EX-99.2 3 tm2116020d2_ex99-2.htm EXHIBIT 99.2

 

Exhibit 99.2

 

Condensed Interim Consolidated Financial Statements

(Expressed in U.S. dollars)

 

Greenbrook TMS Inc.

 

Three months ended March 31, 2021

(Unaudited)

 

 

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Financial Position

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

   March 31,   December 31, 
   2021   2020 
Assets          
Current assets:          
Cash  $5,933,799   $18,806,742 
Accounts receivable   10,736,212    10,708,062 
Prepaid expenses and other   1,897,152    1,150,675 
Total current assets   18,567,163    30,665,479 
           
Property, plant and equipment (note 5)   1,760,243    1,691,336 
Intangible assets (note 6)   5,628,566    5,744,399 
Goodwill   3,707,650    3,707,650 
Right-of-use assets (note 7)   26,475,729    26,791,544 
Total assets  $56,139,351   $68,600,408 
           
Liabilities and Shareholders’ Equity (Deficit)          
Current liabilities:          
Accounts payable and accrued liabilities (note 8)  $8,991,622   $9,523,809 
Current portion of loans payable (note 9(a))   1,531,808    1,106,654 
Current portion of deferred grant income (note 10)   179,527    176,746 
Current portion of lease liabilities (note 7)   5,234,430    5,169,478 
Lender warrants (note 9(b))   325,030    250,891 
Non-controlling interest loans (note 9(c))   79,082    77,137 
Deferred and contingent consideration (note 11)   4,443,040    11,369,429 
Total current liabilities   20,784,539    27,674,144 
           
Loans payable (note 9(a))   14,762,928    15,098,560 
Deferred grant income (note 10)   155,239    200,567 
Lease liabilities (note 7)   22,572,241    22,743,395 
Total liabilities   58,274,947    65,716,666 
           
Shareholders’ equity (deficit):          
Common shares (note 12)   63,254,170    60,129,642 
Contributed surplus (note 13)   3,548,936    3,348,636 
Deficit   (67,828,530)   (60,201,976)
Total shareholder’s equity (deficit) excluding non-controlling interest   (1,025,424)   3,276,302 
Non-controlling interest (note 21)   (1,110,172)   (392,560)
Total shareholders’ equity (deficit)   (2,135,596)   2,883,742 
           
Basis of preparation and going concern (note 2)          
Contingencies (note 14)          
Subsequent events (note 23)          
           
Total liabilities and shareholders’ equity (deficit)  $56,139,351   $68,600,408 

 

See accompanying notes to condensed interim consolidated financial statements.

 

1

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Net Loss and Comprehensive Loss

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

   Three months ended 
   March 31,   March 31, 
   2021   2020 
Revenue:        
Service revenue  $11,313,175   $11,420,502 
           
Expenses:          
Direct center and patient care costs   6,360,023    5,881,290 
Other regional and center support costs (note 22)   4,970,936    3,393,292 
Depreciation (notes 5 and 7)   1,474,334    1,406,124 
    12,805,293    10,680,706 
           
Regional operating income (loss)   (1,492,118)   739,796 
           
Center development costs   280,433    229,507 
Corporate, general and administrative expenses (note 22)   4,716,082    3,876,496 
Share-based compensation   205,970    109,405 
Amortization (note 6)   115,833    115,833 
Interest expense   1,027,912    657,834 
Interest income   (2,182)   (8,482)
           
Loss before income taxes   (7,836,166)   (4,240,797)
           
Income tax expense (note 16)        
           
Loss for the year and comprehensive loss  $(7,836,166)  $(4,240,797)
           
Loss for the period attributable to:          
Non-controlling interest (note 21)  $(209,612)  $(82,523)
Common shareholders of Greenbrook TMS   (7,626,554)   (4,158,274)
           
   $(7,836,166)  $(4,240,797)
Net loss per share (note 20):          
Basic  $(0.56)  $(0.39)
Diluted   (0.56)   (0.39)

 

See accompanying notes to condensed interim consolidated financial statements.

 

2

 

 

Greenbrook tms Inc.

Condensed Interim Consolidated Statements of Changes in Equity (Deficit)

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

                   Non-   Total 
   Common shares   Contributed       controlling   equity 
Three months ended March 31, 2020  Number1   Amount   surplus   Deficit   interest   (deficit) 
Balance, December 31, 2019   11,683,689   $50,185,756   $2,757,252   $(30,441,280)  $444,405   $22,946,133 
Net comprehensive loss for the period               (4,158,274)   (82,523)   (4,240,797)
Share-based compensation (note 13)           109,405            109,405 
Payments to non-controlling interest                   (143,500)   (143,500)
Balance, March 31, 2020   11,683,689   $50,185,756   $2,866,657   $(34,599,554)  $218,382   $18,671,241 

 

                   Non-   Total 
   Common shares   Contributed       controlling   equity 
Three months ended March 31, 2021  Number1   Amount   surplus   Deficit   interest   (deficit) 
Balance, December 31, 2020   13,502,477   $60,129,642   $3,348,636   $(60,201,976)  $(392,560)  $2,883,742 
Net comprehensive loss for the period               (7,626,554)   (209,612)   (7,836,166)
Issuance of common shares (note 12)   231,011    3,095,799                3,095,799 
Share-based compensation (note 13)           205,970            205,970 
Exercise of warrants (note 12)   1,800    28,729    (5,670)           23,059 
Payments to non-controlling interest                   (508,000)   (508,000)
Balance, March 31, 2021   13,735,288   $63,254,170   $3,548,936   $(67,828,530)  $(1,110,172)  $(2,135,596)

 

(1) Reflects the Company’s share consolidation on February 1, 2021 (Note 2(d))

 

See accompanying notes to condensed interim consolidated financial statements.

 

3

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Cash Flows

(Expressed in U.S. dollars, unless otherwise stated)

(Unaudited)

 

 

   Three months ended 
   March 31,   March 31, 
   2021   2020 
Cash (used in) provided by          
           
Operating activities:          
Loss for the period  $(7,836,166)  $(4,240,797)
Adjusted for:          
Amortization   115,833    115,833 
Depreciation   1,474,334    1,406,124 
Interest expense   1,027,912    657,834 
Interest income   (2,182)   (8,482)
Share-based compensation   205,970    109,405 
Change in fair value of lender warrants   74,139     
Change in non-cash operating working capital:          
Accounts receivable   (28,150)   (865,388)
Prepaid expenses and other   (746,477)   (53,316)
Accounts payable and accrued liabilities   (532,187)   343,154 
Provisions       (18,792)
    (6,246,974)   (2,554,425)
           
Financing activities:          
Interest paid   (930,461)   (656,077)
Broker warrants exercised   23,059     
Financing costs incurred   (29,493)    
Bank loans repaid   (19,039)   (26,158)
Principal repayment of lease liabilities   (1,335,572)   (1,132,125)
Non-controlling interest loans advanced   1,945    1,756 
Distribution to non-controlling interest   (508,000)   (143,500)
    (2,797,561)   (1,956,104)
           
Investing activities:          
Deferred and contingent consideration paid   (3,830,590)   (224,402)
Interest received   2,182     
    (3,828,408)   (224,402)
           
Decrease in cash   (12,872,943)   (4,734,931)
           
Cash, beginning of year   18,806,742    7,947,607 
           
Cash, end of year  $5,933,799   $3,212,676 

 

See accompanying notes to condensed interim consolidated financial statements.

 

4

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

1.Reporting entity:

 

Greenbrook TMS Inc. (the “Company”), an Ontario corporation along with its subsidiaries, controls and operates a network of outpatient mental health services centers that specialize in the provision of Transcranial Magnetic Stimulation (“TMS”) therapy for the treatment of depression and related psychiatric services.

 

Our head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada M4W 3P4. Our United States corporate headquarters is located at 8401 Greensboro Drive, Suite 425, Tysons Corner, Virginia, USA, 22102.

 

2.Basis of preparation:

 

(a)Going concern:

 

These condensed interim consolidated financial statements for the three months ended March 31, 2021 have been prepared in accordance with IAS 34 – Interim Financial Reporting, as issued by the International Accounting Standards Board (“IASB”) and the basis of presentation outlined in note 2(b) on the assumption that the Company is a going concern and will continue in operation for the foreseeable future and will be able to realize its assets and discharge its liabilities and commitments in the normal course of business.

 

The Company has experienced losses since inception and has negative cash flow from operating activities of $6.3 million for the three months ended March 31, 2021 ($2.6 million – three months ended March 31, 2020). The COVID-19 (coronavirus) pandemic (“COVID-19”), including the related government-imposed social distancing and “shelter-in-place” measures, has had a negative impact on the overall volumes of patient treatments, increasing the impact on the Company’s negative cash flow used in operating activities. On December 31, 2020, the Company entered into a credit and security agreement (the “Credit Agreement”) for a $30 million secured credit facility (the “Credit Facility”) with Oxford Finance LLC (the “Lender”). See (note 9(a)). The Credit Facility provided a $15 million term loan that was funded at closing on December 31, 2020, with an option of drawing up to an additional $15 million in three $5 million delayed-draw term loan tranches within the 24 months following closing, subject to achieving specific financial milestones. The terms of the Credit Agreement require the Company to satisfy various affirmative and negative covenants and to meet certain financial tests. A failure to comply with these covenants, including a failure to meet the financial tests, would result in an event of default under the Credit Agreement and would allow the Lender to accelerate the debt, which could materially and adversely affect the business, results of operations and financial condition of the Company.

 

5

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

2.Basis of preparation (continued):

 

Although the Company believes it will become cash flow positive in the future, the timing of this will be negatively impacted until the global impact of the COVID-19 pandemic subsides. The Company has historically been able to obtain financing from supportive shareholders and other sources when required. The Company will require additional financing to fund its operating and investing activities and such additional financing is required in order for the Company to repay its short-term obligations. The failure to raise such capital when required could result in the delay or indefinite postponement of current business objectives and additional financing may not be available on favorable terms or at all. These conditions indicate the existence of substantial doubt as to the Company’s ability to continue as a going concern. See note 23 “Subsequent events”.

 

These condensed interim consolidated financial statements do not reflect adjustments that would be necessary if the going concern assumptions were not appropriate. If the going concern basis was not appropriate for these condensed interim consolidated financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported expenses, and the condensed interim consolidated statements of financial position classification used, and these adjustments may be material.

 

(b)Statement of compliance:

 

These condensed interim consolidated financial statements for the three months ended March 31, 2021 have been prepared in accordance with IAS 34 – Interim Financial Reporting, as issued by the IASB. The disclosures contained in these condensed interim consolidated financial statements do not include all of the requirements of International Financial Reporting Standards as issued by the IASB (“IFRS”) for annual consolidated financial statements. The condensed interim consolidated financial statements should be read in conjunction with the audited consolidated financial statements of the Company as at and for the year ended December 31, 2020.

 

These condensed interim consolidated financial statements comprise the accounts of Greenbrook TMS Inc., the parent company, and its subsidiaries. The Company accounts for its controlled subsidiaries using the consolidation method of accounting from the date that control commences and is deconsolidated from the date control ceases. All intercompany transactions and balances have been eliminated on consolidation.

 

6

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

 

2.Basis of preparation (continued):

 

These condensed interim consolidated financial statements were approved by the Board of Directors of the Company (the “Board”) and authorized for issue by the Board on May 14, 2021.

 

(c)Basis of measurement:

 

These condensed interim consolidated financial statements have been prepared on a historic cost basis except for financial instruments classified as fair value through profit or loss, which are stated at their fair value. Other measurement bases are described in the applicable notes.

 

Presentation of the condensed interim consolidated statements of financial position differentiates between current and non-current assets and liabilities. The condensed interim consolidated statements of net loss and comprehensive loss is presented using the function classification of expense.

 

Regional operating income (loss) presents regional operating income (loss) on an entity-wide basis and is calculated as total revenue less direct center and patient care costs, other regional and center support costs, and depreciation. These costs encapsulate all costs (other than incentive compensation such as share-based compensation granted to senior regional employees) associated with the center and regional management infrastructure, including the cost of the delivery of TMS treatments to patients and the cost of the Company’s regional patient acquisition strategy.

 

(d)Comparative information:

 

On January 12, 2021, the shareholders of the Company approved a special resolution for an amendment to the Company’s articles and authorized a consolidation (the “Share Consolidation”) of the common shares on the basis of a ratio that would permit the Company to qualify for a secondary listing on the NASDAQ Stock Market LLC (“Nasdaq”). On January 12, 2021, following the shareholder approval of the Share Consolidation, the Board authorized the implementation of the Share Consolidation on the basis of one (1) post-consolidation common share for every five (5) pre-consolidation common shares. The Share Consolidation was completed on February 1, 2021 and resulted in the number of issued and outstanding common shares being reduced from approximately 67.5 million to approximately 13.5 million, on a non-diluted basis, and no fractional common shares were issued as a result of the Share Consolidation. Any fractional interest in common shares that would otherwise have resulted from the Share Consolidation were rounded up to the next whole common share, if the fractional interest was equal to or greater than one-half of a common share, and rounded down to the next whole common share if the fractional interest was less than one-half of a common share.

 

7

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

 

2.Basis of preparation (continued):

  

Effective on the date of the Share Consolidation, the exercise price and number of common shares issuable upon the exercise of outstanding stock options, warrants and other outstanding convertible securities were proportionately adjusted to reflect the Share Consolidation in accordance with the terms of such securities for the holders of such instruments.

 

The Company has retrospectively presented the number of common shares, options and warrants on a post-Share Consolidation basis.

 

In addition, certain comparative figures have been reclassified to conform with current year presentation.

 

3.Significant accounting policies:

 

These condensed interim consolidated financial statements have been prepared using the significant accounting policies consistent with those applied in the Company’s December 31, 2020 audited consolidated financial statements.

 

The uncertainties around the outbreak of COVID-19 required the use of judgements and estimates which resulted in no material impacts for the period ended March 31, 2021. The future impact of COVID-19 uncertainties could generate, in future reporting periods, a significant risk of material adjustment to the carrying amounts of the following: goodwill and intangible assets impairment, leases, business combinations, provisions, litigation and claims.

 

In addition, areas involving judgements and estimation uncertainty include:

 

(a)Revenue recognition:

 

Due to the nature of the industry and complexity of the Company’s revenue arrangements, where price lists are subject to the discretion of payors, variable consideration exists that may result in price concessions and constraints to the transaction price for the services rendered.

 

8

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

 

3.Significant accounting policies (continued):

 

In estimating this variable consideration, the Company uses significant judgement and considers various factors including, but not limited to, the following:

 

·commercial payors and the administrators of federally-funded healthcare programs exercise discretion over pricing and may establish a base fee schedule for TMS (which is subject to change prior to final settlement) or negotiate a specific reimbursement rate with an individual TMS provider;

 

·average of previous net service fees received by the applicable payor and fees received by other patients for similar services;

 

·management’s best estimate, leveraging industry knowledge and expectations of third-party payors’ fee schedules;

 

·factors that would influence the contractual rate and the related benefit coverage, such as obtaining pre-authorization of services and determining whether the procedure is medically necessary;

 

·probability of failure in obtaining timely proper provider credentialing (including re-credentialling) and documentation, in order to bill various payors which may result in enhanced price concessions; and

 

·variation in coverage for similar services among various payors and various payor benefit plans.

 

The Company updates the estimated transaction price (including updating its assessment of whether an estimate of variable consideration is constrained) to represent faithfully the circumstances present at the end of the reporting period and the changes in circumstances during the reporting period in which such variances become known.

 

The above factors are not related to the creditworthiness of the large medical insurance companies and government-backed health plans encompassing the significant majority of the Company’s payors. The payors (large insurers and government agencies) have the ability and intent to pay, but price lists for the Company’s services are subject to the discretion of payors. As a result, the adjustment to reduce the transaction price and constrain the variable consideration is a price concession and not indicative of credit risk on the payors (i.e. not a bad debt expense).

 

9

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

 

3.Significant accounting policies (continued):

 

(b)Accounts receivable:

 

The Company considers a default to be a change in circumstances that results in the payor no longer having the ability and intent to pay. In these circumstances, the Company will recognize a write-off against the related accounts receivable balance and a corresponding bad debt expense.

 

In estimating the collectability of its accounts receivable, the Company considers macroeconomic factors in assessing accounts receivable. Such factors would need to be significant in order to affect the ability and intent of the Company’s payors given their size and stature. As at March 31, 2021, no such factors were identified and therefore no bad debt was recognized (March 31, 2020 – nil).

 

4.Recent accounting pronouncements:

 

There are no recent accounting pronouncements that are applicable or that are expected to have a significant impact on the Company.

 

5.Property, plant and equipment:

 

   Furniture and   Leasehold         
   equipment   improvements   TMS devices   Total 
Cost                    
                     
Balance, December 31, 2020  $175,416   $183,103   $2,126,091   $2,484,610 
Additions           163,890    163,890 
Balance, March 31, 2021  $175,416   $183,103   $2,289,981   $2,648,500 
                     
Accumulated depreciation                    
                     
Balance, December 31, 2020  $112,176   $30,884   $650,214   $793,274
Depreciation   9,325    10,102    75,556    94,983 
Balance, March 31, 2021  $121,501   $40,986   $725,770   $888,257 
                     
Net book value                    
                     
Balance, December 31, 2020  $63,240   $152,219   $1,475,877   $1,691,336 
Balance, March 31, 2021   53,915    142,117    1,564,211    1,760,243 

 

10

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

6.Intangible assets:

 

   Management   Covenant not     
   service agreement   to complete   Total 
Cost               
                
Balance, December 31, 2020  $6,020,000   $310,000   $6,330,000 
Additions            
                
Balance, March 31, 2021  $6,020,000   $310,000   $6,330,000 
                
Accumulated amortization               
                
Balance, December 31, 2020  $507,240   $78,361   $585,601 
Amortization   100,333    15,500    115,833 
                
Balance, March 31, 2021  $607,573   $93,861   $701,434 
                
Net book value               
                
Balance, December 31, 2020  $5,512,760   $231,639   $5,744,399 
Balance, March 31, 2021   5,412,427    216,139    5,628,566 

 

7.Right-of-use assets and leases liabilities:

 

The Company enters into lease agreements related to TMS devices and center locations. These lease agreements range from one year to seven years in length.

 

Right-of-use assets are initially measured at cost, which comprises the initial amount of the lease liability adjusted for any lease payments made at or before the commencement date, plus any initial direct costs incurred.

 

   TMS devices   Center locations   Total 
Right-of-use assets, December 31, 2020  $10,931,943   $15,859,601   $26,791,544 
Additions to right-of-use assets   562,781    664,645    1,227,426 
Exercise of buy-out options into property               
plant and equipment   (163,890)       (163,890)
Depreciation on right-of-use assets   (634,537)   (744,814)   (1,379,351)
Right-of-use assets, March 31, 2021  $10,696,297   $15,779,432   $26,475,729 

 

11

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

7.Right-of-use assets and leases liabilities (continued):

 

Lease liabilities have been measured by discounting future lease payments using a rate implicit in the lease or the Company’s incremental borrowing rate. The Company’s incremental borrowing rate during the period ended March 31, 2021 is 10% (December 31, 2020 – 10%).

 

   Total 
Lease liabilities, December 31, 2020  $27,912,873 
Additions to lease liability   1,229,370 
Interest expense on lease liabilities   678,482 
Payments of lease liabilities   (2,014,054)
      
Lease liabilities, March 31, 2021   27,806,671 
Less current portion of lease liabilities   5,234,430 
      
Long term portion of lease liabilities  $22,572,241 

 

8.Accounts payable and accrued liabilities:

 

The accounts payable and accrued liabilities are as follows:

 

   March 31,   December 31, 
   2021   2020 
Accounts payable  $7,837,391   $6,871,970 
Accrued liabilities   1,154,231    2,651,839 
Total  $8,991,622   $9,523,809 

 

9.Loans payable:

 

(a)Bank loans:

 

       Paycheck         
   Device   Protection   Credit     
   Loans (i), (ii)   Program (iii)   Facility (iv)   Total 
Total, March 31, 2021  $97,146   $2,811,929   $13,385,661   $16,294,736 
Short Term   57,570    1,155,665    318,573    1,531,808 
Long Term  $39,576   $1,656,264   $13,067,088   $14,762,928 

 

12

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

9.Loans payable (continued):

 

(i)During the year ended December 31, 2018, the Company assumed loans from four separate banking institutions that were previously extended for the purchase of TMS devices to non-controlling interest holder partners. The TMS device loans were assumed as part of partnerships with local physicians, behavioral health groups or other strategic investors, which own minority interests in certain TMS center subsidiaries. These TMS device loans bear an average interest rate of 10% with average monthly blended interest and capital payments of $1,575 and mature or have matured during the years ended or ending December 31, 2019 to December 31, 2023, as the case may be. There are no covenants associated with these loans.

 

(ii)During the year ended December 31, 2019, the Company assumed loans from two separate banking institutions that were previously extended for the purchase of TMS devices to non-controlling interest holder partners. The TMS device loans were assumed as part of partnerships with local physicians, behavioral health groups or other investors, which own minority interests in certain TMS center subsidiaries. These TMS device loans bear an average interest rate of 13% with average monthly blended interest and capital payments of $1,756 and mature during the year ended December 31, 2021.

 

During the year ended December 31, 2020, the Company was released from its obligations pertaining to one of the TMS device loans assumed during the year ended December 31, 2019 in the amount of $45,680 as a result of the disposal of the related TMS device.

 

During the three months ended March 31, 2021, the Company repaid TMS device loans totalling $19,039 (March 31, 2020 – $26,158).

 

(iii)During the year ended December 31, 2020, the Company entered into a promissory note with U.S. Bank National Association, evidencing an unsecured loan in the amount of $3,080,760 (the “Loan”) made to the Company under the U.S. Paycheck Protection Program (the “PPP”). The PPP is a program organized by the U.S. Small Business Administration established under the recently-enacted Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”). The Loan bears interest at a fixed rate of 1.0% per annum with average monthly blended interest and capital payments of $172,145 and matures on January 23, 2023. Payments are deferred for the first 16 months under the Loan with the first payments due August 23, 2021.

 

13

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

9.Loans payable (continued):

 

The effective interest rate used to measure the fair value of the loan is 10% and the benefit of the interest rate concession is a grant which gives the Company economic benefits over the term of the Loan and is recorded as deferred grant income (see note 10). The undiscounted face value of the Loan as at March 31, 2021 is $3,080,760 (December 31, 2020 – $3,080,760). As at the inception date, the carrying value of the debt was $2,587,871. During the three months ended March 31, 2021, $60,645 of accretion expense was recorded (March 31, 2020 – nil) and as at March 31, 2021 the carrying amount is $2,811,929 (December 31, 2020 – $2,751,284).

 

As U.S. federal authorities continue to update relevant policies and guidelines regarding the PPP, including some that may have retroactive effect, the Company is monitoring these developments and assessing any changes in the Company’s eligibility for the PPP or any other subsidies or support mechanisms under the CARES Act.

 

(iv)On December 31, 2020, the Company entered into the Credit Agreement for the Credit Facility with the Lender. The Credit Facility provided a $15 million term loan that was funded at closing on December 31, 2020, with an option of drawing up to an additional $15 million in three $5 million delayed-draw term loan tranches within the 24 months following closing, subject to achieving specific financial milestones. All amounts borrowed under the Credit Facility will bear interest at a rate equal to 30-day LIBOR plus 7.75%, subject to a minimum interest rate of 8.75%. The Credit Facility has a five-year term and amortizes over the life of the Credit Facility with 1% of the principal amount outstanding amortized over years one to four with the remaining outstanding principal repaid in installments over the fifth year. The undiscounted face value of the Credit Facility as at March 31, 2021 is $15,000,000 and the carrying amount is $13,385,661 (December 31, 2020 – $13,337,745). Transaction costs of $1,691,748 was incurred and are deferred over the term of the Credit Facility. Amortization of deferred transaction costs were $77,408 for the three months ended March 31, 2021 (March 31, 2020 - nil) and included in interest expense.

 

The Credit Facility contains financial covenants including consolidated minimum revenue and minimum qualified cash that became effective March 31, 2021 as well as a number of negative covenants that came into effect on December 31, 2020. The Company has granted general security over all assets of the Company in connection with the performance and prompt payment of all obligations of the Credit Facility.

 

14

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

9.Loans payable (continued):

 

The Company is in compliance with the financial covenants and there have been no events of default as at March 31, 2021.

 

(b)Lender warrants:

 

   March 31,   December 31 
   2021   2020 
Lender warrants  $325,030   $250,891 
Less: current portion of lender warrants   325,030    250,891 
Long-term portion of lender warrants  $   $ 

 

As consideration for providing the Credit Facility, the Company issued 51,307 common share purchase warrants to the Lender, each exercisable for one common share of the Company at an exercise price of C$11.20 per common share, expiring on December 31, 2025.

 

As the exercise price is denoted in a different currency than the Company’s functional currency, the lender warrants are recorded as a financial liability on the condensed interim consolidated statements of financial position. As at March 31, 2021, the value of the lender warrants was $325,030 (December 31, 2020 – $250,891).

 

The change in fair value in the current period of $74,139 was recorded as an increase in corporate, general and administrative expenses.

 

To the extent that the Company draws down additional financing under the Credit Facility, the Company will be required to issue additional lender warrants in an amount equal to 3% of the amounts drawn divided by the lesser of (i) the closing price for the common shares on the day prior to the issuance of such lender warrants and (ii) the average closing price of the common shares on the Toronto Stock Exchange for the 10 days prior to the issuance of such additional lender warrants, in either case subject to approval by the Toronto Stock Exchange.

 

15

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

9.Loans payable (continued):

 

(c)Non-controlling interest loans:

 

   March 31,   December 31, 
   2021   2020 
Non-controlling interest loans  $79,082   $77,137 

 

The non-controlling interest holder partners of the Company, from time to time, provide additional capital contributions in the form of capital loans to the Company’s subsidiaries. These loans bear interest at a rate of 10%, compounded on a monthly basis. The loans are unsecured and are repayable subject to certain liquidity and solvency requirements and are classified as current liabilities.

 

10.Deferred grant income:

 

   March 31,   December 31, 
   2021   2020 
Deferred grant income  $334,766   $377,313 
Less: current portion of deferred grant income   179,527    176,746 
Long-term portion of deferred grant income  $155,239   $200,567 

 

The deferred grant income is due to the benefit of the interest rate concession as part of the PPP Loan (see note 9(a)). During the year ended March 31, 2021, $42,547 (March 31, 2020 - nil) of deferred grant income was recorded as a reduction of interest expense.

 

11.Deferred and contingent consideration:

 

   March 31,   December 31, 
   2021   2020 
Deferred and contingent consideration  $4,443,040   $11,369,429 

 

16

 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

11.Deferred and contingent consideration (continued):

 

On September 26, 2019, the Company, through its wholly-owned subsidiary, TMS NeuroHealth Centers, Inc., completed the acquisition of all of the issued and outstanding membership interests of each of Achieve TMS Centers, LLC and Achieve TMS Alaska, LLC (collectively “Achieve TMS”). The acquisition of Achieve TMS was subject to an earn-out based on the earnings before interest, tax depreciation and amortization (EBITDA) achieved by Achieve TMS during the twelve-month period following the closing of the acquisition.

 

The earn-out in relation to the acquisition of Achieve TMS was confirmed to be $10,319,429, of which $3,095,799 was settled through the issuance of an aggregate of 231,011 common shares to the vendors on March 26, 2021. Of the remaining $7,223,630 of earn-out payable, $2,780,590 was paid in cash on March 26, 2021.

 

Certain vendors have agreed to defer $4,443,040 of the cash earn-out consideration due to them until June 30, 2021 in exchange for additional cash consideration in the aggregate amount of $300,000 which will be made concurrently with the deferred cash payment.

 

In addition, the remaining $1,050,000 of deferred consideration held in an escrow account has also been finalized as all escrow conditions have been satisfied. On March 26, 2021, the amount held in escrow as part of the acquisition of Achieve TMS was released in accordance with the membership interest purchase agreement.

 

12.Common shares:

 

The Company is authorized to issue an unlimited number of common shares and an unlimited number of preferred shares, issuable in series. As at March 31, 2021 and December 31, 2020, there were nil preferred shares issued and outstanding.

 

       Total 
   Number   amount 
December 31, 2020   13,502,477   $60,129,642 
Common shares issuances:          
Exercise of warrants   1,800    28,729 
Settlement of contingent consideration in shares   231,011    3,095,799 
March 31, 2021   13,735,288   $63,254,170 

 

17 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

12.Common shares (continued):

 

During the three months ended March 31, 2021, the Company issued a total of 1,800 common shares upon the exercise of broker warrants (see note 13(b)).

 

The earn-out in relation to the acquisition of Achieve TMS was confirmed to be $10,319,429, of which $3,095,799 was settled through the issuance of an aggregate of 231,011 common shares to the vendors on March 26, 2021 (see note 11). The common shares issued were based on a price per common share equal to the volume-weighted average trading price of the Company’s common shares on the Toronto Stock Exchange for the five trading days ending two trading days prior to March 26, 2021.

 

13.Contributed surplus:

 

Contributed surplus is comprised of share-based compensation and broker warrants.

 

(a)Share-based compensation – stock options:

 

The Company operates an equity-settled, stock options-based payment compensation plan, under which the Company pays equity instruments of the Company as consideration in exchange for employee and similar services. The plan is open to employees, directors, officers and consultants of the Company and its affiliates.

 

The fair value of the grant of the options is recognized as an expense in the condensed interim consolidated statements of net loss and comprehensive loss. The total amount to be expensed is determined by the fair value of the options granted. The total expense is recognized over the vesting period which is the period over which all of the service vesting conditions are satisfied. The vesting period is determined at the discretion of the Board and has ranged from immediate vesting to over three years. The maximum number of common shares reserved for issuance, in the aggregate, under the Company’s option plan (and under any other share-based compensation arrangements of the Company) is 10% of the aggregate number of common shares outstanding. As at March 31, 2021, this represented 1,373,529 common shares.

 

The options have an expiry date of ten years from the applicable date of issue.

 

18 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

13.Contributed surplus (continued):

 

   March 31, 2021   December 31, 2020 
       Weighted       Weighted 
   Number   average   Number   average 
   of stock   exercise   of stock   exercise 
   options   price   options   price 
Outstanding, beginning of period   736,500   $7.35    599,634   $6.80 
Granted   139,500    16.07    159,500    9.45 
Cancelled   (9,667)   12.11    (22,634)   7.50 
Outstanding, end of period   866,333   $8.70    736,500   $7.35 

 

The weighted average contractual life of the outstanding options as at March 31, 2021 was 6.7 years (December 31, 2020 – 6.4 years).

 

The total number of stock options exercisable as at March 31, 2021 was 616,533 (December 31, 2020 – 546,367).

 

During the three months ended March 31, 2021, the Company recorded a total share-based options compensation expense of $205,970 (March 31, 2020 – $109,405).

 

The following stock options were granted during the three months ended March 31, 2021:

 

(i)The fair value of the stock options granted on February 17, 2021 was estimated to be $9.03 per option using the Black-Scholes option pricing model based on the following assumptions: volatility of 46.36% calculated based on a comparable company; remaining life of ten years; expected dividend yield of 0%; forfeiture rate of 4.39% and an annual risk-free interest rate of 1.11%.

 

The following stock options were granted during the year ended December 31, 2020:

 

(i)The fair value of the stock options granted on February 3, 2020 was estimated to be $5.50 per option using the Black-Scholes option pricing model based on the following assumptions: volatility of 46.12% calculated based on a comparable company; remaining life of ten years; expected dividend yield of 0%; forfeiture rate of 0% and an annual risk-free interest rate of 2.02%.

 

19 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

13.Contributed surplus (continued):

 

As at March 31, 2021, the total compensation cost not yet recognized related to options granted is approximately $1,451,966 (December 31, 2020 – $530,357) and will be recognized over the remaining average vesting period of 2.32 years (December 31, 2020 – 1.70 years).

 

(b)Broker warrants:

 

   March 31, 2021   December 31, 2020 
       Weighted       Weighted 
   Number   average   Number   average 
   of broker   exercise   of broker   exercise 
   warrants   price   warrants   price 
Outstanding, beginning of year   112,909   $12.07    213,638   $11.10 
Granted                
Expired           (100,729)   10.00 
Exercised   (1,800)   12.07         
Outstanding, end of year   111,109   $12.07    112,909   $12.07 

 

The were no broker warrants issued during the three months ended March 31, 2021 or the year ended December 31, 2020.

 

The weighted average contractual life of the outstanding broker warrants as at March 31, 2021 was 0.1 years (December 31, 2020 – 0.4 years).

 

The total number of broker warrants exercisable as at March 31, 2021 was 111,109 (December 31, 2020 – 112,909).

 

The aggregate fair value of the broker warrants outstanding as at March 31, 2021 was $349,990 (December 31, 2020 – $355,660).

 

14.Contingencies:

 

The Company may be involved in certain legal matters arising from time to time in the normal course of business. The Company records provisions that reflect management’s best estimate of any potential liability relating to these matters. The resolution of these matters is not expected to have a material adverse effect on the Company’s financial position, results of operations or cash flows.

 

20 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

15.Pensions:

 

The Company has adopted a defined contribution pension plan for its employees whereby the Company matches contributions made by participating employees up to a maximum of 3.5% of such employees’ annual salaries. During the three months ended March 31, 2021, contributions, which were recorded as expenses within direct center and patient care costs, other regional and center support costs and corporate, general and administrative expenses, amounted to $116,197 (March 31, 2020 – $260,689).

 

16.Income taxes:

 

During the three months ended March 31, 2021, there were no significant changes to the Company’s tax position.

 

17.Risk management arising from financial instruments:

 

In the normal course of business, the Company is exposed to risks related to financial instruments that can affect its operating performance. These risks, and the actions taken to manage them, are as follows:

 

(a)Fair value:

 

The Company has Level 1 financial instruments which consists of cash, accounts receivable and accounts payable and accrued liabilities which approximates their fair value given their short-term nature. The Company also has lender warrants that are considered a Level 2 financial instrument (see note 9(b)). The Company does not have any Level 3 financial instruments.

 

The carrying value of the non-current portion of loans payable, finance lease obligations and deferred and contingent consideration approximates their fair value given the difference between the discount rates used to recognize the liabilities in the condensed interim consolidated statements of financial position and the market rates of interest is insignificant.

 

Financial instruments are classified into one of the following categories: financial assets or financial liabilities.

 

21 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

17.Risk management arising from financial instruments (continued):

 

(b)Credit risk:

 

Credit risk arises from the potential that a counterparty will fail to perform its obligations. The Company is exposed to credit risk from patients and third-party payors including federal and state agencies (under the Medicare programs), managed care health plans and commercial insurance companies. The Company’s exposure to credit risk is mitigated in large part due to the majority of the accounts receivable balance being receivable from large, creditworthy medical insurance companies and government-backed health plans.

 

The Company’s aging schedule in respect of its accounts receivable balance as at March 31, 2021 and December 31, 2020 is provided below:

 

   March 31,   December 31, 
Days since service delivered  2021   2020 
0 - 90  $4,959,069   $5,009,224 
91 - 180   1,890,888    2,317,030 
181 - 270   1,700,847    1,746,512 
270+   2,185,408    1,635,296 
Total accounts receivable  $10,736,212   $10,708,062 

 

Based on the Company’s industry, none of the accounts receivable in the table above are considered “past due”. Furthermore, the payors have the ability and intent to pay, but price lists for the Company’s services are subject to the discretion of payors. As such, the timing of collections is not linked to increased credit risk. The Company continues to collect on services rendered in excess of 24 months from the date such services were rendered.

 

(c)Liquidity risk:

 

Liquidity risk is the risk that the Company may encounter difficulty in raising funds to meet its financial commitments or can only do so at excessive cost. The Company ensures there is sufficient liquidity to meet its short-term business requirements, taking into account its anticipated cash flows from operations, its holdings of cash and its ability to raise capital from existing or new investors and/or lenders (see note 2(a)).

 

22 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)

 

 

17.Risk management arising from financial instruments (continued):

 

(d)Currency risk:

 

Currency risk is the risk to the Company’s earnings that arises from fluctuations in foreign exchange rates and the degree of volatility of those rates. The Company has minimal exposure to currency risk as substantially all of the Company’s revenue, expenses, assets and liabilities are denominated in U.S. dollars. The Company pays certain vendors and payroll costs in Canadian dollars from time to time, but due to the limited size and nature of these payments it does not give rise to significant currency risk.

 

(e)Interest rate risk:

 

Interest rate risk is the risk that the fair value of future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to changes in interest rates on its cash and long-term debt. The Credit Facility (see note 9(a)) bears interest at a rate equal to 30-day LIBOR plus 7.75%, subject to a minimum interest rate of 8.75%. A 1% increase in interest rates would result in a $675,963 increase to interest expense on the consolidated statements of net loss and comprehensive loss over the term of the Credit Facility.

 

18.Capital management:

 

The Company’s objective is to maintain a capital structure that supports its long-term growth strategy, maintains creditor and customer confidence, and maximizes shareholder value.

 

The capital structure of the Company consists of its shareholders’ equity (deficit), including contributed surplus and deficit, as well as loans payable.

 

The Company’s primary uses of capital are to finance operations, finance new center start-up costs, increase non-cash working capital and capital expenditures. The Company’s objectives when managing capital are to ensure the Company will continue to have enough liquidity so it can provide its services to its customers and returns to its shareholders. The Company, as part of its annual budgeting process, evaluates its estimated annual cash requirements to fund planned expansion activities and working capital requirements of existing operations. Based on this cash budget and taking into account its anticipated cash flows from operations and its holdings of cash, the Company validates whether it has the sufficient capital or needs to obtain additional capital.

 

23 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

19.Related party transactions:

 

Transactions with significant shareholder – Greybrook Health Inc.:

 

As at March 31, 2021, $500 is included in accounts payable and accrued liabilities for amounts payable for management services rendered and other overhead costs incurred by Greybrook Health Inc. in the ordinary course of business (December 31, 2020 – $71,286). These amounts were recorded at their exchange amount, being the amount agreed to by the parties.

 

During the year ended March 31, 2021, the Company recognized $58,474 in corporate, general and administrative expenses (March 31, 2020 – $102,492) related to transactions with Greybrook Health Inc.

 

20.Basic and diluted loss per share:

 

   Three months ended 
   March 31,   March 31, 
   2021   2020 
Net loss attributable to the shareholders of:          
Greenbrook TMS  $(7,626,554)  $(4,158,274)
Weighted average common shares outstanding:          
Basic and diluted   13,516,567    10,765,719 
Loss per share:          
Basic and diluted  $(0.56)  $(0.39)

 

For the three months ended March 31, 2021, the effect of 866,333 options (March 31, 2020 – 759,134), 51,307 lender warrants (March 31, 2020 – nil) and 111,109 broker warrants (March 31, 2020 – 120,853) have been excluded from the diluted calculation because this effect would be anti-dilutive.

 

24 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

21.Non-controlling interest:

 

As a result of operating agreements with non-wholly owned entities, the Company has control over these entities under IFRS, as the Company has power over all significant decisions made by these entities and thus 100% of the financial results of these subsidiaries are included in the Company’s consolidated financial results.

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities as at March 31, 2021 and December 31, 2020:

 

   March 31,   December 31, 
   2021   2020 
Cash  $1,476,672   $2,258,199 
Accounts receivable, net   6,502,727    6,326,473 
Prepaid expenses and other   390,083    273,295 
Property, plant and equipment   923,828    926,243 
Right-of-use assets   9,035,204    9,445,773 
Accounts payable and accrued liabilities   1,305,361    1,184,246 
Lease liabilities   9,565,559    9,822,224 
Loans payable   11,354,417    9,998,536 
Deficit attributable to the shareholders of Greenbrook TMS   (2,786,652)   (1,382,465)
Deficit attributable to non-controlling interest   (643,548)   (433,937)
Distributions paid to non-controlling interest   (1,518,130)   (1,010,130)
Subsidiary investment by non-controlling interest       45,716 
Historical subsidiary investment by non-controlling interest   1,051,507    1,005,791 

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities for the three months ended March 31, 2021 and March 31, 2020:

 

   March 31,   March 31, 
   2021   2020 
Revenue  $5,487,147   $4,240,797 
Net loss attributable to the shareholders of Greenbrook TMS   (789,688)   (633,031)
Net loss attributable to non-controlling interest   (209,612)   (82,523)

 

25 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

22.Expenses by nature:

 

The components of the Company’s other regional and center support costs include the following:

 

   Three months ended 
   March 31,   March 31, 
   2021   2020 
Salaries and bonuses  $2,986,315   $2,526,190 
Marketing expenses   1,984,621    867,102 
Total  $4,970,936   $3,393,292 

 

The components of the Company’s corporate, general and administrative expenses include the following:

 

   Three months ended 
   March 31,   March 31, 
   2021   2020 
Salaries and bonuses  $2,886,584   $2,623,430 
Professional and legal fees   750,398    402,612 
Computer supplies and software   308,705    213,384 
Deferral payment expense   300,000     
Marketing expenses   161,034    305,448 
Travel, meals and entertainment   21,649    125,612 
Other   287,712    206,010 
Total  $4,716,082   $3,876,496 

 

The deferral payment expense of $300,000 that was recognized during the three months ended March 31, 2021 (March 31, 2020 – nil) relates to cash consideration payable to certain vendors who have agreed to defer $4,443,040 of the cash earn-out consideration owed as part of the acquisition of Achieve TMS.

 

26 

 

 

Greenbrook TMS Inc.

Notes to Condensed Interim Consolidated Financial Statements (continued)

(Expressed in U.S. dollars, unless otherwise stated)

 

Three months ended March 31, 2021 and 2020

(Unaudited)
 

 

23.Subsequent events:

 

Public offering:

 

As announced on May 4, 2021, the Company is currently pursuing an underwritten public offering of common shares in the United States and Canada (the “Offering”). The common shares of the Company are being offered by a syndicate of underwriters led by Stifel, Nicolaus & Company, Incorporated (the “Underwriters”). The actual number of common shares of the Company to be distributed, the price of each common share and the size of the Offering will be determined by negotiation between the Company and the Underwriters in the context of the market with final terms to be determined at the time of pricing. The Offering is subject to a number of customary conditions, including, without limitation, receipt of all regulatory and stock exchange approvals. The Offering is also subject to market conditions, and there can be no assurance as to whether or when the Offering may be completed, or as to the actual size or terms of the Offering.

 

27