2 unchanged sentences
If any of the following risks actually occurs, our business, prospects, financial condition, and results of operations could be adversely affected.
−Removed: In that case, the trading price of our common stock would likely decline, and you may lose all or a part of your investment.
+Added: In that case, the trading price of our common stock would decline, and you may lose all or a part of your investment.
Please read all our filings with the SEC and review information on our web site at mitescoinc.com.
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Risks Related to our Financial Condition
−Removed: We are in the early stages of our present business plan and have a limited or no historical performance for you to base an investment decision upon, and we may never become profitable.
+Added: We are in the initial stages of our present business plan and have a limited historical performance for you to base an investment decision upon, and we may never become profitable.
We have only a limited history and a new business plan upon which an evaluation of our prospects and future performance can be made.
Our planned operations are subject to all business risks associated with new companies.
−Removed: The likelihood of our success must be considered in light of the problems, expenses, difficulties, complications, and delays frequently encountered in connection with the establishment of a new business, operation in a competitive industry.
+Added: The likelihood of our success must be considered considering the problems, expenses, difficulties, complications, and delays frequently encountered in connection with the establishment of a new business, operation in a competitive industry.
There is a possibility that we could sustain losses in the future.
There can be no assurances that we will ever operate profitably.
−Removed: There is substantial doubt about our ability to continue as a going concern as a result of our limited operating history, history of losses and financial resources, and if we are unable to generate significant revenue or secure financing, we may be required to cease or curtail our operations.
−Removed: We have a long history of losses and incurred net losses of $2.9 million and $3.9 million for the years ended December 31, 2020 and 2019, respectively.
+Added: There is substantial doubt about our ability to continue as a going concern because of our limited operating history, history of losses and financial resources, and if we are unable to generate significant revenue or secure financing, we may be required to cease or curtail our operations.
+Added: We have a history of losses.
We have nominal revenues from our operations.
−Removed: The Report of our Independent Registered Public Accounting Firm issued in connection with our audited financial statements for the calendar year ended December 31, 2020 expressed substantial doubt about our ability to continue as a going concern, due to the fact that we have recurring operating losses and our lack of liquidity and working capital.
+Added: The Report of our Independent Registered Public Accounting Firm issued in connection with our audited financial statements for the calendar year ended December 31, 2021, expressed substantial doubt about our ability to continue as a going concern, since we have had recurring operating losses and our lack of liquidity and working capital.
The Company’s continuance is dependent on raising capital and generating revenues sufficient to sustain operations.
−Removed: We have not generated revenues from our present business plan.
+Added: We have generated only minimal revenues from our present business plan.
If we generate revenue more slowly than we anticipate, or if our operating expenses are higher than we expect, we may not be able to pay our operating expenses or achieve profitability and our financial condition could suffer.
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Such additional funding may not be available on commercially reasonable terms, or at all.
−Removed: We may incur additional debt in the future which may contain restrictive covenants and impair our operating flexibility.
−Removed: Because we have no revenue and limited cash on hand, we must seek funds for our operational plans.
−Removed: If we incur additional indebtedness in the future, a portion of the cash flow we generate, if any, will be dedicated to the payment of principal and interest on outstanding indebtedness.
−Removed: Typical loan agreements also might contain restrictive covenants, which may impair our operating flexibility.
−Removed: Such loan agreements would also provide for default under certain circumstances, such as failure to meet certain financial covenants.
−Removed: A default under a loan agreement could result in the loan becoming immediately due and payable and, if unpaid, a judgment in favor of such lender which would be senior to the rights of our stockholders.
−Removed: A judgment creditor would have the right to foreclose on our limited assets resulting in a material adverse effect on our business, operating results and financial condition.
−Removed: We need additional capital to fund our operations and cannot assure you that we will be able to obtain sufficient capital on reasonable terms or at all, and we may be forced to limit the scope of our operations.
+Added: W e need additional capital to fund our operations and cannot assure you that we will be able to obtain sufficient capital on reasonable terms or at all, and we may be forced to limit the scope of our operations.
We need additional capital to implement and fund our operations.
−Removed: We estimate we will require approximate net proceeds of $650,000 to open one clinic and an additional up to $250,000 to operate the clinic for a period of one year.
+Added: We estimate we will require approximate net proceeds of $1,000,000 to open each clinic and up to an additional $250,000 to operate the clinic for a period of one year.
If we are not able to obtain adequate financing on reasonable terms or if it is not available at all, we will be unable to open and acquire medical clinics and we would have to modify our business plans accordingly.
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We cannot give you any assurance that any additional financing will be available to us, or if available, will be on terms favorable to us.
−Removed: We do not have cash flow to support our future operations and capital requirements.
−Removed: We have no cash flow from operations.
−Removed: Whether we can achieve cash flow to support our operations in the future cannot be accurately predicted.
−Removed: Unless such cash flow levels are achieved, we may need to borrow additional funds or sell debt or equity securities, or some combination thereof, to provide funding for our operations.
−Removed: Such additional funding may not be available on commercially reasonable terms, or at all.
−Removed: If adequate funds are not available when needed, our financial condition and operating results would be materially and adversely affected and we may not be able to operate our business without significant changes in our operations, or at all.
−Removed: The issuance of additional shares of our common stock, convertible notes, convertible Preferred Stock and other convertible securities may dilute the percentage ownership of the then-existing stockholders and may make it more difficult to raise additional equity capital.
−Removed: As of March 22, 2021, there are outstanding options and warrants to purchase 14,312,879 and 0 shares of common stock, respectively.
−Removed: In addition, we have outstanding notes that convert into 54,127 shares of common stock, and dividends on the Preferred X stock is convertible into an additional 32,477 shares of common stock.
+Added: We may incur additional debt in the future which may contain restrictive covenants and impair our operating flexibility.
+Added: Because we currently have no significant revenue and limited cash on hand, we must seek funds for our operational plans.
+Added: If we incur additional indebtedness in the future, a portion of the cash flow we generate, if any, will be dedicated to the payment of principal and interest on outstanding indebtedness.
+Added: Typical loan agreements also might contain restrictive covenants, which may impair our operating flexibility.
+Added: Such loan agreements would also provide for default under certain circumstances, such as failure to meet certain financial covenants.
+Added: A default under a loan agreement could result in the loan becoming immediately due and payable and, if unpaid, a judgment in favor of such lender which would be senior to the rights of our stockholders.
+Added: A judgment creditor would have the right to foreclose on our limited assets resulting in a material adverse effect on our business, operating results, and financial condition.
+Added: We have identified weaknesses in our internal controls, and we cannot provide assurances that these weaknesses will be effectively remediated or that additional material weaknesses will not occur in the future.
+Added: As a public company, we are subject to the reporting requirements of the Exchange Act, and the Sarbanes-Oxley Act.
+Added: We expect that the requirements of these rules and regulations will continue to increase our legal, accounting, and financial compliance costs, make some activities more difficult, time consuming and costly, and place significant strain on our personnel, systems, and resources.
+Added: The Sarbanes-Oxley Act requires, among other things, that we maintain effective disclosure controls and procedures, and internal control over financial reporting.
+Added: We do not yet have effective disclosure controls and procedures, or internal controls over all aspects of our financial reporting.
+Added: We are continuing to develop and refine our disclosure controls and other procedures that are designed to ensure that information required to be disclosed by us in the reports that we will file with the SEC is recorded, processed, summarized, and reported within the time periods specified in SEC rules and forms.
+Added: Our management is responsible for establishing and maintaining adequate internal control over our financial reporting, as defined in Rule 13a-15(f) under the Exchange Act.
+Added: We have identified material weaknesses in our internal control over financial reporting.
+Added: A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our financial statements will not be prevented or detected on a timely basis.
+Added: The material weaknesses identified to date include (i) lack of segregation of duties and (ii) lack of sufficient resources to ensure that information required to be disclosed by us in the reports that we file or submit to the SEC are recorded, processed, summarized, and reported, within the time periods specified in the SEC’s rules and forms.
+Added: We will be required to expend time and resources to further improve our internal controls over financial reporting, including by expanding our staff.
+Added: However, we cannot assure you that our internal control over financial reporting, as modified, will enable us to identify or avoid material weaknesses in the future.
+Added: We have not yet retained sufficient staff or engaged sufficient outside consultants with appropriate experience in GAAP presentation, especially of complex instruments, to devise and implement effective disclosure controls and procedures, or internal controls.
+Added: We will be required to expend time and resources hiring and engaging additional staff and outside consultants with the appropriate experience to remedy these weaknesses.
+Added: We cannot assure you that management will be successful in locating and retaining appropriate candidates;
+Added: that newly engaged staff or outside consultants will be successful in remedying material weaknesses thus far identified or identifying material weaknesses in the future;
+Added: or that appropriate candidates will be located and retained prior to these deficiencies resulting in material and adverse effects on our business.
+Added: Our ability to retain staff with appropriate experience in GAAP presentation will also be dependent upon the revenue we generate from operations and our ability to raise sufficient funding.
+Added: Our current controls and any new controls that we develop may become inadequate because of changes in conditions in our business.
+Added: Further, weaknesses in our disclosure controls or our internal control over financial reporting may be discovered in the future.
+Added: Any failure to develop or maintain effective controls, or any difficulties encountered in their implementation or improvement, could harm our operating results, or cause us to fail to meet our reporting obligations and may result in a restatement of our financial statements for prior periods.
+Added: Any failure to implement and maintain effective internal control over financial reporting could also adversely affect the results of management reports and independent registered public accounting firm audits of our internal control over financial reporting that we will eventually be required to include in our periodic reports that will be filed with the SEC.
+Added: Ineffective disclosure controls and procedures, and internal control over financial reporting could also cause investors to lose confidence in our reported financial and other information, which would likely have a negative effect on the market price of our Common Stock.
+Added: Our independent registered public accounting firm is not required to audit the effectiveness of our internal control over financial reporting until after we are no longer a “smaller reporting company” as defined in the Jumpstart Our Business Startups (JOBS) Act of 2012.
+Added: At such time, our independent registered public accounting firm may issue a report that is adverse in the event it is not satisfied with the level at which our internal control over financial reporting is documented, designed, or operating.
+Added: Any failure to maintain effective disclosure controls and internal control over financial reporting could have a material and adverse effect on our business and operating results and cause a decline in the market price of our Common Stock.
+Added: The issuance of additional shares of our Common Stock, convertible Preferred Stock and other convertible securities may dilute the percentage ownership of the then-existing stockholders and may make it more difficult to raise additional equity capital.
+Added: As of December 31, 2021, there are outstanding options and warrants to purchase 18,996,211 and 22,207,500 shares of Common Stock, respectively.
+Added: In addition, we have dividends on the Preferred X stock convertible into an additional 275,570 shares of Common Stock and our Series C and D Preferred Stock which is convertible into 21,420,000 shares of Common Stock.
The exercise of such options and warrants and conversion of convertible securities would dilute the then-existing stockholders’ percentage ownership of our stock, and any sales in the public market of Common Stock underlying such securities could adversely affect prevailing market prices for the Common Stock.
−Removed: Moreover, the terms upon which we would be able to obtain additional equity capital could be adversely affected because the holders of our options and warrants can be expected to exercise them at a time when we would, in all likelihood, be able to obtain any needed capital on terms more favorable to us than those provided by such securities.
+Added: Moreover, the terms upon which we would be able to obtain additional equity capital could be adversely affected because the holders of our options and warrants can be expected to exercise them at a time when we would, be able to obtain any needed capital on terms more favorable to us than those provided by such securities.
+Added: Our operating results and liquidity needs could be negatively affected by market fluctuations and economic downturn.
+Added: Our operating results and liquidity could be negatively affected by economic conditions, both in the United States and elsewhere around the world.
+Added: The market for clinics and services we provide may be particularly vulnerable to unfavorable economic conditions.
+Added: Some customers may consider certain of our services to be discretionary, and if full reimbursement for such services is not available, demand for these services may be tied to the discretionary spending levels of our targeted patient populations.
+Added: Domestic and international equity and debt markets have experienced and may continue to experience heightened volatility and turmoil based on domestic and international economic conditions and concerns.
+Added: In the event these economic conditions and concerns continue or worsen, and the markets continue to remain volatile, our operating results and liquidity could be adversely affected by those factors in many ways, including weakening demand for certain of our services and making it more difficult for us to raise funds if necessary, and our stock price may decline.
Risks Related to our Business
−Removed: Our business is difficult to evaluate because we are currently focused on a new business model and have very limited operating history and limited information.
+Added: Our business is difficult to evaluate because we are currently focused on a new business model and have extremely limited operating history and limited information.
We recently engaged in a new business model for our clinics in the United States.
−Removed: We have opened our first clinic in March 2020 in Minneapolis and if successful, we intend to expand and open new clinics.
−Removed: There is a risk that we will be unable to successfully generate revenue from this new business model and that we will be unable to enter into additional clinics or that any additional clinics that we enter into will be on favorable terms.
+Added: We opened our first primary care clinic “The Good Clinic” in Northeast Minneapolis, Minnesota in February 2021, and have added five additional operating clinics as of the date of this filing for a total of six clinics open and operating at December 31, 2021.
+Added: We announced leases for two new clinics in the greater Denver, Colorado area.
+Added: We are targeting to open 50 new clinics in the next three years, in addition to any existing clinics we may acquire.
+Added: There is a risk that we will be unable to successfully generate significant revenue from this new business model and that we will be unable to enter into additional clinics or that any additional clinics that we enter will be on favorable terms.
We are subject to many risks associated with this new business model.
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We are subject to the risks inherent to the operation of a new business enterprise and cannot assure you that we will be able to successfully address these risks.
+Added: Our business expansion is dependent upon us finding suitable locations for additional clinics.
+Added: We plan to establish five to seven clinics in the Minneapolis /St.
+Added: Paul Metropolitan area of Minnesota and then continue expansion in the Denver, Colorado area, subject to receipt of adequate funding.
+Added: We target to open clinics in residential concentrations of population to enhance the convenience.
+Added: There can be no assurance that we will be successful in finding suitable locations at affordable prices.
+Added: Our estimate of our required funding is based upon certain estimates for our lease payments which if incorrect will require us to raise more funding than anticipated to fulfill our goals and objectives.
+Added: Failure to attract and retain sufficient numbers of qualified personnel could also impede our future plans.
+Added: We must attract and retain sufficient medical professional employees to operate and execute our service model and growth plan even though there is a limited number of qualified medical professionals We plan to establish five to seven clinics in the Minneapolis /St.
+Added: Paul Metropolitan area of Minnesota and then continue expansion in the Denver, Colorado area, subject to receipt of adequate funding.
+Added: Each clinic that we open will need to be staffed with enough Nurse Practitioners.
+Added: We will face competition for Nurse Practitioners from a range of companies and providers, including traditional healthcare providers and medical practices that offer similar services.
+Added: Our business is also dependent upon the various insurance companies agreeing to reimburse patients for our services .
+Added: Currently, we only have insurance companies that have approved us as a service provider and have agreed to reimburse patients for use of our services.
+Added: For us to attract patients, we will need to be approved as a service provider by multiple service providers as patients typically do not want to pay out of pocket for the services we provide.
+Added: Our failure to be approved by additional insurance companies as a service provider will result in a material adverse impact on our business.
+Added: The evolving nature of our business and rapid changes in the healthcare industry make it difficult to anticipate the nature and amount of medical reimbursements, third-party private payments, and participation in certain government programs and thus to reliably predict our operating results.
+Added: Our strategy may incur significant costs, which could adversely affect our financial condition.
+Added: Our plan to enter strategic transactions involves significant costs, including financial advisory, legal, and accounting fees, and may include additional costs for items such as fairness opinions and severance payments.
+Added: We currently do not have significant revenue to pay these costs which could adversely affect our overall financial condition.
+Added: If we fail to do so, performance of the business will be adversely impacted.
+Added: If we are unable to implement our plan of operations effectively, it will have a material adverse effect on our ability to generate revenue.
We may become involved in legal proceedings that could have a material adverse impact on our business, results of operations and financial condition.
By operating in the health care industry, we will face an inherent business risk of exposure to personal injury claims.
−Removed: We plan to obtain liability insurance in the future;
−Removed: however, we do not have liability insurance coverage to protect us from such claims.
−Removed: A successful personally liability claim, or series of claims brought against us, in excess of our insurance coverage, would negatively impact our financial condition.
+Added: Effective on April 19, 2021, we obtained malpractice insurance however, there can be no assurance that such insurance will protect us from such claims.
+Added: A successful personally liability claim, or series of claims brought against us, more than our insurance coverage, would negatively impact our financial condition.
From time to time and in the ordinary course of our business, we and certain of our subsidiaries may become involved in various legal proceedings and claims, including for example, employment disputes and litigation;
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On April 18, 2020, the Company’s former President and COO completed and submitted an application on behalf of the Company to Bank of America, NA (“Bank of America”) for a PPP loan, which was subsequently approved.
−Removed: On April 25, 2020 the Company entered into an unsecured Promissory Note (the “Note”) with Bank of America for a loan in the original principal amount of $460,000, and the Company received the full amount of the loan proceeds on May 4, 2020.
+Added: On April 25, 2020, the Company entered into an unsecured Promissory Note (the “Note”) with Bank of America for a loan in the original principal amount of approximately $460,000, and the Company received the full amount of the loan proceeds on May 4, 2020.
On July 21, 2020, Bank of America notified the Company in writing that it should not have received $440,000 of the loan proceeds disbursed under the Note.
The Company investigated the terms of the application and discovered its former President had erroneously represented it was refinancing an Economic Injury Disaster Loan when no such loan had been received.
−Removed: Bank of America has requested that the Company remit the funds received back to Bank of America.
−Removed: The Company is attempting to negotiate a payment plan with Bank of America plan.
+Added: Bank of America requested that the Company remit the funds received back to Bank of America.
+Added: The Company is currently working with Bank of America on a repayment plan.
If we are not successful in negotiating repayment terms, it could have a material adverse effect on our financial condition.
−Removed: During management's review of the Company’s recent PPP loan application after the loan had been disbursed to the Company, it was determined that the information provided by Ms.
−Removed: Smith, the Company’s former President and COO, was not accurate.
−Removed: After consulting with legal counsel, the Board of Directors voted to remove Ms.
−Removed: Smith from its Board of Directors, and all other capacities due to the misstatements she made in the loan application.
−Removed: Subsequent to that decision, effective July 1, 2020, Ms.
−Removed: Smith submitted a resignation from all positions with the Company, which was accepted by the Board and management.
−Removed: Smith subsequently retained counsel and has indicated her intent to file an administrative charge of discrimination in Colorado under certain provisions of the anti-discrimination laws of that state.
−Removed: On August 18, 2020, the Company received formal notice that a complaint has been filed with the Colorado Civil Rights Division by Ms.
−Removed: Smith naming the Company as the Respondent.
−Removed: The Company believes the claims are frivolous and intends to vigorously defend against the allegations.
−Removed: As of the date of this filing the Company has been advised that the Colorado Civil Rights Division has dismissed this matter effective March 1, 2021.
−Removed: Smith requested a “Right-to-Sue” letter, which she received, giving her a right to sue in District Court for 90 days from the date of the dismissed action.
All such legal proceedings are inherently unpredictable and, regardless of the merits of the claims, litigation may be expensive, time-consuming, and disruptive to our operations and distracting to management.
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In some cases, substantial non-economic remedies or punitive damages may be sought.
−Removed: Although we maintain liability insurance coverage, there can be no assurance that such coverage will cover any particular verdict, judgment or settlement that may be entered against us, that such coverage will prove to be adequate or that such coverage will continue to remain available on acceptable terms, if at all.
+Added: Although we maintain liability insurance coverage, there can be no assurance that such coverage will cover any verdict, judgment or settlement that may be entered against us, that such coverage will prove to be adequate or that such coverage will continue to remain available on acceptable terms, if at all.
If we incur liability that exceeds our insurance coverage or that is not within the scope of the coverage in legal proceedings brought against us, it could have a material adverse effect on our business, results of operations and financial condition.
2 unchanged sentences
We also expect to face competition for our planned medical clinics using Nurse Practitioners.
−Removed: We currently face competition in the telehealth industry from a range of companies, including specialized software and solution providers that offer similar solutions, often at substantially lower prices, and that are continuing to develop additional products and becoming more sophisticated and effective.
+Added: We currently face competition in the telehealth industry from a range of companies, including specialized software and solution providers that offer similar solutions, often at lower prices, and that are continuing to develop additional products and becoming more sophisticated and effective.
In addition, large, well-financed health systems have in some cases developed their own telehealth tools and may provide these solutions to their customers and patients at discounted prices.
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The market for healthcare solutions including walk-in clinics and services is intensely competitive.
−Removed: We compete in a highly fragmented primary care market with direct and indirect competitors that offer varying levels of impact to key stakeholders such as patients and employers.
+Added: We compete in a highly fragmented primary care market with direct and indirect competitors that offer varying levels of impact for key stakeholders such as patients and employers.
Our competitive success is contingent on our ability to simultaneously address the needs of key stakeholders efficiently and with superior outcomes at scale compared with competitors.
We compete with walk-in clinics, traditional healthcare providers and medical practices, technology platforms, care management and coordination, digital health, telehealth and telemedicine and health information exchange.
+Added: These competitors primarily include primary care providers who are employed by or affiliated with health networks.
+Added: Our indirect competitors also include episodic consumer-driven point solutions such as telemedicine as well as urgent care providers.
+Added: Urgent care providers in the local communities we will serve provide services like those we intend to offer, and our competitors (1) are more established than we are, (2) may offer a broader array of services or more desirable facilities to patients and providers than ours and (3) may have larger or more specialized medical staffs to admit and refer patients, among other things.
+Added: In the future, we expect to encounter increased competition from system-affiliated hospitals and healthcare companies, as well as health insurers and private equity companies seeking to acquire providers, in specific geographic markets.
+Added: We also face competition from specialty hospitals (some of which are physician-owned), primary care providers and outpatient centers for market share in high margin services and for quality providers and personnel.
+Added: Furthermore, some of the clinics and medical offices that compete with us may be supported by government agencies or not-for-profit organizations supported by endowments and charitable contributions and can finance capital expenditures and operations on a tax-exempt basis.
Competition in our market involves rapidly changing technologies, evolving regulatory requirements and industry expectations, frequent new product and service introductions and changes in customer and patient requirements.
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These industry participants may try to use their market power to negotiate price reductions for our products and services.
−Removed: In light of these factors, even if our solution is more effective than those of our competitors, current or potential clients may accept competitive solutions in lieu of purchasing our solution.
+Added: Considering these factors, even if our solution is more effective than those of our competitors, current or potential clients may accept competitive solutions in lieu of purchasing our solution.
If we are unable to successfully compete in the telehealth market, our business, financial condition, and results of operations could be materially adversely affected.
−Removed: Our business and future growth are highly dependent on completing our clinics and gaining patients in our target markets.
−Removed: However, the healthcare market is competitive, which could make it difficult for us to succeed.
−Removed: We will face competition in the healthcare industry for our solutions and services from a range of companies and providers, including traditional healthcare providers and medical practices that offer similar services.
−Removed: These competitors primarily include primary care providers who are employed by or affiliated with health networks.
−Removed: Our indirect competitors also include episodic consumer-driven point solutions such as telemedicine as well as urgent care providers.
−Removed: Generally, urgent care providers in the local communities we will serve provide services similar to those we intend to offer, and, our competitors (1) are more established than we are, (2) may offer a broader array of services or more desirable facilities to patients and providers than ours and (3) may have larger or more specialized medical staffs to admit and refer patients, among other things.
−Removed: In the future, we expect to encounter increased competition from system-affiliated hospitals and healthcare companies, as well as health insurers and private equity companies seeking to acquire providers, in specific geographic markets.
−Removed: We also face competition from specialty hospitals (some of which are physician-owned), primary care providers and outpatient centers for market share in high margin services and for quality providers and personnel.
−Removed: Furthermore, some of the clinics and medical offices that compete with us may be supported by government agencies or not-for-profit organizations supported by endowments and charitable contributions and can finance capital expenditures and operations on a tax-exempt basis.
Competitors may also be better positioned to contract with leading health network partners in our target markets.
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Our lack of registered trademarks and trade names could potentially harm our business.
−Removed: We have applied for trademark protection of “The Good Clinic” name but such protection is pending and not yet granted.
−Removed: Trademarks and trade names distinguish the various companies from each other.
−Removed: If our potential future customers are unable to distinguish our future clinics and telehealth services from those of other companies, we could lose sales and distributors to our competitors.
−Removed: We do not have any registered trademarks and trade names, so we only have common law rights with respect to infractions or infringements on our products.
−Removed: Many subtleties exist in product descriptions, offering and names that can easily confuse distributors and customers.
−Removed: This presents a risk of losing potential customers looking for our products and buying someone else’s because they cannot differentiate between them.
+Added: Our federal trademark registration for the mark THE GOOD CLINIC is on the Supplemental Register, not the Principal Register.
+Added: The Supplemental Register does not confer the same rights and benefits as the Principal Register.
+Added: Registration on the Supplemental Register is not useful for challenging third parties who may infringe our trademark rights, and we would need to rely on our common law rights to pursue enforcement.
+Added: The Supplemental Register also does not confer nationwide priority of rights.
+Added: As we expand our business, we may encounter third parties with common law rights in certain geographic markets with trademark rights that prevent us from using the mark THE GOOD CLINIC in those markets.
The success of our planned business depends on our ability to develop, market, and advertise our clinics and telehealth services.
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The telehealth market is immature and volatile, and if it does not develop, if it develops more slowly than we expect, if it encounters negative publicity or if our services are not competitive, the growth of our business will be harmed.
−Removed: We recently opened our first clinic in Minneapolis and plan to open additional clinics and there is no assurance we will successfully do this.
−Removed: The telehealth market is relatively new and unproven, and it is uncertain whether it will achieve and sustain high levels of demand, consumer acceptance and market adoption.
+Added: We opened our first primary care clinic “The Good Clinic” in Northeast Minneapolis, Minnesota in February 2021, and have added five additional operating clinics as of the date of this filing for a total of six clinics open and operating at December 31, 2021.
+Added: We announced leases for two new clinics in the greater Denver, Colorado area.
+Added: We are targeting to open 50 new clinics in the next three years, in addition to any existing clinics we may acquire.
+Added: We are new to this marketplace and there is no assurance we will be successful in our efforts.
+Added: The telehealth market is new and unproven, and it is uncertain whether it will achieve and sustain high levels of demand, consumer acceptance and market adoption.
Our success will depend to a substantial extent on the willingness of patients to use, and to increase the frequency and extent of their utilization of, our services, as well as on our ability to demonstrate the value of telehealth to employers, health plans, government agencies and other purchasers of healthcare for beneficiaries.
−Removed: Negative publicity concerning us, or the telehealth market as a whole could limit market acceptance of our services.
−Removed: If our patients do not perceive the benefits of our services, or if our services are not competitive, then our business may not develop at all and we may not generate revenue, or it may develop more slowly than we expect.
+Added: Negative publicity concerning us, or the telehealth market could limit market acceptance of our services.
+Added: If our patients do not perceive the benefits of our services, or if our services are not competitive, then our business may not develop at all and we may not generate significant revenue, or it may develop more slowly than we expect.
Similarly, individual and healthcare industry concerns or negative publicity regarding patient confidentiality and privacy in the context of telehealth could limit market acceptance of our healthcare services.
5 unchanged sentences
Further, there can be no assurance that technological advances by one or more of our competitors or future competitors will not result in our present or future software-based products and services becoming uncompetitive or obsolete.
−Removed: The business model’s success requires location of clinics that are convenient to consumers both physically and virtually.
−Removed: Performance of the business can be adversely affected by locating clinic in less than ideal locations relative to their convenience to consumers or due to unavailability of reliable internet services to support telehealth.
−Removed: The telehealth market is characterized by rapid technological change, changing consumer requirements, short product lifecycles and evolving industry standards.
−Removed: Our success will depend on our ability to enhance our solution with next-generation technologies and to develop or to acquire and market new services to access new consumer populations.
−Removed: There is no guarantee that we will possess the resources, either financial or personnel, for the research, design and development of new applications or services, or that we will be able to utilize these resources successfully and avoid technological or market obsolescence.
−Removed: Further, there can be no assurance that technological advances by one or more of our competitors or future competitors will not result in our present or future software-based products and services becoming uncompetitive or obsolete.
−Removed: Failure to attract and retain sufficient numbers of qualified personnel could also impede our future plans.
−Removed: If we are unable to implement our plan of operations effectively, it will have a material adverse effect on our ability to generate revenue.
−Removed: The evolving nature of our business and rapid changes in the healthcare industry make it difficult to anticipate the nature and amount of medical reimbursements, third-party private payments, and participation in certain government programs and thus to reliably predict our operating results.
−Removed: Our strategy may incur significant costs, which could adversely affect our financial condition.
−Removed: Our plan to enter into strategic transactions involves significant costs, including financial advisory, legal and accounting fees, and may include additional costs for items such as fairness opinions and severance payments.
−Removed: We do not have revenue to pay these costs which could adversely affect our overall financial condition.
−Removed: We must attract and retain sufficient medical professional employees to operate and execute our service model and growth plan even though there is a limited number of qualified medical professionals.
−Removed: If we fail to do so, performance of the business will be adversely impacted.
−Removed: If we are unable to implement our plan of operations effectively, it will have a material adverse effect on our ability to generate revenue.
−Removed: The evolving nature of our business and rapid changes in the healthcare industry make it difficult to anticipate the nature and amount of medical reimbursements, third-party private payments, and participation in certain government programs and thus to reliably predict our operating results.
−Removed: Our strategy may incur significant costs, which could adversely affect our financial condition.
−Removed: Our plan to enter into strategic transactions involves significant costs, including financial advisory, legal and accounting fees, and may include additional costs for items such as fairness opinions and severance payments.
−Removed: We do not have revenue to pay these costs which could adversely affect our overall financial condition.
If we do not manage our strategy effectively, our revenue, business and operating results may be harmed.
−Removed: We have not yet generated revenues from our present operations and may not do so for an indefinite period of time.
+Added: We have not yet generated significant revenues from our present operations and may not do so for an indefinite period of time.
Our strategy is to operate walk-in clinics, provide telemedicine and acquire complimentary business in the future.
+Added: Our future revenues and profitability depend upon our ability to successfully implement our growth strategy.
+Added: There can be no assurance given that we will be successful in executing our growth strategy, and even if we achieve our strategic plan, that we will realize, in full or in part, the anticipated benefits we expect our strategy will achieve.
+Added: The failure to realize those benefits could have a material adverse effect on or business, financial condition, and results of operations.
Acquisitions may require greater than anticipated investment of operational and financial resources.
−Removed: Acquisitions may also require the integration of different services, assimilation of new employees, diversion of management and IT resources, increases in administrative costs and other additional costs associated with any debt or equity financings undertaken in connection with such acquisitions.
+Added: Acquisitions and related growth may also require the integration of different services, assimilation of new employees, diversion of management and IT resources, increases in administrative costs and other additional costs associated with any debt or equity financings undertaken in connection with such acquisitions.
+Added: We may not be able to effectively manage this expansion in any one or more of these areas, and any failure to do so could significantly harm our business, financial condition, and results of operations.
We cannot assure you that any acquisition we undertake will be successful.
2 unchanged sentences
The failure to implement our plan of operations and manage any future growth effectively will materially and adversely affect our business.
−Removed: We have identified weaknesses in our internal controls, and we cannot provide assurances that these weaknesses will be effectively remediated or that additional material weaknesses will not occur in the future.
−Removed: As a public company, we are subject to the reporting requirements of the Exchange Act, and the Sarbanes-Oxley Act.
−Removed: We expect that the requirements of these rules and regulations will continue to increase our legal, accounting and financial compliance costs, make some activities more difficult, time consuming and costly, and place significant strain on our personnel, systems and resources.
−Removed: The Sarbanes-Oxley Act requires, among other things, that we maintain effective disclosure controls and procedures, and internal control over financial reporting.
−Removed: We do not yet have effective disclosure controls and procedures, or internal controls over all aspects of our financial reporting.
−Removed: We are continuing to develop and refine our disclosure controls and other procedures that are designed to ensure that information required to be disclosed by us in the reports that we will file with the SEC is recorded, processed, summarized and reported within the time periods specified in SEC rules and forms.
−Removed: Our management is responsible for establishing and maintaining adequate internal control over our financial reporting, as defined in Rule 13a-15(f) under the Exchange Act.
−Removed: We have identified material weaknesses in our internal control over financial reporting.
−Removed: A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our financial statements will not be prevented or detected on a timely basis.
−Removed: The material weaknesses identified to date include (i) lack of segregation of duties and (ii) lack of sufficient resources to ensure that information required to be disclosed by the Company in the reports that the Company files or submits to the SEC are recorded, processed, summarized, and reported, within the time periods specified in the SEC’s rules and forms, and (iii) lack of formal Control procedures related to the approval of related party transactions.
−Removed: As such, our internal controls over financial reporting were not designed or operating effectively.
−Removed: We will be required to expend time and resources to further improve our internal controls over financial reporting, including by expanding our staff.
−Removed: However, we cannot assure you that our internal control over financial reporting, as modified, will enable us to identify or avoid material weaknesses in the future.
−Removed: We have not yet retained sufficient staff or engaged sufficient outside consultants with appropriate experience in GAAP presentation, especially of complex instruments, to devise and implement effective disclosure controls and procedures, or internal controls.
−Removed: We will be required to expend time and resources hiring and engaging additional staff and outside consultants with the appropriate experience to remedy these weaknesses.
−Removed: We cannot assure you that management will be successful in locating and retaining appropriate candidates;
−Removed: that newly engaged staff or outside consultants will be successful in remedying material weaknesses thus far identified or identifying material weaknesses in the future;
−Removed: or that appropriate candidates will be located and retained prior to these deficiencies resulting in material and adverse effects on our business.
−Removed: Our current controls and any new controls that we develop may become inadequate because of changes in conditions in our business, including increased complexity resulting from our international expansion.
−Removed: Further, weaknesses in our disclosure controls or our internal control over financial reporting may be discovered in the future.
−Removed: Any failure to develop or maintain effective controls, or any difficulties encountered in their implementation or improvement, could harm our operating results or cause us to fail to meet our reporting obligations and may result in a restatement of our financial statements for prior periods.
−Removed: Any failure to implement and maintain effective internal control over financial reporting could also adversely affect the results of management reports and independent registered public accounting firm audits of our internal control over financial reporting that we will eventually be required to include in our periodic reports that will be filed with the SEC.
−Removed: Ineffective disclosure controls and procedures, and internal control over financial reporting could also cause investors to lose confidence in our reported financial and other information, which would likely have a negative effect on the market price of our common stock.
−Removed: Our independent registered public accounting firm is not required to audit the effectiveness of our internal control over financial reporting until after we are no longer an “emerging growth company” as defined in the JOBS Act.
−Removed: At such time, our independent registered public accounting firm may issue a report that is adverse in the event it is not satisfied with the level at which our internal control over financial reporting is documented, designed or operating.
−Removed: Any failure to maintain effective disclosure controls and internal control over financial reporting could have a material and adverse effect on our business and operating results, and cause a decline in the market price of our common stock.
+Added: Any damage to our reputation may materially and adversely affect our business, financial condition, and results of operations.
+Added: We believe that developing and maintaining our brand is critical and that our financial success is directly dependent on consumer perception of our brand.
+Added: Furthermore, the importance of our brand recognition may become even greater as competitors offer more services similar to ours.
+Added: We believe that our customers view our brand as one that is trusted, respected and effective.
+Added: Many factors, some of which are beyond our control, are important to maintaining our reputation and brand.
+Added: These factors include our ability to comply with ethical, social, medical, labor, and environmental standards.
+Added: Any actual or perceived failure in compliance with such standards could damage our reputation and brand.
+Added: The success of our brand may also suffer if our marketing strategy or services do not have the desired impact on our company’s image or its ability to attract consumers.
+Added: Further, our brand value could diminish significantly due to a number of factors, including consumer perception that we have acted in an irresponsible manner, adverse publicity about our clinics, our failure to maintain the integrity of our products, the failure of our services to deliver consistently positive customer experiences, or the services becoming unavailable to consumers.
Risks Related to Government Regulation
17 unchanged sentences
Since its enactment, there have been judicial and Congressional challenges to certain aspects of the ACA as well as recent efforts by the current administration to repeal or replace certain aspects of the ACA.
−Removed: For example, the Tax Cuts and Jobs Act of 2017 was enacted, which includes a provision repealing, effective January 1, 2019, the tax-based shared responsibility payment imposed by the ACA on certain individuals who fail to maintain qualifying health coverage for all or part of a year that is commonly referred to as the “individual mandate.” Since the enactment of the Tax Cuts and Jobs Act of 2017, there have been additional amendments to certain provisions of the ACA, and we expect the current administration and Congress will likely continue to seek to modify all, or certain provisions of, the ACA.
+Added: For example, the Tax Cuts and Jobs Act of 2017 was enacted, which includes a provision repealing, effective January 1, 2019, the tax-based shared responsibility payment imposed by the ACA on certain individuals who fail to maintain qualifying health coverage for all or part of a year that is commonly referred to as the “individual mandate.” Since the enactment of the Tax Cuts and Jobs Act of 2017, there have been additional amendments to certain provisions of the ACA, and we expect the current administration and Congress will continue to seek to modify all, or certain provisions of, the ACA.
It is uncertain the extent to which any such changes may impact our business or financial condition.
1 unchanged sentence
In December 2019, a federal appeals court held that the individual mandate portion of the ACA was unconstitutional and left open the question whether the remaining provisions of the ACA would be valid without the individual mandate.
−Removed: We continue to evaluate the effect that the ACA and its possible modification or repeal and replacement has on our business.
+Added: We continue to evaluate the effect that the ACA and its modification or repeal and replacement has on our business.
It is uncertain the extent to which any such changes may impact our business or financial condition.
7 unchanged sentences
In addition, certain provisions of the ACA authorize voluntary demonstration projects, which include the development of bundling payments for acute, inpatient hospital services, physician services and post-acute services for episodes of hospital care.
−Removed: Further, the ACA may adversely affect payers by increasing medical costs generally, which could have an effect on the industry and potentially impact our business and revenue as payers seek to offset these increases by reducing costs in other areas.
+Added: Further, the ACA may adversely affect payers by increasing medical costs, which could influence the industry and potentially impact our business and revenue as payers seek to offset these increases by reducing costs in other areas.
Certain of these provisions are still being implemented and the full impact of these changes on us cannot be determined at this time.
1 unchanged sentence
We expect that additional state and federal healthcare reform measures will be adopted in the future, any of which could limit the amounts that federal and state governments and other third-party payers will pay for healthcare products and services, which could adversely affect our business, financial condition, and results of operations.
−Removed: We are regulated by federal Anti-Kickback Statutes.
+Added: W e are regulated by Federal Anti-Kickback Statutes.
The federal Anti-Kickback Statute is a provision of the Social Security Act of 1972 that prohibits as a felony offense the knowing and willful offer, payment, solicitation or receipt of any form of remuneration in return for, or to induce, (1) the referral of a patient for items or services for which payment may be made in whole or part under Medicare, Medicaid, or other federal healthcare programs, (2) the furnishing or arranging for the furnishing of items or services reimbursable under Medicare, Medicaid, or other federal healthcare programs or (3) the purchase, lease, or order or arranging or recommending the purchasing, leasing or ordering of any item or service reimbursable under Medicare, Medicaid or other federal healthcare programs.
8 unchanged sentences
The federal Stark Law, 42 U.S.C.
−Removed: 1395nn, also known as the physician self-referral law, generally prohibits a provider from referring Medicare and Medicaid patients to an entity (including hospitals) providing ‘‘designated health services,’’ if the physician or a member of the physician’s immediate family has a ‘‘financial relationship’’ with the entity, unless a specific exception applies.
+Added: 1395nn, also known as the physician self-referral law, prohibits a provider from referring Medicare and Medicaid patients to an entity (including hospitals) providing ‘‘designated health services,’’ if the physician or a member of the physician’s immediate family has a ‘‘financial relationship’’ with the entity, unless a specific exception applies.
Designated health services include, among other services, inpatient hospital services, outpatient prescription drug services, clinical laboratory services, certain imaging services (e.g., MRI, CT, ultrasound), and other services that our affiliated physicians may order for their patients.
3 unchanged sentences
Unlike safe harbors under the Anti-Kickback Statute with which compliance is voluntary, an arrangement must comply with every requirement of a Stark Law exception, or the arrangement is in violation of the Stark Law.
−Removed: Because the Stark Law and implementing regulations continue to evolve and are detailed and complex, while we attempt to structure our relationships to meet an exception to the Stark Law, there can be no assurance that the arrangements entered into by us with affiliated physicians and facilities will be found to be in compliance with the Stark Law, as it ultimately may be implemented or interpreted.
−Removed: The penalties for violating the Stark Law can include the denial of payment for services ordered in violation of the statute, mandatory refunds of any sums paid for such services, and civil penalties of up to $15,000 for each violation, double damages, and possible exclusion from future participation in the governmental healthcare programs.
+Added: Because the Stark Law and implementing regulations continue to evolve and are detailed and complex, while we attempt to structure our relationships to meet an exception to the Stark Law, there can be no assurance that the arrangements entered into by us with affiliated physicians and facilities will be found to be following the Stark Law, as it may be implemented or interpreted.
+Added: The penalties for violating the Stark Law can include the denial of payment for services ordered in violation of the statute, mandatory refunds of any sums paid for such services, and civil penalties of up to $15,000 for each violation, double damages, and exclusion from future participation in the governmental healthcare programs.
A person who engages in a scheme to circumvent the Stark Law’s prohibitions may be fined up to $100,000 for each applicable arrangement or scheme.
3 unchanged sentences
We must comply with Health Information Privacy and Security Standards.
−Removed: The privacy regulations Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, contain detailed requirements concerning the use and disclosure of individually identifiable patient health information (“PHI”) by various healthcare providers, such as medical groups.
+Added: The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, contain detailed requirements concerning the use and disclosure of individually identifiable patient health information (“PHI”) by various healthcare providers, such as medical groups.
HIPAA covered entities must implement certain administrative, physical, and technical security standards to protect the integrity, confidentiality and availability of certain electronic health information received, maintained, or transmitted.
13 unchanged sentences
Computer malware, viruses, and hacking and phishing attacks by third parties have become more prevalent in our industry, have occurred on our systems in the past, and may occur on our systems in the future.
−Removed: Because techniques used to obtain unauthorized access to or sabotage systems change frequently and generally are not recognized until successfully launched against a target, we may be unable to anticipate these techniques or to implement adequate preventative measures.
+Added: Because techniques used to obtain unauthorized access to or sabotage systems change frequently and are not recognized until successfully launched against a target, we may be unable to anticipate these techniques or to implement adequate preventative measures.
As cyber-security threats develop and grow, it may be necessary to make significant further investments to protect data and infrastructure.
1 unchanged sentence
Our insurance coverage may not be adequate to cover the potentially significant losses that may result from security breaches.
−Removed: We are currently reviewing our needs for cybersecurity policy as we continue our research and development on L-CYTE-01 and medical services for COPD patients.
We must comply with Environmental and Occupational Safety and Health Administration Regulations.
18 unchanged sentences
The scope of these laws and the interpretations of them vary from state to state and are enforced by state courts and regulatory authorities, each with broad discretion.
−Removed: Generally, state laws reach to all healthcare services and not just those covered under a governmental healthcare program.
+Added: State laws reach to all healthcare services and not just those covered under a governmental healthcare program.
A determination of liability under any of these laws could result in fines and penalties and restrictions on our ability to operate in these states.
7 unchanged sentences
In 2012, the U.S.
−Removed: Supreme Court upheld the constitutionality of the ACA, including the “individual mandate” provisions of the ACA that generally require all individuals to obtain healthcare insurance or pay a penalty.
+Added: Supreme Court upheld the constitutionality of the ACA, including the “individual mandate” provisions of the ACA that require all individuals to obtain healthcare insurance or pay a penalty.
However, the U.S.
Supreme Court also held that the provision of the ACA that authorized the Secretary of the U.S.
−Removed: Department of Health and Human Services to penalize states that choose not to participate in the expansion of the Medicaid program by removing all of its existing Medicaid funding was unconstitutional.
−Removed: In response to the ruling, a number of state governors opposed its state’s participation in the expanded Medicaid program, which resulted in the ACA not providing coverage to some low-income persons in those states.
+Added: Department of Health and Human Services to penalize states that choose not to participate in the expansion of the Medicaid program by removing all its existing Medicaid funding was unconstitutional.
+Added: In response to the ruling, several state governors opposed its state’s participation in the expanded Medicaid program, which resulted in the ACA not providing coverage to some low-income persons in those states.
In addition, several bills have been, and are continuing to be, introduced in U.S.
3 unchanged sentences
Our operations are subject to the nation ’ s healthcare laws, as amended, repealed, or replaced from time to time.
−Removed: The net effect of the ACA on our business is subject to numerous variables, including the law’s complexity, lack of complete implementing regulations and interpretive guidance, gradual and potentially delayed implementation or possible amendment, as well as the uncertainty as to the extent to which states will choose to participate in the expanded Medicaid program.
+Added: The net effect of the ACA on our business is subject to numerous variables, including the law’s complexity, lack of complete implementing regulations and interpretive guidance, gradual and potentially delayed implementation, or amendment, as well as the uncertainty as to the extent to which states will choose to participate in the expanded Medicaid program.
The continued implementation of provisions of the ACA, the adoption of new regulations thereunder and ongoing challenges thereto, also added uncertainty about the current state of U.S.
9 unchanged sentences
Political, economic, and regulatory influences continue to change the healthcare industry in the United States.
−Removed: If and when we start receiving reimbursements from third parties, the ability of hospitals to pay fees for our products will partially depend on the extent to which reimbursement for the costs of such materials and related treatments will continue to be available from private health coverage insurers and other similar organizations.
+Added: If and when we start receiving reimbursements from third parties, the ability of patients to pay fees for our products will partially depend on the extent to which reimbursement for the costs of such materials and related treatments will continue to be available from private health coverage insurers and other similar organizations.
We may have difficulty gaining market acceptance for the products we sell if third-party payors do not provide adequate coverage and reimbursement to hospitals.
13 unchanged sentences
Acquisitions may subject us to liability with regard to the creditors, customers, and shareholders of the sellers.
−Removed: While our acquisitions are typically structured as asset purchase agreements in which we attempt to limit our risk and exposure relative to the respective sellers’ liabilities, we cannot guarantee that we will be successful in avoiding all liability.
+Added: While we intend that any acquisitions that we consummate will typically be structured as asset purchase agreements in which we attempt to limit our risk and exposure relative to the respective sellers’ liabilities, we cannot guarantee that we will be successful in avoiding all liability.
Creditors may seek to hold us accountable for seller debt and customers and for seller breaches of contract prior to our transactions.
Occasionally, disaffected shareholders may attempt to interfere with our business acquisitions.
−Removed: We attempt to minimize all of these risks through thorough due diligence, negotiating indemnities and holdbacks, obtaining relevant representations from sellers, and leveraging experienced professionals when appropriate.
+Added: We will attempt to minimize all of these risks through thorough due diligence, negotiating indemnities and holdbacks, obtaining relevant representations from sellers, and leveraging experienced professionals when appropriate;
+Added: however, there can be no assurance that we will be able to mitigate all risks.
We may be unable to implement our strategy of acquiring companies.
Although we expect that one or more acquisition opportunities will become available in the future, we may not be able to acquire companies at all or on terms favorable to us.
−Removed: We will likely need additional financing for such acquisitions, but there is no assurance that we will be able to borrow funds or raise capital through the issuance of our equity on favorable terms.
+Added: We will need additional financing for such acquisitions, but there is no assurance that we will be able to borrow funds or raise capital through the issuance of our equity on favorable terms.
Certain of our larger, better capitalized competitors may seek to acquire some of the companies we may be interested in.
−Removed: Competition for acquisitions would likely increase acquisition prices and result in us having fewer acquisition opportunities.
+Added: Competition for acquisitions would increase acquisition prices and result in us having fewer acquisition opportunities.
Depending on the type of businesses we acquire, we may have varying cost saving and/or cross-selling opportunities with the acquired business.
10 unchanged sentences
We cannot assure you that we will be successful in overcoming these risks or any other problems encountered with acquisitions and other strategic transactions.
−Removed: These risks may prevent us from realizing the expected benefits from acquisitions and could result in the failure to realize the full economic value of a strategic transaction or the impairment of goodwill and/or intangible assets recognized at the time of an acquisition.
+Added: These risks may prevent us from realizing the expected benefits from acquisitions and could result in the failure to realize he full economic value of a strategic transaction or the impairment of goodwill and/or intangible assets recognized at the time of an acquisition.
These risks could be heightened if we complete a large acquisition or multiple acquisitions within a short period of time.
Risks Related to Our Management
−Removed: Because we do not have a segregated audit or compensation committee, shareholders will be required to rely on the members of our Board of Directors, who are not all independent, to perform these functions.
−Removed: We do not have an audit or compensation committee or Board of Directors as a whole that is composed of independent directors.
−Removed: There is a potential conflict between their or our interests and our shareholders’ interests.
Our future success depends, in part, on the performance and continued service of our officers and directors
−Removed: We presently depend to a great extent upon the experience, abilities and continued services of our management team.
+Added: We presently depend to a great extent upon the experience, abilities, and continued services of our management team, particularly our Chief Executive Officer.
The loss of our management team’s services could have a material adverse effect on our business, financial condition, or results of operation.
Failure to maintain our management team could prove disruptive to our daily operations, require a disproportionate amount of resources and management attention, and could have a material adverse effect on our business, financial condition, and results of operations.
−Removed: We do maintain key man insurance on any member of our management team.
+Added: We do not maintain key person insurance on any member of our management team.
Our executive officers, directors and certain key stockholders own and control a significant number of voting securities and so long as they do, they are able to control the outcome of stockholder voting.
−Removed: Our executive officers, directors as well as certain other key shareholders are the owners of approximately 68% of the voting shares of the Company as a result of their ownership over our Series X Preferred Stock, and Common Stock.
+Added: Our executive officers, directors as well as certain other key shareholders are the owners of approximately 71% of the voting shares of the Company as a result of their ownership over our Series X Cumulative Redeemable Perpetual Preferred Stock (the “Series X Preferred Stock”), and Common Stock.
The Series X Preferred stock votes with our outstanding shares of Common Stock at the rate of 20,000 votes for each share owned, one (1) vote for each common holder.
−Removed: As such, our management has the ability to determine the outcome of all matters submitted to our stockholders for approval, including the election of directors.
+Added: As such, our management can determine the outcome of all matters submitted to our stockholders for approval, including the election of directors.
Our management’s control of our voting securities may make it impossible to complete some corporate transactions without its support and may prevent a change in our control.
−Removed: In addition, this ownership could discourage the acquisition of our Common Stock by potential investors and could have an anti-takeover effect, possibly depressing the trading price of our Common Stock.
−Removed: Risks Related to our Common Stock
−Removed: Our Common Stock is a penny stock.
−Removed: Trading of our stock may be restricted by the SEC ’ s penny stock regulations which may limit a stockholder ’ s ability to buy and sell our stock.
−Removed: Our stock is a penny stock.
−Removed: The SEC has adopted Rule 15g-9 which generally defines “penny stock” to be any equity security that has a market price (as defined) less than $5.00 per share or an exercise price of less than $5.00 per share, subject to certain exceptions.
−Removed: Our securities are covered by the penny stock rules, which impose additional sales practice requirements on broker-dealers who sell to persons other than established customers and “accredited investors”.
−Removed: The term “accredited investor” refers generally to institutions with assets in excess of $5,000,000 or individuals with a net worth in excess of $1,000,000 or annual income exceeding $200,000 or $300,000 jointly with their spouse.
−Removed: The penny stock rules require a broker-dealer, prior to a transaction in a penny stock not otherwise exempt from the rules, to deliver a standardized risk disclosure document in a form prepared by the SEC which provides information about penny stocks and the nature and level of risks in the penny stock market.
−Removed: The broker-dealer also must provide the customer with current bid and offer quotations for the penny stock, the compensation of the broker-dealer and its salesperson in the transaction and monthly account statements showing the market value of each penny stock held in the customer’s account.
−Removed: The bid and offer quotations, and the broker-dealer and salesperson compensation information, must be given to the customer orally or in writing prior to effecting the transaction and must be given to the customer in writing before or with the customer’s confirmation.
−Removed: In addition, the penny stock rules require that prior to a transaction in a penny stock not otherwise exempt from these rules;
−Removed: the broker-dealer must make a special written determination that the penny stock is a suitable investment for the purchaser and receive the purchaser’s written agreement to the transaction.
−Removed: These disclosure requirements may have the effect of reducing the level of trading activity in the secondary market for the stock that is subject to these penny stock rules.
−Removed: Consequently, these penny stock rules may affect the ability of broker-dealers to trade our securities.
−Removed: We believe that the penny stock rules discourage investor interest in and limit the marketability of our Common Stock.
−Removed: As an issuer of “ penny stock ” the protection provided by the federal securities laws relating to forward looking statements does not apply to us.
−Removed: Although the federal securities law provides a safe harbor for forward-looking statements made by a public company that files reports under the federal securities laws, this safe harbor is not available to issuers of penny stocks.
−Removed: As a result, if we are an issuer of a penny stock, we will not have the benefit of this safe harbor protection in the event of any claim that the material provided by us contained a material misstatement of fact or was misleading in any material respect because of our failure to include any statements necessary to make the statements not misleading.
+Added: In addition, this ownership could discourage the acquisition of our Common Stock by potential investors and could have an anti-takeover effect, depressing the trading price of our Common Stock.
+Added: However, subject to effectiveness of this registration statement, the holders of the Series X Preferred Stock have agreed to exchange their shares for newly issued Series D Preferred Stock.
+Added: This event will create an additional 717,013 shares of Series D Preferred Stock, and as a result all outstanding shares of Series X Preferred Stock will be extinguished, along with their voting rights.
+Added: In this event, the executive officers, directors, and other key shareholders will not be able to control the outcome of all matters submitted to our stockholders for approval and we will need our stockholders approval for certain corporate transactions which may involve more time and expense.
+Added: Risks Relating to this Offering and Ownership of our Common Stock
+Added: We have broad discretion in the use of the net proceeds from this offering and may not use them effectively.
+Added: Our management will have broad discretion in the application of the net proceeds from this offering, including for any of the purposes described in the section entitled “Use of Proceeds,” and you will not have the opportunity as part of your investment decision to assess whether the net proceeds will be used appropriately.
+Added: Because of the number and variability of factors that will determine our use of the net proceeds from this offering, their ultimate use may vary from their currently intended use.
+Added: Our management might not apply our net proceeds in ways that increase the value of your investment.
+Added: We currently intend to use the net proceeds of this offering primarily for general corporate purposes and clinic expansion.
+Added: Our expected use of net proceeds from this offering represents our current intentions based upon our present plans and business condition.
+Added: As of the date of this prospectus, we cannot predict with certainty all the particular uses for the net proceeds to be received upon the completion of this offering, or the amounts that we will actually spend on the uses set forth above.
+Added: The amounts and timing of our actual use of the net proceeds will vary depending on numerous factors, including the commercial success of our systems and the costs of our research and development activities, as well as the amount of cash used in our operations.
+Added: As a result, our management will have broad discretion in the application of the net proceeds, and investors will be relying on our judgment regarding the application of the net proceeds of this offering.
+Added: The failure by our management to apply these funds effectively could harm our business.
+Added: Pending their use, we may invest the net proceeds from this offering in short-term, investment-grade, interest-bearing securities.
+Added: These investments may not yield a favorable return to our stockholders.
+Added: If we do not invest or apply the net proceeds from this offering in ways that enhance stockholder value, we may fail to achieve expected financial results, which could cause our stock price to decline.
+Added: Shares eligible for future sale may have adverse effects on our share price.
+Added: Sales of substantial amounts of shares or the perception that such sales could occur may adversely affect the prevailing market price for our shares.
+Added: We may issue additional shares in subsequent public offerings or private placements to make new investments or for other purposes.
+Added: We are not required to offer any such shares to existing shareholders on a preemptive basis.
+Added: Therefore, it may not be possible for existing shareholders to participate in such future share issuances, which may dilute the existing shareholders’ interests in us.
+Added: We do not anticipate paying any cash dividends on our Common Stock in the foreseeable future.
+Added: We currently intend to retain all our future earnings to finance the growth and development of our business, and therefore, we do not anticipate paying any cash dividends on our common stock in the foreseeable future.
+Added: We believe it is likely that our Board will continue to conclude, that it is in our best interests to retain all earnings (if any) for the development of our business.
+Added: In addition, the terms of any future debt agreements may preclude us from paying dividends.
+Added: As a result, capital appreciation, if any, of our Common Stock will be your sole source of gain for the foreseeable future.
+Added: If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price and trading volume could decline.
+Added: The trading market for our Common Stock will depend in part on the research and reports that securities or industry analysts publish about us or our business.
+Added: Securities and industry analysts do not currently, and may never, publish research on our company.
+Added: If no securities or industry analysts commence coverage of our company, the trading price for our stock would be negatively impacted.
+Added: In the event securities or industry analysts initiate coverage, if one or more of the analysts who covers us downgrades our stock or publishes inaccurate or unfavorable research about our business, our stock price may decline.
+Added: If one or more of these analysts ceases coverage of our company or fails to publish reports on us regularly, demand for our stock could decrease, which might cause our stock price and trading volume to decline.
Our stock price has fluctuated in the past, has recently been volatile and may be volatile in the future, and as a result, investors in our Common Stock could incur substantial losses.
Our stock price has fluctuated in the past, has recently been volatile and may be volatile in the future.
−Removed: On January 26, 2021, the reported low sale price of our common stock was $0.43, while the reported high sales price was $0.60, with a closing price of $0.49.
+Added: On February 28, 2022, the reported low sale price of our Common Stock was $0.14, while the reported high sales price was $0.15, with a closing price of $0.15.
For comparison purposes, on December 31, 2020, our stock price closed at $0.03.
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We may incur rapid and substantial decreases in our stock price in the foreseeable future that are unrelated to our operating performance or prospects.
−Removed: The stock market in general and the market for telehealth companies in particular have experienced extreme volatility that has often been unrelated to the operating performance of particular companies.
−Removed: For example, the recent outbreak of the COVID-19 coronavirus has caused broad stock market and industry fluctuations.
−Removed: In addition, sales of substantial amounts of our common stock, or the perception that such sales might occur, could adversely affect prevailing market prices of our common stock and our stock price may decline substantially in a short period of time.
−Removed: As a result, our stockholders could suffer losses or be unable to liquidate holdings.
−Removed: As a result of this volatility, investors may experience losses on their investment in our common stock.
−Removed: The market price for our common stock may be influenced by many factors, including the following:
+Added: The stock market in general and the market for telehealth companies in particular have experienced volatility.
sale of our Common Stock by our stockholders, executives, and directors;
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announcements and events surrounding financing efforts, including debt and equity securities;
−Removed: our inability to enter into new markets or develop new products;
+Added: our inability to enter new markets or develop new products;
reputational issues;
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There can be no guarantee that our stock price will remain at current prices or that future sales of our Common Stock will not be at prices lower than those sold to investors.
−Removed: Additionally, recently, securities of certain companies have experienced significant and extreme volatility in stock price due short sellers of shares of common stock, known as a “short squeeze.” These short squeezes have caused extreme volatility in those companies and in the market and have led to the price per share of those companies to trade at a significantly inflated rate that is disconnected from the underlying value of the company.
+Added: Additionally, securities of certain companies have recently experienced significant and extreme volatility in stock price due to short sellers of shares of Common Stock, known as a “short squeeze.” These short squeezes have caused extreme volatility in those companies and in the market and have led to the price per share of those companies to trade at a significantly inflated rate that is disconnected from the underlying value of the company.
Many investors who have purchased shares in those companies at an inflated rate face the risk of losing a significant portion of their original investment as the price per share has declined steadily as interest in those stocks have abated.
−Removed: While we have no reason to believe our shares would be the target of a short squeeze, there can be no assurance that we won’t be in the future, and you may lose a significant portion or all of your investment if you purchase our shares at a rate that is significantly disconnected from our underlying value.
−Removed: As a public company with a class of securities registered under the Securities Exchange Act of 1934, as amended, we are subject to ongoing SEC reporting requirements and any deficiencies in our financial reporting or internal controls could adversely affect us.
−Removed: As a public company with a class of securities registered under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), we are required to maintain internal control over financial reporting and to report any material weaknesses in such internal controls.
−Removed: Section 404 of the Sarbanes-Oxley Act requires that we evaluate and determine the effectiveness of our internal control over financial reporting.
−Removed: In the future, if we have a material weakness in our internal control over financial reporting, we may not detect errors on a timely basis and our financial statements may be materially misstated.
−Removed: In addition, our internal control over financial reporting would not prevent or detect all errors and fraud.
−Removed: Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that misstatements due to error or fraud will not occur or that all control issues and instances of fraud will be detected.
−Removed: If there are material weaknesses or failures in our ability to meet any of the requirements related to the maintenance and reporting of our internal controls, investors may lose confidence in the accuracy and completeness of our financial reports, which in turn could cause the price of our Common Stock to decline.
−Removed: Moreover, effective internal controls are necessary to produce reliable financial reports and to prevent fraud.
−Removed: If we have deficiencies in our internal controls, it may negatively impact our business, results of operations and reputation.
−Removed: In addition, we could become subject to investigations by OTC Markets, Nasdaq, the SEC or other regulatory authorities, which could require additional management attention, and which could adversely affect our business.
−Removed: The Common Stock is thinly traded, so you may be unable to sell at or near asking prices, or at all.
−Removed: Our Common Stock is quoted on the OTCQB under the symbol “MITI”.
−Removed: Shares of our Common Stock have, until recently, been thinly-traded, meaning that the number of persons interested in purchasing our common shares at or near asking prices at any given time may be relatively small or non-existent.
+Added: While we have no reason to believe our shares would be the target of a short squeeze, there can be no assurance that we won’t be in the future, and you may lose a significant portion or all your investment if you purchase our shares at a rate that is significantly disconnected from our underlying value.
+Added: There can be no assurances that our Common Stock once listed on the Nasdaq will not be subject to potential delisting if we do not continue to maintain the listing requirements of the Nasdaq Capital Market.
+Added: We have applied to list the shares of our Common Stock on the Nasdaq, under the symbol “MITI.” An approval of our listing application by Nasdaq will be subject to, among other things, our fulfilling all the listing requirements of Nasdaq.
+Added: In addition, Nasdaq has rules for continued listing, including, without limitation, minimum market capitalization and other requirements.
+Added: Failure to maintain our listing (i.e., being de-listed from Nasdaq), would make it more difficult for stockholders to sell our Common Stock and more difficult to obtain accurate price quotations on our Common Stock.
+Added: This could have an adverse effect on the price of our Common Stock.
+Added: Our ability to issue additional securities for financing or other purposes, or otherwise to arrange for any financing we may need in the future, may also be materially and adversely affected if our Common Stock is not traded on a national securities exchange.
+Added: Our Common Stock is thinly traded, so you may be unable to sell at or near asking prices, or at all.
+Added: Our Common Stock is quoted on the OTCQB under the symbol “MITI.” Shares of our Common Stock have, until recently, been thinly traded, meaning that the number of persons interested in purchasing shares of our Common Stock at or near asking prices at any given time may be small or non-existent.
This situation is attributable to a number of factors.
−Removed: We are a small company that is relatively unknown to stock analysts, stock brokers, institutional investors and others in the investment community that generate or influence sales volume;
−Removed: and stock analysts, stock brokers and institutional investors may be risk-averse and be reluctant to follow an unproven, early stage company such as ours or purchase or recommend the purchase of our shares until such time as we become more seasoned and viable As a result, our stock price may not reflect an actual or perceived value.
−Removed: Also, there may be periods of several days or more when trading activity in our shares is minimal, as compared to a seasoned issuer that has a large and steady volume of trading activity that will generally support continuous sales without an adverse effect on share price.
+Added: We are a small company that is unknown to stock analysts, stockbrokers, institutional investors, and others in the investment community that generate or influence sales volume;
+Added: and stock analysts, stockbrokers and institutional investors may be risk-averse and be reluctant to follow an unproven, early-stage company such as ours or purchase or recommend the purchase of our shares until such time as we become more seasoned and viable.
+Added: As a result, our stock price may not reflect an actual or perceived value.
+Added: Also, there may be periods of several days or more when trading activity in our shares is minimal, as compared to a seasoned issuer that has a large and steady volume of trading activity that will support continuous sales without an adverse effect on share price.
A broader or more active public trading market for our Common Stock may not develop or if developed, may not be sustained.
Due to these conditions, you may not be able to sell your shares at or near asking prices or at all should you attempt to sell your common shares.
−Removed: Because we do not intend to pay any cash dividends on the Common Stock in the near future, investors will not be able to receive a return on their shares unless they sell them.
−Removed: For the foreseeable future, proceeds from any financings or earnings generated from our operations will be retained for use in our planned business and not to pay dividends, subject to our obligations to the holders of our Series X Preferred Stock.
−Removed: Additionally, we have no funds available for dividends and have debt obligations that are senior to our obligation to pay dividends.
−Removed: We do not anticipate paying any cash dividends on our Common Stock in the near future.
−Removed: The declaration, payment and amount of any future dividends will be made at the discretion of the Board of Directors, and will depend upon, among other things, the results of operations, cash flows and financial condition, operating and capital requirements, and other factors as the Board of Directors considers relevant.
−Removed: There is no assurance that future dividends will be paid, and if dividends are paid, there is no assurance with respect to the amount of any such dividend.
−Removed: For the foreseeable future, earnings generated from our operations will be retained for use in implementing our business plan and not to pay dividends.
−Removed: Financial Industry Regulatory Authority ( “ FINRA ” ) sales practice requirements may also limit a stockholder ’ s ability to buy and sell the Common Stock it is successful in being quoted on the OTC Markets.
−Removed: FINRA has adopted rules that require that in recommending an investment to a customer, a broker-dealer must have reasonable grounds for believing that the investment is suitable for that customer.
−Removed: Prior to recommending speculative low-priced securities to their non-institutional customers, broker-dealers must make reasonable efforts to obtain information about the customer’s financial status, tax status, investment objectives and other information.
−Removed: Under interpretations of these rules, FINRA believes that there is a high probability that speculative low-priced securities will not be suitable for at least some customers.
−Removed: The FINRA requirements make it more difficult for broker-dealers to recommend that their customers buy our Common Stock, which may limit your ability to buy and sell the Common Stock.
+Added: Our reverse stock split may not result in a proportional increase in the per share price of our Common Stock.
+Added: The effect of the reverse stock split on the market price for our Common Stock cannot be accurately predicted.
+Added: In particular, we cannot assure you that the prices for shares of the Common Stock after the reverse stock split will increase proportionately to prices for shares of our Common Stock immediately before the reverse stock split.
+Added: The market price of our Common Stock may also be affected by other factors which may be unrelated to the reverse stock split, or the number of shares issued and outstanding.
+Added: Furthermore, even if the market price of our Common Stock does rise following the reverse stock split, we cannot assure you that the market price of our Common Stock immediately after the proposed reverse stock split will be maintained for any period of time.
+Added: Moreover, because some investors may view the reverse stock split negatively, we cannot assure you that the reverse stock split will not adversely impact the market price of our Common Stock.
+Added: There is also the possibility that liquidity may be adversely affected by the reduced number of shares which would be issued and outstanding when the reverse stock split is effected, particularly if the price per share of our Common Stock begins a declining trend after the reverse stock split is affected.
+Added: Accordingly, our total market capitalization after the reverse stock split may be lower than the market capitalization before the reverse stock split.
+Added: Because we may issue preferred stock without the approval of our shareholders and have other anti-takeover defenses, it may be more difficult for a third party to acquire us and could depress our stock price.
+Added: In general, our Board may issue, without a vote of our shareholders, one or more additional series of preferred stock that have more than one vote per share, although our ability to designate and issue preferred stock is currently restricted by covenants in the Certificate of Designation for the Series C Preferred Stock.
+Added: Without these restrictions, our Board could issue preferred stock to investors who support us and our management and give effective control of our business to our management.
+Added: Additionally, issuance of preferred stock could block an acquisition resulting in both a drop in our stock price and a decline in interest of our Common Stock.
+Added: This could make it more difficult for shareholders to sell their Common Stock.
+Added: This could also cause the market price of our Common Stock shares to drop significantly, even if our business is performing well.
+Added: Offers or availability for sale of a substantial number of shares of our Common Stock may cause the price of our Common Stock to decline .
+Added: Sales of large blocks of our Common Stock could depress the price of our Common Stock.
+Added: The existence of these shares and shares of Common Stock that may be issuable upon conversion or exercise, as applicable, of outstanding shares of convertible preferred stock, warrants and options create a circumstance commonly referred to as an “overhang” which can function as a depressant to our Common Stock price.
+Added: The existence of an overhang, whether sales have occurred or are occurring, also could make our ability to raise additional financing through the sale of equity or equity-linked securities more difficult in the future at a time and price that we deem reasonable or appropriate.
+Added: If our existing shareholders and investors seek to convert or exercise such securities or sell a substantial number of shares of our Common Stock, such selling efforts may cause significant declines in the market price of our Common Stock.
+Added: In addition, the shares of our Common Stock sold in the offering will be freely tradable without restriction or further registration under the Securities Act.
+Added: As a result, a substantial number of shares of our Common Stock may be sold in the public market following this offering.
+Added: If there are significantly more shares of Common Stock offered for sale than buyers are willing to purchase, then the market price of our Common Stock may decline to a market price at which buyers are willing to purchase the offered Common Stock and sellers remain willing to sell our Common Stock.
Market and Industry Data
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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.