88 unchanged sentences
our income derived from, our two subsidiaries.
−Removed: As of June 30, 2024, we had two reportable operating
−Removed: segments as determined by management using the “management approach” as defined by the authoritative guidance on Disclosures
−Removed: about Segments of an Enterprise and Related Information .
+Added: As of September 30, 2024, we had two reportable
+Added: operating segments as determined by management using the “management approach” as defined by the authoritative guidance on
+Added: Disclosures about Segments of an Enterprise and Related Information .
Healthcare (Nova)
26 unchanged sentences
Results of Operations
−Removed: Comparison of Three Months Ended June 30,
+Added: Comparison of Three Months Ended September
30, 2024 and 2023
The following table sets forth key components
−Removed: of our results of operations during the three months ended June 30, 2024 and 2023, both in dollars and as a percentage of our revenue.
−Removed: Three Months Ended June 30,
+Added: of our results of operations during the three months ended September 30, 2024 and 2023, both in dollars and as a percentage of our revenue.
+Added: Three Months Ended September 30,
+Added: 2023 (Restated)
Total revenue
5 unchanged sentences
(Loss) income from continuing operations
−Removed: Other income (expense)
−Removed: Gain on debt refinance and forgiveness
+Added: Other expense
+Added: Other expense
Penalties and fees
1 unchanged sentence
Amortization of debt discounts
−Removed: Total other income (expense)
+Added: Total other expense
Net (loss) income before discontinued operations
1 unchanged sentence
Net (loss) income
+Added: $ (1,977,968 )
For the three months ended
−Removed: June 30, 2024, and 2023, all of our revenue was generated by our healthcare segment, which generates revenue through a full range of diagnostic
−Removed: and surgical services.
−Removed: Our total revenue decreased by $1,033,542, or 30.72%, to $2,330,964 for the three months ended June 30, 2024 from
−Removed: $3,364,506 for the three months ended June 30, 2023.
−Removed: The decrease in revenue is primarily attributable to the mix of services provided
−Removed: during the quarter with less higher revenue surgical procedures performed and an increase in the lower revenue pain management treatments
−Removed: being performed for approximately the same number of patient visits in the current three month period as compared to the same three month
−Removed: period in the prior year.
+Added: September 30, 2024, and 2023, all of our revenue was generated by our healthcare segment, which generates revenue through a full range
+Added: of diagnostic and surgical services.
+Added: Our total revenue decreased by $2,050,218, or 60.20%, to $1,355,641 for the three months ended September
+Added: 30, 2024 from $3,405,859 for the three months ended September 30, 2023.
+Added: The decrease in revenue is primarily attributable to the following
+Added: · The 2024 third quarter revenue was negatively impacted by the hurricanes that occurred in Florida during
+Added: this timeframe.
+Added: The harsh weather caused several of our facilities to shut down for periods of time due to storm damage as well as patients
+Added: not being able to attend their appointments.
+Added: All of our facilities have reopened.
+Added: · Prior to fiscal year 2024 we historically realized a 49% settlement rate from total gross billed charges.
+Added: Accordingly, we had historically recognized net healthcare service revenue as 49% of gross billed amounts.
+Added: Throughout the first half of
+Added: 2024 as well as the third quarter of 2024, we underwent efforts to accelerate cash settlement of our accounts receivable to generate cash
+Added: flow for operations.
+Added: We did this by shortening our settlement negotiations timespan with attorneys and insurance companies and accepting
+Added: lower settlement amounts.
+Added: We expect this trend to continue in the short term as we work to settle our accounts receivables more quickly
+Added: to generate cash flow for operations.
+Added: · Additionally, during the third quarter of 2024, we completed a thorough review of our third-party billing
+Added: data, including reviewing historical reports and new reporting methods as a part of our updated analysis.
+Added: Based upon this review it was
+Added: determined that a 24-month lookback period should be used in the analysis of our historical settlement realization rates.
+Added: of the new efforts to accelerate cash settlement during the nine months ended September 30, 2024, we realized a 44% average settlement
+Added: rate of our gross billed charges during this time frame, which were historically recorded in accounts receivable and revenue at 49% of
+Added: gross billings.
+Added: With the reduction in our estimate of our settlement realization rate from 49% to 44%, a $1,650,474 change in accounting
+Added: estimate was taken during the third quarter of 2024 in our accounts receivable and revenue.
Cost of sales .
2 unchanged sentences
Our total cost
−Removed: of sales decreased by $288,679, or 26.69%, to $793,010 for the three months ended June 30, 2024 from $1,081,689 for the three months ended
−Removed: June 30, 2023.
−Removed: This decrease is mainly attributable to decreases in salaries and wages, surgical contracted services and laboratory fees.
+Added: of sales increased by $449,178, or 81.46%, to $1,000,601 for the three months ended September 30, 2024 from $551,423 for the three months
+Added: ended September 30, 2023.
+Added: As a percentage of revenue, cost of sale increased from 16.19% for the three months ended September 30, 2023
+Added: to 73.81% for the three months ended September 30, 2024.
+Added: This increase is mainly attributable to increases in laboratory fees.
Gross profit .
As a result of the
−Removed: foregoing, our total gross profit decreased by $744,863, or 32.63%, to $1,537,954 for the three months ended June 30, 2024 from $2,282,817
−Removed: for the three months ended June 30, 2023.
+Added: foregoing, our total gross profit decreased by $2,499,396, or 87.56%, to $355,040 for the three months ended September 30, 2024 from $2,854,436
+Added: for the three months ended September 30, 2023.
Our total gross margin (as a percent of revenue) decreased from 83.81% for the three months
−Removed: ended June 30, 2023 to 65.98% for the three months ended June 30, 2024.
+Added: ended September 30, 2023 to 26.19% for the three months ended September 30, 2024.
Depreciation expense .
Our depreciation
−Removed: expense was $3,366, or 0.14% of revenue, for the three months ended June 30, 2024, as compared to $3,365, or 0.10% of revenue, for the
−Removed: three months ended June 30, 2023.
+Added: expense was $3,365, or 0.25% of revenue, for the three months ended September 30, 2024, as compared to $3,365, or 0.10% of revenue, for
+Added: the three months ended September 30, 2023.
Selling, general and administrative expenses .
1 unchanged sentence
expenses, including employee salaries, bonuses plus related payroll taxes and stock compensation expense, advertising expenses, professional
−Removed: advisor fees, bad debts, rent expense, insurance and other expenses incurred in connection with general operations.
−Removed: Our selling, general
−Removed: and administrative expenses increased by $1,206,920, or 227.72%, to $1,736,933 for the three months ended June 30, 2024 from $530,013
−Removed: for the three months ended June 30, 2023.
−Removed: As a percentage of revenue, our selling, general and administrative expenses were 74.52% and
−Removed: 15.75% for the three months ended June 30, 2024 and 2023, respectively.
−Removed: Increases were primarily attributable to increases in salaries
−Removed: and wages expense of $311,215, bad debt expense of $902,183, rent expense of $44,363, board fee expense of $30,919, general and administrative
−Removed: expenses of $19,646 and professional fees of $28,605 offset by a decrease in management fees of $150,000.
−Removed: As a result of our efforts to
−Removed: accelerate cash collections throughout 2024, we have experienced lower than normal settlements of our accounts receivable resulting in
−Removed: the increase in bad debt expense in the three months ended June 30, 2024.
−Removed: This may continue as we continue to pay down the liability associated
−Removed: with the third-party factoring of accounts receivable from previous years.
+Added: advisor fees, rent expense, insurance and other expenses incurred in connection with general operations.
+Added: Our selling, general and administrative
+Added: expenses increased by $359,158, or 62.17%, to $936,835 for the three months ended September 30, 2024 from $577,677 for the three months
+Added: ended September 30, 2023.
+Added: As a percentage of revenue, our selling, general and administrative expenses were 69.11% and 16.96% for the
+Added: three months ended September 30, 2024 and 2023, respectively.
+Added: Increases were primarily attributable to increases in salaries and wages
+Added: expense of $265,346, professional fees of $153,624, rent expense of $33,386, payroll taxes of $20,010, and board fee expense of $15,000,
+Added: offset by a decrease in management fees of $180,000.
Total other income (expense) .
−Removed: had $27,898 in total other income, net, for the three months ended June 30, 2024, as compared to total other expense, net, of $889,551
−Removed: for the three months ended June 30, 2023.
−Removed: Other income, net, for the three months ended June 30, 2024 consisted of gain on debt refinance
−Removed: and forgiveness of $78,834 and other income of $2,047, offset by interest expense of $41,347, amortization of debt discounts of $11,306
−Removed: and penalties and fees of $330.
−Removed: Other expense, net, for the three months ended June 30, 2023 consisted of interest expense of $843,918,
−Removed: amortization of debt discounts of $30,633 and financing penalties and fees of $15,000.
−Removed: The interest income for the three months ended
−Removed: June 30, 2024 was mainly a result of the write-off of accrued interest as part of the settlement agreement described below.
+Added: had $1,392,808 in total other expense, net, for the three months ended September 30, 2024, as compared to total other expense, net, of
+Added: $288,168 for the three months ended September 30, 2023.
+Added: Other expense, net, for the three months ended September 30, 2024 consisted of
+Added: interest expense of $1,386,041 and other expense of $6,767.
+Added: Other expense, net, for the three months ended September 30, 2023 consisted
+Added: of interest expense of $226,119, amortization of debt discounts of $46,048, financing penalties and fees of $16,000 and other expense
Discontinued operations .
−Removed: three months ended June 30, 2024 and 2023, we recorded a loss from discontinued operations of $0 and $43,810, respectively.
+Added: three months ended September 30, 2024 and 2023, we recorded a loss from discontinued operations of $0 and $3,705, respectively.
Net income (loss) .
As a result of
−Removed: the cumulative effect of the factors described above, our net loss was $174,447 for the three months ended June 30, 2024, as compared
−Removed: to net income of $816,078 for the three months ended June 30, 2023, a decrease of $990,525.
−Removed: Comparison of Six Months Ended June 30,
+Added: the cumulative effect of the factors described above, our net loss was $1,977,968 for the three months ended September 30, 2024, as compared
+Added: to net income of $1,981,521 for the three months ended September 30, 2023, a decrease of $3,959,489.
+Added: Comparison of Nine Months Ended September
30, 2024 and 2023
The following table sets forth key components
−Removed: of our results of operations during the six months ended June 30, 2024 and 2023, both in dollars and as a percentage of our revenue.
−Removed: Six Months Ended June 30,
+Added: of our results of operations during the nine months ended September 30, 2024 and 2023, both in dollars and as a percentage of our revenue.
+Added: Nine Months Ended September 30,
+Added: 2023 (Restated)
Total revenue
5 unchanged sentences
Total operating expenses
−Removed: Income from continuing operations
+Added: (Loss) income from continuing operations
Other income (expense)
+Added: Other (expense) income
Gain on debt refinance and forgiveness
6 unchanged sentences
Net (loss) income
+Added: $ (2,392,657 )
Our total revenue decreased
−Removed: by $1,077,975, or 17.76%, to $4,992,930 for the six months ended June 30, 2024 from $6,070,905 for the six months ended June 30, 2023.
−Removed: The decrease in revenue is primarily attributable to the mix of services provided during the first half of the year with less higher revenue
−Removed: surgical procedures performed and an increase in the lower revenue pain management treatments being performed for approximately the same
−Removed: number of patient visits in the current six month period as compared to the same six month period in the prior year.
+Added: by $4,327,348, or 45.66%, to $5,149,416 for the nine months ended September 30, 2024 from $9,476,764 for the nine months ended September
+Added: The decrease in revenue is mainly attributable to the following factors:
+Added: · The 2024 third quarter revenue was negatively impacted by the hurricanes that occurred in Florida during
+Added: this timeframe.
+Added: The harsh weather caused several of our facilities to shut down for periods of time due to storm damage as well as patients
+Added: not being able to attend their appointments.
+Added: All of our facilities have reopened.
+Added: · Our mix of services provided during the first nine months of the year with lower settlement realization
+Added: rates from surgical procedures performed and an increase in the lower revenue pain management treatments being performed for approximately
+Added: the same number of patient visits in the current nine-month period as compared to the same nine-month period in the prior year, also contributed
+Added: to the decrease in revenue.
+Added: · Prior to fiscal year 2024, we historically realized a 49% settlement rate from total gross billed charges.
+Added: Accordingly, we had historically recognized net healthcare service revenue as 49% of gross billed amounts.
+Added: During the nine months ended
+Added: September 30, 2024, we underwent efforts to accelerate cash settlement of our accounts receivable throughout 2024 to generate cash flow
+Added: for operations.
+Added: We did this by shortening our settlement negotiations timespan with attorneys’ insurance companies and accepting
+Added: lower settlement amounts.
+Added: We expect this trend to continue in the short term as we work to settle our accounts receivables more quickly
+Added: to generate cash flow for operations.
+Added: · Additionally, during the third quarter of 2024, we completed a thorough review of our third-party billing
+Added: data, including reviewing historical reports and new reporting methods as a part of our updated analysis.
+Added: Based upon this review it was
+Added: determined that a 24-month lookback period should be used in the analysis of our historical settlement realization rates.
+Added: of the new efforts to accelerate cash settlement during the nine months ended September 30, 2024, we realized a 44% average settlement
+Added: rate of our gross billed charges during this time frame, which were historically recorded in accounts receivable and revenue at 49% of
+Added: gross billings.
+Added: Accordingly, we recorded a reduction to net revenue of $1,199,155 for the nine months ended September 30, 2024.
+Added: Additionally,
+Added: with the reduction in our estimate of our settlement realization rate from 49% to 44%, a $1,650,474 change in accounting estimate was
+Added: taken during the third quarter of 2024 in our accounts receivable and revenue.
Cost of sales .
Our total cost of
−Removed: sales decreased by $296,820, or 14.56%, to $1,741,164 for the six months ended June 30, 2024 from $2,037,984 for the six months ended
−Removed: June 30, 2023.
−Removed: This decrease is mainly attributable to decreases in salaries and wages, surgical contracted services and laboratory fees.
+Added: sales increased by $152,358, or 5.88%, to $2,741,765 for the nine months ended September 30, 2024 from $2,589,407 for the nine months
+Added: ended September 30, 2023.
+Added: As a percentage of revenue, cost of sale increased from 27.32% for the nine months ended September 30, 2023
+Added: to 53.24% for the nine months ended September 30, 2024.
+Added: This increase is mainly attributable to an increase in laboratory fees.
Gross profit .
As a result of the
−Removed: foregoing, our total gross profit decreased by $781,155, or 19.37%, to $3,251,766 for the six months ended June 30, 2024 from $4,032,921
−Removed: for the six months ended June 30, 2023.
−Removed: Our total gross margin (as a percent of revenue) decreased from 66.43% for the six months ended
−Removed: June 30, 2023 to 65.13% for the six months ended June 30, 2024.
+Added: foregoing, our total gross profit decreased by $4,479,706, or 65.04%, to $2,407,651 for the nine months ended September 30, 2024 from
+Added: $6,887,357 for the nine months ended September 30, 2023.
+Added: Our total gross margin (as a percent of revenue) decreased from 72.68% for the
+Added: nine months ended September 30, 2023 to 46.76% for the nine months ended September 30, 2024.
Depreciation expense .
Our depreciation
−Removed: expense was $6,731, or 0.13% of revenue, for the six months ended June 30, 2024, as compared to $8,000, or 0.13% of revenue, for the six
−Removed: months ended June 30, 2023.
+Added: expense was $10,096 or 0.20% of revenue, for the nine months ended September 30, 2024, as compared to $11,365, or 0.12% of revenue, for
+Added: the nine months ended September 30, 2023.
Share based compensation expense .
−Removed: Our share-based compensation expense $300,225, or 6.01% of revenue, for the six months ended June 30, 2024, as compared to $0 for the
−Removed: six months ended June 30, 2023.
−Removed: The increase is due to stock issuances for investor relation services, stock issued to board members and
−Removed: stock issued as compensation for new employment bonuses to management.
+Added: Our share-based compensation expense $300,225, or 5.83% of revenue, for the nine months ended September 30, 2024, as compared to $0 for
+Added: the nine months ended September 30, 2023.
+Added: The increase is due to stock issuances for investor relation services, stock issued to board
+Added: members and stock issued as compensation for new employment bonuses to management.
Selling, general and administrative expenses .
−Removed: Our selling, general and administrative expenses increased by $1,410,230, or 92.90%, to $2,928,163 for the six months ended June 30, 2024
−Removed: from $1,517,933 for the six months ended June 30, 2023.
−Removed: As a percentage of revenue, our selling, general and administrative expenses were
−Removed: 58.65% and 25.00% for the six months ended June 30, 2024 and 2023, respectively.
−Removed: Increases were primarily attributable to increases in
−Removed: bad debt expense of $1,242,017, salaries and wages expense of $504,350 and stock compensation expense of $93,600, offset by decreases
−Removed: in professional fees of $21,826 and management fees of $45,000.
−Removed: As a result of our efforts to accelerate cash collections throughout 2024,
−Removed: we have experienced lower than normal settlements of our accounts receivable resulting in the increase in bad debt expense in the three
−Removed: months ended June 30, 2024.
−Removed: This may continue as we continue to pay down the liability associated with the third-party factoring of accounts
−Removed: receivable from previous years.
+Added: Our selling, general and administrative expenses increased by $527,370, or 25.17%, to $2,622,981 for the nine months ended September 30,
+Added: 2024 from $2,095,611 for the nine months ended September 30, 2023.
+Added: As a percentage of revenue, our selling, general and administrative
+Added: expenses were 50.94% and 22.11% for the nine months ended September 30, 2024 and 2023, respectively.
+Added: Increases were primarily attributable
+Added: to increases in salaries and wages expense of $769,696, stock compensation expense of $93,600, professional fees of $60,367, investor
+Added: relations and public company fees of $71,431, insurance expense of $71,635 and rent expense of $100,000, offset by decreases in management
+Added: fees of $225,000, bad debt expense of $270,000, and penalties of $44,670.
Total other expense .
We had $1,755,694
−Removed: in total other expense, net, for the six months ended June 30, 2024, as compared to total other expense, net, of $1,617,601 for the six
−Removed: months ended June 30, 2023.
−Removed: Other expense, net, for the six months ended June 30, 2024 consisted of interest expense of $417,616, amortization
−Removed: of debt discounts of $24,821 and penalties and fees of $1,330, offset by other income of $78,834 for the gain on debt refinance and forgiveness
−Removed: and other income of $2,047.
−Removed: Other expense, net, for the six months ended June 30, 2023 consisted of interest expense of $1,537,579, amortization
−Removed: of debt discounts of $48,616 and financing penalties and fees of $32,000, offset by a gain on debt refinance and forgiveness of $390 and
−Removed: other income of $204.
−Removed: The decrease is primarily attributable to the decrease in interest expense due to the settlement agreement described
+Added: in total other expense, net, for the nine months ended September 30, 2024, as compared to total other expense, net, of $1,905,768 for
+Added: the nine months ended September 30, 2023.
+Added: Other expense, net, for the nine months ended September 30, 2024 consisted of interest expense
+Added: of $1,803,657, amortization of debt discounts of $24,821, penalties and fees of $1,330, and other expenses of $4,720, offset by other
+Added: income of $78,834 for the gain on debt refinance.
+Added: Other expense, net, for the nine months ended September 30, 2023 consisted of interest
+Added: expense of $1,763,698, amortization of debt discounts of $94,664 and financing penalties and fees of $48,000, offset by a gain on debt
+Added: refinance and forgiveness of $390 and other income of $204.
Discontinued operations .
−Removed: six months ended June 30, 2024 and 2023, we recorded a loss from discontinued operations of $111,312 and $89,300, respectively.
+Added: nine months ended September 30, 2024 and 2023, we recorded a loss from discontinued operations of $111,312 and $93,005, respectively.
Net income (loss) .
As a result of
−Removed: the cumulative effect of the factors described above, our net loss for the six months ended June 30, 2024 was $457,551, as compared to
−Removed: net income of $800,087 for the six months ended June 30, 2023, a decrease of $1,257,638.
+Added: the cumulative effect of the factors described above, our net loss for the nine months ended September 30, 2024 was $2,392,657, as compared
+Added: to net income of $2,781,608 for the nine months ended September 30, 2023, a decrease of $5,174,265.
Liquidity and Capital Resources
−Removed: As of June 30, 2024, we had $3,196,795 in cash.
−Removed: To date, we have financed our operations primarily through revenue generated from operations, sales of securities, advances from stockholders
−Removed: and third-party and related party debt.
+Added: As of September 30, 2024, we had $1,949,000 in
+Added: To date, we have financed our operations primarily through revenue generated from operations, sales of securities, advances from
+Added: stockholders and third-party and related party debt.
We believe, based on our operating plan, that
24 unchanged sentences
The following table provides detailed information
−Removed: about our net cash flow for the six months ended June 30, 2024 and 2023.
−Removed: Six Months Ended June 30,
+Added: about our net cash flow for the nine months ended September 30, 2024 and 2023.
+Added: Nine Months Ended September 30,
Net cash used in operating activities from continuing operations
5 unchanged sentences
Our net cash used in operating activities from
−Removed: continuing operations was $1,980,727 for the six months ended June 30, 2024, as compared to $260,466 for the six months ended June 30,
−Removed: The primary drivers of our net cash used in operating activities for the six months ended June 30, 2024 are our net loss of $457,551,
−Removed: decreases of $2,755,040 in accounts receivable, $367,400 in accounts payable and other accrued expenses and $380,001 in accrued officer’s
−Removed: compensation, offset by $1,242,017 in bad debt expense and share based compensation of $788,600.
−Removed: For the six months ended June 30, 2023,
−Removed: our net income of $800,087, an increase in accounts payable and accrued expenses of $738,353, an increase in accrued officer’s compensation
+Added: continuing operations was $3,996,905 for the nine months ended September 30, 2024, as compared to $557,542 for the nine months ended September
+Added: The primary drivers of our net cash used in operating activities for the nine months ended September 30, 2024 are our net loss
+Added: of $2,392,657, decreases of $1,492,966 in accounts receivable, $691,072 in accounts payable and other accrued expenses and $380,001 in
+Added: accrued officer’s compensation, offset by share based compensation of $788,600.
+Added: For the nine months ended September 30, 2023, our
+Added: net income of $2,781,608, an increase in accounts payable and accrued expenses of $733,125, an increase in accrued officer’s compensation
of $514,000, bad debt expense of $270,000 and an increase in accrued interest of $380,020, offset by a decrease in accounts receivable
of $5,510,098, were the primary drivers for the cash used in operations.
+Added: We monitor outstanding cases as they develop through
+Added: ongoing discussions with attorneys, doctors and our third-party medical billing company and additionally monitor our settlement realization
+Added: rates over time.
+Added: We have two primary methods of accelerating our cash settlement of our revenue and related accounts receivable.
+Added: is through factoring our receivables, which was done in 2023, but ended prior to April 2023.
+Added: The second method is through accepting lower
+Added: settlement amounts during the final negotiations of the settlement, which is coordinated through our third-party medical billing company.
+Added: When our third-party medical billing company is provided with a settlement amount of 49% of gross charges or greater they will accept.
+Added: When presented with a lower amount we will discuss the reasons for the reduced rate and negotiate a higher rate.
+Added: Shortening our negotiation
+Added: timeframe will typically result in a lower settlement realization rate, but will accelerate the cash settlement of the outstanding accounts
+Added: We began employing this second method in 2024, which reduced our settlement realization rate as described below.
+Added: We have employed
+Added: both methods from time to time to accelerate our cash settlement and may employ one or both in the future.
Prior to April 2023, we factored (sold) the vast
−Removed: majority of our accounts receivable to third party(s) to generate working capital to fund ongoing business operations and growth, which
−Removed: led to a significant increase in accounts receivable.
−Removed: We have a 99% collection rate based on net settlements recorded to our accounts
−Removed: receivable and revenue.
−Removed: Our accounts receivable balance each reporting period does not include accounts receivables that were factored
−Removed: Further, accounts receivable and revenue are recorded at what we anticipate will ultimately be collected, which historically is
−Removed: 99% of the net recognized upon billing to our patients of gross amounts for services.
−Removed: In the past, for those receivables that were factored,
−Removed: and we were advanced 46% of the accounts receivable balance and recorded 54% to finance charge.
−Removed: We last factored our accounts receivable
−Removed: in the first quarter of fiscal 2023.
−Removed: Collection rates are estimated considering our 48-month historical collections with primary emphasis
−Removed: to the most current prior 12-month trailing payment and collection percentage rates.
−Removed: As a result of our efforts to accelerate cash collections
−Removed: throughout 2024, in order to paydown the liability associated with the third-party factoring from previous years, we have experienced
−Removed: lower than normal collection rates on our accounts receivable.
−Removed: We acquired Nova in May 2021.
−Removed: Nova was founded in January 2019.
−Removed: As of December
−Removed: 31, 2023, we based our 48-month historical collections analysis on a look back period from December 31, 2023 to 48 months, part of which
−Removed: was a period of time we did not yet own Nova.
−Removed: We use the loss rate method to measure expected credit losses, and in addition we qualitatively
−Removed: evaluate on an ongoing basis various factors, which include market conditions in which we operate, and the status of claims being settled.
−Removed: We have established billing rates, which are not the same as actual amounts recovered.
−Removed: These rates generally do not reflect what is ultimately
−Removed: paid by the customer, insurance carriers, law firms and other payors, which is typically received eighteen to twenty-four months later,
−Removed: and are not reported in the consolidated financial statements at those established billing rates.
−Removed: Our customers, the patients, typically
−Removed: pay amounts based on established charges per procedure with guidance from the annually updated Current Procedural Terminology, or CPT,
−Removed: guidelines (a code set maintained by the American Medical Association through the CPT Editorial Panel), that designates relative value
−Removed: units and a suggested range of charges for each procedure which is then assigned a CPT code.
−Removed: This fee is discounted to reflect the percentage
−Removed: paid to us “using a modifier” recognized by each insurance carrier for services, less deductible, co-pay, and contractual
−Removed: adjustments which are deducted from the calculated fee.
−Removed: The net revenue is recorded at the time the services are rendered.
−Removed: of that revenue typically occurs eighteen to twenty-four months later and after the patient claim develops and settles.
−Removed: Historical collection
−Removed: rates are estimated using the most current prior 12-month historical payment and collection percentages.
−Removed: We may incur instances whereby
−Removed: patient claims are not settled.
−Removed: However, these instances are very rare.
−Removed: For example, if a patient dies during the claim’s development
−Removed: period and there is no estate to bequeath, the claim may not be settled.
−Removed: Settlements that are less than what was billed to the patient
−Removed: are covered in our 99% collectability rate.
−Removed: See also Note 1 to our consolidated financial statements.
−Removed: For the six months ended June 30, 2023, we factored
−Removed: a total of $544,196 of our accounts receivable in exchange for cash of $253,750.
−Removed: We ceased factoring of accounts receivable in the first
−Removed: quarter of 2023.
−Removed: The most recent average collection time for accounts receivable was approximately 470 days from the initial date of service.
−Removed: Typically, a patient will have a series of dates of service over an average of 12 to 16 months.
−Removed: We had no investing activities for the six months
−Removed: ended June 30, 2024 and 2023.
+Added: majority of our accounts receivable to third party(s) to generate working capital to fund ongoing business operations and growth.
+Added: the nine months ended September 30, 2023, we factored a total of $544,196 of our accounts receivable in exchange for cash of $253,750.
+Added: We ceased factoring of accounts receivable in the first quarter of 2023.
+Added: The most recent average realization time for accounts receivable
+Added: was approximately eighteen to twenty-four months from the initial date of service.
+Added: Typically, a patient will have a series of dates of
+Added: service over an average of 12 to 16 months.
+Added: Prior to fiscal year 2024, we historically realized
+Added: a 49% settlement rate from total gross billed charges.
+Added: Accordingly, we had historically recognized net healthcare service revenue as 49%
+Added: of gross billed amounts.
+Added: During the nine months ended September 30, 2024, we underwent efforts to accelerate cash settlement of our accounts
+Added: receivable throughout 2024 to generate cash flow for operations.
+Added: We did this by shortening our settlement negotiations with insurance
+Added: companies and accepting lower settlement amounts.
+Added: We expect this trend to continue in the short term as we work to settle our accounts
+Added: receivables more quickly to generate cash flow for operations.
+Added: Additionally, during the third quarter of 2024, we completed a thorough
+Added: review of our third-party billing data, including reviewing historical reports and new reporting methods as a part of our updated analysis.
+Added: Based upon this review it was determined that a 24-month lookback period should be used in the analysis of our historical settlement realization
+Added: As a result of the new efforts to accelerate cash settlement during the nine months ended September 30, 2024, we realized a 44%
+Added: average settlement rate of our gross billed charges during this time frame, which were historically recorded in accounts receivable and
+Added: revenue at 49% of gross billings.
+Added: Accordingly, we recorded reductions to net revenue of $1,199,155 for the nine months ended September
+Added: Additionally, with the reduction in our estimate of our settlement realization rate from 49% to 44%, a $1,650,474 change in
+Added: accounting estimate was taken during the third quarter of 2024 in our accounts receivable and revenue.
+Added: We had no investing activities for the
+Added: nine months ended September 30, 2024 and 2023.
Our net cash provided by financing activities
−Removed: was $4,199,267 for the six months ended June 30, 2024, as compared to $360,470 for the six months ended June 30, 2023.
−Removed: Net cash provided
−Removed: by financing activities for the six months ended June 30, 2024 consisted of the proceeds of $4,522,695 from line of credit, offset by
−Removed: the payment of $120,997 to a director, $100,079 paid on convertible notes payable, $100,000 in dividend payments and $2,352 in payments
−Removed: on the SBA loan described below.
−Removed: Net cash provided by financing activities for the six months ended June 30, 2023 consisted of proceeds
−Removed: from convertible notes payable of $355,500 and proceeds from line of credit of $35,131, offset by repayments of line of credit of $30,161.
+Added: was $4,968,250 for the nine months ended September 30, 2024, as compared to $426,671 for the nine months ended September 30, 2023.
+Added: cash provided by financing activities for the nine months ended September 30, 2024 consisted of the proceeds of $5,348,871 from line of
+Added: credit, offset by the payment of $120,997 to a director, $105,080 paid on convertible notes payable, $100,000 in dividend payments, $50,000
+Added: paid on a note payable, and $4,545 in payments on the SBA loan described below.
+Added: Net cash provided by financing activities for the nine
+Added: months ended September 30, 2023 consisted of proceeds from convertible notes payable of $421,376 and proceeds from line of credit of $35,632,
+Added: offset by repayments of line of credit of $28,784.
Convertible Notes
−Removed: As of June 30, 2024, we had convertible debt outstanding
−Removed: net of amortized debt discount of $110,000.
−Removed: During the six months ended June 30, 2024, we made $100,080 in principal payments and paid
−Removed: the total outstanding accrued interest on these notes in the amount of $22,279.
−Removed: We also paid $100,000 of accrued interest to a convertible
+Added: As of September 30, 2024, we had convertible debt
+Added: outstanding net of amortized debt discount of $105,000.
+Added: During the nine months ended September 30, 2024, we made $105,080 in principal
+Added: payments and paid the total outstanding accrued interest on these notes in the amount of $22,780.
+Added: We also paid $100,000 of accrued interest
+Added: to a convertible noteholder.
On June 11, 2024, we entered into a settlement
2 unchanged sentences
agreed to cancel such notes in exchange for the fixed amount settlement promissory note in the principal amount of $535,000 described
−Removed: Additionally, during the six months ended June 30, 2024, we exchanged certain notes for the issuance of 938,908 shares of series
−Removed: Y senior convertible preferred stock to the noteholder.
+Added: Additionally, during the nine months ended September 30, 2024, we exchanged certain notes for the issuance of 938,908 shares of
+Added: series Y senior convertible preferred stock to the noteholder.
On January 24, 2017, we issued a convertible
8 unchanged sentences
at a rate of 15% per annum.
−Removed: On August 25, 2023, we issued a twelve-month convertible
−Removed: promissory note in the principal amount of $5,000 to our chief executive officer for our operating expenses.
−Removed: The rate of interest is 10%
Promissory Note – Settlement Agreement
4 unchanged sentences
This transaction was accounted for as a debt extinguishment and a gain on settlement of $78,834 was recorded to the unaudited consolidated
−Removed: statement of operations for the quarter ended June 30, 2024, in accordance with FASB Topic 470 Borrower’s Accounting for Debt
−Removed: Modifications.
+Added: statement of operations for the nine months ended September 30, 2024, in accordance with FASB Topic 470 Borrower’s Accounting
+Added: for Debt Modifications.
The note does not bear interest and requires fixed
7 unchanged sentences
then we must repay the entire principal amount on the closing date of the Offering.
−Removed: If the Offering is not completed by August 15, 2024,
−Removed: then we are required to pay $25,000 on such date and to continue making payments of $25,000 on each monthly anniversary thereof until
−Removed: the entire principal amount is repaid in full.
−Removed: If the Offering is completed after August 15, 2024, then we are required to make payments
−Removed: as described in the schedule above.
−Removed: Notwithstanding the foregoing, if we abandon the Offering and conduct a new public offering thereafter,
−Removed: then we are required to make a payment of $100,000 on the closing date of such other public offering, a second payment of $100,000 on
−Removed: the 90 th day following the closing of such offering and $35,000 each month thereafter until the entire principal amount
−Removed: is repaid in full.
−Removed: If any portion of the principal amount remains unpaid on the second (2 nd ) anniversary of the date of the
−Removed: note, it shall become immediately due and payable on such date.
+Added: As the Offering was not completed by August 15, 2024,
+Added: we are required to pay $25,000 on such date and to continue making payments of $25,000 on each monthly anniversary thereof until the entire
+Added: principal amount is repaid in full.
+Added: If the Offering is completed after August 15, 2024, then we are required to make payments as described
+Added: in the schedule above.
+Added: Notwithstanding the foregoing, if we abandon the Offering and conduct a new public offering thereafter, then we
+Added: are required to make a payment of $100,000 on the closing date of such other public offering, a second payment of $100,000 on the 90 th day
+Added: following the closing of such offering and $35,000 each month thereafter until the entire principal amount is repaid in full.
+Added: If any portion
+Added: of the principal amount remains unpaid on the second (2 nd ) anniversary of the date of the note, it shall become immediately
+Added: due and payable on such date.
We may prepay the entire principal amount at any time without penalty.
−Removed: The note is unsecured and contains customary events of default for a loan of this type.
−Removed: Upon an event of default, interest would automatically
−Removed: begin to accrue at a simple interest rate of ten percent per annum.
+Added: The note is unsecured and contains
+Added: customary events of default for a loan of this type.
+Added: Upon an event of default, interest would automatically begin to accrue at a simple
+Added: interest rate of ten percent per annum.
+Added: During the three and nine months ended September 30, 2024, we paid a total of $50,000 against
+Added: the outstanding principal due.
Small Business Administration Loans
2 unchanged sentences
The principal balance and accrued
−Removed: interest at June 30, 2024 was $147,301 and $0, respectively.
+Added: interest at September 30, 2024 was $145,109 and $0, respectively.
On March 12, 2009, we issued a debenture in the
2 unchanged sentences
The balance of the debenture
−Removed: was $10,989 at June 30, 2024 and the accrued interest was $8,205.
−Removed: We assigned all of our receivables from consumer activations of the
−Removed: rewards program as collateral on this debenture.
+Added: was $10,989 at September 30, 2024 and the accrued interest was $8,537.
+Added: We assigned all of our receivables from consumer activations of
+Added: the rewards program as collateral on this debenture.
Line of Credit
11 unchanged sentences
2 with DML which further increased the maximum advance amount to $11,000,000.
−Removed: As of June 30, 2024, we had an outstanding balance of
−Removed: $6,675,746 against the revolving receivable line of credit.
−Removed: The revolving purchase and security agreement includes discounts recorded
−Removed: as interest expense on each funding and matures on September 29, 2025.
+Added: As of September 30, 2024, we had an outstanding balance
+Added: of $7,468,971 against the revolving receivable line of credit and accrued interest of $252,628.
+Added: The revolving purchase and security agreement
+Added: includes discounts recorded as interest expense on each funding and matures on September 29, 2025.
Related Party Loans
3 unchanged sentences
do not bear interest.
−Removed: The balance of these amounts is $4,979 as of June 30, 2024.
+Added: The balance of these amounts is $4,979 as of September 30, 2024.
Contractual Obligations
22 unchanged sentences
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.