reporting of accounts receivable. As of March 31, 2024 and December 31, 2023, the Company’s allowance for doubtful accounts was $-0- and $-0-, respectively.

 

Other Comprehensive Income

 

The Company does not have any activity that results in Other Comprehensive Income.

 

Leases

 

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

 

ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. See Note 8 for more complete details on balances as of the reporting periods presented herein.

 

8

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Inventory

 

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

 

Intangible Assets

 

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

 

Concentrations of Credit Risk

 

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

 

Property and Equipment

 

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

 

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

 

Fair Value of Assets and Liabilities

 

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

 

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

 

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

 

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

 

9

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

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

 

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

 

Stock-Based Compensation

 

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

 

Income Taxes

 

The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No income tax has been provided for the three months ended March 31, 2024 since the Company sustained a loss in that period. No income tax was provided for the three months ended March 31, 2023 because the Company had sufficient operating loss carryforwards to offset any net income for the full year 2023, including income from capital gains related to the disposal of discontinued operations. The Company recognized net loss for the full year 2023. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable.

 

Recurring Fair Value Measurements

 

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

 

10

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Net Income (Loss) per Share 

 

Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three months ended March 31, 2024 and 2023, the Company reported a loss from continuing operations. As a result, diluted net income (loss) per common share is computed in the same manner as basic net income (loss) per common share, even though the Company had net income in the three months ended March 31, 2023 after adjusting for discontinued operations. The Company excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of March 31, 2024 and December 31, 2023, potentially dilutive securities were comprised of (i) 85,357,246 and 77,414,648 warrants outstanding, respectively, (ii) 7,063,146 and 5,093,738 stock options outstanding, respectively, (iii) 1,026,324 and 1,484,488 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, (iv) up to 1,055,536 and 2,764,352 common shares issuable that are earned but not paid under consulting and director compensation arrangements, and (v) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. 

 

Common Stock Awards

 

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

 

Warrants

 

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

 

Business Segments

 

The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has three operating segments: Health Services (multi-specialty medical group including the NWC GYN practice, the NCFM functional medicine practice, the BTG physical therapy practice, and the AEU cosmetic services practice), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices).

 

The Company’s ACO/MSO segment was sold on January 17, 2023. As described in further detail in Note 4, “Discontinued Operations,” this unit’s assets and liabilities are classified as held for sale as of December 31, 2022 and the unit’s results of operations are classified as “Income (loss) from operations of discontinued operations” in the three months ended March 31, 2024 and 2023.

 

11

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

 

Recently Adopted Pronouncements

 

In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments.” The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers, to recognize and measure contract assets and contract liabilities from contracts with customers acquired in a business combination. Public entities must adopt the new guidance for fiscal years beginning after December 15, 2022 and interim periods within those fiscal years, with early adoption permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In November 2023, the FASB issued Accounting Standards Update 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280, on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In December 2023, the FASB issued Accounting Standards Update 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

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

 

NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS

 

Under ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”), the Company is required to evaluate whether there is substantial doubt about its ability to continue as a going concern each reporting period, including interim periods. Pursuant to ASU 2014-15, in evaluating the Company’s ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about the Company’s ability to continue as a going concern within 12 months after the Company’s financial statements were issued (May 15, 2025). Management considered the Company’s current financial condition and liquidity sources, including current funds available, forecasted future cash flows and the Company’s obligations due before May 15, 2025.

 

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

 

As of March 31, 2024, the Company had cash balances of $23,491, a working capital deficit of $798,224 and an accumulated deficit of $43,420,854. For the three months ended March 31, 2024, the Company had a net loss of $1,387,718 and used cash from operating activities of $854,855. The Company expects to continue to incur net losses and have significant cash outflows for at least the next 12 months.

 

12

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS (CONTINUED)

 

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

 

As described further in Note 4, “Discontinued Operations,” on January 17, 2023, the Company entered into the AHP Merger Agreement, pursuant to which the Buyer agreed to buy, and the Company agreed to sell, AHP. The Company received $750,000 upon signing of the AHP Merger Agreement, the $31,381 Stub Period Reimbursement (defined below) in March 2023, $1,750,000 ($1,540,000 net after commissions) during June, July and August 2023 for meeting 100% of the participating physician transfer milestones outlined in the AHP Merger Agreement, and $1,873,993 ($1,186,231 net after commissions and other expenses) related to AHP’s Plan Year 2022 MSSP shared savings. The Company may also receive future proceeds under the AHP Merger Agreement comprised of (i) up to $500,000 from the Buyer’s plan year 2023 (and if necessary, 2024) MSSP Shared Savings to reimburse amounts advanced to participating physicians at signing that would be received in October 2024, and (ii) proceeds from sale of shares of the Buyer’s common stock if the Buyer completes an initial public offering by February 1, 2025.

 

During the three months ended March 31, 2024, the Company also (i) received net proceeds from the issuance of notes payable to related parties and third parties totaling $500,000 and made repayments on existing and new notes payable to related parties and third parties totaling $221,278, and (ii) received $355,000 proceeds from the sale of its common stock.

 

On July 5, 2022, the Company entered into a Standby Equity Purchase Agreement (the “SEPA”) with YA II PN, Ltd. (“Yorkville”) (See Note 13, “Shareholders’ Equity,” below for additional information on the SEPA). Pursuant to the SEPA, the Company shall have the right to sell to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the three-year commitment period set forth in the SEPA. Because the purchase price per share to be paid by Yorkville for the shares of common stock sold by the Company to Yorkville pursuant to the SEPA, if any, will fluctuate based on the market prices of the Company’s common stock during the applicable pricing period, the Company cannot reliably predict the actual purchase price per share to be paid by Yorkville for those shares, or the actual gross proceeds to be raised by the Company from those sales, if any. During the three months ended March 31, 2023, the Company sold 225,000 shares of common stock under the SEPA, receiving $18,765 in proceeds, all of which was applied to the balance of a then-outstanding promissory note payable to Yorkville. The Company has not made any draws pursuant to the SEPA since January 2023.

 

Without raising additional capital, either via additional advances made pursuant to the SEPA or from other sources, there is substantial doubt about the Company’s ability to continue as a going concern through May 15, 2025. The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. This basis of presentation contemplates the recovery of the Company’s assets and the satisfaction of liabilities in the normal course of business.

 

13

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 4 – DISCONTINUED OPERATIONS

 

Description of Transaction

 

During the fourth quarter of 2022, the Board approved a plan to sell the Company’s ACO/MSO Division, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP as administered by the CMS, which rewards providers for efficiency in patient care. On January 17, 2023, the Company entered into the AHP Merger Agreement, pursuant to which the Buyer agreed to buy, and the Company agreed to sell, AHP (the “AHP Sale”). Pursuant to the terms of the AHP Merger Agreement, the Company received or will receive the following consideration: (1) $750,000 in cash paid upon signing of the definitive agreement (received January 18, 2023) (the “Upfront Cash Consideration”); (2) the Buyer shall reimburse the Company for expenses incurred by the Company in operating AHP from January 1, 2023 to January 16, 2023 (the “Stub Period Reimbursement”)($31,381 paid in March 2023); (3) up to $1,750,000 net incremental cash based on the agreement to participate in Buyer’s ACO by AHP’s existing physician practices or newly added practices, scaled based on the number of covered patients transferred to PBACO by July 31, 2023 (the “Incremental Cash Consideration”), of which $1,225,000 ($1,180,000 net after commissions) was received in June 2023 and $150,000 ($120,000 net after commissions) was received in July 2023; (4) net proceeds, including allocation for expenses, from any MSSP Shared Savings related to AHP’s plan year 2022 (the “2022 MSSP Consideration”), of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in October 2023; (5) $500,000 of the Incremental Cash Consideration will be allocated to AHP’s participating physicians upon receipt and will be reimbursed to HealthLynked by the Buyer in 2024 from the Buyer’s plan year 2023 (and if necessary, 2024) MSSP Shared Savings (the “Physician Advance Consideration”); and (6) in the event that Buyer completes a planned initial public offering (“IPO”) by February 1, 2025, shares in the public entity at the time of the IPO with a value equal to AHP’s 2021 earnings before interest, taxes depreciation and amortization (“EBITDA”) times the multiple of EBITDA used to value the public entity’s IPO shares, net of any cash consideration previously paid by the Buyer and subject to vesting requirements detailed in the AHP Merger Agreement (the “IPO Share Consideration”). The Company is also required to indemnify the Buyer against liabilities arising from Buyer’s operation of AHP prior to the Buyer’s IPO date, less a deductible equal to 1% of the aggregate merger consideration (the “Indemnification Clause”).

 

In the event Buyer goes public through means other than an IPO, the parties agreed to modify the terms of the IPO Share Consideration to implement such alternate structure. In the event Buyer does not go public by IPO or other means by February 1, 2025, the Company receives no IPO Share Consideration, and the Transaction consideration is capped at the cash consideration of up to $3,000,000 plus the MSSP Consideration. Any participating physician advances will be repaid to the Company out of AHP’s 2023 performance year MSSP Shared Savings, which would be received in 2024.

 

Pursuant to the terms of the Merger Agreement, formal transfer of the equity ownership of AHP from the Company to the Buyer will occur at the earlier of (i) Buyer’s IPO, (ii) Buyer going public by other means, or (iii) if Buyer does not go public, on February 1, 2025. Until that time, the Company has the right, but not the obligation, to reacquire AHP for a price equal to any consideration already paid by the Buyer for AHP, plus all expenses incurred by Buyer in operating AHP after January 16, 2023.

 

Concurrent with the AHP Merger Agreement, AHP and the Buyer also entered into a Management Services Agreement (the “MSA”), pursuant to which the Buyer assumed full control of managing AHP’s business operations and paying AHP’s operating expenses after January 16, 2023. The term of the MSA is from January 17, 2023 to August 1, 2024, which is the latest date that equity ownership of AHP can transfer from the Company to the Buyer. The Buyer agreed in the Merger Agreement to reimburse the Company for reasonable expenses incurred by the Company in operating AHP from January 1, 2023 to January 16, 2023, which we refer to as the Stub Period Reimbursement, during which time the Company had operational and financial control of AHP and CHM. Concurrent with the AHP Merger Agreement and the MSA, and as a result of the Buyer assuming control and responsibility of AHP’s operations, the Company discontinued its operations of CHM.

 

Discontinued Operations

 

The Company has classified the results of the ACO/MSO Division as discontinued operations in the accompanying consolidated statement of operations for all periods presented. No assets or liabilities were classified as held for sale as of March 31, 2024 or December 31, 2023.

 

14

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 4 – DISCONTINUED OPERATIONS (CONTINUED)

 

The financial results of the ACO/MSO Division are presented as income (loss) from discontinued operations, net of income taxes on our consolidated statement of operations. The following table presents financial results of the ACO/MSO Division for the three months ended March 31, 2024:

 

   Three Months Ended
March 31,
 
   2024   2023 
Revenue:        
Consulting revenue  $
---
   $23,646 
Total revenue   
---
    23,646 
           
Operating Expenses and Costs:          
Medicare shared savings expenses   
---
    67,935 
           
Loss from operations of discontinued operations before income taxes   
---
    (44,289)
Provision for income taxes   
---
    
---
 
           
Loss from discontinued operations, net of income taxes  $
---
   $(44,289)

 

Net cash used in operations of the ACO/MSO Division was $-0- and $47,163 in the three months ended March 31, 2024 and 2023, respectively. There were no cash flows from investing or financing activities of the ACO/MSO Division in the three months ended March 31, 2024 and 2023.

 

Derecognition and Gain from Disposal of Discontinued Operations

 

As a result of the AHP Sale and pursuant to the terms and conditions of the AHP Merger Agreement and the MSA, the Company ceased to have a controlling financial interest in AHP as of January 17, 2023. Accordingly, in connection with the transaction, the Company deconsolidated AHP as of January 17, 2023.

 

In connection with the deconsolidation, the Company recognized the fair value of consideration received and receivable from the AHP Sale, recognized an indemnification liability related to potential claims resulting from the AHP Sale, derecognized the carrying value of assets and liabilities transferred to the Buyer or otherwise derecognized in connection with in the AHP Sale, and recorded a gain on sale for the excess of consideration received over carrying value of assets derecognized and liabilities recognized.

 

The Company elected to record the contingent portion of consideration receivable at fair value on the sale date pursuant to the guidance in FASB Emerging Issues Task Force Issue 09-4, “Seller Accounting for Contingent Consideration,” (“EITF 09-4”). The fair value of consideration received and receivable is shown in the following table:

 

Upfront Cash Consideration paid at signing  $750,000 
      
Incremental Cash Consideration   1,311,567 
IPO Share Consideration   1,463,517 
2022 MSSP Consideration   312,987 
Physician Advance Consideration   199,645 
Stub Period Reimbursement   31,381 
Total fair value of contingent consideration receivable   3,319,097 
      
Total fair value of consideration received and receivable  $4,069,097 

 

15

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 4 – DISCONTINUED OPERATIONS (CONTINUED)

 

The fair value of contingent consideration receivable was determined using an expected present value approach, which applies a discount rate to a probability-weighted stream of net cash flows based on multiple scenarios, as estimated by management. As such, the fair values of contingent consideration receivable rely on significant unobservable inputs and assumptions and there is uncertainty in the expected future cash flows used in the fair valuation. Significant assumptions related to the valuation of contingent consideration receivable include the likelihood of a Buyer IPO, the valuation of the Buyer’s common stock in a potential IPO, the likelihood that AHP would meet its performance benchmarks to the extent that it will receive shared savings for plan year 2022, the likelihood that AHP under the management of the Buyer would receive sufficient shared savings in plan years 2023 and/or 2024 to pay the Physician Advance Consideration, and the likelihood that the Company would be able to transfer or add new participating physicians to AHP before July 31, 2023 in order to collect the Incremental Cash Consideration.

 

The book value of the assets and liabilities derecognized on January 17, 2023 in connection with the sale were as follows:

 

Prepaid expenses  $1,500 
Intangible asset - ACO physician contract   1,073,000 
Goodwill   381,856 
Contract liability   (20,278)
Contingent acquisition consideration   (185,024)
Net Book Value of Assets and Liabilities Sold  $1,251,054 

 

Prepaid expenses are prepaid services from which the Buyer will benefit following the AHP Sale. Intangible assets and goodwill represent the carrying value of assets recorded at the time the Company acquired CHM and AHP in 2020 (the “Original Acquisition”). Contract liability represents remaining unearned revenue for which the Buyer is required to provide the performance obligations after January 17, 2023. In connection with the AHP Sale, the remaining value of contingent acquisition consideration (“CAC”) related to the Original Acquisition was written off.

 

After recording the fair value of consideration and derecognition of assets and liabilities, and an estimated liability related to the Indemnification Clause, the Company recorded a gain from disposal of discontinued operations in the amount of $2,674,069 in the three months ended Mach 31, 2023 as follows:

 

Total fair value of consideration received and receivable  $4,069,097 
Less: net book value of assets and liabilities sold   (1,251,054)
Less: fair value of Indemnification Clause   (143,974)
      
Gain from disposal of discontinued operations  $2,674,069 

 

After January 17, 2023, and as prescribed under EITF 09-4, the Company has elected to subsequently treat the contingent consideration receivable using gain contingency guidance and only record a gain or loss when the contingency is resolved. Accordingly, the Company does not prospectively remeasure the fair value of contingent consideration receivable each reporting period.

 

Receipts of Contingent Sale Consideration Receivable

 

The Company received $750,000 upon signing of the AHP Merger Agreement, the $31,381 Stub Period Reimbursement in March 2023, $1,750,000 ($1,540,000 net after commissions) Incremental Cash Consideration during June, July and August 2023 for meeting 100% of the participating physician transfer milestones outlined in the AHP Merger Agreement, and $1,873,993 ($1,186,231 net after commissions and other expenses) in October 2023 related to AHP’s Plan Year 2022 MSSP shared savings.

 

The carrying value of the remaining unresolved components of contingent consideration receivable as of March 31, 2024 and December 31, 2023 was as follows:

 

IPO Share Consideration  $1,463,518 
Physician Advance Consideration   199,645 
Remaining contingent sale consideration receivable  $1,663,163 

 

16

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 5 – PREPAID EXPENSES AND OTHER

 

Prepaid and other expenses as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Insurance prepayments  $7,791   $11,209 
Other expense prepayments   22,475    38,391 
Rent deposits   50,047    50,547 
Contract assets   9,750    5,110 
Total prepaid expenses and other   90,063    105,257 
Less: long term portion   (50,047)   (50,047)
Prepaid expenses and other, current portion  $40,016   $55,210 

 

Contract assets relate to amounts incurred to obtain a customer contract that would not have been incurred if the contract had not been obtained, such as commissions, associated with NCFM annual access contracts.

 

NOTE 6 – PROPERTY AND EQUIPMENT

 

Property and equipment as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Medical equipment  $496,452   $493,854 
Furniture, office equipment and leasehold improvements   317,963    317,963 
           
Total property and equipment   814,415    811,817 
Less: accumulated depreciation   (550,531)   (521,062)
           
Property and equipment, net  $263,884   $290,755 

 

Depreciation expense during the three months ended March 31, 2024 and 2023 was $29,469 and $31,037, respectively.

 

NOTE 7 – INTANGIBLE ASSETS

 

Identifiable intangible assets as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
NCFM: Medical database  $1,101,538   $1,101,538 
NCFM: Website   41,000    41,000 
           
Total intangible assets   1,142,538    1,142,538 
Less: accumulated amortization   (315,730)   (258,690)
           
Intangible assets, net  $826,808   $883,848 

 

17

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 7 – INTANGIBLE ASSETS (CONTINUED)

 

Intangible assets arose from the acquisition of NCFM in April 2019. The NCFM medical database is being prospectively amortized starting January 1, 2023 over an estimated five-year useful life. The NCFM website began being amortized over a five-year life from the acquisition date. Amortization expense related to intangible assets in the three months ended March 31, 2024 and 2023 was $57,040 and $57,040, respectively.

 

Future amortization expense of intangible assets is expected to be as follows:

 

2024 (April to December)  $165,885 
2025   220,308 
2026   220,308 
2027   220,307 
Thereafter   
---
 
      
Total future amortization expense  $826,808 

 

NOTE 8 – LEASES

 

The Company has separate operating leases, and related amendments thereto, for office space related to its NWC, NCFM, BTG and AEU practices, its corporate headquarters, and a copier lease that expire in July 2026, May 2025, March 2024, March 2026, November 2026, and January 2027, respectively. As of March 31, 2024, the Company’s weighted-average remaining lease term relating to its operating leases was 2.4 years, with a weighted-average discount rate of 15.44%.

 

The table below summarizes the Company’s lease-related assets and liabilities as of March 31, 2024 and December 31, 2023:



   March 31,   December 31, 
   2024   2023 
Lease assets  $853,525   $935,812 
           
Lease liabilities          
Lease liabilities (short term)  $332,692   $326,033 
Lease liabilities (long term)   524,546    613,386 
Total lease liabilities  $857,238   $939,419 

 

Lease expense was $129,431 and $111,905 in the three months ended March 31, 2024 and 2023, respectively.

 

Maturities of operating lease liabilities were as follows as of March 31, 2024:

 

2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 

 

18

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 9 – ACCOUNTS PAYABLE, ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

 

Amounts related to accounts payable, accrued expenses and other current liabilities as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Trade accounts payable  $372,612   $251,479 
Accrued payroll liabilities   76,646    110,103 
Accrued operating expenses   175,349    91,238 
Accrued interest   52,287    57,074 
Accrued commissions payable from 2022 MSSP Consideration (a)   25,000    100,000 
Contingent acquisition consideration payable (b)   2,113    2,189 
Product return allowance   1,117    2,095 
   $705,124   $614,178 

 

(a) During September 2023, AHP received from the CMS a final determination of AHP’s Plan Year 2022 MSSP shared savings, of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in satisfaction of the 2022 MSSP Consideration. Gross payment was received by the Company in October 2023. As of December 31, 2023, the Company’s remaining accrued commissions and other fees payable resulting from the receipt and prior consideration received in the amount of $100,000, of which $75,000 was paid in the three months ended March 31, 2024. See Note 4 for complete description of the AHP Sale and related consideration.
(b) Contingent acquisition consideration reflects the fair value of the final earn-out payment potentially payable related to the Company’s acquisitions of MOD in 2020.  All of the remaining $2,113 contingent acquisition consideration related to MOD matures in 2024 based on the performance of the business unit for the year ended December 31, 2024.

 

NOTE 10 – CONTRACT LIABILITIES

 

Amounts related to contract liabilities as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Patient services paid but not provided - NCFM  $175,333   $95,334 
Patient services paid but not provided - BTG   90,599    100,857 
Patient services paid but not provided - NWC   64,114    75,438 
Unshipped products - MOD   1,394    145 
   $331,440   $271,774 

 

Contract liabilities relate to (i) NCFM annual access contracts, including Medical Membership, Concierge Service and Optimal Health 365 Access Plan contracts pursuant to which patients prepay for access to services to be provided at the patient’s request over a period of time, (ii) BTG contracts pursuant to which patients prepay for access to a fixed number of visits used at the patients’ discretion, (iii) NWC annual administration fees, and (iv) MOD sold but unshipped products.

 

19

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 11 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS

 

Amounts due to related parties as of March 31, 2024 and December 31, 2023 were comprised of the following:

 

   March 31,   December 31, 
   2024   2023 
         
Note Payable to Dr. Michael Dent, March 2023  $
---
   $12,601 
Note Payable to Dr. Michael Dent, June 2023   
---
    26,875 
Note Payable to Dr. Michael Dent, December 2023   
---
    166,500 
Convertible Note Payable I to Dr. Michael Dent, March 2024   150,000    
---
 
Convertible Note Payable II to Dr. Michael Dent, March 2024   350,000    
---
 
Convertible Note Payable III to Dr. Michael Dent, March 2024   199,621    
---
 
Face value of notes payable to related party   699,621    205,976 
Less: unamortized discounts   (281,579)   (34,834)
Notes payable to related party, total   418,042    171,142 
Plus deferred compensation payable to Dr. Michael Dent   300,600    300,600 
Total due to related party  $718,642   $471,742 

 

Notes Payable to Dr. Michael Dent

 

On November 8, 2022, the Company entered into a Merchant Cash Advance Factoring Agreement with a trust controlled by Dr. Dent, pursuant to which the Company received an advance of $150,000 (the “November MCA”). The Company was required to repay the November MCA at the rate of $3,750 per week until the balance of $195,000 was repaid, which was scheduled for November 2023. At inception, the Company recognized a note payable in the amount of $195,000 and a discount against the note payable of $45,000. The discount was being amortized over the life of the November MCA. The Company made payments totaling $-0- and $33,750 in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $11,219 in the three months ended March 31, 2024 and 2023, respectively. The November MCA was repaid in full during the fourth quarter of 2023. As of March 31, 2024 and December 31, 2023, remaining payments were $-0- and $-0-, respectively, and the net carrying value was $-0- and $-0-, respectively.

 

On December 13, 2022, the Company entered into a Merchant Cash Advance Factoring Agreement with a trust controlled by Dr. Dent, pursuant to which the Company received an advance of $110,000 (the “December MCA”). The Company was required to repay the December MCA at the rate of $2,750 per week until the balance of $143,000 was repaid, which was scheduled for December 2023. In connection with the December MCA, the Company issued 3,142,857 three-year warrants to the holder with an exercise price of $0.035. The fair value of the warrants was $63,420. At inception, the Company recognized a note payable in the amount of $143,000 and a discount against the note payable of $68,281 for the allocated fair value of the original issue discounts and warrants. The discount was being amortized over the life of the December MCA. The Company made payments totaling $-0- and $24,750 in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $17,070 in the three months ended March 31, 2024 and 2023, respectively. The December MCA was repaid in full during the fourth quarter of 2023. As of March 31, 2024 and December 31, 2023, remaining payments were $-0- and $-0-, respectively, and the net carrying value was $-0- and $-0-, respectively.

 

On January 5, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $10,000 (the “$10k Dent Note”). The $10k Dent Note bore interest at a rate of 15% per annum and was scheduled to mature six months from issuance. In connection with the $10k Dent Note, the Company issued 96,154 five-year warrants to the holder with an exercise price of $0.104. The fair value of the warrants was $6,843. At inception, the Company recognized a note payable in the amount of $10,000 and a discount against the note payable of $3,851 for the allocated fair value of the warrants. The discount was to be amortized over the life of the $10k Dent Note. The $10k Dent Note was repaid in full during January 2023. Amortization of debt discount and interest expense prior to repayment were $269 and $53, respectively, in the three months ended March 31, 2023. In connection with the repayment, the Company recognized a loss on extinguishment of debt of $3,582 in the three months ended March 31, 2023.

 

20

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 11 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS (CONTINUED)

 

On January 13, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $161,000 (the “January 2023 Dent Note”). Net proceeds were $160,000, taking into account the original issue discount of $1,000. The January 2023 Dent Note bore interest at a rate of 15% per annum and was scheduled to mature six months from issuance. In connection with the January 2023 Dent Note, the Company issued 860,215 three-year warrants to Dr. Dent with an exercise price of $0.093. The fair value of the warrants was $56,123. At inception, the Company recognized a note payable in the amount of $161,000 and a discount against the note payable of $42,553 for the allocated fair value of the original issue discount and warrants. The discount was to be amortized over the life of the January 2023 Dent Note. The January 2023 Dent Note was repaid in full during January 2023. Amortization of debt discount and interest expense prior to repayment were $1,373 and $397, respectively, in the three months ended March 31, 2023. In connection with the repayment, the Company recognized a loss on extinguishment of debt of $41,181 in the three months ended March 31, 2023.

 

On February 14, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $186,000 (the “February 2023 Dent Note”). Net proceeds were $185,000 after an original issue discount of $1,000. The February 2023 Dent Note bore interest at a rate of 15% per annum and matured six months from issuance. In connection with the February 2023 Dent Note, the Company issued 685,185 three-year warrants to Dr. Dent with an exercise price of $0.135. The fair value of the warrants was $66,136. At inception, the Company recognized a note payable in the amount of $186,000 and a discount against the note payable of $50,989 for the allocated fair value of the original issue discounts and warrants. The discount was amortized over the life of the February 2023 Dent Note. No payments were made on the February 2023 Dent Note in the three months ended March 31, 2023. Amortization of debt discount and interest expense were $1,373 and $3,440, respectively, in the three months ended March 31, 2023.

 

On March 14, 2023, the Company issued a promissory note payable to a trust controlled by Dr. Dent with a stated principal amount of $112,510 and prepaid interest of $13,501 for total scheduled repayments of $126,011 (the “March 2023 Dent Note”). The March 2023 Dent Note had an original issue discount of $12,510, resulting in net proceeds to the Company of $100,000. At inception, the Company recognized a note payable in the amount of $126,011 and a discount against the note payable of $26,011. The March 2023 Dent Note did not bear interest in excess of the prepaid interest and original issue discount and matured on March 14, 2024. The Company was required to make 10 monthly payments of $12,601 starting April 30, 2023. At inception, the Company recorded a discount against the note of $26,011, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. The March 2023 Dent Note gave the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. The Company made payments totaling $12,601 and $-0- in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $2,504 and $1,292 in the three months ended March 31, 2024 and 2023, respectively. The March 2023 Dent Note was repaid in January 2024.

 

On June 26, 2023, the Company issued an unsecured promissory note to Dr. Michael Dent with a face value of $25,000 (the “June 2023 Dent Note”). The June 2023 Dent Note bore a fixed interest charge of $1,875 (15% per annum) and matured on December 26, 2023. At inception, the Company recorded a note payable in the amount of $26,875 and a discount against the note of $1,875. The Company made payments totaling $25,000 and $-0- in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $1,292 in the three months ended March 31, 2024 and 2023, respectively. The June 2023 Dent Note was repaid in January 2024.

 

On December 1, 2023, the Company issued an unsecured promissory note to a trust controlled by Dr. Dent with a face value of $150,000 (the “December 2023 Dent Note”). The December 2023 Dent Note bore a fixed interest charge of $15,000 (10% per annum) and $1,500 in fixed fees and matured on February 28, 2024. The Company received net proceeds of $150,000 after discounts and fees. In connection with the note, the Company issued 1,500,000 five-year warrants to the holder with an exercise price of $0.06. The fair value of the warrants was $32,269. At inception, the Company recorded a note payable in the amount of $166,500 and a discount against the note payable of $48,769 for the allocated fair value of the original issue discount and warrants. The Company made payments totaling $-0- and $-0- in the three months ended March 31, 2024 and 2023, respectively, on the December 2023 Dent Note. Amortization of debt discount was $32,330 and $-0- in the three months ended March 31, 2024 and 2023, respectively. On March 27, 2024, the December 2023 Dent Note was refinanced and replaced with the March 2024 Dent Note III as described below. No loss on extinguishment of debt was recognized in the three months ended March 31, 2024 because the discount was fully amortized at the time of the refinancing.

 

21

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 11 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS (CONTINUED)

 

On March 27, 2024, the Company issued to a trust controlled by Dr. Michael Dent three separate notes payable as follows: (1) a note payable with a principal of $350,000, an interest rate of 12% per annum, and a maturity date of June 27, 2024 (the “March 2024 Dent Note I”), (2) a note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of August 24, 2024 (the “March 2024 Dent Note II”), and (3) a note payable with a principal of $166,500, an interest rate of 12% per annum, and a maturity date of August 28, 2024 (the “March 2024 Dent Note III”, and collectively, the “March 2024 Dent Notes”). The full amount of principal and accrued interest on each of the March 2024 Dent Notes is due at the respective maturity date of each note. Each of the March 2024 Dent Notes is convertible at any time at the holder’s option into shares of Company common stock at a fixed conversion price of $0.0573 per share. In connection with the issuance of the March 2024 Dent Notes, the Company also issued to the holder a ten-year warrant to purchase 6,660,000 shares of the Company’s common stock at an exercise price of $0.06 per share (the “March 2024 Warrant”). The fair value of the March 2024 Warrant was $254,345.

 

Net proceeds from the March 2024 Dent Note I were $350,000. At inception, the Company recorded a discount of $203,588, representing the allocated fair value of the beneficial conversion feature (“BCF”) and the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note I. The discount is being amortized over the life of the note. Amortization expense related to the note discount was $8,852 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the March 2024 Dent Note I in the three months ended March 31, 2024 or 2023. As of March 31, 2024 and December 31, 2023, remaining principal payments were $350,000 and $-0-, respectively, the net carrying value was $155,264 and $-0-, respectively, and accrued interest was $460 and $-0-, respectively.

 

Net proceeds from the March 2024 Dent Note II were $150,000. At inception, the Company recorded a discount of $89,222, representing the allocated fair value of the BCF and the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note II. The discount is being amortized over the life of the note. Amortization expense related to the note discount was $2,379 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the March 2024 Dent Note II in the three months ended March 31, 2024 or 2023. As of March 31, 2024 and December 31, 2023, remaining principal payments were $150,000 and $-0-, respectively, the net carrying value was $63,157 and $-0-, respectively, and accrued interest was $197 and $-0-, respectively.

 

The March 2024 Dent Note III refinanced the previously issued December 2023 Dent Note in the same principal amount of $166,500. Because the two notes were determined to be substantially different, the issuance of the March 2024 Dent Note III and repayment of the December 2023 Dent Note was treated as an extinguishment and reissuance. Accordingly, the Company recognized a loss on debt extinguishment of $96,660 on the transaction date, comprised of $63,539 for the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note III and $33,121 for the excess of the fair value of the March 2024 Dent Note III over the carrying value of the refinanced December 2023 Dent Note. The March 2024 Dent Note III was recorded at its fair value of $199,621 and will be revalued at future period ends. As of March 31, 2024 and December 31, 2023, remaining principal payments were $166,500 and $-0-, respectively, the carrying value was $199,621 and $-0-, respectively, and accrued interest was $219 and $-0-, respectively.

 

Interest accrued on notes and convertible notes payable to related parties as of March 31, 2024 and December 31, 2023 was $3,202 and $7,456, respectively. Interest expense on the loans was $3,202 and $3,890 in the three months ended March 31, 2024 and 2023, respectively.

 

Deferred Compensation Payable to Dr. Michael Dent

 

There was no activity related to deferred compensation payable to Dr. Michael Dent and therefore, as of March 31, 2024 and December 31, 2023, the balance was $300,600 and $300,600, respectively.

 

Other Related Transactions

 

Our outside directors each receive compensation equal to $20,000 in shares of restricted stock per annum. As of March 31, 2024 and December 31, 2023, we had 816,328 and 408,164 shares, respectively, issuable to our directors under such compensation arrangements.

 

During the three months ended March 31, 2024 and 2023, the Company paid Dr. Dent’s spouse $39,038 and $27,885, respectively, in consulting fees pursuant to a consulting agreement.

 

22

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 12 – NOTES PAYABLE

 

Notes payable as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
SBA Disaster Relief Loans  $450,000   $450,000 
1800 Diagonal Note Payable III, August 2023   64,853    97,279 
Yorkville Note Payable III, November 2023   226,800    302,400 
1800 Diagonal Note Payable III, December 2023   113,482    162,131 
Yorkville Note Payable III, December 2023   162,000    189,000 
Face value of notes payable   1,017,135    1,200,810 
Less: unamortized discounts   (104,288)   (166,487)
Notes payable, total   912,847    1,034,323 
Less: long term portion   (450,000)   (450,000)
Notes payable, current portion  $462,847   $584,323 

 

Government Notes Payable

 

During June, July and August 2020, the Company and its subsidiaries received an aggregate of $450,000 in Disaster Relief Loans from the SBA. The loans bear interest at 3.75% per annum and mature 30 years from issuance. Mandatory principal and interest payments were originally scheduled to begin 12 months from the inception date of each loan and were subsequently extended by the SBA until 30 months from the inception date. Installment payments, which are first applied to accrued but unpaid interest and then to principal, began in 2023.

 

Interest accrued on SBA loans as of March 31, 2024 and December 31, 2023 was $27,095 and $27,628, respectively. Interest expense on the loans was $6,046 and $4,219 in the three months ended March 31, 2024 and 2023, respectively. Payments against interest were $6,579 and $5,117 in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining principal payments were $450,000 and $450,000, respectively, and the net carrying value was $450,000 and $450,000, respectively.

 

Other Notes Payable

 

On July 19, 2022, pursuant to a Note Purchase Agreement between the Company and Yorkville, dated July 5, 2022, the Company issued to Yorkville a promissory note (the “Promissory Note”) with an initial stated principal amount equal to $550,000 at a purchase price equal to the principal amount of the Promissory Note less any original issue discounts and fees. The Promissory Note included a 5% original issue discount, accrues interest at a rate of 0%, and was scheduled to mature on January 19, 2023. The Company received net proceeds of $522,500. Each payment included a 2% payment premium, totaling $561,000 in total cash repayments. At inception, the Company recorded a discount against the note of $38,500, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. On November 15, 2022, the Company and Yorkville entered into an Amended and Restated Note (the “Amended Note”) to, among other things, extend the original note’s maturity date of January 19, 2023 to March 15, 2023. Amortization expense related to the discount was $-0- and $4,748 in the three months ended March 31, 2024 and 2023, respectively. During the three months ended March 31, 2024 and 2023, the Company made payments of $-0- and $168,300 against the Promissory Note, including $18,765 applied from proceeds of sales of common stock under the SEPA. The Amended Note was repaid in March 2023.

 

23

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 12 – NOTES PAYABLE (CONTINUED)

 

On October 21, 2022, the Company issued a promissory note payable to an investor in the principal amount of $144,760 (the “October 2022 Note”). The October 2022 Note had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The October 2022 Note did not bear interest in excess of the original issue discount and had a maturity date of October 31, 2023. The Company was required to make 10 monthly payments of $16,213 starting November 30, 2022 and ending August 31, 2023. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which was amortized over the repayment period. During the three months ended March 31, 2024 and 2023, amortization expense related to the note discount was $-0- and $10,745, respectively, and the Company made payments of $-0- and $32,426, respectively, against the outstanding balance. The October 2022 Note was repaid in August 2023.

 

On March 10, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $116,760 and prepaid interest of $14,011 for total repayments of $130,771 (the “March 2023 Note”). The March 2023 Note had an original issue discount of $12,510 and fees of $4,250, resulting in net proceeds to the Company of $100,000. The March 2023 Note did not bear interest in excess of the original issue discount and matured on March 10, 2024. The Company was required to make 10 monthly payments of $13,077 starting April 30, 2023. At inception, the Company recorded a discount against the note of $30,771, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $-0- and $1,529 in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the outstanding balance in the three months ended March 31, 2024 or 2023. The final installment payment was made in December 2023.

 

On November 4, 2022, AEU borrowed a gross amount of $41,009 from a third-party lender, receiving net proceeds of $35,800 after fees and discounts (the “AEU Loan”). At inception of the note, the Company recognized a discount of $5,209. During the three months ended March 31, 2024 and 2023, amortization expense related to the note discount was $-0- and $2,367, respectively, and the Company made payments of $-0- and $18,632, respectively, against the outstanding balance. The AEU Loan was repaid in June 2023.

 

On August 8, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $144,760 and prepaid interest of $17,371 for total repayments of $162,131 (the “August 2023 Note”). The August 2023 Note had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The August 2023 Note does not bear interest in excess of the original issue discount and matures on June 30, 2024. The Company is required to make 10 monthly payments of $16,213 starting September 30, 2023 and ending on June 30, 2024. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $10,365 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $32,426 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $64,853 and $97,279, respectively, and the net carrying value was $54,488 and $76,549, respectively. The August 2023 Note gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. As of March 31, 2024, the August 2023 Note was not in default and the Company was in compliance with the stated loan requirements.

 

On November 3, 2023, the Company issued to Yorkville a note payable (the “November 2023 Note”) with an initial principal amount equal to $350,000 at a purchase price equal to the principal amount of the November 2023 Note less any original issue discounts and fees. The Company received net proceeds of $317,000. The November 2023 Note is scheduled to mature on September 3, 2024. The November 2023 Note accrues interest at a rate of 0% but was issued with an 8% original issue discount and is scheduled to be repaid in ten equal semi-monthly installments beginning on December 3, 2023, with each payment including an 8% payment premium, totaling $378,000 in cash repayments. At inception, the Company recorded a discount against the note of $61,000, representing the difference between the total required repayments and the net proceeds received, which was being amortized over the repayment period. Amortization expense related to the note discount was $18,200 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $75,600 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $226,800 and $302,400, respectively, and the net carrying value was $195,600 and $253,000, respectively.

 

24

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 12 – NOTES PAYABLE (CONTINUED)

 

On December 12, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $144,760 and prepaid interest of $17,371 for total repayments of $162,131 (the “December 2023 Note I”). The December 2023 Note I had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The December 2023 Note I does not bear interest in excess of the original issue discount and matures on October 15, 2024. The Company is required to make 10 monthly payments of $16,213 starting January 15, 2024 and ending on October 15, 2024. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $10,971 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $48,649 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $113,482 and $162,131, respectively, and the net carrying value was $89,612 and $127,291, respectively. The December 2023 Note I gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. As March 31, 2024, the December 2023 Note I was not in default and the Company was in compliance with the stated loan requirements.

 

On December 13, 2023, the Company issued to Yorkville a convertible note (the “December 2023 Note II”) with an initial principal amount equal to $175,000 at a purchase price equal to the principal amount of the December 2023 Note II less any original issue discounts and fees. The Company received net proceeds of $156,000. The December 2023 Note II is scheduled to mature on September 3, 2024. The December 2023 Note II accrues interest at a rate of 0% but was issued with an 8% original issue discount and is scheduled to be repaid in ten equal semi-monthly installments beginning on March 3, 2024, with each payment including an 8% payment premium, totaling $189,000 in cash repayments. The December 2023 Note II is convertible at any time at the holder’s option into shares of Company common stock at a fixed conversion price of $0.05 per share. At inception, the Company recorded a discount against the note of $66,000, representing the fair value of the conversion option and the difference between the total required repayments and the net proceeds received. The discount is being amortized over the repayment period. Amortization expense related to the note discount was $22,664 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $27,000 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $162,000 and $189,000, respectively, and the net carrying value was $123,147 and $127,483, respectively.

 

NOTE 13 – SHAREHOLDERS’ EQUITY

 

SEPA Advances

 

On July 5, 2022, the Company entered into the SEPA with Yorkville, pursuant to which the Company shall have the right, but not the obligation, to sell to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the commitment period commencing on July 5, 2022 and terminating on the earliest of (i) the first day of the month following the 36-month anniversary of the SEPA and (ii) the date on which Yorkville shall have made payment of any advances requested pursuant to the SEPA for shares of the Company’s common stock equal to the commitment amount of 30,000,000 shares of common stock. Each SEPA advance (an “Advance”) may be for a number of shares of common stock with an aggregate value of up to greater of: (i) an amount equal to thirty percent (30%) of the aggregate daily volume traded of the Company’s common stock for the three (3) trading days immediately preceding notice from the Company of an Advance, or (ii) 2,000,000 shares of common stock. The shares would be purchased at 96.0% of the average of the daily volume weighted average price of the Company’s common stock as reported by Bloomberg L.P. during regular trading hours during each of the three consecutive trading days commencing on the trading day following the Company’s submission of an Advance notice to Yorkville and would be subject to certain limitations, including that Yorkville could not purchase any shares that would result in it owning more than 4.99% of the Company’s outstanding common stock at the time of an Advance. On July 11, 2022, the Company filed a Form S-1 registration statement registering up to 30,000,000 shares of common stock underlying the SEPA. The registration statement was declared effective on July 19, 2022.

 

During the three months ended March 31, 2023, the Company made one Advance under the SEPA, receiving $18,765 in proceeds for the issuance of 225,000 shares of common stock, all of which was applied to the balance of the Yorkville Promissory Note that was repaid in first quarter 2023. No Advances were made during the three months ended March 31, 2024.

 

25

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

Private Placements

 

During the three months ended March 31, 2024, the Company sold 5,100,000 shares of common stock to three investors in separate private placement transactions. The Company received $355,000 in proceeds from the sales. In connection with the stock sales, the Company also issued 2,500,000 five-year warrants to purchase shares of common stock at an exercise price of $0.17 per share.

 

During the three months ended March 31, 2023, the Company sold 2,000,000 shares of common stock to one investor in a private placement transaction. The Company received $200,000 in proceeds from the sale. In connection with the stock sale, the Company also issued 1,500,000 five-year warrants to purchase shares of common stock at an exercise price of $0.20 per share.

 

Shares issued to Consultants

 

During the three months ended March 31, 2024, the Company issued to a consultant a ten-year stock option to purchase 2,504,974 shares of common stock at an exercise price equal of $0.0569 in satisfaction of common stock issuable accrued to the consultant for services provided between 2021 and 2024.

 

Common Stock Issuable

 

As of March 31, 2024 and December 31, 2023, the Company was obligated to issue the following shares:

 

   March 31, 2024   December 31, 2023 
   Amount   Shares   Amount   Shares 
                 
Shares issuable to employees and consultants  $14,570    239,208   $261,682    2,356,188 
Shares issuable to independent directors   40,000    816,328    20,000    408,164 
   $54,570    1,055,536   $281,682    2,764,352 

 

Stock Warrants

 

Transactions involving our stock warrants during the three months ended March 31, 2024 and 2023 are summarized as follows:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
   Number   Price   Number   Price 
Outstanding at beginning of the period   77,414,648   $0.20    68,109,094   $0.23 
Granted during the period   9,160,000   $0.09    3,141,554   $0.15 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Expired during the period   (1,217,402)  $(0.28)   (2,508,333)  $(0.25)
Outstanding at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Exercisable at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Weighted average remaining life   2.7 years    2.5 years 

 

26

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

The following table summarizes information about the Company’s stock warrants outstanding as of March 31, 2024:

 

Warrants Outstanding   Warrants Exercisable 
        Weighted-            
        Average  Weighted-       Weighted- 
        Remaining  Average       Average 
Exercise   Number   Contractual  Exercise   Number   Exercise 
Prices   Outstanding   Life (years)  Price   Exercisable   Price 
$ 0.0001 to 0.09    29,968,289   3.6  $0.07    29,968,289   $0.07 
$ 0.10 to 0.24    25,436,940   3.0  $0.16    25,436,940   $0.16 
$0.25 to 0.49    26,992,093   1.5  $0.31    26,992,093   $0.31 
$ 0.50 to 1.05    2,959,924   2.3  $0.68    2,959,924   $0.68 
$ 0.05 to 1.00    85,357,246   2.7  $0.19    85,357,246   $0.19 

 

During the three months ended March 31, 2024 and 2023, the Company issued 9,160,000 and 3,141,554 warrants, respectively, the aggregate grant date fair value of which was $385,633 and $246,063, respectively. The fair value of the warrants was calculated using the following range of assumptions:

 

   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  3.97% to 4.20%  3.45% to 5.43%
Expected life range (in years)  5.00 years to 10.00 years  0.28 years to 5.00 years
Volatility range  140.94% to 173.25%  126.30% to 165.20%
Dividend yield  0.00%  0.00%
Expected forfeiture  33.00%  20.00%

 

There were no warrants exercised during the three months ended March 31, 2024 or 2023.

 

Equity Incentive Plans

 

On January 1, 2016, the Company adopted the 2016 Equity Incentive Plan (the “2016 EIP”) for the purpose of having equity awards available to allow for equity participation by its employees, consultants and non-employee directors. The 2016 EIP allowed for the issuance of up to 15,503,680 shares of the Company’s common stock, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2016 EIP is governed by the Board, or a committee that may be appointed by the Board in the future. The 2016 EIP expired during 2021 but allows for the prospective issuance of common shares upon vesting of stock awards or exercise of stock options granted prior to expiration of the 2016 EIP.

 

On September 9, 2021, the Company adopted the 2021 Equity Incentive Plan (the “2021 EIP” and, together with the 2016 EIP, the “EIPs”) for the purpose of having equity awards available to allow for equity participation by its employees, consultants and non-employee directors. The 2021 EIP allows for the issuance of up to 20,000,000 shares of the Company’s common stock, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2021 EIP is governed by the Board, or a committee that may be appointed by the Board in the future.

 

27

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

Amounts recognized in the financial statements with respect to the EIPs in the three months ended March 31, 2024 and 2023 were as follows:

 

   Three Months Ended
March 31,
 
   2024   2023 
Total cost of share-based payment plans during the period  $35,986   $82,951 
Amounts capitalized in deferred equity compensation during period  $
---
   $
---
 
Amounts written off from deferred equity compensation during period  $57,147   $
---
 
Amounts charged against income for amounts previously capitalized  $
---
   $5,150 
Amounts charged against income, before income tax benefit  $93,133   $88,101 
Amount of related income tax benefit recognized in income  $
---
   $
---
 

 

Stock Options  

 

Stock options granted under the EIPs typically vest over a period of three to four years or based on achievement of Company and individual performance goals. The following table summarizes stock option activity as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
Stock options  Number   Price   Number   Price 
Outstanding at beginning of period   5,093,738   $0.16    5,222,982   $0.20 
Granted during the period   4,504,974   $0.06    93,750   $0.08 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Forfeited during the period   (449,982)  $(0.21)   (150,000)  $(0.16)
Outstanding at end of period   9,148,730   $0.10    5,166,732   $0.17 
                     
Options exercisable at period-end   7,063,146   $0.11    3,108,565   $(0.20)

 

As of March 31, 2024, there was $78,222 of total unrecognized compensation cost related to options granted under the EIPs. That cost is expected to be recognized over a weighted-average period of 1.7 years.

 

The weighted-average grant-date fair value of options granted during the three months ended March 31, 2024 and 2023 was $0.04 and $0.05, respectively. The total fair value of options vested during the three months ended March 31, 2024 and 2023 was $137,040 and $26,845, respectively. No options were exercised during the three months ended March 31, 2024 or 2023. Stock based compensation expense related to stock options was $47,900 and $22,511 in the three months ended March 31, 2024 and 2023, respectively.

 

28

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

The fair value of each stock option award is estimated on the date of grant using a binomial lattice option-pricing model based on the assumptions noted in the following table. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period. The fair value of options granted for the three months ended March 31, 2024 and 2023 was calculated using the following range of assumptions:

 

   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  4.20%  3.48%
Expected life range (in years)  10.00 years  10.00 years
Volatility range  173.25%  145.03%
Dividend yield  0.00%  0.00%
Expected forfeiture  30.00%  30.00%

 

The following table summarizes the status and activity of nonvested options issued pursuant to the EIPs as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock options  Shares   Fair Value   Shares   Fair Value 
Nonvested options at beginning of period   1,073,084   $0.06    2,260,417   $0.08 
Granted   4,504,974   $0.04    93,750   $0.05 
Vested   (3,442,474)  $(0.04)   (196,000)  $(0.14)
Forfeited   (50,000)  $(0.08)   (100,000)  $(0.09)
Nonvested options at end of period   2,085,584   $0.05    2,058,167   $0.07 

 

Stock Grants  

 

Stock grant awards made under the EIPs typically vest either immediately or over a period of up to four years. The following table summarizes stock grant activity as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock Grants  Shares   Fair Value   Shares   Fair Value 
Nonvested grants at beginning of period   1,484,488   $0.05    1,651,435   $0.05 
Granted   
---
   $
---
    160,944   $0.09 
Vested   (408,164)  $(0.05)   (468,292)  $(0.05)
Forfeited   (50,000)  $(0.12)   
---
   $
---
 
Nonvested grants at end of period   1,026,324   $0.05    1,344,087   $0.06 

 

As of March 31, 2024, there was $10,449 of total unrecognized compensation cost related to stock grants made under the EIPs. That cost is expected to be recognized over a weighted-average period of 1.5 years. The weighted-average grant-date fair value of share grants made during the three months ended March 31, 2023 was $0.09 per share. No grants were made in the three months ended March 31, 2024. The aggregate fair value of share grants that vested during the three months ended March 31, 2024 and 2023 was $20,000 and $22,460, respectively. Stock based compensation expense related to stock grants was $1,796 and $25,467 in the three months ended March 31, 2024 and 2023, respectively.

 

29

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 13 – SHAREHOLDERS’ EQUITY (CONTINUED)

 

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

 

Liability-Classified Equity Instruments

 

During 2021, the Company made certain stock grants from the 2021 EIP that vest over a four-year period and that are settleable for a fixed dollar amount rather than a fixed number of shares. During 2022, the Company made an additional grant of stock options from the 2021 EIP with a fixed fair value that may be earned based on achievement of performance targets on a quarterly basis through June 2025. The Company recognized an asset captioned “Deferred equity compensation” and an offsetting liability captioned as a “Liability-classified equity instrument” related to such instruments. Amortization of deferred stock compensation assets in the three months ended March 31, 2024 and 2023 was $-0- and $5,150, respectively. The liability will be converted to equity if and when shares are earned and issued pursuant to prescribed vesting events. The Company subsequently de-recognized Deferred equity compensation and Liability-classified equity instruments upon termination of the instruments in 2022 and 2023 and no further equity-related assets or liabilities remained as of March 31, 2024.

 

NOTE 14 – COMMITMENTS AND CONTINGENCIES

 

Supplier Concentration

 

The Company relied on a single supplier for the fulfillment of approximately 91% and 95% of its product sales made through MOD in the three months ended March 31, 2024 and 2023, respectively.

 

Service Contracts

 

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

 

Leases

 

Maturities of operating lease liabilities were as follows as of March 31, 2024:

 

2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 

 

Employment/Consulting Agreements

 

The Company has employment agreements with certain of its physicians, nurse practitioners and physical therapists in the Health Services Division. The agreements generally call for a fixed salary plus performance-based pay.

 

On March 1, 2024, the Company entered into an offer letter agreement with David Rosal, Chief Financial Officer of the Company. The agreement was effective as of March 11, 2024 and provides that Mr. Rosal’s base salary will be $150,000 per year. Mr. Rosal is eligible to receive grants from the Company’s Employee Stock Option Plan. Mr. Rosal’s employment is at-will with no defined contractual employment period.

 

30

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 14 – COMMITMENTS AND CONTINGENCIES (CONTINUED)

 

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

 

Litigation

 

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

 

NOTE 15 – SEGMENT REPORTING

 

As of March 31, 2024, the Company had three reportable segments: Health Services, Digital Healthcare, and Medical Distribution. The Health Services Division is comprised of the operations of (i) NWC, a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology), and General Practice, (ii) NCFM, a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, (iii) BTG, a physical therapy practice in Bonita Springs, Florida that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery, and (iv) AEU, a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. The Digital Healthcare segment develops and plans to operate an online personal medical information and record archive system, the “HealthLynked Network,” which will enable patients and doctors to keep track of medical information via the Internet in a cloud-based system. The Medical Distribution Division is comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States.

 

On January 17, 2023, the Company entered into the AHP Merger Agreement pursuant to which the Company sold AHP and discontinued the operations of CHM, comprising its ACO/MSO Division. The Company has classified the results of the ACO/MSO Division as discontinued operations in the accompanying consolidated statement of operations for all periods presented. See Note 4, “Discontinued Operations,” for additional information.

 

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

 

31

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 15 – SEGMENT REPORTING (CONTINUED)

 

Segment information for the year ended three months ended March 31, 2024 was as follows:

 

   Three Months ended March 31, 2024 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $963,621   $
---
   $
---
   $963,621 
Subscription revenue   
---
    7,628    
---
    7,628 
Product and other revenue   
---
    
---
    32,983    32,983 
Total revenue   963,621    7,628    32,983    1,004,232 
                     
Operating Expenses                    
Practice salaries and benefits   583,156    
---
    
---
    583,156 
Other practice operating expenses   482,583    
---
    
---
    482,583 
Cost of product revenue   
---
    
---
    30,579    30,579 
Selling, general and administrative expenses   
---
    980,174    19,269    999,443 
Depreciation and amortization   85,169    1,340    
---
    86,509 
Total Operating Expenses   1,150,908    981,514    49,848    2,182,270 
                     
Income (loss) from operations  $(187,287)  $(973,886)  $(16,865)  $(1,178,038)
                     
Other Segment Information                    
Loss on extinguishment of debt  $
---
   $96,660   $
---
   $96,660 
Amortization of original issue discounts on notes payable  $108,265   $
---
   $
---
   $108,265 
Change in fair value of contingent acquisition consideration  $
---
   $(76)  $
---
   $(76)
Interest expense  $3,881   $950   $
---
   $4,831 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2024  $1,635,387   $2,246,600   $8,772   $3,890,759 
Identifiable assets as of December 31, 2023  $1,812,609   $2,457,849   $9,682   $4,280,140 

 

32

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 15 – SEGMENT REPORTING (CONTINUED)

 

Segment information for the three months ended three months ended March 31, 2023 was as follows:

 

   Three Months Ended March 31, 2023 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $1,700,281   $
---
   $
---
   $1,700,281 
Subscription revenue   
---
    16,299    
---
    16,299 
Product and other revenue   
---
    
---
    38,574    38,574 
Total revenue   1,700,281    16,299    38,574    1,755,154 
                     
Operating Expenses                    
Practice salaries and benefits   963,657    
---
    
---
    963,657 
Other practice operating expenses   624,247    
---
    
---
    624,247 
Cost of product revenue   
---
    
---
    32,060    32,060 
Selling, general and administrative expenses   
---
    1,070,321    33,427    1,103,748 
Depreciation and amortization   86,672    1,405    
---
    88,077 
Total Operating Expenses   1,674,576    1,071,726    65,487    2,811,789 
                     
Income (loss) from operations  $25,705   $(1,055,427)  $(26,913)  $(1,056,635)
                     
Other Segment Information                    
Interest expense (income)  $
---
   $44,763   $
---
   $44,763 
Financing cost  $2,812   $8,569   $
---
   $11,381 
Amortization of original issue discounts on notes payable  $60,993   $2,367   $
---
   $63,360 
Change in fair value of contingent acquisition consideration  $
---
   $1,706   $
---
   $1,706 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2023  $2,204,934   $3,606,105   $14,203   $5,825,242 
Goodwill as of March 31, 2023  $319,958   $
---
   $
---
   $319,958 

 

The Digital Healthcare Division made intercompany sales of $180 and $180 in the three months ended March 31, 2024 and 2023, respectively, related to subscription revenue billed to and paid for by the Company’s physicians for access to the HealthLynked Network. The Medical Distribution segment made intercompany sales of $-0- and $8,340 in the three months ended March 31, 2024 and 2023, respectively, related to medical products sold to practices in the Company’s Health Services segment. Intercompany revenue and the related costs are eliminated on consolidation.

 

NOTE 16 – FAIR VALUE OF FINANCIAL INSTRUMENTS

 

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

 

33

 

 

HEALTHLYNKED CORP.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARCH 31, 2024 (UNAUDITED)

 

NOTE 16 – FAIR VALUE OF FINANCIAL INSTRUMENTS (CONTINUED)

 

The following table summarizes the conclusions reached regarding fair value measurements as of March 31, 2024 and December 31, 2023:

 

   As of March 31, 2024   As of December 31, 2023 
   Level 1   Level 2   Level 3   Total   Level 1   Level 2   Level 3   Total 
Assets:                                
Contingent sale consideration receivable  $
    ---
   $
    ---
   $1,663,163   $1,663,163   $
   ---
   $
    ---
   $1,663,163   $1,663,163 
Liabilities:                                        
Contingent acquisition consideration payable   
---
    
---
    2,113    2,113    
---
    
---
    2,189    2,189 
Convertible note payable to related party   
---
    
---
    199,621    199,621    
---
    
---
    
---
    
---
 
   $
---
   $
---
   $201,734   $201,734   $
---
   $
---
   $2,189   $2,189 

 

Contingent acquisition consideration payable is a Level 3 financial instrument that is measured at fair value on a recurring basis. Gains (losses) from the change in fair value of contingent acquisition consideration payable were $76 and ($1,706) during the three months ended March 31, 2024 and 2023, respectively.

 

NOTE 17 – SUBSEQUENT EVENTS

 

On April 10, 2024, the Company issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of October 10, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of the Company common stock at a fixed conversion price of $0.0577 per share.

 

On April 12, 2024, the Company sold 877,193 shares of common stock for cash in a private placement transaction to an accredited investor. The Company received $50,000 in proceeds from the sale. In connection with the stock sale, the Company also issued 438,596 five-year warrants to purchase shares of common stock at an exercise price of $0.16 per share.

 

On April 18, 2024, the Company issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $50,000, an interest rate of 12% per annum, and a maturity date of October 18, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of the Company common stock at a fixed conversion price of $0.05 per share.

 

On April 22, 2024, the Company issued a promissory note payable to an investor with a stated principal amount of $161,000 and prepaid interest of $19,320 for total repayments of $180,320. The Company received net proceeds of $118,787 after original issue discount of $21,000, fees of $5,000, and withholding of the final payment due on the August 2023 Note to the same investor in the amount of $16,213. The note does not bear interest in excess of the original issue discount and prepaid interest and matures on February 28, 2025. The Company is required to make 10 monthly payments of $18,032 starting May 30, 2024 and ending on February 28, 2025. The note gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default.

 

On May 6 and May 8, 2024, a trust controlled by Dr. Michael Dent advanced $100,000 and $70,000, respectively, to the Company. The advances are expected to be documented in formal debt agreements in the second quarter of 2024.

 

34

 

 

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

 

Forward-Looking Statements

 

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

 

Overview

 

General

 

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

 

Critical accounting policies and significant judgments and estimates

 

For a discussion of our critical accounting policies, see Note 2, “Significant Accounting Policies,” in the Notes to the condensed consolidated financial statements.

 

35

 

 

Results of Operations

 

Comparison of Three Months Ended March 31, 2024 and 2023

 

The following table summarizes the changes in our results of operations for the three months ended March 31, 2024 compared with the three months ended March 31, 2023:

 

   Three Months Ended
March 31,
   Change 
   2024   2023   $   % 
                 
Patient service revenue, net  $963,621   $1,700,281   $(736,660)   -43%
Subscription revenue   7,628    16,299    (8,671)   -53%
Product revenue   32,983    38,574    (5,591)   -14%
Total revenue   1,004,232    1,755,154    (750,922)   -43%
                     
Operating Expenses and Costs                    
Practice salaries and benefits   583,156    963,657    (380,501)   -39%
Other practice operating expenses   482,583    624,247    (141,664)   -23%
Cost of product revenue   30,579    32,060    (1,481)   -5%
Selling, general and administrative expenses   999,443    1,103,748    (104,305)   -9%
Depreciation and amortization   86,509    88,077    (1,568)   -2%
Loss from operations   (1,178,038)   (1,056,635)   (121,403)   11%
                     
Other Income (Expenses)                    
Loss on extinguishment of debt   (96,660)   (44,763)   (51,897)   116%
Amortization of original issue discounts on notes payable   (108,265)   (63,360)   (44,905)   71%
Change in fair value of contingent acquisition consideration   76    (1,706)   1,782    -104%
Interest expense   (4,831)   (11,381)   6,550    -58%
Total other income (expenses)   (209,680)   (121,210)   (88,470)   73%
                     
Loss from continuing operations   (1,387,718)   (1,177,845)   (209,873)   18%
                     
Gain (loss) from operations of discontinued operations                    
Loss from operations of discontinued operations   ---    (44,289)   44,289    -100%
Gain from disposal of discontinued operations   ---    2,674,069    (2,674,069)   -100%
Gain (loss) on discontinued operations   ---    2,629,780    (2,629,780)   -100%
                     
Net income (loss)  $(1,387,718)  $1,451,935   $(2,839,653)   -196%

 

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

 

Revenue

 

Patient service revenue in the three months ended March 31, 2024 decreased by $736,660, or 43% year-over-year, from $1,700,281, to $963,261, primarily as a result of (i) a 45% year-over-year decrease at our NCFM practice of $582,785 due to changes in clinical staffing that saw the departure of three physicians in 2023, two of which have been replaced and one more which is expected to be replaced in the second quarter of 2024, (ii) a 93% year-over-year decrease at our AEU practice of $107,385 due to the departure of our primary physician, and (iii) a 33% decrease at our practice facility of $70,183, offset by (iv) 28% increase of $23,694 at our BTG practice. The reduction in revenue was offset in part by a corresponding designed reduction in practice operating costs as described below in the fluctuation of “Practice salaries and benefits” and “Other practice operating costs,” which declined by a combined $522,165 from 2023 to 2024. While we expect patient service revenue to increase in future periods from levels realized in the three months ended March 31, 2024 as we add an additional physician and continue patient marketing and retention efforts, there is no guarantee that such increases will occur.

 

Subscription revenue in the three months ended March 31, 2024 decreased by $8,671, or 53% year-over-year, to $7,628, from $16,299, due primarily to a decrease in HealthLynked Network paid subscriptions that were paired with NCFM membership contracts.

 

36

 

 

Product revenue was $32,983 in the three months ended March 31, 2024, compared to $38,574 in the three months ended March 31, 2023, a decrease of $5,591, or 14%. Product revenue was earned by the Medical Distribution Division, comprised of the operations of MOD.

 

Operating Expenses and Costs

 

Practice salaries and benefits decreased by $380,501, or 39%, to $583,156 in the three months ended March 31, 2024, compared to $963,657 in the three months ended March 31, 2023, primarily as a result of focused cost reduction efforts at all of our practices starting in mid-2023.

 

Other practice operating costs decreased by $141,664 or 23%, to $482,583 in the three months ended March 31, 2024 from $624,247 in the three months ended March 31, 2023, primarily as a result of focused cost reduction efforts at all of our practices starting in mid-2023. 

 

Cost of product revenue was $30,579 in the three months ended March 31, 2024, a decrease of $1,481, or 5%, compared to $32,060 in the same period of 2023, corresponding to the decline in product sales for the period compared to the same period in the prior year.

 

Selling, general and administrative costs decreased by $104,305, or 9%, to $999,443 in the three months ended March 31, 2024 compared to $1,103,748 in the three months ended March 31, 2023, primarily due to lower legal, consulting, and other overhead costs in our corporate function resulting from focused cost cutting efforts.

 

Depreciation and amortization in the three months ended March 31, 2024 decreased by $1,568, or 2%, to $86,509 compared to $88,077 in the three months ended March 31, 2023, primarily as a result of certain fixed asset reaching the end of their depreciable lives during 2023.

 

Loss from operations increased by $121,403, or 11%, to $1,178,038 in the three months ended March 31, 2024 compared to $1,056,635 in the three months ended March 31, 2023, primarily as a result of the decrease in revenue, offset in part by reduced practice operating costs and corporate overhead costs.

 

Other Income (Expenses)

 

Loss on extinguishment of debt in the three months ended March 31, 2023 was $44,763 resulting from early repayment of notes payable to our CEO and Chairman, Dr. Dent, representing the excess of the repayment amount over the carrying value (net of unamortized discounts) of the debt instruments at the time of repayment. Loss on extinguishment of debt in the three months ended March 31, 2024 was $96,660 resulting from a maturing note payable to Dr. Dent refinanced with a new convertible note payable in the same amount.

 

Amortization of original issue and debt discounts on notes payable and convertible notes in the three months ended March 31, 2024 was $108,265, an increase of $44,905, or 71%, compared to $63,360 in the three months ended March 31, 2023. Amortization of discounts arose from original issue discounts on notes payable, warrants attached to notes payable, and beneficial conversion features in convertible notes payable. The increase was due to higher notes payable balances, and therefore corresponding amortizable discount balances, in 2024 compared to 2023.

 

Gain (loss) from the change in fair value of contingent acquisition consideration increased by $1,782, or -104%, to a gain of $76 in the three months ended March 31, 2024, compared to a loss of ($1,706) in the three months ended March 31, 2023. These charges relate to the fourth and final year of the MOD earnout, which will resolve based on the performance of our Medical Distribution Division in calendar year 2024.

 

Interest expense decreased by $6,550, or 58%, to $4,831 for the three months ended March 31, 2024, compared to $11,381 in the three months ended March 31, 2023, due to a decrease in interest-bearing notes payable to related parties and third parties during the first quarter of 2024 compared to the same period of 2023. 

 

Total other income (expenses) increased by $88,470, or 73%, to net expense of $209,680 in the three months ended March 31, 2024 compared to net expense of $121,210 in the three months ended March 31, 2023. The change was primarily a result of increased debt discount amortization charges in 2024 corresponding to higher debt balances and higher debt extinguishment loss in 2024.

 

Loss from continuing operations increased by $209,873, or 18%, to $1,387,718 in the three months ended March 31, 2024, compared to $1,177,845 in the three months ended March 31, 2023. The increased loss was due primarily a decrease in revenue, offset in part by reduced practice operating costs and corporate overhead costs.

 

37

 

 

Gain (loss) from operations of discontinued operations

 

As a result of the AHP Sale on January 17, 2023, our ACO/MSO Division was classified as discontinued operations in the accompanying consolidated statement of operations for the three months ended March 31, 2024 and 2023. Loss from operations of discontinued operations decreased by $44,289, or 100%, from $44,289 in the three months ended March 31, 2023 to $-0- in the three months ended March 31, 2024. The loss in 2023 reflects two weeks of operations in 2023 as well as winding down costs of the discontinued operation after the sale on January 17, 2023. No revenue or costs were incurred related to the business in the three months ended March 31, 2024.

 

Effective January 17, 2023, we completed the AHP Sale, at which time we discontinued the operations of CHM and ceased to have a controlling financial interest in AHP. In connection with the AHP Sale, as of January 17, 2023, we recognized the fair value of consideration received and receivable from the AHP Sale, recognized an indemnification liability related to potential claims resulting from the AHP Sale, derecognized the carrying value of assets and liabilities transferred to the Buyer or otherwise derecognized in connection with in the AHP Sale, and recorded a gain on sale for the excess of consideration received over carrying value of assets derecognized and liabilities recognized. Accordingly, we recorded a gain from disposal of AHP in the amount of $2,674,069 in the three months ended March 31, 2023.

 

Net loss

 

Net income (loss) decreased by $2,839,653, or 196%, to net loss of ($1,387,718) in the three months ended March 31, 2024, compared to net income of $1,451,93 in the three months ended March 31, 2023, primarily as a result of (i) the gain from disposal of AHP in the amount of $2,674,069 in the three months ended March 31, 2023 with no corresponding gain in the three months ended March 31, 2024, and (ii) lower revenue in 2024, offset by (iii) reduced practice operating costs and corporate overhead costs.

 

Seasonal Nature of Operations

 

We do not experience any material seasonality related to any of our continuing operations.

 

Liquidity and Capital Resources

 

Liquidity Condition

 

During the second quarter of 2014, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. This update provided U.S. GAAP guidance on management’s responsibility in evaluating whether there is substantial doubt about a company’s ability to continue as a going concern and about related footnote disclosures. Under this standard, we are required to evaluate whether there is substantial doubt about our ability to continue as a going concern each reporting period, including interim periods. In evaluating our ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about our ability to continue as a going concern within 12 months after our financial statements were issued (May 15, 2025).

 

Management considered our current financial condition and liquidity sources, including current funds available, forecasted future cash flows and our obligations due before May 15, 2025 and concluded that, without additional funding, we will not have sufficient funds to meet our obligations within one year from the date the consolidated financial statements were issued. Without raising additional capital, either via additional advances made pursuant to the SEPA or from other sources, there is substantial doubt about our ability to continue as a going concern through May 15, 2025. The accompanying consolidated financial statements have been prepared assuming that we will continue as a going concern. This basis of presentation contemplates the recovery of our assets and the satisfaction of liabilities in the normal course of business.

 

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

 

As of March 31, 2024, we had cash balances of $23,491, a working capital deficit of $798,224 and an accumulated deficit of $43,420,854. For the three months ended March 31, 2024, we had a net loss of $1,387,718 and we used cash from operating activities of $854,855. We expect to continue to incur net losses and have significant cash outflows for at least the next 12 months.

 

38

 

 

Significant Liquidity Transactions

 

Through March 31, 2024, we have funded our operations principally through a combination of sales of our common stock, convertible and non-convertible promissory notes, government issued debt, and related party debt, as described below.

 

On July 5, 2022, we entered into a Standby Equity Purchase Agreement (the “SEPA”) with YA II PN, Ltd. (“Yorkville”). Pursuant to the SEPA, we have the right to sell to Yorkville up to 30,000,000 shares of our common stock, par value $0.0001 per share, at our request any time during the three-year commitment period set forth in the SEPA. Because the purchase price per share to be paid by Yorkville for the shares of common stock sold by us to Yorkville pursuant to the SEPA, if any, will fluctuate based on the market prices of our common stock during the applicable pricing period, we cannot reliably predict the actual purchase price per share to be paid by Yorkville for those shares, or the actual gross proceeds we will receive from those sales, if any. During the three months ended March 31, 2023, we sold 225,000 shares of common stock under the SEPA, receiving $18,765 in proceeds, all of which was applied to the balance of a then-outstanding promissory note payable to Yorkville. We have not sold any additional shares under the SEPA since January 2023.

 

During the three months ended March 31, 2024, we issued three new convertible notes payable to our CEO, Dr. Michael Dent, for aggregate net cash proceeds of $500,000 and refinancing of an existing note in the amount of $166,500. We also made cash repayments on notes payable totaling $221,278.

 

During the three months ended March 31, 2024, the Company sold 5,100,000 shares of common stock to three investors in separate private placement transactions. The Company received $355,000 in proceeds from the sale. In connection with the stock sale, the Company also issued 2,500,000 five-year warrants to purchase shares of common stock at an exercise price of $0.17 per share.

 

On January 17, 2023, we entered into the AHP Merger Agreement, pursuant to which the Buyer agreed to buy, and we agreed to sell, AHP. We received $750,000 upon signing of the AHP Merger Agreement, $31,381 in March 2023 for the Stub Period Reimbursement, $1,750,000 ($1,540,000 net after commissions) in Incremental Cash Consideration during June, July and August for meeting participating physician transfer milestones, and $1,873,993 gross ($1,186,231 net after commissions) in October 2023 from the 2022 MSSP Consideration. We may receive future proceeds comprised of proceeds from sale of shares of the Buyer if the Buyer completes an initial public offering by February 1, 2025 and up to $500,000 of the Physician Advance Consideration from the Buyer’s plan year 2023 (and if necessary, 2024) MSSP Shared Savings.

 

Without raising additional capital, whether via additional advances made pursuant to the SEPA, from the sale of equity or debt instruments, from receipt of remaining contingent consideration related to the sale of the ACO/MSO Division, or from other sources, there is substantial doubt about the Company’s ability to continue as a going concern through May 15, 2025. The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. This basis of presentation contemplates the recovery of the Company’s assets and the satisfaction of liabilities in the normal course of business.

 

Plan of operation and future funding requirements

 

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

 

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

 

We plan to raise additional capital to fund our ongoing plan of operation.

 

39

 

 

Historical Cash Flows

 

   Three Months Ended
March 31,
 
   2024   2023 
Net cash (used in) provided by:        
Net cash used in continuing operating activities  $(854,855)  $(1,052,350)
Net cash used in discontinued operating activities   ---    (47,163)
Net cash used in operating activities   (854,855)   (1,099,513)
           
Net cash provided by (used in) continuing investing activities   (2,598)   781,381 
Net cash provided by (used in) discontinued investing activities   ---    --- 
Net cash provided by (used in) investing activities   (2,598)   781,381 
           
Net cash provided by continuing financing activities   633,722    324,907 
Net cash provided by discontinued financing activities   ---    --- 
Net cash provided by financing activities   633,722    324,907 
           
Net increase (decrease) in cash from continuing operating   (223,731)   53,938 
Net (decrease) in cash from discontinued operating   ---    (47,163)
Net increase (decrease) in cash  $(223,731)  $6,775 

 

Operating Activities – During the three months ended March 31, 2024, we used cash from operating activities of $854,855, as compared with $1,099,513 in the three months ended March 31, 2023. The decrease in cash usage results primarily from cost reduction efforts at our Health Services practices, as well as a decrease of $47,163 in cash used in operations of our discontinued ACO/MSO Division resulting from the unit being sold on January 17, 2023.

 

Investing Activities – During the three months ended March 31, 2024, we used $2,598 in investing activities related to acquisition of computers and office equipment. During the three months ended March 31, 2023, we realized $781,381 from investing activities, comprised of cash proceeds received form the AHP sale, including $750,000 Upfront Cash Consideration and $31,381 Stub Period Reimbursement.

 

Financing Activities – During the three months ended March 31, 2024, cash provided by financing activities was $633,722, comprised of $355,000, from the sale of common stock and $500,000 from the issuance of notes payable to related parties, offset by $221,278 repayments made against notes payable balances. During the three months ended March 31, 2023, cash provided by financing activities was $324,907, comprised of $200,000 from the sale of common stock (net of $18,765 received from sales of common stock under the SEPA that were applied to the balance of a note payable) and $555,000 from the issuance of notes payable, offset by $430,393 repayments made against notes payable balances (net of $18,765 received from sales of common stock under the SEPA that were applied to the balance of a note payable).

 

Exercise of Warrants and Options

 

No warrants or options were exercised during the three months ended March 31, 2024 or 2023.

 

Other Outstanding Obligations at March 31, 2024

 

As of March 31, 2024, 85,357,246 shares of our common stock are issuable pursuant to the exercise of warrants with exercise prices ranging from $0.035 to $1.05.

 

As of March 31, 2024, 9,148,730 shares of our common stock are issuable pursuant to the exercise of options with exercise prices ranging from $0.0569 to $0.31.

 

As of March 31, 2024, 1,026,324 shares of our common stock are issuable pursuant to future vesting of stock grants.

 

As of March 31, 2024, 1,055,536 shares of our common stock are earned but unissued pursuant to consulting and director agreements.

 

40

 

 

Off Balance Sheet Arrangements

 

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

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk

 

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

 

Item 4. Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

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

 

Our management evaluated, with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of our disclosure controls and procedures as of March 31, 2024 based on the framework in “Internal Control – Integrated Framework” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in 2013. Based on that evaluation, and in light of the material weaknesses found in our internal controls over financial reporting, our management concluded that our disclosure controls and procedures were not effective as of March 31, 2024.

 

Changes in Internal Control over Financial Reporting

 

There was no change in the Company’s internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) during the fiscal quarter ended March 31, 2024 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

41

 

 

PART II. OTHER INFORMATION

 

Item 1. Legal Proceedings

 

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

 

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

 

Item 1A. Risk Factors

 

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

 

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

 

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

 

On March 27, 2024, we issued to a trust controlled by Dr. Michael Dent three separate notes payable as follows: (1) a note payable with a principal of $350,000, an interest rate of 12% per annum, and a maturity date of June 27, 2024, (2) a note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of August 24, 2024, and (3) a note payable with a principal of $166,500, an interest rate of 12% per annum, and a maturity date of August 28, 2024 (collectively, the “March 2024 Dent Notes”). The full amount of principal and accrued interest on each of the March 2024 Dent Notes is due at the respective maturity date of each note. Each of the March 2024 Dent Notes is convertible at any time at the holder’s option into shares of our common stock at a fixed conversion price of $0.0573 per share, or 11,631,762 shares.

 

On March 29, 2024, we issued 6,660,000 ten-year warrants with an exercise price of $0.06 per share that were attached to a convertible note payable.

 

On April 10, 2024, we issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of October 10, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of our common stock at a fixed conversion price of $0.0577, or 2,599,653 shares.

 

On April 12, 2024, we sold 877,193 shares of common stock for cash in a private placement transaction to an accredited investor. We received $50,000 in proceeds from the sale. In connection with the stock sale, we also issued 438,596 five-year warrants to purchase shares of common stock at an exercise price of $0.16 per share

 

On April 18, 2024, we issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of October 18, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of our common stock at a fixed conversion price of $0.05 per share, or 1,000,000 shares.

 

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

 

42

 

 

Item 3. Defaults Upon Senior Securities

 

None.

 

Item 4. Mine Safety Disclosures

 

Not applicable.

 

Item 5. Other Information

 

None.

 

Item 6. Exhibits

 

Exhibit No.   Exhibit Description
31.1*   Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of the Principal Executive Officer
31.2*   Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of the Principal Financial Officer and Principal Accounting Officer
32.1*   Certification pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 of the Principal Executive Officer
32.2*   Certification pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 of the Principal Financial Officer and Principal Accounting Officer
101.INS*   Inline XBRL Instance Document.
101.SCH*   Inline XBRL Taxonomy Extension Schema Document.
101.CAL*   Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*   Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*   Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE*   Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104*   Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

 

*Filed herewith.

 

43

 

 

SIGNATURES

 

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

 

Dated: May 15, 2024

 

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

Chief Executive Officer and Chairman

(Principal Executive Officer)

 

  By: /s/ David Rosal
    Name:   David Rosal
    Title:

Chief Financial Officer

(Principal Financial Officer)

 

 

44

 

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Exhibit 31.1

 

Certification Pursuant to Section 302 of the Sarbanes - Oxley Act of 2002

 

I, Michael Dent, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 of the registrant, HealthLynked Corp.;

 

2. Based on my knowledge, this report does not contain any untrue statement 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 officers 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 evaluation; 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 officers and I have disclosed, based on our most recent evaluation of 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.

 

Date: May 15, 2024 By:

/s/ Michael Dent

  Name: Michael Dent
  Title:

Chief Executive Officer

(Principal Executive Officer)

 

Exhibit 31.2

 

Certification Pursuant to Section 302 of the Sarbanes - Oxley Act of 2002

 

I, David Rosal, certify that:

 

1. I have reviewed this Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 of the registrant, HealthLynked Corp.;

 

2. Based on my knowledge, this report does not contain any untrue statement 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 officers 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 evaluation; 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 officers and I have disclosed, based on our most recent evaluation of 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.

 

Date: May 15, 2024 By:

/s/ David Rosal

  Name: David Rosal
  Title:

Chief Financial Officer

(Principal Financial Officer)

 

Exhibit 32.1

 

CERTIFICATIONS

Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of 18 U.S.C. Section 1350), I, Michael Dent, Chief Executive Officer of HealthLynked Corp., a Nevada corporation (the “Company”), hereby certify, to my knowledge, that:

 

The Quarterly Report on Form 10-Q 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.

 

Date: May 15, 2024 By: /s/ Michael Dent
  Name: Michael Dent
  Title:

Chief Executive Officer

(Principal Executive Officer)

 

The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. § 1350, and is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing. A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise adopting the signature that appears in typed form within the electronic version of this written statement required by Section 906, has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request. 

Exhibit 32.2

 

CERTIFICATIONS

Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of 18 U.S.C. Section 1350), I, David Rosal, Chief Financial Officer of HealthLynked Corp., a Nevada corporation (the “Company”), hereby certify, to my knowledge, that:

 

The Quarterly Report on Form 10-Q 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.

 

Date: May 15, 2024 By: /s/ David Rosal
  Name: David Rosal
  Title:

Chief Financial Officer

    (Principal Financial Officer)

 

The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. § 1350, and is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing. A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise adopting the signature that appears in typed form within the electronic version of this written statement required by Section 906, has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

v3.24.1.1.u2
Cover - shares
3 Months Ended
Mar. 31, 2024
May 15, 2024
Document Information [Line Items]    
Document Type 10-Q  
Document Quarterly Report true  
Document Transition Report false  
Entity Interactive Data Current Yes  
Amendment Flag false  
Document Period End Date Mar. 31, 2024  
Document Fiscal Year Focus 2024  
Document Fiscal Period Focus Q1  
Entity Information [Line Items]    
Entity Registrant Name HealthLynked Corp.  
Entity Central Index Key 0001680139  
Entity File Number 000-55768  
Entity Tax Identification Number 47-1634127  
Entity Incorporation, State or Country Code NV  
Current Fiscal Year End Date --12-31  
Entity Current Reporting Status Yes  
Entity Shell Company false  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company false  
Entity Contact Personnel [Line Items]    
Entity Address, Address Line One 1265 Creekside Parkway  
Entity Address, Address Line Two Suite 302  
Entity Address, City or Town Naples  
Entity Address, State or Province FL  
Entity Address, Postal Zip Code 34108  
Entity Phone Fax Numbers [Line Items]    
City Area Code (800)  
Local Phone Number 928-7144  
Entity Listings [Line Items]    
Title of 12(b) Security None  
No Trading Symbol Flag true  
Entity Common Stock, Shares Outstanding   281,942,151
v3.24.1.1.u2
Condensed Consolidated Balance Sheets - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Current Assets    
Cash $ 23,491 $ 247,222
Accounts receivable, net of allowance for doubtful accounts of $-0- and $-0- as of March 31, 2024 and December 31, 2023, respectively 33,620 20,861
Inventory, net 136,205 133,222
Prepaid expenses and other current assets 40,016 55,210
Contingent sale consideration receivable, current portion 1,663,163 199,645
Total Current Assets 1,896,495 656,160
Property and equipment, net of accumulated depreciation of $550,531 and $521,062 as of March 31, 2024 and December 31, 2023, respectively 263,884 290,755
Intangible assets, net of accumulated amortization of $315,730 and $258,690 as of March 31, 2024 and December 31, 2023, respectively 826,808 883,848
Right of use lease assets 853,525 935,812
Deposits, long term portion 50,047 50,047
Contingent sale consideration receivable, long term portion 1,463,518
Total Assets 3,890,759 4,280,140
Current Liabilities    
Accounts payable, accrued expenses and other current liabilities 705,124 614,178
Contract liabilities 331,440 271,774
Lease liability, current portion 332,692 326,033
Notes payable, current portion, net of unamortized original issue discount of $104,288 and $166,487 as of March 31, 2024 and December 31, 2023, respectively 462,847 584,323
Indemnification liability 143,974 143,974
Total Current Liabilities 2,694,719 2,412,024
Long-Term Liabilities    
Lease liability, long-term portion 524,546 613,386
Government notes payable, long-term portion 450,000 450,000
Total Liabilities 3,669,265 3,475,410
Commitments and contingencies (Note 14)
Shareholders’ Equity    
Common stock, par value $0.0001 per share, 500,000,000 shares authorized, 281,064,958 and 275,964,958 shares issued and outstanding as of March 31, 2024 and December 31, 2023, respectively 28,107 27,597
Series B convertible preferred stock, par value $0.001 per share, 20,000,000 shares authorized, 2,750,000 and 2,750,000 shares issued and outstanding as of March 31, 2024 and December 31, 2023, respectively 2,750 2,750
Common stock issuable, $0.0001 par value; 1,055,536 and 2,764,352 as of March 31, 2024 and December 31, 2023, respectively 54,570 281,682
Additional paid-in capital 43,556,921 42,525,837
Accumulated deficit (43,420,854) (42,033,136)
Total Shareholders’ Equity 221,494 804,730
Total Liabilities and Shareholders’ Equity 3,890,759 4,280,140
Related party    
Current Liabilities    
Notes payable and other amounts due to related party, net of unamortized original issue discount of $281,579 and $34,834 as of March 31, 2024 and December 31, 2023, respectively $ 718,642 $ 471,742
v3.24.1.1.u2
Condensed Consolidated Balance Sheets (Parentheticals) - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Accounts receivable, net of allowance for doubtful accounts (in Dollars) $ 0 $ 0
Property, plant and equipment, net of accumulated depreciation (in Dollars) 550,531 521,062
Intangible assets, net of accumulated amortization (in Dollars) 315,730 258,690
net of unamortized original issue discount (in Dollars) $ 104,288 $ 166,487
Common stock, par value (in Dollars per share) $ 0.0001 $ 0.0001
Common stock, shares authorized 500,000,000 500,000,000
Common stock, shares issued 281,064,958 275,964,958
Common stock, shares outstanding 281,064,958 275,964,958
Common stock issuable, par value (in Dollars per share) $ 0.0001 $ 0.0001
Common stock issuable, shares 1,055,536 2,764,352
Related party    
net of unamortized original issue discount (in Dollars) $ 281,579 $ 34,834
Series B convertible preferred stock    
Preferred stock, par value (in Dollars per share) $ 0.001 $ 0.001
Preferred stock, shares authorized 20,000,000 20,000,000
Preferred stock, shares issued 2,750,000 2,750,000
Preferred stock, shares outstanding 2,750,000 2,750,000
v3.24.1.1.u2
Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenue    
Total revenue $ 1,004,232 $ 1,755,154
Operating Expenses and Costs    
Practice salaries and benefits 583,156 963,657
Other practice operating expenses 482,583 624,247
Cost of product revenue 30,579 32,060
Selling, general and administrative expenses 999,443 1,103,748
Depreciation and amortization 86,509 88,077
Total Operating Expenses and Costs 2,182,270 2,811,789
Loss from operations (1,178,038) (1,056,635)
Other Income (Expenses)    
Loss on extinguishment of debt (96,660) (44,763)
Amortization of original issue discounts on notes payable (108,265) (63,360)
Change in fair value of contingent acquisition consideration 76 (1,706)
Interest expense and other (4,831) (11,381)
Total other income (expenses) (209,680) (121,210)
Loss from continuing operations before provision for income taxes (1,387,718) (1,177,845)
Provision for income taxes
Loss from continuing operations (1,387,718) (1,177,845)
Discontinued operations (Note 4)    
Loss from operations of discontinued operations (44,289)
Gain from disposal of discontinued operations 2,674,069
Gain on discontinued operations 2,629,780
Net income (loss) $ (1,387,718) $ 1,451,935
Loss per share from continuing operations, basic and diluted:    
Basic (in Dollars per share) $ 0 $ 0
Fully diluted (in Dollars per share) 0 0
Gain (loss) on discontinued operations, basic and diluted:    
Basic (in Dollars per share) 0 0.01
Fully diluted (in Dollars per share) 0 0.01
Net loss per share, basic and diluted:    
Basic (in Dollars per share) 0 0.01
Fully diluted (in Dollars per share) $ 0 $ 0.01
Weighted average number of common shares:    
Basic (in Shares) 280,484,268 257,131,222
Fully diluted (in Shares) 280,484,268 257,131,222
Patient service revenue, net    
Revenue    
Total revenue $ 963,621 $ 1,700,281
Subscription and event revenue    
Revenue    
Total revenue 7,628 16,299
Product revenue    
Revenue    
Total revenue $ 32,983 $ 38,574
v3.24.1.1.u2
Condensed Consolidated Statement of Changes in Shareholders’ Equity (Unaudited) - USD ($)
Common Stock
Preferred Stock
Common Stock Issuable
Additional Paid-in Capital
Accumulated Deficit
Total
Balance at Dec. 31, 2022 $ 25,594 $ 2,750 $ 225,584 $ 41,081,455 $ (41,020,933) $ 314,450
Balance (in Shares) at Dec. 31, 2022 255,940,389 2,750,000        
Sales of common stock pursuant to Standby Equity Purchase Agreement $ 22 18,743 18,765
Sales of common stock pursuant to Standby Equity Purchase Agreement (in Shares) 225,000          
Other sales of common stock $ 200 125,998 126,198
Other sales of common stock (in Shares) 2,000,000          
Fair value of warrants allocated to proceeds of common stock 73,802 73,802
Fair value of warrants allocated to proceeds of related party debt 95,393 95,393
Consultant and director fees payable with common shares and warrants 54,972   54,972
Shares and options issued to employees $ 99 (34,200) 67,229 33,128
Shares and options issued to employees (in Shares) 987,500          
Net Income (loss)         1,451,935 1,451,935
Balance at Mar. 31, 2023 $ 25,915 $ 2,750 246,356 41,462,620 (39,568,998) 2,168,643
Balance (in Shares) at Mar. 31, 2023 259,152,889 2,750,000        
Balance at Dec. 31, 2023 $ 27,597 $ 2,750 281,682 42,525,837 (42,033,136) 804,730
Balance (in Shares) at Dec. 31, 2023 275,964,958 2,750,000        
Sales of common stock pursuant to Standby Equity Purchase Agreement $ 510 255,413 255,923
Sales of common stock pursuant to Standby Equity Purchase Agreement (in Shares) 5,100,000          
Fair value of warrants allocated to proceeds of common stock 99,077 99,077
Fair value of warrants allocated to proceeds of related party debt 209,943 209,943
Fair value of beneficial conversion feature allocated to proceeds of related party debt 146,405 146,405
Consultant and director fees payable with common shares and warrants 43,437   43,437
Shares and options issued to employees (270,549) 320,246 49,697
Net Income (loss)         (1,387,718) (1,387,718)
Balance at Mar. 31, 2024 $ 28,107 $ 2,750 $ 54,570 $ 43,556,921 $ (43,420,854) $ 221,494
Balance (in Shares) at Mar. 31, 2024 281,064,958 2,750,000        
v3.24.1.1.u2
Condensed Consolidated Statement of Cash Flows (Unaudited) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Cash Flows from Operating Activities    
Net income (loss) $ (1,387,718) $ 1,451,935
Loss from discontinued operations 44,289
Adjustments to reconcile net loss to net cash used in operating activities:    
Gain from disposal of discontinued operations   (2,674,069)
Depreciation and amortization 86,509 88,077
Stock based compensation, including amortization of deferred equity compensation 93,133 88,101
Amortization of debt discount 108,265 63,360
Loss on extinguishment of debt 96,660 44,763
Change in fair value of contingent acquisition consideration (76) 1,706
Changes in operating assets and liabilities:    
Accounts receivable (12,760) 811
Inventory (2,983) (97)
Prepaid expenses and other current assets 15,194 56,566
Right of use lease assets 82,287 334,157
Accounts payable and accrued expenses 89,149 (219,064)
Lease liability (82,181) (333,881)
Contract liabilities 59,666 996
Net cash used in continuing operating activities (854,855) (1,052,350)
Net cash used in discontinued operating activities 0 (47,163)
Net cash used in operating activities (854,855) (1,099,513)
Cash Flows from Investing Activities    
Proceeds from sale of discontinued operations   781,381
Acquisition of property and equipment (2,598)  
Net cash provided by (used in) continuing investing activities (2,598) 781,381
Net cash used in discontinued investing activities
Net cash provided by (used in) investing activities (2,598) 781,381
Cash Flows from Financing Activities    
Proceeds from sale of common stock 355,000 200,000
Proceeds from related party notes payable 500,000 455,000
Proceeds from third party notes payable   100,000
Repayment of related party notes payable (37,602) (229,500)
Repayment of third party notes payable (183,676) (200,593)
Net cash provided by continuing financing activities 633,722 324,907
Net cash provided by discontinued financing activities
Net cash provided by financing activities 633,722 324,907
Net increase (decrease) in cash (223,731) 6,775
Cash, beginning of period 247,222 61,891
Cash, end of period 23,491 68,666
Supplemental disclosure of cash flow information:    
Cash paid during the period for interest 6,579 3,272
Cash paid during the period for income tax
Schedule of non-cash investing and financing activities:    
Common stock issuable issued during period   34,105
Fair value of options issued in satisfaction of common stock issuable 270,549  
Fair value of warrants allocated to proceeds of related party notes payable 209,943 95,393
Fair value of beneficial conversion feature allocated to proceeds of related party notes payable 146,405  
Net carrying value of equity liabilities (assets) written off   2,350
Proceeds from sale of common stock under Standby Equity Purchase Agreement applied to note payable balance   $ 18,743
Incremental fair value of convertible note payable to related party resulting from refinancing 33,121  
Note payable to related party balance classified as accrued interest $ 1,875  
v3.24.1.1.u2
Business and Business Presentation
3 Months Ended
Mar. 31, 2024
Business and Business Presentation [Abstract]  
BUSINESS AND BUSINESS PRESENTATION

NOTE 1 – BUSINESS AND BUSINESS PRESENTATION

 

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

 

The Company currently operates in three distinct divisions: the Health Services Division, the Digital Healthcare Division, and the Medical Distribution Division. The Health Services Division is comprised of the operations of (i) Naples Women’s Center (“NWC”), a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology) and General Practice, (ii) Naples Center for Functional Medicine (“NCFM”), a Functional Medical Practice engaged in improving the health of its patients through individualized and integrative health care, (iii) Bridging the Gap Physical Therapy (“BTG”), a physical therapy practice in Bonita Springs, Florida that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery, and (iv) Aesthetic Enhancements Unlimited (“AEU”), a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. The Digital Healthcare Division develops and operates an online personal medical information and record archive system, the “HealthLynked Network,” which enables patients and doctors to keep track of medical information via the Internet in a cloud-based system. The Medical Distribution Division is comprised of the operations of MedOffice Direct LLC (“MOD”), a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States.

 

During October 2022, the Company’s Board of Directors (the “Board”) approved a plan to sell the Company’s ACO/MSO (Accountable Care Organization / Managed Service Organization) Division, comprised of the operations of Cura Health Management LLC (“CHM”) and its subsidiary ACO Health Partners LLC (“AHP”), which operates an Accountable Care Organization (“ACO”) and Managed Service Organization (“MSO”) that assists physician practices in providing coordinated and more efficient care to patients via the Medicare Shared Savings Program (“MSSP”) as administered by the Centers for Medicare and Medicaid Services (the “CMS”). On January 17, 2023, the Company entered into an Agreement and Plan of Merger (the “AHP Merger Agreement”) pursuant to which PBACO Holding, LLC, an operator of ACOs, (“Buyer”) agreed to buy, and the Company agreed to sell, AHP. See Note 4, “Discontinued Operations,” for additional information.

 

These unaudited condensed consolidated financial statements reflect all adjustments including normal recurring adjustments, which, in the opinion of management, are necessary to present fairly the financial position, results of operations and cash flows for the periods presented in accordance with the accounting principles generally accepted in the United States of America (“GAAP”). These unaudited condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the years ended December 31, 2023 and 2022, respectively, which are included in the Company’s Form 10-K, filed with the United States Securities and Exchange Commission (the “Commission”) on April 1, 2024. The Company assumes that the users of the interim financial information herein have read, or have access to, the audited consolidated financial statements for the preceding period, and that the adequacy of additional disclosure needed for a fair presentation may be determined in that context. The results of operations for the three months ended March 31, 2024 are not necessarily indicative of results for the entire year ending December 31, 2024.

 

On a consolidated basis, the Company’s operations are comprised of the parent company, HealthLynked Corp., and its five subsidiaries: NWC, NCFM, BTG, MOD and AEU. Results through January 17, 2023 also include operations of AHP, which was sold, and CHM, which was discontinued, both effective as of January 17, 2023. All significant intercompany transactions and balances have been eliminated upon consolidation. In addition, certain amounts in the prior periods’ consolidated financial statements have been reclassified to conform to the current period presentation.

 

Uncertainty Due to Geopolitical Events

 

Due to the Hamas-Israel and Russia-Ukraine conflicts, there has been uncertainty and disruption in the global economy. Although these events did not have a direct material adverse impact on the Company’s financial results for the three months ended March 31, 2024, at this time the Company is unable to fully assess the aggregate impact the Hamas-Israel and Russia-Ukraine conflicts will have on its business due to various uncertainties, which include, but are not limited to, the duration of the conflicts, the conflicts’ effect on the economy, the impact on the Company’s businesses and actions that may be taken by governmental authorities related to the conflicts. 

v3.24.1.1.u2
Significant Accounting Policies
3 Months Ended
Mar. 31, 2024
Business and Business Presentation [Abstract]  
SIGNIFICANT ACCOUNTING POLICIES

NOTE 2 – SIGNIFICANT ACCOUNTING POLICIES

 

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

 

Basis of Presentation

 

The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP. All amounts referred to in the notes to the condensed consolidated financial statements are in United States Dollars ($) unless stated otherwise.

 

Use of Estimates

 

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

 

Revenue Recognition

 

Patient service revenue

 

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

 

Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time includes revenue from NCFM annual access contracts (called the Medical Membership and Concierge Program prior to October 1, 2023 and Optimal Health 365 Access Plan thereafter), NWC annual administration fees, and BTG physical therapy bundles. Revenue from NCFM Medical Memberships and Concierge contracts and NWC annual administration fees, which include bundled products and services that have substantially the same pattern of transfer to the customer, is recognized over the period of delivery, which is the same as the period of the contract (typically, one year). Revenue from prepaid BTG physical therapy bundles, for which performance obligations are satisfied over time as visits are incurred, is recognized based on actual visits incurred in relation to total expected visits. At inception of such contracts, the Company recognizes contract liabilities for the value of services to be provided and, where applicable, contract assets for recoverable amounts incurred to obtain a customer contract that would not have incurred if the contract had not been obtained. The Company believes that these methods provide a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligation.

 

Revenue for performance obligations satisfied at a point in time, which includes all patient service revenue other than NCFM annual access contracts, NWC annual administration fees, and BTG physical therapy bundles, is recognized when goods or services are provided at the time of the patient visit, and at which time the Company is not required to provide additional goods or services to the patient.

 

The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. Estimates of contractual adjustments and discounts require significant judgment and are based on the Company’s current contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. There were no material changes during the three months ended March 31, 2024 or 2023 to the judgments applied in determining the amount and timing of patient service revenue.

 

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

 

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

 

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

 

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

 

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

 

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

 

The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM, BTG and AEU are provided on a cash basis and not submitted through third party insurance providers.

 

Product and Other Revenue

 

Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue are recognized when payment is received but for which the Company has not met its product fulfillment performance obligation.

 

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

 

The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products.

 

Cash and Cash Equivalents

 

For financial statement purposes, the Company considers all highly liquid investments with original maturities of six months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. The Company had $-0- and $-0- in cash balances in excess of the FDIC insured limit as of March 31, 2024 and December 31, 2023, respectively.

 

Accounts Receivable

 

Trade receivables related to NWC services billed to third party payors are carried at the estimated collectible amount. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 61% of total billings. Trade accounts receivable are recorded at this net amount. As of March 31, 2024 and December 31, 2023, the Company’s gross patient services accounts receivable were $40,295 and $34,481, respectively, and net patient services accounts receivable were $33,620 and $20,861, respectively, based upon net reporting of accounts receivable. As of March 31, 2024 and December 31, 2023, the Company’s allowance for doubtful accounts was $-0- and $-0-, respectively.

 

Other Comprehensive Income

 

The Company does not have any activity that results in Other Comprehensive Income.

 

Leases

 

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

 

ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. See Note 8 for more complete details on balances as of the reporting periods presented herein.

 

Inventory

 

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

 

Intangible Assets

 

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

 

Concentrations of Credit Risk

 

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

 

Property and Equipment

 

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

 

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

 

Fair Value of Assets and Liabilities

 

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

 

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

 

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

 

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

 

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

 

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

 

Stock-Based Compensation

 

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

 

Income Taxes

 

The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No income tax has been provided for the three months ended March 31, 2024 since the Company sustained a loss in that period. No income tax was provided for the three months ended March 31, 2023 because the Company had sufficient operating loss carryforwards to offset any net income for the full year 2023, including income from capital gains related to the disposal of discontinued operations. The Company recognized net loss for the full year 2023. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable.

 

Recurring Fair Value Measurements

 

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

 

Net Income (Loss) per Share 

 

Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three months ended March 31, 2024 and 2023, the Company reported a loss from continuing operations. As a result, diluted net income (loss) per common share is computed in the same manner as basic net income (loss) per common share, even though the Company had net income in the three months ended March 31, 2023 after adjusting for discontinued operations. The Company excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of March 31, 2024 and December 31, 2023, potentially dilutive securities were comprised of (i) 85,357,246 and 77,414,648 warrants outstanding, respectively, (ii) 7,063,146 and 5,093,738 stock options outstanding, respectively, (iii) 1,026,324 and 1,484,488 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, (iv) up to 1,055,536 and 2,764,352 common shares issuable that are earned but not paid under consulting and director compensation arrangements, and (v) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. 

 

Common Stock Awards

 

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

 

Warrants

 

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

 

Business Segments

 

The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has three operating segments: Health Services (multi-specialty medical group including the NWC GYN practice, the NCFM functional medicine practice, the BTG physical therapy practice, and the AEU cosmetic services practice), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices).

 

The Company’s ACO/MSO segment was sold on January 17, 2023. As described in further detail in Note 4, “Discontinued Operations,” this unit’s assets and liabilities are classified as held for sale as of December 31, 2022 and the unit’s results of operations are classified as “Income (loss) from operations of discontinued operations” in the three months ended March 31, 2024 and 2023.

 

Recently Adopted Pronouncements

 

In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments.” The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers, to recognize and measure contract assets and contract liabilities from contracts with customers acquired in a business combination. Public entities must adopt the new guidance for fiscal years beginning after December 15, 2022 and interim periods within those fiscal years, with early adoption permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In November 2023, the FASB issued Accounting Standards Update 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280, on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

In December 2023, the FASB issued Accounting Standards Update 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

 

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

v3.24.1.1.u2
Liquidity and Going Concern Analysis
3 Months Ended
Mar. 31, 2024
Liquidity and Going Concern Analysis [Abstract]  
LIQUIDITY AND GOING CONCERN ANALYSIS

NOTE 3 – LIQUIDITY AND GOING CONCERN ANALYSIS

 

Under ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern (“ASU 2014-15”), the Company is required to evaluate whether there is substantial doubt about its ability to continue as a going concern each reporting period, including interim periods. Pursuant to ASU 2014-15, in evaluating the Company’s ability to continue as a going concern, management considered the conditions and events that could raise substantial doubt about the Company’s ability to continue as a going concern within 12 months after the Company’s financial statements were issued (May 15, 2025). Management considered the Company’s current financial condition and liquidity sources, including current funds available, forecasted future cash flows and the Company’s obligations due before May 15, 2025.

 

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

 

As of March 31, 2024, the Company had cash balances of $23,491, a working capital deficit of $798,224 and an accumulated deficit of $43,420,854. For the three months ended March 31, 2024, the Company had a net loss of $1,387,718 and used cash from operating activities of $854,855. The Company expects to continue to incur net losses and have significant cash outflows for at least the next 12 months.

 

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

 

As described further in Note 4, “Discontinued Operations,” on January 17, 2023, the Company entered into the AHP Merger Agreement, pursuant to which the Buyer agreed to buy, and the Company agreed to sell, AHP. The Company received $750,000 upon signing of the AHP Merger Agreement, the $31,381 Stub Period Reimbursement (defined below) in March 2023, $1,750,000 ($1,540,000 net after commissions) during June, July and August 2023 for meeting 100% of the participating physician transfer milestones outlined in the AHP Merger Agreement, and $1,873,993 ($1,186,231 net after commissions and other expenses) related to AHP’s Plan Year 2022 MSSP shared savings. The Company may also receive future proceeds under the AHP Merger Agreement comprised of (i) up to $500,000 from the Buyer’s plan year 2023 (and if necessary, 2024) MSSP Shared Savings to reimburse amounts advanced to participating physicians at signing that would be received in October 2024, and (ii) proceeds from sale of shares of the Buyer’s common stock if the Buyer completes an initial public offering by February 1, 2025.

 

During the three months ended March 31, 2024, the Company also (i) received net proceeds from the issuance of notes payable to related parties and third parties totaling $500,000 and made repayments on existing and new notes payable to related parties and third parties totaling $221,278, and (ii) received $355,000 proceeds from the sale of its common stock.

 

On July 5, 2022, the Company entered into a Standby Equity Purchase Agreement (the “SEPA”) with YA II PN, Ltd. (“Yorkville”) (See Note 13, “Shareholders’ Equity,” below for additional information on the SEPA). Pursuant to the SEPA, the Company shall have the right to sell to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the three-year commitment period set forth in the SEPA. Because the purchase price per share to be paid by Yorkville for the shares of common stock sold by the Company to Yorkville pursuant to the SEPA, if any, will fluctuate based on the market prices of the Company’s common stock during the applicable pricing period, the Company cannot reliably predict the actual purchase price per share to be paid by Yorkville for those shares, or the actual gross proceeds to be raised by the Company from those sales, if any. During the three months ended March 31, 2023, the Company sold 225,000 shares of common stock under the SEPA, receiving $18,765 in proceeds, all of which was applied to the balance of a then-outstanding promissory note payable to Yorkville. The Company has not made any draws pursuant to the SEPA since January 2023.

 

Without raising additional capital, either via additional advances made pursuant to the SEPA or from other sources, there is substantial doubt about the Company’s ability to continue as a going concern through May 15, 2025. The accompanying condensed consolidated financial statements have been prepared assuming that the Company will continue as a going concern. This basis of presentation contemplates the recovery of the Company’s assets and the satisfaction of liabilities in the normal course of business.

v3.24.1.1.u2
Discontinued Operations
3 Months Ended
Mar. 31, 2024
Discontinued Operations [Abstract]  
DISCONTINUED OPERATIONS

NOTE 4 – DISCONTINUED OPERATIONS

 

Description of Transaction

 

During the fourth quarter of 2022, the Board approved a plan to sell the Company’s ACO/MSO Division, which assists physician practices in providing coordinated and more efficient care to patients via the MSSP as administered by the CMS, which rewards providers for efficiency in patient care. On January 17, 2023, the Company entered into the AHP Merger Agreement, pursuant to which the Buyer agreed to buy, and the Company agreed to sell, AHP (the “AHP Sale”). Pursuant to the terms of the AHP Merger Agreement, the Company received or will receive the following consideration: (1) $750,000 in cash paid upon signing of the definitive agreement (received January 18, 2023) (the “Upfront Cash Consideration”); (2) the Buyer shall reimburse the Company for expenses incurred by the Company in operating AHP from January 1, 2023 to January 16, 2023 (the “Stub Period Reimbursement”)($31,381 paid in March 2023); (3) up to $1,750,000 net incremental cash based on the agreement to participate in Buyer’s ACO by AHP’s existing physician practices or newly added practices, scaled based on the number of covered patients transferred to PBACO by July 31, 2023 (the “Incremental Cash Consideration”), of which $1,225,000 ($1,180,000 net after commissions) was received in June 2023 and $150,000 ($120,000 net after commissions) was received in July 2023; (4) net proceeds, including allocation for expenses, from any MSSP Shared Savings related to AHP’s plan year 2022 (the “2022 MSSP Consideration”), of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in October 2023; (5) $500,000 of the Incremental Cash Consideration will be allocated to AHP’s participating physicians upon receipt and will be reimbursed to HealthLynked by the Buyer in 2024 from the Buyer’s plan year 2023 (and if necessary, 2024) MSSP Shared Savings (the “Physician Advance Consideration”); and (6) in the event that Buyer completes a planned initial public offering (“IPO”) by February 1, 2025, shares in the public entity at the time of the IPO with a value equal to AHP’s 2021 earnings before interest, taxes depreciation and amortization (“EBITDA”) times the multiple of EBITDA used to value the public entity’s IPO shares, net of any cash consideration previously paid by the Buyer and subject to vesting requirements detailed in the AHP Merger Agreement (the “IPO Share Consideration”). The Company is also required to indemnify the Buyer against liabilities arising from Buyer’s operation of AHP prior to the Buyer’s IPO date, less a deductible equal to 1% of the aggregate merger consideration (the “Indemnification Clause”).

 

In the event Buyer goes public through means other than an IPO, the parties agreed to modify the terms of the IPO Share Consideration to implement such alternate structure. In the event Buyer does not go public by IPO or other means by February 1, 2025, the Company receives no IPO Share Consideration, and the Transaction consideration is capped at the cash consideration of up to $3,000,000 plus the MSSP Consideration. Any participating physician advances will be repaid to the Company out of AHP’s 2023 performance year MSSP Shared Savings, which would be received in 2024.

 

Pursuant to the terms of the Merger Agreement, formal transfer of the equity ownership of AHP from the Company to the Buyer will occur at the earlier of (i) Buyer’s IPO, (ii) Buyer going public by other means, or (iii) if Buyer does not go public, on February 1, 2025. Until that time, the Company has the right, but not the obligation, to reacquire AHP for a price equal to any consideration already paid by the Buyer for AHP, plus all expenses incurred by Buyer in operating AHP after January 16, 2023.

 

Concurrent with the AHP Merger Agreement, AHP and the Buyer also entered into a Management Services Agreement (the “MSA”), pursuant to which the Buyer assumed full control of managing AHP’s business operations and paying AHP’s operating expenses after January 16, 2023. The term of the MSA is from January 17, 2023 to August 1, 2024, which is the latest date that equity ownership of AHP can transfer from the Company to the Buyer. The Buyer agreed in the Merger Agreement to reimburse the Company for reasonable expenses incurred by the Company in operating AHP from January 1, 2023 to January 16, 2023, which we refer to as the Stub Period Reimbursement, during which time the Company had operational and financial control of AHP and CHM. Concurrent with the AHP Merger Agreement and the MSA, and as a result of the Buyer assuming control and responsibility of AHP’s operations, the Company discontinued its operations of CHM.

 

Discontinued Operations

 

The Company has classified the results of the ACO/MSO Division as discontinued operations in the accompanying consolidated statement of operations for all periods presented. No assets or liabilities were classified as held for sale as of March 31, 2024 or December 31, 2023.

 

The financial results of the ACO/MSO Division are presented as income (loss) from discontinued operations, net of income taxes on our consolidated statement of operations. The following table presents financial results of the ACO/MSO Division for the three months ended March 31, 2024:

 

   Three Months Ended
March 31,
 
   2024   2023 
Revenue:        
Consulting revenue  $
---
   $23,646 
Total revenue   
---
    23,646 
           
Operating Expenses and Costs:          
Medicare shared savings expenses   
---
    67,935 
           
Loss from operations of discontinued operations before income taxes   
---
    (44,289)
Provision for income taxes   
---
    
---
 
           
Loss from discontinued operations, net of income taxes  $
---
   $(44,289)

 

Net cash used in operations of the ACO/MSO Division was $-0- and $47,163 in the three months ended March 31, 2024 and 2023, respectively. There were no cash flows from investing or financing activities of the ACO/MSO Division in the three months ended March 31, 2024 and 2023.

 

Derecognition and Gain from Disposal of Discontinued Operations

 

As a result of the AHP Sale and pursuant to the terms and conditions of the AHP Merger Agreement and the MSA, the Company ceased to have a controlling financial interest in AHP as of January 17, 2023. Accordingly, in connection with the transaction, the Company deconsolidated AHP as of January 17, 2023.

 

In connection with the deconsolidation, the Company recognized the fair value of consideration received and receivable from the AHP Sale, recognized an indemnification liability related to potential claims resulting from the AHP Sale, derecognized the carrying value of assets and liabilities transferred to the Buyer or otherwise derecognized in connection with in the AHP Sale, and recorded a gain on sale for the excess of consideration received over carrying value of assets derecognized and liabilities recognized.

 

The Company elected to record the contingent portion of consideration receivable at fair value on the sale date pursuant to the guidance in FASB Emerging Issues Task Force Issue 09-4, “Seller Accounting for Contingent Consideration,” (“EITF 09-4”). The fair value of consideration received and receivable is shown in the following table:

 

Upfront Cash Consideration paid at signing  $750,000 
      
Incremental Cash Consideration   1,311,567 
IPO Share Consideration   1,463,517 
2022 MSSP Consideration   312,987 
Physician Advance Consideration   199,645 
Stub Period Reimbursement   31,381 
Total fair value of contingent consideration receivable   3,319,097 
      
Total fair value of consideration received and receivable  $4,069,097 

 

The fair value of contingent consideration receivable was determined using an expected present value approach, which applies a discount rate to a probability-weighted stream of net cash flows based on multiple scenarios, as estimated by management. As such, the fair values of contingent consideration receivable rely on significant unobservable inputs and assumptions and there is uncertainty in the expected future cash flows used in the fair valuation. Significant assumptions related to the valuation of contingent consideration receivable include the likelihood of a Buyer IPO, the valuation of the Buyer’s common stock in a potential IPO, the likelihood that AHP would meet its performance benchmarks to the extent that it will receive shared savings for plan year 2022, the likelihood that AHP under the management of the Buyer would receive sufficient shared savings in plan years 2023 and/or 2024 to pay the Physician Advance Consideration, and the likelihood that the Company would be able to transfer or add new participating physicians to AHP before July 31, 2023 in order to collect the Incremental Cash Consideration.

 

The book value of the assets and liabilities derecognized on January 17, 2023 in connection with the sale were as follows:

 

Prepaid expenses  $1,500 
Intangible asset - ACO physician contract   1,073,000 
Goodwill   381,856 
Contract liability   (20,278)
Contingent acquisition consideration   (185,024)
Net Book Value of Assets and Liabilities Sold  $1,251,054 

 

Prepaid expenses are prepaid services from which the Buyer will benefit following the AHP Sale. Intangible assets and goodwill represent the carrying value of assets recorded at the time the Company acquired CHM and AHP in 2020 (the “Original Acquisition”). Contract liability represents remaining unearned revenue for which the Buyer is required to provide the performance obligations after January 17, 2023. In connection with the AHP Sale, the remaining value of contingent acquisition consideration (“CAC”) related to the Original Acquisition was written off.

 

After recording the fair value of consideration and derecognition of assets and liabilities, and an estimated liability related to the Indemnification Clause, the Company recorded a gain from disposal of discontinued operations in the amount of $2,674,069 in the three months ended Mach 31, 2023 as follows:

 

Total fair value of consideration received and receivable  $4,069,097 
Less: net book value of assets and liabilities sold   (1,251,054)
Less: fair value of Indemnification Clause   (143,974)
      
Gain from disposal of discontinued operations  $2,674,069 

 

After January 17, 2023, and as prescribed under EITF 09-4, the Company has elected to subsequently treat the contingent consideration receivable using gain contingency guidance and only record a gain or loss when the contingency is resolved. Accordingly, the Company does not prospectively remeasure the fair value of contingent consideration receivable each reporting period.

 

Receipts of Contingent Sale Consideration Receivable

 

The Company received $750,000 upon signing of the AHP Merger Agreement, the $31,381 Stub Period Reimbursement in March 2023, $1,750,000 ($1,540,000 net after commissions) Incremental Cash Consideration during June, July and August 2023 for meeting 100% of the participating physician transfer milestones outlined in the AHP Merger Agreement, and $1,873,993 ($1,186,231 net after commissions and other expenses) in October 2023 related to AHP’s Plan Year 2022 MSSP shared savings.

 

The carrying value of the remaining unresolved components of contingent consideration receivable as of March 31, 2024 and December 31, 2023 was as follows:

 

IPO Share Consideration  $1,463,518 
Physician Advance Consideration   199,645 
Remaining contingent sale consideration receivable  $1,663,163 
v3.24.1.1.u2
Prepaid Expenses and Other
3 Months Ended
Mar. 31, 2024
Prepaid Expenses and Other [Abstract]  
PREPAID EXPENSES AND OTHER

NOTE 5 – PREPAID EXPENSES AND OTHER

 

Prepaid and other expenses as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Insurance prepayments  $7,791   $11,209 
Other expense prepayments   22,475    38,391 
Rent deposits   50,047    50,547 
Contract assets   9,750    5,110 
Total prepaid expenses and other   90,063    105,257 
Less: long term portion   (50,047)   (50,047)
Prepaid expenses and other, current portion  $40,016   $55,210 

 

Contract assets relate to amounts incurred to obtain a customer contract that would not have been incurred if the contract had not been obtained, such as commissions, associated with NCFM annual access contracts.

v3.24.1.1.u2
Property and Equipment
3 Months Ended
Mar. 31, 2024
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT

NOTE 6 – PROPERTY AND EQUIPMENT

 

Property and equipment as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Medical equipment  $496,452   $493,854 
Furniture, office equipment and leasehold improvements   317,963    317,963 
           
Total property and equipment   814,415    811,817 
Less: accumulated depreciation   (550,531)   (521,062)
           
Property and equipment, net  $263,884   $290,755 

 

Depreciation expense during the three months ended March 31, 2024 and 2023 was $29,469 and $31,037, respectively.

v3.24.1.1.u2
Intangible Assets
3 Months Ended
Mar. 31, 2024
Intangible Assets and Goodwill [Abstract]  
Intangible Assets

NOTE 7 – INTANGIBLE ASSETS

 

Identifiable intangible assets as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
NCFM: Medical database  $1,101,538   $1,101,538 
NCFM: Website   41,000    41,000 
           
Total intangible assets   1,142,538    1,142,538 
Less: accumulated amortization   (315,730)   (258,690)
           
Intangible assets, net  $826,808   $883,848 

 

Intangible assets arose from the acquisition of NCFM in April 2019. The NCFM medical database is being prospectively amortized starting January 1, 2023 over an estimated five-year useful life. The NCFM website began being amortized over a five-year life from the acquisition date. Amortization expense related to intangible assets in the three months ended March 31, 2024 and 2023 was $57,040 and $57,040, respectively.

 

Future amortization expense of intangible assets is expected to be as follows:

 

2024 (April to December)  $165,885 
2025   220,308 
2026   220,308 
2027   220,307 
Thereafter   
---
 
      
Total future amortization expense  $826,808 
v3.24.1.1.u2
Leases
3 Months Ended
Mar. 31, 2024
Leases [Abstract]  
LEASES

NOTE 8 – LEASES

 

The Company has separate operating leases, and related amendments thereto, for office space related to its NWC, NCFM, BTG and AEU practices, its corporate headquarters, and a copier lease that expire in July 2026, May 2025, March 2024, March 2026, November 2026, and January 2027, respectively. As of March 31, 2024, the Company’s weighted-average remaining lease term relating to its operating leases was 2.4 years, with a weighted-average discount rate of 15.44%.

 

The table below summarizes the Company’s lease-related assets and liabilities as of March 31, 2024 and December 31, 2023:



   March 31,   December 31, 
   2024   2023 
Lease assets  $853,525   $935,812 
           
Lease liabilities          
Lease liabilities (short term)  $332,692   $326,033 
Lease liabilities (long term)   524,546    613,386 
Total lease liabilities  $857,238   $939,419 

 

Lease expense was $129,431 and $111,905 in the three months ended March 31, 2024 and 2023, respectively.

 

Maturities of operating lease liabilities were as follows as of March 31, 2024:

 

2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 
v3.24.1.1.u2
Accounts Payable, Accrued Expenses and Other Current Liabilities
3 Months Ended
Mar. 31, 2024
Accounts Payable and Accrued Expenses [Abstract]  
ACCOUNTS PAYABLE, ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

NOTE 9 – ACCOUNTS PAYABLE, ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

 

Amounts related to accounts payable, accrued expenses and other current liabilities as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Trade accounts payable  $372,612   $251,479 
Accrued payroll liabilities   76,646    110,103 
Accrued operating expenses   175,349    91,238 
Accrued interest   52,287    57,074 
Accrued commissions payable from 2022 MSSP Consideration (a)   25,000    100,000 
Contingent acquisition consideration payable (b)   2,113    2,189 
Product return allowance   1,117    2,095 
   $705,124   $614,178 

 

(a) During September 2023, AHP received from the CMS a final determination of AHP’s Plan Year 2022 MSSP shared savings, of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in satisfaction of the 2022 MSSP Consideration. Gross payment was received by the Company in October 2023. As of December 31, 2023, the Company’s remaining accrued commissions and other fees payable resulting from the receipt and prior consideration received in the amount of $100,000, of which $75,000 was paid in the three months ended March 31, 2024. See Note 4 for complete description of the AHP Sale and related consideration.
(b) Contingent acquisition consideration reflects the fair value of the final earn-out payment potentially payable related to the Company’s acquisitions of MOD in 2020.  All of the remaining $2,113 contingent acquisition consideration related to MOD matures in 2024 based on the performance of the business unit for the year ended December 31, 2024.
v3.24.1.1.u2
Contract Liabilities
3 Months Ended
Mar. 31, 2024
Contract Assets and Liabilities [Abstract]  
CONTRACT LIABILITIES

NOTE 10 – CONTRACT LIABILITIES

 

Amounts related to contract liabilities as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
Patient services paid but not provided - NCFM  $175,333   $95,334 
Patient services paid but not provided - BTG   90,599    100,857 
Patient services paid but not provided - NWC   64,114    75,438 
Unshipped products - MOD   1,394    145 
   $331,440   $271,774 

 

Contract liabilities relate to (i) NCFM annual access contracts, including Medical Membership, Concierge Service and Optimal Health 365 Access Plan contracts pursuant to which patients prepay for access to services to be provided at the patient’s request over a period of time, (ii) BTG contracts pursuant to which patients prepay for access to a fixed number of visits used at the patients’ discretion, (iii) NWC annual administration fees, and (iv) MOD sold but unshipped products.

v3.24.1.1.u2
Amounts Due to Related Party and Related Party Transactions
3 Months Ended
Mar. 31, 2024
Amounts Due to Related Party and Related Party Transactions [Abstract]  
AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS

NOTE 11 – AMOUNTS DUE TO RELATED PARTY AND RELATED PARTY TRANSACTIONS

 

Amounts due to related parties as of March 31, 2024 and December 31, 2023 were comprised of the following:

 

   March 31,   December 31, 
   2024   2023 
         
Note Payable to Dr. Michael Dent, March 2023  $
---
   $12,601 
Note Payable to Dr. Michael Dent, June 2023   
---
    26,875 
Note Payable to Dr. Michael Dent, December 2023   
---
    166,500 
Convertible Note Payable I to Dr. Michael Dent, March 2024   150,000    
---
 
Convertible Note Payable II to Dr. Michael Dent, March 2024   350,000    
---
 
Convertible Note Payable III to Dr. Michael Dent, March 2024   199,621    
---
 
Face value of notes payable to related party   699,621    205,976 
Less: unamortized discounts   (281,579)   (34,834)
Notes payable to related party, total   418,042    171,142 
Plus deferred compensation payable to Dr. Michael Dent   300,600    300,600 
Total due to related party  $718,642   $471,742 

 

Notes Payable to Dr. Michael Dent

 

On November 8, 2022, the Company entered into a Merchant Cash Advance Factoring Agreement with a trust controlled by Dr. Dent, pursuant to which the Company received an advance of $150,000 (the “November MCA”). The Company was required to repay the November MCA at the rate of $3,750 per week until the balance of $195,000 was repaid, which was scheduled for November 2023. At inception, the Company recognized a note payable in the amount of $195,000 and a discount against the note payable of $45,000. The discount was being amortized over the life of the November MCA. The Company made payments totaling $-0- and $33,750 in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $11,219 in the three months ended March 31, 2024 and 2023, respectively. The November MCA was repaid in full during the fourth quarter of 2023. As of March 31, 2024 and December 31, 2023, remaining payments were $-0- and $-0-, respectively, and the net carrying value was $-0- and $-0-, respectively.

 

On December 13, 2022, the Company entered into a Merchant Cash Advance Factoring Agreement with a trust controlled by Dr. Dent, pursuant to which the Company received an advance of $110,000 (the “December MCA”). The Company was required to repay the December MCA at the rate of $2,750 per week until the balance of $143,000 was repaid, which was scheduled for December 2023. In connection with the December MCA, the Company issued 3,142,857 three-year warrants to the holder with an exercise price of $0.035. The fair value of the warrants was $63,420. At inception, the Company recognized a note payable in the amount of $143,000 and a discount against the note payable of $68,281 for the allocated fair value of the original issue discounts and warrants. The discount was being amortized over the life of the December MCA. The Company made payments totaling $-0- and $24,750 in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $17,070 in the three months ended March 31, 2024 and 2023, respectively. The December MCA was repaid in full during the fourth quarter of 2023. As of March 31, 2024 and December 31, 2023, remaining payments were $-0- and $-0-, respectively, and the net carrying value was $-0- and $-0-, respectively.

 

On January 5, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $10,000 (the “$10k Dent Note”). The $10k Dent Note bore interest at a rate of 15% per annum and was scheduled to mature six months from issuance. In connection with the $10k Dent Note, the Company issued 96,154 five-year warrants to the holder with an exercise price of $0.104. The fair value of the warrants was $6,843. At inception, the Company recognized a note payable in the amount of $10,000 and a discount against the note payable of $3,851 for the allocated fair value of the warrants. The discount was to be amortized over the life of the $10k Dent Note. The $10k Dent Note was repaid in full during January 2023. Amortization of debt discount and interest expense prior to repayment were $269 and $53, respectively, in the three months ended March 31, 2023. In connection with the repayment, the Company recognized a loss on extinguishment of debt of $3,582 in the three months ended March 31, 2023.

 

On January 13, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $161,000 (the “January 2023 Dent Note”). Net proceeds were $160,000, taking into account the original issue discount of $1,000. The January 2023 Dent Note bore interest at a rate of 15% per annum and was scheduled to mature six months from issuance. In connection with the January 2023 Dent Note, the Company issued 860,215 three-year warrants to Dr. Dent with an exercise price of $0.093. The fair value of the warrants was $56,123. At inception, the Company recognized a note payable in the amount of $161,000 and a discount against the note payable of $42,553 for the allocated fair value of the original issue discount and warrants. The discount was to be amortized over the life of the January 2023 Dent Note. The January 2023 Dent Note was repaid in full during January 2023. Amortization of debt discount and interest expense prior to repayment were $1,373 and $397, respectively, in the three months ended March 31, 2023. In connection with the repayment, the Company recognized a loss on extinguishment of debt of $41,181 in the three months ended March 31, 2023.

 

On February 14, 2023, the Company issued an unsecured promissory note to Dr. Dent with a face value of $186,000 (the “February 2023 Dent Note”). Net proceeds were $185,000 after an original issue discount of $1,000. The February 2023 Dent Note bore interest at a rate of 15% per annum and matured six months from issuance. In connection with the February 2023 Dent Note, the Company issued 685,185 three-year warrants to Dr. Dent with an exercise price of $0.135. The fair value of the warrants was $66,136. At inception, the Company recognized a note payable in the amount of $186,000 and a discount against the note payable of $50,989 for the allocated fair value of the original issue discounts and warrants. The discount was amortized over the life of the February 2023 Dent Note. No payments were made on the February 2023 Dent Note in the three months ended March 31, 2023. Amortization of debt discount and interest expense were $1,373 and $3,440, respectively, in the three months ended March 31, 2023.

 

On March 14, 2023, the Company issued a promissory note payable to a trust controlled by Dr. Dent with a stated principal amount of $112,510 and prepaid interest of $13,501 for total scheduled repayments of $126,011 (the “March 2023 Dent Note”). The March 2023 Dent Note had an original issue discount of $12,510, resulting in net proceeds to the Company of $100,000. At inception, the Company recognized a note payable in the amount of $126,011 and a discount against the note payable of $26,011. The March 2023 Dent Note did not bear interest in excess of the prepaid interest and original issue discount and matured on March 14, 2024. The Company was required to make 10 monthly payments of $12,601 starting April 30, 2023. At inception, the Company recorded a discount against the note of $26,011, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. The March 2023 Dent Note gave the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. The Company made payments totaling $12,601 and $-0- in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $2,504 and $1,292 in the three months ended March 31, 2024 and 2023, respectively. The March 2023 Dent Note was repaid in January 2024.

 

On June 26, 2023, the Company issued an unsecured promissory note to Dr. Michael Dent with a face value of $25,000 (the “June 2023 Dent Note”). The June 2023 Dent Note bore a fixed interest charge of $1,875 (15% per annum) and matured on December 26, 2023. At inception, the Company recorded a note payable in the amount of $26,875 and a discount against the note of $1,875. The Company made payments totaling $25,000 and $-0- in the three months ended March 31, 2024 and 2023, respectively. Amortization of debt discount was $-0- and $1,292 in the three months ended March 31, 2024 and 2023, respectively. The June 2023 Dent Note was repaid in January 2024.

 

On December 1, 2023, the Company issued an unsecured promissory note to a trust controlled by Dr. Dent with a face value of $150,000 (the “December 2023 Dent Note”). The December 2023 Dent Note bore a fixed interest charge of $15,000 (10% per annum) and $1,500 in fixed fees and matured on February 28, 2024. The Company received net proceeds of $150,000 after discounts and fees. In connection with the note, the Company issued 1,500,000 five-year warrants to the holder with an exercise price of $0.06. The fair value of the warrants was $32,269. At inception, the Company recorded a note payable in the amount of $166,500 and a discount against the note payable of $48,769 for the allocated fair value of the original issue discount and warrants. The Company made payments totaling $-0- and $-0- in the three months ended March 31, 2024 and 2023, respectively, on the December 2023 Dent Note. Amortization of debt discount was $32,330 and $-0- in the three months ended March 31, 2024 and 2023, respectively. On March 27, 2024, the December 2023 Dent Note was refinanced and replaced with the March 2024 Dent Note III as described below. No loss on extinguishment of debt was recognized in the three months ended March 31, 2024 because the discount was fully amortized at the time of the refinancing.

 

On March 27, 2024, the Company issued to a trust controlled by Dr. Michael Dent three separate notes payable as follows: (1) a note payable with a principal of $350,000, an interest rate of 12% per annum, and a maturity date of June 27, 2024 (the “March 2024 Dent Note I”), (2) a note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of August 24, 2024 (the “March 2024 Dent Note II”), and (3) a note payable with a principal of $166,500, an interest rate of 12% per annum, and a maturity date of August 28, 2024 (the “March 2024 Dent Note III”, and collectively, the “March 2024 Dent Notes”). The full amount of principal and accrued interest on each of the March 2024 Dent Notes is due at the respective maturity date of each note. Each of the March 2024 Dent Notes is convertible at any time at the holder’s option into shares of Company common stock at a fixed conversion price of $0.0573 per share. In connection with the issuance of the March 2024 Dent Notes, the Company also issued to the holder a ten-year warrant to purchase 6,660,000 shares of the Company’s common stock at an exercise price of $0.06 per share (the “March 2024 Warrant”). The fair value of the March 2024 Warrant was $254,345.

 

Net proceeds from the March 2024 Dent Note I were $350,000. At inception, the Company recorded a discount of $203,588, representing the allocated fair value of the beneficial conversion feature (“BCF”) and the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note I. The discount is being amortized over the life of the note. Amortization expense related to the note discount was $8,852 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the March 2024 Dent Note I in the three months ended March 31, 2024 or 2023. As of March 31, 2024 and December 31, 2023, remaining principal payments were $350,000 and $-0-, respectively, the net carrying value was $155,264 and $-0-, respectively, and accrued interest was $460 and $-0-, respectively.

 

Net proceeds from the March 2024 Dent Note II were $150,000. At inception, the Company recorded a discount of $89,222, representing the allocated fair value of the BCF and the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note II. The discount is being amortized over the life of the note. Amortization expense related to the note discount was $2,379 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the March 2024 Dent Note II in the three months ended March 31, 2024 or 2023. As of March 31, 2024 and December 31, 2023, remaining principal payments were $150,000 and $-0-, respectively, the net carrying value was $63,157 and $-0-, respectively, and accrued interest was $197 and $-0-, respectively.

 

The March 2024 Dent Note III refinanced the previously issued December 2023 Dent Note in the same principal amount of $166,500. Because the two notes were determined to be substantially different, the issuance of the March 2024 Dent Note III and repayment of the December 2023 Dent Note was treated as an extinguishment and reissuance. Accordingly, the Company recognized a loss on debt extinguishment of $96,660 on the transaction date, comprised of $63,539 for the portion of the fair value of the March 2024 Warrant allocated to the March 2024 Dent Note III and $33,121 for the excess of the fair value of the March 2024 Dent Note III over the carrying value of the refinanced December 2023 Dent Note. The March 2024 Dent Note III was recorded at its fair value of $199,621 and will be revalued at future period ends. As of March 31, 2024 and December 31, 2023, remaining principal payments were $166,500 and $-0-, respectively, the carrying value was $199,621 and $-0-, respectively, and accrued interest was $219 and $-0-, respectively.

 

Interest accrued on notes and convertible notes payable to related parties as of March 31, 2024 and December 31, 2023 was $3,202 and $7,456, respectively. Interest expense on the loans was $3,202 and $3,890 in the three months ended March 31, 2024 and 2023, respectively.

 

Deferred Compensation Payable to Dr. Michael Dent

 

There was no activity related to deferred compensation payable to Dr. Michael Dent and therefore, as of March 31, 2024 and December 31, 2023, the balance was $300,600 and $300,600, respectively.

 

Other Related Transactions

 

Our outside directors each receive compensation equal to $20,000 in shares of restricted stock per annum. As of March 31, 2024 and December 31, 2023, we had 816,328 and 408,164 shares, respectively, issuable to our directors under such compensation arrangements.

 

During the three months ended March 31, 2024 and 2023, the Company paid Dr. Dent’s spouse $39,038 and $27,885, respectively, in consulting fees pursuant to a consulting agreement.

v3.24.1.1.u2
Notes Payable
3 Months Ended
Mar. 31, 2024
Notes Payable [Abstract]  
NOTES PAYABLE

NOTE 12 – NOTES PAYABLE

 

Notes payable as of March 31, 2024 and December 31, 2023 were as follows:

 

   March 31,   December 31, 
   2024   2023 
         
SBA Disaster Relief Loans  $450,000   $450,000 
1800 Diagonal Note Payable III, August 2023   64,853    97,279 
Yorkville Note Payable III, November 2023   226,800    302,400 
1800 Diagonal Note Payable III, December 2023   113,482    162,131 
Yorkville Note Payable III, December 2023   162,000    189,000 
Face value of notes payable   1,017,135    1,200,810 
Less: unamortized discounts   (104,288)   (166,487)
Notes payable, total   912,847    1,034,323 
Less: long term portion   (450,000)   (450,000)
Notes payable, current portion  $462,847   $584,323 

 

Government Notes Payable

 

During June, July and August 2020, the Company and its subsidiaries received an aggregate of $450,000 in Disaster Relief Loans from the SBA. The loans bear interest at 3.75% per annum and mature 30 years from issuance. Mandatory principal and interest payments were originally scheduled to begin 12 months from the inception date of each loan and were subsequently extended by the SBA until 30 months from the inception date. Installment payments, which are first applied to accrued but unpaid interest and then to principal, began in 2023.

 

Interest accrued on SBA loans as of March 31, 2024 and December 31, 2023 was $27,095 and $27,628, respectively. Interest expense on the loans was $6,046 and $4,219 in the three months ended March 31, 2024 and 2023, respectively. Payments against interest were $6,579 and $5,117 in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining principal payments were $450,000 and $450,000, respectively, and the net carrying value was $450,000 and $450,000, respectively.

 

Other Notes Payable

 

On July 19, 2022, pursuant to a Note Purchase Agreement between the Company and Yorkville, dated July 5, 2022, the Company issued to Yorkville a promissory note (the “Promissory Note”) with an initial stated principal amount equal to $550,000 at a purchase price equal to the principal amount of the Promissory Note less any original issue discounts and fees. The Promissory Note included a 5% original issue discount, accrues interest at a rate of 0%, and was scheduled to mature on January 19, 2023. The Company received net proceeds of $522,500. Each payment included a 2% payment premium, totaling $561,000 in total cash repayments. At inception, the Company recorded a discount against the note of $38,500, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. On November 15, 2022, the Company and Yorkville entered into an Amended and Restated Note (the “Amended Note”) to, among other things, extend the original note’s maturity date of January 19, 2023 to March 15, 2023. Amortization expense related to the discount was $-0- and $4,748 in the three months ended March 31, 2024 and 2023, respectively. During the three months ended March 31, 2024 and 2023, the Company made payments of $-0- and $168,300 against the Promissory Note, including $18,765 applied from proceeds of sales of common stock under the SEPA. The Amended Note was repaid in March 2023.

 

On October 21, 2022, the Company issued a promissory note payable to an investor in the principal amount of $144,760 (the “October 2022 Note”). The October 2022 Note had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The October 2022 Note did not bear interest in excess of the original issue discount and had a maturity date of October 31, 2023. The Company was required to make 10 monthly payments of $16,213 starting November 30, 2022 and ending August 31, 2023. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which was amortized over the repayment period. During the three months ended March 31, 2024 and 2023, amortization expense related to the note discount was $-0- and $10,745, respectively, and the Company made payments of $-0- and $32,426, respectively, against the outstanding balance. The October 2022 Note was repaid in August 2023.

 

On March 10, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $116,760 and prepaid interest of $14,011 for total repayments of $130,771 (the “March 2023 Note”). The March 2023 Note had an original issue discount of $12,510 and fees of $4,250, resulting in net proceeds to the Company of $100,000. The March 2023 Note did not bear interest in excess of the original issue discount and matured on March 10, 2024. The Company was required to make 10 monthly payments of $13,077 starting April 30, 2023. At inception, the Company recorded a discount against the note of $30,771, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $-0- and $1,529 in the three months ended March 31, 2024 and 2023, respectively. The Company made no payments against the outstanding balance in the three months ended March 31, 2024 or 2023. The final installment payment was made in December 2023.

 

On November 4, 2022, AEU borrowed a gross amount of $41,009 from a third-party lender, receiving net proceeds of $35,800 after fees and discounts (the “AEU Loan”). At inception of the note, the Company recognized a discount of $5,209. During the three months ended March 31, 2024 and 2023, amortization expense related to the note discount was $-0- and $2,367, respectively, and the Company made payments of $-0- and $18,632, respectively, against the outstanding balance. The AEU Loan was repaid in June 2023.

 

On August 8, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $144,760 and prepaid interest of $17,371 for total repayments of $162,131 (the “August 2023 Note”). The August 2023 Note had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The August 2023 Note does not bear interest in excess of the original issue discount and matures on June 30, 2024. The Company is required to make 10 monthly payments of $16,213 starting September 30, 2023 and ending on June 30, 2024. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $10,365 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $32,426 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $64,853 and $97,279, respectively, and the net carrying value was $54,488 and $76,549, respectively. The August 2023 Note gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. As of March 31, 2024, the August 2023 Note was not in default and the Company was in compliance with the stated loan requirements.

 

On November 3, 2023, the Company issued to Yorkville a note payable (the “November 2023 Note”) with an initial principal amount equal to $350,000 at a purchase price equal to the principal amount of the November 2023 Note less any original issue discounts and fees. The Company received net proceeds of $317,000. The November 2023 Note is scheduled to mature on September 3, 2024. The November 2023 Note accrues interest at a rate of 0% but was issued with an 8% original issue discount and is scheduled to be repaid in ten equal semi-monthly installments beginning on December 3, 2023, with each payment including an 8% payment premium, totaling $378,000 in cash repayments. At inception, the Company recorded a discount against the note of $61,000, representing the difference between the total required repayments and the net proceeds received, which was being amortized over the repayment period. Amortization expense related to the note discount was $18,200 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $75,600 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $226,800 and $302,400, respectively, and the net carrying value was $195,600 and $253,000, respectively.

 

On December 12, 2023, the Company issued a promissory note payable to an investor with a stated principal amount of $144,760 and prepaid interest of $17,371 for total repayments of $162,131 (the “December 2023 Note I”). The December 2023 Note I had an original issue discount of $15,510 and fees of $4,250, resulting in net proceeds to the Company of $125,000. The December 2023 Note I does not bear interest in excess of the original issue discount and matures on October 15, 2024. The Company is required to make 10 monthly payments of $16,213 starting January 15, 2024 and ending on October 15, 2024. At inception, the Company recorded a discount against the note of $37,131, representing the difference between the total required repayments and the net proceeds received, which is being amortized over the repayment period. Amortization expense related to the note discount was $10,971 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $48,649 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $113,482 and $162,131, respectively, and the net carrying value was $89,612 and $127,291, respectively. The December 2023 Note I gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default. The Company determined that the fair value of the contingent conversion option was immaterial and therefore did not allocate any value related to the option to the proceeds received. As March 31, 2024, the December 2023 Note I was not in default and the Company was in compliance with the stated loan requirements.

 

On December 13, 2023, the Company issued to Yorkville a convertible note (the “December 2023 Note II”) with an initial principal amount equal to $175,000 at a purchase price equal to the principal amount of the December 2023 Note II less any original issue discounts and fees. The Company received net proceeds of $156,000. The December 2023 Note II is scheduled to mature on September 3, 2024. The December 2023 Note II accrues interest at a rate of 0% but was issued with an 8% original issue discount and is scheduled to be repaid in ten equal semi-monthly installments beginning on March 3, 2024, with each payment including an 8% payment premium, totaling $189,000 in cash repayments. The December 2023 Note II is convertible at any time at the holder’s option into shares of Company common stock at a fixed conversion price of $0.05 per share. At inception, the Company recorded a discount against the note of $66,000, representing the fair value of the conversion option and the difference between the total required repayments and the net proceeds received. The discount is being amortized over the repayment period. Amortization expense related to the note discount was $22,664 and $-0- in the three months ended March 31, 2024 and 2023, respectively. The Company made payments against the outstanding balance of $27,000 and $-0- in the three months ended March 31, 2024 and 2023, respectively. As of March 31, 2024 and December 31, 2023, remaining payments were $162,000 and $189,000, respectively, and the net carrying value was $123,147 and $127,483, respectively.

v3.24.1.1.u2
Shareholders' Equity
3 Months Ended
Mar. 31, 2024
Shareholders' Equity [Abstract]  
SHAREHOLDERS’ EQUITY

NOTE 13 – SHAREHOLDERS’ EQUITY

 

SEPA Advances

 

On July 5, 2022, the Company entered into the SEPA with Yorkville, pursuant to which the Company shall have the right, but not the obligation, to sell to Yorkville up to 30,000,000 of its shares of common stock, par value $0.0001 per share, at the Company’s request any time during the commitment period commencing on July 5, 2022 and terminating on the earliest of (i) the first day of the month following the 36-month anniversary of the SEPA and (ii) the date on which Yorkville shall have made payment of any advances requested pursuant to the SEPA for shares of the Company’s common stock equal to the commitment amount of 30,000,000 shares of common stock. Each SEPA advance (an “Advance”) may be for a number of shares of common stock with an aggregate value of up to greater of: (i) an amount equal to thirty percent (30%) of the aggregate daily volume traded of the Company’s common stock for the three (3) trading days immediately preceding notice from the Company of an Advance, or (ii) 2,000,000 shares of common stock. The shares would be purchased at 96.0% of the average of the daily volume weighted average price of the Company’s common stock as reported by Bloomberg L.P. during regular trading hours during each of the three consecutive trading days commencing on the trading day following the Company’s submission of an Advance notice to Yorkville and would be subject to certain limitations, including that Yorkville could not purchase any shares that would result in it owning more than 4.99% of the Company’s outstanding common stock at the time of an Advance. On July 11, 2022, the Company filed a Form S-1 registration statement registering up to 30,000,000 shares of common stock underlying the SEPA. The registration statement was declared effective on July 19, 2022.

 

During the three months ended March 31, 2023, the Company made one Advance under the SEPA, receiving $18,765 in proceeds for the issuance of 225,000 shares of common stock, all of which was applied to the balance of the Yorkville Promissory Note that was repaid in first quarter 2023. No Advances were made during the three months ended March 31, 2024.

 

Private Placements

 

During the three months ended March 31, 2024, the Company sold 5,100,000 shares of common stock to three investors in separate private placement transactions. The Company received $355,000 in proceeds from the sales. In connection with the stock sales, the Company also issued 2,500,000 five-year warrants to purchase shares of common stock at an exercise price of $0.17 per share.

 

During the three months ended March 31, 2023, the Company sold 2,000,000 shares of common stock to one investor in a private placement transaction. The Company received $200,000 in proceeds from the sale. In connection with the stock sale, the Company also issued 1,500,000 five-year warrants to purchase shares of common stock at an exercise price of $0.20 per share.

 

Shares issued to Consultants

 

During the three months ended March 31, 2024, the Company issued to a consultant a ten-year stock option to purchase 2,504,974 shares of common stock at an exercise price equal of $0.0569 in satisfaction of common stock issuable accrued to the consultant for services provided between 2021 and 2024.

 

Common Stock Issuable

 

As of March 31, 2024 and December 31, 2023, the Company was obligated to issue the following shares:

 

   March 31, 2024   December 31, 2023 
   Amount   Shares   Amount   Shares 
                 
Shares issuable to employees and consultants  $14,570    239,208   $261,682    2,356,188 
Shares issuable to independent directors   40,000    816,328    20,000    408,164 
   $54,570    1,055,536   $281,682    2,764,352 

 

Stock Warrants

 

Transactions involving our stock warrants during the three months ended March 31, 2024 and 2023 are summarized as follows:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
   Number   Price   Number   Price 
Outstanding at beginning of the period   77,414,648   $0.20    68,109,094   $0.23 
Granted during the period   9,160,000   $0.09    3,141,554   $0.15 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Expired during the period   (1,217,402)  $(0.28)   (2,508,333)  $(0.25)
Outstanding at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Exercisable at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Weighted average remaining life   2.7 years    2.5 years 

 

The following table summarizes information about the Company’s stock warrants outstanding as of March 31, 2024:

 

Warrants Outstanding   Warrants Exercisable 
        Weighted-            
        Average  Weighted-       Weighted- 
        Remaining  Average       Average 
Exercise   Number   Contractual  Exercise   Number   Exercise 
Prices   Outstanding   Life (years)  Price   Exercisable   Price 
$ 0.0001 to 0.09    29,968,289   3.6  $0.07    29,968,289   $0.07 
$ 0.10 to 0.24    25,436,940   3.0  $0.16    25,436,940   $0.16 
$0.25 to 0.49    26,992,093   1.5  $0.31    26,992,093   $0.31 
$ 0.50 to 1.05    2,959,924   2.3  $0.68    2,959,924   $0.68 
$ 0.05 to 1.00    85,357,246   2.7  $0.19    85,357,246   $0.19 

 

During the three months ended March 31, 2024 and 2023, the Company issued 9,160,000 and 3,141,554 warrants, respectively, the aggregate grant date fair value of which was $385,633 and $246,063, respectively. The fair value of the warrants was calculated using the following range of assumptions:

 

   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  3.97% to 4.20%  3.45% to 5.43%
Expected life range (in years)  5.00 years to 10.00 years  0.28 years to 5.00 years
Volatility range  140.94% to 173.25%  126.30% to 165.20%
Dividend yield  0.00%  0.00%
Expected forfeiture  33.00%  20.00%

 

There were no warrants exercised during the three months ended March 31, 2024 or 2023.

 

Equity Incentive Plans

 

On January 1, 2016, the Company adopted the 2016 Equity Incentive Plan (the “2016 EIP”) for the purpose of having equity awards available to allow for equity participation by its employees, consultants and non-employee directors. The 2016 EIP allowed for the issuance of up to 15,503,680 shares of the Company’s common stock, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2016 EIP is governed by the Board, or a committee that may be appointed by the Board in the future. The 2016 EIP expired during 2021 but allows for the prospective issuance of common shares upon vesting of stock awards or exercise of stock options granted prior to expiration of the 2016 EIP.

 

On September 9, 2021, the Company adopted the 2021 Equity Incentive Plan (the “2021 EIP” and, together with the 2016 EIP, the “EIPs”) for the purpose of having equity awards available to allow for equity participation by its employees, consultants and non-employee directors. The 2021 EIP allows for the issuance of up to 20,000,000 shares of the Company’s common stock, which may be issued in the form of stock options, stock appreciation rights, or common shares. The 2021 EIP is governed by the Board, or a committee that may be appointed by the Board in the future.

 

Amounts recognized in the financial statements with respect to the EIPs in the three months ended March 31, 2024 and 2023 were as follows:

 

   Three Months Ended
March 31,
 
   2024   2023 
Total cost of share-based payment plans during the period  $35,986   $82,951 
Amounts capitalized in deferred equity compensation during period  $
---
   $
---
 
Amounts written off from deferred equity compensation during period  $57,147   $
---
 
Amounts charged against income for amounts previously capitalized  $
---
   $5,150 
Amounts charged against income, before income tax benefit  $93,133   $88,101 
Amount of related income tax benefit recognized in income  $
---
   $
---
 

 

Stock Options  

 

Stock options granted under the EIPs typically vest over a period of three to four years or based on achievement of Company and individual performance goals. The following table summarizes stock option activity as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
Stock options  Number   Price   Number   Price 
Outstanding at beginning of period   5,093,738   $0.16    5,222,982   $0.20 
Granted during the period   4,504,974   $0.06    93,750   $0.08 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Forfeited during the period   (449,982)  $(0.21)   (150,000)  $(0.16)
Outstanding at end of period   9,148,730   $0.10    5,166,732   $0.17 
                     
Options exercisable at period-end   7,063,146   $0.11    3,108,565   $(0.20)

 

As of March 31, 2024, there was $78,222 of total unrecognized compensation cost related to options granted under the EIPs. That cost is expected to be recognized over a weighted-average period of 1.7 years.

 

The weighted-average grant-date fair value of options granted during the three months ended March 31, 2024 and 2023 was $0.04 and $0.05, respectively. The total fair value of options vested during the three months ended March 31, 2024 and 2023 was $137,040 and $26,845, respectively. No options were exercised during the three months ended March 31, 2024 or 2023. Stock based compensation expense related to stock options was $47,900 and $22,511 in the three months ended March 31, 2024 and 2023, respectively.

 

The fair value of each stock option award is estimated on the date of grant using a binomial lattice option-pricing model based on the assumptions noted in the following table. The Company’s accounting policy is to estimate forfeitures in determining the amount of total compensation cost to record each period. The fair value of options granted for the three months ended March 31, 2024 and 2023 was calculated using the following range of assumptions:

 

   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  4.20%  3.48%
Expected life range (in years)  10.00 years  10.00 years
Volatility range  173.25%  145.03%
Dividend yield  0.00%  0.00%
Expected forfeiture  30.00%  30.00%

 

The following table summarizes the status and activity of nonvested options issued pursuant to the EIPs as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock options  Shares   Fair Value   Shares   Fair Value 
Nonvested options at beginning of period   1,073,084   $0.06    2,260,417   $0.08 
Granted   4,504,974   $0.04    93,750   $0.05 
Vested   (3,442,474)  $(0.04)   (196,000)  $(0.14)
Forfeited   (50,000)  $(0.08)   (100,000)  $(0.09)
Nonvested options at end of period   2,085,584   $0.05    2,058,167   $0.07 

 

Stock Grants  

 

Stock grant awards made under the EIPs typically vest either immediately or over a period of up to four years. The following table summarizes stock grant activity as of and for the three months ended March 31, 2024 and 2023:

 

   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock Grants  Shares   Fair Value   Shares   Fair Value 
Nonvested grants at beginning of period   1,484,488   $0.05    1,651,435   $0.05 
Granted   
---
   $
---
    160,944   $0.09 
Vested   (408,164)  $(0.05)   (468,292)  $(0.05)
Forfeited   (50,000)  $(0.12)   
---
   $
---
 
Nonvested grants at end of period   1,026,324   $0.05    1,344,087   $0.06 

 

As of March 31, 2024, there was $10,449 of total unrecognized compensation cost related to stock grants made under the EIPs. That cost is expected to be recognized over a weighted-average period of 1.5 years. The weighted-average grant-date fair value of share grants made during the three months ended March 31, 2023 was $0.09 per share. No grants were made in the three months ended March 31, 2024. The aggregate fair value of share grants that vested during the three months ended March 31, 2024 and 2023 was $20,000 and $22,460, respectively. Stock based compensation expense related to stock grants was $1,796 and $25,467 in the three months ended March 31, 2024 and 2023, respectively.

 

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

 

Liability-Classified Equity Instruments

 

During 2021, the Company made certain stock grants from the 2021 EIP that vest over a four-year period and that are settleable for a fixed dollar amount rather than a fixed number of shares. During 2022, the Company made an additional grant of stock options from the 2021 EIP with a fixed fair value that may be earned based on achievement of performance targets on a quarterly basis through June 2025. The Company recognized an asset captioned “Deferred equity compensation” and an offsetting liability captioned as a “Liability-classified equity instrument” related to such instruments. Amortization of deferred stock compensation assets in the three months ended March 31, 2024 and 2023 was $-0- and $5,150, respectively. The liability will be converted to equity if and when shares are earned and issued pursuant to prescribed vesting events. The Company subsequently de-recognized Deferred equity compensation and Liability-classified equity instruments upon termination of the instruments in 2022 and 2023 and no further equity-related assets or liabilities remained as of March 31, 2024.

v3.24.1.1.u2
Commitments and Contingencies
3 Months Ended
Mar. 31, 2024
Commitments and Contingencies [Abstract]  
COMMITMENTS AND CONTINGENCIES

NOTE 14 – COMMITMENTS AND CONTINGENCIES

 

Supplier Concentration

 

The Company relied on a single supplier for the fulfillment of approximately 91% and 95% of its product sales made through MOD in the three months ended March 31, 2024 and 2023, respectively.

 

Service Contracts

 

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

 

Leases

 

Maturities of operating lease liabilities were as follows as of March 31, 2024:

 

2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 

 

Employment/Consulting Agreements

 

The Company has employment agreements with certain of its physicians, nurse practitioners and physical therapists in the Health Services Division. The agreements generally call for a fixed salary plus performance-based pay.

 

On March 1, 2024, the Company entered into an offer letter agreement with David Rosal, Chief Financial Officer of the Company. The agreement was effective as of March 11, 2024 and provides that Mr. Rosal’s base salary will be $150,000 per year. Mr. Rosal is eligible to receive grants from the Company’s Employee Stock Option Plan. Mr. Rosal’s employment is at-will with no defined contractual employment period.

 

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

 

Litigation

 

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

v3.24.1.1.u2
Segment Reporting
3 Months Ended
Mar. 31, 2024
Segment Reporting [Abstract]  
SEGMENT REPORTING

NOTE 15 – SEGMENT REPORTING

 

As of March 31, 2024, the Company had three reportable segments: Health Services, Digital Healthcare, and Medical Distribution. The Health Services Division is comprised of the operations of (i) NWC, a multi-specialty medical group including OB/GYN (both Obstetrics and Gynecology), and General Practice, (ii) NCFM, a Functional Medical Practice acquired in April 2019 that is engaged in improving the health of its patients through individualized and integrative health care, (iii) BTG, a physical therapy practice in Bonita Springs, Florida that provides hands-on functional manual therapy techniques to speed patients’ recovery and manage pain without pain medication or surgery, and (iv) AEU, a patient service facility specializing in minimally and non-invasive cosmetic services acquired by the Company in May 2022. The Digital Healthcare segment develops and plans to operate an online personal medical information and record archive system, the “HealthLynked Network,” which will enable patients and doctors to keep track of medical information via the Internet in a cloud-based system. The Medical Distribution Division is comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices throughout the United States.

 

On January 17, 2023, the Company entered into the AHP Merger Agreement pursuant to which the Company sold AHP and discontinued the operations of CHM, comprising its ACO/MSO Division. The Company has classified the results of the ACO/MSO Division as discontinued operations in the accompanying consolidated statement of operations for all periods presented. See Note 4, “Discontinued Operations,” for additional information.

 

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

 

Segment information for the year ended three months ended March 31, 2024 was as follows:

 

   Three Months ended March 31, 2024 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $963,621   $
---
   $
---
   $963,621 
Subscription revenue   
---
    7,628    
---
    7,628 
Product and other revenue   
---
    
---
    32,983    32,983 
Total revenue   963,621    7,628    32,983    1,004,232 
                     
Operating Expenses                    
Practice salaries and benefits   583,156    
---
    
---
    583,156 
Other practice operating expenses   482,583    
---
    
---
    482,583 
Cost of product revenue   
---
    
---
    30,579    30,579 
Selling, general and administrative expenses   
---
    980,174    19,269    999,443 
Depreciation and amortization   85,169    1,340    
---
    86,509 
Total Operating Expenses   1,150,908    981,514    49,848    2,182,270 
                     
Income (loss) from operations  $(187,287)  $(973,886)  $(16,865)  $(1,178,038)
                     
Other Segment Information                    
Loss on extinguishment of debt  $
---
   $96,660   $
---
   $96,660 
Amortization of original issue discounts on notes payable  $108,265   $
---
   $
---
   $108,265 
Change in fair value of contingent acquisition consideration  $
---
   $(76)  $
---
   $(76)
Interest expense  $3,881   $950   $
---
   $4,831 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2024  $1,635,387   $2,246,600   $8,772   $3,890,759 
Identifiable assets as of December 31, 2023  $1,812,609   $2,457,849   $9,682   $4,280,140 

 

Segment information for the three months ended three months ended March 31, 2023 was as follows:

 

   Three Months Ended March 31, 2023 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $1,700,281   $
---
   $
---
   $1,700,281 
Subscription revenue   
---
    16,299    
---
    16,299 
Product and other revenue   
---
    
---
    38,574    38,574 
Total revenue   1,700,281    16,299    38,574    1,755,154 
                     
Operating Expenses                    
Practice salaries and benefits   963,657    
---
    
---
    963,657 
Other practice operating expenses   624,247    
---
    
---
    624,247 
Cost of product revenue   
---
    
---
    32,060    32,060 
Selling, general and administrative expenses   
---
    1,070,321    33,427    1,103,748 
Depreciation and amortization   86,672    1,405    
---
    88,077 
Total Operating Expenses   1,674,576    1,071,726    65,487    2,811,789 
                     
Income (loss) from operations  $25,705   $(1,055,427)  $(26,913)  $(1,056,635)
                     
Other Segment Information                    
Interest expense (income)  $
---
   $44,763   $
---
   $44,763 
Financing cost  $2,812   $8,569   $
---
   $11,381 
Amortization of original issue discounts on notes payable  $60,993   $2,367   $
---
   $63,360 
Change in fair value of contingent acquisition consideration  $
---
   $1,706   $
---
   $1,706 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2023  $2,204,934   $3,606,105   $14,203   $5,825,242 
Goodwill as of March 31, 2023  $319,958   $
---
   $
---
   $319,958 

 

The Digital Healthcare Division made intercompany sales of $180 and $180 in the three months ended March 31, 2024 and 2023, respectively, related to subscription revenue billed to and paid for by the Company’s physicians for access to the HealthLynked Network. The Medical Distribution segment made intercompany sales of $-0- and $8,340 in the three months ended March 31, 2024 and 2023, respectively, related to medical products sold to practices in the Company’s Health Services segment. Intercompany revenue and the related costs are eliminated on consolidation.

v3.24.1.1.u2
Fair Value of Financial Instruments
3 Months Ended
Mar. 31, 2024
Fair Value of Financial Instruments [Abstract]  
FAIR VALUE OF FINANCIAL INSTRUMENTS

NOTE 16 – FAIR VALUE OF FINANCIAL INSTRUMENTS

 

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

 

The following table summarizes the conclusions reached regarding fair value measurements as of March 31, 2024 and December 31, 2023:

 

   As of March 31, 2024   As of December 31, 2023 
   Level 1   Level 2   Level 3   Total   Level 1   Level 2   Level 3   Total 
Assets:                                
Contingent sale consideration receivable  $
    ---
   $
    ---
   $1,663,163   $1,663,163   $
   ---
   $
    ---
   $1,663,163   $1,663,163 
Liabilities:                                        
Contingent acquisition consideration payable   
---
    
---
    2,113    2,113    
---
    
---
    2,189    2,189 
Convertible note payable to related party   
---
    
---
    199,621    199,621    
---
    
---
    
---
    
---
 
   $
---
   $
---
   $201,734   $201,734   $
---
   $
---
   $2,189   $2,189 

 

Contingent acquisition consideration payable is a Level 3 financial instrument that is measured at fair value on a recurring basis. Gains (losses) from the change in fair value of contingent acquisition consideration payable were $76 and ($1,706) during the three months ended March 31, 2024 and 2023, respectively.

v3.24.1.1.u2
Subsequent Events
3 Months Ended
Mar. 31, 2024
Subsequent Events [Abstract]  
SUBSEQUENT EVENTS

NOTE 17 – SUBSEQUENT EVENTS

 

On April 10, 2024, the Company issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $150,000, an interest rate of 12% per annum, and a maturity date of October 10, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of the Company common stock at a fixed conversion price of $0.0577 per share.

 

On April 12, 2024, the Company sold 877,193 shares of common stock for cash in a private placement transaction to an accredited investor. The Company received $50,000 in proceeds from the sale. In connection with the stock sale, the Company also issued 438,596 five-year warrants to purchase shares of common stock at an exercise price of $0.16 per share.

 

On April 18, 2024, the Company issued to a trust controlled by Dr. Michael Dent a convertible note payable with a principal of $50,000, an interest rate of 12% per annum, and a maturity date of October 18, 2024. The convertible note payable is convertible at any time at the holder’s option into shares of the Company common stock at a fixed conversion price of $0.05 per share.

 

On April 22, 2024, the Company issued a promissory note payable to an investor with a stated principal amount of $161,000 and prepaid interest of $19,320 for total repayments of $180,320. The Company received net proceeds of $118,787 after original issue discount of $21,000, fees of $5,000, and withholding of the final payment due on the August 2023 Note to the same investor in the amount of $16,213. The note does not bear interest in excess of the original issue discount and prepaid interest and matures on February 28, 2025. The Company is required to make 10 monthly payments of $18,032 starting May 30, 2024 and ending on February 28, 2025. The note gives the holder a conversion right at a 15% discount to the market price of the Company’s common stock in the event of default.

 

On May 6 and May 8, 2024, a trust controlled by Dr. Michael Dent advanced $100,000 and $70,000, respectively, to the Company. The advances are expected to be documented in formal debt agreements in the second quarter of 2024.

v3.24.1.1.u2
Pay vs Performance Disclosure - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Pay vs Performance Disclosure    
Net Income (Loss) $ (1,387,718) $ 1,451,935
v3.24.1.1.u2
Insider Trading Arrangements
3 Months Ended
Mar. 31, 2024
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.24.1.1.u2
Accounting Policies, by Policy (Policies)
3 Months Ended
Mar. 31, 2024
Business and Business Presentation [Abstract]  
Basis of Presentation

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in conformity with GAAP. All amounts referred to in the notes to the condensed consolidated financial statements are in United States Dollars ($) unless stated otherwise.

Use of Estimates

Use of Estimates

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

Revenue Recognition

Revenue Recognition

Patient service revenue

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

Performance obligations are determined based on the nature of the services provided by the Company. Revenue for performance obligations satisfied over time includes revenue from NCFM annual access contracts (called the Medical Membership and Concierge Program prior to October 1, 2023 and Optimal Health 365 Access Plan thereafter), NWC annual administration fees, and BTG physical therapy bundles. Revenue from NCFM Medical Memberships and Concierge contracts and NWC annual administration fees, which include bundled products and services that have substantially the same pattern of transfer to the customer, is recognized over the period of delivery, which is the same as the period of the contract (typically, one year). Revenue from prepaid BTG physical therapy bundles, for which performance obligations are satisfied over time as visits are incurred, is recognized based on actual visits incurred in relation to total expected visits. At inception of such contracts, the Company recognizes contract liabilities for the value of services to be provided and, where applicable, contract assets for recoverable amounts incurred to obtain a customer contract that would not have incurred if the contract had not been obtained. The Company believes that these methods provide a faithful depiction of the transfer of services over the term of the performance obligations based on the inputs needed to satisfy the obligation.

Revenue for performance obligations satisfied at a point in time, which includes all patient service revenue other than NCFM annual access contracts, NWC annual administration fees, and BTG physical therapy bundles, is recognized when goods or services are provided at the time of the patient visit, and at which time the Company is not required to provide additional goods or services to the patient.

 

The Company determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Company’s policy, and/or implicit price concessions provided to uninsured patients. Estimates of contractual adjustments and discounts require significant judgment and are based on the Company’s current contractual agreements, its discount policies, and historical experience. The Company determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. There were no material changes during the three months ended March 31, 2024 or 2023 to the judgments applied in determining the amount and timing of patient service revenue.

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

  Medicare: Certain inpatient acute care services are paid at prospectively determined rates per discharge based on clinical, diagnostic and other factors. Certain services are paid based on cost-reimbursement methodologies subject to certain limits. Physician services are paid based upon established fee schedules. Outpatient services are paid using prospectively determined rates;
  Medicaid: Reimbursements for Medicaid services are generally paid at prospectively determined rates per discharge, per occasion of service, or per covered member.
  Other: Payment agreements with certain commercial insurance carriers, health maintenance organizations, and preferred provider organizations provide for payment using prospectively determined rates per discharge, discounts from established charges, and prospectively determined daily rates.

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

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

The Company also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Company estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Patient services provided by NCFM, BTG and AEU are provided on a cash basis and not submitted through third party insurance providers.

 

Product and Other Revenue

Revenue is derived from the distribution of medical products that are sourced from a third party. The Company recognizes revenue at a point in time when title transfers to customers and the Company has no further obligation to provide services related to such products, which occurs when the product ships. The Company is the principal in its revenue transactions and as a result revenue is recorded on a gross basis. The Company has determined that it controls the ability to direct the use of the product provided prior to transfer to a customer, is primarily responsible for fulfilling the promise to provide the product to its customer, has discretion in establishing prices, and ultimately controls the transfer of the product to the customer. Shipping and handling costs billed to customers are recorded in revenue. Contract liabilities related to product revenue are recognized when payment is received but for which the Company has not met its product fulfillment performance obligation.

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

The Company maintains a return policy that allows customers to return a product within a specified period of time prior to and subsequent to the expiration date of the product. The Company analyzes the need for a product return allowance at the end of each period based on eligible products.

Cash and Cash Equivalents

Cash and Cash Equivalents

For financial statement purposes, the Company considers all highly liquid investments with original maturities of six months or less to be cash and cash equivalents. Accounts at each institution are insured by the Federal Deposit Insurance Corporation (“FDIC”) up to $250,000. The Company had $-0- and $-0- in cash balances in excess of the FDIC insured limit as of March 31, 2024 and December 31, 2023, respectively.

Accounts Receivable

Accounts Receivable

Trade receivables related to NWC services billed to third party payors are carried at the estimated collectible amount. Trade credit is generally extended on a short-term basis; thus trade receivables do not bear interest. Trade accounts receivable are periodically evaluated for collectability based on past collectability of the insurance companies, government agencies, and customers’ accounts receivable during the related period which generally approximates 61% of total billings. Trade accounts receivable are recorded at this net amount. As of March 31, 2024 and December 31, 2023, the Company’s gross patient services accounts receivable were $40,295 and $34,481, respectively, and net patient services accounts receivable were $33,620 and $20,861, respectively, based upon net reporting of accounts receivable. As of March 31, 2024 and December 31, 2023, the Company’s allowance for doubtful accounts was $-0- and $-0-, respectively.

Other Comprehensive Income

Other Comprehensive Income

The Company does not have any activity that results in Other Comprehensive Income.

Leases

Leases

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

ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company’s leases do not provide an implicit rate. The Company uses its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The ROU asset also includes any lease payments made and excludes lease incentives. Lease expense for lease payments is recognized on a straight-line basis over the lease term. See Note 8 for more complete details on balances as of the reporting periods presented herein.

 

Inventory

Inventory

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

Intangible Assets

Intangible Assets

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

Concentrations of Credit Risk

Concentrations of Credit Risk

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

Property and Equipment

Property and Equipment

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

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

Fair Value of Assets and Liabilities

Fair Value of Assets and Liabilities

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

  Level 1 – Fair value based on quoted prices in active markets for identical assets or liabilities;
  Level 2 – Fair value based on significant directly observable data (other than Level 1 quoted prices) or significant indirectly observable data through corroboration with observable market data. Inputs would normally be (i) quoted prices in active markets for similar assets or liabilities, (ii) quoted prices in inactive markets for identical or similar assets or liabilities or (iii) information derived from or corroborated by observable market data;
  Level 3 – Fair value based on prices or valuation techniques that require significant unobservable data inputs. Inputs would normally be a reporting entity’s own data and judgments about assumptions that market participants would use in pricing the asset or liability.

 

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

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

Stock-Based Compensation

Stock-Based Compensation

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

Income Taxes

Income Taxes

The Company follows Accounting Standards Codification subtopic 740-10, Income Taxes (“ASC 740-10”) for recording the provision for income taxes. Deferred tax assets and liabilities are computed based upon the difference between the financial statement and income tax basis of assets and liabilities using the enacted marginal tax rate applicable when the related asset or liability is expected to be realized or settled. Deferred income tax expenses or benefits are based on the changes in the asset or liability during each period. If available evidence suggests that it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance is required to reduce the deferred tax assets to the amount that is more likely than not to be realized. Future changes in such valuation allowance are included in the provision for deferred income taxes in the period of change. Deferred income taxes may arise from temporary differences resulting from income and expense items reported for financial accounting and tax purposes in different periods. Deferred taxes are classified as current or non-current, depending on the classification of assets and liabilities to which they relate. Deferred taxes arising from temporary differences that are not related to an asset or liability are classified as current or non-current depending on the periods in which the temporary differences are expected to reverse and are considered immaterial. No income tax has been provided for the three months ended March 31, 2024 since the Company sustained a loss in that period. No income tax was provided for the three months ended March 31, 2023 because the Company had sufficient operating loss carryforwards to offset any net income for the full year 2023, including income from capital gains related to the disposal of discontinued operations. The Company recognized net loss for the full year 2023. Due to the uncertainty of the utilization and recoverability of the loss carry-forwards and other deferred tax assets, management has determined a full valuation allowance for the deferred tax assets, since it is more likely than not that the deferred tax assets will not be realizable.

Recurring Fair Value Measurements

Recurring Fair Value Measurements

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

 

Net Income (Loss) per Share

Net Income (Loss) per Share 

Basic net income (loss) per common share is computed by dividing net income (loss) by the weighted average number of shares of common stock outstanding during the period. During the three months ended March 31, 2024 and 2023, the Company reported a loss from continuing operations. As a result, diluted net income (loss) per common share is computed in the same manner as basic net income (loss) per common share, even though the Company had net income in the three months ended March 31, 2023 after adjusting for discontinued operations. The Company excluded all outstanding stock options, warrants and other dilutive securities from the calculation of diluted net loss per common share because inclusion of these securities would have been anti-dilutive. As of March 31, 2024 and December 31, 2023, potentially dilutive securities were comprised of (i) 85,357,246 and 77,414,648 warrants outstanding, respectively, (ii) 7,063,146 and 5,093,738 stock options outstanding, respectively, (iii) 1,026,324 and 1,484,488 unissued shares subject to future vesting requirements granted pursuant to the Company’s Employee Incentive Plan, (iv) up to 1,055,536 and 2,764,352 common shares issuable that are earned but not paid under consulting and director compensation arrangements, and (v) up to 13,750,000 and 13,750,000 shares of common stock issuable upon conversion of Series B Preferred. 

Common Stock Awards

Common Stock Awards

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

Warrants

Warrants

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

Business Segments

Business Segments

The Company uses the “management approach” to identify its reportable segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the basis for identifying the Company’s reportable segments. Using the management approach, the Company determined that it has three operating segments: Health Services (multi-specialty medical group including the NWC GYN practice, the NCFM functional medicine practice, the BTG physical therapy practice, and the AEU cosmetic services practice), Digital Healthcare (develops and markets the “HealthLynked Network,” an online personal medical information and record archive system), and Medical Distribution (comprised of the operations of MOD, a virtual distributor of discounted medical supplies selling to both consumers and medical practices).

The Company’s ACO/MSO segment was sold on January 17, 2023. As described in further detail in Note 4, “Discontinued Operations,” this unit’s assets and liabilities are classified as held for sale as of December 31, 2022 and the unit’s results of operations are classified as “Income (loss) from operations of discontinued operations” in the three months ended March 31, 2024 and 2023.

 

Recently Adopted Pronouncements

Recently Adopted Pronouncements

In March 2020, the FASB issued ASU 2020-03, “Codification Improvements to Financial Instruments.” The amendments in this update are to clarify, correct errors in, or make minor improvements to a variety of ASC topics. The changes in ASU 2020-03 are not expected to have a significant effect on current accounting practices. The ASU improves various financial instrument topics in the Codification to increase stakeholder awareness of the amendments and to expedite the improvement process by making the Codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. The ASU is effective for smaller reporting companies for fiscal years beginning after December 15, 2022 with early application permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

In October 2021, the FASB issued guidance which requires companies to apply Topic 606, Revenue from Contracts with Customers, to recognize and measure contract assets and contract liabilities from contracts with customers acquired in a business combination. Public entities must adopt the new guidance for fiscal years beginning after December 15, 2022 and interim periods within those fiscal years, with early adoption permitted. The Company adopted this standard for the year ended December 31, 2023. The adoption did not have a material effect on the Company’s consolidated financial statements.

In November 2023, the FASB issued Accounting Standards Update 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which requires public entities to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280, on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

In December 2023, the FASB issued Accounting Standards Update 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company adopted this standard in the three months ended March 31, 2024. The adoption did not have a material effect on the Company’s consolidated financial statements.

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

v3.24.1.1.u2
Discontinued Operations (Tables)
3 Months Ended
Mar. 31, 2024
Discontinued Operations [Abstract]  
Schedule of Financial Results of the ACO/MSO Division The following table presents financial results of the ACO/MSO Division for the three months ended March 31, 2024:
   Three Months Ended
March 31,
 
   2024   2023 
Revenue:        
Consulting revenue  $
---
   $23,646 
Total revenue   
---
    23,646 
           
Operating Expenses and Costs:          
Medicare shared savings expenses   
---
    67,935 
           
Loss from operations of discontinued operations before income taxes   
---
    (44,289)
Provision for income taxes   
---
    
---
 
           
Loss from discontinued operations, net of income taxes  $
---
   $(44,289)
Schedule of Fair Value of Consideration Received and Receivable The fair value of consideration received and receivable is shown in the following table:
Upfront Cash Consideration paid at signing  $750,000 
      
Incremental Cash Consideration   1,311,567 
IPO Share Consideration   1,463,517 
2022 MSSP Consideration   312,987 
Physician Advance Consideration   199,645 
Stub Period Reimbursement   31,381 
Total fair value of contingent consideration receivable   3,319,097 
      
Total fair value of consideration received and receivable  $4,069,097 

 

Schedule of Assets and Liabilities Derecognized The book value of the assets and liabilities derecognized on January 17, 2023 in connection with the sale were as follows:
Prepaid expenses  $1,500 
Intangible asset - ACO physician contract   1,073,000 
Goodwill   381,856 
Contract liability   (20,278)
Contingent acquisition consideration   (185,024)
Net Book Value of Assets and Liabilities Sold  $1,251,054 
Schedule of Fair Value of Consideration and Derecognition of Assets and Liabilities After recording the fair value of consideration and derecognition of assets and liabilities, and an estimated liability related to the Indemnification Clause, the Company recorded a gain from disposal of discontinued operations in the amount of $2,674,069 in the three months ended Mach 31, 2023 as follows:
Total fair value of consideration received and receivable  $4,069,097 
Less: net book value of assets and liabilities sold   (1,251,054)
Less: fair value of Indemnification Clause   (143,974)
      
Gain from disposal of discontinued operations  $2,674,069 
Schedule of Remaining Unresolved of Contingent Consideration Receivable The carrying value of the remaining unresolved components of contingent consideration receivable as of March 31, 2024 and December 31, 2023 was as follows:
IPO Share Consideration  $1,463,518 
Physician Advance Consideration   199,645 
Remaining contingent sale consideration receivable  $1,663,163 
v3.24.1.1.u2
Prepaid Expenses and Other (Tables)
3 Months Ended
Mar. 31, 2024
Prepaid Expenses and Other [Abstract]  
Schedule of Prepaid and Other Expenses Prepaid and other expenses as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
Insurance prepayments  $7,791   $11,209 
Other expense prepayments   22,475    38,391 
Rent deposits   50,047    50,547 
Contract assets   9,750    5,110 
Total prepaid expenses and other   90,063    105,257 
Less: long term portion   (50,047)   (50,047)
Prepaid expenses and other, current portion  $40,016   $55,210 
v3.24.1.1.u2
Property and Equipment (Tables)
3 Months Ended
Mar. 31, 2024
Property, Plant and Equipment [Abstract]  
Schedule of Property, Plant and Equipment Property and equipment as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
Medical equipment  $496,452   $493,854 
Furniture, office equipment and leasehold improvements   317,963    317,963 
           
Total property and equipment   814,415    811,817 
Less: accumulated depreciation   (550,531)   (521,062)
           
Property and equipment, net  $263,884   $290,755 
v3.24.1.1.u2
Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2024
Intangible Assets and Goodwill [Abstract]  
Schedule of Intangible Assets Identifiable intangible assets as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
NCFM: Medical database  $1,101,538   $1,101,538 
NCFM: Website   41,000    41,000 
           
Total intangible assets   1,142,538    1,142,538 
Less: accumulated amortization   (315,730)   (258,690)
           
Intangible assets, net  $826,808   $883,848 

 

Schedule of Future Amortization Expense of Intangible Assets Future amortization expense of intangible assets is expected to be as follows:
2024 (April to December)  $165,885 
2025   220,308 
2026   220,308 
2027   220,307 
Thereafter   
---
 
      
Total future amortization expense  $826,808 
v3.24.1.1.u2
Leases (Tables)
3 Months Ended
Mar. 31, 2024
Leases [Abstract]  
Schedule of Lease-Related Assets and Liabilities The table below summarizes the Company’s lease-related assets and liabilities as of March 31, 2024 and December 31, 2023:
   March 31,   December 31, 
   2024   2023 
Lease assets  $853,525   $935,812 
           
Lease liabilities          
Lease liabilities (short term)  $332,692   $326,033 
Lease liabilities (long term)   524,546    613,386 
Total lease liabilities  $857,238   $939,419 
Schedule of Maturities of Operating Lease Liabilities Maturities of operating lease liabilities were as follows as of March 31, 2024:
2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 
v3.24.1.1.u2
Accounts Payable, Accrued Expenses and Other Current Liabilities (Tables)
3 Months Ended
Mar. 31, 2024
Accounts Payable and Accrued Expenses [Abstract]  
Schedule of Accounts Payable, Accrued Expenses and Other Current Liabilities Amounts related to accounts payable, accrued expenses and other current liabilities as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
Trade accounts payable  $372,612   $251,479 
Accrued payroll liabilities   76,646    110,103 
Accrued operating expenses   175,349    91,238 
Accrued interest   52,287    57,074 
Accrued commissions payable from 2022 MSSP Consideration (a)   25,000    100,000 
Contingent acquisition consideration payable (b)   2,113    2,189 
Product return allowance   1,117    2,095 
   $705,124   $614,178 
(a) During September 2023, AHP received from the CMS a final determination of AHP’s Plan Year 2022 MSSP shared savings, of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in satisfaction of the 2022 MSSP Consideration. Gross payment was received by the Company in October 2023. As of December 31, 2023, the Company’s remaining accrued commissions and other fees payable resulting from the receipt and prior consideration received in the amount of $100,000, of which $75,000 was paid in the three months ended March 31, 2024. See Note 4 for complete description of the AHP Sale and related consideration.
(b) Contingent acquisition consideration reflects the fair value of the final earn-out payment potentially payable related to the Company’s acquisitions of MOD in 2020.  All of the remaining $2,113 contingent acquisition consideration related to MOD matures in 2024 based on the performance of the business unit for the year ended December 31, 2024.
v3.24.1.1.u2
Contract Liabilities (Tables)
3 Months Ended
Mar. 31, 2024
Contract Assets and Liabilities [Abstract]  
Schedule of Amounts Related to Contract Liabilities Amounts related to contract liabilities as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
Patient services paid but not provided - NCFM  $175,333   $95,334 
Patient services paid but not provided - BTG   90,599    100,857 
Patient services paid but not provided - NWC   64,114    75,438 
Unshipped products - MOD   1,394    145 
   $331,440   $271,774 
v3.24.1.1.u2
Amounts Due to Related Party and Related Party Transactions (Tables)
3 Months Ended
Mar. 31, 2024
Amounts Due to Related Party and Related Party Transactions [Abstract]  
Schedule of Amounts Due to Related Parties Amounts due to related parties as of March 31, 2024 and December 31, 2023 were comprised of the following:
   March 31,   December 31, 
   2024   2023 
         
Note Payable to Dr. Michael Dent, March 2023  $
---
   $12,601 
Note Payable to Dr. Michael Dent, June 2023   
---
    26,875 
Note Payable to Dr. Michael Dent, December 2023   
---
    166,500 
Convertible Note Payable I to Dr. Michael Dent, March 2024   150,000    
---
 
Convertible Note Payable II to Dr. Michael Dent, March 2024   350,000    
---
 
Convertible Note Payable III to Dr. Michael Dent, March 2024   199,621    
---
 
Face value of notes payable to related party   699,621    205,976 
Less: unamortized discounts   (281,579)   (34,834)
Notes payable to related party, total   418,042    171,142 
Plus deferred compensation payable to Dr. Michael Dent   300,600    300,600 
Total due to related party  $718,642   $471,742 
v3.24.1.1.u2
Notes Payable (Tables)
3 Months Ended
Mar. 31, 2024
Notes Payable [Abstract]  
Schedule of Notes Payable Notes payable as of March 31, 2024 and December 31, 2023 were as follows:
   March 31,   December 31, 
   2024   2023 
         
SBA Disaster Relief Loans  $450,000   $450,000 
1800 Diagonal Note Payable III, August 2023   64,853    97,279 
Yorkville Note Payable III, November 2023   226,800    302,400 
1800 Diagonal Note Payable III, December 2023   113,482    162,131 
Yorkville Note Payable III, December 2023   162,000    189,000 
Face value of notes payable   1,017,135    1,200,810 
Less: unamortized discounts   (104,288)   (166,487)
Notes payable, total   912,847    1,034,323 
Less: long term portion   (450,000)   (450,000)
Notes payable, current portion  $462,847   $584,323 
v3.24.1.1.u2
Shareholders' Equity (Tables)
3 Months Ended
Mar. 31, 2024
Shareholders' Equity (Tables) [Line Items]  
Schedule of Company Obligated to Issue Shares As of March 31, 2024 and December 31, 2023, the Company was obligated to issue the following shares:
   March 31, 2024   December 31, 2023 
   Amount   Shares   Amount   Shares 
                 
Shares issuable to employees and consultants  $14,570    239,208   $261,682    2,356,188 
Shares issuable to independent directors   40,000    816,328    20,000    408,164 
   $54,570    1,055,536   $281,682    2,764,352 
Schedule of Stock Warrants Transactions involving our stock warrants during the three months ended March 31, 2024 and 2023 are summarized as follows:
   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
   Number   Price   Number   Price 
Outstanding at beginning of the period   77,414,648   $0.20    68,109,094   $0.23 
Granted during the period   9,160,000   $0.09    3,141,554   $0.15 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Expired during the period   (1,217,402)  $(0.28)   (2,508,333)  $(0.25)
Outstanding at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Exercisable at end of the period   85,357,246   $0.19    68,742,315   $0.22 
                     
Weighted average remaining life   2.7 years    2.5 years 

 

Schedule of Financial Statements with Respect to the EIPs Amounts recognized in the financial statements with respect to the EIPs in the three months ended March 31, 2024 and 2023 were as follows:
   Three Months Ended
March 31,
 
   2024   2023 
Total cost of share-based payment plans during the period  $35,986   $82,951 
Amounts capitalized in deferred equity compensation during period  $
---
   $
---
 
Amounts written off from deferred equity compensation during period  $57,147   $
---
 
Amounts charged against income for amounts previously capitalized  $
---
   $5,150 
Amounts charged against income, before income tax benefit  $93,133   $88,101 
Amount of related income tax benefit recognized in income  $
---
   $
---
 
Schedule of Aggregate Grant Date Fair Value The fair value of the warrants was calculated using the following range of assumptions:
   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  3.97% to 4.20%  3.45% to 5.43%
Expected life range (in years)  5.00 years to 10.00 years  0.28 years to 5.00 years
Volatility range  140.94% to 173.25%  126.30% to 165.20%
Dividend yield  0.00%  0.00%
Expected forfeiture  33.00%  20.00%
Schedule of Fair Value of Options Granted The fair value of options granted for the three months ended March 31, 2024 and 2023 was calculated using the following range of assumptions:
   2024  2023
Pricing model utilized  Binomial Lattice  Binomial Lattice
Risk free rate range  4.20%  3.48%
Expected life range (in years)  10.00 years  10.00 years
Volatility range  173.25%  145.03%
Dividend yield  0.00%  0.00%
Expected forfeiture  30.00%  30.00%
Warrant [Member]  
Shareholders' Equity (Tables) [Line Items]  
Schedule of Financial Statements with Respect to the EIPs The following table summarizes information about the Company’s stock warrants outstanding as of March 31, 2024:
Warrants Outstanding   Warrants Exercisable 
        Weighted-            
        Average  Weighted-       Weighted- 
        Remaining  Average       Average 
Exercise   Number   Contractual  Exercise   Number   Exercise 
Prices   Outstanding   Life (years)  Price   Exercisable   Price 
$ 0.0001 to 0.09    29,968,289   3.6  $0.07    29,968,289   $0.07 
$ 0.10 to 0.24    25,436,940   3.0  $0.16    25,436,940   $0.16 
$0.25 to 0.49    26,992,093   1.5  $0.31    26,992,093   $0.31 
$ 0.50 to 1.05    2,959,924   2.3  $0.68    2,959,924   $0.68 
$ 0.05 to 1.00    85,357,246   2.7  $0.19    85,357,246   $0.19 
Stock Options [Member]  
Shareholders' Equity (Tables) [Line Items]  
Schedule of Stock Warrants The following table summarizes stock option activity as of and for the three months ended March 31, 2024 and 2023:
   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Exercise       Exercise 
Stock options  Number   Price   Number   Price 
Outstanding at beginning of period   5,093,738   $0.16    5,222,982   $0.20 
Granted during the period   4,504,974   $0.06    93,750   $0.08 
Exercised during the period   
---
   $
---
    
---
   $
---
 
Forfeited during the period   (449,982)  $(0.21)   (150,000)  $(0.16)
Outstanding at end of period   9,148,730   $0.10    5,166,732   $0.17 
                     
Options exercisable at period-end   7,063,146   $0.11    3,108,565   $(0.20)
Schedule of Stock Grant Activity The following table summarizes the status and activity of nonvested options issued pursuant to the EIPs as of and for the three months ended March 31, 2024 and 2023:
   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock options  Shares   Fair Value   Shares   Fair Value 
Nonvested options at beginning of period   1,073,084   $0.06    2,260,417   $0.08 
Granted   4,504,974   $0.04    93,750   $0.05 
Vested   (3,442,474)  $(0.04)   (196,000)  $(0.14)
Forfeited   (50,000)  $(0.08)   (100,000)  $(0.09)
Nonvested options at end of period   2,085,584   $0.05    2,058,167   $0.07 
Stock Grants [Member]  
Shareholders' Equity (Tables) [Line Items]  
Schedule of Stock Grant Activity The following table summarizes stock grant activity as of and for the three months ended March 31, 2024 and 2023:
   2024   2023 
       Weighted       Weighted 
       Average       Average 
       Grant Date       Grant Date 
Stock Grants  Shares   Fair Value   Shares   Fair Value 
Nonvested grants at beginning of period   1,484,488   $0.05    1,651,435   $0.05 
Granted   
---
   $
---
    160,944   $0.09 
Vested   (408,164)  $(0.05)   (468,292)  $(0.05)
Forfeited   (50,000)  $(0.12)   
---
   $
---
 
Nonvested grants at end of period   1,026,324   $0.05    1,344,087   $0.06 
v3.24.1.1.u2
Commitments and Contingencies (Tables)
3 Months Ended
Mar. 31, 2024
Operating lease [Member]  
Commitments and Contingencies (Tables) [Line Items]  
Schedule of Maturities of Operating Lease Liabilities Maturities of operating lease liabilities were as follows as of March 31, 2024:
2024  $390,027 
2025   467,994 
2026   335,634 
2027   990 
Total lease payments   1,194,645 
Less interest   (337,407)
Present value of lease liabilities  $857,238 
v3.24.1.1.u2
Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2024
Segment Reporting [Abstract]  
Schedule of Segment Information Segment information for the year ended three months ended March 31, 2024 was as follows:
   Three Months ended March 31, 2024 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $963,621   $
---
   $
---
   $963,621 
Subscription revenue   
---
    7,628    
---
    7,628 
Product and other revenue   
---
    
---
    32,983    32,983 
Total revenue   963,621    7,628    32,983    1,004,232 
                     
Operating Expenses                    
Practice salaries and benefits   583,156    
---
    
---
    583,156 
Other practice operating expenses   482,583    
---
    
---
    482,583 
Cost of product revenue   
---
    
---
    30,579    30,579 
Selling, general and administrative expenses   
---
    980,174    19,269    999,443 
Depreciation and amortization   85,169    1,340    
---
    86,509 
Total Operating Expenses   1,150,908    981,514    49,848    2,182,270 
                     
Income (loss) from operations  $(187,287)  $(973,886)  $(16,865)  $(1,178,038)
                     
Other Segment Information                    
Loss on extinguishment of debt  $
---
   $96,660   $
---
   $96,660 
Amortization of original issue discounts on notes payable  $108,265   $
---
   $
---
   $108,265 
Change in fair value of contingent acquisition consideration  $
---
   $(76)  $
---
   $(76)
Interest expense  $3,881   $950   $
---
   $4,831 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2024  $1,635,387   $2,246,600   $8,772   $3,890,759 
Identifiable assets as of December 31, 2023  $1,812,609   $2,457,849   $9,682   $4,280,140 

 

Segment information for the three months ended three months ended March 31, 2023 was as follows:
   Three Months Ended March 31, 2023 
   Health Services   Digital Healthcare   Medical Distribution   Total 
Revenue                
Patient service revenue, net  $1,700,281   $
---
   $
---
   $1,700,281 
Subscription revenue   
---
    16,299    
---
    16,299 
Product and other revenue   
---
    
---
    38,574    38,574 
Total revenue   1,700,281    16,299    38,574    1,755,154 
                     
Operating Expenses                    
Practice salaries and benefits   963,657    
---
    
---
    963,657 
Other practice operating expenses   624,247    
---
    
---
    624,247 
Cost of product revenue   
---
    
---
    32,060    32,060 
Selling, general and administrative expenses   
---
    1,070,321    33,427    1,103,748 
Depreciation and amortization   86,672    1,405    
---
    88,077 
Total Operating Expenses   1,674,576    1,071,726    65,487    2,811,789 
                     
Income (loss) from operations  $25,705   $(1,055,427)  $(26,913)  $(1,056,635)
                     
Other Segment Information                    
Interest expense (income)  $
---
   $44,763   $
---
   $44,763 
Financing cost  $2,812   $8,569   $
---
   $11,381 
Amortization of original issue discounts on notes payable  $60,993   $2,367   $
---
   $63,360 
Change in fair value of contingent acquisition consideration  $
---
   $1,706   $
---
   $1,706 
                     
Identifiable Assets                    
Identifiable assets as of March 31, 2023  $2,204,934   $3,606,105   $14,203   $5,825,242 
Goodwill as of March 31, 2023  $319,958   $
---
   $
---
   $319,958 
v3.24.1.1.u2
Fair Value of Financial Instruments (Tables)
3 Months Ended
Mar. 31, 2024
Fair Value of Financial Instruments [Abstract]  
Schedule of Fair Value Measurements The following table summarizes the conclusions reached regarding fair value measurements as of March 31, 2024 and December 31, 2023:
   As of March 31, 2024   As of December 31, 2023 
   Level 1   Level 2   Level 3   Total   Level 1   Level 2   Level 3   Total 
Assets:                                
Contingent sale consideration receivable  $
    ---
   $
    ---
   $1,663,163   $1,663,163   $
   ---
   $
    ---
   $1,663,163   $1,663,163 
Liabilities:                                        
Contingent acquisition consideration payable   
---
    
---
    2,113    2,113    
---
    
---
    2,189    2,189 
Convertible note payable to related party   
---
    
---
    199,621    199,621    
---
    
---
    
---
    
---
 
   $
---
   $
---
   $201,734   $201,734   $
---
   $
---
   $2,189   $2,189 
v3.24.1.1.u2
Business and Business Presentation (Details) - shares
Mar. 31, 2024
Dec. 31, 2023
Feb. 05, 2018
Sep. 02, 2014
Business and Business Presentation (Details) [Line Items]        
Number of authorized shares       250,000,000
Common stock shares authorized 500,000,000 500,000,000    
Common Stock [Member]        
Business and Business Presentation (Details) [Line Items]        
Number of authorized shares       230,000,000
Common stock shares authorized     500,000,000  
Preferred Stock [Member]        
Business and Business Presentation (Details) [Line Items]        
Number of authorized shares       20,000,000
v3.24.1.1.u2
Significant Accounting Policies (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Significant Accounting Policies (Details) [Line Items]    
FDIC insurance amount (in Dollars) $ 250,000  
Cash balances in excess of FDICI insured limit (in Dollars) $ 0 $ 0
Percentage of customers accounts receivable billings 61.00%  
Gross patient services accounts receivable (in Dollars) $ 40,295 34,481
Net patient services accounts receivable (in Dollars) 33,620 20,861
Allowance of doubtful accounts (in Dollars) $ 0 $ 0
Percentage of revenue 10.00%  
Warrants outstanding 85,357,246 77,414,648
Stock options outstanding 7,063,146 5,093,738
Common shares issuable 1,055,536 2,764,352
Shares of common stock issuable 13,750,000 13,750,000
Employee Incentive Plan [Member]    
Significant Accounting Policies (Details) [Line Items]    
Unissued shares subject to future vesting 1,026,324 1,484,488
Minimum [Member]    
Significant Accounting Policies (Details) [Line Items]    
Estimated useful lives 5 years  
Maximum [Member]    
Significant Accounting Policies (Details) [Line Items]    
Estimated useful lives 7 years  
v3.24.1.1.u2
Liquidity and Going Concern Analysis (Details) - USD ($)
3 Months Ended
Oct. 31, 2023
Aug. 31, 2023
Jul. 31, 2023
Jun. 30, 2023
Mar. 31, 2023
Jan. 17, 2023
Jul. 05, 2022
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Liquidity and Going Concern Analysis (Details) [Line Items]                    
Cash balance               $ 23,491    
Working capital deficit               798,224    
Capital deficit               (43,420,854)   $ (42,033,136)
Net income (loss)               (1,387,718) $ 1,451,935  
Operating activities               (854,855) $ (1,099,513)  
Agreement amount               500,000    
Net incremental consideration     $ 1,225,000         500,000    
Notes payable to related parties               221,278    
Proceeds from the sale of common stock               $ 355,000    
Shares of common stock (in Shares)             30,000,000      
Common stock, par value (in Dollars per share)               $ 0.0001   $ 0.0001
SEPA [Member]                    
Liquidity and Going Concern Analysis (Details) [Line Items]                    
Shares of common stock (in Shares)                 225,000  
AHP Merger Agreement [Member]                    
Liquidity and Going Concern Analysis (Details) [Line Items]                    
Capital deficit               $ 43,420,854    
Agreement amount         $ 31,381 $ 750,000        
Net incremental consideration   $ 1,750,000 1,750,000 $ 1,750,000            
Net after commissions $ 1,873,993 $ 1,540,000 $ 1,540,000 $ 1,540,000       $ 1,873,993    
Transfer milestones rate               100.00%    
Commissions and other expenses $ 1,186,231             $ 1,186,231    
Common Stock [Member]                    
Liquidity and Going Concern Analysis (Details) [Line Items]                    
Common stock, par value (in Dollars per share)             $ 0.0001      
Common Stock [Member] | SEPA [Member]                    
Liquidity and Going Concern Analysis (Details) [Line Items]                    
Proceeds amount                 $ 18,765  
v3.24.1.1.u2
Discontinued Operations (Details) - USD ($)
3 Months Ended
Oct. 31, 2023
Aug. 31, 2023
Jul. 31, 2023
Jun. 30, 2023
Mar. 31, 2023
Mar. 31, 2024
Mar. 31, 2023
Discontinued Operations [Line Items]              
Definitive agreement         $ 750,000   $ 750,000
Stub Period Reimbursement         $ 31,381    
Net incremental cash           $ 1,750,000  
Net incremental cash consideration     $ 1,225,000     500,000  
Gross receipts $ 1,873,993         1,873,993  
Net proceeds 1,186,231         $ 1,186,231  
Aggregate merger consideration           1.00%  
Cash consideration           $ 3,000,000  
Net cash operations of division           0 (47,163)
Gain from disposal of discontinued operations           2,674,069  
Other receivables           750,000  
Stub period reimbursement           31,381 $ 31,381
PBACO [Member]              
Discontinued Operations [Line Items]              
Net incremental cash consideration     150,000        
Net after commissions     120,000 $ 1,180,000      
AHP Merger Agreement [Member]              
Discontinued Operations [Line Items]              
Net incremental cash consideration   $ 1,750,000 1,750,000 1,750,000      
Net after commissions 1,873,993 $ 1,540,000 $ 1,540,000 $ 1,540,000   $ 1,873,993  
Transfer milestones rate           100.00%  
Other expenses $ 1,186,231         $ 1,186,231  
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Financial Results of the ACO/MSO Division - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenue:    
Total revenue $ 23,646
Operating Expenses and Costs:    
Medicare shared savings expenses 67,935
Loss from operations of discontinued operations before income taxes (44,289)
Provision for income taxes
Loss from discontinued operations, net of income taxes (44,289)
Consulting revenue [Member]    
Revenue:    
Total revenue $ 23,646
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Fair Value of Consideration Received and Receivable - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Fair Value of Consideration Received and Receivable [Line Items]    
Upfront Cash Consideration paid at signing $ 750,000  
Incremental Cash Consideration 1,311,567  
IPO Share Consideration 1,463,517  
2022 MSSP Consideration 312,987  
Physician Advance Consideration 199,645  
Stub Period Reimbursement 31,381 $ 31,381
Total fair value of contingent consideration receivable 3,319,097  
Total fair value of consideration received and receivable $ 4,069,097 $ 4,069,097
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Assets and Liabilities Derecognized
Mar. 31, 2024
USD ($)
Schedule of Assets and Liabilities Derecognized [Line Items]  
Prepaid expenses $ 1,500
Intangible asset - ACO physician contract 1,073,000
Goodwill 381,856
Contract liability (20,278)
Contingent acquisition consideration (185,024)
Net Book Value of Assets and Liabilities Sold $ 1,251,054
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Fair Value of Consideration and Derecognition of Assets and Liabilities - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Schedule of Fair Value of Consideration and Derecognition of Assets and Liabilities [Line Items]      
Total fair value of consideration received and receivable $ 4,069,097 $ 4,069,097  
Less: net book value of assets and liabilities sold   (1,251,054)  
Less: fair value of Indemnification Clause (143,974) (143,974) $ (143,974)
Gain from disposal of discontinued operations $ 2,674,069  
v3.24.1.1.u2
Discontinued Operations (Details) - Schedule of Remaining Unresolved of Contingent Consideration Receivable
3 Months Ended
Mar. 31, 2024
USD ($)
Schedule of Remaining Unresolved of Contingent Consideration Receivable [Line Items]  
IPO Share Consideration $ 1,463,518
Physician Advance Consideration 199,645
Remaining contingent sale consideration receivable $ 1,663,163
v3.24.1.1.u2
Prepaid Expenses and Other (Details) - Schedule of Prepaid and Other Expenses - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Prepaid Expenses and Other [Abstract]    
Insurance prepayments $ 7,791 $ 11,209
Other expense prepayments 22,475 38,391
Rent deposits 50,047 50,547
Contract assets 9,750 5,110
Total prepaid expenses and other 90,063 105,257
Less: long term portion (50,047) (50,047)
Prepaid expenses and other, current portion $ 40,016 $ 55,210
v3.24.1.1.u2
Property and Equipment (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Property, Plant and Equipment [Abstract]    
Depreciation expense $ 29,469 $ 31,037
v3.24.1.1.u2
Property and Equipment (Details) - Schedule of Property, Plant and Equipment - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Property, Plant and Equipment [Line Items]    
Total property, plant and equipment, Gross $ 814,415 $ 811,817
Less: accumulated depreciation (550,531) (521,062)
Property, plant and equipment, net 263,884 290,755
Medical Equipment [Member]    
Schedule of Property, Plant and Equipment [Line Items]    
Total property, plant and equipment, Gross 496,452 493,854
Furniture, Office Equipment and Leasehold Improvements [Member]    
Schedule of Property, Plant and Equipment [Line Items]    
Total property, plant and equipment, Gross $ 317,963 $ 317,963
v3.24.1.1.u2
Intangible Assets (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Intangible Assets and Goodwill [Line Items]    
Amortization expense $ 57,040 $ 57,040
v3.24.1.1.u2
Intangible Assets (Details) - Schedule of Intangible Assets - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]    
Total intangible assets $ 1,142,538 $ 1,142,538
Less: accumulated amortization (315,730) (258,690)
Intangible assets, net 826,808 883,848
NCFM: Medical database [Member]    
Finite-Lived Intangible Assets [Line Items]    
Total intangible assets 1,101,538 1,101,538
NCFM: Website [Member]    
Finite-Lived Intangible Assets [Line Items]    
Total intangible assets $ 41,000 $ 41,000
v3.24.1.1.u2
Intangible Assets (Details) - Schedule of Future Amortization Expense of Intangible Assets - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule Of Future Amortization Expense Of Intangible Assets Abstract    
2024 (April to December) $ 165,885  
2025 220,308  
2026 220,308  
2027 220,307  
Thereafter  
Total future amortization expense $ 826,808 $ 883,848
v3.24.1.1.u2
Leases (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Leases [Line Items]    
Weighted-average remaining lease term to operating leases 2 years 4 months 24 days  
Weighted-average discount rate 15.44%  
Lease expense $ 129,431 $ 111,905
v3.24.1.1.u2
Leases (Details) - Schedule of Lease-Related Assets and Liabilities - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Lease-Related Assets and Liabilities [Line Items]    
Lease assets $ 853,525 $ 935,812
Lease liabilities    
Lease liabilities (short term) 332,692 326,033
Lease liabilities (long term) 524,546 613,386
Total lease liabilities $ 857,238 $ 939,419
v3.24.1.1.u2
Leases (Details) - Schedule of Maturities of Operating Lease Liabilities - Operating Leases [Member]
Mar. 31, 2024
USD ($)
Leases (Details) - Schedule of Maturities of Operating Lease Liabilities [Line Items]  
2024 $ 390,027
2025 467,994
2026 335,634
2027 990
Total lease payments 1,194,645
Less interest (337,407)
Present value of lease liabilities $ 857,238
v3.24.1.1.u2
Accounts Payable, Accrued Expenses and Other Current Liabilities (Details) - USD ($)
3 Months Ended
Dec. 31, 2024
Oct. 31, 2023
Mar. 31, 2024
Dec. 31, 2023
Accounts Payable, Accrued Expenses and Other Current Liabilities (Details) [Line Items]        
Gross receipts   $ 1,873,993 $ 1,873,993  
Net proceeds   $ 1,186,231 1,186,231  
Accrued commissions and other fees payable       $ 100,000
Cash consideration paid     $ 75,000  
Forecast [Member]        
Accounts Payable, Accrued Expenses and Other Current Liabilities (Details) [Line Items]        
Acquisition consideration $ 2,113      
v3.24.1.1.u2
Accounts Payable, Accrued Expenses and Other Current Liabilities (Details) - Schedule of Accounts Payable, Accrued Expenses and Other Current Liabilities - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule Of Accounts Payable And Accrued Expenses [Abstract]    
Trade accounts payable $ 372,612 $ 251,479
Accrued payroll liabilities 76,646 110,103
Accrued operating expenses 175,349 91,238
Accrued interest 52,287 57,074
Accrued commissions payable from 2022 MSSP Consideration [1] 25,000 100,000
Contingent acquisition consideration payable [2] 2,113 2,189
Product return allowance 1,117 2,095
Total $ 705,124 $ 614,178
[1] During September 2023, AHP received from the CMS a final determination of AHP’s Plan Year 2022 MSSP shared savings, of which the Company realized gross receipts of $1,873,993 and net proceeds of $1,186,231 after payments to participating physicians and commissions in satisfaction of the 2022 MSSP Consideration. Gross payment was received by the Company in October 2023. As of December 31, 2023, the Company’s remaining accrued commissions and other fees payable resulting from the receipt and prior consideration received in the amount of $100,000, of which $75,000 was paid in the three months ended March 31, 2024. See Note 4 for complete description of the AHP Sale and related consideration.
[2] Contingent acquisition consideration reflects the fair value of the final earn-out payment potentially payable related to the Company’s acquisitions of MOD in 2020.  All of the remaining $2,113 contingent acquisition consideration related to MOD matures in 2024 based on the performance of the business unit for the year ended December 31, 2024.
v3.24.1.1.u2
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities [Line Items]    
Contract liabilities $ 331,440 $ 271,774
Patient services paid but not provided - NCFM [Member]    
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities [Line Items]    
Contract liabilities 175,333 95,334
Patient services paid but not provided - BTG [Member]    
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities [Line Items]    
Contract liabilities 90,599 100,857
Patient services paid but not provided – NWC [Member]    
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities [Line Items]    
Contract liabilities 64,114 75,438
Unshipped products – MOD [Member]    
Contract Liabilities (Details) - Schedule of Amounts Related to Contract Liabilities [Line Items]    
Contract liabilities $ 1,394 $ 145
v3.24.1.1.u2
Amounts Due to Related Party and Related Party Transactions (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 27, 2024
Dec. 01, 2023
Mar. 14, 2023
Feb. 14, 2023
Jan. 13, 2023
Jan. 05, 2023
Dec. 13, 2022
Nov. 08, 2022
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Jun. 26, 2023
Apr. 30, 2023
Related Party Transaction [Line Items]                          
Note payable amount                 $ 221,278        
Amortization of debt discount                 $ 10,971 $ 0      
Warrants issued (in Shares)                 9,160,000 3,141,554      
Interest expense                 $ 6,046   $ 4,219    
Loss on extinguishment of debt                 (96,660) $ (44,763)      
Net proceeds                   100,000      
Repayments                 183,676 200,593      
Common stock at a fixed conversion price (in Dollars per share) $ 0.0573                        
Warrants to purchase shares (in Shares) 6,660,000                        
Carrying value                     0    
Fair value of note                         $ 13,077
Deferred compensation payable                 300,600   300,600    
Compensation received                 0        
March 2024 Warrant [Member]                          
Related Party Transaction [Line Items]                          
Fair value of the warrants $ 254,345                        
Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable                 104,288   166,487    
Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Loss on extinguishment of debt                   3,582      
Unsecured Promissory Note [Member] | March 2024 Warrant [Member]                          
Related Party Transaction [Line Items]                          
Exercise price (in Dollars per share) $ 0.06                        
Dr. Dent [Member]                          
Related Party Transaction [Line Items]                          
Interest rate           15.00%              
Notes and Convertible Notes Payable [Member]                          
Related Party Transaction [Line Items]                          
Interest accrued                 3,202   7,456    
Loan [Member]                          
Related Party Transaction [Line Items]                          
Interest expense                 3,202 3,890      
Other Related Transactions [Member]                          
Related Party Transaction [Line Items]                          
Compensation received                 20,000        
Dr Dent [Member]                          
Related Party Transaction [Line Items]                          
Consulting fees                 39,038 27,885      
Dr Dent [Member] | Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount           $ 10,000              
Discount against note payable           $ 3,851              
Amortization of debt discount                   269      
Exercise price (in Dollars per share)           $ 0.104              
Fair value of the warrants           $ 6,843              
Face value           $ 10,000              
Warrants issued (in Shares)           96,154              
Interest expense                   53      
January 2023 Dent Note [Member]                          
Related Party Transaction [Line Items]                          
Amortization of debt discount         $ 1,373                
Interest expense         397                
Loss on extinguishment of debt                   41,181      
January 2023 Dent Note [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount         161,000                
Discount against note payable         $ 42,553                
January 2023 Dent Note [Member] | Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Exercise price (in Dollars per share)         $ 0.093                
Fair value of the warrants         $ 56,123                
Face value         $ 161,000                
Interest rate         15.00%                
Warrants issued (in Shares)         860,215                
Net proceeds         $ 160,000                
Original issue discount         $ 1,000                
February 2023 Dent Note [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount       $ 186,000                  
February 2023 Dent Note [Member] | Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable       $ 50,989                  
Amortization of debt discount                   1,373      
Exercise price (in Dollars per share)       $ 0.135                  
Fair value of the warrants       $ 66,136                  
Face value       $ 186,000                  
Interest rate       15.00%                  
Warrants issued (in Shares)       685,185                  
Interest expense                   3,440      
Net proceeds       $ 185,000                  
Original issue discount       $ 1,000                  
March 2023 Dent Note [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable     $ 26,011                    
Payment amount                 12,601        
Amortization of debt discount                 2,504 1,292      
March 2023 Dent Note [Member] | Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount     126,011                    
Discount against note payable     26,011                    
Payment amount                 12,601 0      
Net proceeds     100,000                    
Original issue discount     12,510                    
Principal amount     112,510                    
Prepaid interest     13,501                    
Repayments     $ 126,011                    
Maturity date     Mar. 14, 2024                    
Discount rate     15.00%                    
June 2023 Dent Note [Member] | Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount                       $ 26,875  
Discount against note payable                       1,875  
Payment amount                 25,000   0    
Amortization of debt discount                 0 1,292      
Face value                       25,000  
Fixed interest                       $ 1,875  
Fixed interest rate                       15.00%  
December 2023 Dent Note [Member]                          
Related Party Transaction [Line Items]                          
Amortization of debt discount                 32,330 0      
December 2023 Dent Note [Member] | Unsecured Promissory Note [Member]                          
Related Party Transaction [Line Items]                          
Note payable amount   $ 166,500                      
Discount against note payable   $ 48,769                      
Payment amount                 0 0      
Exercise price (in Dollars per share)   $ 0.06                      
Face value   $ 150,000                      
Warrants issued (in Shares)   1,500,000                      
Net proceeds   $ 150,000                      
Maturity date   Feb. 28, 2024                      
Fixed interest   $ 15,000                      
Fixed interest rate   10.00%                      
Fixed fees   $ 1,500                      
Fair value warrants   $ 32,269                      
March 2024 Dent Note I [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable                 203,588        
Amortization of debt discount                 8,852        
Principal amount $ 150,000                        
Net proceeds                 350,000        
Remaining principal payments                 350,000   0    
Carrying value                 155,264   0    
Interest accrued                 460   0    
March 2024 Dent Note I [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Interest rate 12.00%                        
Principal amount $ 350,000                        
March 2024 Dent Note II [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable                 89,222        
Amortization of debt discount                 2,379        
Net proceeds                 150,000        
Remaining principal payments                 150,000   0    
Carrying value                 63,157   0    
Interest accrued                 197   0    
March 2024 Dent Note II [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Interest rate 12.00%                        
Maturity date Aug. 24, 2024                        
March 2024 Dent Note III [Member]                          
Related Party Transaction [Line Items]                          
Fair value of the warrants                 33,121        
Loss on extinguishment of debt                 96,660        
Principal amount                 166,500        
Remaining principal payments                 166,500   0    
Carrying value                 199,621        
Interest accrued                 219   $ 0    
Fair value of note                 199,621        
March 2024 Dent Note III [Member] | March 2024 Warrant [Member]                          
Related Party Transaction [Line Items]                          
Fair value of the warrants                 63,539        
March 2024 Dent Note III [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Interest rate 12.00%                        
Principal amount $ 166,500                        
Maturity date Aug. 28, 2024                        
November Merchant cash Advance Factoring Agreement [Member]                          
Related Party Transaction [Line Items]                          
Advance received               $ 150,000          
Loan repayment               3,750          
Repaid amount               195,000          
Note payable amount               195,000          
Amortization of debt discount                 0 11,219      
November Merchant cash Advance Factoring Agreement [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable               $ 45,000          
Payment amount                 0 33,750      
Merchant Cash Advance Factoring Agreement [Member]                          
Related Party Transaction [Line Items]                          
Advance received             $ 110,000            
December Merchant Cash Advance Factoring Agreement [Member]                          
Related Party Transaction [Line Items]                          
Loan repayment             2,750            
Repaid amount             143,000            
Note payable amount             $ 143,000            
Amortization of debt discount                 0 17,070      
Warrants issued (in Shares)             3,142,857            
Exercise price (in Dollars per share)             $ 0.035            
Fair value of the warrants             $ 63,420            
December Merchant Cash Advance Factoring Agreement [Member] | Note Payable [Member]                          
Related Party Transaction [Line Items]                          
Discount against note payable             $ 68,281            
Payment amount                 $ 0 $ 24,750      
Director [Member]                          
Related Party Transaction [Line Items]                          
Shares issuable (in Shares)                 816,328   408,164    
v3.24.1.1.u2
Amounts Due to Related Party and Related Party Transactions (Details) - Schedule of Amounts Due to Related Parties - Dr. Michael Dent [Member] - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Amounts Due to Related Parties [Line Items]    
Face value of notes payable to related party $ 699,621 $ 205,976
Less: unamortized discounts (281,579) (34,834)
Notes payable to related party, total 418,042 171,142
Plus deferred compensation payable to Dr. Michael Dent 300,600 300,600
Total due to related party 718,642 471,742
Note Payable, March 2023 [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Note Payable 12,601
Note Payable, June 2023 [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Note Payable 26,875
Note Payable, December 2023 [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Note Payable 166,500
Convertible Note Payable I [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Convertible Note Payable 150,000
Convertible Note Payable II [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Convertible Note Payable 350,000
Convertible Note Payable III [Member]    
Schedule of Amounts Due to Related Parties [Line Items]    
Convertible Note Payable $ 199,621
v3.24.1.1.u2
Notes Payable (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 27, 2024
Dec. 13, 2023
Dec. 12, 2023
Nov. 03, 2023
Aug. 08, 2023
Mar. 31, 2023
Mar. 10, 2023
Nov. 04, 2022
Oct. 21, 2022
Jul. 19, 2022
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Aug. 31, 2023
Apr. 30, 2023
Nov. 30, 2022
May 13, 2022
Aug. 31, 2020
Jul. 31, 2020
Jun. 30, 2020
Notes Payable (Details) [Line Items]                                          
Disaster relief loans                     $ 450,000   $ 450,000                
Accrued on government and vendor notes payable                     52,287   57,074                
Interest expense on the loans                     6,046   4,219                
Interest income                     6,579                    
Principal payments                         450,000 $ 450,000              
Net Carrying amount                         450,000 450,000              
Accrued interest                   5.00%                      
Payment premium percentage                   2.00%                      
Amortization expense note discount                     10,971 $ 0                  
Payments to outstanding balance                       0                  
Monthly payments                               $ 13,077          
Conversion price per share (in Dollars per share) $ 0.0573                                        
Remaining principal amount                         189,000                
SBA Loans [Member]                                          
Notes Payable (Details) [Line Items]                                          
Accrued on government and vendor notes payable                     27,095   27,628                
Loan [Member]                                          
Notes Payable (Details) [Line Items]                                          
Interest expense on the loans                     3,202 3,890                  
Interest income                         5,117                
AEU Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Principal amount                                   $ 550,000      
Net proceeds               $ 35,800                          
Amortization expense note discount                     0 2,367                  
Payments to outstanding balance                     0 18,632                  
Gross amount               41,009                          
Recognized discount amount               $ 5,209                          
July 19, 2022 Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Interest rate, percentage                   0.00%                      
Maturity date                   Jan. 19, 2023                      
Net proceeds                   $ 522,500                      
Total cash repayments                   561,000                      
Discount against note                   $ 38,500                      
Proceeds of sales           $ 18,765                              
October 2022 Note Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Principal amount                 $ 144,760                        
Net proceeds                 125,000                        
Discount against note                 37,131                        
Amortization expense note discount                           10,745              
Payments to outstanding balance                           32,426              
Original issue discount                 15,510                        
Other fees                 $ 4,250                        
Monthly payments                                 $ 16,213        
March 2023 Note Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Principal amount             $ 116,760                            
Maturity date             Mar. 10, 2024                            
Net proceeds             $ 100,000                            
Discount against note                     30,771                    
Original issue discount             12,510                            
Other fees             4,250                            
Prepaid interest             14,011                            
Total repayments             $ 130,771                            
March 2023 Note [Member]                                          
Notes Payable (Details) [Line Items]                                          
Amortization expense note discount                     0 1,529                  
Note payable August 2023 [Member]                                          
Notes Payable (Details) [Line Items]                                          
Net Carrying amount                         76,549 54,488              
Principal amount         $ 144,760                                
Net proceeds         125,000                                
Original issue discount         15,510                                
Other fees         4,250                                
Monthly payments                         16,213                
Prepaid interest         17,371                                
Total repayments         $ 162,131                                
Remaining principal payments                         97,279 $ 64,853              
Conversion right discount, percentage                             15.00%            
May 2023 Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Net proceeds                     37,131                    
Discount against note                         37,131                
August 2023 Note [Member]                                          
Notes Payable (Details) [Line Items]                                          
Amortization expense note discount                     10,365 0                  
Payments to outstanding balance                     32,426 0                  
November 2023 Note [Member]                                          
Notes Payable (Details) [Line Items]                                          
Net Carrying amount                     195,600   253,000                
Principal amount       $ 350,000                                  
Net proceeds       317,000                                  
Total cash repayments       378,000                                  
Discount against note       $ 61,000                                  
Amortization expense note discount                         18,200                
Payments to outstanding balance                     75,600 0                  
Remaining principal payments                     226,800   302,400                
Interest rate, percentage       0.00%                                  
Original issue discount, percentage       8.00%                                  
Repaid cash premium, percentage       8.00%                                  
December 2023 Note I Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Net Carrying amount                     89,612   127,291                
Principal amount     $ 144,760                                    
Net proceeds     125,000                                    
Original issue discount     15,510                                    
Other fees     4,250                                    
Monthly payments     16,213                                    
Prepaid interest     17,371                                    
Total repayments     $ 162,131                                    
Remaining principal payments                     $ 113,482   162,131                
Conversion right discount, percentage                     15.00%                    
Note Payable December 2023 Note [Member]                                          
Notes Payable (Details) [Line Items]                                          
Payments to outstanding balance                     $ 48,649 0                  
Notes Payable September 2023 [Member]                                          
Notes Payable (Details) [Line Items]                                          
Principal amount   $ 175,000                                      
December 2023 Note II Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Net Carrying amount                     123,147   $ 127,483                
Net proceeds   156,000                                      
Total cash repayments   189,000                                      
Discount against note   $ 66,000                                      
Amortization expense note discount                     22,664 $ 0                  
Payments to outstanding balance                     27,000                    
Interest rate, percentage   0.00%                                      
Original issue discount, percentage   8.00%                                      
Repaid cash premium, percentage   8.00%                                      
Conversion price per share (in Dollars per share)   $ 0.05                                      
Yorkville [Member] | December 2023 Note II Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Remaining principal amount                     162,000                    
Subsidiaries [Member]                                          
Notes Payable (Details) [Line Items]                                          
Disaster relief loans                                     $ 450,000 $ 450,000 $ 450,000
Percentage of loans bear interest                                     3.75% 3.75% 3.75%
Maturity term                                     30 years 30 years 30 years
Notes Payable, Other Payables [Member]                                          
Notes Payable (Details) [Line Items]                                          
Amortization expense note discount           4,748         0                    
Payments to outstanding balance                     $ 0                    
Notes Payable, Other Payables [Member] | July 19, 2022 Notes Payable [Member]                                          
Notes Payable (Details) [Line Items]                                          
Payments to outstanding balance           $ 168,300                              
v3.24.1.1.u2
Notes Payable (Details) - Schedule of Notes Payable - Note Payable [Member] - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Notes Payable [Line Items]    
Face value of notes payable $ 1,017,135 $ 1,200,810
Less: unamortized discounts (104,288) (166,487)
Notes payable, total 912,847 1,034,323
Less: long term portion (450,000) (450,000)
Notes payable, current portion 462,847 584,323
SBA Disaster Relief Loans [Member]    
Schedule of Notes Payable [Line Items]    
Face value of notes payable 450,000 450,000
1800 Diagonal Note Payable III, August 2023 [Member]    
Schedule of Notes Payable [Line Items]    
Face value of notes payable 64,853 97,279
Yorkville Note Payable III, November 2023 [Member]    
Schedule of Notes Payable [Line Items]    
Face value of notes payable 226,800 302,400
1800 Diagonal Note Payable III, December 2023 [Member]    
Schedule of Notes Payable [Line Items]    
Face value of notes payable 113,482 162,131
Yorkville Note Payable III, December 2023 [Member]    
Schedule of Notes Payable [Line Items]    
Face value of notes payable $ 162,000 $ 189,000
v3.24.1.1.u2
Shareholders' Equity (Details) - USD ($)
3 Months Ended
Jul. 05, 2022
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Jul. 11, 2022
Sep. 09, 2021
Jan. 01, 2016
Shareholder’s Equity [Line Items]              
Shares of common stock (in Shares)   281,064,958   275,964,958      
Common stock par value (in Dollars per share)   $ 0.0001   $ 0.0001      
Aggregate daily volume percentage 30.00%            
Purchase percentage 96.00%            
Shares of common stock underlying (in Shares)         30,000,000    
Proceeds for the issuance of common stock   $ 355,000 $ 200,000        
Sale of shares (in Shares) 30,000,000            
Issued warrants (in Shares)   9,160,000 3,141,554        
Exercise price per share (in Dollars per share)   $ 0.0569 $ 0.09        
Aggregate grant date fair value   $ 385,633 $ 246,063        
Total unrecognized compensation cost   $ 10,449          
Weighted-average period   1 year 6 months          
Fair value options granted (in Dollars per share)   $ 0.04          
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested in Period, Fair Value     26,845        
Aggregate grant fair value   $ 20,000 $ 22,460        
Amortization of deferred stock compensation   $ 0          
Stock Option [Member]              
Shareholder’s Equity [Line Items]              
Fair value options granted (in Dollars per share)   $ 0.04 $ 0.14        
Stock based compensation expense   $ 47,900 $ 22,511        
Minimum [Member]              
Shareholder’s Equity [Line Items]              
Exercise price per share (in Dollars per share)   $ 3          
Maximum [Member]              
Shareholder’s Equity [Line Items]              
Amortization of deferred stock compensation     5,150        
2021 EIP [Member]              
Shareholder’s Equity [Line Items]              
Issuance of common stock (in Shares)           20,000,000  
Employee Equity Incentive Plan [Member]              
Shareholder’s Equity [Line Items]              
Total unrecognized compensation cost   $ 78,222          
Weighted-average period   1 year 8 months 12 days          
Stock based compensation expense   $ 35,986 82,951        
Common Stock [Member]              
Shareholder’s Equity [Line Items]              
Shares of common stock (in Shares) 2,000,000            
Common stock par value (in Dollars per share) $ 0.0001            
Proceeds for the issuance of common stock     $ 225,000        
Common Stock [Member] | Warrant [Member]              
Shareholder’s Equity [Line Items]              
Exercise price per share (in Dollars per share)   $ 0.17          
Stock Option [Member] | Minimum [Member]              
Shareholder’s Equity [Line Items]              
Fair value options granted (in Dollars per share)     $ 0.05        
Employee Equity Incentive Plan [Member]              
Shareholder’s Equity [Line Items]              
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested in Period, Fair Value   $ 137,040          
Stock Based Compensation [Member]              
Shareholder’s Equity [Line Items]              
Stock based compensation expense   $ 1,796 $ 25,467        
SEPA [Member]              
Shareholder’s Equity [Line Items]              
Shares of common stock (in Shares) 30,000,000            
SEPA [Member] | Common Stock [Member]              
Shareholder’s Equity [Line Items]              
Shares of common stock (in Shares) 30,000,000            
Common stock par value (in Dollars per share) $ 0.0001            
Proceeds for the issuance of common stock     18,765        
Consultants [Member] | Common Stock [Member]              
Shareholder’s Equity [Line Items]              
Purchase of shares (in Shares)   2,504,974          
Yorkville [Member]              
Shareholder’s Equity [Line Items]              
Owning percentage 4.99%            
Common Stock [Member] | 2016 EIP [Member]              
Shareholder’s Equity [Line Items]              
Shares issued (in Shares)             15,503,680
Private Placement [Member]              
Shareholder’s Equity [Line Items]              
Proceeds for the issuance of common stock   $ 355,000 $ 200,000        
Sale of shares (in Shares)   5,100,000          
Private Placement [Member] | Warrant [Member]              
Shareholder’s Equity [Line Items]              
Issued warrants (in Shares)   2,500,000          
Private Placement [Member] | Common Stock [Member]              
Shareholder’s Equity [Line Items]              
Sale of shares (in Shares)     2,000,000        
Private Placement [Member] | Common Stock [Member] | Warrant [Member]              
Shareholder’s Equity [Line Items]              
Issued warrants (in Shares)     1,500,000        
Exercise price per share (in Dollars per share)     $ 0.2        
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Company Obligated to Issue Shares - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Company Obligated to Issue Shares [Line Items]    
Shares issuable to employees and consultants $ 54,570 $ 281,682
Shares issuable to independent directors 1,055,536 2,764,352
Shares Issuable to Employees and Consultants [Member]    
Schedule of Company Obligated to Issue Shares [Line Items]    
Shares issuable to employees and consultants $ 14,570 $ 261,682
Shares issuable to independent directors 239,208 2,356,188
Shares Issuable to Independent Directors [Member]    
Schedule of Company Obligated to Issue Shares [Line Items]    
Shares issuable to employees and consultants $ 40,000 $ 20,000
Shares issuable to independent directors 816,328 408,164
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Stock Warrants - Warrant [Member] - $ / shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Stock Warrants [Line Items]    
Number, Outstanding, beginning balance 77,414,648 68,109,094
Weighted Average Exercise Price, Outstanding, beginning balance $ 0.2 $ 0.23
Number, Outstanding, ending balance 85,357,246 68,742,315
Weighted Average Exercise Price, Outstanding, ending balance $ 0.19 $ 0.22
Number, Options exercisable at period-end 85,357,246 68,742,315
Weighted Average Exercise Price, Options exercisable at period-end $ 0.19 $ 0.22
Weighted average remaining life 2 years 8 months 12 days 2 years 6 months
Number, Granted during the period 9,160,000 3,141,554
Weighted Average Exercise Price, Granted during the period $ 0.09 $ 0.15
Number of Exercised during the period
Weighted Average Exercise Price, Exercised during the period
Number, Expired during the period (1,217,402) (2,508,333)
Weighted Average Exercise Price, Expired during the period $ (0.28) $ (0.25)
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Financial Statements with Respect to the EIPs - Warrant [Member]
3 Months Ended
Mar. 31, 2024
$ / shares
shares
0.0001 to 0.09 [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding Number Outstanding (in Shares) | shares 29,968,289
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) 3 years 7 months 6 days
Warrants Outstanding Weighted-Average Exercise Price $ 0.07
Warrants Exercisable Number Exercisable (in Shares) | shares 29,968,289
Warrants Exercisable Weighted-Average Exercise Price $ 0.07
0.0001 to 0.09 [Member] | Minimum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices 0.0001
0.0001 to 0.09 [Member] | Maximum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices $ 0.09
0.10 to 0.24 [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding Number Outstanding (in Shares) | shares 25,436,940
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) 3 years
Warrants Outstanding Weighted-Average Exercise Price $ 0.16
Warrants Exercisable Number Exercisable (in Shares) | shares 25,436,940
Warrants Exercisable Weighted-Average Exercise Price $ 0.16
0.10 to 0.24 [Member] | Minimum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices 0.1
0.10 to 0.24 [Member] | Maximum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices $ 0.24
0.25 to 0.49 [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding Number Outstanding (in Shares) | shares 26,992,093
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) 1 year 6 months
Warrants Outstanding Weighted-Average Exercise Price $ 0.31
Warrants Exercisable Number Exercisable (in Shares) | shares 26,992,093
Warrants Exercisable Weighted-Average Exercise Price $ 0.31
0.25 to 0.49 [Member] | Minimum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices 0.25
0.25 to 0.49 [Member] | Maximum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices $ 0.49
0.50 to 1.05 [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding Number Outstanding (in Shares) | shares 2,959,924
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) 2 years 3 months 18 days
Warrants Outstanding Weighted-Average Exercise Price $ 0.68
Warrants Exercisable Number Exercisable (in Shares) | shares 2,959,924
Warrants Exercisable Weighted-Average Exercise Price $ 0.68
0.50 to 1.05 [Member] | Minimum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices 0.5
0.50 to 1.05 [Member] | Maximum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices $ 1.05
0.05 to 1.00 [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding Number Outstanding (in Shares) | shares 85,357,246
Warrants Outstanding Weighted-Average Remaining Contractual Life (years) 2 years 8 months 12 days
Warrants Outstanding Weighted-Average Exercise Price $ 0.19
Warrants Exercisable Number Exercisable (in Shares) | shares 85,357,246
Warrants Exercisable Weighted-Average Exercise Price $ 0.19
0.05 to 1.00 [Member] | Minimum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices 0.05
0.05 to 1.00 [Member] | Maximum [Member]  
Schedule of Stock Warrants Outstanding [Line Items]  
Warrants Outstanding, Exercise Prices $ 1
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Aggregate Grant Date Fair Value
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Aggregate Grant Date Fair Value [Line Items]    
Pricing model utilized Binomial Lattice Binomial Lattice
Dividend yield 0.00% 0.00%
Expected forfeiture 33.00% 20.00%
Minimum [Member]    
Schedule of Aggregate Grant Date Fair Value [Line Items]    
Risk free rate range 3.97% 3.45%
Expected life range (in years) 5 years 3 months 10 days
Volatility range 140.94% 126.30%
Maximum [Member]    
Schedule of Aggregate Grant Date Fair Value [Line Items]    
Risk free rate range 4.20% 5.43%
Expected life range (in years) 10 years 5 years
Volatility range 173.25% 165.20%
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Financial Statements with Respect to the EIPs - Employee Equity Incentives Plans [Member - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Financial Statements with Respect to the EIPs [Line Items]    
Total cost of share-based payment plans during the period $ 35,986 $ 82,951
Amounts capitalized in deferred equity compensation during period
Amounts written off from deferred equity compensation during period 57,147
Amounts charged against income for amounts previously capitalized 5,150
Amounts charged against income, before income tax benefit 93,133 88,101
Amount of related income tax benefit recognized in income
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Stock Warrants - Stock Option [Member] - $ / shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Stock Option Activity [Line Items]    
Number, Beginning Balance 5,093,738 5,222,982
Weighted Average Exercise Price, Beginning Balance $ 0.16 $ 0.2
Number, Granted during the period 4,504,974 93,750
Weighted Average Exercise Price, Granted during the period $ 0.06 $ 0.08
Number, Exercised during the period
Weighted Average Exercise Price, Exercised during the period
Number, Forfeited during the period (449,982) (150,000)
Weighted Average Exercise Price, Forfeited during the period $ (0.21) $ (0.16)
Number, Ending Balance 9,148,730 5,166,732
Weighted Average Exercise Price, Ending Balance $ 0.1 $ 0.17
Number, Options exercisable at period-end 7,063,146 3,108,565
Weighted Average Exercise Price, Options exercisable at period-end $ 0.11 $ (0.2)
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Fair Value of Options Granted - Stock Option [Member]
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Fair Value of Options Granted [Line Items]    
Pricing model utilized Binomial Lattice Binomial Lattice
Risk free rate range 4.20% 3.48%
Expected life range (in years) 10 years 10 years
Volatility range 173.25% 145.03%
Dividend yield 0.00% 0.00%
Expected forfeiture 30.00% 30.00%
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Stock Grant Activity - Stock Options [Member] - $ / shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Non-Vested Options Issued [Line Items]    
Shares, Nonvested at beginning of period 1,073,084 2,260,417
Weighted Average Grant Date Fair Value, Nonvested at beginning of period $ 0.06 $ 0.08
Shares, Granted 4,504,974 93,750
Weighted Average Grant Date Fair Value, Granted $ 0.04 $ 0.05
Shares, Vested (3,442,474) (196,000)
Weighted Average Grant Date Fair Value, Vested $ (0.04) $ (0.14)
Shares, Forfeited (50,000) (100,000)
Weighted Average Grant Date Fair Value, Forfeited $ (0.08) $ (0.09)
Shares, Nonvested at end of period 2,085,584 2,058,167
Weighted Average Grant Date Fair Value, Nonvested at end of period $ 0.05 $ 0.07
v3.24.1.1.u2
Shareholders' Equity (Details) - Schedule of Stock Grant Activity - Stock Grants [Member] - $ / shares
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Schedule of Stock Grant Activity [Line Items]    
Shares, Nonvested at beginning of period 1,484,488 1,651,435
Weighted Average Grant Date Fair Value, Nonvested at beginning of period $ 0.05 $ 0.05
Shares, Granted 160,944
Weighted Average Grant Date Fair Value, Granted $ 0.09
Shares, Vested (408,164) (468,292)
Weighted Average Grant Date Fair Value, Vested $ (0.05) $ (0.05)
Shares, Forfeited (50,000)
Weighted Average Grant Date Fair Value, Forfeited $ (0.12)
Shares, Nonvested at end of period 1,026,324 1,344,087
Weighted Average Grant Date Fair Value, Nonvested at end of period $ 0.05 $ 0.06
v3.24.1.1.u2
Commitments and Contingencies (Details) - USD ($)
3 Months Ended
Mar. 11, 2024
Mar. 31, 2024
Mar. 31, 2023
Commitments and Contingencies [Line Items]      
Supplier percentage   91.00% 95.00%
Base salary (in Dollars) $ 150,000    
v3.24.1.1.u2
Commitments and Contingencies (Details) - Schedule of Maturities of Operating Lease Liabilities - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Schedule of Maturities of Operating Lease Liabilities [Line Items]    
2024 $ 390,027  
2025 467,994  
2026 335,634  
2027 990  
Total lease payments 1,194,645  
Less interest (337,407)  
Present value of lease liabilities $ 857,238 $ 939,419
v3.24.1.1.u2
Segment Reporting (Details)
3 Months Ended
Mar. 31, 2024
USD ($)
segments
Mar. 31, 2023
USD ($)
Segment Reporting [Line Items]    
Reportable segments (in segments) | segments 3  
Digital Healthcare Division [Member]    
Segment Reporting [Line Items]    
Intercompany sales $ 180 $ 180
Medical Distribution Segment [Member]    
Segment Reporting [Line Items]    
Intercompany sales $ 0 $ 8,340
v3.24.1.1.u2
Segment Reporting (Details) - Schedule of Segment Information - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Segment Reporting Information [Line Items]      
Revenue $ 1,004,232 $ 1,755,154  
Operating Expenses      
Practice salaries and benefits 583,156 963,657  
Other practice operating expenses 482,583 624,247  
Cost of product revenue 30,579 32,060  
Selling, general and administrative expenses 999,443 1,103,748  
Depreciation and amortization 86,509 88,077  
Total Operating Expenses 2,182,270 2,811,789  
Income (loss) from operations (1,178,038) (1,056,635)  
Other Segment Information      
Loss on extinguishment of debt 96,660 44,763  
Amortization of original issue discounts on notes payable 108,265 63,360  
Change in fair value of contingent acquisition consideration (76) 1,706  
Interest expense (income) 4,831 44,763  
Financing cost   11,381  
Identifiable assets 3,890,759 5,825,242 $ 4,280,140
Goodwill   319,958  
Patient service revenue, net [Member]      
Segment Reporting Information [Line Items]      
Revenue 963,621 1,700,281  
Subscription, consulting and event revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue 7,628 16,299  
Product and other revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue 32,983 38,574  
Health Services [Member]      
Segment Reporting Information [Line Items]      
Revenue 963,621 1,700,281  
Operating Expenses      
Practice salaries and benefits 583,156 963,657  
Other practice operating expenses 482,583 624,247  
Cost of product revenue  
Selling, general and administrative expenses  
Depreciation and amortization 85,169 86,672  
Total Operating Expenses 1,150,908 1,674,576  
Income (loss) from operations (187,287) 25,705  
Other Segment Information      
Loss on extinguishment of debt    
Amortization of original issue discounts on notes payable 108,265 60,993  
Change in fair value of contingent acquisition consideration  
Interest expense (income) 3,881  
Financing cost   2,812  
Identifiable assets 1,635,387 2,204,934 1,812,609
Goodwill   319,958  
Health Services [Member] | Patient service revenue, net [Member]      
Segment Reporting Information [Line Items]      
Revenue 963,621 1,700,281  
Health Services [Member] | Subscription, consulting and event revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Health Services [Member] | Product and other revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Digital Healthcare [Member]      
Segment Reporting Information [Line Items]      
Revenue 7,628 16,299  
Operating Expenses      
Practice salaries and benefits  
Other practice operating expenses  
Cost of product revenue  
Selling, general and administrative expenses 980,174 1,070,321  
Depreciation and amortization 1,340 1,405  
Total Operating Expenses 981,514 1,071,726  
Income (loss) from operations (973,886) (1,055,427)  
Other Segment Information      
Loss on extinguishment of debt 96,660    
Amortization of original issue discounts on notes payable 2,367  
Change in fair value of contingent acquisition consideration (76) 1,706  
Interest expense (income) 950 44,763  
Financing cost   8,569  
Identifiable assets 2,246,600 3,606,105 2,457,849
Goodwill    
Digital Healthcare [Member] | Patient service revenue, net [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Digital Healthcare [Member] | Subscription, consulting and event revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue 7,628 16,299  
Digital Healthcare [Member] | Product and other revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Medical Distribution [Member]      
Segment Reporting Information [Line Items]      
Revenue 32,983 38,574  
Operating Expenses      
Practice salaries and benefits  
Other practice operating expenses  
Cost of product revenue 30,579 32,060  
Selling, general and administrative expenses 19,269 33,427  
Depreciation and amortization  
Total Operating Expenses 49,848 65,487  
Income (loss) from operations (16,865) (26,913)  
Other Segment Information      
Loss on extinguishment of debt    
Amortization of original issue discounts on notes payable  
Change in fair value of contingent acquisition consideration  
Interest expense (income)  
Financing cost    
Identifiable assets 8,772 14,203 $ 9,682
Goodwill    
Medical Distribution [Member] | Patient service revenue, net [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Medical Distribution [Member] | Subscription, consulting and event revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue  
Medical Distribution [Member] | Product and other revenue [Member]      
Segment Reporting Information [Line Items]      
Revenue $ 32,983 $ 38,574  
v3.24.1.1.u2
Fair Value of Financial Instruments (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Fair Value of Financial Instruments [Line Items]    
Contingent acquisition consideration payable $ 76 $ 1,706
v3.24.1.1.u2
Fair Value of Financial Instruments (Details) - Schedule of Fair Value Measurements - USD ($)
Mar. 31, 2024
Dec. 31, 2023
Assets:    
Contingent sale consideration receivable $ 1,663,163 $ 1,663,163
Liabilities:    
Contingent acquisition consideration payable 2,113 2,189
Convertible note payable to related party 199,621
Total liabilities 201,734 2,189
Level 1 [Member]    
Assets:    
Contingent sale consideration receivable
Liabilities:    
Contingent acquisition consideration payable
Convertible note payable to related party
Total liabilities
Level 2 [Member]    
Assets:    
Contingent sale consideration receivable
Liabilities:    
Contingent acquisition consideration payable
Convertible note payable to related party
Total liabilities
Level 3 [Member]    
Assets:    
Contingent sale consideration receivable 1,663,163 1,663,163
Liabilities:    
Contingent acquisition consideration payable 2,113 2,189
Convertible note payable to related party 199,621
Total liabilities $ 201,734 $ 2,189
v3.24.1.1.u2
Subsequent Events (Details) - Subsequent Event [Member] - USD ($)
Apr. 22, 2024
Apr. 18, 2024
Apr. 12, 2024
Apr. 10, 2024
May 08, 2024
May 06, 2024
Subsequent Events [Line Items]            
Principal amount   $ 50,000   $ 150,000    
Common stock, share (in Shares)     877,193      
Proceeds from the sales     $ 50,000      
Warrants to purchase shares issued (in Shares)     438,596      
Warrant price (in Dollars per share)     $ 0.16      
Principal amount $ 161,000          
Prepaid interest 19,320          
Repayments 180,320          
Received net proceeds 118,787          
Original issue discount 21,000          
Fees 5,000          
Withholding final payment 16,213          
Payments amount $ 18,032          
Conversion right discount percentage 15.00%          
Convertible note payable [Member]            
Subsequent Events [Line Items]            
Interest rate   12.00%   12.00%    
Conversion price per share (in Dollars per share)   $ 0.05   $ 0.0577    
Dr. Michael Dent [Member]            
Subsequent Events [Line Items]            
Advance         $ 70,000 $ 100,000

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