0001683168-16-000647.txt : 20161114 0001683168-16-000647.hdr.sgml : 20161111 20161114172647 ACCESSION NUMBER: 0001683168-16-000647 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 60 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161114 DATE AS OF CHANGE: 20161114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rennova Health, Inc. CENTRAL INDEX KEY: 0000931059 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734] IRS NUMBER: 680370244 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-35141 FILM NUMBER: 161996064 BUSINESS ADDRESS: STREET 1: 400 S. AUSTRALIAN AVENUE, SUITE 800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 BUSINESS PHONE: 561-855-1626 MAIL ADDRESS: STREET 1: 400 S. AUSTRALIAN AVENUE, SUITE 800 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 FORMER COMPANY: FORMER CONFORMED NAME: CollabRx, Inc. DATE OF NAME CHANGE: 20120926 FORMER COMPANY: FORMER CONFORMED NAME: TEGAL CORP /DE/ DATE OF NAME CHANGE: 19950918 10-Q 1 rennova_10q-093016.htm FORM 10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

(Mark one)

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

 

For the quarterly period ended September 30, 2016

 

OR

 

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

 

For the transition period from ______ to ______.

 

Commission File Number: 001-35141

 

 

RENNOVA HEALTH, INC.

(Exact name of registrant as specified in its charter)

 

Delaware     68-370244

(State or other jurisdiction of

incorporation or organization)

    (IRS Employer Identification No.)
       

400 South Australian Ave., 8th Floor

West Palm Beach, FL

    33401
(Address of principal executive offices)     (Zip Code)

 

(561) 855-1626

(Registrant’s telephone number, including area code)

 

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

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x No o

 

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

 

Large accelerated filer o Accelerated filer o
Non-accelerated filer o (Do not check if a smaller reporting company) Smaller reporting company x

 

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

 

As of November 10, 2016, the registrant had 55,850,932 shares of its Common Stock, $0.01 par value, outstanding.

 

   
 

 

RENNOVA HEALTH, INC.

FORM 10-Q

 

September 30, 2016

TABLE OF CONTENTS

 

PART I – FINANCIAL INFORMATION  
     
Item 1. Financial Statements 3
  Condensed Consolidated Balance Sheets as of September 30, 2016 (unaudited) and December 31, 2015 3
  Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2016 and 2015 (unaudited) 4
  Condensed Consolidated Statement of Changes in Stockholders’ Deficit for the nine months ended September 30, 2016 (unaudited) 5
  Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2016 and 2015 (unaudited) 6
  Notes to Condensed Consolidated Financial Statements (unaudited) 7
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations 19
Item 3. Quantitative and Qualitative Disclosures About Market Risk 32
Item 4. Controls and Procedures 32
     
PART II – OTHER INFORMATION  
     
Item 1. Legal Proceedings 33
Item 1A. Risk Factors 33
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds 33
Item 3. Defaults Upon Senior Securities 33
Item 4. Mine Safety Disclosures 33
Item 5. Other Information 34
Item 6. Exhibits 34
     
SIGNATURES 35

 

 2 
 

 

RENNOVA HEALTH, INC.

PART I-FINANCIAL INFORMATION

 

Item 1. Financial Statements.

 

CONDENSED CONSOLIDATED BALANCE SHEETS

 

   September 30,   December 31, 
   2016   2015 
   (unaudited)     
ASSETS          
Current assets:          
Cash  $514,344   $8,833,230 
Accounts receivable, net   2,655,132    8,149,484 
Prepaid expenses and other current assets   771,527    1,193,077 
Income tax refunds receivable   723,410    3,813,066 
Total current assets   4,664,413    21,988,857 
           
Property and equipment, net   5,053,790    7,148,295 
Deposits   479,734    232,774 
           
Total assets  $10,197,937   $29,369,926 
           
LIABILITIES AND STOCKHOLDERS' DEFICIT          
Current liabilities:          
Accounts payable (includes related parties)  $2,627,238   $4,360,035 
Accrued expenses   3,627,188    5,285,455 
Income taxes payable   942,433    1,398,053 
Current portion of notes payable   8,528,193    269,031 
Current portion of notes payable, related party   1,368,500    5,133,888 
Current portion of capital lease obligations   1,339,498    1,323,708 
Total current liabilities   18,433,050    17,770,170 
           
Other liabilities:          
Notes payable, net of current portion       2,903,898 
Capital lease obligations, net of current portion   1,398,481    2,394,171 
Derivative liabilities   404,492    7,495,486 
           
Total liabilities   20,236,023    30,563,725 
           
Commitments and contingencies          
           
Stockholders' deficit:          
Series B preferred stock, $0.01 par value, 5,000 shares authorized, 0 and 5,000 shares issued and outstanding at September 30, 2016 and December 31, 2015       50 
Series C preferred stock, $0.01 par value, 10,350 shares authorized, 0 and 9,000 shares issued and outstanding at September 30, 2016 and December 31, 2015       90 
Series E preferred stock, $0.01 par value, 45,000 shares authorized, 0 and 45,000 shares issued and outstanding at September 30, 2016 and December 31, 2015       450 
Series G preferred stock, $0.01 par value, 14,000 shares authorized, 9,611 and 0 shares issued and outstanding at September 30, 2016 and December 31, 2015   96     
Common stock, $0.01 par value, 500,000,000 shares authorized, 55,160,931 shares issued and outstanding at September 30, 2016, 50,000,000 shares authorized, 14,651,837 shares issued and outstanding at December 31, 2015   551,609    143,951 
Additional paid-in-capital   39,552,927    26,688,837 
Accumulated deficit   (50,142,718)   (28,027,177)
Total stockholders' deficit   (10,038,086)   (1,193,799)
           
Total liabilities and stockholders' deficit  $10,197,937   $29,369,926 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 3 
 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

 

   Three Months Ended   Nine Months Ended 
   September 30,   September 30, 
   2016   2015   2016   2015 
                 
Net Revenues  $290,004   $5,890,918   $5,222,529   $28,921,351 
                     
Operating expenses:                    
Direct costs of revenue   336,023    1,866,741    1,290,326    8,566,372 
General and administrative expenses   7,044,462    6,082,929    18,892,835    21,118,902 
Sales and marketing expenses   570,788    784,763    2,034,499    3,106,551 
Engineering expenses   546,525        1,636,702     
Bad debt expense   3,666,707        3,668,092    99,754 
Depreciation and amortization   702,275    728,572    2,131,232    1,979,006 
Total operating expenses   12,866,780    9,463,005    29,653,686    34,870,585 
                     
Loss from operations   (12,576,776)   (3,572,087)   (24,431,157)   (5,949,234)
                     
Other income (expense):                    
Other income   127,008        227,020    23 
Change in fair value of derivative instruments   2,087,041    190,000    6,813,701    190,000 
(Loss) gain on legal settlement           (17,652)   275,028 
Interest expense   (1,646,712)   (547,378)   (4,707,453)   (1,594,921)
Total other (expense) income   567,337    (357,378)   2,315,616    (1,129,870)
                     
Loss before income taxes   (12,009,439)   (3,929,465)   (22,115,541)   (7,079,104)
                     
Income tax benefit       (2,678,777)       (2,579,977)
                     
Net loss   (12,009,439)   (1,250,688)   (22,115,541)   (4,499,127)
                     
Preferred stock dividends       268,927        1,589,321 
                     
Net loss attributable to common stockholders  $(12,009,439)  $(1,519,615)  $(22,115,541)  $(6,088,448)
                     
Net loss per common share:                    
Basic and diluted  $(0.29)  $(0.05)  $(0.94)  $(0.21)
                     
Weighted average number of common shares outstanding during the period:                    
Basic and diluted   41,313,448    30,955,483    23,574,845    29,064,792 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 4 
 

 

RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ DEFICIT

(unaudited)

 

  Preferred Stock                
  Series B  Series C  Series E  Series G  Total  Common Stock  Additional paid-in  Retained  Total Stockholders' 
  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  Shares  Amount  capital  Earnings  Deficit 
Balance at December 31, 2015   5,000   $ 50     9,000   $ 90     45,000   $ 450             59,000   $ 590     14,651,837   $ 143,951   $ 26,688,837   $ (28,027,177 ) $ (1,193,799 )
Conversion of preferred stock into common stock   (5,000 )   (50 )   (260 )   (3 )           (4,182 )   (42 )   (9,442 )   (95 )   15,194,593     154,514     (154,419 )         
Cashless exercise of warrants                                48,783   488   (488)      
Shares issued in adjustment of prior conversion of preferred stock                                50,606   506   (506)      
Common shares cancelled                                (40,964)  (410)  410       
Issuance of shares for services                                13,300   133   9,177      9,310 
Exchange of Series C Preferred Stock and warrants for Series G Preferred Stock and warrants        (8,740)  (87)        13,793   138   5,053   51         (51)      
Common stock and warrants issued for cash                                19,115,000   191,150   7,329,886      7,521,036 
Conversion of related party liabilities into common stock                                5,544,441   55,444   2,076,385      2,131,829 
Common stock granted to employees                                583,335   5,833   169,167      175,000 
Cancellation of Series E Preferred Stock              (45,000)  (450)        (45,000)  (450)        450       
Reclassification of derivative liabilities                                      2,770,511      2,770,511 
Warrants and beneficial conversion features related to the issuance of convertible notes                                      394,500      394,500 
Issuance of warrants not qualifying for equity treatment                                      (440,097)     (440,097)
Stock-based compensation                                      709,165       709,165 
Net loss                                         (22,115,541)  (22,115,541)
Balance at September 30, 2016    $     $     $   9,611  $96   9,611  $96   55,160,931  $551,609  $39,552,927  $(50,142,718) $(10,038,086)

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 5 
 


RENNOVA HEALTH, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

 

   Nine Months Ended September 30, 
   2016   2015 
         
Cash flows used in operating activities:          
Net loss  $(22,115,541)  $(4,499,127)
Adjustments to reconcile net loss to net cash used in operations:          
Depreciation and amortization   2,131,232    1,979,006 
Non-cash gain on derivative instruments   (6,813,701)   (190,000)
Stock issued for services   9,310    2,905,001 
Stock-based compensation   884,165    474,604 
Bad debts   3,668,092    16,316,784 
Accretion of beneficial conversion feature and debt discount   2,474,497    1,041,042 
Gain on extinguishment of debt   (100,000)    
Gain on disposal of property and equipment   (100,000)     
Gain on legal settlement       (275,028)
Changes in operating assets and liabilities:          
Accounts receivable   1,826,261    (21,627,221)
Prepaid expenses and other current assets   171,550    (674,852)
Security deposits   3,040    (42,122)
Accounts payable   (1,782,266)   1,556,626 
Accrued expenses   500,881    1,576,688 
Income tax assets and liabilities   2,202,206    (4,509,565)
Deferred tax assets and liabilities       90,321 
Net cash used in operating activities   (17,040,274)   (5,877,843)
           
Cash flows provided by (used in) investing activities:          
Purchase of property and equipment   (36,727)   (359,690)
Proceeds from the sale of property and equipment   100,000     
Net cash provided by (used in) investing activities   63,273    (359,690)
           
Cash flows provided by financing activities:          
Dividends on Series B preferred stock       (1,589,321)
Proceeds from the issuance of common stock and warrants, net of offering costs   7,521,036      
Proceeds from issuance of notes payable, related party   3,000,000    3,530,000 
Proceeds from issuance of notes payable   5,394,500    3,000,000 
Payments on notes payable, related party   (6,000,000)   (57,500)
Payments on capital lease obligations   (827,421)   (751,586)
Proceeds from related party advances   5,285,000     
Payments on related party advances   (5,715,000)    
Net cash provided by financing activities   8,658,115    4,131,593 
           
Net decrease in cash   (8,318,886)   (2,105,940)
           
Cash at beginning of period   8,833,230    2,406,246 
           
Cash at end of period  $514,344   $300,306 

 

 

 

See accompanying notes to condensed consolidated financial statements.

 

 6 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 1 – Organization and Basis of Presentation

 

Rennova Health, Inc. (“Rennova”), together with its subsidiaries (the “Company”, “we”, “us” or “our”), is a vertically integrated provider of healthcare related products and services. The Company’s principal lines of business are (i) clinical laboratory operations, (ii) supportive software solutions, which includes Electronic Health Records (“EHR”), Medical Billing Services and Laboratory Information Services (“LIS”) and (iii) decision support and informatics operations.

 

Merger between the Company and Medytox Solutions, Inc.

On November 2, 2015, pursuant to the terms of the Agreement and Plan of Merger, dated as of April 15, 2015, by and among the Company, CollabRx Merger Sub, Inc. (“Merger Sub”), a direct wholly-owned subsidiary of the Company formed for the purpose of the merger, and Medytox Solutions, Inc. (“Medytox”), Merger Sub merged with and into Medytox, with Medytox as the surviving company and a direct, wholly-owned subsidiary of the Company (the “Merger”). Prior to closing, the Company amended its certificate of incorporation to effect a 1-for-10 reverse stock split and to change its name from CollabRx, Inc. to Rennova Health, Inc. In connection with the Merger, (i) each share of common stock of Medytox was converted into the right to receive approximately 0.4096 shares of common stock of the Company, (ii) each share of Series B Preferred Stock of Medytox was converted into the right to receive one share of Series B Convertible Preferred Stock of the Company, and (iii) each share of Series E Convertible Preferred Stock of Medytox was converted into the right to receive one share of Series E Convertible Preferred Stock of the Company.

 

Holders of Company equity prior to the closing of the Merger (including all outstanding Company common stock and all restricted stock units, options and warrants exercisable for shares of Company common stock) held approximately 10% of the Company's common stock immediately following the closing of the Merger, and holders of Medytox equity prior to the closing of the Merger (including all outstanding Medytox common stock and all outstanding options exercisable for shares of Medytox common stock, but less certain options that were cancelled upon the closing pursuant to agreements between Medytox and such optionees) held approximately 90% of the Company's common stock immediately following the closing of the Merger, in each case on a fully diluted basis, provided, however, outstanding shares of the newly designated Series B Convertible Preferred Stock and Series E Convertible Preferred Stock, certain outstanding convertible promissory notes exercisable for Company common stock after the closing and certain option grants expected to be made following the closing of the Merger are excluded from such ownership percentages. The Merger resulted in a change in control of the Company, and as a result this transaction was accounted for as a reverse merger and recapitalization in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP") and, as such, the financial statements presented prior to November 2, 2015 are those of Medytox and the financial statements presented after November 2, 2015 reflect the operations of the combined company. All common share amounts prior to November 2, 2015 have been retroactively restated to reflect the 1-for-10 reverse stock split and the conversion ratio of Medytox common stock to common stock of the Company as a result of the Merger.

 

On November 3, 2015, the common stock of Rennova Health, Inc. commenced trading on the Nasdaq Capital Market under the symbol “RNVA.” Prior to that date, the Company’s common stock was listed on the NASDAQ Capital Market under the symbol “CLRX.” Immediately after the consummation of the Merger, the Company had 13,750,010 shares of common stock, 5,000 shares of Series B Convertible Preferred Stock and 45,000 shares of Series E Convertible Preferred Stock issued and outstanding.

 

Basis of Presentation

The accompanying unaudited condensed consolidated interim financial statements should be read in conjunction with the 2015 audited annual financial statements included in the Company’s Annual Report on Form 10-K/A, filed with the U.S. Securities and Exchange Commission (the “SEC”) on May 17, 2016. These condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q and Article 8 of Regulation S-X of the SEC, and therefore omit or condense certain footnotes and other information normally included in consolidated interim financial statements prepared in accordance with U.S. GAAP. All material intercompany balances and transactions have been eliminated in consolidation. In the opinion of the Company’s management, the unaudited interim condensed consolidated financial statements contain all adjustments (consisting only of normal recurring accruals) considered necessary for the fair presentation of the financial position and results of operations and cash flows for the interim periods reported herein. The results of operations presented are not necessarily indicative of the results to be expected for any other interim period or for the entire year.

 

During the three and nine months ended September 30, 2016 and 2015, comprehensive loss was equal to the net loss amounts presented in the accompanying condensed consolidated statements of operations. In addition, certain prior year balances have been reclassified to conform to the current presentation.

 

 

 

 7 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Going Concern

The Company’s consolidated financial statements are prepared using U.S. GAAP applicable to a going concern that contemplates the realization of assets and liquidation of liabilities in the normal course of business. The Company has recently accumulated significant losses and has negative cash flows from operations, and at September 30, 2016 had a working capital deficit and stockholders’ deficit of $13.8 million and $10.0 million, respectively, which raise substantial doubt about its ability to continue as a going concern. In addition, the Company’s cash position is critically deficient, critical payments are not being made in the ordinary course and the Company has not made the required payments under a secured debenture with an outstanding principal amount of $3.0 million, for which the Company currently does not have the financial resources to satisfy (see notes 4 and 13). Management's plans with respect to alleviating the adverse financial conditions which raise substantial doubt about the Company’s ability to continue as a going concern include increasing the volume of samples processed by its laboratories and the number of customers for its supportive software solutions, as well as raising additional funds in the capital markets. In addition, the Company has undertaken additional cost saving measures, including personnel reductions and a reorganization of the Company’s sales force under the direction of the new Chief Executive Officer of the Company’s Medytox Medical Marketing & Sales, Inc. subsidiary. No conclusion can be drawn at this time about the ultimate efficacy of these plans of action.

 

On March 31, 2016, the Company received proceeds of $5.0 million from pledging certain of its accounts receivable as collateral to a prepaid forward purchase contract (see note 4). On July 19, 2016, the Company closed a public offering of its equity securities and received net proceeds of approximately $7.5 million (see note 7). In addition, in September of 2016 the Company received an income tax refund in the amount of $1.8 million and received net proceeds from the sale of convertible notes in the amount of $0.4 million.

 

There can be no assurance that the Company will be able to achieve its business plans, raise any additional capital or secure additional financing, if necessary, to achieve its current operating plan.  The ability of the Company to continue as a going concern is dependent upon its ability to successfully accomplish the plan described in the preceding paragraphs and eventually regain profitability. The accompanying consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.

 

Note 2 – Accounts Receivable

 

Accounts receivable at September 30, 2016 and December 31, 2015 consisted of the following:

 

   September 30,   December 31, 
   2016   2015 
         
Accounts receivable - clinical laboratory operations  $86,006,817   $105,332,339 
Accounts receivable - supportive software solutions   587,731    569,351 
           
Total accounts receivable   86,594,548    105,901,690 
Less:          
Allowance for discounts   (80,098,203)   (97,577,130)
Allowance for bad debts   (3,841,213)   (175,076)
           
Accounts receivable, net  $2,655,132   $8,149,484 

 

During the three months ended September 30, 2016, the Company identified additional accounts receivable related to its Clinical Laboratory Operations business segment that were deemed uncollectible. The primary factors in rendering these receivables uncollectible were the Company’s failure to obtain preauthorization from the third party payer prior to rendering services and the lack of an existing preferred provider contract with the third party payer. As a result, the Company recorded a charge of $3.5 million related to the Company’s inability to collect on these receivables, which is reflected in bad debt expense in the accompanying consolidated statements of operations.

 

 

 

 

 

 8 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 3 – Property and Equipment

 

Property and equipment at September 30, 2016 and December 31, 2015 consisted of the following:

 

   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $922,551   $991,903 
Equipment   577,317    547,555 
Equipment under capital leases   5,043,095    5,663,332 
Furniture   561,688    560,400 
Leasehold improvements   1,776,957    1,760,125 
Vehicles   196,534    196,534 
Computer equipment   753,225    661,234 
Software   1,845,054    1,878,848 
    11,676,421    12,259,931 
Less accumulated depreciation   (6,622,631)   (5,111,636)
Property and equipment, net  $5,053,790   $7,148,295 

 

Depreciation expense on property and equipment was $0.7 million for the three months ended September 30, 2016 and 2015, and $2.1 million and $2.0 million for the nine months ended September 30, 2016 and 2015, respectively. Management periodically reviews the valuation of long-lived assets, including property and equipment, for potential impairment. Management did not recognize any impairment of these assets during the three and nine months ended September 30, 2016 and 2015.

 

Note 4 – Notes Payable

 

The Company and its subsidiaries are party to a number of loans with affiliates and unrelated parties. At September 30, 2016 and December 31, 2015, notes payable consisted of the following:

 

Notes Payable – Third Parties

 

   September 30, 2016   December 31, 2015 
Loan payable under prepaid forward purchase contract  $5,000,000   $ 
           
Loan payable to TCA Global Master Fund, LP ("TCA") in the principal amount of $3,000,000 at 16% interest, with interest only payments through September 11, 2016 (the "TCA Debenture"). Principal and interest payments due monthly from October 11, 2016 through September 11, 2017   3,000,000    3,000,000 
           
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the "Tegal Notes"). Principal and interest payments are made annually from July 12, 2015 through July 12, 2017   341,612    341,612 
           
Loan payable to former shareholder of Epinex Diagnostics Laboratories, Inc. in the original principal amount of $400,000, at 0% interest, with principal payments due in periodic installments of $100,000 from November 26, 2014 through February 26, 2016 (the "Epinex Note")       100,000 
           
Other convertible notes payable   440,000     
           
Unamortized discount on TCA Debenture   (252,879)   (453,025)
Unamortized discount on Epinex Note       (1,775)
Unamortized discount on other convertible notes   (403,536)    
Derivative liability associated with the TCA Debenture, at fair value   402,996    186,117 
    8,528,193    3,172,929 
Less current portion   (8,528,193)   (269,031)
Notes payable - third parties, net of current portion  $   $2,903,898 

 

 

 

 9 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

On September 15, 2016, the Company entered into an agreement with two investors whereby the Company sold to the investors convertible notes in the aggregate principal amount of $0.4 million (the “September 2016 Notes”). The September 2016 Notes are convertible into shares of the Company’s common stock at a conversion price of $0.25 per share. In conjunction with the sale of the September 2016 Notes, the Company issued warrants to purchase an aggregate of 2 million shares of the Company’s common stock at an exercise price of $0.40 per share. Based on the allocation of the net proceeds from the September 2016 Notes to the fair value of the warrants, and the resulting beneficial conversion features, the Company recognized a discount for the entire face value of the September 2016 Notes, which is being accreted through the notes’ maturity date of March 15, 2017. The Company has determined that the warrants issued in this transaction do not qualify for equity treatment in the Company’s consolidated balance sheet. As a result, the Company recognized a derivative liability associated with these warrants in the amount of $0.3 million as of September 30, 2016.

 

On March 31, 2016, the Company entered into an agreement to pledge certain of its accounts receivable as collateral against a prepaid forward purchase contract whereby the Company received consideration in the amount of $5.0 million. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $4.3 million on the Company’s balance sheet as of March 31, 2016. As of September 30, 2016, the carrying value of these receivables was $0.2 million. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from the Company on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months, or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty has not been paid $6.0 million, the Company is required to pay the difference. Christopher Diamantis, a director of the Company, guaranteed the Company's payment obligation of up to $6.0 million. For providing the guarantee, and to the extent that the counterparty receives amounts payable under clause (ii) above exceeding $5.0 million, Mr. Diamantis will be paid a fee by the counterparty equal to the amount by which the amount received under clause (ii) above exceeds $5.0 million ($250,000 or $500,000, depending on the timing of payment). In addition, the Company agreed to pay Mr. Diamantis $0.5 million in connection with his providing the guarantee. This amount was settled in August of 2016 with the issuance of shares of the Company’s common stock and warrants to purchase shares of the Company’s common stock (see note 5).

 

The Company did not make the monthly principal and interest payments due under the TCA Debenture for October, 2016 and November, 2016, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender.

 

The Company had been negotiating with the holders of the Tegal Notes to exchange their notes for equity securities of the Company. In connection with such negotiations, the Company did not make the principal payments that were due on July 12, 2016. As a result, the entire amounts outstanding as of September 30, 2016 are reflected in current liabilities in the accompanying consolidated financial statements. The Company and the holders of the Tegal Notes have not reached an agreement on an exchange and on October 14, 2016 the Company received a letter from the holders demanding payment of the amounts that were due on July 12, 2016, and that the holders reserved the right to declare an event of default under the terms of the notes in the event the amounts due were not paid. To date, the Company has not received further communication from the holders of the Tegal Notes and the entire amount due remains outstanding.

 

 

 

 10 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Notes Payable – Related Parties

 

   September 30, 2016   December 31, 2015 
Convertible debenture dated December 31, 2014 which bears interest at 10% per annum and was due December 31, 2016 (the "D&D Debenture"). The lender, D&D Funding II, LLC, had the option to convert the note into the Company's common stock at a 25% discount to the average trading price (as defined in the note agreement) for ten consecutive trading days prior to the conversion date  $   $3,000,000 
           
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on February 2, 2017   218,500    500,000 
           
Loan payable to Christopher Diamantis   500,000    1,600,000 
           
Other advances from related parties   650,000     
           
Unamortized discount on D&D Debenture       (2,236,112)
Derivative liabilities associated with the D&D Debenture, at fair value       2,270,000 
Total notes payable, related parties  $1,368,500   $5,133,888 

 

On December 31, 2014, the Company borrowed $3.0 million from D&D Funding II, LLC (“D&D”) and issued the D&D Debenture. Christopher Diamantis, a director of the Company, is the manager and 50% owner of D&D. In January 2016, the Company temporarily repaid the $3.0 million due under the D&D Debenture. In addition to the principal amount, the Company paid $0.3 million in cash for interest for 2015. In March 2016, the Company re-borrowed 100% of the principal amount repaid in January 2016, repaid $2.25 million in April 2016 using the proceeds from the accounts receivable pledge agreement described above, and repaid the remaining $750,000 in July 2016. The D&D Debenture was convertible into the Company’s Common Stock at a 25% discount to the trailing ten-day average closing price at any time prior to the repayment. In the event of conversion, the holder of the D&D Debenture was also entitled to receive a number of warrants to purchase the Company’s Common Stock equal to the number of shares issued upon conversion with exercise prices equal to the trailing ten-day average closing price of our Common Stock. These two features are derivative instruments that are re-valued quarterly and are reflected in the table above. As a result of the repayment of the D&D Debenture in 2016, the associated derivative liability has been reclassified into stockholders’ equity.

 

On February 3, 2015, the Company borrowed $3.0 million from Alcimede LLC (“Alcimede”). Seamus Lagan, the Company’s President and Chief Executive Officer, is the sole manager of Alcimede. The note has an interest rate of 6% and was originally due on February 2, 2016. On June 29, 2015, Alcimede exercised options granted in October 2012 to purchase one million shares of the Company’s common stock at an exercise price of $2.50 per share, and the loan outstanding was reduced in satisfaction of the aggregate exercise price of $2.5 million. In February 2016, Alcimede agreed to extend the maturity date of the loan to February 2, 2017. In August of 2016, $0.3 million was repaid by the Company through the issuance of shares of common stock (see note 5), and the remaining balance due on this loan as of September 30, 2016 was $0.2 million.

 

In the fourth quarter of 2015, the Company borrowed $1.6 million from Mr. Diamantis, which was due January 7, 2016. In January 2016, the Company repaid the $1.6 million due Mr. Diamantis, along with $0.1 million in cash for interest. During the nine months ended September 30, 2016, the Company received additional short-term advances from Mr. Diamantis aggregating to $4.2 million, $3.7 million of which was repaid during the period. In connection with these advances, the Company agreed to pay Mr. Diamantis interest in the amount of $0.4 million, which is reflected in accrued expenses in the accompanying consolidated balance sheet as of September 30, 2016. Also during the nine months ended September 30, 2016, the Company received short-term advances from two principal stockholders aggregating to approximately $1.0 million, of which approximately $0.4 million was repaid during the period. These advances are payable on demand.

 

Note 5 – Related Party Transactions

 

In addition to the transactions discussed in note 4 and note 7, the Company had the following related party transactions during the nine months ended September 30, 2016 and 2015:

 

Alcimede billed the Company $0.3 million for consulting fees pursuant to a consulting agreement for each of the nine months ended September 30, 2016 and 2015.

 

 

 

 11 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

During the second quarter of 2016, the Company received a short-term advance from Jason Adams, the Company’s then Chief Financial Officer, in the amount of $50,000, all of which was repaid during the second quarter.

 

On August 1, 2015, Medytox entered into a non-exclusive consulting agreement with Monarch Capital, LLC ("Monarch"). Michael Goldberg, at the time a director of Medytox and currently a director of the Company, is the Managing Director of Monarch. Under this agreement, Monarch provides business and financial advice. The original term of the agreement was through August 31, 2016, and is subject to automatic renewal for an additional one year unless Medytox provides the consultant with 180 days’ prior written notice of its intent not to renew. The agreement has been renewed for an additional year. Monarch billed the Company $0.2 million and $15,000 for consulting fees pursuant to this agreement for the nine months ended September 30, 2016 and 2015, respectively.

 

In August 2016, the Company exchanged an aggregate of $2.1 million of indebtedness and other obligations to various related parties for an aggregate of 5,544,441 shares of common stock and warrants to purchase 3,123,313 shares of the Company’s common stock. The warrants issued have an exercise price of $0.45 per share, are immediately exercisable and have a five-year term. The issuance of the shares of common stock and warrants was exempt from the registration requirements of the Securities Act of 1933, as amended, in accordance with Section 4(a)(2) thereof, as a transaction by an issuer not involving any public offering.

 

On June 30, 2015, the Company issued 200,000 shares of common stock to SS International Consulting Ltd., of which a former director of the Company is the sole manager, pursuant to a consulting contract.

 

The foregoing transactions were completed at arm’s length at values commensurate with those of independent third parties.

 

Note 6 – Capital Lease Obligations

 

The Company leases various assets under capital leases expiring through 2020 as follows:

 

   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $5,043,095   $5,663,332 
Less accumulated depreciation   (2,480,726)   (2,093,920)
           
Net  $2,562,369   $3,569,412 

 

Aggregate future minimum rentals under capital leases are as follows:

 

December 31,     
 2016   $399,522 
 2017    1,432,542 
 2018    845,330 
 2019    285,199 
 2020    32,611 
 Total    2,995,204 
        
 Less interest    257,225 
 Present value of minimum lease payments    2,737,979 
        
 Less current portion of capital lease obligations    1,339,498 
 Capital lease obligations, net of current portion   $1,398,481 

 

 

 

 12 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 7 – Stockholders’ Equity

 

Preferred Stock

During the nine months ended September 30, 2015, the former Medytox Series B preferred shareholders earned dividends totaling $1.6 million. At September 30, 2016 and December 31, 2015, accrued dividends of $0.1 million and $2.1 million, respectively, were included in accrued expenses. In conjunction with the Merger, all outstanding Medytox Series B preferred shares were cancelled in exchange for shares of Rennova Series B Convertible Preferred Stock (the “Series B Preferred Stock”), which were not entitled to receive dividends unless dividends are declared on the Company’s common stock. On September 6, 2016, all of the outstanding shares of Series B Preferred Stock were converted into an aggregate of 5,733,945 shares of the Company’s common stock, in accordance with the terms of the Series B Preferred Stock.

 

On August 26, 2016, in accordance with the terms of a stock purchase agreement between the Company and Epinex Diagnostics, Inc. (“Epinex Diagnostics”), the Company cancelled the 45,000 shares of its Series E Preferred Stock that had previously been issued to Epinex Diagnostics.

 

Between January 1, 2016 and July 10, 2016, holders of the Company’s Series C Convertible Preferred Stock (the “Series C Preferred Stock”) converted a total of 260 shares of Series C Preferred Stock into 167,743 shares of common stock. On July 11, 2016, the Company entered into Exchange Agreements with the holders of the Series C Preferred Stock and the holders of the Company’s 6,451,613 warrants to purchase shares of common stock issued December 30, 2015 (the “December 2015 Warrants”), to exchange such securities for shares of newly-authorized Series G Convertible Preferred Stock with a stated value of $1,000 per share (the “Series G Preferred Stock”) and new warrants to purchase shares of common stock (the “Exchange”). The Exchange closed on July 19, 2016 in conjunction with the public offering discussed below, and the outstanding 8,740 shares of Series C Preferred Stock and the December 2015 Warrants were exchanged for 13,793 shares of Series G Preferred Stock and new warrants to purchase 10,249,517 shares of the Company’s common stock (the “Exchange Warrants”). On July 6, 2016, stockholders representing approximately 74% of the voting power of the Company approved the Exchange. The Exchange was made in reliance upon the exemption from the registration requirements of the Securities Act of 1933, as amended, pursuant to Section 3(a)(9) thereof based on the representations of the holders. No commission or other remuneration was paid or given directly or indirectly for soliciting the Exchange.

 

The Series G Preferred Stock is convertible into common stock at the stated value divided by $0.45. The exercise price of the Exchange Warrants is $0.45 per share. No gain or loss was recognized by the Company as result of the Exchange, however the Company did record a gain on the change in fair value of the December 2015 Warrants of $1.7 million in July 2016. Subsequent to the closing of the Exchange through September 30, 2016, 4,182 shares of Series G Preferred Stock were converted into 9,292,905 shares of the Company’s common stock.

 

Common Stock

On March 9, 2016, the Company filed an amendment to its certificate of incorporation to increase the number of shares of common stock that the Company is authorized to issue from 50 million to 500 million. During the nine months ended September 30, 2016, the Company issued an aggregate of 13,300 shares of its common stock to a consultant for services. The Company recognized $9,310 in compensation costs associated with these issuances. Also during the nine months ended September 30, 2016, the Company issued 48,783 shares of common stock for the cashless exercise of outstanding warrants, issued 50,606 shares of common stock as an adjustment to previously converted preferred stock and cancelled 40,964 shares of common stock previously issued to an employee.

 

On July 17, 2016, the Company issued an aggregate of 583,335 shares of common stock to three of its executive officers as compensation, and granted 83,334 shares of restricted common stock to an employee which will vest over a period of six months from the date of grant and have yet to be issued. The Company recognized compensation cost in the amount of $0.2 million in connection with the foregoing grants, which were issued under the 2007 Equity Plan as defined below. During the nine months ended September 30, 2015, the Company recognized $2.9 million in compensation expense related to the issuance of Medytox common stock to employees and consultants.

 

On July 19, 2016, the Company closed a public offering of its equity securities whereby the Company issued 19,115,000 shares of its common stock and warrants to purchase an additional 19,115,000 shares of its common stock and received net proceeds of approximately $7.5 million. In conjunction with this offering, the Company also issued an additional 303,633 warrants to cover over-allotments. The proceeds were used for working capital and general corporate purposes, continued development of new diagnostics processes and methodologies, continued development, roll out and implementation of EHR and Revenue Cycle Management services, acquisitions and expansions of the Company’s business and the repayment of certain related party notes and advances.

 

 

 

 13 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Stock Options

The Company currently maintains and sponsors the Tegal Corporation 2007 Incentive Award Plan (the “2007 Equity Plan”). Tegal Corporation is the predecessor entity to CollabRx. The 2007 Equity Plan, as amended, provides for the issuance of stock options and other equity awards to the Company’s officers, directors, employees and consultants. On May 2, 2016, the Company granted options to employees, directors and consultants to purchase an aggregate of 15,643,000 shares of the Company’s common stock under the 2007 Equity Plan. On July 17, 2016, the Company granted options to purchase an additional 5,155,500 shares of common stock. The Company recorded compensation expense in the amount of $0.7 million during the nine months ended September 30, 2016 in connection with these grants. During the nine months ended September 30, 2015, the Company recorded approximately $0.5 million of compensation expense related to outstanding options to purchase Medytox common stock. These amounts are reflected in General and administrative expenses in the accompanying consolidated statements of operations. The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2016:

 

   Number of options   Weighted average exercise price 
Balance at December 31, 2015   1,600,674   $7.73 
Options granted during the period   20,798,500   $3.95 
Options exercised during the period      $ 
Options forfeited during the period   (200,000)  $1.00 
Options expired during the period      $ 
Options outstanding at September 30, 2016   22,199,174   $4.25 
Options exerciseable at September 30, 2016   16,199,174   $5.58 

 

The Company’s stock options are measured at fair value on the date of grant, and compensation expense is recorded over the requisite service period. The options granted during the nine months ended September 30, 2016 were valued using a binomial option-pricing model using the following assumptions:

 

Expected term   9.89  years
Expected volatility   168%  
Risk free interest rate   1.88%  
Dividend yield   0%  

 

As of September 30, 2016, the Company had approximately $0.4 million of unrecognized compensation cost related to stock options granted under the Company’s 2007 Equity Plan, which is expected to be recognized over a weighted-average period of 1.59 years.

 

Warrants

The Company, as part of various debt and equity financing transactions, has issued warrants to purchase shares of the Company’s common stock. The following summarizes the information related to warrants issued and the activity during the nine months ended September 30, 2016:

 

   Number of warrants   Weighted average exercise price 
Balance at December 31, 2015   6,898,560   $1.83 
Cashless exercises   (92,348)  $0.23 
Exchange of December 30, 2015 warrants   (6,451,613)  $1.94 
Exchange Warrants issued   10,249,517   $0.45 
Warrants issued during the period   24,541,946   $0.45 
Balance at September 30, 2016   35,146,062   $0.44 

 

Basic and Diluted Loss per Share

Basic loss per share excludes dilution and is computed by dividing loss attributable to common stockholders by the weighted-average number of common shares outstanding during the period. Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the income of the Company. For the three and nine months ended September 30, 2016 and 2015, basic loss per share is the same as diluted loss per share.

 

 

 

 14 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Diluted loss per share excludes all dilutive potential shares if their effect is anti-dilutive. As of September 30, 2016 and 2015, the following potential common stock equivalents were excluded from the calculation of diluted loss per share as their effect was anti-dilutive:

 

   September 30,   September 30, 
   2016   2015 
Stock options outstanding   22,199,174    23,830,000 
Warrants outstanding   35,146,062     
Convertible debt   1,760,000    5,378,151 
Convertible preferred stock   21,358,222    257,143 
           
Total   80,463,458    29,465,294 

 

Note 8 – Income Taxes

 

The Company recognized no income tax expense or benefit for the nine months ended September 30, 2016. The Company recognized an income tax benefit of $2.6 million for the nine months ended September 30, 2015. The Company applies a “more likely than not” threshold to the recognition and nonrecognition of tax positions. A change in judgment related to prior years’ tax positions is recognized in the quarter of such change. The Company had no reserve for uncertain tax positions as of September 30, 2016 or December 31, 2015.

 

In September of 2016 the Company received a refund of federal income taxes in the amount of $1.8 million related to the carry back of net operating losses generated in fiscal 2015 to the 2014 and 2013 tax years. The amount of the refund reflects penalties and interest in the amount of $1.2 million, of which $0.7 million is reflected in general and administrative expenses.

 

Note 9 – Supplemental Disclosure of Cash Flow Information

 

   Nine Months Ended September 30, 
   2016   2015 
Cash paid for interest  $1,237,622   $222,898 
Cash paid for income taxes  $   $1,853,408 
           
Non-cash investing and financing activities:          
Accrued liabilities settled through the issuance of common stock and warrants  $2,131,829   $ 
Exercise of stock options as reduction of notes payable, related party  $   $(2,500,000)
Assets acquired through capital leases  $   $1,597,063 
           
Acquisition of noncontrolling interest in Biohealth Medical Laboratory, Inc.:          
Deposits on acquisition  $   $259,875 
Goodwill  $   $(138,871)
Noncontrolling interest  $   $(121,004)

 

Note 10 – Commitments and Contingencies

 

Legal Matters

From time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company's financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims below.

 

 

 

 15 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

The Company’s Epinex Diagnostics Laboratories, Inc. subsidiary had been sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016.

 

In February 2016, the Company received notice that the Internal Revenue Service had placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, totaling $4,964,020. The Company paid $100,000 toward its 2014 tax liability in March 2016. The Company filed its 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released.

 

Potential De-Listing of the Company’s Stock

On March 16, 2016, the Company was notified by Nasdaq that the bid price of the Company's common stock closed below the minimum $1.00 per share requirement for continued inclusion under Nasdaq Rule 5550(a)(2) (the “Bid Price Rule”). In accordance with Nasdaq Rule 5810(c)(3)(A), the Company had 180 calendar days, or until September 12, 2016, to regain compliance. On September 13, 2016, Nasdaq granted the Company an additional 180-day extension, or until March 13, 2017, to regain compliance. If at any time before March 17, 2017, the bid price of the Company's common stock closes at $1.00 per share or more for a minimum of 10 consecutive business days, the Company will regain compliance with the Bid Price Rule.

 

Pending Acquisition

On July 19, 2016, the Company purchased all of the debt and equity interests in Genomas, Inc. (“Genomas”) held by Hartford Healthcare Corporation, consisting of 500,000 shares of Series A Preferred Stock of Genomas, 345,000 shares of Series B Preferred Stock of Genomas, an aggregate of approximately $1.5 million of Genomas notes payable to Hartford Healthcare Corporation and certain rights to and license participation in technology that is used by Genomas (the “Genomas Assets”). Genomas is a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes. The purchase price for the Genomas Assets was $250,000 in cash. The Genomas preferred stock acquired in this transaction represents approximately 15% of the outstanding equity of Genomas.

 

The Company has entered into a definitive agreement, dated as of September 29, 2016, to acquire the remaining equity interests in Genomas for 1,750,000 shares of the Company’s newly created Series F Convertible Preferred Stock and the assumption of approximately $0.8 million of liabilities. Closing of the acquisition remains subject to, among other things, receipt of regulatory and licensure approvals as well as other customary closing conditions. The Company expects the acquisition to close prior to December 31, 2016.

 

Note 11 – Segment Information

 

Operating segments are defined under U.S. GAAP as components of an enterprise for which discrete financial information is available and are evaluated regularly by the enterprise’s chief operating decision maker in determining how to allocate resources and assess performance. The Company operates in three reportable business segments:

 

·Clinical Laboratory Operations, which specializes in providing urine and blood toxicology and pain medication testing to physicians, clinics and rehabilitation facilities in the United States.
·Supportive Software Solutions, including EHR and medical billing and laboratory information management systems.
·Decision Support and Informatics, which develops and markets medical information and clinical support products and services intended to set a standard for the clinical interpretation of genomics-based precision medicine.

 

The accounting policies of the reportable segments are the same as those described in Note 2, Summary of Significant Accounting Policies, of the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K/A for the year ended December 31, 2015. Selected financial information for the Company’s operating segments is as follows:

 

 

 

 16 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

   Three Months Ended September 30,   Nine Months Ended September 30, 
   2016   2015   2016   2015 
Net revenues - External                    
Clinical Laboratory Operations  $169,649   $5,972,121   $4,146,949   $28,396,875 
Supportive Software Solutions   50,447    (81,203)   605,575    524,476 
Decision Support and Informatics   69,908        470,005     
   $290,004   $5,890,918   $5,222,529   $28,921,351 
Net revenues - Intersegment                    
Supportive Software Solutions   502,055    743,706    1,036,396    1,572,443 
   $502,055   $743,706   $1,036,396   $1,572,443 
                     
(Loss) income from operations                    
Clinical Laboratory Operations  $(7,583,131)  $(218,517)  $(11,281,361)  $6,138,369 
Supportive Software Solutions   (1,253,386)   (1,478,594)   (3,800,893)   (4,198,856)
Decision Support and Informatics   (832,965)       (2,390,245)    
Corporate   (2,940,956)   (1,874,976)   (7,059,644)   (7,888,747)
Eliminations   33,662        100,986     
   $(12,576,776)  $(3,572,087)  $(24,431,157)  $(5,949,234)
Depreciation and amortization                    
Clinical Laboratory Operations  $562,929   $593,965   $1,706,164   $1,562,314 
Supportive Software Solutions   163,749    163,299    490,236    499,162 
Decision Support and Informatics   8,514        33,324     
Corporate   745        2,494     
Eliminations   (33,662)   (28,692)   (100,986)   (82,470)
   $702,275   $728,572   $2,131,232   $1,979,006 
Capital expenditures                    
Clinical Laboratory Operations  $   $380,196   $26,729   $363,138 
Supportive Software Solutions       9,554    9,998    61,552 
Eliminations       (65,000)       (65,000)
   $   $324,750   $36,727   $359,690 

 

   September 30, 2016   December 31, 2015 
Total assets          
Clinical Laboratory Operations  $7,403,965   $15,152,583 
Supportive Software Solutions   2,199,119    2,896,473 
Decision Support and Informatics   213,465    4,307,053 
Corporate   3,209,233    14,109,337 
Eliminations   (2,827,845)   (7,095,520)
   $10,197,937   $29,369,926 

 

 

 

 17 
 

 

RENNOVA HEALTH, INC.

Notes to Condensed Consolidated Financial Statements

(unaudited)

 

Note 12 – Recently Issued Accounting Standards

 

The following table provides a brief description of recently issued accounting standards not yet adopted:

 

Standard Description Effective Date Effect on the Financial Statements
In August 2014, the Financial Accounting Standards Board (the “FASB”) issued amended guidance related to disclosure about the ability of an entity to continue as a going concern. While current practice regarding such disclosures is often guided by U.S. auditing standards, the new standard explicitly requires management of all entities to evaluate whether there is substantial doubt about the entity’s ability to continue as a going concern and, if necessary, to provide related footnote disclosures. December 31, 2016, with earlier application permitted. The Company does not expect this new standard to have a significant impact on its consolidated financial statements. See note 1 regarding management’s current disclosures regarding the Company’s ability to continue as a going concern.
In July 2015, the FASB issued an update related to inventory. The new update requires that inventory be measured at the lower of cost or net realizable value. January 1, 2017, with earlier application permitted as of the beginning of an interim or annual reporting period. The Company does not expect the provisions of this update to have any impact on its consolidated financial statements.
In May 2014 the FASB issued amended guidance related to revenue from contracts with customers. In August 2014, the FASB issued updated guidance deferring the effective date of the revenue recognition standard. The new standard introduces a new principles-based framework for revenue recognition and disclosure January 1, 2018, with earlier application permitted for reporting periods beginning after December 15, 2016. The Company has not yet determined the impact that this standard will have on its consolidated financial statements.
In February 2016, the FASB issued an ASU that amends the accounting for leases. Under the new standard, a lessee will recognize assets and liabilities on its balance sheet for most leases but will recognize expense in its statement of operations similar to current lease accounting. January 1, 2019, with early adoption permitted. The Company has not yet determined the impact that this standard will have on its consolidated financial statements.

 

 

Note 13 – Subsequent Events

 

On October 10, 2016, the Company granted 83,333 shares of common stock under the 2007 Equity Plan to its former chief financial officer in connection with a transition and separation agreement. On October 17, 2016, 273 shares of the Company’s Series G Preferred Stock were converted into 606,668 shares of the Company’s common stock.

 

On October 14, 2016, the Company received a letter from the holders of the Tegal Notes (see note 4) demanding payment of the amounts that were due on July 12, 2016 of approximately $0.2 million, and that the holders reserved the right to declare an event of default under the terms of the notes in the event the amounts due were not paid. To date, the Company has not received further communication from the holders of the Tegal Notes and the entire amount due remains outstanding.

 

On October 26, 2016, the Company entered into an agreement to purchase certain assets related to a rural critical access hospital, the owners of which have filed a petition under Chapter 11 of the United States Bankruptcy Code. Closing of the purchase is subject to open bid procedures in connection with the bankruptcy proceedings. The purchase price for the assets is $0.6 million, and the Company has placed a deposit into escrow in the amount of $60,000. The Company has the ability to terminate the agreement without penalty, other than forfeiture of the deposit.

 

The Company has not made the last two required payments under a senior secured convertible debenture with an outstanding principal amount of $3.0 million, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender and is exploring several alternatives to refinance the debenture.

 

 

 

 

 

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

 

SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS

 

Certain statements made in this Form 10-Q are "forward-looking statements" (within the meaning of the Private Securities Litigation Reform Act of 1995) regarding the plans and objectives of management for future operations. Such statements involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. The forward-looking statements included herein are based on current expectations that involve numerous risks and uncertainties. The Company's plans and objectives are based, in part, on assumptions involving the continued expansion of its business operations. Assumptions related to the foregoing involve judgments with respect to, among other things, future economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond the control of the Company. Although the Company believes its assumptions underlying the forward-looking statements are reasonable, any of the assumptions could prove to be inaccurate and, therefore, there can be no assurance the forward-looking statements included in this report will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements included herein, the inclusion of such information should not be regarded as a representation by the Company or any other person that the objectives and plans of the Company will be achieved.

 

The forward-looking statements included in this Form 10-Q and referred to elsewhere are related to future events or our strategies or future financial performance. In some cases, you can identify forward-looking statements by terminology such as "may," "should," "believe," "anticipate," "future," "potential," "estimate," "expect," "intend," "plan," or the negative of such terms or comparable terminology. All forward-looking statements included in this Form 10-Q are based on information available to us as of the filing date of this report, and the Company assumes no obligation to update any such forward-looking statements, except as required by law. Our actual results could differ materially from the forward-looking statements.

 

Important factors that might cause our actual results to differ materially from the results contemplated by the forward-looking statements are contained in the “Risk Factors” section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2015 and in our subsequent filings with the Securities and Exchange Commission.  The following discussion of our results of operations should be read together with our financial statements and related notes included elsewhere in this report.

 

COMPANY OVERVIEW

 

On November 2, 2015, pursuant to the terms of the Agreement and Plan of Merger, dated as of April 15, 2015, by and among CollabRx, Inc. (“CollabRx”), CollabRx Merger Sub, Inc. (“Merger Sub”), a direct wholly-owned subsidiary of CollabRx formed for the purpose of the merger, and Medytox Solutions, Inc. (“Medytox”), Merger Sub merged with and into Medytox, with Medytox as the surviving company and a direct, wholly-owned subsidiary of CollabRx (the “Merger”). Prior to closing, the Company amended its certificate of incorporation to effect a 1-for-10 reverse stock split and to change its name to Rennova Health, Inc. In connection with the Merger, each share of common stock of Medytox was converted into the right to receive 0.4096 shares of common stock of the Company and each share of Series B Preferred Stock and Series E Preferred Stock of Medytox was converted into the right to receive one share of newly-authorized Series B Convertible Preferred Stock and Series E Convertible Preferred Stock, respectively, of the Company. The Merger resulted in a change in control of the Company, and as a result this transaction was accounted for as a reverse merger and recapitalization in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP") and, as such, the financial statements presented prior to November 2, 2015 are those of Medytox and the financial statements presented after November 2, 2015 reflect the operations of the combined company.

 

We are a provider of diagnostics and supportive software solutions to healthcare providers. Through continued research and development of our diagnostics testing services and an ever-expanding group of strategic and interoperable software solutions that work in unison to empower customers, we aspire to create an efficient, effective single source solution and service for healthcare providers, their patients and individuals. We believe that our approach will benefit from a more sustainable relationship with and the capture of multiple revenue streams from our customers.

 

Our Services

Our principal line of business to date is clinical laboratory blood and urine testing services, with a particular emphasis on the provision of urine drug toxicology testing to physicians, clinics and rehabilitation facilities in the United States. Testing services to rehabilitation facilities represented approximately 80% and 98% of the Company’s revenues for the nine months ended September 30, 2016 and 2015, respectively. We believe that we are responding to the challenges faced by today’s healthcare providers to adopt paper free and interoperable systems and to market demand for solutions by strategically expanding our product offering to include a full suite of clinical laboratory services. The drug and alcohol rehabilitation and pain management sectors provide an existing and sizable target market, where the need for our services already exists and opportunity is being created by a continued secular growth and need for compliance.

 

 

 

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We have recently added genetic testing, specifically pharmacogenetic testing, to our array of services. Genetic testing represents a rapidly expanding segment of the global diagnostics market. Growing incidence of genetic diseases presents new opportunities for genetic testing. According to a report issued by Global Industry Analysts, Inc., the global market for genetic testing is forecast to reach $2.2 billion by 2017. Increasing knowledge about the potential benefits of genetic testing is one of the primary reasons for the growth of this market. Other factors propelling growth in the genetic testing market include advancements in the genetic testing space, an aging population and corresponding rise in the number of chronic diseases and increasing incidence of cancer cases.

 

Primary revenue generating activity in this market revolves around DNA profiling aimed at better understanding the predisposition for diseases and possible adverse reactions that may occur with drugs that are currently available and/or under clinical development. Rising importance of early infection detection and prevention, together with growing demand for DNA tests in pharmacogenomics or cancer genetic testing, are significant factors responsible for this anticipated growth. In order to further capitalize on this opportunity, we have entered into an agreement to acquire the remaining outstanding equity interests of Genomas, Inc. (“Genomas”), a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes.

 

We currently own and operate the following products and services to support our business objectives:

 

Medytox Diagnostics

Through our coast to coast CLIA certified clinical laboratories, we offer toxicology, clinical pharmacogenetics and esoteric testing. We seek to provide these testing services with superior logistics and specimen integrity, competitive turn-around times and unparalleled customer service.

 

Advantage software

Advantage is a proprietary HIPAA compliant software developed to eliminate the need for paper requisitions by providing an easy to use and efficient web-based system that lets customers securely place lab orders, track samples and view test reports in real time from any web-enabled laptop, notepad or smart phone.

 

Clinlab

A customized web-enabled laboratory information management solution that scales from small physician-operated labs to large clinical reference laboratories.

 

Medical Mime

Medical Mime offers an optimized Electronic Health Record (“EHR”) for substance abuse and behavioral health providers, a dictation-based ambulatory EHR for physician practices and advanced transcription services.

 

CollabRx

CollabRx comprises our Decision Support and Informatics business segment and offers interpretation and decision support solutions that enhance cancer diagnoses and treatment through actionable data analytics and reporting for oncologists and their patients.

 

Medical Billing Choices (“MBC”)

MBC enhances revenue cycle management by utilizing tools designed to improve documentation and collect information, driving faster reimbursement with fewer denied claims.

 

Recent Events

On July 19, 2016, we purchased all of the debt and equity interests in Genomas, Inc. (“Genomas”) held by Hartford Healthcare Corporation, consisting of 500,000 shares of Series A Preferred Stock of Genomas, 345,000 shares of Series B Preferred Stock of Genomas, an aggregate of approximately $1.5 million of Genomas notes payable to Hartford Healthcare Corporation and certain rights to and license participation in technology that is used by Genomas (the “Genomas Assets”). Genomas is a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes. PhyzioType Systems are designed to provide physicians with enhanced capability to select for each patient the safest and most effective drug to achieve treatment goals and enhance patient compliance. The purchase price for the Genomas Assets was $250,000 in cash. The Genomas preferred stock acquired in this transaction represents approximately 15% of the outstanding equity of Genomas.

 

We have entered into a definitive agreement, dated as of September 29, 2016, to acquire the remaining equity interests in Genomas for 1,750,000 shares of the Company’s newly created Series F Convertible Preferred Stock and the assumption of approximately $0.8 million of liabilities. Closing of the acquisition remains subject to, among other things, receipt of regulatory and licensure approvals as well as other customary closing conditions. We expect this acquisition to close prior to December 31, 2016.

 

 

 

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On October 26, 2016, we entered into an agreement to purchase certain assets related to a rural critical access hospital, the owners of which have filed a petition under Chapter 11 of the United States Bankruptcy Code. Closing of the purchase is subject to open bid procedures in connection with the bankruptcy proceedings. The purchase price for the assets is $0.6 million, and we have placed a deposit into escrow in the amount of $60,000. The Company has the ability to terminate the agreement without penalty, other than forfeiture of the deposit.

 

We recently completed the consolidation of our three Florida-based laboratories into one facility in Riviera Beach, FL.

 

Outlook

While our Clinical Laboratory Operations continue to account for more than 90% of our consolidated revenues, these revenues have decreased significantly over the past twelve months. This decline in revenues has had a material adverse impact on our liquidity, results of operations and financial condition, and is the result of increased scrutiny of all service providers, lower third-party reimbursement and our status as an “out of network” service provider. These trends have impacted our entire industry, and have been accompanied by allegations of irregularities in the practices of a number our competitors and substance abuse facilities. In response, we have put in place a robust compliance program that we are implementing in all facets of our business. As a result, some clients have returned to us and new ones are taking note of the compliance efforts we have been undertaking.

We believe that our ability to grow our clinical laboratory revenues and return to the profitability we experienced in fiscal 2014 and years prior are dependent on our ability to secure “in-network” contracts with insurance companies and other third party payers which will then ensure adequate and timely payment for the toxicology, clinical pharmacogenetics and other testing services we perform. These third party payers are now generally unwilling to reimburse service providers who are not part of their network, a departure from prior industry practices and a trend that has developed during the past 12 to 18 months. While we have made progress in securing “in network” contracts with payers during the second half of 2016, it has not been reflected in our revenues during the nine months ended September 30, 2016. However, we do anticipate that these efforts will manifest themselves in our fourth quarter 2016 revenues and beyond, and that significant new opportunities to become credentialed with certain large third party payers will arise in the coming months. This would have a significant positive impact on our future revenues. In addition, we have made a number of changes to our onboarding policies and procedures to ensure that, on a going forward basis, substantially all services that we performed will be reimbursable.

We have also increased the customer base for our EHR software and billing products and therefore expect increased revenues in our Supportive Software Solutions segment in the fourth quarter and into fiscal 2017.

 

RESULTS OF OPERATIONS

 

Critical Accounting Policies and Estimates

Our discussion and analysis of financial condition and results of operations are based on our consolidated financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of these financial statements requires us to make a number of estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements. Such estimates and assumptions affect the reported amounts of revenues and expenses during the reporting period. We base our estimates on historical experiences and on various other assumptions that we believe to be reasonable under the circumstances. Actual results may differ materially from these estimates under different assumptions and conditions. We continue to monitor significant estimates made during the preparation of our financial statements. On an ongoing basis, we evaluate estimates and assumptions based upon historical experience and various other factors and circumstances. We believe our estimates and assumptions are reasonable in the circumstances; however, actual results may differ from these estimates under different future conditions.

 

We have identified the policies and significant estimation processes discussed below as critical to our business and to the understanding of our results of operations. For a detailed application of these and other accounting policies, see Note 2 to the audited consolidated financial statements as of and for the year ended December 31, 2015, included in our Annual Report on Form 10-K/A filed with the U.S. Securities and Exchange Commission (the “SEC”) on May 17, 2016.

 

Revenue Recognition

Service revenues are principally generated from laboratory testing services, including chemical diagnostic tests such as blood analysis and urine analysis. Net service revenues are recognized at the time the testing services are performed and billed and are reported at their estimated net realizable amounts.

 

 

 

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Net service revenues are determined utilizing gross service revenues net of allowances. Even though it is the responsibility of the patient to pay for laboratory service bills, most individuals in the United States have an agreement with a third party payer such as Medicare, Medicaid or a commercial insurance provider to pay all or a portion of their healthcare expenses; the majority of services provided by us are to patients covered under a third party payer contract. Despite follow up billing efforts, the Company does not currently anticipate collection of a significant portion of self-pay billings including the patient responsibility portion of the billing for patients covered by third party payers. The Company currently does not have any capitated agreements. In the remainder of the cases, the Company is provided the third party billing information and seeks payment from the third party under the terms and conditions of the third party payer for health service providers like us. Each of these third party payers may differ not only in terms of rates, but also with respect to terms and conditions of payment and providing coverage (reimbursement) for specific tests. Estimated revenues are established based on a series of procedures and judgments that require industry specific healthcare experience and an understanding of payer methods and trends.

 

We review our calculations on a monthly basis in order to make certain that we are properly allowing for the uncollectable portion of our gross billings and that our estimates remain sensitive to variances and changes within our payer groups. The contractual allowance calculation is made on the basis of historical allowance rates for the various specific payer groups on a monthly basis with a greater weight being given to the most recent trends; this process is adjusted based on recent changes in underlying contract provisions and shifts in the testing being performed. The provision for bad debts represents our estimate of net revenues that will ultimately be uncollectable and is based upon our analysis of historical payment rates by specific payer groups on a monthly basis with primary weight being given to the most recent trends; this approach allows bad debt to more accurately adjust to short-term changes in the business environment. These two calculations are routinely analyzed by us on the basis of actual allowances issued by payers and the actual payments made to determine what adjustments, if any, are needed. Based on the calculations at December 31, 2014, we determined that the collectible portion of our gross billings that should be reflected in net revenues was 25% of the outgoing billings. At December 31, 2015, we determined that the collectible portion of our gross billings that should be reflected in net revenues was 20% of the outgoing billings, and we recorded revenues at that rate in the first six months of 2016. At September 30, 2016, we determined that the portion of gross billings that should be reflected in net revenues was 15% of the outgoing billings. These changes were impacted, in part, by certain third party payers that had, at various times during 2015, unilaterally stopped payments to our laboratories. Those amounts are currently in dispute with those third party payers.

 

Contractual Allowances and Doubtful Accounts

Accounts receivable are reported at realizable value, net of allowances for credits and doubtful accounts, which are estimated and recorded in the period the related revenue is recorded. The Company has a standardized approach to estimating and reviewing the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for contractual credits and doubtful accounts. In addition, the Company regularly assesses the state of its billing operations in order to identify issues which may impact the collectability of these receivables or reserve estimates. Receivables deemed to be uncollectible are charged against the allowance for doubtful accounts at the time such receivables are written-off. Recoveries of receivables previously written-off are recorded as credits to the allowance for doubtful accounts. Historically, revisions to the allowances for doubtful accounts estimates are recorded as an adjustment to provision for bad debts within selling, general and administrative expenses.

 

Impairment or Disposal of Long-Lived Assets

The Company accounts for the impairment or disposal of long-lived assets according to the Financial Accounting Standards Board's (“FASB”) Accounting Standards Codification (“ASC”) Topic 360, Property, Plant and Equipment (“ASC 360”). ASC 360 clarifies the accounting for the impairment of long-lived assets and for long-lived assets to be disposed of, including the disposal of business segments and major lines of business. Long-lived assets are reviewed when facts and circumstances indicate that the carrying value of the asset may not be recoverable. When necessary, impaired assets are written down to estimated fair value based on the best information available. Estimated fair value is generally based on either appraised value or measured by discounting estimated future cash flows. Considerable management judgment is necessary to estimate discounted future cash flows. Accordingly, actual results could vary significantly from such estimates.

As of December 31, 2015, management determined that its goodwill and intangible assets were impaired. As such, it recorded an impairment charge totaling $20.1 million. We did not record any impairment charges for the nine months ending September 30, 2016 and 2015.

 

 

 

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Derivative Financial Instruments and Fair Value

We account for warrants issued in conjunction with the issuance of common stock and certain convertible debt instruments in accordance with the guidance contained in ASC Topic 815, Derivatives and Hedging (“ASC 815”) and ASC Topic 480, Distinguishing Liabilities from Equity (“ASC 480”). For warrant instruments and conversion options embedded in promissory notes that are not deemed to be indexed to the Company’s own stock, we classify such instruments as liabilities at their fair values at the time of issuance and adjust the instruments to fair value at each reporting period. These liabilities are subject to re-measurement at each balance sheet date until extinguished either through conversion or exercise, and any change in fair value is recognized in our statement of operations. The fair values of these derivative and other financial instruments have been estimated using a Black-Scholes model and other valuation techniques.

 

Stock Based Compensation

The Company accounts for Stock-Based Compensation under ASC 718 “Compensation – Stock Compensation”, which addresses the accounting for transactions in which an entity exchanges its equity instruments for goods or services, with a primary focus on transactions in which an entity obtains employee services in share-based payment transactions. ASC 718 requires measurement of the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized.

Pursuant to the terms of the Tegal Corporation 2007 Incentive Award Plan (the “2007 Equity Plan”), which became available upon the acquisition of CollabRx, an aggregate of 50 million shares of common stock is available for grant pursuant to the 2007 Equity Plan. The 2007 Equity Plan provides for the grant of incentive stock options, nonqualified stock options, restricted stock, stock appreciation rights, performance shares, performance stock units, dividend equivalents, stock payments, deferred stock, restricted stock units, other stock-based awards, and performance-based awards.  The option exercise price of all stock options granted pursuant to the 2007 Equity Plan will not be less than 100% of the fair market value of the common stock on the date of grant. Stock options may be exercised as determined by the Board, but in no event after the tenth anniversary date of grant, provided that a vested nonqualified stock option may be exercised up to 12 months after the optionee's death. Awards granted under the 2007 Equity Plan are generally subject to vesting at the discretion of the Committee. As of September 30, 2016, 29,060,206 shares were available for issuance under the 2007 Equity Plan.  

The Company accounts for stock-based compensation awards to non-employees in accordance with ASC 505-50, Equity-Based Payments to Non-Employees. Under ASC 505-50, the Company determines the fair value of the options, warrants or stock-based compensation awards granted as either the fair value of the consideration received or the fair value of the equity instruments issued, whichever is more reliably measurable. Any stock options or warrants issued to non-employees are recorded in expense and additional paid-in capital in stockholders' equity/(deficit) over the applicable service periods using variable accounting through the vesting dates based on the fair value of the options or warrants at the end of each period.

Three months ended September 30, 2016 compared to three months ended September 30, 2015

 

The following table summarizes the results of our consolidated operations for the three months ended September 30, 2016 and 2015:

 

   Three Months Ended September 30, 
   2016   2015 
   $   %   $   % 
Net revenues  $290,004    100.0%   $5,890,918    100.0% 
Operating expenses:                    
Direct costs of revenue   336,023    115.9%    1,866,741    31.7% 
General and administrative expenses   7,044,462    2429.1%    6,082,929    103.3% 
Sales and marketing expenses   570,788    196.8%    784,763    13.3% 
Bad debt expense   3,666,707    1264.4%        0.0% 
Engineering expenses   546,525    188.5%        0.0% 
Depreciation and amortization   702,275    242.2%    728,572    12.4% 
Loss from operations   (12,576,776)   -4336.8%    (3,572,087)   -60.6% 
Other income (expense)   567,337    195.6%    (357,378)   -6.1% 
Income tax benefit       0.0%    (2,678,777)   -45.5% 
Net loss  $(12,009,439)   -4141.1%   $(1,250,688)   -21.2% 

 

 

 

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Net Revenues

Consolidated net revenues were $0.3 million for the three months ended September 30, 2016, as compared to $5.9 million for the three months ended September 30, 2015, a decrease of $5.6 million, or 95%. The decrease is mainly the result of a 78.5% decrease in insured test volumes at our laboratory operations, mainly due to our status as an out of network service provider as previously discussed, as well as our determination at September 30, 2016 that the collectible portion of our gross billings that should be reflected in net revenues was 15% of the outgoing billings, as compared to 20% from earlier in the year. This change in estimate resulted in a reduction in net revenues in the amount of $1.7 million.

 

Direct Cost of Revenue

Direct costs of revenue decreased by 82%, from $1.9 million in the three months ending September 30, 2015 to $0.3 million in the three months ending September 30, 2016. The decrease is a result of (a) a 54.5% decline in total samples processed and (b) the transition of a significant portion of our testing from external reference labs to internal processing, resulting in a 60.4% decrease in direct costs per sample.

 

General and Administrative Expenses

General and administrative expenses increased by $1.0 million in the third quarter of 2016 as compared to the same period of a year ago, as cost reductions implemented in the first half of 2016, consisting primarily of personnel related expenses, were offset by interest and penalties that were recognized during the period in connection with unpaid taxes and the write down of our investment in Epinex Diagnostics, Inc. in the amount of $0.8 million.

 

Sales and Marketing Expenses

The decline in sales and marketing expenses of $0.2 million, or 27.3%, for the three months ended September 30, 2016 as compared to the three months ended September 30, 2015 was primarily due to the decline in commissionable collections related to the decline in net revenues.

 

Bad Debt Expense

During the three months ended September 30, 2016, we identified certain accounts receivable related to our Clinical Laboratory Operations business segment that were deemed uncollectible. The primary factors in rendering these receivables uncollectible were our failure to obtain preauthorization from the third party payer prior to rendering services and the lack of an existing preferred provider contract with the third party payer. As a result, we recorded a charge of $3.5 million related to our inability to collect on these receivables, which is reflected in bad debt expense in the accompanying consolidated statements of operations, which we do not expect to be a recurring item. We also increased the allowance for doubtful accounts for our Supportive Software Solutions segment by $0.2 million, with no comparable amounts for the three months ended September 30, 2015.

 

Engineering Expenses

Engineering expenses of $0.5 million in the three months ended September 30, 2016 represent development expenses at our Decision Support and Informatics business segment, which was acquired on November 2, 2015.

 

Depreciation and Amortization Expenses

Depreciation and amortization expense was essentially unchanged during the three months ended September 30, 2016 as compared with the prior year period, as we had minimal capital expenditures in 2016.

 

Loss from Operations

Our operating loss increased by $9.0 million to $12.6 million for the three months ended September 30, 2016 as compared to the three months ended September 30, 2015. The increase is mainly due to the $5.6 million decrease in net revenue for the quarter and $3.7 million of bad debt expense.

 

Other income (expense)

Other income of $0.6 million for three months ended September 30, 2016 consists primarily of $2.1 million in non-cash gains on the change in fair value of derivative financial instruments related to convertible notes and warrants, largely offset by $1.6 million of interest expense, which includes an interest charge of $0.5 million related to the $5 million prepaid forward purchase contract (see “Liquidity and Capital Resources”) and $0.4 million of non-cash interest expense related to the accretion of debt discounts. Other expense of $0.4 million for the three months ended September 30, 2015 includes interest expense of $0.5 million and a gain on the change in fair value of derivative instruments of $0.2 million.

 

Income tax benefit

During the three months ended September 30, 2015, we recorded an income tax benefit in the amount of $2.7 million, as we determined that our net deferred tax assets would be realized. We recognized no income tax benefit in 2016, as we have recorded a full valuation allowance for all of our deferred tax assets in 2016, including our net operating losses.

 

 

 

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Net loss

Our net loss for the three months ended September 30, 2016 was $12.0 million, as compared to $1.3 million for the same period of a year ago, an increase of $10.1 million. The change is primarily due to the $9.0 million increase in operating loss in 2016 and the $2.7 million income tax benefit in 2015 not present in 2016, partially offset by the increase in other income of $0.9 million in 2016.

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:

 

   Three Months Ended September 30,         
Clinical Laboratory Operations  2016   2015   Change   % 
                 
Net revenues  $169,649   $5,972,121   $(5,802,472)   -97.2% 
Operating expenses:                    
Direct costs of revenue   255,151    1,870,453    (1,615,302)   -86.4% 
Bad debt expense   3,475,252               
General and administrative expenses   3,043,472    2,941,457    102,015    3.5% 
Sales and marketing expenses   415,976    784,763    (368,787)   -47.0% 
Depreciation and amortization   562,929    593,965    (31,036)   -5.2% 
                     
Loss from operations  $(7,583,131)  $(218,517)  $(3,889,362)   1779.9% 
                     
Key Operating Measures - Revenues:                    
Insured tests performed   65,003    302,561    (237,558)   -78.5% 
Net revenue per insured test  $28.46   $19.74   $8.72    44.2% 
Revenue recognition percent of gross billings   15.0%    25.0%    -10.0%      
                     
Key Operating Measures - Direct Costs:                    
Total samples processed   10,060    22,128    (12,068)   -54.5% 
Direct costs per sample  $25.36   $84.53   $(59.17)   -70.0% 

 

The following table presents key financial metrics for our Supportive Software Solutions segment:

 

   Three Months Ended September 30,         
Supportive Software Solutions  2016   2015   Change   % 
                 
Net revenues (including intersegment revenues):  $552,502   $662,503   $(110,001)   -16.6% 
Operating expenses:                    
Direct costs of revenue   80,872    (3,712)   84,584    NM 
General and administrative expenses   1,369,812    1,981,510    (611,698)   -30.9% 
Bad debt expense   191,455        191,455    NM 
Depreciation and amortization   163,749    163,299    450    0.3% 
                     
Loss from operations  $(1,253,386)  $(1,478,594)  $225,208    -15.2% 

 

The decrease in net revenues from 2015 is mainly due to a reduction in the amounts charged by our Supportive Software Solutions group to our Clinical Laboratory Operations group for services provided. The decrease in general and administrative expenses relates primarily to movement of a significant portion of our development activities from contracted labor to internal personnel.

 

 

 

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The following table presents key financial metrics for our Decision Support and Informatics Operations segment, which was acquired through the Merger with CollabRx in the fourth quarter of 2015:

 

   Three Months Ended September 30,         
Decision Support and Informatics Operations  2016   2015   Change   % 
                 
Net revenues  $69,908   $   $69,908     NM  
Operating expenses:                    
General and administrative expenses   193,022        193,022     NM  
Sales and marketing expenses   154,812        154,812     NM  
Engineering expenses   546,525        546,525     NM  
Depreciation and amortization   8,514        8,514     NM  
                     
Loss from operations  $(832,965)  $   $(832,965)    NM  

 

The following table presents key financial metrics for our Corporate group:

 

   Three Months Ended September 30,         
Corporate  2016   2015   Change   % 
                 
Operating expenses:                    
General and administrative expenses  $2,940,211   $1,903,668   $1,036,543    54.4% 
Depreciation and amortization   (32,917)   (28,692)   (4,225)   14.7% 
                     
Loss from operations  $(2,907,294)  $(1,874,976)  $(1,032,318)   55.1% 

 

The increase in general and administrative expenses is mainly due to interest and penalties that were recognized during the period in connection with unpaid taxes in the amount of $0.8 million, and an increase in stock-based compensation of $0.3 million.

 

 

 

 

 

 

 

 

 26 
 

 

Nine months ended September 30, 2016 compared to nine months ended September 30, 2015

 

The following table summarizes the results of our consolidated operations for the nine months ended September 30, 2016 and 2015:

 

   Nine Months Ended September 30, 
   2016   2015 
   $   %   $   % 
Net revenues  $5,222,529    100.0%   $28,921,351    100.0% 
Operating expenses:                    
Direct costs of revenue   1,290,326    24.7%    8,566,372    29.6% 
General and administrative expenses   18,892,835    361.8%    21,118,902    73.0% 
Sales and marketing expenses   2,034,499    39.0%    3,106,551    10.7% 
Bad debt expense   3,668,092    70.2%    99,754    0.3% 
Engineering expenses   1,636,702    31.3%        0.0% 
Depreciation and amortization   2,131,232    40.8%    1,979,006    6.8% 
Loss from operations   (24,431,157)   -467.8%    (5,949,234)   -20.6% 
Other income (expense)   2,315,616    44.3%    (1,129,870)   -3.9% 
Income tax benefit       0.0%    (2,579,977)   -8.9% 
Net loss  $(22,115,541)   -423.5%   $(4,499,127)   -15.6% 

 

Net Revenues

Consolidated net revenues were $5.2 million for the nine months ended September 30, 2016, as compared to $28.9 million for the nine months ended September 30, 2015, a decrease of $23.7 million, or 82%. Clinical Laboratory Operations revenues decreased from $28.4 million in the nine months ended September 30, 2015 to $4.1 million in the nine months ended September 30, 2016. The decline in Clinical Laboratory Operations revenue is mainly the result of an 81.5% decrease in insured test volumes resulting in a $25.7 million decrease in revenue, partially offset by an 11% increase in revenue per insured test, resulting in a $3.1 million increase in revenue. The decrease in the estimated collectible portion of our gross billings from 20% to 15% resulted in a reduction in net revenues in the amount of $1.7 million.

 

Supportive Software Solutions revenue increased by $0.1 million, or 15.5%, to $0.6 million for the nine months ended September 30, 2016, as we continued to expand our base of software customers. Decision Support and Informatics Revenue was $0.5 million for the nine months ended September 30, 2016, due to the merger with CollabRx on November 2, 2015.

 

Direct Cost of Revenue

Direct costs of revenue decreased by 85%, from $8.6 million in the nine months ended September 30, 2015 to $1.3 million in the nine months ended September 30, 2016. The decrease is a result of (a) a 63.9% decline in total samples processed and (b) the transition of a significant portion of our testing from external reference labs to internal processing, resulting in a 58.3% decrease in direct costs per sample.

 

General and Administrative Expenses

General and administrative expenses decreased by $2.2 million, or 10.5%, in the first nine months of 2016 as compared to the same period of a year ago, mainly due to cost savings realized with respect to personnel and laboratory equipment during the first half of 2016.

 

Sales and Marketing Expenses

The decline in sales and marketing expenses of $1.1 million, or 34.5%, for the nine months ended September 30, 2016 as compared to the nine months ended September 30, 2015 was primarily due to the decline in commissionable collections related to the decline in net revenues.

 

Bad Debt Expense

Bad debt expense for the nine months ended September 30, 2016 was $3.7 million, as compared to $0.1 million for the same period of a year ago, mainly due to the $3.5 million bad debt charge related to receivables in our Clinical Laboratory Operations segment.

 

Engineering Expenses

Engineering expenses of $1.6 million in the nine months ended September 30, 2016 represent development expenses at our Decision Support and Informatics business segment, which was acquired on November 2, 2015.

 

 

 

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Depreciation and Amortization Expenses

Depreciation and amortization expense increased by $0.1 million during the nine months ended September 30, 2016 as compared with the prior year period, mainly due to the acquisition of CollabRx.

 

Loss from Operations

Our operating loss increased by $18.5 million to $24.4 million for the nine months ended September 30, 2016 as compared to the nine months ended September 30, 2015. The increase is mainly due to the $23.7 million decrease in net revenues for the period and increases in bad debt and engineering expenses, partially offset by the decreases in direct costs of revenue and general and administrative expenses.

 

Other income (expense)

Other income of $2.3 million for nine months ended September 30, 2016 consists primarily of $6.8 million in non-cash gains on the change in fair value of derivative financial instruments related to convertible notes and warrants, largely offset by $4.7 million of interest expense, which includes interest charges of $1.0 million related to the $5 million prepaid forward purchase contract (see “Liquidity and Capital Resources”) and $2.5 million of non-cash interest expense related to the accretion of debt discounts. Other expense of $1.1 million for the nine months ended September 30, 2015 includes interest expense of $1.6 million, a gain on the change in fair value of derivative instruments of $0.2 million and a gain on a legal settlement in the amount of $0.3 million.

 

Income tax benefit

During the nine months ended September 30, 2015, we recorded an income tax benefit in the amount of $2.6 million, with no comparable amount in 2016.

 

Net loss

Our net loss for the nine months ended September 30, 2016 was $22.1 million, as compared to $4.5 million for the same period of a year ago, an increase of $17.6 million. The change is primarily due to the $18.5 million increase in operating loss in 2016 and the $2.6 million income tax benefit in 2015 not present in 2016, partially offset by the increase in other income of $3.4 million.

 

The following table presents key financial and operating metrics for our Clinical Laboratory Operations segment:

  

   Nine Months Ended September 30,         
Clinical Laboratory Operations   2016    2015    Change    % 
                     
Net revenues  $4,146,949   $28,396,875   $(24,249,926)   -85.4% 
Operating expenses:                    
Direct costs of revenue   1,034,762    8,566,372    (7,531,610)   -87.9% 
Bad debt expense   3,475,252               
General and administrative expenses   7,772,139    9,023,269    (1,251,130)   -13.9% 
Sales and marketing expenses   1,439,994    3,106,551    (1,666,557)   -53.6% 
Depreciation and amortization   1,706,164    1,562,314    143,850    9.2% 
                     
(Loss) income from operations  $(11,281,362)  $6,138,369   $(13,944,479)   -227.2% 
                     
Key Operating Measures - Revenues:                    
Insured tests performed   203,896    1,102,700    (898,804)   -81.5% 
Net revenue per insured test  $28.58   $25.75   $2.83    11.0% 
Revenue recognition percent of gross billings   15.0%    25.0%    -10.0%      
                     
Key Operating Measures - Direct Costs:                    
Total samples processed   25,275    70,035    (44,760)   -63.9% 
Direct costs per sample  $40.94   $122.32   $(81.38)   -66.5% 

 

 

 

 

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The following table presents key financial metrics for our Supportive Software Solutions segment:

 

   Nine Months Ended September 30,         
Supportive Software Solutions  2016   2015   Change   % 
                 
Net revenues (including intersegment revenues):  $1,641,971   $2,096,919   $(454,948)   -21.7% 
Operating expenses:                    
Direct costs of revenue   229,616        229,616    NM 
General and administrative expenses   4,528,943    5,696,859    (1,167,916)   -20.5% 
Sales and marketing expenses   1,329        1,329    #DIV/0! 
Bad debt   192,740    99,754    92,986    NM 
Depreciation and amortization   490,236    499,162    (8,926)   -1.8% 
                     
Loss from operations  $(3,800,893)  $(4,198,856)  $397,963    -9.5% 

 

The decrease in net revenues from 2015 is mainly due to a reduction in the amounts charged by our Supportive Software Solutions group to our Clinical Laboratory Operations group for services provided. The decrease in general and administrative expenses relates primarily to movement of a significant portion of our development activities from contracted labor to internal personnel.

 

The following table presents key financial metrics for our Decision Support and Informatics Operations segment:

 

   Nine Months Ended September 30,         
Decision Support and Informatics Operations  2016   2015   Change   % 
                 
Net revenues  $470,005   $   $470,005     NM  
Operating expenses:                    
Direct costs of revenue   25,948                
General and administrative expenses   570,999        570,999     NM  
Sales and marketing expenses   593,177        593,177     NM  
Bad debt expense   100                
Engineering expenses   1,636,702        1,636,702     NM  
Depreciation and amortization   33,324        33,324     NM  
                     
Loss from operations  $(2,390,245)  $   $(2,364,197)    NM  

 

The following table presents key financial metrics for our Corporate group:

 

   Nine Months Ended September 30,         
Corporate  2016   2015   Change   % 
                 
Operating expenses:                    
General and administrative expenses  $7,057,150   $7,971,217   $(914,067)   -11.5% 
Depreciation and amortization   (98,492)   (82,470)   (16,022)   19.4% 
                     
Loss from operations  $(6,958,658)  $(7,888,747)  $930,089    -11.8% 

 

The decrease in general and administrative expenses is mainly due to reductions in stock-based compensation in 2015 as compared to the prior year in the amount of $2.5 million, partially offset by interest and penalties that were recognized during the period in connection with unpaid taxes and an increase in professional fees.

 

 

 

 

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LIQUIDITY AND CAPITAL RESOURCES

 

The Company historically had utilized cash generated from operations and various credit facilities to fund working capital needs, acquisitions and capital expenditures. Since the consummation of the Merger on November 2, 2015, we have financed our operations primarily from the sale of our equity securities, short-term advances from related parties and the proceeds we received from pledging certain of our accounts receivable as discussed below. Future cash needs for working capital, acquisitions and capital expenditures will require management to seek additional equity or obtain additional credit facilities. The sale of additional equity could result in additional dilution to the Company's stockholders. A portion of the Company's cash may be used to acquire or invest in complementary businesses or products or to obtain the right to use complementary technologies. From time to time, in the ordinary course of business, the Company evaluates potential acquisitions of such businesses, products or technologies.

 

At September 30, 2016, we had cash on hand of approximately $0.5 million, a working capital deficit of $13.8 million and a stockholders’ deficit of $10.0 million. In addition, we incurred a net loss of $22.1 million during the first nine months of 2016. As of the date of this report, our cash position is critically deficient and payments critical to our ability to operate are not being made in the ordinary course. Our fixed operating expenses, including payroll, rent, capital lease payments and other fixed expenses, are approximately $1.4 million per month. Our failure to raise additional capital in the coming weeks will have a material adverse effect on our ability to operate our business. In addition, we will be required to raise additional capital in order to fund our operations for the next twelve months. There can be no assurances that we will be able to raise the necessary capital on terms that are acceptable to us, or at all. If we are unable to secure the necessary funding as and when required, it will have a material adverse effect on our business and we may be required to downsize, further reduce our workforce, sell some of our assets or possibly curtail or even cease operations, raising substantial doubt about our ability to continue as a going concern.

 

On March 31, 2016, the Company entered into an agreement to pledge certain of its accounts receivable as collateral against a prepaid forward purchase contract. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $4.3 million on our balance sheet as of March 31, 2016. As of September 30, 2016 the carrying value of these receivables was approximately $0.2 million. The consideration received was $5,000,000. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from the Company on the consideration, with a minimum repayment term of six months and minimum return of $500,000, (ii) all payments recovered from the accounts receivable up to $5,250,000, if paid in full within six months, or $5,500,000, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty has not been paid $6,000,000, the Company is required to pay the difference. Christopher Diamantis, a director of the Company, guaranteed the Company's payment obligation of up to $6,000,000. For providing the guarantee, and to the extent that the counterparty receives amounts payable under clause (ii) above exceeding $5,000,000, Mr. Diamantis will be paid a fee by the counterparty equal to the amount by which the amount received under clause (ii) above exceeds $5,000,000 ($250,000 or $500,000, depending on the timing of payment).

 

During the nine months ending September 30, 2016, we repaid a $3.0 million related party note in its entirety, made payments on capital lease obligations in the amount $0.8 million and repaid short-term advances from related parties, net of repayments, in the amount of $0.4 million.

 

On July 19, 2016, we closed a public offering of our equity securities whereby we issued 19,115,000 shares of our common stock and warrants to purchase an additional 19,115,000 shares of our common stock and received net proceeds of approximately $7.5 million. In conjunction with this offering, we also issued an additional 303,633 warrants to cover over-allotments. The proceeds were used for working capital and general corporate purposes, continued development of new diagnostics processes and methodologies, continued development, roll out and implementation of EHR and Revenue Cycle Management services, acquisitions and expansion of our business and for the repayment of certain related party notes and advances, including the outstanding balance on a related party note in the amount of $750,000, and $2.7 million that was owed to a member of our Board of Directors.

 

In September of 2016, we received $0.4 million from the sale of convertible notes and warrants, and an income tax refund in the amount of $1.8 million. Also in September of 2016, we were issued warrants from the Florida Department of Revenue for unpaid taxes related to the Company’s 2014 state income tax return in the amount of $0.9 million, including interest and penalties. We do not have the financial resources to satisfy this obligation, and are working with the Florida Department of Revenue to resolve this matter over a period of time that will be satisfactory to all parties.

 

On October 14, 2016, we received a letter from the holders of the Tegal Notes (see note 4 to the consolidated financial statements) demanding payment of the amounts that were due on July 12, 2016 of approximately $0.2 million, and that the holders reserved the right to declare an event of default under the terms of the notes in the event the amounts due were not paid. To date, the Company has not received further communication from the holders of the Tegal Notes and the entire amount due remains outstanding.

 

 

 

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The Company has not made the last two required payments under a senior secured convertible debenture with an outstanding principal amount of $3.0 million, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender and is exploring several alternatives to refinance the debenture.

 

 

The following table presents our capital resources as of September 30, 2016 and December 31, 2015:

 

   September 30,   December 31,     
   2016   2015   Change 
             
Cash  $514,344   $8,833,230   $(8,318,886)
Working capital   (13,768,637)   4,218,687    (17,987,324)
Total debt, excluding discounts and derivative liabilities   10,150,112    8,541,612    1,608,500 
Stockholders' deficit  $(10,038,086)  $(1,193,799)  $(8,844,287)

 

The following table presents the major sources and uses of cash for the nine months ended September 30, 2016 and 2015:

 

   Nine Months Ended September 30,     
   2016   2015   Change 
             
Cash used in operations  $(17,040,274)  $(5,877,843)  $(11,162,431)
Cash provided by (used in) investing activities   63,273    (359,690)   422,963 
Cash provided by financing activities   8,658,115    4,131,593    4,526,522 
                
Net change in cash  $(8,318,886)  $(2,105,940)  $(6,212,946)

 

The increase in cash used in operations for the nine months ended September 30, 2016 and 2015 is presented in the following table:

 

   Nine Months Ended September 30,     
   2016   2015   Change 
             
Net loss  $(22,115,541)  $(4,499,127)  $(17,616,414)
Non-cash adjustments to income   2,153,595    22,252,309    (20,098,714)
Accounts receivable   1,826,261    (21,628,121)   23,454,382 
Accounts payable and accrued expenses   (1,281,385)   3,133,314    (4,414,699)
Other   2,376,796    (5,136,218)   7,513,014 
Cash used in operations  $(17,040,274)  $(5,877,843)  $(11,162,431)

 

The decrease in cash used in investing activities is primarily due to the completion of the build out of our Riviera Beach, Florida laboratory in 2015.

 

The increase in cash provided by financing activities is mainly due to the $5.0 million received in connection with the prepaid forward purchase contract discussed above and the $7.5 million in proceeds from the public offering, partially offset by the repayment of a related party note of $3.0 million during the nine months ended September 30, 2016, as compared to $6.5 million received from the proceeds of notes issued in 2015 and payment of preferred stock dividends of $1.9 million during the nine months ended September 30, 2015

 

 

 

 31 
 

 

OTHER MATTERS

 

Inflation

We do not believe inflation has a significant effect on the Company’s operations at this time.

 

Off Balance Sheet Arrangements

Under SEC regulations, we are required to disclose the Company’s off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that are material to investors. Off-balance sheet arrangements consist of transactions, agreements or contractual arrangements to which any entity that is not consolidated with us is a party, under which we have:

 

  Any obligation under certain guarantee contracts.
     

 

  Any retained or contingent interest in assets transferred to an unconsolidated entity or similar arrangement that serves as credit, liquidity or market risk support to that entity for such assets.
     

 

  Any obligation under a contract that would be accounted for as a derivative instrument, except that it is both indexed to the Company’s stock and classified in stockholder’s equity in the Company’s statement of financial position.
     

 

  Any obligation arising out of a material variable interest held by us in an unconsolidated entity that provides financing, liquidity, market risk or credit risk support to us, or engages in leasing, hedging or research and development services with us.

 

As of September 30, 2016, the Company had no off-balance sheet arrangements that have, or are reasonably likely to have, a current or future effect on the Company’s financial condition, results of operations, liquidity, capital expenditures or capital resources that is material to investors.

 

Potential De-Listing of the Company’s Stock

On March 16, 2016, we were notified by Nasdaq that the bid price of the Company's common stock closed below the minimum $1.00 per share requirement for continued inclusion under Nasdaq Rule 5550(a)(2) (the “Bid Price Rule”). In accordance with Nasdaq Rule 5810(c)(3)(A), we had until September 12, 2016, to regain compliance. On September 13, 2016, Nasdaq granted us an additional 180-day extension, or until March 13, 2017, to regain compliance. If at any time before March 13, 2017, the bid price of our common stock closes at $1.00 per share or more for a minimum of 10 consecutive business days, we will regain compliance with the Bid Price Rule. Our stockholders’ deficit at September 30, 2016 was $10.0 million. Excluding the valuation allowances of $8.6 million on our net deferred tax assets as of December 31, 2015 and $8.2 million on our net operating losses for the nine months ended September 30, 2016, our stockholders’ equity, as adjusted, at September 30, 2016 would be $6.7 million.

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

  

Not applicable

 

Item 4. Controls and Procedures.

  

  (a) Evaluation of Disclosure Controls and Procedures

   

In connection with the preparation of this Quarterly Report on Form 10-Q, an evaluation was carried out by the Company's management, with the participation of the chief executive officer, who also functions as our interim chief financial officer, of the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 ("Exchange Act")) as of September 30, 2016. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC's rules and forms, and that such information is accumulated and communicated to management, including the chief executive officer, to allow timely decisions regarding required disclosures.

 

 

 

 32 
 

 

Based on that evaluation, our management concluded, as of the end of the period covered by this report, that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) were not effective. In connection with such evaluation, management concluded that the material weakness in internal control over financial reporting identified in our Form 10-K/A for the year ended December 31, 2015 continued to exist, and as such our disclosure controls and procedures were not effective as of September 30, 2016. Insufficient staffing and accounting processes and procedures led to a lack of contemporaneous documentation supporting the accounting for certain transactions. The Company is in the process of taking the following steps to remediate the material weakness: (i) increasing the staffing of its internal accounting department, (ii) beginning the process of converting to a new integrated accounting system to enhance controls and procedures for recording accounting transactions; and (iii) implementing enhanced documentation procedures to be followed by the internal accounting department.

 

Notwithstanding such material weakness, management believes that the condensed consolidated financial statements included in this Form 10-Q fairly present in all material respects the Company's financial condition, results of operations and cash flows for the periods and dates presented.

 

  (b) Changes in Internal Control over Financial Reporting

 

Except for the resignation of the Company’s Chief Financial Officer effective September 30, 2016 as previously reported, and as otherwise set forth above, there were no changes in our internal control over financial reporting that occurred during the period covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

 

PART II – OTHER INFORMATION

 

Item 1. Legal Proceedings.

   

From time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company's financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims below.

The Company’s Epinex Diagnostics Laboratories, Inc. subsidiary had been sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016.

 

In February 2016, the Company received notice that the Internal Revenue Service had placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, totaling $4,964,020. The Company paid $100,000 toward its 2014 tax liability in March 2016. The Company filed its 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released.

 

Item 1A. Risk Factors.

  

In addition to the other information set forth in this report, you should carefully consider the risk factors discussed in Part I, Item 1A of our Annual Report on Form 10-K/A for the year ended December 31, 2015 which could materially affect our business, financial condition, or future results. There have been no material changes to the risk factors previously disclosed in our 2015 Form 10-K/A.

 

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

   

During the three months ended September 30, 2016, the Company issued 4,974 shares of common stock for the cashless exercise of outstanding warrants. The issuance of shares of common stock was exempt from the registration requirements of the Securities Act of 1933, as amended, in accordance with Section 4(a)(2) thereof, as a transaction by an issuer not involving any public offering.

 

In August 2016, the Company exchanged an aggregate of $2.1 million of indebtedness and other obligations to various related parties for an aggregate of 5,544,441 shares of common stock and warrants to purchase 3,123,313 shares of the Company’s common stock. The warrants issued have an exercise price of $0.45 per share, are immediately exercisable and have a five-year term. The issuance of the shares of common stock and warrants was exempt from the registration requirements of the Securities Act of 1933, as amended, in accordance with Section 4(a)(2) thereof, as a transaction by an issuer not involving any public offering.

 

On July 11, 2016, the Company entered into Exchange Agreements with the holders of the Series C Preferred Stock and the holders of the Company’s 6,451,613 warrants to purchase shares of common stock issued December 30, 2015 (the “December 2015 Warrants”), to exchange such securities for shares of newly-authorized Series G Convertible Preferred Stock with a stated value of $1,000 per share (the “Series G Preferred Stock”) and new warrants to purchase shares of common stock (the “Exchange”). The Exchange closed on July 19, 2016 in conjunction with the public offering, and the outstanding 8,740 shares of Series C Preferred Stock and the December 2015 Warrants were exchanged for 13,793 shares of Series G Preferred Stock and new warrants to purchase 10,249,517 shares of the Company’s common stock (the “Exchange Warrants”). On July 6, 2016, stockholders representing approximately 74% of the voting power of the Company approved the Exchange. The Exchange was made in reliance upon the exemption from the registration requirements of the Securities Act of 1933, as amended, pursuant to Section 3(a)(9) thereof based on the representations of the holders. No commission or other remuneration was paid or given directly or indirectly for soliciting the Exchange.

 

Item 3. Defaults Upon Senior Securities.

  

The Company has not made the last two required payments under a senior secured convertible debenture with an outstanding principal amount of $3.0 million, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender and is exploring several alternatives to refinance the debenture 

 

Item 4. Mine Safety Disclosures.

 

Not applicable.

 

 

 

 33 
 

 

Item 5. Other Information.

 

See Part II, Item 3 above.

 

Item 6. Exhibits

 

Exhibit 3.1 Certificate of Designation for Series G Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on July 19, 2016).
Exhibit 3.2 Form of Certificate of Designation for Series F Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on October 5, 2016).
Exhibit 4.1 Warrant Agency Agreement, dated as of July 19, 2016, between Rennova Health, Inc. and Computershare, Inc. and its wholly-owned subsidiary, Computershare Trust Company, N.A. (incorporated by reference to Exhibit 4.1 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on July 19, 2016).
Exhibit 4.2 Form of Warrant issued in connection with the Exchange Agreement (incorporated by reference to Exhibit 4.8 of the Company's Registration Statement on Form S-1 (Registration No. 333-211515) filed with the Securities and Exchange Commission on July 12, 2016).
Exhibit 4.3 Form of Warrant issued in connection with the Securities Purchase Agreement, dated as of September 15, 2016 (incorporated by reference to Exhibit 10.118 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on September 21, 2016).
Exhibit 10.1 Form of Exchange Agreement, dated July 11, 2016 (incorporated by reference to Exhibit 10.115 of the Company's Registration Statement on Form S-1 (Registration No. 333-25115) filed with the Securities and Exchange Commission on July 12, 2016).
Exhibit 10.2 Securities Purchase Agreement, dated as of September 15, 2016 (incorporated by reference to Exhibit 10.116 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on September 21, 2016).
Exhibit 10.3 Form of Note issued in connection with the Securities Purchase Agreement (incorporated by reference to Exhibit 10.117 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on September 21, 2016).
Exhibit 10.4 Stock Purchase Agreement, dated as of September 29, 2016, by and among Genomas, Inc., the Sellers set forth in Schedule D thereto, Medytox Diagnostics, Inc. and Rennova Health, Inc. (incorporated by reference to Exhibit 10.119 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on October 5, 2016).
Exhibit 10.5 Executive Transition and Separation Agreement and General Release, dated September 28, 2016, between Rennova Health, Inc. and Jason Adams (incorporated by reference to Exhibit 10.120 of the Company's Current Report on Form 8-K filed with the Securities and Exchange Commission on October 5, 2016).
Exhibit 31.1 Rule 13a-14(a) Certification by the Principal Executive Officer and Interim Principal Financial Officer
Exhibit 32.1 Certification by the Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002*
Exhibit 101.INS XBRL Instance Document
Exhibit 101.SCH XBRL Schema Document
Exhibit 101.CAL XBRL Calculation Link base Document
Exhibit 101.DEF XBRL Definition Link base Document
Exhibit 101.LAB XBRL Label Link base Document
Exhibit 101.PRE XBRL Presentation Link base Document

____________________

*Furnished herewith

 

 

 

 

 

 34 
 

 

SIGNATURES

 

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

 

 

    RENNOVA HEALTH, INC.
     
Date: November 14, 2016   By: /s/ Seamus Lagan
    Seamus Lagan
   

Chief Executive Officer and Interim Chief Financial Officer

(Principal Executive Officer and Interim Principal Financial Officer)

 

 

 35 

EX-31.1 2 rennova_10q-ex3101.htm CERTIFICATION

EXHIBIT 31.1

 

CERTIFICATION OF

PRINICPAL EXECUTIVE OFFICER AND PRINCIPAL FINANCIAL OFFICER

PURSUANT TO RULE 13A-14(a) OF THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED PURSUANT TO SECTION 302 OF

THE SARBANES OXLEY ACT OF 2002

 

I, Seamus Lagan, certify that:

 

1.I have reviewed this Quarterly Report on Form 10-Q of Rennova Health, Inc.;

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant’s other certifying officer(s), if any, and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

 

5.The registrant’s other certifying officer(s), if any, and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent function):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

   
/s/ Seamus Lagan  
Seamus Lagan  
Chief Executive Officer and Interim Chief Financial Officer  

 

Dated: November 14, 2016

EX-32.1 3 rennova_10q-ex3201.htm CERTIFICATION

EXHIBIT 32.1

 

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

In connection with the Quarterly Report of Rennova Health, Inc., a Delaware Corporation (the “Company”), on Form 10-Q for the period ended September 30, 2016 as filed with the Securities and Exchange Commission (the “Report”), I, Seamus Lagan, Chief Executive Officer and Interim Chief Financial Officer of the Company, certify, pursuant to Sec. 906 of the Sarbanes-Oxley Act of 2002 (18 U.S.C. Sec. 1350,) that to the best of my knowledge:

 

1.The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

2.The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

 

   
/s/ Seamus Lagan  
Seamus Lagan  
Chief Executive Officer and Interim Chief Financial Officer  
Dated:  November 14, 2016  

 

 

 

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Document and Entity Information - shares
9 Months Ended
Sep. 30, 2016
Nov. 10, 2016
Document And Entity Information    
Entity Registrant Name Rennova Health, Inc.  
Entity Central Index Key 0000931059  
Document Type 10-Q  
Document Period End Date Sep. 30, 2016  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Is Entity a Well-known Seasoned Issuer? No  
Is Entity a Voluntary Filer? No  
Is Entity's Reporting Status Current? Yes  
Entity Filer Category Smaller Reporting Company  
Entity Common Stock, Shares Outstanding   55,850,932
Document Fiscal Period Focus Q3  
Document Fiscal Year Focus 2016  
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Condensed Consolidated Balance Sheets (Unaudited) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Current assets:    
Cash $ 514,344 $ 8,833,230
Accounts receivable, net 2,655,132 8,149,484
Prepaid expenses and other current assets 771,527 1,193,077
Income tax refunds receivable 723,410 3,813,066
Total current assets 4,664,413 21,988,857
Property and equipment, net 5,053,790 7,148,295
Deposits 479,734 232,774
Total assets 10,197,937 29,369,926
Current liabilities:    
Accounts payable (includes related parties) 2,627,238 4,360,035
Accrued expenses 3,627,188 5,285,455
Income taxes payable 942,433 1,398,053
Current portion of notes payable 8,528,193 269,031
Current portion of notes payable, related party 1,368,500 5,133,888
Current portion of capital lease obligations 1,339,498 1,323,708
Total current liabilities 18,433,050 17,770,170
Other liabilities:    
Notes payable, net of current portion 0 2,903,898
Capital lease obligations, net of current portion 1,398,481 2,394,171
Derivative liabilities 404,492 7,495,486
Total liabilities 20,236,023 30,563,725
Commitments and contingencies
Stockholders' equity:    
Common stock, $0.01 par value, 500,000,000 shares authorized, 55,160,931 shares issued and outstanding at September 30, 2016, 50,000,000 shares authorized, 14,651,837 shares issued and outstanding at December 31, 2015 551,609 143,951
Additional paid-in-capital 39,552,927 26,688,837
Accumulated deficit (50,142,718) (28,027,177)
Total stockholders' deficit (10,038,086) (1,193,799)
Total liabilities and stockholders' deficit 10,197,937 29,369,926
Series B Preferred Stock [Member]    
Stockholders' equity:    
Preferred stock, 5,000,000 shares authorized: 0 50
Series C Preferred Stock [Member]    
Stockholders' equity:    
Preferred stock, 5,000,000 shares authorized: 0 90
Series E Preferred Stock [Member]    
Stockholders' equity:    
Preferred stock, 5,000,000 shares authorized: 0 450
Series G Preferred Stock [Member]    
Stockholders' equity:    
Preferred stock, 5,000,000 shares authorized: $ 96 $ 0
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Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares
Sep. 30, 2016
Dec. 31, 2015
Preferred stock shares authorized 5,000,000  
Common stock par value $ .01 $ .01
Common stock shares authorized 500,000,000 50,000,000
Common stock shares issued 55,160,931 14,651,837
Common stock shares outstanding 55,160,931 14,651,837
Series B Preferred Stock [Member]    
Preferred stock shares authorized 5,000 5,000
Preferred stock par value $ .01 $ 0.01
Preferred stock shares issued 0 5,000
Preferred stock shares outstanding 0 5,000
Series C Preferred Stock [Member]    
Preferred stock shares authorized 10,350 10,350
Preferred stock par value $ .01 $ 0.01
Preferred stock shares issued 0 9,000
Preferred stock shares outstanding 0 9,000
Series E Preferred Stock [Member]    
Preferred stock shares authorized 45,000 45,000
Preferred stock par value $ .01 $ 0.01
Preferred stock shares issued 0 45,000
Preferred stock shares outstanding 0 45,000
Series G Preferred Stock [Member]    
Preferred stock shares authorized 14,000 0
Preferred stock par value $ .01 $ 0.01
Preferred stock shares issued 9,611 0
Preferred stock shares outstanding 9,611 0
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Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Revenues        
Net Revenues $ 290,004 $ 5,890,918 $ 5,222,529 $ 28,921,351
Operating expenses:        
Direct costs of revenue 336,023 1,866,741 1,290,326 8,566,372
General and administrative expenses 7,044,462 6,082,929 18,892,835 21,118,902
Sales and marketing expenses 570,788 784,763 2,034,499 3,106,551
Engineering expenses 546,525 0 1,636,702 0
Bad debt expense 3,666,707 0 3,668,092 99,754
Depreciation and amortization 702,275 728,572 2,131,232 1,979,006
Total operating expenses 12,866,780 9,463,005 29,653,686 34,870,585
Loss from operations (12,576,776) (3,572,087) (24,431,157) (5,949,234)
Other income (expense):        
Other income 127,008 0 227,020 23
Change in fair value of derivative instruments 2,087,041 190,000 6,813,701 190,000
(Loss) gain on legal settlement 0 0 (17,652) 275,028
Interest expense (1,646,712) (547,378) (4,707,453) (1,594,921)
Total other (expense) income 567,337 (357,378) 2,315,616 (1,129,870)
Loss before income taxes (12,009,439) (3,929,465) (22,115,541) (7,079,104)
Income tax benefit 0 (2,678,777) 0 (2,579,977)
Net loss (12,009,439) (1,250,688) (22,115,541) (4,499,127)
Preferred stock dividends 0 268,927 0 1,589,321
Net loss attributable to common stockholders $ (12,009,439) $ (1,519,615) $ (22,115,541) $ (6,088,448)
Net loss per common share: Basic and diluted $ (.29) $ (.05) $ (.94) $ (.21)
Weighted average number of shares outstanding during the period - Basic and diluted 41,313,448 30,955,483 23,574,845 29,064,792
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Condensed Consolidated Statement of Changes in Stockholders' Deficit - 9 months ended Sep. 30, 2016 - USD ($)
Series B Preferred Stock
Series C Preferred Stock
Series E Preferred Stock
Series G Preferred Stock
Preferred Stock
Common Stock
Additional Paid-In Capital
Retained Earnings
Total
Beginning balance, shares at Dec. 31, 2015 5,000 9,000 45,000 0 59,000        
Beginning balance, value at Dec. 31, 2015 $ 50 $ 90 $ 450   $ 590 $ 143,951 $ 26,688,837 $ (28,027,177) $ (1,193,799)
Conversion of preferred stock into common stock, shares converted (5,000) (260)   (4,182) (9,442)        
Conversion of preferred stock into common stock, converted share value $ (50) $ (3)   $ (42) $ (95)        
Conversion of preferred stock into common stock, common stock issued           15,194,593      
Conversion of preferred stock into common stock, stock issued value           $ 154,514 (154,419)    
Cashless exercise of warrants, shares           48,783      
Cashless exercise of warrants, value           $ 488 (488)    
Shares issued in adjustment of prior conversion of preferred stock, shares           50,606      
Shares issued in adjustment of prior conversion of preferred stock, value           $ 506 (506)    
Common shares cancelled, shares           (40,964)      
Common shares cancelled, value           $ (410) 410    
Issuance of shares for services, shares           13,300      
Issuance of shares for services, value           $ 133 9,177   9,310
Exchange of Series C Preferred Stock and warrants for Series G Preferred Stock and warrants, shares exchanged   (8,740)              
Exchange of Series C Preferred Stock and warrants for Series G Preferred Stock and warrants, value   $ (87)              
Exchange of Series C Preferred Stock and warrants for Series G Preferred Stock and warrants. shares issued       13,793 5,053        
Exchange of Series C Preferred Stock and warrants for Series G Preferred Stock and warrants, shares issued value       $ 138 $ 51   (51)    
Common stock and warrants issued for cash, shares issued           19,115,000      
Common stock and warrants issued for cash           $ 191,150 7,329,886   7,521,036
Conversion of related Conversion of related party liabilities into party liabilities into common stock, shares           5,544,441      
Conversion of related Conversion of related party liabilities into party liabilities into common stock, value           $ 55,444 2,076,385   2,131,829
Common stock granted to employees, shares           583,335      
Common stock granted to employees, value           $ 5,833 169,167   175,000
Cancellation of Series E Preferred Stock, shares     (45,000)   (45,000)        
Cancellation of Series E Preferred Stock, value     $ (450)   $ (450)   450    
Reclassification of derivative liabilities             2,770,511   2,770,511
Warrants and beneficial conversion features related to the issuance of convertible notes             394,500   394,500
Issuance of warrants not qualifying for equity treatment             (440,097)   (440,097)
Stock-based compensation             709,165   709,165
Net loss               (22,115,541) (22,115,541)
Ending balance, shares at Sep. 30, 2016 0 0 0 9,611 9,611 55,160,931      
Ending balance, value at Sep. 30, 2016 $ 0 $ 0 $ 0 $ 96 $ 96 $ 551,609 $ 39,552,927 $ (50,142,718) $ (10,038,086)
XML 15 R6.htm IDEA: XBRL DOCUMENT v3.5.0.2
Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Cash flows used in operating activities:    
Net loss $ (22,115,541) $ (4,499,127)
Adjustments to reconcile net loss to net cash used in operations:    
Depreciation and amortization 2,131,232 1,979,006
Non-cash gain on derivative instruments (6,813,701) (190,000)
Stock issued for services 9,310 2,905,001
Stock-based compensation 884,165 474,604
Bad debts 3,668,092 16,316,784
Accretion of beneficial conversion feature and debt discount 2,474,497 1,041,042
Gain on extinguishment of debt (100,000) 0
Gain on disposal of property and equipment (100,000) 0
Gain on legal settlement 0 (275,028)
Changes in operating assets and liabilities:    
Accounts receivable 1,826,261 (21,627,221)
Prepaid expenses and other current assets 171,550 (674,852)
Security deposits 3,040 (42,122)
Accounts payable (1,782,266) 1,556,626
Accrued expenses 500,881 1,576,688
Income tax assets and liabilities 2,202,206 (4,509,565)
Deferred tax assets and liabilities 0 90,321
Net cash used in operating activities (17,040,274) (5,877,843)
Cash flows provided by (used in) investing activities:    
Purchase of property and equipment (36,727) (359,690)
Proceeds from the sale of property and equipment 100,000 0
Net cash provided by (used in) investing activities 63,273 (359,690)
Cash flows provided by financing activities:    
Dividends on Series B preferred stock 0 (1,589,321)
Proceeds from the issuance of common stock and warrants, net of offering costs 7,521,036 0
Proceeds from issuance of notes payable, related party 3,000,000 3,530,000
Proceeds from issuance of notes payable 5,394,500 3,000,000
Payments on notes payable, related party (6,000,000) (57,500)
Payments on capital lease obligations (827,421) (751,586)
Proceeds from related party advances 5,285,000 0
Payments on related party advances (5,715,000) 0
Net cash provided by financing activities 8,658,115 4,131,593
Net decrease in cash (8,318,886) (2,105,940)
Cash at beginning of period 8,833,230 2,406,246
Cash at end of period $ 514,344 $ 300,306
XML 16 R7.htm IDEA: XBRL DOCUMENT v3.5.0.2
1. Organization and Basis of Presentation
9 Months Ended
Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization and Basis of Presentation

Rennova Health, Inc. (“Rennova”), together with its subsidiaries (the “Company”, “we”, “us” or “our”), is a vertically integrated provider of healthcare related products and services. The Company’s principal lines of business are (i) clinical laboratory operations, (ii) supportive software solutions, which includes Electronic Health Records (“EHR”), Medical Billing Services and Laboratory Information Services (“LIS”) and (iii) decision support and informatics operations.

 

Merger between the Company and Medytox Solutions, Inc.

On November 2, 2015, pursuant to the terms of the Agreement and Plan of Merger, dated as of April 15, 2015, by and among the Company, CollabRx Merger Sub, Inc. (“Merger Sub”), a direct wholly-owned subsidiary of the Company formed for the purpose of the merger, and Medytox Solutions, Inc. (“Medytox”), Merger Sub merged with and into Medytox, with Medytox as the surviving company and a direct, wholly-owned subsidiary of the Company (the “Merger”). Prior to closing, the Company amended its certificate of incorporation to effect a 1-for-10 reverse stock split and to change its name from CollabRx, Inc. to Rennova Health, Inc. In connection with the Merger, (i) each share of common stock of Medytox was converted into the right to receive approximately 0.4096 shares of common stock of the Company, (ii) each share of Series B Preferred Stock of Medytox was converted into the right to receive one share of Series B Convertible Preferred Stock of the Company, and (iii) each share of Series E Convertible Preferred Stock of Medytox was converted into the right to receive one share of Series E Convertible Preferred Stock of the Company.

 

Holders of Company equity prior to the closing of the Merger (including all outstanding Company common stock and all restricted stock units, options and warrants exercisable for shares of Company common stock) held approximately 10% of the Company's common stock immediately following the closing of the Merger, and holders of Medytox equity prior to the closing of the Merger (including all outstanding Medytox common stock and all outstanding options exercisable for shares of Medytox common stock, but less certain options that were cancelled upon the closing pursuant to agreements between Medytox and such optionees) held approximately 90% of the Company's common stock immediately following the closing of the Merger, in each case on a fully diluted basis, provided, however, outstanding shares of the newly designated Series B Convertible Preferred Stock and Series E Convertible Preferred Stock, certain outstanding convertible promissory notes exercisable for Company common stock after the closing and certain option grants expected to be made following the closing of the Merger are excluded from such ownership percentages. The Merger resulted in a change in control of the Company, and as a result this transaction was accounted for as a reverse merger and recapitalization in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP") and, as such, the financial statements presented prior to November 2, 2015 are those of Medytox and the financial statements presented after November 2, 2015 reflect the operations of the combined company. All common share amounts prior to November 2, 2015 have been retroactively restated to reflect the 1-for-10 reverse stock split and the conversion ratio of Medytox common stock to common stock of the Company as a result of the Merger.

 

On November 3, 2015, the common stock of Rennova Health, Inc. commenced trading on the Nasdaq Capital Market under the symbol “RNVA.” Prior to that date, the Company’s common stock was listed on the NASDAQ Capital Market under the symbol “CLRX.” Immediately after the consummation of the Merger, the Company had 13,750,010 shares of common stock, 5,000 shares of Series B Convertible Preferred Stock and 45,000 shares of Series E Convertible Preferred Stock issued and outstanding.

 

Basis of Presentation

The accompanying unaudited condensed consolidated interim financial statements should be read in conjunction with the 2015 audited annual financial statements included in the Company’s Annual Report on Form 10-K/A, filed with the U.S. Securities and Exchange Commission (the “SEC”) on May 17, 2016. These condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q and Article 8 of Regulation S-X of the SEC, and therefore omit or condense certain footnotes and other information normally included in consolidated interim financial statements prepared in accordance with U.S. GAAP. All material intercompany balances and transactions have been eliminated in consolidation. In the opinion of the Company’s management, the unaudited interim condensed consolidated financial statements contain all adjustments (consisting only of normal recurring accruals) considered necessary for the fair presentation of the financial position and results of operations and cash flows for the interim periods reported herein. The results of operations presented are not necessarily indicative of the results to be expected for any other interim period or for the entire year.

 

During the three and nine months ended September 30, 2016 and 2015, comprehensive loss was equal to the net loss amounts presented in the accompanying condensed consolidated statements of operations. In addition, certain prior year balances have been reclassified to conform to the current presentation.

 

Going Concern

 

The Company’s consolidated financial statements are prepared using U.S. GAAP applicable to a going concern that contemplates the realization of assets and liquidation of liabilities in the normal course of business. The Company has recently accumulated significant losses and has negative cash flows from operations, and at September 30, 2016 had a working capital deficit and stockholders’ deficit of $13.8 million and $10.0 million, respectively, which raise substantial doubt about its ability to continue as a going concern. In addition, the Company’s cash position is critically deficient, critical payments are not being made in the ordinary course and the Company has not made the required payments under a secured debenture with an outstanding principal amount of $3.0 million, for which the Company currently does not have the financial resources to satisfy (see notes 4 and 13). Management's plans with respect to alleviating the adverse financial conditions which raise substantial doubt about the Company’s ability to continue as a going concern include increasing the volume of samples processed by its laboratories and the number of customers for its supportive software solutions, as well as raising additional funds in the capital markets. In addition, the Company has undertaken additional cost saving measures, including personnel reductions and a reorganization of the Company’s sales force under the direction of the new Chief Executive Officer of the Company’s Medytox Medical Marketing & Sales, Inc. subsidiary. No conclusion can be drawn at this time about the ultimate efficacy of these plans of action.

 

On March 31, 2016, the Company received proceeds of $5.0 million from pledging certain of its accounts receivable as collateral to a prepaid forward purchase contract (see note 4). On July 19, 2016, the Company closed a public offering of its equity securities and received net proceeds of approximately $7.5 million (see note 7). In addition, in September of 2016 the Company received an income tax refund in the amount of $1.8 million and received net proceeds from the sale of convertible notes in the amount of $0.4 million.

 

There can be no assurance that the Company will be able to achieve its business plans, raise any additional capital or secure additional financing, if necessary, to achieve its current operating plan. The ability of the Company to continue as a going concern is dependent upon its ability to successfully accomplish the plan described in the preceding paragraphs and eventually regain profitability. The accompanying consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.

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2. Accounts Receivable
9 Months Ended
Sep. 30, 2016
Receivables [Abstract]  
Accounts Receivable

Accounts receivable at September 30, 2016 and December 31, 2015 consisted of the following:

 

   September 30,   December 31, 
   2016   2015 
         
Accounts receivable - clinical laboratory operations  $86,006,817   $105,332,339 
Accounts receivable - supportive software solutions   587,731    569,351 
           
Total accounts receivable   86,594,548    105,901,690 
Less:          
Allowance for discounts   (80,098,203)   (97,577,130)
Allowance for bad debts   (3,841,213)   (175,076)
           
Accounts receivable, net  $2,655,132   $8,149,484 

 

During the three months ended September 30, 2016, the Company identified additional accounts receivable related to its Clinical Laboratory Operations business segment that were deemed uncollectible. The primary factors in rendering these receivables uncollectible were the Company’s failure to obtain preauthorization from the third party payer prior to rendering services and the lack of an existing preferred provider contract with the third party payer. As a result, the Company recorded a charge of $3.5 million related to the Company’s inability to collect on these receivables, which is reflected in bad debt expense in the accompanying consolidated statements of operations.

 

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3. Property and Equipment
9 Months Ended
Sep. 30, 2016
Property, Plant and Equipment [Abstract]  
Long-Lived Assets

Property and equipment at September 30, 2016 and December 31, 2015 consisted of the following:

 

   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $922,551   $991,903 
Equipment   577,317    547,555 
Equipment under capital leases   5,043,095    5,663,332 
Furniture   561,688    560,400 
Leasehold improvements   1,776,957    1,760,125 
Vehicles   196,534    196,534 
Computer equipment   753,225    661,234 
Software   1,845,054    1,878,848 
    11,676,421    12,259,931 
Less accumulated depreciation   (6,622,631)   (5,111,636)
Property and equipment, net  $5,053,790   $7,148,295 

 

Depreciation expense on property and equipment was $0.7 million for the three months ended September 30, 2016 and 2015, and $2.1 million and $2.0 million for the nine months ended September 30, 2016 and 2015, respectively. Management periodically reviews the valuation of long-lived assets, including property and equipment, for potential impairment. Management did not recognize any impairment of these assets during the three and nine months ended September 30, 2016 and 2015.

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4. Notes Payable
9 Months Ended
Sep. 30, 2016
Debt Disclosure [Abstract]  
Notes Payable

The Company and its subsidiaries are party to a number of loans with affiliates and unrelated parties. At September 30, 2016 and December 31, 2015, notes payable consisted of the following:

 

Notes Payable – Third Parties

 

   September 30, 2016   December 31, 2015 
Loan payable under prepaid forward purchase contract  $5,000,000   $ 
           
Loan payable to TCA Global Master Fund, LP ("TCA") in the principal amount of $3,000,000 at 16% interest, with interest only payments through September 11, 2016 (the "TCA Debenture"). Principal and interest payments due monthly from October 11, 2016 through September 11, 2017   3,000,000    3,000,000 
           
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the "Tegal Notes"). Principal and interest payments are made annually from July 12, 2015 through July 12, 2017   341,612    341,612 
           
Loan payable to former shareholder of Epinex Diagnostics Laboratories, Inc. in the original principal amount of $400,000, at 0% interest, with principal payments due in periodic installments of $100,000 from November 26, 2014 through February 26, 2016 (the "Epinex Note")       100,000 
           
Other convertible notes payable   440,000     
           
Unamortized discount on TCA Debenture   (252,879)   (453,025)
Unamortized discount on Epinex Note       (1,775)
Unamortized discount on other convertible notes   (403,536)    
Derivative liability associated with the TCA Debenture, at fair value   402,996    186,117 
    8,528,193    3,172,929 
Less current portion   (8,528,193)   (269,031)
Notes payable - third parties, net of current portion  $   $2,903,898 

 

On September 15, 2016, the Company entered into an agreement with two investors whereby the Company sold to the investors convertible notes in the aggregate principal amount of $0.4 million (the “September 2016 Notes”). The September 2016 Notes are convertible into shares of the Company’s common stock at a conversion price of $0.25 per share. In conjunction with the sale of the September 2016 Notes, the Company issued warrants to purchase an aggregate of 2 million shares of the Company’s common stock at an exercise price of $0.40 per share. Based on the allocation of the net proceeds from the September 2016 Notes to the fair value of the warrants, and the resulting beneficial conversion features, the Company recognized a discount for the entire face value of the September 2016 Notes, which is being accreted through the notes’ maturity date of March 15, 2017. The Company has determined that the warrants issued in this transaction do not qualify for equity treatment in the Company’s consolidated balance sheet. As a result, the Company recognized a derivative liability associated with these warrants in the amount of $0.3 million as of September 30, 2016.

 

On March 31, 2016, the Company entered into an agreement to pledge certain of its accounts receivable as collateral against a prepaid forward purchase contract whereby the Company received consideration in the amount of $5.0 million. The receivables had an estimated collectable value of $8.7 million which had been adjusted down to approximately $4.3 million on the Company’s balance sheet as of March 31, 2016. As of September 30, 2016, the carrying value of these receivables was $0.2 million. In exchange for the consideration received, the counterparty received the right to: (i) a 20% per annum investment return from the Company on the consideration, with a minimum repayment term of six months and minimum return of $0.5 million, (ii) all payments recovered from the accounts receivable up to $5.25 million, if paid in full within six months, or $5.5 million, if not paid in full within six months, and (iii) 20% of all payments of the accounts receivable in excess of amounts received in (i) and (ii). On March 31, 2017, to the extent that the counterparty has not been paid $6.0 million, the Company is required to pay the difference. Christopher Diamantis, a director of the Company, guaranteed the Company's payment obligation of up to $6.0 million. For providing the guarantee, and to the extent that the counterparty receives amounts payable under clause (ii) above exceeding $5.0 million, Mr. Diamantis will be paid a fee by the counterparty equal to the amount by which the amount received under clause (ii) above exceeds $5.0 million ($250,000 or $500,000, depending on the timing of payment). In addition, the Company agreed to pay Mr. Diamantis $0.5 million in connection with his providing the guarantee. This amount was settled in August of 2016 with the issuance of shares of the Company’s common stock and warrants to purchase shares of the Company’s common stock (see note 5).

 

The Company did not make the monthly principal and interest payments due under the TCA Debenture for October, 2016 and November, 2016, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender.

 

The Company had been negotiating with the holders of the Tegal Notes to exchange their notes for equity securities of the Company. In connection with such negotiations, the Company did not make the principal payments that were due on July 12, 2016. As a result, the entire amounts outstanding as of September 30, 2016 are reflected in current liabilities in the accompanying consolidated financial statements. The Company and the holders of the Tegal Notes have not reached an agreement on an exchange and on October 14, 2016 the Company received a letter from the holders demanding payment of the amounts that were due on July 12, 2016, and that the holders reserved the right to declare an event of default under the terms of the notes in the event the amounts due were not paid. To date, the Company has not received further communication from the holders of the Tegal Notes and the entire amount due remains outstanding.

 

Notes Payable – Related Parties

 

   September 30, 2016   December 31, 2015 
Convertible debenture dated December 31, 2014 which bears interest at 10% per annum and was due December 31, 2016 (the "D&D Debenture"). The lender, D&D Funding II, LLC, had the option to convert the note into the Company's common stock at a 25% discount to the average trading price (as defined in the note agreement) for ten consecutive trading days prior to the conversion date  $   $3,000,000 
           
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on February 2, 2017   218,500    500,000 
           
Loan payable to Christopher Diamantis   500,000    1,600,000 
           
Other advances from related parties   650,000     
           
Unamortized discount on D&D Debenture       (2,236,112)
Derivative liabilities associated with the D&D Debenture, at fair value       2,270,000 
Total notes payable, related parties  $1,368,500   $5,133,888 

 

On December 31, 2014, the Company borrowed $3.0 million from D&D Funding II, LLC (“D&D”) and issued the D&D Debenture. Christopher Diamantis, a director of the Company, is the manager and 50% owner of D&D. In January 2016, the Company temporarily repaid the $3.0 million due under the D&D Debenture. In addition to the principal amount, the Company paid $0.3 million in cash for interest for 2015. In March 2016, the Company re-borrowed 100% of the principal amount repaid in January 2016, repaid $2.25 million in April 2016 using the proceeds from the accounts receivable pledge agreement described above, and repaid the remaining $750,000 in July 2016. The D&D Debenture was convertible into the Company’s Common Stock at a 25% discount to the trailing ten-day average closing price at any time prior to the repayment. In the event of conversion, the holder of the D&D Debenture was also entitled to receive a number of warrants to purchase the Company’s Common Stock equal to the number of shares issued upon conversion with exercise prices equal to the trailing ten-day average closing price of our Common Stock. These two features are derivative instruments that are re-valued quarterly and are reflected in the table above. As a result of the repayment of the D&D Debenture in 2016, the associated derivative liability has been reclassified into stockholders’ equity.

 

On February 3, 2015, the Company borrowed $3.0 million from Alcimede LLC (“Alcimede”). Seamus Lagan, the Company’s President and Chief Executive Officer, is the sole manager of Alcimede. The note has an interest rate of 6% and was originally due on February 2, 2016. On June 29, 2015, Alcimede exercised options granted in October 2012 to purchase one million shares of the Company’s common stock at an exercise price of $2.50 per share, and the loan outstanding was reduced in satisfaction of the aggregate exercise price of $2.5 million. In February 2016, Alcimede agreed to extend the maturity date of the loan to February 2, 2017. In August of 2016, $0.3 million was repaid by the Company through the issuance of shares of common stock (see note 5), and the remaining balance due on this loan as of September 30, 2016 was $0.2 million.

 

In the fourth quarter of 2015, the Company borrowed $1.6 million from Mr. Diamantis, which was due January 7, 2016. In January 2016, the Company repaid the $1.6 million due Mr. Diamantis, along with $0.1 million in cash for interest. During the nine months ended September 30, 2016, the Company received additional short-term advances from Mr. Diamantis aggregating to $4.2 million, $3.7 million of which was repaid during the period. In connection with these advances, the Company agreed to pay Mr. Diamantis interest in the amount of $0.4 million, which is reflected in accrued expenses in the accompanying consolidated balance sheet as of September 30, 2016. Also during the nine months ended September 30, 2016, the Company received short-term advances from two principal stockholders aggregating to approximately $1.0 million, of which approximately $0.4 million was repaid during the period. These advances are payable on demand.

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5. Related Party Transactions
9 Months Ended
Sep. 30, 2016
Related Party Transactions [Abstract]  
Related Party Transactions

In addition to the transactions discussed in note 4 and note 7, the Company had the following related party transactions during the nine months ended September 30, 2016 and 2015:

 

Alcimede billed the Company $0.3 million for consulting fees pursuant to a consulting agreement for each of the nine months ended September 30, 2016 and 2015.

 

During the second quarter of 2016, the Company received a short-term advance from Jason Adams, the Company’s then Chief Financial Officer, in the amount of $50,000, all of which was repaid during the second quarter.

 

On August 1, 2015, Medytox entered into a non-exclusive consulting agreement with Monarch Capital, LLC ("Monarch"). Michael Goldberg, at the time a director of Medytox and currently a director of the Company, is the Managing Director of Monarch. Under this agreement, Monarch provides business and financial advice. The original term of the agreement was through August 31, 2016, and is subject to automatic renewal for an additional one year unless Medytox provides the consultant with 180 days’ prior written notice of its intent not to renew. The agreement has been renewed for an additional year. Monarch billed the Company $0.2 million and $15,000 for consulting fees pursuant to this agreement for the nine months ended September 30, 2016 and 2015, respectively.

 

In August 2016, the Company exchanged an aggregate of $2.1 million of indebtedness and other obligations to various related parties for an aggregate of 5,544,441 shares of common stock and warrants to purchase 3,123,313 shares of the Company’s common stock. The warrants issued have an exercise price of $0.45 per share, are immediately exercisable and have a five-year term. The issuance of the shares of common stock and warrants was exempt from the registration requirements of the Securities Act of 1933, as amended, in accordance with Section 4(a)(2) thereof, as a transaction by an issuer not involving any public offering.

 

On June 30, 2015, the Company issued 200,000 shares of common stock to SS International Consulting Ltd., of which a former director of the Company is the sole manager, pursuant to a consulting contract.

 

The foregoing transactions were completed at arm’s length at values commensurate with those of independent third parties.

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6. Capital Lease Obligations
9 Months Ended
Sep. 30, 2016
Debt Disclosure [Abstract]  
Capital Lease Obligations

The Company leases various assets under capital leases expiring through 2020 as follows:

 

   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $5,043,095   $5,663,332 
Less accumulated depreciation   (2,480,726)   (2,093,920)
           
Net  $2,562,369   $3,569,412 

 

Aggregate future minimum rentals under capital leases are as follows:

 

December 31,     
 2016   $399,522 
 2017    1,432,542 
 2018    845,330 
 2019    285,199 
 2020    32,611 
 Total    2,995,204 
        
 Less interest    257,225 
 Present value of minimum lease payments    2,737,979 
        
 Less current portion of capital lease obligations    1,339,498 
 Capital lease obligations, net of current portion   $1,398,481 

 

 

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7. Stockholders' Equity
9 Months Ended
Sep. 30, 2016
Equity [Abstract]  
Stockholders' Equity

Preferred Stock

During the nine months ended September 30, 2015, the former Medytox Series B preferred shareholders earned dividends totaling $1.6 million. At September 30, 2016 and December 31, 2015, accrued dividends of $0.1 million and $2.1 million, respectively, were included in accrued expenses. In conjunction with the Merger, all outstanding Medytox Series B preferred shares were cancelled in exchange for shares of Rennova Series B Convertible Preferred Stock (the “Series B Preferred Stock”), which were not entitled to receive dividends unless dividends are declared on the Company’s common stock. On September 6, 2016, all of the outstanding shares of Series B Preferred Stock were converted into an aggregate of 5,733,945 shares of the Company’s common stock, in accordance with the terms of the Series B Preferred Stock.

 

On August 26, 2016, in accordance with the terms of a stock purchase agreement between the Company and Epinex Diagnostics, Inc. (“Epinex Diagnostics”), the Company cancelled the 45,000 shares of its Series E Preferred Stock that had previously been issued to Epinex Diagnostics.

 

Between January 1, 2016 and July 10, 2016, holders of the Company’s Series C Convertible Preferred Stock (the “Series C Preferred Stock”) converted a total of 260 shares of Series C Preferred Stock into 167,743 shares of common stock. On July 11, 2016, the Company entered into Exchange Agreements with the holders of the Series C Preferred Stock and the holders of the Company’s 6,451,613 warrants to purchase shares of common stock issued December 30, 2015 (the “December 2015 Warrants”), to exchange such securities for shares of newly-authorized Series G Convertible Preferred Stock with a stated value of $1,000 per share (the “Series G Preferred Stock”) and new warrants to purchase shares of common stock (the “Exchange”). The Exchange closed on July 19, 2016 in conjunction with the public offering discussed below, and the outstanding 8,740 shares of Series C Preferred Stock and the December 2015 Warrants were exchanged for 13,793 shares of Series G Preferred Stock and new warrants to purchase 10,249,517 shares of the Company’s common stock (the “Exchange Warrants”). On July 6, 2016, stockholders representing approximately 74% of the voting power of the Company approved the Exchange. The Exchange was made in reliance upon the exemption from the registration requirements of the Securities Act of 1933, as amended, pursuant to Section 3(a)(9) thereof based on the representations of the holders. No commission or other remuneration was paid or given directly or indirectly for soliciting the Exchange.

 

The Series G Preferred Stock is convertible into common stock at the stated value divided by $0.45. The exercise price of the Exchange Warrants is $0.45 per share. No gain or loss was recognized by the Company as result of the Exchange, however the Company did record a gain on the change in fair value of the December 2015 Warrants of $1.7 million in July 2016. Subsequent to the closing of the Exchange through September 30, 2016, 4,182 shares of Series G Preferred Stock were converted into 9,292,905 shares of the Company’s common stock.

 

Common Stock

On March 9, 2016, the Company filed an amendment to its certificate of incorporation to increase the number of shares of common stock that the Company is authorized to issue from 50 million to 500 million. During the nine months ended September 30, 2016, the Company issued an aggregate of 13,300 shares of its common stock to a consultant for services. The Company recognized $9,310 in compensation costs associated with these issuances. Also during the nine months ended September 30, 2016, the Company issued 48,783 shares of common stock for the cashless exercise of outstanding warrants, issued 50,606 shares of common stock as an adjustment to previously converted preferred stock and cancelled 40,964 shares of common stock previously issued to an employee.

 

On July 17, 2016, the Company issued an aggregate of 583,335 shares of common stock to three of its executive officers as compensation, and granted 83,334 shares of restricted common stock to an employee which will vest over a period of six months from the date of grant and have yet to be issued. The Company recognized compensation cost in the amount of $0.2 million in connection with the foregoing grants, which were issued under the 2007 Equity Plan as defined below. During the nine months ended September 30, 2015, the Company recognized $2.9 million in compensation expense related to the issuance of Medytox common stock to employees and consultants.

 

On July 19, 2016, the Company closed a public offering of its equity securities whereby the Company issued 19,115,000 shares of its common stock and warrants to purchase an additional 19,115,000 shares of its common stock and received net proceeds of approximately $7.5 million. In conjunction with this offering, the Company also issued an additional 303,633 warrants to cover over-allotments. The proceeds were used for working capital and general corporate purposes, continued development of new diagnostics processes and methodologies, continued development, roll out and implementation of EHR and Revenue Cycle Management services, acquisitions and expansions of the Company’s business and the repayment of certain related party notes and advances.

 

Stock Options

The Company currently maintains and sponsors the Tegal Corporation 2007 Incentive Award Plan (the “2007 Equity Plan”). Tegal Corporation is the predecessor entity to CollabRx. The 2007 Equity Plan, as amended, provides for the issuance of stock options and other equity awards to the Company’s officers, directors, employees and consultants. On May 2, 2016, the Company granted options to employees, directors and consultants to purchase an aggregate of 15,643,000 shares of the Company’s common stock under the 2007 Equity Plan. On July 17, 2016, the Company granted options to purchase an additional 5,155,500 shares of common stock. The Company recorded compensation expense in the amount of $0.7 million during the nine months ended September 30, 2016 in connection with these grants. During the nine months ended September 30, 2015, the Company recorded approximately $0.5 million of compensation expense related to outstanding options to purchase Medytox common stock. These amounts are reflected in General and administrative expenses in the accompanying consolidated statements of operations. The following table summarizes the Company’s stock option activity for the nine months ended September 30, 2016:

 

   Number of options   Weighted average exercise price 
Balance at December 31, 2015   1,600,674   $7.73 
Options granted during the period   20,798,500   $3.95 
Options exercised during the period      $ 
Options forfeited during the period   (200,000)  $1.00 
Options expired during the period      $ 
Options outstanding at September 30, 2016   22,199,174   $4.25 
Options exercisable at September 30, 2016   16,199,174   $5.58 

 

The Company’s stock options are measured at fair value on the date of grant, and compensation expense is recorded over the requisite service period. The options granted during the nine months ended September 30, 2016 were valued using a binomial option-pricing model using the following assumptions:

 

Expected term   9.89  years
Expected volatility   168%  
Risk free interest rate   1.88%  
Dividend yield   0%  

 

As of September 30, 2016, the Company had approximately $0.4 million of unrecognized compensation cost related to stock options granted under the Company’s 2007 Equity Plan, which is expected to be recognized over a weighted-average period of 1.59 years.

 

Warrants

The Company, as part of various debt and equity financing transactions, has issued warrants to purchase shares of the Company’s common stock. The following summarizes the information related to warrants issued and the activity during the nine months ended September 30, 2016:

 

   Number of warrants   Weighted average exercise price 
Balance at December 31, 2015   6,898,560   $1.83 
Cashless exercises   (92,348)  $0.23 
Exchange of December 30, 2015 warrants   (6,451,613)  $1.94 
Exchange Warrants issued   10,249,517   $0.45 
Warrants issued during the period   24,541,946   $0.45 
Balance at September 30, 2016   35,146,062   $0.44 

 

Basic and Diluted Loss per Share

Basic loss per share excludes dilution and is computed by dividing loss attributable to common stockholders by the weighted-average number of common shares outstanding during the period. Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the income of the Company. For the three and nine months ended September 30, 2016 and 2015, basic loss per share is the same as diluted loss per share.

 

Diluted loss per share excludes all dilutive potential shares if their effect is anti-dilutive. As of September 30, 2016 and 2015, the following potential common stock equivalents were excluded from the calculation of diluted loss per share as their effect was anti-dilutive:

 

   September 30,   September 30, 
   2016   2015 
Stock options outstanding   22,199,174    23,830,000 
Warrants outstanding   35,146,062     
Convertible debt   1,760,000    5,378,151 
Convertible preferred stock   21,358,222    257,143 
           
Total   80,463,458    29,465,294 

 

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8. Income Taxes
9 Months Ended
Sep. 30, 2016
Income Tax Disclosure [Abstract]  
Income Taxes

The Company recognized no income tax expense or benefit for the nine months ended September 30, 2016. The Company recognized an income tax benefit of $2.6 million for the nine months ended September 30, 2015. The Company applies a “more likely than not” threshold to the recognition and nonrecognition of tax positions. A change in judgment related to prior years’ tax positions is recognized in the quarter of such change. The Company had no reserve for uncertain tax positions as of September 30, 2016 or December 31, 2015.

 

In September of 2016 the Company received a refund of federal income taxes in the amount of $1.8 million related to the carry back of net operating losses generated in fiscal 2015 to the 2014 and 2013 tax years. The amount of the refund reflects penalties and interest in the amount of $1.2 million, of which $0.7 million is reflected in general and administrative expenses.

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9. Supplemental Disclosure of Cash Flow Information
9 Months Ended
Sep. 30, 2016
Supplemental Cash Flow Elements [Abstract]  
Supplemental Disclosure of Cash Flow Information

   Nine Months Ended September 30, 
   2016   2015 
Cash paid for interest  $1,237,622   $222,898 
Cash paid for income taxes  $   $1,853,408 
           
Non-cash investing and financing activities:          
Accrued liabilities settled through the issuance of common stock and warrants  $2,131,829   $–  
Exercise of stock options as reduction of notes payable, related party  $   $(2,500,000)
Assets acquired through capital leases  $   $1,597,063 
           
Acquisition of noncontrolling interest in Biohealth Medical Laboratory, Inc.:          
Deposits on acquisition  $   $259,875 
Goodwill  $   $(138,871)
Noncontrolling interest  $   $(121,004)

 

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10. Commitments and Contingencies
9 Months Ended
Sep. 30, 2016
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies

Legal Matters

From time to time, the Company may be involved in a variety of claims, lawsuits, investigations and proceedings related to contractual disputes, employment matters, regulatory and compliance matters, intellectual property rights and other litigation arising in the ordinary course of business. The Company operates in a highly regulated industry which may inherently lend itself to legal matters. Management is aware that litigation has associated costs and that results of adverse litigation verdicts could have a material effect on the Company's financial position or results of operations. Management, in consultation with legal counsel, has addressed known assertions and predicted unasserted claims below.

 

The Company’s Epinex Diagnostics Laboratories, Inc. subsidiary had been sued in a California state court by two former employees who alleged that they were wrongfully terminated, as well as for a variety of unpaid wage claims. The parties entered into a settlement agreement of this matter on July 29, 2016 for approximately $0.2 million, and the settlement was consummated on August 25, 2016.

 

In February 2016, the Company received notice that the Internal Revenue Service had placed a lien against Medytox Solutions, Inc. and its subsidiaries relating to unpaid 2014 taxes due, plus penalties and interest, totaling $4,964,020. The Company paid $100,000 toward its 2014 tax liability in March 2016. The Company filed its 2015 Federal tax return on March 15, 2016 and the accompanying election to carryback the reported net operating losses was filed in April 2016. On August 24, 2016, the lien was released.

 

Potential De-Listing of the Company’s Stock

On March 16, 2016, the Company was notified by Nasdaq that the bid price of the Company's common stock closed below the minimum $1.00 per share requirement for continued inclusion under Nasdaq Rule 5550(a)(2) (the “Bid Price Rule”). In accordance with Nasdaq Rule 5810(c)(3)(A), the Company had 180 calendar days, or until September 12, 2016, to regain compliance. On September 13, 2016, Nasdaq granted the Company an additional 180-day extension, or until March 13, 2017, to regain compliance. If at any time before March 17, 2017, the bid price of the Company's common stock closes at $1.00 per share or more for a minimum of 10 consecutive business days, the Company will regain compliance with the Bid Price Rule.

 

Pending Acquisition

On July 19, 2016, the Company purchased all of the debt and equity interests in Genomas, Inc. (“Genomas”) held by Hartford Healthcare Corporation, consisting of 500,000 shares of Series A Preferred Stock of Genomas, 345,000 shares of Series B Preferred Stock of Genomas, an aggregate of approximately $1.5 million of Genomas notes payable to Hartford Healthcare Corporation and certain rights to and license participation in technology that is used by Genomas (the “Genomas Assets”). Genomas is a biomedical company that develops PhyzioType Systems for DNA-guided management and prescription of drugs used to treat mental illness, pain, heart disease, and diabetes. The purchase price for the Genomas Assets was $250,000 in cash. The Genomas preferred stock acquired in this transaction represents approximately 15% of the outstanding equity of Genomas.

 

The Company has entered into a definitive agreement, dated as of September 29, 2016, to acquire the remaining equity interests in Genomas for 1,750,000 shares of the Company’s newly created Series F Convertible Preferred Stock and the assumption of approximately $0.8 million of liabilities. Closing of the acquisition remains subject to, among other things, receipt of regulatory and licensure approvals as well as other customary closing conditions. The Company expects the acquisition to close prior to December 31, 2016.

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11. Segment Information
9 Months Ended
Sep. 30, 2016
Segment Reporting [Abstract]  
Segment Reporting

Operating segments are defined under U.S. GAAP as components of an enterprise for which discrete financial information is available and are evaluated regularly by the enterprise’s chief operating decision maker in determining how to allocate resources and assess performance. The Company operates in three reportable business segments:

 

·Clinical Laboratory Operations, which specializes in providing urine and blood toxicology and pain medication testing to physicians, clinics and rehabilitation facilities in the United States.
·Supportive Software Solutions, including EHR and medical billing and laboratory information management systems.
·Decision Support and Informatics, which develops and markets medical information and clinical support products and services intended to set a standard for the clinical interpretation of genomics-based precision medicine.

 

The accounting policies of the reportable segments are the same as those described in Note 2, Summary of Significant Accounting Policies, of the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K/A for the year ended December 31, 2015. Selected financial information for the Company’s operating segments is as follows:

 

   Three Months Ended September 30,   Nine Months Ended September 30, 
   2016   2015   2016   2015 
Net revenues - External                    
Clinical Laboratory Operations  $169,649   $5,972,121   $4,146,949   $28,396,875 
Supportive Software Solutions   50,447    (81,203)   605,575    524,476 
Decision Support and Informatics   69,908        470,005     
   $290,004   $5,890,918   $5,222,529   $28,921,351 
Net revenues - Intersegment                    
Supportive Software Solutions   502,055    743,706    1,036,396    1,572,443 
   $502,055   $743,706   $1,036,396   $1,572,443 
                     
(Loss) income from operations                    
Clinical Laboratory Operations  $(7,583,131)  $(218,517)  $(11,281,361)  $6,138,369 
Supportive Software Solutions   (1,253,386)   (1,478,594)   (3,800,893)   (4,198,856)
Decision Support and Informatics   (832,965)       (2,390,245)    
Corporate   (2,940,956)   (1,874,976)   (7,059,644)   (7,888,747)
Eliminations   33,662        100,986     
   $(12,576,776)  $(3,572,087)  $(24,431,157)  $(5,949,234)
Depreciation and amortization                    
Clinical Laboratory Operations  $562,929   $593,965   $1,706,164   $1,562,314 
Supportive Software Solutions   163,749    163,299    490,236    499,162 
Decision Support and Informatics   8,514        33,324     
Corporate   745        2,494     
Eliminations   (33,662)   (28,692)   (100,986)   (82,470)
   $702,275   $728,572   $2,131,232   $1,979,006 
Capital expenditures                    
Clinical Laboratory Operations  $   $380,196   $26,729   $363,138 
Supportive Software Solutions       9,554    9,998    61,552 
Eliminations       (65,000)       (65,000)
   $   $324,750   $36,727   $359,690 

 

   September 30, 2016   December 31, 2015 
Total assets          
Clinical Laboratory Operations  $7,403,965   $15,152,583 
Supportive Software Solutions   2,199,119    2,896,473 
Decision Support and Informatics   213,465    4,307,053 
Corporate   3,209,233    14,109,337 
Eliminations   (2,827,845)   (7,095,520)
   $10,197,937   $29,369,926 

 

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12. Recently Issued Accounting Standards
9 Months Ended
Sep. 30, 2016
Accounting Changes and Error Corrections [Abstract]  
Recently Issued Accounting Standards

The following table provides a brief description of recently issued accounting standards not yet adopted:

 

Standard Description Effective Date Effect on the Financial Statements
In August 2014, the Financial Accounting Standards Board (the “FASB”) issued amended guidance related to disclosure about the ability of an entity to continue as a going concern. While current practice regarding such disclosures is often guided by U.S. auditing standards, the new standard explicitly requires management of all entities to evaluate whether there is substantial doubt about the entity’s ability to continue as a going concern and, if necessary, to provide related footnote disclosures. December 31, 2016, with earlier application permitted. The Company does not expect this new standard to have a significant impact on its consolidated financial statements. See note 1 regarding management’s current disclosures regarding the Company’s ability to continue as a going concern.
In July 2015, the FASB issued an update related to inventory. The new update requires that inventory be measured at the lower of cost or net realizable value. January 1, 2017, with earlier application permitted as of the beginning of an interim or annual reporting period. The Company does not expect the provisions of this update to have any impact on its consolidated financial statements.
In May 2014 the FASB issued amended guidance related to revenue from contracts with customers. In August 2014, the FASB issued updated guidance deferring the effective date of the revenue recognition standard. The new standard introduces a new principles-based framework for revenue recognition and disclosure January 1, 2018, with earlier application permitted for reporting periods beginning after December 15, 2016. The Company has not yet determined the impact that this standard will have on its consolidated financial statements.
In February 2016, the FASB issued an ASU that amends the accounting for leases. Under the new standard, a lessee will recognize assets and liabilities on its balance sheet for most leases but will recognize expense in its statement of operations similar to current lease accounting. January 1, 2019, with early adoption permitted. The Company has not yet determined the impact that this standard will have on its consolidated financial statements.

 

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13. Subsequent Events
9 Months Ended
Sep. 30, 2016
Subsequent Events [Abstract]  
Subsequent Events

On October 10, 2016, the Company granted 83,333 shares of common stock under the 2007 Equity Plan to its former chief financial officer in connection with a transition and separation agreement. On October 17, 2016, 273 shares of the Company’s Series G Preferred Stock were converted into 606,668 shares of the Company’s common stock.

 

On October 14, 2016, the Company received a letter from the holders of the Tegal Notes (see note 4) demanding payment of the amounts that were due on July 12, 2016 of approximately $0.2 million, and that the holders reserved the right to declare an event of default under the terms of the notes in the event the amounts due were not paid. To date, the Company has not received further communication from the holders of the Tegal Notes and the entire amount due remains outstanding.

 

On October 26, 2016, the Company entered into an agreement to purchase certain assets related to a rural critical access hospital, the owners of which have filed a petition under Chapter 11 of the United States Bankruptcy Code. Closing of the purchase is subject to open bid procedures in connection with the bankruptcy proceedings. The purchase price for the assets is $0.6 million, and the Company has placed a deposit into escrow in the amount of $60,000. The Company has the ability to terminate the agreement without penalty, other than forfeiture of the deposit.

 

The Company has not made the last two required payments under a senior secured convertible debenture with an outstanding principal amount of $3.0 million, and currently does not have the financial resources to satisfy this obligation. The Company is currently negotiating a forbearance agreement with the lender and is exploring several alternatives to refinance the debenture.

 

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1. Organization and Basis of Presentation (Policies)
9 Months Ended
Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Basis of Presentation

Basis of Presentation

The accompanying unaudited condensed consolidated interim financial statements should be read in conjunction with the 2015 audited annual financial statements included in the Company’s Annual Report on Form 10-K/A, filed with the U.S. Securities and Exchange Commission (the “SEC”) on May 17, 2016. These condensed consolidated interim financial statements have been prepared in accordance with the instructions to Form 10-Q and Article 8 of Regulation S-X of the SEC, and therefore omit or condense certain footnotes and other information normally included in consolidated interim financial statements prepared in accordance with U.S. GAAP. All material intercompany balances and transactions have been eliminated in consolidation. In the opinion of the Company’s management, the unaudited interim condensed consolidated financial statements contain all adjustments (consisting only of normal recurring accruals) considered necessary for the fair presentation of the financial position and results of operations and cash flows for the interim periods reported herein. The results of operations presented are not necessarily indicative of the results to be expected for any other interim period or for the entire year.

 

During the three and nine months ended September 30, 2016 and 2015, comprehensive loss was equal to the net loss amounts presented in the accompanying condensed consolidated statements of operations. In addition, certain prior year balances have been reclassified to conform to the current presentation.

Going Concern

Going Concern

 

The Company’s consolidated financial statements are prepared using U.S. GAAP applicable to a going concern that contemplates the realization of assets and liquidation of liabilities in the normal course of business. The Company has recently accumulated significant losses and has negative cash flows from operations, and at September 30, 2016 had a working capital deficit and stockholders’ deficit of $13.8 million and $10.0 million, respectively, which raise substantial doubt about its ability to continue as a going concern. In addition, the Company’s cash position is critically deficient, critical payments are not being made in the ordinary course and the Company has not made the required payments under a secured debenture with an outstanding principal amount of $3.0 million, for which the Company currently does not have the financial resources to satisfy (see notes 4 and 13). Management's plans with respect to alleviating the adverse financial conditions which raise substantial doubt about the Company’s ability to continue as a going concern include increasing the volume of samples processed by its laboratories and the number of customers for its supportive software solutions, as well as raising additional funds in the capital markets. In addition, the Company has undertaken additional cost saving measures, including personnel reductions and a reorganization of the Company’s sales force under the direction of the new Chief Executive Officer of the Company’s Medytox Medical Marketing & Sales, Inc. subsidiary. No conclusion can be drawn at this time about the ultimate efficacy of these plans of action.

 

On March 31, 2016, the Company received proceeds of $5.0 million from pledging certain of its accounts receivable as collateral to a prepaid forward purchase contract (see note 4). On July 19, 2016, the Company closed a public offering of its equity securities and received net proceeds of approximately $7.5 million (see note 7). In addition, in September of 2016 the Company received an income tax refund in the amount of $1.8 million and received net proceeds from the sale of convertible notes in the amount of $0.4 million.

 

There can be no assurance that the Company will be able to achieve its business plans, raise any additional capital or secure additional financing, if necessary, to achieve its current operating plan. The ability of the Company to continue as a going concern is dependent upon its ability to successfully accomplish the plan described in the preceding paragraphs and eventually regain profitability. The accompanying consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.

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3. Property and Equipment (Tables)
9 Months Ended
Sep. 30, 2016
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment
   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $922,551   $991,903 
Equipment   577,317    547,555 
Equipment under capital leases   5,043,095    5,663,332 
Furniture   561,688    560,400 
Leasehold improvements   1,776,957    1,760,125 
Vehicles   196,534    196,534 
Computer equipment   753,225    661,234 
Software   1,845,054    1,878,848 
    11,676,421    12,259,931 
Less accumulated depreciation   (6,622,631)   (5,111,636)
Property and equipment, net  $5,053,790   $7,148,295 
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2. Accounts Receivable (Tables)
9 Months Ended
Sep. 30, 2016
Receivables [Abstract]  
Schedule of accounts receivable
   September 30,   December 31, 
   2016   2015 
         
Accounts receivable - clinical laboratory operations  $86,006,817   $105,332,339 
Accounts receivable - supportive software solutions   587,731    569,351 
           
Total accounts receivable   86,594,548    105,901,690 
Less:          
Allowance for discounts   (80,098,203)   (97,577,130)
Allowance for bad debts   (3,841,213)   (175,076)
           
Accounts receivable, net  $2,655,132   $8,149,484 
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4. Notes Payable (Tables)
9 Months Ended
Sep. 30, 2016
Debt Disclosure [Abstract]  
Schedule of notes payable
   September 30, 2016   December 31, 2015 
Loan payable under prepaid forward purchase contract  $5,000,000   $ 
           
Loan payable to TCA Global Master Fund, LP ("TCA") in the principal amount of $3,000,000 at 16% interest, with interest only payments through September 11, 2016 (the "TCA Debenture"). Principal and interest payments due monthly from October 11, 2016 through September 11, 2017   3,000,000    3,000,000 
           
Notes payable to CommerceNet and Jay Tenenbaum in the original principal amount of $500,000, bearing interest at 6% per annum (the "Tegal Notes"). Principal and interest payments are made annually from July 12, 2015 through July 12, 2017   341,612    341,612 
           
Loan payable to former shareholder of Epinex Diagnostics Laboratories, Inc. in the original principal amount of $400,000, at 0% interest, with principal payments due in periodic installments of $100,000 from November 26, 2014 through February 26, 2016 (the "Epinex Note")       100,000 
           
Other convertible notes payable   440,000     
           
Unamortized discount on TCA Debenture   (252,879)   (453,025)
Unamortized discount on Epinex Note       (1,775)
Unamortized discount on other convertible notes   (403,536)    
Derivative liability associated with the TCA Debenture, at fair value   402,996    186,117 
    8,528,193    3,172,929 
Less current portion   (8,528,193)   (269,031)
Notes payable - third parties, net of current portion  $   $2,903,898 
Schedule of notes payable - related parties
   September 30, 2016   December 31, 2015 
Convertible debenture dated December 31, 2014 which bears interest at 10% per annum and was due December 31, 2016 (the "D&D Debenture"). The lender, D&D Funding II, LLC, had the option to convert the note into the Company's common stock at a 25% discount to the average trading price (as defined in the note agreement) for ten consecutive trading days prior to the conversion date  $   $3,000,000 
           
Loan payable to Alcimede LLC, bearing interest at 6% per annum, with all principal and interest due on February 2, 2017   218,500    500,000 
           
Loan payable to Christopher Diamantis   500,000    1,600,000 
           
Other advances from related parties   650,000     
           
Unamortized discount on D&D Debenture       (2,236,112)
Derivative liabilities associated with the D&D Debenture, at fair value       2,270,000 
Total notes payable, related parties  $1,368,500   $5,133,888 
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6. Capital Lease Obligations (Tables)
9 Months Ended
Sep. 30, 2016
Debt Disclosure [Abstract]  
Schedule of capital leases
   September 30,   December 31, 
   2016   2015 
           
Medical equipment  $5,043,095   $5,663,332 
Less accumulated depreciation   (2,480,726)   (2,093,920)
           
Net  $2,562,369   $3,569,412 
Aggregate future minimum rentals under capital leases
December 31,     
 2016   $399,522 
 2017    1,432,542 
 2018    845,330 
 2019    285,199 
 2020    32,611 
 Total    2,995,204 
        
 Less interest    257,225 
 Present value of minimum lease payments    2,737,979 
        
 Less current portion of capital lease obligations    1,339,498 
 Capital lease obligations, net of current portion   $1,398,481 
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7. Stockholders' Equity (Tables)
9 Months Ended
Sep. 30, 2016
Equity [Abstract]  
Option activity
   Number of options   Weighted average exercise price 
Balance at December 31, 2015   1,600,674   $7.73 
Options granted during the period   20,798,500   $3.95 
Options exercised during the period      $ 
Options forfeited during the period   (200,000)  $1.00 
Options expired during the period      $ 
Options outstanding at September 30, 2016   22,199,174   $4.25 
Options exercisable at September 30, 2016   16,199,174   $5.58 
Assumptions used
Expected term   9.89  years
Expected volatility   168%  
Risk free interest rate   1.88%  
Dividend yield   0%  
Warrant activity
   Number of warrants   Weighted average exercise price 
Balance at December 31, 2015   6,898,560   $1.83 
Cashless exercises   (92,348)  $0.23 
Exchange of December 30, 2015 warrants   (6,451,613)  $1.94 
Exchange Warrants issued   10,249,517   $0.45 
Warrants issued during the period   24,541,946   $0.45 
Balance at September 30, 2016   35,146,062   $0.44 
Antidilutive Securities
   September 30,   September 30, 
   2016   2015 
Stock options outstanding   22,199,174    23,830,000 
Warrants outstanding   35,146,062     
Convertible debt   1,760,000    5,378,151 
Convertible preferred stock   21,358,222    257,143 
           
Total   80,463,458    29,465,294 
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9. Supplemental Disclosure of Cash Flow Information (Tables)
9 Months Ended
Sep. 30, 2016
Supplemental Cash Flow Elements [Abstract]  
Cash Flow Information

   Nine Months Ended September 30, 
   2016   2015 
Cash paid for interest  $1,237,622   $222,898 
Cash paid for income taxes  $   $1,853,408 
           
Non-cash investing and financing activities:          
Accrued liabilities settled through the issuance of common stock and warrants  $2,131,829   $–  
Exercise of stock options as reduction of notes payable, related party  $   $(2,500,000)
Assets acquired through capital leases  $   $1,597,063 
           
Acquisition of noncontrolling interest in Biohealth Medical Laboratory, Inc.:          
Deposits on acquisition  $   $259,875 
Goodwill  $   $(138,871)
Noncontrolling interest  $   $(121,004)

 

XML 36 R27.htm IDEA: XBRL DOCUMENT v3.5.0.2
1. Organization and Presentation (Details Narrative) - USD ($)
7 Months Ended 9 Months Ended
Jul. 19, 2016
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]        
Working capital   $ (13,800,000)    
Stockholder deficit   (10,038,086)   $ (1,193,799)
Proceeds from pledged receivables   5,000,000    
Proceeds from sale of stock $ 7,300,000 7,521,036 $ 0  
Income tax refund received   1,800,000    
Proceeds from sale of convertible notes   $ 400,000    
XML 37 R28.htm IDEA: XBRL DOCUMENT v3.5.0.2
2. Accounts Receivable (Details - Accounts receivable) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Accounts receivable, gross $ 86,594,548 $ 105,901,690
Less: Allowance for discounts (80,098,203) (97,577,130)
Less: Allowance for bad debts (3,841,213) (175,076)
Accounts receivable, net 2,655,132 8,149,484
Clinical Laboratory Operations [Member]    
Accounts receivable, gross 86,006,817 105,332,339
Supportive Software Solutions [Member]    
Accounts receivable, gross $ 587,731 $ 569,351
XML 38 R29.htm IDEA: XBRL DOCUMENT v3.5.0.2
3. Property and Equpment (Details - Equipment) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Property and equipment, gross $ 11,676,421 $ 12,259,931
Accumulated depreciation (6,622,631) (5,111,636)
Property and equipment, net 5,053,790 7,148,295
Medical equipment [Member]    
Property and equipment, gross 922,551 991,903
Equipment [Member]    
Property and equipment, gross 577,317 547,555
Assets Held Under Capital Leases [Member]    
Property and equipment, gross 5,046,095 5,663,332
Furniture [Member]    
Property and equipment, gross 561,688 560,400
Leasehold Improvements [Member]    
Property and equipment, gross 1,776,957 1,760,125
Vehicles [Member]    
Property and equipment, gross 196,534 196,534
Computer Equipment [Member]    
Property and equipment, gross 753,225 661,234
Software [Member]    
Property and equipment, gross $ 1,845,054 $ 1,878,848
XML 39 R30.htm IDEA: XBRL DOCUMENT v3.5.0.2
3. Property and Equipment (Details Narrative) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Property, Plant and Equipment [Abstract]        
Depreciation $ 700,000 $ 700,000 $ 2,100,000 $ 2,000,000
Impairment expense     $ 0 $ 0
XML 40 R31.htm IDEA: XBRL DOCUMENT v3.5.0.2
4. Notes Payable (Details-Notes Payable) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Notes payable $ 8,528,193 $ 3,172,929
Less: current portion (8,528,193) (269,031)
Notes payable, net of current portion 0 2,903,898
Note payable 1 [Member]    
Notes payable 5,000,000 0
Note payable 2 [Member] | TCA Global Master Fund, LP [Member]    
Notes payable 3,000,000 3,000,000
Unamortized discount (252,879) (453,025)
Fair value of derivatives 402,996 186,117
Note payable 3 [Member] | CommerceNet and Tenenbaum [Member]    
Notes payable 341,612 341,612
Note payable 4 [Member] | Former Shareholder [Member]    
Notes payable 0 100,000
Unamortized discount 0 (1,775)
Note payable 5 [Member] | Other Convertible Note Payable [Member]    
Notes payable $ 440,000 $ 0
XML 41 R32.htm IDEA: XBRL DOCUMENT v3.5.0.2
4. Notes Payable (Details-Notes Payable Related Party) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Notes payable related parties $ 1,368,500 $ 5,133,888
Notes payable - related party 1 [Member] | Notes payable - related party [Member] | D & D Funding [Member]    
Note payable related parties 0 3,000,000
Unamortized discount 0 (2,236,112)
Fair value of derivatives 0 2,270,000
Notes payable - related party 2 [Member] | Notes payable - related party [Member] | Alcimede [Member]    
Note payable related parties 218,500 500,000
Notes payable - related party 3 [Member] | Notes payable - related party [Member] | Diamantis [Member    
Note payable related parties 500,000 1,600,000
Notes payable - related party 4 [Member] | Notes payable - related party [Member] | Related Parties [Member]    
Note payable related parties $ 650,000 $ 0
XML 42 R33.htm IDEA: XBRL DOCUMENT v3.5.0.2
4. Notes Payable (Details Narrative) - USD ($)
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Proceeds from issuance of covertible notes $ 400,000    
Derivative liability 404,492   $ 7,495,486
Proceeds from issuance of related party advances 5,285,000 $ 0  
Payments on related party advances (5,715,000) $ 0  
Prepaid Forward Purchase Contract [Member]      
Receivables pledged 4,300,000    
Proceeds from issuance of note payable 5,000,000    
Note payable 2 [Member] | TCA Global Master Fund, LP [Member]      
Debt original face amount $ 3,000,000    
Interest rate 16.00%    
Maturity date Sep. 11, 2017    
Note payable 3 [Member] | CommerceNet and Tenenbaum [Member]      
Debt original face amount $ 500,000    
Interest rate 6.00%    
Maturity date Jul. 12, 2017    
Note payable 4 [Member] | Former Shareholder [Member]      
Debt original face amount $ 400,000    
Interest rate 0.00%    
Maturity date Feb. 26, 2016    
Notes payable - related party 1 [Member] | D & D Funding [Member] | Notes payable - related party [Member]      
Interest rate 10.00%    
Maturity date Dec. 31, 2016    
Notes payable - related party 2 [Member] | Alcimede [Member] | Notes payable - related party [Member]      
Interest rate 6.00%    
Maturity date Feb. 02, 2017    
Payments on related party advances $ 300,000    
Notes payable - related party 3 [Member] | Diamantis [Member | Notes payable - related party [Member]      
Proceeds from issuance of related party advances 4,200,000    
Payments on related party advances 3,700,000    
Accrued interest     $ 400,000
Notes payable - related party 3 [Member] | Two Stockholders [Member] | Notes payable - related party [Member]      
Proceeds from issuance of related party advances 1,000,000    
Payments on related party advances 400,000    
Notes payable - related party 4 [Member] | Mendolina [Member] | Notes payable - related party [Member]      
Proceeds from issuance of related party advances 415,000    
Payments on related party advances 15,000    
September 2016 Notes [Member]      
Proceeds from issuance of covertible notes $ 400,000    
Conversion price $ .25    
Warrants issued with convertible note 2,000,000    
Warrant issue price $ .40    
Derivative liability $ 300,000    
XML 43 R34.htm IDEA: XBRL DOCUMENT v3.5.0.2
5. Related Party Transactions (Details Narrative) - USD ($)
3 Months Ended 9 Months Ended
Jun. 30, 2016
Sep. 30, 2016
Sep. 30, 2015
Proceeds from issuance of related party advances   $ 5,285,000 $ 0
Payments on related party advances   (5,715,000) 0
Alcimede [Member]      
Consulting fees paid   300,000 300,000
Jason Adams [Member]      
Proceeds from issuance of related party advances $ 50,000    
Payments on related party advances $ 50,000    
Monarch Capital [Member]      
Consulting fees paid   $ 200,000 $ 15,000
SS International Consulting, Ltd. [Member]      
Issuance of shares for services, shares     200,000
Various Related Parties [Member]      
Stock issued for other obligations, shares issued   5,544,441  
Stock issued for other obligations, aggregate value   $ 2,100,000  
Warrants issued for settlement of other obligations   3,123,313  
Warrant exercise price   $ .45  
XML 44 R35.htm IDEA: XBRL DOCUMENT v3.5.0.2
6. Capital Lease Obligations (Details-Capital leased assets) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Capital Lease Obligations [Abstract]    
Medical equipment $ 5,043,095 $ 5,663,332
Less accumulated depreciation (2,480,726) (2,093,920)
Capital lease obligations $ 2,562,369 $ 3,569,412
XML 45 R36.htm IDEA: XBRL DOCUMENT v3.5.0.2
6. Capital Lease Obligations (Details-Future payments) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
December 31,    
2016 $ 399,522  
2017 1,432,542  
2018 845,330  
2019 285,199  
2020 32,611  
Total 2,995,204  
Less interest: 257,225  
Present value of minimum lease payments 2,737,979  
Less current portion of capital lease obligations 1,339,498 $ 1,323,708
Capital lease obligations, net of current portion $ 1,398,481 $ 2,394,171
XML 46 R37.htm IDEA: XBRL DOCUMENT v3.5.0.2
7. Stockholders' Equity (Details - Options) - Stock Options [Member]
9 Months Ended
Sep. 30, 2016
$ / shares
shares
Number of options  
Options outstanding, beginning balance | shares 1,600,674
Options granted | shares 20,798,500
Options exercised | shares 0
Options forfeited | shares (200,000)
Options expired | shares 0
Options outstanding, ending balance | shares 22,199,174
Options exercisable | shares 16,199,174
Weighted average exercise price  
Options outstanding, beginning balance | $ / shares $ 7.73
Options granted | $ / shares 3.95
Options exercised | $ / shares
Options forfeited | $ / shares 1.00
Options expired | $ / shares
Options outstanding, ending balance | $ / shares 4.25
Options exercisable | $ / shares $ 5.58
XML 47 R38.htm IDEA: XBRL DOCUMENT v3.5.0.2
7. Stockholders' Equity (Details - Assumptions)
7 Months Ended
Jul. 19, 2016
Equity [Abstract]  
Expected term 9 years 10 months 21 days
Expected volatility 168.00%
Risk free interest rate 1.88%
Dividend yield 0.00%
XML 48 R39.htm IDEA: XBRL DOCUMENT v3.5.0.2
7. Stockholders' Equity (Details - Warrant activity) - Warrants [Member]
9 Months Ended
Sep. 30, 2016
$ / shares
shares
Number of warrants  
Warrants outstanding, beginning balance | shares 6,898,560
Cashless exercises | shares (92,348)
Exchange of warrants | shares (6,451,613)
Exchange warrants issued | shares 10,249,517
Warrants issued | shares 24,541,946
Warrants outstanding, ending balance | shares 35,146,062
Weighted average exercise price  
Weighted average exercise price, warrants outstanding, beginning balance | $ / shares $ 1.83
Weighted average exercise price, cashless exercises | $ / shares 0.23
Weighted average exercise price, exchange of warrants | $ / shares 1.94
Weighted average exercise price, exchange of warrants issued | $ / shares 0.45
Weighted average exercise price, warrants issued | $ / shares 0.45
Weighted average exercise price, warrants outstanding, ending balance | $ / shares $ 0.44
XML 49 R40.htm IDEA: XBRL DOCUMENT v3.5.0.2
7. Stockholders' Equity (Details - Antidilutive shares) - shares
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Antidilutive shares 80,463,458 29,465,294
Stock Options [Member]    
Antidilutive shares 22,199,174 23,830,000
Warrant [Member]    
Antidilutive shares 35,146,062 0
Convertible Debt [Member]    
Antidilutive shares 1,760,000 5,378,151
Convertible Preferred Stock [Member]    
Antidilutive shares 21,358,222 257,143
XML 50 R41.htm IDEA: XBRL DOCUMENT v3.5.0.2
7. Stockholders' Equity (Details Narrative) - USD ($)
3 Months Ended 7 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Jul. 19, 2016
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Dividends earned $ 0 $ 268,927   $ 0 $ 1,589,321  
Stock issued for services, value       $ 9,310    
Unrecognized compensation cost amortization period       1 year 4 months 10 days    
Gain on change in fair value of warrants 2,087,041 $ 190,000   $ 6,813,701 190,000  
Proceeds from sale of stock     $ 7,300,000 7,521,036 0  
Stock Options [Member]            
Unrecognized compensation cost 400,000     $ 400,000    
Unrecognized compensation cost amortization period       1 year 7 months 2 days    
Options granted       20,798,500    
Cashless Exercise of Warrants [Member]            
Stock issued for conversion of securities, shares issued       48,783    
Previously Converted Preferred Stock [Member]            
Stock issued for conversion of securities, shares issued       50,606    
Public Offering [Member]            
Stock issued new, shares       19,115,000    
Proceeds from sale of stock       $ 7,500,000    
Public Offering [Member] | Overallotments [Member]            
Warrants Issued       303,633    
Medytox [Member] | Common stock to employees and consultants [Member]            
Share based compensation expense         2,900,000  
Medytox [Member] | Outstanding options [Member]            
Share based compensation expense         500,000  
Warrant Exercises [Member]            
Stock issued for warrants exercised       43,809    
Previously converted preferred stock [Member]            
Shares issued in adjustment of prior conversion of preferred stock, shares       50,606    
Previously issued to employee [Member]            
Stock cancelled, shares       40,964    
Epinex Diagnostics [Member]            
Stock cancelled, shares       45,000    
Consultant [Member]            
Stock issued for services, shares issued       13,300    
Stock issued for services, value       $ 9,310    
Three Officers [Member]            
Stock issued for compensation, shares       583,335    
Employee [Member]            
Share based compensation expense       $ 200,000    
Restricted stock granted       83,334    
Employees, Directors and Consultants [Member]            
Share based compensation expense       $ 700,000    
Employees, Directors and Consultants [Member] | May 2, 2016 [Member]            
Options granted       15,643,000    
Employees, Directors and Consultants [Member] | July 17, 2016 [Member]            
Options granted       5,155,500    
Medytox Series B Preferred Stock [Member]            
Dividends earned         $ 1,600,000  
Accrued dividends $ 100,000     $ 100,000   $ 2,100,000
Preferred stock converted into common, common shares issued         5,733,945  
Series C Preferred Stock [Member]            
Preferred stock converted into common, preferred shares converted       260    
Preferred stock converted into common, common shares issued       167,743    
Series C Preferred Stock [Member] | Exchange Agreement [Member]            
Preferred stock converted into common, preferred shares converted       8,740    
Warrants exchanged       6,451,613    
Series G Preferred Stock [Member]            
Preferred stock converted into common, preferred shares converted       4,182    
Preferred stock converted into common, common shares issued       9,292,905    
Series G Preferred Stock [Member] | Exchange Agreement [Member]            
Preferred stock converted into common, common shares issued       13,793    
Exhange warrants issued       10,249,517    
Warrant conversion price $ .45     $ .45    
Gain on change in fair value of warrants       $ 1,700,000    
XML 51 R42.htm IDEA: XBRL DOCUMENT v3.5.0.2
8. Income Taxes (Details Narrative) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Income Tax Disclosure [Abstract]        
Income tax expense $ 0 $ (2,678,777) $ 0 $ (2,579,977)
Income tax refund received     $ 1,800,000  
XML 52 R43.htm IDEA: XBRL DOCUMENT v3.5.0.2
9. Supplemental Disclosure of Cash Flow Information (Details) - USD ($)
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Supplemental Cash Flow Elements [Abstract]    
Cash paid for interest $ 1,237,622 $ 222,898
Cash paid for income taxes 0 1,853,408
Non-cash investing and financing activities:    
Accrued liabilities settled through the issuance of common stock and warrants 2,131,829 0
Exercise of stock options as reduction of notes payable, related party 0 (2,500,000)
Assets acquired through capital leases 0 1,597,063
Acquisition of noncontrolling interest in Biohealth Medical Laboratory, Inc.:    
Deposits on acquisition 0 259,875
Goodwill 0 (138,871)
Noncontrolling interest $ 0 $ (121,004)
XML 53 R44.htm IDEA: XBRL DOCUMENT v3.5.0.2
10. Commitments and Contingencies (Details Narrative) - Genomas [Member]
9 Months Ended
Sep. 30, 2016
USD ($)
Cash paid in acquisition $ 250,000
Notes payable received in acquisition $ 1,500,000
Stock ownership 15.00%
Series A Preferred Stock [Member]  
Stock received in acquisition $ 500,000
Series B Preferred Stock [Member]  
Stock received in acquisition $ 345,000
XML 54 R45.htm IDEA: XBRL DOCUMENT v3.5.0.2
11. Segment Reporting (Details-Operations) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Net revenues - External $ 290,004 $ 5,890,918 $ 5,222,529 $ 28,921,351
Net revenues - Inter Segment 502,055 743,706 1,036,396 1,572,443
Income (loss) from operations (12,576,776) (3,572,087) (24,431,157) (5,949,234)
Depreciation and amortization 702,275 728,572 2,131,232 1,979,006
Capital expenditures 0 324,750 36,727 359,690
Eliminations [Member]        
Income (loss) from operations 33,662 0 100,986 0
Depreciation and amortization (33,662) (28,692) (100,986) (82,470)
Capital expenditures 0 (65,000) 0 (65,000)
Clinical Laboratory Operations [Member]        
Net revenues - External 169,649 5,972,121 4,146,949 28,396,875
Income (loss) from operations (7,583,131) (218,517) (11,281,361) 6,138,369
Depreciation and amortization 562,929 593,965 1,706,164 1,562,314
Capital expenditures 0 380,196 26,729 363,138
Supportive Software Solutions [Member]        
Net revenues - External 50,447 (81,203) 605,575 524,476
Net revenues - Inter Segment 502,055 743,706 1,036,396 1,572,443
Income (loss) from operations (1,253,386) (1,478,594) (3,800,893) (4,198,856)
Depreciation and amortization 163,749 163,299 490,236 499,162
Capital expenditures 0 9,554 9,998 61,552
Decision Support and Informatics Operations [Member]        
Net revenues - External 69,908 0 470,005 0
Income (loss) from operations (832,965) 0 (2,390,245) 0
Depreciation and amortization 8,514 0 33,324 0
Corporate [Member]        
Income (loss) from operations (2,940,956) (1,874,976) (7,059,644) (7,888,747)
Depreciation and amortization $ 745 $ 0 $ 2,494 $ 0
XML 55 R46.htm IDEA: XBRL DOCUMENT v3.5.0.2
11. Segment Reporting (Details-Assets) - USD ($)
Sep. 30, 2016
Dec. 31, 2015
Total assets $ 10,197,937 $ 29,369,926
Eliminations [Member]    
Total assets (7,095,520) (2,827,845)
Clinical Laboratory Operations [Member]    
Total assets 7,406,965 15,152,583
Supportive Software Solutions [Member]    
Total assets 2,199,119 2,896,473
Decision Support and Informatics Operations [Member]    
Total assets 213,465 4,307,053
Corporate [Member]    
Total assets $ 3,209,233 $ 14,109,337
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