EX-99.2 3 tm2228402d1_ex99-2.htm EXHIBIT 99.2

 

Exhibit 99.2

 

 

Condensed Interim Consolidated Financial Statements 

(Expressed in U.S. dollars)

 

Greenbrook TMS Inc.

 

Three and nine months ended September 30, 2022 and 2021

(Unaudited)

 

 

 

 

Greenbrook TMS Inc.

Condensed Interim Consolidated Statements of Financial Position 

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

(Unaudited)

 

 

 

   September 30,   December 31, 
   2022   2021 
Assets          
           
Current assets:          
Cash  $10,148,819   $10,699,679 
Restricted cash (note 5)   1,000,000    1,250,000 
Accounts receivable, net (note 19(b))   14,401,803    10,997,389 
Prepaid expenses and other   3,235,228    1,912,357 
Total current assets   28,785,850    24,859,425 
           
Property, plant and equipment (note 6)   3,034,052    1,925,056 
Intangible assets (note 7)   33,217,175    9,589,399 
Goodwill (note 5)   14,897,529    6,750,107 
Right-of-use assets (note 8)   64,005,738    29,519,706 
Total assets  $143,940,344   $72,643,693 
           
Liabilities and Shareholders’ (Deficit) Equity          
           
Current liabilities:          
Accounts payable and accrued liabilities (note 9)  $19,551,547   $9,770,640 
Current portion of loans payable (note 10(a))   2,343,490    513,992 
Current portion of lease liabilities (note 8)   11,757,639    6,557,690 
Other payables (note 12)   3,507,689    348,187 
Non-controlling interest loans (note 10(b))   91,823    85,214 
Deferred and contingent consideration (note 13)   1,000,000    1,250,000 
Total current liabilities   38,252,188    18,525,723 
           
Loans payable (note 10(a))   49,554,600    13,052,641 
Lease liabilities (note 8)   54,355,326    24,475,997 
Shareholder loan (note 11)   2,101,540     
Total liabilities   144,263,654    56,054,361 
           
Shareholders’ (deficit) equity:          
Common shares (note 14)   114,120,362    98,408,917 
Contributed surplus (note 15)   4,520,246    4,204,280 
Deficit   (116,836,359)   (85,285,760)
Total shareholders’ equity excluding non-controlling interest   1,804,249    17,327,437 
Non-controlling interest (note 23)   (2,127,559)   (738,105)
Total shareholders’ (deficit) equity   (323,310)   16,589,332 
           
Basis of preparation and going concern (note 2(a))          
Contingencies (note 16)          
Total liabilities and shareholders’ (deficit) equity  $143,940,344   $72,643,693 

 

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   Nine months ended 
   September 30,   September 30,   September 30,   September 30, 
   2022   2021   2022   2021 
Revenue:                    
Service revenue  $20,752,105   $13,130,245   $48,027,560   $38,150,632 
                     
Expenses:                    
Direct center and patient care costs   10,207,404    6,911,058    25,193,562    20,125,081 
Other regional and center support costs (note 24)   8,257,804    4,596,981    18,499,681    14,038,159 
Depreciation (notes 6 and 8)   3,136,369    1,373,149    6,292,913    4,309,114 
    21,601,577    12,881,188    49,986,156    38,472,354 
                     
Regional operating income (loss)   (849,472)   249,057    (1,958,596)   (321,722)
                     
Center development costs   215,954    203,929    562,108    667,336 
Corporate, general and administrative expenses (note 24)   9,629,398    5,145,964    20,365,633    15,685,529 
Share-based compensation (note 15)   2,762    221,679    315,966    631,011 
Amortization (note 7)   570,648    115,834    985,648    347,500 
Interest expense   3,183,165    1,145,337    5,633,165    3,507,436 
Interest income       (3,067)   (12,230)   (5,260)
Loss on extinguishment of loans (note 10(a)(ii))   2,331,917        2,331,917     
Forgiveness of loan payable (note 10(c))       (3,128,596)       (3,128,596)
                     
Loss before income taxes   (16,783,316)   (3,452,023)   (32,140,803)   (18,026,678)
                     
Income tax expense (note 18)                
                     
Loss for the period and comprehensive loss  $(16,783,316)  $(3,452,023)  $(32,140,803)  $(18,026,678)
                     
Loss for the period attributable to:                    
Non-controlling interest (note 23)  $(421,890)  $65,227   $(593,545)  $(107,049)
Common shareholders of Greenbrook TMS   (16,361,426)   (3,517,250)   (31,547,258)   (17,919,629)
   $(16,783,316)  $(3,452,023)  $(32,140,803)  $(18,026,678)
                     
Net loss per share (note 22):                    
Basic  $(0.59)  $(0.22)  $(1.49)  $(1.23)
Diluted   (0.59)   (0.22)   (1.49)   (1.23)

 

See accompanying notes to condensed interim consolidated financial statements.

 

2

 

 

Greenbrook tms Inc.

Condensed Interim Consolidated Statements of Changes in (Deficit) Equity

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

(Unaudited)

 

 

 

                   Non-   Total 
   Common shares   Contributed       controlling   equity 
Nine months ended September 30, 2021  Number   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               (17,919,629)   (107,049)   (18,026,678)
Issuance of common shares (note 14)   4,292,108    38,355,984                38,355,984 
Exercise of stock options   5,500    46,875    (18,125)           28,750 
Share-based compensation (note 15)           631,011            631,011 
Exercise of warrants   1,800    28,729    (5,670)           23,059 
Distributions to non-controlling interest                   (508,000)   (508,000)
Acquisition of subsidiary non-controlling interest               (351,670)   143,259    (208,411)
Non-controlling interest subsidiary investment               19,374    40,626    60,000 
Balance, September 30, 2021   17,801,885   $98,561,230   $3,955,852   $(78,453,901)  $(823,724)  $23,239,457 

 

                   Non-   Total 
   Common shares   Contributed       controlling   equity 
Nine months ended September 30, 2022  Number   Amount   surplus   Deficit   interest   (deficit) 
Balance, December 31, 2021   17,801,885   $98,408,917   $4,204,280   $(85,285,760)  $(738,105)  $16,589,332 
Net comprehensive loss for the period               (31,547,258)   (593,545)   (32,140,803)
Share-based compensation (note 15)           315,966            315,966 
Issuance of common shares - acquisition (note 14)   11,634,660    15,711,445                15,711,445 
Acquisition of subsidiary non-controlling interest (note 23)               (3,341)   (496,659)   (500,000)
Distributions to non-controlling interest                   (299,250)   (299,250)
Balance, September 30, 2022   29,436,545   $114,120,362   $4,520,246   $(116,836,359)  $(2,127,559)  $(323,310)

 

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)

 

 

 

   Nine months ended 
   September 30,   September 30, 
   2022   2021 
Cash provided by (used in)          
           
Operating activities:          
Loss for the period  $(32,140,803)  $(18,026,678)
Adjusted for:          
Amortization   985,648    347,500 
Depreciation   6,292,913    4,309,114 
Interest expense   5,633,165    3,507,436 
Interest income   (12,230)   (5,260)
Share-based compensation   315,966    631,011 
Loss on extinguishment of loan   2,331,917     
Forgiveness of loan payable (note 10(c))       (3,128,596)
Change in non-cash operating working capital:          
Accounts receivable   117,901    (235,966)
Prepaid expenses and other   (495,246)   (834,887)
Accounts payable and accrued liabilities   3,841,055    1,333,391 
Other payables   3,159,502    299,505 
    (9,970,212)   (11,803,430)
           
Financing activities:          
Net proceeds on issuance of common shares (note 14)       35,260,185 
Net proceeds on exercise of stock options       28,750 
Interest paid   (3,808,215)   (3,265,259)
Broker warrants exercised       23,059 
Finance costs incurred (note 10(a))   (3,071,233)   (29,493)
Bank loans advanced   55,000,000     
Bank loans repaid (note 10(a))   (31,907,466)   (123,639)
Conversion Instruments issued   (892,950)    
Principal repayment of lease liabilities   (5,827,371)   (3,908,739)
Net non-controlling interest loans advanced   6,609    5,982 
Distribution to non-controlling interest   (299,250)   (508,000)
    9,200,124    27,482,846 
           
Investing activities:          
Acquisitions, net of cash acquired   740,866     
Change in restricted cash   250,000    (1,050,000)
Acquisition of subsidiary non-controlling interest (note 23)   (500,000)   (208,411)
Non-controlling interest subsidiary investment       60,000 
Deferred and contingent consideration paid (note 13)   (250,000)   (8,273,630)
Purchase of property, plant and equipment   (33,868)   (11,089)
Interest received   12,230    5,260 
    219,228    (9,477,870)
           
Increase (decrease) in cash   (550,860)   6,201,546 
           
Cash, beginning of period   10,699,679    18,806,742 
Cash, end of period  $10,148,819   $25,008,288 

 

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 and nine months ended September 30, 2022 and 2021 

(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 and other treatment modalities for the treatment of depression and related psychiatric services.

 

The Company’s head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada, M4W 3P4. The Company’s 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 and nine months ended September 30, 2022 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 $9,970,212 for the nine months ended September 30, 2022 (nine months ended September 30, 2021 – $11,803,430).

 

On December 31, 2020, the Company entered into a credit and security agreement (the “Oxford Credit Agreement”), as amended on October 29, 2021, for a $30,000,000 secured credit facility (the “Oxford Credit Facility”) with Oxford Finance LLC (the “Lender”). The Oxford Credit Facility provided a $15,000,000 term loan that was funded at closing on December 31, 2020, with an option of drawing up to an additional $15,000,000 in three $5,000,000 delayed draw term loan tranches within the 24 months following closing, subject to achieving specific financial milestones. On July 14, 2022, the Company entered into a credit agreement (the “Madryn Credit Agreement”) for a $75,000,000 secured credit facility (the “Madryn Credit Facility”) with Madryn Asset Management, LP (“Madryn”) and its affiliated entities. Upon closing of the Madryn Credit Facility, the Company drew a $55,000,000 term loan under the Madryn Credit Facility. In addition, the Madryn Credit Facility permits the Company to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for purposes of funding future mergers and acquisition activity.

 

5

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

2.Basis of preparation (continued):

 

On July 14, 2022, the Company used $15,446,546 of the proceeds from the Madryn Credit Facility was used to repay in full the outstanding balance owing under the Company’s existing Oxford Credit Facility and the Company terminated the Oxford Credit Facility effective July 14, 2022. Refer to note 10(a) for a more detailed description. Concurrently, the Company used $15,154,845 of proceeds to repay various loans previously held by Success TMS (as defined below) in connection with the Success TMS Acquisition (as defined below). The terms of the Madryn Credit Facility require the Company to satisfy various financial covenants including a minimum liquidity and minimum consolidated revenue amounts that become effective on July 14, 2022 and September 30, 2022, respectively. A failure to comply with these covenants, or failure to obtain a waiver for any non-compliance, would result in an event of default under the Credit Agreement and would allow the Lender to accelerate repayment of the debt, which could materially and adversely affect the business, results of operations and financial condition of the Company.

 

Although the Company believes it will become cash flow positive in the future, the timing of this is uncertain. The Company has historically been able to obtain financing from supportive shareholders and other sources when required as evidenced by the Company securing the Madryn Credit Facility on July 14, 2022. The existence of these conditions as at September 30, 2022, indicate substantial doubt as to the Company’s ability to continue as a going concern.

 

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 and nine months ended September 30, 2022 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, 2021.

 

6

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

2.Basis of preparation (continued):

 

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.

 

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 November 8, 2022.

 

(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 are 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 service 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.

 

7

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

2.Basis of preparation (continued):

 

(d)Comparative information:

 

(i)Restricted cash

 

Comparative figures have been updated to reflect immaterial reclassification adjustments to present changes in restricted cash balances as an investing activity in the condensed interim consolidated statements of cash flows for the nine months ended September 30, 2022.

 

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, 2021 audited consolidated financial statements, except as described below:

 

(a)Intangible assets:

 

The Company classifies intangible assets, obtained through acquisitions, as definite lived assets. Intangible assets consist of covenants not to compete, management service agreements with a professional organization and software. These intangible assets are recorded at cost and are amortized over their estimated useful lives, as follows:

 

Covenants not to compete   5 years
Management services agreement   15 years
Software  5 years

 

The Company reviews the appropriateness of the amortization period relating to the definite lived intangible assets annually.

 

4.Recent accounting pronouncements:

 

The IASB has issued the following amendment to the existing standard that will become effective for periods beginning on or after January 1, 2023:

 

(i)IAS 12 – Income Taxes: Deferred Tax related to Assets and Liabilities arising from a Single Transaction, narrowing the scope for exemption when recognizing deferred taxes.

 

8

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

4.Recent accounting pronouncements (continued):

 

The Company is currently assessing the impact of the pronouncement and does not expect the amendment to the existing standard to have any material impact on the Company’s consolidated financial statements.

 

5.Business combinations:

 

(a)Acquisition of Achieve TMS East/Central:

 

On October 1, 2021, the Company, through its wholly-owned subsidiary, TMS NeuroHealth Centers Inc., completed the acquisition (the “Achieve TMS East/Central Acquisition”) of all of the issued and outstanding membership interests of Achieve TMS East, LLC (“Achieve TMS East”) and Achieve TMS Central, LLC (“Achieve TMS Central”, and together with Achieve TMS East, “Achieve TMS East/Central”). The initial aggregate purchase price for Achieve TMS East/Central was $7,905,700, excluding Achieve TMS East/Central’s cash and subject to customary working capital adjustments. The Company paid $6,655,700 in cash upon closing of the Achieve TMS East/Central Acquisition and the remaining $1,250,000 was held in an escrow account, subject to the finalization of the escrow conditions.

 

In addition, the purchase price payable in respect of the Achieve TMS East/Central Acquisition includes contingent consideration that is subject to a capped earn-out of up to an additional $2,500,000 based on the earnings before interest, tax, depreciation and amortization (“EBITDA”) achieved by Achieve TMS East during the twelve-month period following the closing of the Achieve TMS East/Central Acquisition. All subsequent changes in the fair value of this liability are recognized in the condensed interim consolidated statements of net loss and comprehensive loss. As at October 1, 2021, December 31, 2021, and September 30, 2022, the Company estimated the fair value of the purchase price payable in respect to the earn-out to be nil. The amount recognized as at October 1, 2021, December 31, 2021 and September 30, 2022 was based on management’s best estimate of the earn-out payable and was subject to estimation uncertainty.

 

The deferred and contingent consideration payable balance related to the Achieve TMS East/Central Acquisition as at October 1, 2021 was $1,250,000, made up of an estimated nil earn-out payable and $1,250,000 in cash that is restricted and being held in an escrow account, subject to finalization of the escrow conditions. During the nine months ended September 30, 2022, $250,000 of the restricted cash held in escrow was released to the vendors.

 

9

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

5.Business combinations (continued):

 

The Achieve TMS East/Central Acquisition represents the addition of 17 new TMS centers (each, a “TMS Center”) and strengthens the Company’s presence in New England and in the central United States.

 

The Achieve TMS East/Central Acquisition has been accounted for using the acquisition method of accounting. The allocation of the purchase price consideration for the Achieve TMS East/Central Acquisition is final, and is comprised as follows:

 

Purchase consideration    
     
Cash paid, net of cash acquired ($69,769)  $6,585,931 
Deferred and contingent consideration   1,250,000 
Working capital adjustment   (104,052)
    7,731,879 
Net assets acquired     
Current assets, excluding cash acquired   460,070 
Property, plant and equipment   57,544 
Covenants not to compete   550,000 
Management services agreement   3,850,000 
Right-of-use assets   2,366,868 
Accounts payable and accrued liabilities   (228,193)
Current lease liabilities   (1,152,426)
Long-term lease liabilities   (1,214,441)
    4,689,422 
Goodwill  $3,042,457 

 

As part of the Achieve TMS East/Central Acquisition, the Company acquired a management services agreement (the “Achieve TMS East/Central MSA”) between Achieve TMS East/Central and professional entities owned by an Achieve TMS East/Central physician, under which it provides management, administrative, financial and other services in exchange for a fee. The Achieve TMS East/Central MSA is the key intangible asset identified as part of the Achieve TMS East/Central Acquisition and drives the value of the business. The Achieve TMS East/Central MSA is valued using the multi-period excess earnings method. The multi-period excess earnings method considers the present value of net cash flows expected to be generated by the Achieve TMS East/Central MSA by excluding any cash flows related to contributory assets.

 

10

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

5.Business combinations (continued):

 

The purchase agreement in respect of the Achieve TMS East/Central Acquisition included a non-compete covenant from the sellers in favor of the Company. Pursuant to this covenant, the sellers are prohibited from competing with Achieve TMS East/Central for a period of five years from the closing date of the Achieve TMS East/Central Acquisition. This intangible asset is valued using the with-and-without method.

 

Goodwill is primarily attributable to the ability to expand the Company’s national footprint and the synergies expected to result from combining Achieve TMS East/Central’s operations with the Company, and is allocated to the Achieve TMS East/Central cash generating unit (“CGU”). Goodwill is deductible for tax purposes.

 

(b)Acquisition of Success TMS:

 

On July 14, 2022, the Company, through its wholly-owned U.S. subsidiary, TMS NeuroHealth Centers Inc., completed the acquisition of all of the issued and outstanding equity interests in Check Five LLC, a Delaware limited liability company (doing business as “Success TMS”) (“Success TMS”) from its parent company, Success Behavioral Holdings LLC (the “Success TMS Acquisition”) pursuant to a Membership Interest Purchase Agreement dated as of May 15, 2022 (the “Purchase Agreement”), by and among the Company, Success TMS and its direct and indirect owners, including Success Behavioral Holdings, LLC, Theragroup LLC, The Bereke Trust U/T/A Dated 2/10/03, Batya Klein and Benjamin Klein (collectively, the “Seller Parties”).

 

As consideration for the purchase of Success TMS, the Seller Parties received, in the aggregate, 8,725,995 common shares of the Company valued at $11,783,584, and an additional 2,908,665 common shares of the Company, valued at $3,927,861, have been held back and deposited with an escrow agent, to be released to Benjamin Klein or the Company, as applicable, upon satisfaction of customary working capital and certain other adjustments, including to satisfy any indemnity claims against the Seller Parties (such common shares issued as consideration to the Seller Parties, including the common shares deposited in escrow, collectively, the “Consideration Shares”).

 

The purchase price consideration was determined based on the pro forma revenue contribution of the two companies and was fixed at an amount equal to approximately 40% of the total issued and outstanding common shares of the Company on a post-acquisition basis and subject to adjustments, as described above.

 

The Success TMS Acquisition represents the addition of 47 new TMS Centers, with a new presence in additional states, including Illinois, New Jersey, Nevada and Pennsylvania.

 

11

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

5.Business combinations (continued):

 

The Success TMS Acquisition has been accounted for using the acquisition method of accounting. The allocation of the purchase price consideration for the Success TMS Acquisition is preliminary, and is comprised as follows:

 

Purchase consideration    
     
Share issuance  $11,783,584 
Share issuance, held in escrow   3,927,861 
    15,711,445 
Net assets acquired     
Cash acquired   740,866 
Accounts receivable, net   3,522,315 
Prepaid expenses and other   893,807 
Property, plant and equipment   751,327 
Software   363,424 
Management services agreement   24,250,000 
Right-of-use assets   36,279,619 
Accounts payable and accrued liabilities   (5,939,852)
Deferred grant income   (225,559)
Loans payable   (14,836,324)
Shareholder loan   (2,078,979)
Lease liabilities   (36,156,622)
    7,564,022 
Goodwill  $8,147,423 

 

As part of the Success TMS Acquisition, the Company acquired five management services agreements (the “Success TMS MSAs”) between Success TMS and professional entities owned by Success TMS physicians, under which it provides management, administrative, financial and other services in exchange for a fee. The Success TMS MSAs are the key intangible assets identified as part of the Success TMS Acquisition and drives the value of the business. The Success TMS MSAs are valued using the multi-period excess earnings method. The multi-period excess earnings method considers the present value of net cash flows expected to be generated by the Success TMS MSAs by excluding any cash flows related to contributory assets.

 

From the date of closing of the Success TMS Acquisition on July 14, 2022 up to and including September 30, 2022, Success TMS has contributed service revenues and a net loss of $7,003,833 and $2,584,574, respectively.

 

12

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

5.Business combinations (continued):

 

The purchase price allocation is considered to be preliminary should subsequent adjustments during the measurement period occur as a result of the finalization of the fair value of other receivables, accounts payable and accrued liabilities as well as potential unrecorded liabilities. Goodwill is primarily attributable to the ability to expand the Company’s national footprint and the synergies expected to result from combining Success TMS’ operations with the Company, and is allocated to the Success TMS CGU. Goodwill is deductible for tax purposes.

 

For the nine months ended September 30, 2022, $972,273 of Success TMS Acquisition-related costs have been incurred and are included in corporate, general and administrative expenses on the condensed interim consolidated statements of net loss and comprehensive loss.

 

The unaudited consolidated revenue and loss for the period and comprehensive loss, not including operational synergies, on a proforma basis as if the Company acquired Success TMS as at January 1, 2022, is $64,226,234 and $24,591,481, respectively. This proforma information is for informational purposes only and does not represent actual results of operations for the period presented.

 

6.Property, plant and equipment:

 

   Furniture and   Leasehold         
   equipment   improvements   TMS devices   Total 
Cost                    
                     
Balance, December 31, 2021  $115,604   $179,399   $2,536,225   $2,831,228 
Additions       33,868    702,877    736,745 
Additions through business combinations (note 5(b))       53,347    697,980    751,327 
Balance, September 30, 2022  $115,604   $266,614   $3,937,082   $4,319,300 
                     
Accumulated depreciation                    
                     
Balance, December 31, 2021  $80,355   $56,477   $769,340   $906,172 
Depreciation   17,339    22,001    339,736    379,076 
Balance, September 30, 2022  $97,694   $78,478   $1,109,076   $1,285,248 
                     
Net book value                    
                     
Balance, December 31, 2021  $35,249   $122,922   $1,766,885   $1,925,056 
Balance, September 30, 2022   17,910    188,136    2,828,006    3,034,052 

 

13

 

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

7.Intangible assets:

 

   Management   Covenant not         
   services agreement   to complete   Software   Total 
Cost                    
                     
Balance, December 31, 2021  $9,870,000   $860,000   $   $10,730,000 
Additions through business combinations (note 5b)   24,250,000        363,424    24,613,424 
Balance, September 30, 2022  $34,120,000   $860,000   $363,424   $35,343,424 
                     
Accumulated depreciation                    
                     
Balance, December 31, 2021  $972,740   $167,861   $   $1,140,601 
Amortization   836,825    129,000    19,823    985,648 
Balance, September 30, 2022  $1,809,565   $296,861   $19,823   $2,126,249 
                     
Net book value                    
                     
Balance, December 31, 2021  $8,897,260   $692,139   $   $9,589,399 
Balance, September 30, 2022   32,310,435    563,139    343,601    33,217,175 

 

 

  
8.Right-of-use assets and lease liabilities:

 

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

 

Right-of-use assets are initially measured at cost, which is comprised of 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 Center     
   TMS devices   locations   Total 
Right-of-use assets, December 31, 2021  $13,741,292   $15,778,414   $29,519,706 
Additions to right-of-use assets   1,314,203    3,508,924    4,823,127 
Additions through business combinations (note 5(b))   19,418,442    16,861,177    36,279,619 
Exercise of buy-out options into property, plant and equipment   (702,877)       (702,877)
Depreciation on right-of-use assets   (2,695,268)   (3,218,569)   (5,913,837)
Right-of-use assets, September 30, 2022  $31,075,792   $32,929,946   $64,005,738 

 

14

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

8.Right-of-use assets and lease 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 September 30, 2022 is 10% (December 31, 2021 – 10%).

 

Lease liabilities, December 31, 2021  $31,033,687 
Additions to lease liability   4,750,027 
Additions through business combinations (note 5(b))   36,156,622 
Interest expense on lease liabilities   3,039,521 
Payments of lease liabilities   (8,866,892)
Lease liabilities, September 30, 2022   66,112,965 
      
Less current portion of lease liabilities   11,757,639 
Long term portion of lease liabilities  $54,355,326 

 

9.Accounts payable and accrued liabilities:

 

The accounts payable and accrued liabilities are as follows:

 

   September 30,   December 31, 
   2022   2021 
Accounts payable  $15,769,944   $7,515,566 
Accrued liabilities   3,781,603    2,255,074 
Total  $19,551,547   $9,770,640 

 

15

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

10.Loans payable:

 

(a)Bank loans:

 

   TMS   Madryn         
   Device   Credit   Promissory     
   loans (i)   Facility (ii)   notes (iii)   Total 
Total, September 30, 2022  $245,164   $51,491,486   $161,440   $51,898,090 
Short term   147,174    2,196,316        2,343,490 
Long term  $97,990   $49,295,170   $161,440   $49,554,600 

 

(i)TMS Device loans

 

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. The loans related to one of the banking institutions were repaid during the year ended December 31, 2019.

 

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 matured during the year ended December 31, 2021. There are no covenants associated with these loans. The loans were repaid during the year ended December 31, 2021.

 

16

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

10.Loans payable (continued):

 

During the period ended September 30, 2022, the Company assumed loans as part of the Success TMS Acquisition from three separate financing companies for the purchase of TMS devices. These TMS device loans bear an average interest rate of 9.3% with average monthly blended interest and capital payments of $1,538 and mature during the years ending December 31, 2023 to December 31, 2025. There are no covenants associated with these loans.

 

During the nine months ended September 30, 2022, the Company repaid TMS device loans totalling $64,582 (September 30, 2021 – $48,639).

 

(ii)Madryn Credit Facility

 

On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility. The Madryn Credit Facility provided the Company with a $55,000,000 term loan (the “Term Loan”), with an option to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for the purposes of funding future mergers and acquisition activity. All amounts borrowed under the Madryn Credit Facility will bear interest at a rate equal to the three-month LIBOR rate plus 9.0%, subject to a minimum three-month LIBOR floor of 1.5%. The Madryn Credit Facility matures over 63 months and provides for four years of interest-only payments. The principal balance of $55,000,000 is due in five equal 3 month installments beginning on September 30, 2026. 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 Madryn Credit Facility.

 

The carrying amount of the Madryn Credit Facility as at September 30, 2022 is $51,491,486 (December 31, 2021 – nil). Transaction costs of $3,071,233 were incurred and are deferred over the term of the Madryn Credit Facility. Amortization of deferred transaction costs for the three and nine months ended September 30, 2022 was $135,408 (three months ended September 30, 2021 – nil) and was included in interest expense.

 

The terms of the Madryn Credit Agreement require the Company to satisfy various affirmative and negative covenants and to meet certain financial tests, including but not limited to, consolidated minimum revenue and minimum liquidity covenants that became effective September 30, 2022 and July 14, 2022, respectively. In addition, the Madryn Credit Agreement contains affirmative and negative covenants that limit, among other things, the Company’s ability to incur additional indebtedness outside of what is permitted under the Madryn Credit Agreement, create certain liens on assets, declare dividends and engage in certain types of transactions. The Madryn Credit Agreement also includes customary events of default, including payment and covenant breaches, bankruptcy events and the occurrence of a change of control.

 

17

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

10.Loans payable (continued):

 

In accordance with the terms of the Madryn Credit Agreement, the Company has issued conversion instruments (each, a “Conversion Instrument”) to Madryn and certain of its affiliated entities that provide the holders thereof with the option to convert up to $5,000,000 of the outstanding principal amount of the Term Loan into common shares of the Company at a price per share equal to $1.90 (representing a 15% premium to the 30-day volume weighted average trading price of the common shares as of the closing date of the transaction), subject to customary anti-dilution adjustments and approval of the Toronto Stock Exchange prior to each such issuance. See note 12(d).

 

On July 14, 2022, the Company used $15,446,546 of the proceeds from the Madryn Credit Facility to repay in full the outstanding balance owing under the Company’s existing Oxford Credit Facility amounting to $14,838,546, as well as prepayment fees and legal fees incurred amounting to $608,000, and terminated the Oxford Credit Facility. The termination of the Oxford Credit Facility resulted in a loss on extinguishment of $1,831,917.

 

Concurrently, the Company used $15,154,845 of proceeds from the Madryn Credit Facility to repay various loans previously held by Success TMS, resulting in a loss on extinguishment of $500,000.

 

(iii)Promissory notes:

 

On July 14, 2022, the Company assumed two promissory notes in connection with the Success TMS Acquisition totaling $200,000. The promissory notes bear interest at a rate of 5% per annum and have a maturity date of December 31, 2025. Upon acquisition, the two promissory notes were fair valued using an interest rate of 12%. The carrying value of these promissory notes as at September 30, 2022 is $161,440 (December 31, 2021 – nil). Interest expense for the three and nine months ended September 30, 2022 was $4,125 (three and nine months ended September 30, 2021 – nil). During the nine months ended September 30, 2022, the Company repaid promissory notes totalling nil (September 30, 2021 – nil).

 

18

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

10.Loans payable (continued):

 

(b)Non-controlling interest loans:

 

   September 30,   December 31, 
   2022   2021 
Non-controlling interest loans  $91,823   $85,214 

 

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.

 

(c)Forgiveness of loan payable

 

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 Coronavirus Aid, Relief, and Economic Security

 

Act (the “CARES Act”). During the three and nine months ended September 30, 2021, as authorized by Section 1106 of the CARES Act, the U.S. Small Business Administration forgave the amount loaned as well as all accrued interest. As a result of the forgiveness of the Loan, all previously net accrued interest in the amount of $47,836 and the principal balance of $3,080,760 had been recorded as a gain in the condensed interim consolidated statements of net loss and comprehensive loss.

 

19

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

11.Shareholder loan:

 

On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation of Success TMS to repay a promissory note to Benjamin Klein, who is a significant shareholder, officer and director of the Company. The promissory note totals $2,090,264 and bears interest at a rate of 10% per annum and matures on May 1, 2024. Upon acquisition, the promissory note was fair valued using an interest rate of 12%. The carrying value of shareholder loan as at September 30, 2022 is $2,101,540 (December 31, 2021 – nil). Interest expense for the three and nine months ended September 30, 2022 was $54,512 (three and nine months ended September 30, 2021 – nil).

 

During the nine months ended September 30, 2022, the Company repaid $31,951 of the shareholder loan (September 30, 2021 – nil).

 

12.Other payables:

 

(a)Lender warrants:

 

   September 30,   December 31 
   2022   2021 
Lender warrants  $16,110   $44,997 
Less: current portion of lender warrants   16,110    44,997 
Long-term portion of lender warrants  $   $ 

 

As consideration for providing the Oxford Credit Facility (see note 2(a)), 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 in other payables on the condensed interim consolidated statements of financial position. As at September 30, 2022, the value of the lender warrants was $16,110 (December 31, 2021 – $44,997).

 

The change in fair value of the lender warrants during the three and nine months ended September 30, 2022 was an increase of $14,212 and a decrease of $28,886, respectively (three and nine months ended September 30, 2021 – a decrease of $177,881 and $108,822, respectively) and was recorded in corporate, general and administrative expenses.

 

20

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

12.Other payables (continued):

 

(b)Deferred share units:

 

   September 30,   December 31, 
   2022   2021 
Deferred share units  $607,563   $205,337 

 

On May 6, 2021, the Company adopted a deferred share unit plan (the “DSU Plan”) for non-employee directors (each, a “Non-Employee Director”). Each Non-Employee Director is required to take at least 50% of their annual retainer (other than annual committee Chair retainers) in deferred share units (“DSUs”) and may elect to take additional amounts in the form of DSUs. Discretionary DSUs may also be granted to Non-Employee Directors under the DSU Plan. The DSUs granted vest immediately.

 

Following a Non-Employee Director ceasing to hold all positions with the Company, the Non-Employee Director will receive a payment in cash at the fair market value of the common shares represented by the Non-Employee Director’s DSUs generally within ten days of the Non-Employee Director’s elected redemption date.

 

As the DSUs are cash-settled, the DSUs are recorded as cash-settled share-based payments and a financial liability has been recognized on the condensed interim consolidated statements of financial position. During the three and nine months ended September 30, 2022, 49,656 and 178,829 DSUs were granted, respectively (three and nine months ended September 30, 2021 – 14,759 and 20,295, respectively). As at September 30, 2022, the value of the financial liability attributable to the DSUs was $607,563 (December 31, 2021 – $205,337). For the three and nine months ended September 30, 2022, the Company recognized an expense of $374,682 and $402,226, respectively (three and nine months ended September 30, 2021 – $58,189 and $150,196, respectively) in corporate, general and administrative expenses related to the DSUs.

 

(c)Performance share units:

 

   September 30,   December 31, 
   2022   2021 
Performance share units  $60,547   $97,853 

 

21

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

12.Other payables (continued):

 

On May 6, 2021, the Company’s Equity Incentive Plan was amended and restated to permit the Company to grant performance share units (“PSUs”) and restricted share units (“RSUs”), in addition to stock options. Under the Equity Incentive Plan, the Company pays equity instruments of the Company, or a cash payment equal to the fair market value thereof, as consideration in exchange for employee and similar services provided to the Company. The Equity Incentive Plan is open to employees, directors, officers and consultants of the Company and its affiliates; however, Non-Employee Directors are not entitled to receive grants of PSUs.

 

On August 5, 2021, 38,647 PSUs were granted under the Equity Incentive Plan. The performance period in respect of this award is August 5, 2021 to December 31, 2023. The PSUs will vest on December 31, 2023 (the “Vesting Date”) subject to the attainment of certain performance vesting conditions. Subject to all terms and conditions of the Equity Incentive Plan and the terms of the grant agreement, any vested and outstanding PSUs will be settled following the Vesting Date and, in any event, no later than March 15, 2024. Pursuant to the grant agreement, upon satisfaction of the performance vesting conditions, the PSUs will be settled in cash.

 

Based on future projections with respect to the performance vesting conditions of the PSUs, the Company estimates that 23,188 PSUs will vest on the Vesting Date.

 

As at September 30, 2022, the value of the financial liability attributable to the PSUs is $60,547 (December 31, 2021 – $97,853).

 

As at September 30, 2022, the Company has not issued any RSUs under the Equity Incentive Plan (December 31, 2021 – nil).

 

22

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

12.Other payables (continued):

 

(d)Conversion instruments:

 

   September 30,   December 31, 
   2022   2021 
Conversion instruments  $2,823,469   $ 

 

On July 14, 2022, in connection with the Madryn Credit Facility, the Company issued the Conversion Instruments to Madryn and certain of its affiliated entities. The Conversion Instruments provide the holders thereof with the option to convert up to an aggregate of $5,000,000 of the outstanding principal amount of the Term Loan into common shares of the Company at a price per share equal to $1.90, subject to customary anti-dilution adjustments and approval of the Toronto Stock Exchange prior to each such issuance. See note 10(a)(ii).

 

The embedded derivative in relation to the Conversion Instruments were fair valued using the finite difference valuation method and are recorded as a financial liability in other payables on the condensed interim consolidated statements of financial position. On inception, the aggregate value of the Conversion Instruments were $892,951. As at September 30, 2022, the aggregate value of the Conversion Instruments were $2,823,158 (December 31, 2021 – nil).

 

The change in fair value of the Conversion Instruments during the three and nine months ended September 30, 2022 was an increase of $1,930,518 and $1,930,518, respectively (three and nine months ended September 30, 2021 - nil) and was recorded in corporate, general and administrative expenses.

 

23

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

13.Deferred and contingent consideration:

 

   September 30,   December 31, 
   2022   2021 
Deferred and contingent consideration  $1,000,000   $1,250,000 

 

(a)Achieve TMS East/Central:

 

The deferred and contingent consideration payable balance related to the Achieve TMS East/Central Acquisition as at December 31, 2021 was $1,250,000, made up of an estimated nil earn-out payable and $1,250,000 in restricted cash that was held in an escrow account, subject to finalization of the escrow conditions (see note 5(a)). During the nine months ended September 30, 2022, $250,000 of the restricted cash held in escrow was released to the vendors in accordance with the terms of the agreement.

 

(b)Achieve TMS West:

 

As at December 31, 2020, the earn-out in relation to the acquisition (the “Achieve TMS West Acquisition”) of Achieve TMS Centers, LLC and Achieve TMS Alaska, LLC (collectively, “Achieve TMS West”) 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 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 was to be made concurrently with the deferred cash payment.

 

Of the $1,274,402 of deferred consideration held in escrow in connection with the Achieve TMS West Acquisition, $224,402 was paid during the year ended December 31, 2020. The remaining $1,050,000 of deferred consideration at December 31, 2020 held in an escrow account was finalized as all escrow conditions had been satisfied. On March 26, 2021, the amount held in escrow as part of the Achieve TMS West Acquisition was released in accordance with the membership interest purchase agreement. The deferred cash payment and the remaining contingent consideration were paid in full to the vendors on June 28, 2021.

 

As at September 30, 2022, the deferred and contingent consideration in relation to the Achieve TMS West Acquisition was nil (December 31, 2021 – nil).

 

24

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

14.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 September 30, 2022 and December 31, 2021, there were nil preferred shares issued and outstanding.

 

       Total 
   Number   Amount 
December 31, 2021   17,801,885   $98,408,917 
Success TMS Acquisition issuance   11,634,660    15,711,445 
September 30, 2022   29,436,545   $114,120,362 

 

On July 14, 2022, the Company completed the Success TMS Acquisition (see note 5(b)). The Company issued as purchase consideration 11,634,660 common shares at a value of $1.35 per common share for a total value of $15,711,445.

 

15.Contributed surplus:

 

Contributed surplus is comprised of share-based compensation.

 

Share-based compensation – stock options:

 

Stock options granted under the Equity Incentive Plan are equity-settled. 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 Equity Incentive Plan is 10% of the aggregate number of common shares outstanding, provided that the maximum number of RSUs and PSUs shall not exceed 5% of the aggregate number of common shares outstanding. As at September 30, 2022, this represented 2,943,655 common shares (December 31, 2021 – 1,780,188).

 

25

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

15.Contributed surplus (continued):

 

As at September 30, 2022, 796,334 stock options are outstanding (December 31, 2021 – 897,500). The stock options have an expiry date of ten years from the applicable date of issue. The Company has not issued any RSUs or equity-settled PSUs under the Equity Incentive Plan.

 

   September 30, 2022   December 31, 2021 
       Weighted       Weighted 
   Number   average   Number   average 
   of stock   exercise   of stock   exercise 
   options   price   options   price 
Outstanding, beginning of period   897,500   $8.66    736,500   $7.35 
Granted           186,500    14.16 
Exercised           (5,500)   (5.23)
Forfeited   (101,166)   (10.36)   (20,000)   (12.62)
Outstanding, end of period   796,334   $11.07    897,500   $8.66 

 

The weighted average contractual life of the outstanding options as at September 30, 2022 was 5.3 years (December 31, 2021 – 6.6 years).

 

The total number of stock options exercisable as at September 30, 2022 was 653,000 (December 31, 2021 – 603,567).

 

During the three and nine months ended September 30, 2022, the Company recorded a total share-based options compensation expense of $2,762 and $315,966, respectively (September 30, 2021 – $221,679 and $631,011, respectively).

 

The following stock options were granted during the year ended December 31, 2021:

 

(a)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%.

 

(b)The fair value of the stock options granted on May 14, 2021 was estimated to be $6.10 per option using the Black-Scholes option pricing model based on the following assumptions: volatility of 45.92% calculated based on a comparable company; remaining life of ten years; expected dividend yield of 0%; forfeiture rate of 4.05% and an annual risk-free interest rate of 1.63%.

 

26

 

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

15.Contributed surplus (continued):

 

(c)The fair value of the stock options granted on August 5, 2021 was estimated to be $5.72 per option using the Black-Scholes option pricing model based on the following assumptions: volatility of 45.01% calculated based on a comparable company; remaining life of ten years; expected dividend yield of 0%; forfeiture rate of 5.15% and an annual risk-free interest rate of 1.23%.

 

(d)The fair value of the stock options granted on November 9, 2021 was estimated to be $4.38 per option using the Black-Scholes option pricing model based on the following assumptions: volatility of 44.34% calculated based on a comparable company; remaining life of ten years; expected dividend yield of 0%; forfeiture rate of 5.15% and an annual risk-free interest rate of 1.46%.

 

As at September 30, 2022, the total compensation cost not yet recognized related to options granted is approximately $305,418 (December 31, 2021 – $926,317) and will be recognized over the remaining average vesting period of 1.00 years (December 31, 2021 – 1.74 years).

 

16.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.

 

17.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 and nine months ended September 30, 2022, 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 $ 160,087 and $ 415,514, respectively (September 30, 2021 – $113,190 and $402,272, respectively).

 

27

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

18.Income taxes:

 

During the nine months ended September 30, 2022, there were no significant changes to the Company’s tax position.

 

19.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, restricted cash, accounts receivable and accounts payable and accrued liabilities which approximate their fair value given their short-term nature. The Company also has lender warrants, DSUs and PSUs that are considered Level 2 financial instruments (see note 12). The Company has contingent consideration and Conversion Instruments that are considered Level 3 financial instruments.

 

The carrying value of the loans payable and finance lease obligations 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.

 

(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.

 

28

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

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

 

The Company’s aging schedule in respect of its accounts receivable balance as at September 30, 2022 and December 31, 2021 is provided below:

 

   September 30,   December 31, 
Days since service delivered  2022   2021 
0 - 90  $8,679,602   $5,572,950 
91 - 180   2,763,268    1,278,967 
181 - 270   1,825,977    1,923,364 
270+   1,132,956    2,222,108 
Total accounts receivable  $14,401,803   $10,997,389 

 

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)).

 

(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.

 

29

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

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

 

(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 certain long-term debt. The Madryn Credit Facility (see note 10(a)(ii)) bears interest at a rate equal to the three-month LIBOR rate plus 9.0%, subject to a minimum three-month LIBOR floor of 1.5%. A 1% increase in interest rates would result in a $2,781,321 increase to interest expense on the condensed interim consolidated statements of net loss and comprehensive loss over the term of the Madryn Credit Facility.

 

20.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, 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.

 

21.Related party transactions:

 

(a)Transactions with significant shareholder – Greybrook Health Inc.:

 

During the three and nine months ended September 30, 2022, the Company recognized $4,070 and $4,399, respectively, in corporate, general and administrative expenses (September 30, 2021 – $26,455 and $115,333, respectively) for amounts payable for management services rendered and other overhead costs incurred by Greybrook Health Inc. in the ordinary course of business. As at September 30, 2022, nil (December 31, 2021 – nil) is included in accounts payable and accrued liabilities.

 

30

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

21.Related party transactions (continued):

 

(b)Transactions with the significant shareholder, officer and director – Benjamin Klein

 

During the three and nine months ended September 30, 2022, the Company recognized $10,801 and $10,801, respectively, in corporate, general and administrative expenses (September 30, 2021 – nil and nil, respectively) for amounts payable for employment services rendered and other related costs incurred by Benjamin Klein in the ordinary course of business.

 

As at September 30, 2022, $43,345 is included in accounts payable and accrued liabilities for amounts payable for travel expenses and other related costs incurred by Benjamin Klein in the ordinary course of business.

 

(c)Loan from significant shareholder, officer and director – Benjamin Klein

 

On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation to repay a promissory note to Benjamin Klein, who is a significant shareholder, officer and director of the Company. The promissory note totals $2,090,264 and bears interest at a rate of 10% per annum and matures on May 1, 2024. See note 11.

 

22.Basic and diluted loss per share:

 

   Three months ended   Nine months ended 
   September 30,   September 30,   September 30,   September 30, 
   2022   2021   2022   2021 
Net loss attributable to the shareholders of:                    
Greenbrook TMS  $(16,361,426)  $(3,517,250)  $(31,547,258)  $(17,919,629)
                     
Weighted average common shares outstanding:                    
Basic and diluted   27,774,451    16,150,434    21,138,295    14,619,542 
                     
Loss per share:                    
Basic and diluted  $(0.59)  $(0.22)  $(1.49)  $(1.23)

 

31

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

22.Basic and diluted loss per share (continued):

 

For the three and nine months ended September 30, 2022, the effect of 796,334 options (September 30, 2021 – 860,500) and 51,307 lender warrants (September 30, 2021 – 51,307) have been excluded from the diluted calculation because this effect would be anti-dilutive.

 

23.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 condensed interim consolidated financial results.

 

On August 1, 2022, the Company acquired a portion of the non-controlling ownership interest in TMS NeuroHealth Centers Rockville LLC for $500,000. As at September 30, 2022, the Company has an ownership interest of 100% of TMS NeuroHealth Centers Rockville LLC.

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities as at September 30, 2022 and December 31, 2021:

 

   September 30,   December 31, 
   2022   2021 
Cash  $741,150   $1,885,606 
Accounts receivable, net   4,988,556    6,374,010 
Prepaid expenses and other   549,120    345,239 
Property, plant and equipment   984,578    1,013,161 
Right-of-use assets   9,935,820    9,939,726 
Accounts payable and accrued liabilities   1,493,645    993,848 
Lease liabilities   10,663,717    10,588,519 
Loans payable   15,405,972    12,431,803 
Shareholders’ equity (deficit) attributable to the shareholders of Greenbrook TMS   (8,236,551)   (3,718,322)
Shareholders’ equity (deficit) attributable to non-controlling interest   (1,135,912)   (542,367)
Distributions paid to non-controlling interest   (1,817,380)   (1,518,130)
Partnership buyout   (496,659)    
Subsidiary investment by non-controlling interest       270,885 
Historical subsidiary investment by non-controlling interest   1,322,392    1,051,507 

 

32

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

23.Non-controlling interest (continued):

 

The following table summarizes the aggregate financial information for the Company’s non-wholly owned entities for the three and nine months ended September 30, 2022 and September 30, 2021:

 

   Three months ended   Nine months ended 
   September 30,   September 30,   September 30,   September 30, 
   2022   2021   2022   2021 
Revenue  $4,776,916   $6,942,338   $17,104,419   $18,982,831 
Net loss attributable to the shareholders of Greenbrook TMS   (1,223,911)   (363,175)   (3,308,353)   (1,434,273)
Net income (loss) attributable to non-controlling interest   (421,890)   65,227    (593,545)   (107,049)

 

24.Expenses by nature:

 

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

 

   Three months ended   Nine months ended 
   September 30,   September 30,   September 30,   September 30, 
   2022   2021   2022   2021 
Salaries and bonuses  $5,081,645   $3,115,709   $11,918,622   $9,170,971 
Marketing expenses   3,176,159    1,481,272    6,581,059    4,867,188 
Total  $8,257,804   $4,596,981   $18,499,681   $14,038,159 

 

33

 

 

Greenbrook TMS Inc. 

Notes to Condensed Interim Consolidated Financial Statements (continued)

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

 

Three and nine months ended September 30, 2022 and 2021 

(Unaudited)

 

 

 

24.Expenses by nature (continued):

 

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

 

   Three months ended   Nine months ended 
   September 30,   September 30,   September 30,   September 30, 
   2022   2021   2022   2021 
Salaries and bonuses  $5,156,259   $3,514,477   $12,211,803   $10,071,740 
Professional and legal fees   1,133,652    1,003,802    2,918,390    2,929,661 
Computer supplies and software   657,160    367,958    1,528,543    1,000,250 
Marketing expenses   169,653    125,306    394,223    468,139 
Deferral payment expense (income)               300,000 
Insurance   242,178    173,252    670,997    380,435 
Travel, meals and entertainment   68,519    76,189    190,990    151,164 
Lender warrants (note 12(a))   14,212    (177,881)   (28,886)   (108,822)
Conversion Instrument (note 12(d))   1,930,518        1,930,518     
Other   257,247    62,861    549,055    492,962 
Total  $9,629,398   $5,145,964   $20,365,633   $15,685,529 

 

The deferral payment expense of $300,000 that was recognized during the nine months ended September 30, 2021 relates to cash consideration payable to certain vendors who agreed to defer $4,443,040 of the cash earn-out consideration owed as part of the Achieve TMS West Acquisition. This amount was paid in full on June 28, 2021 (see note 13).

 

34