NOTE
2 – GOING CONCERN, LIQUIDITY AND MANAGEMENT’S PLAN
Accounting
standards require management to evaluate our ability to continue as a going concern for a period of one year after the date of
the filing of this Form 10-Q (“evaluation period”). In evaluating the Company’s ability to continue as a going
concern, management considers the conditions and events that raise substantial doubt about the Company’s ability to continue
as a going concern for a period of twelve months after the Company issues its financial statements. For the three months ended
March 31, 2023, management considers the Company’s current financial condition and liquidity sources, including current
funds available, forecasted future cash flows, and the Company’s conditional and unconditional obligations due within 12
months of the date these financial statements are issued.
The
Company is subject to risks like those of healthcare technology companies whereby revenues are generated based on both sales-based
and subscription-based models, which assume dependence on key individuals, uncertainty of product development, generation of revenues,
positive cash flow, dependence on outside sources of capital, risks associated with research, development, and successful testing
of its products, successful protection of intellectual property, ability to maintain and grow its customer base, and susceptibility
to infringement on the proprietary rights of others. The attainment of profitable operations is dependent on future events, including
obtaining adequate financing to fulfill the Company’s growth and operating activities and generating a level of revenues
adequate to support the Company’s cost structure.
As
of the three months ended March 31, 2023, the Company had an operating net working capital of $1,242,787, which is accounts receivable
plus inventory minus accounts payable. Management has evaluated the significance of the conditions described above in relation
to the Company’s ability to meet its obligations and concluded that, without additional funding, the Company will not have
sufficient funds to meet its obligations within one year from the date the consolidated financial statements were issued. While
management will look to continue funding operations by increased sales volumes and raising additional capital from sources such
as sales of its debt or equity securities or loans to meet operating cash requirements, there is no assurance that management’s
plans will be successful.
On
March 30, 2023, noteholders owning Replacement Notes in an aggregate of $26,200,000, entered into a Replacement Note Conversion
Agreement, wherein the Replacement Notes were converted into shares of the Company’s common stock at a conversion price
of $0.10 per share, resulting in the issuance of an aggregate of 262,000,000 shares (the “Conversion Shares”). The
Conversion Shares bear a lockup legend that expires December 31, 2023.
Upon
this conversion, and as of March 31, 2023, the Company’s officers and board of directors held the majority of the Company’s
outstanding voting stock. With controlling interest of the majority of outstanding shares, the Company’s majority shareholders
voted to amend its articles of incorporation to increase the authorized shares available for issuance from 500,000,000 to 800,000,000,
with an effective date of May 22, 2023.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Management
continues to monitor the immediate and future cash flows needs of the company in a variety of ways which include forecasted net
cash flows from operations, capital expenditure control, new inventory orders, debt modifications, increases in sales outreach,
streamlining and controlling general and administrative costs, competitive industry pricing, sale of equities, debt conversions,
new product or services offerings, and new business partnerships.
The
Company’s net losses, cash outflows, and working capital deficit raise substantial doubt about the Company’s ability
to continue as a going concern. The accompanying consolidated financial statements have been prepared assuming that the Company
will continue as a going concern. This basis of accounting contemplates the recovery of the Company’s assets and the satisfaction
of liabilities in the normal course of business. A successful transition to attaining profitable operations is dependent upon
achieving a level of positive cash flows adequate to support the Company’s cost structure.
NOTE
3 – STOCKHOLDERS’ EQUITY
Warrants
to Purchase Common Stock of the Company
We
use the Black-Scholes-Merton option pricing model (“Black-Scholes Model”) to determine the fair value of Warrants.
The Black-Scholes Model requires the use of a number of assumptions including volatility of the stock price, the weighted average
risk-free interest rate, and the weighted average term of the Warrant.
The
risk-free interest rate assumption is based upon observed interest rates on zero coupon U.S. Treasury bonds whose maturity period
is appropriate for the term of the Warrants and is calculated by using the average daily historical stock prices through the day
preceding the grant date. Estimated volatility is a measure of the amount by which our stock price is expected to fluctuate each
year during the expected life of the award. Our estimated volatility is an average of the historical volatility of our stock prices
(and that of peer entities whose stock prices were publicly available) over a period equal to the expected life of the awards.
A
summary of our Warrants activity and related information follows:
| |
Number
of
Shares Under
Warrant | | |
Range
of Warrant Price Per Share | | |
Weighted
Average
Exercise
Price | | |
Weighted
Average Remaining Contractual Life | |
Balance
at December 31, 2022 | |
| 5,694,445 | | |
| $0.01-$0.03 | | |
$ | 0.024 | | |
| 3.5 | |
Granted | |
| — | | |
| — | | |
| — | | |
| — | |
Expired | |
| — | | |
| — | | |
| — | | |
| — | |
Canceled | |
| — | | |
| — | | |
| — | | |
| — | |
Balance at March 31,
2023 | |
| 5,694,445 | | |
| $0.01-$0.03 | | |
$ | 0.024 | | |
| 3.5 | |
Options
to Purchase Common Stock of the Company
During
the three months ended March 31, 2023, 200,000 options to purchase our Common Stock were granted having a fair value of $12,000
and exercise price of $0.06 per share. During the three months ended March 31, 2023, no options expired or were terminated.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
A
summary of our stock option activity and related information follows:
| |
Number
of
Shares Under
Options | | |
Weighted
Average
Exercise
Price | | |
Weighted
Average Remaining Contractual Life | | |
Aggregate
Intrinsic
Value | |
Balance at December 31, 2022 | |
| 40,817,477 | | |
$ | 0.12 | | |
| 5.8 | | |
$ | 526,425 | |
Granted | |
| 200,000 | | |
| 0.06 | | |
| 9.8 | | |
| — | |
Forfeited/Expired | |
| — | | |
| — | | |
| — | | |
| — | |
Exercised | |
| — | | |
| — | | |
| — | | |
| — | |
Balance at March
31, 2023 | |
| 41,017,477 | | |
$ | 0.12 | | |
| 5.5 | | |
$ | 526,425 | |
Vested
and Exercisable at March 31, 2023 | |
| 33,076,810 | | |
$ | 0.13 | | |
| 5.0 | | |
$ | 423,425 | |
Share-based
compensation expense for Options charged to our operating results for the three months ended March 31, 2023 and 2022 ($62,260
and $55,847, respectively) is based over the awards’ vested period. The estimate of forfeitures is to be recorded at the
time of grant and revised in subsequent periods if actual forfeitures differ from the estimates. We have not included an adjustment
to our stock-based compensation expense based on the nominal amount of the historical forfeiture rate. We do, however, revise
our stock-based compensation expense based on actual forfeitures during each reporting period.
At
March 31, 2023, total unrecognized estimated compensation expense related to non-vested Options granted prior to that date was
approximately $133,336, which is expected to be recognized over a weighted-average period of 1.2 years. No tax benefit was realized
due to a continued pattern of operating losses.
NOTE
4 – OTHER CURRENT ASSETS
Other
current assets consist of the following:
| |
March
31, 2023 | | |
December
31, 2022 | |
Prepaid
expenses | |
$ | 75,909 | | |
$ | 71,020 | |
TOTAL
OTHER CURRENT ASSETS | |
$ | 75,909 | | |
$ | 71,020 | |
NOTE
5 – INVENTORY
Inventory
is valued at the lower of cost, determined on a first-in, first-out (FIFO), or net realizable value. Inventory items are analyzed
to determine cost and net realizable value and appropriate valuation adjustments are then established.
Inventory
consists of the following:
| |
March
31, 2023 | | |
December
31, 2022 | |
Inventory
Asset | |
$ | 285,732 | | |
$ | 301,446 | |
TOTAL
INVENTORY | |
$ | 285,732 | | |
$ | 301,446 | |
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE
6 – PROPERTY AND EQUIPMENT
Property
and equipment consist of the following:
| |
March
31, 2023 | | |
December
31,
2022 | |
Network
equipment | |
$ | 12,620,258 | | |
$ | 12,620,258 | |
Office equipment | |
| 234,429 | | |
| 234,429 | |
Vehicles | |
| 232,411 | | |
| 232,411 | |
Test equipment | |
| 230,365 | | |
| 230,365 | |
Furniture | |
| 92,846 | | |
| 92,846 | |
Warehouse equipment | |
| 9,523 | | |
| 9,523 | |
Leasehold
improvements | |
| 5,121 | | |
| 5,121 | |
| |
| 13,424,954 | | |
| 13,424,954 | |
Less:
accumulated depreciation | |
| (12,884,904 | ) | |
| (12,782,395 | ) |
TOTAL
PROPERTY AND EQUIPMENT, NET | |
$ | 540,050 | | |
$ | 642,559 | |
Depreciation
expense for the three months ended March 31, 2023 and 2022 was $102,509 and $134,941, respectively.
NOTE
7 – INTANGIBLE ASSETS, NET
Intangible
assets consist of the following:
| |
|
|
|
|
|
|
|
|
|
| |
| |
March
31, 2023 | |
| |
Cost | | |
Accumulated
Amortization | | |
Net | |
Patents
and trademarks | |
$ | 1,213,850 | | |
$ | 453,624 | | |
$ | 760,226 | |
Other
intangible assets | |
| 85,896 | | |
| 85,896 | | |
| — | |
TOTAL
INTANGIBLE ASSETS | |
$ | 1,299,746 | | |
$ | 539,520 | | |
$ | 760,226 |
|
| |
|
|
|
|
|
|
|
|
|
| |
| |
December
31, 2022 | |
| |
Cost | | |
Accumulated
Amortization | | |
Net | |
Patents
and trademarks | |
$ | 1,213,850 | | |
$ | 395,715 | | |
$ | 818,135 | |
Other
intangible assets | |
| 85,896 | | |
| 83,925 | | |
| 1,971 | |
TOTAL
INTANGIBLE ASSETS | |
$ | 1,299,746 | | |
$ | 479,640 | | |
$ | 820,106 | |
Other
assets consist of the following:
| |
|
|
|
|
|
|
|
|
|
| |
| |
March
31, 2023 | |
| |
Cost | | |
Accumulated
Amortization | | |
Net | |
Deferred
installation costs | |
$ | 1,352,041 | | |
$ | 1,333,023 | | |
$ | 19,018 | |
Deferred sales commission | |
| 163,973 | | |
| 109,438 | | |
| 54,535 | |
Prepaid license
fee | |
| 249,999 | | |
| 189,890 | | |
| 60,109 | |
Security
deposit | |
| 46,124 | | |
| — | | |
| 46,124 | |
TOTAL
OTHER ASSETS | |
$ | 1,812,137 | | |
$ | 1,632,351 | | |
$ | 179,786 | |
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
| |
|
|
|
|
|
|
|
|
|
| |
| |
December
31, 2022 | |
| |
Cost | | |
Accumulated
Amortization | | |
Net | |
Deferred
installation costs | |
$ | 1,352,041 | | |
$ | 1,318,580 | | |
$ | 33,461 | |
Deferred sales commissions | |
| 163,973 | | |
| 98,116 | | |
| 65,857 | |
Prepaid license
fee | |
| 249,999 | | |
| 185,792 | | |
| 64,207 | |
Security
deposit | |
| 46,124 | | |
| — | | |
| 46,124 | |
TOTAL
OTHER ASSETS | |
$ | 1,812,137 | | |
$ | 1,602,488 | | |
$ | 209,649 | |
NOTE
8 – OTHER CURRENT LIABILITIES
Other
current liabilities consist of the following:
| |
March 31, 2023 | | |
December 31, 2022 | |
Accrued
interest | |
$ | 13,708,611 | | |
$ | 12,933,611 | |
Accrued interest,
related parties | |
| 364,152 | | |
| 337,027 | |
Allowance for system
removal | |
| 54,802 | | |
| 54,802 | |
Accrued paid time
off | |
| 50,384 | | |
| 154,776 | |
Deferred officer
compensation (1) | |
| 139,041 | | |
| 139,041 | |
Deferred revenue | |
| 1,516,840 | | |
| 890,631 | |
Other
accrued liabilities | |
| 80,436 | | |
| 43,389 | |
TOTAL
OTHER CURRENT LIABILITIES | |
$ | 15,914,266 | | |
$ | 14,553,277 | |
| (1) | Salary
for Steve Johnson, CEO, between February 15, 2018 and September 30, 2020. |
NOTE
9 – INCOME TAXES
Deferred
income tax assets and liabilities are determined based upon differences between the financial reporting and tax bases of assets
and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected
to reverse. We do not expect to pay any significant federal or state income tax for 2023 because of the losses recorded during
the three months ended March 31, 2023 and net operating loss carry forwards from prior years. In assessing the realizability of
deferred tax asset, including the net operating loss carryforwards (NOLs), the Company assesses the available positive and negative
evidence to estimate if sufficient future taxable income will be generated to utilize its existing deferred assets. The ultimate
realization of deferred tax assets is dependent upon the generation of future taxable income during the period when those temporary
differences become deductible. Accounting standards require the consideration of a valuation allowance for deferred tax assets
if it is “more likely than not” that some component or all the benefits of deferred tax assets will not be realized.
As of March 31, 2023, we maintained a full valuation allowance for all deferred tax assets. Based on these requirements, no provision
or benefit for income taxes has been recorded. There were no recorded unrecognized tax benefits at the end of the reporting period.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
The
Tax Cuts and Jobs Act (the “Act”) was signed into law on December 22, 2017. Among its numerous changes to the Internal
Revenue Code, the Act reduces U.S. corporate rates from 35% to 21%. Additionally, the Act limits the use of net operating loss
carry backs, however any future net operating losses will instead be carried forward indefinitely. Net operating losses generated
from January 1, 2018 are limited to offset 80% of current income, with the remainder of the net operating loss continuing to carry
forward indefinitely. Net operating losses incurred before January 1, 2018 are not subject to the 80% limitations and will begin
to expire in 2029. Based on an initial assessment of the Act, the Company believes that the most significant impact on the Company’s
unaudited condensed consolidated financial statements will be limitations in tax deductions on interest expense. Under the Act,
interest deductions disallowed from current income will carryforward indefinitely. The Act did not impact management’s valuation
allowance position.
The
effective tax rate for the three months ended March 31, 2023 was different from the federal statutory rate due primarily to change
in the valuation allowance and nondeductible interest and amortization expense.
NOTE
10 – AGREEMENT WITH PDL BIOPHARMA, INC.
On
June 26, 2015, we entered into a Credit Agreement (as subsequently amended) with PDL BioPharma, Inc. (“PDL”), as administrative
agent and lender (“the Lender”) (the “PDL Credit Agreement”). Under the PDL Credit Agreement the Lender
made available to us up to $40 million in two tranches of $20 million each. Tranche One was funded on October 8, 2015 (the “Tranche
One Loan”). Pursuant to the terms of the PDL Credit Agreement and having not met the Tranche Two Milestones by July 26,
2017, the Tranche Two funding was terminated in full.
From
October 8, 2015 through May 14, 2019, the outstanding borrowings under the Tranche One Loan bore interest at the rate of 13.5%
per annum, payable quarterly. On May 15, 2019, pursuant to the terms of the Fifth Amendment to the PDL Credit Agreement (see below
for additional details), the interest increased to 15.5% per annum, payable quarterly. Also, on May 15, 2019, pursuant to the
terms of the Fourteenth Amendment to the PDL Modification Agreement (see below for additional details), the minimum cash balance
requirement of $750,000 was reduced to $0.
On
January 31, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a
Twenty-Third Amendment to Modification Agreement (the “Twenty-Third Modification Agreement Amendment”), pursuant to
which the parties agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s
sole discretion, to terminate the Modification Period would be July 31, 2018 and January 31, 2021 (with each such date permitted
to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise
be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019,
March 31, 2020, June 30, 2020, September 30, 2020, and October 7, 2020 and (ii) payments for principal and for any other Obligations
then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement
on October 7, 2020, would each be deferred until May 31, 2021 (the end of the extended Modification Period) and that such deferrals
would be a Covered Event. The Company has evaluated the Twenty-Third Modification Agreement Amendment and as the effective borrowing
rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to
have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled
debt restructuring by debtors (TDR) under ASC 470-60.
On
May 25, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Fourth
Amendment to Modification Agreement (the “Twenty-Fourth Modification Agreement Amendment”), pursuant to which the
parties agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s
sole discretion, to terminate the Modification Period would be July 31, 2018 and November 30, 2021 (with each such date permitted
to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise
be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019,
March 31, 2020, June 30, 2020, September 30, 2020, October 7, 2020, and (ii) payments for principal and for any other Obligations
then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement
on October 7, 2020, would each be deferred until November 30, 2021 (the end of the extended Modification) and that such deferrals
would be a Covered Event. The Company has evaluated the Twenty-Fourth Modification Agreement Amendment and as the effective borrowing
rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to
have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled
debt restructuring by debtors (TDR) under ASC 470-60.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
On
November 29, 2021, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into
a Twenty-Fifth Amendment to Modification Agreement (the “Twenty-Fifth Modification Agreement Amendment”), pursuant
to which the parties agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the
Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and June 30, 2022 (with each such
date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that
would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December
31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other
Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit
Agreement on October 7, 2020, would each be deferred until June 30, 2022 (the end of the extended Modification) and that such
deferrals would be a covered event. The Company has evaluated the Twenty-Fifth Modification Agreement Amendment and as the effective
borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is
deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as
a troubled debt restructuring by debtors (TDR) under ASC 470-60.
On
June 23, 2022, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Sixth
Amendment to Modification Agreement (the “Twenty-Sixth Modification Agreement Amendment”), pursuant to which the parties
agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole
discretion, to terminate the Modification Period would be July 31, 2018 and June 30, 2022 (with each such date permitted to be
extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due
under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31,
2020, June 30, 2020, September 30, 2020, October 7, 2020 and June 30, 2022 and (ii) payments for principal and for any other Obligations
then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement
on June 30, 2022, would each be deferred until December 31, 2022 (the end of the extended Modification) and that such deferrals
would be a covered event. The Company has evaluated the Twenty-Sixth Modification Agreement Amendment and as the effective borrowing
rate under the restructured agreement is less than the effective borrowing rate on the old agreement, a concession is deemed to
have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted for as a troubled
debt restructuring by debtors (TDR) under ASC 470-60.
On
December 30, 2022, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into
a Twenty-Seventh Amendment to Modification Agreement (the “Twenty-Seventh Modification Agreement Amendment”), pursuant
to which the parties agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the
Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and February 28, 2023 (with each such
date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that
would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December
31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other
Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit
Agreement on October 7, 2020, would each be deferred until February 28, 2023 (the end of the extended Modification Period) and
that such deferrals would be a covered event. The Company has evaluated the Twenty-seventh Modification Agreement Amendment and
as the effective borrowing rate under the restructured agreement is less than the effective borrowing rate on the old agreement,
a concession is deemed to have been granted under ASC 470-60-55-10. As a concession has been granted, the agreement is to be accounted
for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Accounting
Treatment
In
connection with the PDL Credit Agreement, as amended, we issued the PDL Warrant to the Lender. As of March 31, 2023, the Amended
PDL Warrant has not been exercised.
On
February 28, 2023, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into
a Twenty-Eighth Amendment to Modification Agreement (the “Twenty-Eighth Modification Agreement Amendment”), pursuant
to which the parties agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the
Lender’s sole discretion, to terminate the Modification Period would be July 31, 2018 and March 31, 2023 (with each such
date permitted to be extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that
would otherwise be due under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December
31, 2019, March 31, 2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other
Obligations then outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit
Agreement on October 7, 2020, would each be deferred until March 30, 2023 (the end of the extended Modification Period).
On
March 31, 2023, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Twenty-Ninth
Amendment to Modification Agreement (the “Twenty-Ninth Modification Agreement Amendment”), pursuant to which the parties
agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole
discretion, to terminate the Modification Period would be July 31, 2018 and April 30, 2023 (with each such date permitted to be
extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due
under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31,
2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other Obligations then
outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October
7, 2020, would each be deferred until April 30, 2023 (the end of the extended Modification Period). Under debt modification/troubled
debt guidance, we determined that the first of the eight amendments had no cash flow impact, and therefore, had no impact on accounting.
Amendments nine through ten qualified for modification accounting, while the final nineteen amendments qualified for troubled
debt restructuring accounting. As appropriate, we expensed the legal costs paid to third parties. For the three months ended March
31, 2023 and 2022, pursuant to the terms of the PDL Modification Agreement, as amended, $802,125 and $775,000, respectively, was
recorded as interest expense on the accompanying unaudited condensed consolidated financial statements.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE
11 – AGREEMENT WITH HEALTHCOR
On
April 21, 2011, we entered into a Note and Warrant Purchase Agreement (as subsequently amended) with HealthCor Partners Fund,
LP (“HealthCor Partners”) and HealthCor Hybrid Offshore Master Fund, LP (“HealthCor Hybrid” and, together
with HealthCor Partners, “HealthCor”) (the “HealthCor Purchase Agreement”). Pursuant to the terms of the
HealthCor Purchase Agreement, we sold and issued Senior Secured Convertible Notes to HealthCor in the principal amount of $9,316,000
and $10,684,000, respectively (collectively the “2011 HealthCor Notes”). The 2011 HealthCor Notes have a maturity
date of April 20, 2021. We also issued Warrants to HealthCor for the purchase of an aggregate of up to 5,488,456 and 6,294,403
shares, respectively, of our Common Stock at an exercise price of $1.40 per share (collectively the “2011 HealthCor Warrants”).
So long as no event of default has occurred, the outstanding principal balances of the 2011 HealthCor Notes accrue interest from
April 21, 2011 through April 20, 2016 (the “First Five-Year Note Period”) at the rate of 12.5% per annum, compounding
quarterly and shall be added to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar
quarter. Interest accruing from April 21, 2016 through April 20, 2021 (the “Second Five Year Note Period”) at a rate
of 10% per annum, compounding quarterly, may be paid quarterly in arrears in cash or, at our option, such interest may be added
to the outstanding principal balances of the 2011 HealthCor Notes on the last day of each calendar quarter. For the period from
April 21, 2016 through September 30, 2018 interest has been added to the outstanding principal balance. Pursuant to the terms
of the Ninth Amendment, the accrual of interest has been suspended after September 30, 2018. From the date any event of default
occurs, the interest rate, then applicable, shall be increased by five percent (5%) per annum. HealthCor has the right, upon an
event of default, to declare due and payable any unpaid principal amount of the 2011 HealthCor Notes then outstanding, plus previously
accrued but unpaid interest and charges, together with the interest then scheduled to accrue (calculated at the default rate described
in the immediately preceding sentence) through the end of the First Five Year Note Period or the Second Five Year Note Period,
as applicable. Subject to the terms of the Ninth Amendment as discussed below, HealthCor’s ability to convert any portion
of the outstanding and unpaid accrued interest on and principal balances of the 2011 HealthCor Notes into fully paid and nonassessable
shares of our Common Stock has been eliminated. The warrants issued with this Note were cancelled with the Ninth-Amendment dated
July 10, 2018.
On
April 20, 2021, we agreed with the HealthCor Parties to (i) amend the 2011 HealthCor Notes to extend the maturity date of the
2011 HealthCor Notes from April 20, 2021 to April 20, 2022 by entering into Allonge No. 3 to the 2011 HealthCor Notes (the “Third
2011 Note Allonges”) and (ii) amend the 2012 HealthCor Notes to extend the maturity date of the 2012 HealthCor Notes from
January 30, 2022 to April 20, 2022 by entering into Allonge No. 3 to the 2012 HealthCor Notes (the “Third 2012 Note Allonges”)
(such amendments to the 2011 HealthCor Notes and 2012 HealthCor Notes together, the “HealthCor Note Extensions”).
In connection with the HealthCor Note Extensions, we issued warrants to purchase an aggregate of 2,000,000 shares of our Common
Stock at an exercise price per share equal to $0.23 per share (subject to adjustment as described therein) and with an expiration
date of April 20, 2031, to the HealthCor Parties (collectively the “2021 HealthCor Warrants”). As a concession has
been granted, the agreement is to be accounted for as a troubled debt restructuring by debtors (TDR) under ASC 470-60.
Also
on April 20, 2021, in connection with the HealthCor Note Extensions and the issuance of the 2021 HealthCor Warrants, we entered
into a Consent and Agreement Pursuant to Note and Warrant Purchase Agreement (the “2021 NWPA Consent”) with the HealthCor
Parties and certain additional Existing Investors (in their capacity as Majority Holders acting together with the HealthCor Parties),
pursuant to which, among other things, (i) the Majority Holders consented to the HealthCor Note Extensions, (ii) the Majority
Holders consented to the issuance of the 2021 HealthCor Warrants and (iii) the parties agreed that the holders of the 2021 HealthCor
Warrants would have registration rights for the shares of Common Stock issuable upon exercise of the 2021 HealthCor Warrants under
the Registration Rights Agreement dated as of April 20, 2011, as amended June 30, 2015, by and among the Company, the HealthCor
Parties and the additional investors party thereto (the “Registration Rights Agreement”).
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
On
March 08, 2022, we agreed with the HealthCor Parties to (i) amend the 2011 HealthCor Notes to extend the maturity date of the
2011 HealthCor Notes from April 20, 2022 to April 20, 2023 by entering into Allonge No. 4 to the 2011 HealthCor Notes (the “Third
2011 Note Allonges”) and (ii) amend the 2012 HealthCor Notes to extend the maturity date of the 2012 HealthCor Notes from
April 20, 2022 to April 20, 2023 by entering into Allonge No. 4 to the 2012 HealthCor Notes (the “Fourth 2012 Note Allonges”)
(such amendments to the 2011 HealthCor Notes and 2012 HealthCor Notes together, the “HealthCor Note Extensions”).
In connection with the HealthCor Note Extensions, we issued warrants to purchase an aggregate of 3,000,000 shares of our Common
Stock at an exercise price per share equal to $0.09 per share (subject to adjustment as described therein) and with an expiration
date of March 08, 2032, to the HealthCor Parties (collectively the “2021 HealthCor Warrants”). The warrants were valued
at $240,000 and are amortized over the life of the debt. The conclusion was that this was a debt modification and this was accounted
for as such.
Also
on March 08, 2022, in connection with the HealthCor Note Extensions and the issuance of the 2021 HealthCor Warrants, we entered
into a Consent and Agreement Pursuant to Note and Warrant Purchase Agreement (the “2022 NWPA Consent”) with the HealthCor
Parties and certain additional Existing Investors (in their capacity as Majority Holders acting together with the HealthCor Parties),
pursuant to which, among other things, (i) the Majority Holders consented to the HealthCor Note Extensions, (ii) the Majority
Holders consented to the issuance of the 2021 HealthCor Warrants and (iii) the parties agreed that the holders of the 2021 HealthCor
Warrants would have registration rights for the shares of Common Stock issuable upon exercise of the 2021 HealthCor Warrants under
the Registration Rights Agreement dated as of April 20, 2011, as amended June 30, 2015, by and among the Company, the HealthCor
Parties and the additional investors party thereto (the “Registration Rights Agreement”).
On
July 1, 2022, we entered into amendments to the 2014 HealthCor Notes, 2015 Supplemental Notes, Eighth Amendment Supplemental Closing
Notes, Tenth Amendment Supplemental Closing Notes, Twelfth Amendment Supplemental Closing Note and Thirteenth Amendment Supplemental
Closing Note (collectively, the “2022 Allonges”) to suspend the accrual of interest on the 2014 HealthCor Notes as
to 100% of the outstanding principal amount under such notes, 2015 Supplemental Notes as to 100% of the outstanding principal
amount under such notes, Eighth Amendment Supplemental Closing Notes as to 100% of the outstanding principal amount under such
notes, Tenth Amendment Supplemental Closing Notes as to 100% of the outstanding principal amount under such notes, Twelfth Amendment
Supplemental Closing Note as to 100% of the outstanding principal amount under such note, and Thirteenth Amendment Supplemental
Closing Note as to 100% of the outstanding principal amount under such note, for all periods beginning on and after January 1,
2022. This was determined to be a Troubled Debt Restructure and is accounted for accordingly.
Also
on December 30, 2022, the Existing Investors agreed to the cancellation by the Company and the forfeiting of their respective
rights in and to the 2011 Warrants, 2014 Supplemental Warrants, Fifth Amendment Supplemental Warrants, Sixth Amendment Supplemental
Warrants, Eighth Amendment Supplemental Warrants, 2021 Warrants and 2022 Warrants (collectively, the “Warrants”);
and the Existing Investors have agreed to waive any and all interest that has accrued, but remains unpaid on the Existing Notes
held by the Existing Investors; in exchange for releasing its second senior secured position they hold in connection with the
2011 Notes and 2012 Notes. The Existing Investors have agreed to waive any and all interest that has accrued, but remains unpaid
on the Existing Notes held by the Existing Investors with the 2014 Notes along with the 2015 Notes, 2018 Notes, 2019 Note and
2020 Note. In exchange for releasing its second senior secured position they hold in connection with the 2011 Notes and 2012 Notes,
the HealthCor Parties will receive an additional $5,000,000 in value in the Replacement Notes. In this troubled debt restructuring,
all the conversion rates were changed to $0.10. The gain from this troubled debt restructuring was $1,489,357.
On March 30, 2023, HealthCor noteholders owning an aggregate of $36,000,000
Replacement Notes, entered into a Replacement Note Conversion Agreement, wherein half, fifty percent, of the HealthCor Replacement Notes
were converted into shares of the Company’s common stock at a conversion price of $0.10 per share, resulting in the issuance of
an aggregate of 180,000,000 shares. The other related and non-related parties Replacement Notes of $8,200,000 were likewise converted
into shares of the Company’s common stock at a conversion price of $0.10 per share, resulting in the issuance of a combined total
aggregate of 262,000,000 shares (the “Conversion Shares”). The shares bear a lockup legend that expires December 31, 2023.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Below
is a summary of the total underlying shares of common stock related to HealthCor and related investors as of March 31, 2023
Investor
Group | |
Underlying
Shares of
Common Stock | |
| |
| |
2011
HealthCor Notes | |
| 100,000,000 | |
2012 HealthCor Notes | |
| 50,000,000 | |
2014 HealthCor Notes | |
| 25,000,000 | |
2015
HealthCor Notes | |
| 5,000,000 | |
TOTAL | |
| 180,000,000 | |
Accounting
Treatment
When
issuing debt or equity securities convertible into common stock at a discount to the fair value of the common stock at the date
the debt or equity financing is committed, a company is required to record a beneficial conversion feature (“BCF”)
charge. We had three separate issuances of equity securities convertible into common stock that qualify under this accounting
treatment, (i) the 2011 HealthCor Notes, (ii) the 2012 HealthCor Notes and (iii) the 2014 HealthCor Notes. Because the conversion
option and the 2011 HealthCor Warrants on the 2011 HealthCor Notes were originally classified as a liability when issued due to
the down round provision and the removal of the provision requiring liability treatment, and subsequently reclassified to equity
on December 31, 2011 when the 2011 HealthCor Notes were amended, only the accrued interest capitalized as payment in kind (‘‘PIK’’)
since reclassification qualifies under this accounting treatment. We recorded an aggregate of $0 and $1,406,760 in interest for
the three months ended March 31, 2023 and 2022, respectively, related to these transactions. For the three months ended March
31, 2023 and 2022, we recorded $0 and $860,728, respectively, of PIK related to the notes included in the HealthCor Purchase Agreement.
Under the accounting standards, we determined that the restructuring of the HealthCor notes, pursuant to the terms of the Ninth
Amendment, resulted in a troubled debt restructuring.
Warrants
were issued with the Fourth, Fifth, Eighth, Ninth, and Allonge 3 Amendment Notes and the proceeds were allocated to the instruments
based on relative fair value as the warrants did not contain any features requiring liability treatment and therefore were classified
as equity. At each amendment date, the warrants were recorded as debt discount, as a reduction of the net carrying amount of the
debt. The debt discounts are amortized into interest expense each period under the effective interest method. The value allocated
to the Ninth Amendment Warrants was $378,000. The value allocated to the Allonge 3 Amendment Warrants was $420,000.
Warrants
were issued with Allonge 4 Amendment Notes and the proceeds were allocated to the instruments based on relative fair value as
the warrants did not contain any features requiring liability treatment and therefore were classified as equity. At each amendment
date, the warrants were recorded as debt discount, as a reduction of the net carrying amount of the debt. The debt discounts are
amortized into interest expense each period under the effective interest method. The value allocated to the Allonge 4 Amendment
Warrants was $240,000.
NOTE
12 – JOINT VENTURE AGREEMENT
On
December 31, 2019, the Company and Rockwell entered into a Second Amendment to the Rockwell Note (the “Second Rockwell Note
Amendment”) pursuant to which Rockwell agreed to extend the term of the Rockwell Note by one year, to December 31, 2020,
and agreed to extend the time to make the quarterly payment that would otherwise be due on December 31, 2019 to January 31, 2020.
We have evaluated the Second Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated
as a debt modification.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
On
January 31, 2020, the Company and Rockwell entered into a Third Amendment to the Rockwell Note (the “Third Rockwell Note
Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise be
due on January 31, 2020 (per the Second Rockwell Note Amendment) to February 10, 2020. We have evaluated the Third Amendment to
the Rockwell Note under ASC 470 and determined that the amendment should be treated as a debt modification.
Effective
as of March 31, 2020, the Company and Rockwell entered into a Fourth Amendment to the Rockwell Note (the “Fourth Rockwell
Note Amendment”), pursuant to which Rockwell agreed to extend the time to make the quarterly payment that would otherwise
be due on March 31, 2020 to April 16, 2020. We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined
that the amendment should be treated as a debt modification.
On
December 31, 2020, the Company and Rockwell entered a Fifth Amendment to the Rockwell Note (the “Fifth Rockwell Note Amendment”),
pursuant to which Rockwell agreed (i) to extend the term of the Promissory Note by one (1) year and continue the quarterly principal
payments through September 30, 2021 with the final balloon payment due on December 31, 2021 and (ii) that the quarterly principal
payment that would otherwise be due on December 31, 2020 will not be required to be made until the final balloon payment due date.
We have evaluated the Fourth Amendment to the Rockwell Note under ASC 470 and determined that the amendment should be treated
as a debt modification.
On
November 30, 2021, the Company and Rockwell entered into a Sixth Amendment to the Rockwell Note (the “Sixth Rockwell Note
Amendment”), pursuant to which Rockwell agreed to extend the term of the Rockwell Note by three months, to March 31, 2022,
and agreed that the quarterly principal payment that would otherwise be due on December 31, 2021 will not be required to be made
until March 31, 2022.
As
of March 31, 2022, the Rockwell Note was paid off.
NOTE
13 – LEASE
On
September 8, 2009, we entered into a Commercial Lease Agreement (the “Lease”) for 10,578 square feet of office and
warehouse space expiring on June 30, 2015. On March 4, 2020, we entered into the Fourth Amendment to Commercial Lease Agreement
(the “Lease Extension”), wherein we extended the Lease through August 31, 2025. The Lease Extension contains a renewal
provision under which the Lease has been extended for an additional five-year period under the same terms and conditions of the
original Lease Agreement. Management has identified this extension as a reassessment event, as we have elected to exercise the
Lease Extension option even though the Company had previously determined that it was not reasonably certain to do so.
The
Company has reassessed the discount rate at the remeasurement date, at 14.8% and the Company has remeasured its ROU asset and
lease liability on our balance sheet using the discount rate that applies as of the date of the reassessment event to remeasure
its Operating lease asset and lease liability. The reassessment is based on the remaining lease term and lease payments. The Company
has further concluded that the Lease Extension has no effects on the classification of the Lease. Rent expense for the three months
ended March 31, 2023 and 2022 was $75,887 and $82,706, respectively.
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Lease
Position
Operating
lease asset and liability for our operating lease were recorded in the condensed consolidated balance sheet as follows:
| |
As
of March 31, 2023 | | |
As
of December 31, 2022 | |
Assets | |
| | | |
| | |
Operating
lease asset | |
$ | 401,066 | | |
$ | 434,330 | |
Total
lease asset | |
$ | 401,066 | | |
$ | 434,330 | |
| |
| | | |
| | |
Liabilities | |
| | | |
| | |
Current liabilities: | |
| | | |
| | |
Operating
lease liability | |
$ | 178,882 | | |
$ | 175,520 | |
Long-term liabilities: | |
| | | |
| | |
Operating
lease liability, net of current portion | |
$ | 266,386 | | |
$ | 305,259 | |
Total
lease liability | |
$ | 445,268 | | |
$ | 480,779 | |
Undiscounted
Cash Flows
Future
lease payments included in the measurement of operating lease liability on the condensed consolidated balance sheet as of March
31, 2023, for the following five fiscal years and thereafter as follows:
Quarter
ending March 31, 2023 | |
Operating
Leases | |
Remaining
2023 | |
$ | 161,766 | |
2024 | |
| 221,069 | |
2025 | |
| 150,679 | |
Total minimum lease
payments | |
| 533,515 | |
Less
effects of discounting | |
| (88,247 | ) |
Present
value of future minimum lease payments | |
$ | 445,268 | |
Cash
Flows
The
table below presents certain information related to the cash flows for the Company’s operating lease for the three months
ended March 31, 2023:
| |
Three
Months Ended March 31, 2023 | |
Cash
paid for amounts included in the measurement of lease liabilities: | |
| | |
| |
| | |
Operating
cash flows for operating leases | |
$ | 35,511 | |
CAREVIEW
COMMUNICATIONS, INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
NOTE
14 – SUBSEQUENT EVENTS
On
April 7, 2023, the Company board of directors and its majority shareholders authorized an amendment to its articles to increase
the number of authorized shares from Board authorized an Amendment to the Articles to increase from 500,000,000 to 800,000,000.
The amendment was effective as of May 22, 2023.
On
April 29, 2023, the Company, the Borrower, the Subsidiary Guarantor, the Lender and the Tranche Three Lenders entered into a Thirtieth
Amendment to Modification Agreement (the “Thirtieth Modification Agreement Amendment”), pursuant to which the parties
agreed to amend the Modification Agreement to provide that the dates on which the Lender may elect, in the Lender’s sole
discretion, to terminate the Modification Period would be July 31, 2018 and May 31, 2023 (with each such date permitted to be
extended by the Lender in its sole discretion); and that the Borrower’s (i) interest payments that would otherwise be due
under the Credit Agreement on December 31, 2018, March 31, 2019, June 30, 2019, September 30, 2019, December 31, 2019, March 31,
2020, June 30, 2020, September 30, 2020 and October 7, 2020 and (ii) payments for principal and for any other Obligations then
outstanding under the Tranche One Loan and the Tranche Three Loans that would otherwise be due under the Credit Agreement on October
7, 2020, would each be deferred until May 31, 2023 (the end of the extended Modification Period).
On
May 24, 2023, noteholders owning an aggregate of $18,000,000 Replacement Notes, provided the Company with a Conversion Notice,
pursuant to the terms of the Replacement Notes, to convert the Replacement Notes into shares of the Company’s common stock
at a conversion price of $0.10 per share, resulting in the issuance of an aggregate of 180,000,000 shares.
On
May 31, 2023 (the “Effective Date”), the Company, the Borrower, the Lender, Steven G. Johnson, President and Chief
Executive Officer of the Company, and Dr. James R. Higgins, a director of the Company, entered into a Seventh Amendment to Credit
Agreement (the “Seventh Credit Agreement Amendment”), pursuant to which the parties agreed to amend the Credit Agreement
to, among other things, (i) provide that, after the Effective Date, all accrued but unpaid interest (including interest accrued
but unpaid prior to the Effective Date and excluding interest payable on the Maturity Date, in connection with any prepayment,
or in the event of an Event of Default, which interest will be payable in cash) accruing on Tranche One Loans and Tranche Three
Loans will be paid-in-kind on each Interest Payment Date by being added to the aggregate principal balance of the respective loans
in arrears on each Interest Payment Date; (ii) require certain mandatory prepayments of the loans by the Company, including (A)
quarterly prepayments in the amount, if any, that the Company’s Excess Cash Flow exceeds $600,000, (B) monthly transfers
to the Inventory Reserve Account in the amount, if any, the Company’s cash exceeds $1,200,000, (C) prepayment in the amount,
if any, the Company’s Inventory Reserve Account exceeds $600,000, and (D) prepayment in the amount, if any, of 100% of the
gross proceeds of any indebtedness incurred by the Company (other than permitted indebtedness); and (iii) extend the Maturity
Date to December 31, 2024.
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
General
The
following discussion and analysis provide information which our management believes to be relevant to an assessment and understanding
of our results of operations and financial condition. This discussion should be read together with our condensed consolidated
financial statements and the notes to the financial statements, which are included in this Quarterly Report on Form 10-Q (the
“Report”). This information should also be read in conjunction with the information contained in our Form 10-K/A filed
with the Securities and Exchange Commission (the “SEC”) on May 26, 2023. The reported results will not necessarily reflect
future results of operations or financial condition.
Throughout
this Report, the terms “we,” “us,” “our,” “CareView,” or “Company” refers to
CareView Communications, Inc., a Nevada corporation, and unless otherwise specified, includes our wholly owned subsidiaries, CareView
Communications, Inc., a Texas corporation (“CareView-TX”) and CareView Operations, LLC, a Nevada limited liability company
(“CareView Operations”) (collectively known as the “Company’s Subsidiaries”).
We
maintain a website at www.care-view.com and our Common Stock trades on the OTCQB under the symbol “CRVW.’’
Company
Overview and Recent Developments
As
a leader in turnkey patient video monitoring solutions, CareView is redefining the standard of patient safety in hospitals and
healthcare facilities across the country. For over a decade, CareView has relentlessly pursued innovative ways to increase patient
protection, providing next generation solutions that lower operational costs and foster a culture of safety among patients, staff,
and hospital leadership. With installations in more than 150 hospitals, CareView has proven that its innovative technology is
creating a culture of patient safety where patient falls have decreased by 80% and sitter costs reduced by more than 65%. Anchored
by the CareView Patient Safety System® and CareView Patient Care System™, this modular, scalable solution delivers flexible
configurations to fit any facility while significantly increasing patient safety, care, and operational savings. All configurations
feature HD cameras, high-fidelity 2-way audio/video, LCD displays for the ultimate in capability, flexibility, and affordability.
SitterView®
and TeleMedView™ allows hospital staff to use CareView’s high-quality video cameras with pan-tilt-zoom and 2-way video
functionality to observe and communicate with patients remotely. With CareView, hospitals are safely monitoring more patients
while providing a higher level of care by leveraging CareView’s patented technology, a portfolio that includes 40 patents.
TeleMedView leverages the CareView Mobile Controller’s built-in monitor and can work with the CareView Portable Controller
as well. Usage of SitterView and TeleMedView has increased in response to a growing demand for remote patient monitoring driven
by increasing demands for care and staffing shortages in the healthcare industry.
The
CareView Patient Safety System enables virtual nursing workflows for patient observation, companionship, care concierge, and administrative
tasks can ease workloads and improve care delivery. Hybrid patient care, the combination of bedside and virtual care, allows hospitals
to keep nurses working at the top of their licenses and creates flexible and scalable workforce options. CareView’s integrations
with existing clinical workflow and patient engagement tools allow providers to access patient rooms virtually from within the
EHR workflow. CareView then becomes the centralized hub for a patient-centric, interconnected virtual care system.
In
October 2022, CareView received Innovative Technology Designation after the Innovative Technology Exchange in Dallas, Texas. Every
year, healthcare experts serving on the member-led councils of Vizient, Inc., (“Vizient”), the nation’s largest
healthcare performance improvement company, review select products and technologies for their potential to enhance clinical care,
patient safety, healthcare worker safety or to improve business operations of healthcare organizations. Vizient’s diverse
membership and customer base includes academic medical centers, pediatric facilities, community hospitals, integrated health delivery
networks, and non-acute health care providers, and represents more than $130 billion in annual purchase volume. Technology designations
are awarded to previously contracted products to signal to healthcare providers the impact of these innovations on patient care
and business models of healthcare organizations.
CareView
Patient Safety System
Our
CareView Patient Safety System provides innovative ways to increase patient protection, provides advanced solutions that lower
operational costs, and helps hospitals foster a culture of safety among patients, staff, and hospital leadership. We understand
the importance of providing high quality patient care in a safe environment and believe in partnering with hospitals to improve
the quality of patient care and safety by providing a system that monitors continuously. We are committed to providing an affordable
video monitoring tool to improve the practice of nursing, create a better work environment and make the patient’s hospital
stay more satisfying. Our suite of products and services can simplify and streamline the task of preventing and managing patients’
falls, enhance patient safety, improve quality of care, and reduce costs. Our products and services can be used in all types of
hospitals, nursing homes, adult living centers, and selected outpatient care facilities domestically and internationally.
The
CareView Patient Safety System includes CareView’s SitterView, providing a clear picture of up to 40 patients at once, allowing
staff to intervene and document patient risks more quickly. SitterView features intuitive decision support pathway, guiding staff
alarm response and pan- tilt-zoom functionality, allowing staff to home in on areas of interest. CareView’s new Analytics
Dashboard provides real-time metrics on utilization, compliance, and outcome data by day, week, month, and quarter. Outcomes are
automatically compared to organizational goals to evaluate real-time ROI.
CareView’s
next generation of in-room camera; the CareView Controller features an HD camera, high-fidelity 2-way audio, and an LCD display,
harnessing increased performance to deliver the ultimate in capability, flexibility, and affordability for all types of hospitals.
Building on top of CareView’s patented Virtual Bed Rails® and Virtual Chair Rails® predictive technology, the CareView
Controller uses machine learning to differentiate between normal patient movements and behaviors of a patient at risk. This technology
results in less false alarms, faster staff intervention, and a significant reduction in patient falls.
The
CareView Controller is available in multiple configurations for permanent or temporary situations; the CareView Mobile, Portable,
and Fixed Controller. For situations that demand that the camera come to the patient, the CareView Mobile Controller on wheels
comes with an uninterrupted external power supply for situations where power may not be readily available and can operate on the
facility’s wireless network. For monitoring patients within a general care unit, the CareView Portable Controller can be
easily removed from mounts and moved where the workflow dictates, making this application perfect for general use. For high-risk
patient rooms where behavior and self-harm may be a factor, or where a patient must be continuously monitored, the CareView Fixed
Controller can be installed seamlessly in the ceiling tiles leaving no exposed wiring making it ligature resistant.
The
CareView Patient Safety System can be easily configured to meet the individual privacy and security requirements of any hospital
or nursing facility. CareView is compliant with the Health Insurance Portability and Accountability Act (“HIPAA”)
and certified by HITRUST. Additional HIPAA-compliant features allow privacy options to be enabled at any time by the patient,
nurse, or physician.
CareView
Patient Safety System Products and Services Agreement with Healthcare Facilities
CareView’s
subscription-based model is offered to healthcare facilities through a Products and Services Agreement (the “P&S Agreement(s)”).
During the term of the P&S Agreement, we provide continuous monitoring of the CareView Patient Safety System products and
services deployed to a healthcare facility and maintain and service all equipment installed by us. Under the subscription-based
model, terms of each P&S Agreement require the healthcare facility to pay us a monthly fee based on the number of selected,
installed, and activated services. None of the services provided through the Primary Package are paid or reimbursed by any third-party
provider including insurance companies, Medicare, or Medicaid. We also enter into corporate-wide agreements with healthcare companies
(the “Master Agreement(s)”), wherein the healthcare companies enter into individual facility level agreements that
are substantially like our P&S Agreements.
Master
Agreements and P&S Agreements are currently negotiated for a period of three years with a provision for automatic renewal.
P&S Agreements specific to pilot programs (“P&S Pilot Agreements”) contain pricing terms substantially like
P&S Agreements, are generally three or six-months in length and can be extended on a month-to-month basis as required. Regarding
the subscription-based model, we own all rights, title, and interest in and to the equipment we install at each location and agree
to maintain and repair it; although, we may charge for repairs or replacements due to damage or misuse. We are not responsible
for maintaining data arising from use of the CareView Patient Safety System or for transmission errors, corruption or compromise
of data carried over local or interchange telecommunication carriers. We grant each healthcare facility a limited, revocable,
non-transferable, and nonexclusive license to use the software, network facilities, content, and documentation on and in the CareView
Patient Safety System to the extent, and only to the extent, necessary to access, explore and otherwise use the CareView Patient
Safety System in real time. Such non-exclusive license expires upon termination of the P&S Agreement.
We
use specific terminology to better define and track the staging and billing of the individual components of the CareView Patient
Safety System. The CareView Patient Safety System includes three components which are separately billed; the CareView Controller
(previously known as RCP), the CareView SitterView Monitor, and the CareView Application Server (each component referred to as
a “unit”). The term “bed” refers to each healthcare facility bed as part of the overall potential volume
that a healthcare facility represents. For example, if a healthcare facility has 200 beds, the aggregate of those beds is the
overall potential volume of that healthcare facility. The term “bed” is often used interchangeably with “CareView
Controller” as this component of the CareView Patient Safety System consistently resides within each room where the “bed”
is located. On average, there are six SitterView Monitors for each 100 beds. The term “deployed” means that the units
have been delivered to the healthcare facility but have not yet been installed at their respective locations within the facility.
The term “installed” means that the units have been mounted and are operational. The term “billable” refers
to the aggregate of all units on which we charge fees. Units become billable once they are installed and the required personnel
have been trained in their use. Units are only deployed upon the execution of a P&S Agreement or P&S Pilot Agreement.
CareView
Patent Safety System Sales-Based Model
CareView’s
sales-based model commenced with the introduction of our updated technology. CareView has also aligned its contracting model to
meet the preferred acquisition model in the hospital industry. CareView now sells its proprietary equipment to facilities in lieu
of lending the equipment as defined under the subscription-based model. In doing so, the facility is billed for the hardware on
acceptance of the contract. After CareView’s equipment is delivered to the facility, CareView begins the process of installing
and securely integrating the equipment and software. Upon completion of installation, training, and “go-live”; referring
to all systems in full operation, CareView bills the facility for the installation, training, and an annual software license fee.
CareView will continue to bill the facility an annual software license fee until the end of the contract. The shift to the sales-based
model has an immediate impact on our operations resulting in greater cash flow within 30 days of contract signing.
CareView
continues its dedication to provide service and support on a 24x7x365 basis for every customer under every contract.
CareView
Connect
Our
mission is to be the leading provider of resident monitoring products and services for the long-term care industry. We took what
we learned in our medical facility business and applied it to developing a product to serve the long-term care market. With CareView
Connect Quality of Life® System (“CareView Connect”), CareView has again positioned itself as a technology leader
with its innovative suite of products specifically designed for all aspects of the long-term care market, including Nursing Care,
Home Care, Assisted Living and Independent Living.
With
this mission in mind, in the second quarter of 2018, the Company introduced a new sensor product with application in both the
assisted living center market and the home health market. CareView Connect leverages both passive and active sensors to track
the activities of daily life. CareView Connect provides peace of mind by using data from the resident’s activity, existing
conditions, and environment to notify a caregiver of potential emergencies and identify the need for dignified support. CareView
Connect consists of a small emergency assist button, two motion sensors, one sleep sensor, and one event sensor. Resident activity
levels, medication administration, sleep patterns, and requests for assistance can all be monitored depending on which options
are selected.
The
skilled nursing home market consists of approximately 2,000,000 beds, which is double the size of the current hospital/healthcare
facility bed market. The assisted living center market is even larger at approximately 3,000,000 beds. Our products flow naturally
into the nursing home space as it is substantially the same setting as hospital rooms.
CareView
Connect is a platform consisting of several products and applications targeted at improving the level of care and efficiency.
CareView built a cohesive and tightly integrated solution that solves several problems that long-term care facilities face. We
offer an array of wearable and stationary buttons that allow a resident to summon help either for an emergency or assistance,
which can be anything from toileting help to assistance putting on their shoes. We offer a mobile app capable of delivering an
alert to the caregiver and allows them to document information around that alert, how long before the alert was handled and, what
was the cause of the alert, and if it was not acknowledged in a timely manner then the alert is escalated to another individual
or group. This ensures that every alert is responded to timely and is verifiable.
Alert
Management and Monitoring System
CareView
Connect provides a suite of hardware and software that facilitate a data-driven solution for alert management and monitoring.
CareView Connect’s solution provides additional context, including location of the resident, which improves response time
by the staff. The alert system includes a documentation platform that allows the facility’s staff to classify the reason
for alerts and provides metrics around response time. CareView Connect’s solution involves several passive sensors that
monitor the resident.
Caregiver
Platform
The
caregiver platform includes a “Leave of Absence” component, which allows the facility to document when the resident
is outside of their room for a duration of time. This information is incorporated with known data from the workflows and sensors
to improve awareness. The Caregiver Connect mobile application provides a convenient and intuitive interface to the CareView Connect
platform. The caregiver can use the mobile app to capture important information and interface with critical workflows, such as
acknowledging and documenting alert presses by the resident. CareView Connect also provides a product focused on capturing and
measuring the mental state and pain experienced by the resident. “How are you feeling today?” provides a convenient
way to capture information about the mental state of the resident using emojis. Similarly, “What is your pain today?”
allows the staff to categorize and document pain. Connect Resident is a tablet application intended for the resident’s direct
use. This product currently supports video conferencing with a remote caregiver, becoming a communications conduit for telehealth.
Connect Resident also supports “How are you feeling today?”, which allows the resident to submit this information
directly.
Quality
of Life Metrics
CareView
developed its own algorithm for measuring quality of life based on “best of breed” research and leveraging the data
collected by the platform. CareView Connect’s Quality of Life Metrics focuses on several categories, including Physical
Activity, Bodily Pain, General Health, Vitality, Social Interaction, Mental Health, and Sleep Quality. Leveraging this data, the
facility and their staff have improved visibility into the health and well-being of their residents. By applying machine learning
and predictive analytics, subtle patterns and trends that may not otherwise be visible become actionable. The facility can use
this information to present a more compassionate and capable level of care, differentiating the facility from their competition.
The Quality of Life Metrics information can be made available to the family and loved ones, opening a new channel of remote awareness
and care. Because the information is collected automatically, the family gains awareness on issues of which their loved ones may
normally be unaware. The Connect Family mobile application allows family members to monitor their loved one and receive alerts
and notifications based on their preferences.
Pricing
Structure and Revenue Streams
The
CareView Connect suite of products and services offers multiple pricing models. We work with each facility on pricing to offer
an affordable package based on the demographics of the residents of the facility. The pricing structure with each facility is
negotiated separately. Typically, we offer the CareView Connect basic package at a price per monitored room with varying price
structures based on number of sensors and number of residents in each facility.
Purchasing
Agreement with Decisive Point Consulting Group, LLC
On
February 2, 2021, we partnered with Decisive Point Consulting Group, a Department of Veterans Affairs Contractor Verification
Enterprise (CVE) and a Verified Service-Disabled Veteran Owned Small Business (SDVOSB), to expand our reach within the VA hospitals
and Community Living Centers space. Our partnership reflects our desire to collaborate with companies that share our vision of
patient safety. We continue to use this partnership to contract with VA hospitals and their Community Living Centers (“CLC”).
Indefinite
Delivery Indefinite Quality (IDIQ) Contract
On
September 10, 2021, the Company entered an Indefinite Delivery Indefinite Quality (IDIQ) contract for Telecare Services with,
Shore Systems and Solutions, LLC (S3). The award provides S3 with a path to providing the CareView Patient Safety System to veterans
and their families receiving care at the 1,293 Veterans Health Administration (“VHA”) facilities across the United
States and Territories.
General
Service Administration Multiple Award Schedule
Pursuant
to the terms of the Company’s General Service Administration (“GSA”) Multiple Award Schedule contract (“MAS”),
the MAS allows us to sell the CareView Patient Safety System at a negotiated rate to the approximate 169 United States Department
of Veterans Affairs (“VA”) facilities with over 39,000 licensed beds and the approximate 42 DOD hospitals with over
2,600 licensed beds. The sales-based model was added to the MAS, which allows us to sell the proprietary hardware and license
the software on an annualized basis. The MAS is one of the most widely accepted government contract vehicles available to agency
procurement officers. GSA’s application process requires potential vendors to be recognized as highly credible and well
established. CareView is a sole source provider. Our products and services represent an enormous opportunity to improve the health
and safety of our Nation’s veterans.
Group
Purchasing Agreement with HealthTrust Purchasing Group, LP
On
December 14, 2016, the Company entered a Group Purchasing Agreement with HealthTrust Purchasing Group, L.P. (“HealthTrust”)
(the “HealthTrust GPO Agreement”), the nation’s only committed-model Group Purchasing Organization (“GPO”)
headquartered in Nashville, Tennessee. HealthTrust serves approximately 1,600 acute care facilities and members in more than 26,000
other locations, including ambulatory surgery centers, physician practices, long-term care, and alternate care sites. The agreement
was effective on January 1, 2017 and all CareView Patient Safety System components and modules are available for purchase by HealthTrust’s
exclusive membership. HealthTrust members may order CareView’s products and services included in the agreement directly
from CareView.
On
October 1, 2018, the Company added CareView Connect to the HealthTrust GPO Agreement.
On
November 1, 2020, the sales-based contract model was added to the HealthTrust GPO Agreement which allows us to sell the proprietary
hardware and license the software on an annualized basis. On December 1, 2021, the HealthTrust GPO Agreement was renewed for another
3 year term. We continue to work with HealthTrust and their members to expand contracts.
Group
Purchasing Agreement with Premier, Inc.
On June 8, 2022 the Company entered a Group Purchasing Agreement with Premier, Inc. (“Premier”), headquartered in
Charlotte, N.C. Premier is a leading healthcare improvement company, uniting an alliance of more than 4,400 U.S. hospitals and
health systems and approximately 225,000 other providers and organizations to transform healthcare. The agreement was effective
on June 15, 2022 and all Gen 5 CareView Patient Safety System components and modules are available for purchase by Premier’s
exclusive membership. Premier members may order CareView’s products and services included in the agreement directly from
CareView. We are continuing to work with Premier on new contracts.
Summary
of Product and Service of Sales-based Contracts
Our
contracts typically include multiple combinations of our products, software solutions, and related services with multiple payment
options. Customers can continue to lease our equipment under our subscription model or can purchase our equipment upfront under
our sales-based contract model with an auto-renewal at the end of each contract period. The new sales-based contract offers our
customers the flexibility of capitalizing on their investment, which in turn, replenishes our cash reserves. For the years ended
December 31, 2022, and 2021, the Company executed sales-based contracts in approximate aggregated amounts of $4,309,000 and $5,600,000.
Results
of Operations
Three
months ended March 31, 2023 compared to three months ended March 31, 2022
| |
Three
months ended March 31, | |
|
| |
2023 | |
2022 | |
Change |
| |
| (000’s) |
Revenue | |
$ | 1,782 | |
|
$ | 2,319 | | |
$ | (537 | ) |
Operating
expenses | |
| 2,298 | |
|
| 2,642 | | |
| (344 | ) |
Operating
income | |
| (516 | ) |
|
| (323 | ) | |
| (193 | ) |
Other,
net | |
| (830 | ) |
|
| (2,022 | ) | |
| 1,192 | |
Net
loss | |
$ | (1,346 | ) |
|
$ | (2,345 | ) | |
$ | 999 | |
Revenue
Revenue
decreased approximately $537,000 for the three months ended March 31, 2023 as compared to the same period in 2022. The decrease
in revenue is mainly a result of decrease in sales of our new Gen5 equipment in which January 2022 had a major sale to HCA Central
West Texas, St. David’s Healthcare.
Operating
Expenses
Our
principal operating costs include the following items as a percentage of total operating expense.
| |
Three Months Ended March 31, | |
| |
2023 | | |
2022 | |
Human resource costs, including benefits and non-cash compensation | |
| 54 | % | |
| 51 | % |
Professional and consulting costs | |
| 12 | % | |
| 9 | % |
Depreciation and amortization | |
| 7 | % | |
| 6 | % |
Other product deployment costs, excluding human resources and travel and entertainment costs | |
| 2 | % | |
| 5 | % |
Travel and entertainment expense | |
| 3 | % | |
| 2 | % |
Other expenses | |
| 22 | % | |
| 27 | % |
Operating
expenses decreased by a net 13% because of the following items:
| |
| (000’s) | |
Human resource costs, including benefits and non-cash compensation | |
$ | 89 | |
Depreciation and amortization | |
| (13 | ) |
Other product deployment costs, excluding human resources and travel and entertainment expense | |
| 23 | |
Professional and consulting costs | |
| (30 | ) |
Travel and entertainment expense | |
| 81 | |
Other expenses | |
| 194 | |
| |
$ | 344 | |
Human
resource related costs (including salaries and benefits and non-cash compensation) decreased approximately $89,000 due to lower
payroll costs of professional staff, overtime and commissions paid out during the three months ended March 31, 2023 as compared
to the three months ended March 31, 2022. Product deployment costs decreased approximately $23,000 due to decreased in installation
transportation costs. Travel and entertainment costs decreased approximately $81,000 due to significantly less corporate transportation
costs. For the comparable periods, Other expenses decreased approximately $194,000, primarily as a result of cost of sales, patent
maintenance expense, business insurance expense, advertising & marketing expense and property taxes.
Other,
net
Other
non-operating income and expense increased by approximately $1,192,000 or 58.9%, for the three months ended March 31, 2023 in
comparison to the same period in 2022, primarily because of the cancellation of all Non-PDL, related and non-related parties’
interest expense and warrants.
Net
Loss
As
a result of the factors above, our first quarter 2023 net loss of approximately $1,346,000 decreased approximately $999,000 or
42.6%, as compared to approximately $2,345,000 net loss for the first quarter of 2022.
Liquidity
and Capital Resources
Accounting
standards require management to evaluate whether the Company can continue as a going concern for a period of one year after the
date of the filing of this Form 10-Q (“evaluation period”). In evaluating the Company’s ability to continue
as a going concern, management considers the conditions and events that raise substantial doubt about the Company’s ability
to continue as a going concern for a period of twelve months after the Company issues its financial statements. For the period
ended March 31, 2023, management considers the Company’s current financial condition and liquidity sources, including current
funds available, forecasted future cash flows, and the Company’s conditional and unconditional obligations due before June
6, 2024.
The
Company is subject to risks like those of healthcare technology companies whereby revenues are generated based on both on a sales-based
and subscription-based business model such as dependence on key individuals, uncertainty of product development, generation of
revenues, positive cash flow, dependence on outside sources of capital, risks associated with research, development, and successful
testing of its products, successful protection of intellectual property, ability to maintain and grow its customer base, and susceptibility
to infringement on the proprietary rights of others. The attainment of profitable operations is dependent on future events, including
obtaining adequate financing to fulfill the Company’s growth and operating activities and generating a level of revenues
adequate to support the Company’s cost structure.
The
Company has experienced net losses and significant cash outflows from cash used in operating activities over the past years. As
of and for the three months ended March 31, 2023, the Company had an accumulated deficit of $205,279,478, loss from operations
of $516,365, net cash used by operating activities of $74,554, and an ending cash balance of $441,973.
As
of March 31, 2023, the Company had a working capital deficit of $53,340,182 consisting primarily of PDL notes payables. Management
has evaluated the significance of the conditions described above in relation to the Company’s ability to meet its obligations
and concluded that, without additional funding, the Company will not have sufficient funds to meet its obligations within one
year from the date the condensed consolidated financial statements were issued. While management will look to continue funding
operations by increased sales volumes and raising additional capital from sources such as sales of its debt or equity securities
or loans to meet operating cash requirements, there is no assurance that management’s plans will be successful.
On
March 8, 2022, we agreed with the HealthCor Parties to (i) amend the 2011 HealthCor Notes to extend the maturity date of the 2011
HealthCor Notes from April 20, 2022 to April 20, 2023 by entering into Allonge No. 4 to the 2011 HealthCor Notes (the “Third
2011 Note Allonges”) and (ii) amend the 2012 HealthCor Notes to extend the maturity date of the 2012 HealthCor Notes from
April 20, 2022 to April 20, 2023 by entering into Allonge No. 4 to the 2012 HealthCor Notes (the “Fourth 2012 Note Allonges”)
(such amendments to the 2011 HealthCor Notes and 2012 HealthCor Notes together, the “HealthCor Note Extensions”).
In connection with the HealthCor Note Extensions, we issued the HealthCor parties warrants to purchase an aggregate of 3,000,000
shares of our Common Stock at an exercise price per share equal to $0.09 per share (subject to adjustment as described therein)
and with an expiration date of March 08, 2032 (collectively the “2021 HealthCor Warrants”).
On
December 30, 2022, the Company entered into a consent and agreement to cancel and exchange existing notes and issue replacement
notes and cancel warrants (the “Cancellation Agreement”) with certain holders (the “Investors”) of senior
secured convertible promissory notes (“Notes”) and warrants (“Warrants”) to purchase the Company’s
common stock, that were issued pursuant to the Note and Warrant Purchase Agreement, dated as of April 21, 2011 (as amended, modified,
or supplemented from time to time) (the “Purchase Agreement”). The Cancellation Agreement provided for the cancellation
of all outstanding Notes and Warrants issued pursuant to the Purchase Agreement in exchange for the issuance of replacement senior
secured convertible promissory notes (the “Replacement Notes”) with an aggregate principal amount of $44,200,000.
The maturity date of the Replacement Notes was December 31, 2023. No interest accrues on the Replacement Notes. As of March 31,
2023, $18,000,000 remains of the replacement convertible notes.
Management
continues to monitor the immediate and future cash flow needs of the Company in a variety of ways which include forecasted net
cash flows from operations, capital expenditure control, new inventory orders, debt modifications, increases sales outreach, streamlining
and controlling general and administrative costs, competitive industry pricing, sale of equities, debt conversions, new product
or services offerings, and new business partnerships.
The
Company’s net losses, cash outflows, and working capital deficit raise substantial doubt about the Company’s ability
to continue as a going concern through June 6, 2024. The accompanying condensed consolidated financial statements have been prepared
assuming that the Company will continue as a going concern. This basis of accounting contemplates the recovery of the Company’s
assets and the satisfaction of liabilities in the normal course of business. A successful transition to attaining profitable operations
is dependent upon achieving a level of positive cash flows adequate to support the Company’s cost structure.
Critical
Accounting Estimates
Please
refer to our Annual Report on Form 10-K/A for the year ended December 31, 2022 filed with the Commission on May 26, 2023 and incorporated
herein by reference, for detailed explanation of our critical accounting estimates, which have not changed significantly during
the three months ended March 31, 2023.
Recently
Issued and Newly Adopted Accounting Pronouncements
We
do not expect that the adoption of any recent accounting pronouncements will have a material impact on our accompanying condensed
consolidated financial statements.
Recent
Events
On
March 30, 2023, investors holding an aggregate of $26,200,000 of Replacement Notes exercised their right to convert the debt into
shares of the Company’s common stock at $0.10 per share (the “First Tranche”). Upon conversion, the Company
issued the investors in the First Tranche an aggregate of 262,000,000 shares. The First Tranche only converted 50% of the HealthCor
Replacement Notes. Due to the insufficient number of the Company’s available authorized shares of common stock, a shareholder
vote to authorize an increase in the Company’s authorized shares of common stock to 800,000,000 was approved on May 26,
2023.
On May 24, 2023, noteholders owning an aggregate of $18,000,000 Replacement
Notes, provided the Company with a Conversion Notice, pursuant to the terms of the Replacement Notes, to convert the Replacement Notes
into shares of the Company’s common stock at a conversion price of $0.10 per share, resulting in the issuance of an aggregate of
180,000,000 shares.