CDIX 10-K & 10-Q changes, risk factors and insider trading
Cardiff Lexington Corp · OTC · Services-Offices & Clinics Of Doctors Of Medicine · CIK 811222 · All filings on SEC.gov
At a glance
What changed in the latest 10-K
Risk Factors
New heading “Natural disasters, unusually adverse weather conditions or pandemic outbreaks could cause permanent or temporary facility closures or cause patient traffic to decline, all of which could result in lost revenue and otherwise adversely affect our financial performance.”
New heading “The market price of our common stock may be highly volatile, and you could lose all or part of your investment.”
New heading “An investment in our company may involve tax implications, and you are encouraged to consult your own advisors as neither we nor any related party is offering any tax assurances or guidance regarding our company or your investment.”
Removed heading “We have identified material weaknesses in our internal control over financial reporting. If we fail to develop or maintain an effective system of internal controls, we may not be able to accurately report our financial results and prevent fraud. As a result, current and potential stockholders could lose confidence in our financial statements, which would harm the trading price of our common stock.”
Removed heading “The real estate industry is highly competitive and if other property developers are more successful or offer better value to customers, our business could suffer.”
Removed heading “Our co-venture partners or other partners in co-ownership arrangements could take actions that decrease the value of our real estate assets.”
Removed heading “Our common stock may be subject to significant price volatility which may have an adverse effect on your ability to liquidate your investment in our common stock.”
Largest changes
“We have identified material weaknesses in our internal control over financial reporting. If we fail to develop or maintain an effective system of internal controls, we may not be able to accurately report our financial results and prevent fraud. As a result, current and potential stockholders could lose confidence in our financial statements, which would harm the trading price of our common stock.”see in full comparison
“We are a holding company and have no material assets other than ownership of equity interests in our subsidiaries. We have no independent means of generating revenue. We intend to cause our subsidiaries to make distributions to our company in an amount sufficient to cover all applicable taxes payable and dividends, if any, declared by us. …”see in full comparison
“Natural disasters, unusually adverse weather conditions or pandemic outbreaks could cause permanent or temporary facility closures or cause patient traffic to decline, all of which could result in lost revenue and otherwise adversely affect our financial performance.”see in full comparison
“During its evaluation of the effectiveness of internal control over financial reporting as of December 31, 2024, management identified material weaknesses. …”see in full comparison
“An investment in our company may involve tax implications, and you are encouraged to consult your own advisors as neither we nor any related party is offering any tax assurances or guidance regarding our company or your investment.”see in full comparison
“The real estate industry is highly competitive and if other property developers are more successful or offer better value to customers, our business could suffer.”see in full comparison
Full comparison: every changed paragraph (59)
However, management believes, based on our operating
plan, that current working capital and current and expected additional financing should be sufficient to fund operations and satisfy our
obligations as they come due for at least one year from the financial statement issuance date.year. However,
additional funds from new financing
and/or future equity raises are required for continued operations and to execute our business plan
and our strategy of acquiring additional
businesses. The funds required to execute our business plan will depend on the size, capital
structure and purchase price consideration
that the seller of a target business deems acceptable in a given transaction. The amount of
funds needed to execute our business plan
also depends on what portion of the purchase price of a target business the seller of that business
is willing to take in the form of
seller notes or our equity or equity in one of our subsidiaries. Given these factors, we believe that
the amount of outside additional
capital necessary to execute our business plan on the low end (assuming target company sellers accept
a significant portion of the purchase
price in the form of seller notes or our equity or equity in one of our subsidiaries) ranges between
$5 million to $10 million. If, and
to the extent, that sellers are unwilling to accept a significant portion of the purchase price in
seller notes and equity, then the cash
required to execute our business plan could be as much as $10 million.
Our typical accounts receivable collection
lifecycle is between 1812 and 24 months. This extended period creates several risks relating to our liquidity and cash flow, exposure to
badcredit debt,losses, dependence on external financing, negative impact on our financial metrics and operational challenges.
We operatefocus inon theplaintiff-related lien-basedcare medical industry.
Weand provide
orthopedic healthcare to uninsured patients. Our patients have typically been in an accident and have filed a lawsuit as a
plaintiff against
the defendant who is allegedly responsible for the accident as the result of negligence or another tort. Since the patient
is uninsured,
we must wait for payments of amounts owed to us until the patient’s lawyer settles the claim against the defendant’s insurance
insurance company or the defendant himself.defendant. As a result of our need to wait for such a settlement, we experience an extended accounts
receivable collection
period, which typically ranges from 1812 to 24 months. This extended accounts receivable collection period is very
different from a traditional
product or service business that collects a majority of receivables within 30, 60, and/or 90-day increments.
We routinely receive a letter
of protection from our patient and its legal counsel which ensures payment in full from insurance settlements.
A letter of protection
is a legally binding contract that exists between the patient’s personal injury attorney, the patient, and
our company, as the healthcare
provider. The letter promises that the patient will pay the medical expenses after the patient’s
injury claim reaches its settlement.
Historically, we have not maintained systematic
processes and resources to manage and monitor the aging of our accounts receivables. The settlement process is complex and ongoing patient
care can further complicate the accurate aging of receivables. These complexities may lead to difficulties in assessing the true financial
health of our company and in predicting cash flow accurately. Currently, our third-party billing company only captures the first date
of service for each patient. This first date of service may be months before surgery or before any significant services have been rendered.
The receivable relating to the patient continues to grow over time, which distorts the actual aging of the receivable. With regard to
facilities and anesthesiology services, our third-party billing company historically had not captured any first date of service, so we
do not have historical data relating to the aging of accounts receivable relating to these services. Recently, we have been working with
our third-party billing company to resolve the systematic issue with respect to facilities and anesthesiology services in order to begin
to capture the first date of service. We believe that these changes to our financial systems will assist us going forward, but we expect
ana 1812 to 24 month lag before we are able to obtain relevant aging data with regard to these receivables.
AsIf we grow,are able to successfully grow our operations,
which cannot be assured, we expect to encounter additional
challenges to our internal processes, capital commitment process, and acquisition
funding and financing capabilities. Our existing operations,
personnel, systems, and internal control may not be adequate to support our
growth and expansion and may require us to make additional
unanticipated investments in our infrastructure. To manage the future growth
of our operations, we will be required to improve our administrative,
operational, and financial systems, procedures, and controls, and
maintain, expand, train, and manage our growing employee base. If we
are unable to manage our growth effectively, we may not be able to
take advantage of market opportunities, execute our business strategies
successfully or respond to competitive pressures. As a result,
our business, prospects, financial condition, and results of operations
could be materially and adversely affected.
We financehave historically financed acquisitions primarily
through additional
equity and debt financings. Because the timing and size of acquisitions cannot be readily predicted, we may need to
be able to obtain
funding on short notice to benefit fully from attractive acquisition opportunities. The sale of additional shares of
any class of equity
will be subject to market conditions and investor demand for such shares at prices that may not be in the best interest
of our stockholders.
The sale of additional equity securities could also result in dilution to our stockholders. The incurrence of indebtedness
would result
in increased debt service obligations and could require us to agree to operating and financial covenants that would restrict
our operations.
Financing may not be available in amounts or on terms acceptable to us, if at all. These risks may materially adversely
affect our ability
to pursue our acquisition strategy.
We may change our strategy at any time without the consent of our stockholders, which may result in our acquiring businesses or assets that are different from, and possibly riskier than, the strategy described in this report. A change in our strategy may increase our exposure to interest rate and currency fluctuations, subject us to regulation under the Investment Company Act of 1940, as amended, or the Investment Company Act, or subject us to other risks and uncertainties that affect our operations and profitability.
We are a holding company and have no material assets other than ownership of equity interests in our subsidiaries. We have no independent means of generating revenue. We intend to cause our subsidiaries to make distributions to our company in an amount sufficient to cover all applicable taxes payable and dividends, if any, declared by us. Our ability to service our debt, if any, depends on the results of operations of our subsidiaries and upon the ability of our subsidiaries to provide us with cash, whether in the form of dividends, loans or other distributions, to pay amounts due on our obligations. Future financing arrangements may contain negative covenants that limit the ability of our subsidiaries to declare or pay dividends or make distributions. Our subsidiaries are separate and distinct legal entities. To the extent that we need funds, and our subsidiaries are restricted from declaring or paying such dividends or making such distributions under applicable law or regulations or are otherwise unable to provide such funds (for example, due to restrictions in future financing arrangements that limit the ability of our operating subsidiaries to distribute funds), our liquidity and financial condition could be materially harmed.
Our primary business is the holding and managing
of controlling interests our operating businesses. Therefore, we will be dependent upon the ability of our businesses to generate cash
flows and, in turn, distribute cash to us in the form of distributions, advances and other transfers of funds to enable us to satisfy
our financial obligations. The ability of our businesses to make payments to us may also be subject to limitations under laws of the jurisdictions
in which they are incorporated or organized.
The operational objectives and business
plans of our businesses may conflict with our operational and business objectives or with the plans and objectiveobjectives of another business
we own and operate.
Our businesses operate in different industries
and face different risks and opportunities
depending on market and economic conditions in their respective industries and regions. A business’
operational objectives and business plans may
not be similar to our objectives and plans or the objectives and plans of another business
that we own and operate. This could create
competing demands for resources, such as management attention and funding needed for operations
or acquisitions, in the future.
We have identified material weaknesses in
our internal control over financial reporting. If we fail to develop or maintain an effective system of internal controls, we may not
be able to accurately report our financial results and prevent fraud. As a result, current and potential stockholders could lose confidence
in our financial statements, which would harm the trading price of our common stock.
Companies that file reports with the SEC, including
us, are subject to the requirements of Section 404 of the Sarbanes-Oxley Act of 2002, or SOX 404. SOX 404 requires management to establish
and maintain a system of internal control over financial reporting and annual reports on Form 10-K filed under the Exchange Act to contain
a report from management assessing the effectiveness of a company’s internal control over financial reporting. Separately, under
SOX 404, as amended by the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, public companies that are large, accelerated
filers or accelerated filers must include in their annual reports on Form 10-K an attestation report of their regular auditors attesting
to and reporting on management’s assessment of internal control over financial reporting. Non-accelerated filers and smaller reporting
companies, like us, are not required to include an attestation report of their auditors in annual reports.
A report of our management is included under Item
9A “Controls and Procedures.” We are a smaller reporting company and, consequently, are not required to include
an attestation report of our auditor in our annual report. However, if and when we become subject to the auditor attestation requirements
under SOX 404, we can provide no assurance that we will receive a positive attestation from our independent auditors.
During its evaluation of the effectiveness of
internal control over financial reporting as of December 31, 2024, management identified material weaknesses. These material weaknesses
were associated with our lack of (i) formal documentation over internal control procedures and environment, (ii) proper segregation of
duties and multiple level of reviews and (iii) sufficient process, systems and access to technical accounting resources to enable appropriate
accounting for and reporting on complex and/or non-routine debt and equity financing transactions including accounting for derivatives,
convertible debt, preferred stock. We also have not developed and effectively communicated our accounting policies and procedures
to our employees, which has resulted in inconsistent practices. We are undertaking remedial measures, which measures will take time to
implement and test, to address these material weaknesses. There can be no assurance that such measures will be sufficient to remedy the
material weaknesses identified or that additional material weaknesses or other control or significant deficiencies will not be identified
in the future. If we continue to experience material weaknesses in our internal controls or fail to maintain or implement required new
or improved controls, such circumstances could cause us to fail to meet our periodic reporting obligations or result in material misstatements
in our financial statements, or adversely affect the results of periodic management evaluations and, if required, annual auditor attestation
reports. Each of the foregoing results could cause investors to lose confidence in our reported financial information and lead to a decline
in our stock price.
Collection of receivables from third-party payors
and patients is critical to our operating performance. Our primary collection risks relate to uninsured patients and the portion of the
bill that is the patient’s responsibility, which primarily includes co-payments and deductibles. We determine the transaction price
based on established billing rates reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured
patients and implicit price concessions. Contractual adjustments and discounts are based on contractual agreements, discount policies
and historical experience. Implicit price concessions are based on historical collection experience. Significant changes in business office
operations, payor mix, economic conditions, or trends in federal and state governmental health coverage could affect our collection of
accounts receivable, cash flow and results of operations. If we experience unexpected increases in the growth of uninsured and underinsured
patients or in badcredit debt expenses,losses, our results of operations will be harmed.
Billing for healthcare services is an important
but complex aspect of our business. In particular, the current practice of providing physician services in advance of payment or, in some
cases, irrespective of the patient’s ability to pay for such services, may have significant negative impact on our net revenue,
badcredit debt expenselosses and cash flow. We bill numerous and varied payors, such as bodily injury policies, general liability policies, and personal
injury protection policies, self-pay patients, managed care payors and Medicare and Medicaid. These different payors typically have different
billing requirements that must be satisfied prior to receiving payment for services rendered. Reimbursement is typically conditioned on
our documenting medical necessity, the appropriate level of service and correctly applying diagnosis codes. Incorrect or incomplete documentation
and billing information could result in non-payment for services rendered.
To the extent that the complexity associated with
billing for healthcare services we provide causes delays in our cash collections, we may experience increased carrying costs associated
with the aging of our accounts receivable as well as increased potential for badcredit debt expense.losses.
Natural disasters, unusually adverse weather conditions or pandemic outbreaks could cause permanent or temporary facility closures or cause patient traffic to decline, all of which could result in lost revenue and otherwise adversely affect our financial performance.
The occurrence of one or more natural disasters, such as hurricanes, fires or floods, unusually adverse weather conditions, pandemic outbreaks, terrorist acts, or similar disruptions could adversely affect our operations and financial performance. For instance, our operations were severely impacted by the COVID-19 pandemic and several of our facilities were temporarily closed due to hurricanes in 2024. To the extent these events result in the closure of one or more of our facilities, our operations and financial performance could be materially adversely affected through lost revenue. In addition, these events could result in the temporary lack of an adequate work force in a facility or the temporary or long-term disruption in the supply of materials from suppliers. These events also could have indirect consequences, such as increases in the cost of insurance, if they were to result in significant loss of property or other insurable damage.
Among these laws are the federal False Claims
Act, the Health Insurance Portability and Accountability Act of 1996, or HIPAA and the federal anti-kickback statute and the provision
of the Social Security Act commonly known as the “Stark Law.”
These laws, and particularly the anti-kickback statute and the
Stark Law, impact the relationships that we may have with physicians and
other referral sources. We have a variety of financial relationships
with physicians who refer patients to our facilities. The Office
of the Inspector General of the Department of Health and Human Services,
or OIG, has enacted safe harbor regulations that outline practices
that are deemed protected from prosecution under the anti-kickback
statute. A number of our current arrangements, including financial
relationships with physicians and other referral sources, may not qualify
for safe harbor protection under the anti-kickback statute.
Failure to meet a safe harbor does not mean that the arrangement necessarily
violates the anti-kickback statute but may subject the arrangement
to greater scrutiny. We cannot assure you that practices that are outside
of a safe harbor will not be found to violate the anti-kickback
statute. The CMSCenters for Medicare and Medicaid Services published
a Medicare self-referral disclosure protocol, which is intended to allow providers to self-disclose actual
or potential violations of
the Stark Law. Because there are only a few judicial decisions interpreting the Stark Law, there can be no
assurance that our facilities
will not be found in violation of the Stark Law or that self-disclosure of a potential violation would result
in reduced penalties.
State efforts to regulate the construction
or expansion of health carehealthcare facilities could impair our ability to expand.
Many states, including Florida, have enacted CONcertificates
of need, or CON, laws as a condition prior to capital expenditures, construction, expansion, modernization, or initiation of major new
services. Failure
to obtain necessary state approval can result in our inability to complete an acquisition, expansion or replacement,
the imposition of
civil or, in some cases, criminal sanctions, the inability to receive Medicare or Medicaid reimbursement or the revocation
of a facility’s
license, which could harm our business. In addition, significant CON reforms have been proposed in a number of states
that would increase
the capital spending thresholds and provide exemptions of various services from review requirements. In the past,
we have not experienced
any material adverse effects from those requirements, but we cannot predict the impact of these changes upon our
operations.
Demand for properties similar to thosethat owned by
us is subject to fluctuations that are often due to factors outside our control. We are not able to predict the course of the real estate
markets or whether the current favorable trends in those markets can, or will, continue. In the event of an economic downturn, our results
of operations may be adversely affected, and we may incur significant impairments and other write-offs and substantial losses from this
business.
Adverse weather conditions, natural disasters,
and other unforeseen and/or unplanned conditions could disrupthave serious impacts on our ability to develop and market or sell our real estate developments.
asset.
Adverse weather conditions and natural disasters,
such as hurricanes, tornadoes, earthquakes, floods, droughts, and fires, could have serious impacts on our ability to develop and market
or sell our real estate assets.asset. PropertiesOur property may also be affected by unforeseen planning, engineering, environmental, or geological conditions
or or
problems, including conditions or problems which arise on third party properties adjacent to or in the vicinity of propertiesthe whichproperty we
own,
and which may result in unfavorable impacts on our properties.property. Any adverse event or circumstance could cause a delay in, prevent the
completion completion
of, or increase the cost of, onethe development or moresale of our properties expected to be developed and brought to market by us,property, thereby resulting in
a negative impact on our operations
and financial results.results..
If the market value of our real estate investmentsinvestment
decreases, our results of operations will also likely decrease.
The market value of our real estate assetsasset will
depend on market conditions. If local and/or global economic conditions deteriorate, or if the demand for our propertiesproperty decreases, we may
may not be able to make a profit on such property. As a result of declining economic conditions, we may experience lower than anticipated
profits and/or may not be able to recover our costs of a project when a property is brought to market.costs.
Changes in tax laws, taxes or fees may increase
the cost of development,development andor suchsale changes could adversely impactof our finances and operational results.property.
Any increase or change in suchtax laws, taxes, or
fees, including real estate property taxes, could increase the cost of development and thus have an adverse effect on our operations.
Such changes could also negatively impact potential and/or actual users and purchasers of our propertiesproperty because potential buyers may factor
factor such changes into their decisions to utilize or purchase a property.
The real estate industry is highly competitive
and if other property developers are more successful or offer better value to customers, our business could suffer.
The real estate industry is highly competitive,
regardless of locale. Competitors range from small local companies to large international conglomerates with financial resources much
greater than those of our company. We have to compete for raw materials, construction components, financing, environmental resources,
utilities, infrastructure, labor, skilled management, governmental permits and licensing and other factors critical to the successful
development of our real estate assets. We compete against both new and existing developments and developers. Any increase in or change
to any competitive factor could result in our inability to begin development of our real estate assets in a timely manner and/or increase
costs for the design, development, and completion. As a result, we may experience decreased profits due to these factors, impacting our
operations and our overall financial results.
We may incur environmental liabilities with
respect to our real estate assets.asset.
Our propertiesproperty areis subject to a variety of local,
state, and federal statutes, ordinances, rules and regulations concerning the protection of health and the environment. Environmental
laws may result in delays, may cause us to incur substantial compliance and other costs and may prohibit or severely restrict development.
Furthermore, under various federal, state, and local laws, ordinances and regulations, an owner of real property may be liable for the
costs or removal or remediation of certain hazardous or toxic substances on or in such property. Such laws often impose such liability
without regard to whether we knew of, or were responsible for, the presence of such hazardous or toxic substances. The cost of any required
remediation and our liability therefor as to our propertiesproperty are generally not limited under such laws and could exceed the value of the
property and/or the aggregate assets of our company. The presence of such substances, or the failure to properly remediate contamination
from such substances, may adversely affect our ability to sell real estate or to borrow using such property as collateral.
Our co-venture partners or other partners
in co-ownership arrangements could take actions that decrease the value of our real estate assets.
The development of our real estate assets could
involve joint ventures or other co-ownership arrangements with third parties. Such relationships may involve risks, including, for example:
Any of the above might subject our real estate assets to liabilities
in excess of those contemplated and thus reduce our returns on our investment.
The nature of our activities could expose us to
to potential liability for personal injuries and, in certain instances, property damage claims. For instance, there are types of losses,
losses, generally catastrophic in nature, such as losses due to wars, acts of terrorism, earthquakes, pollution, environmental
matters, or extreme
weather conditions such as hurricanes, floods, and snowstorms that are uninsurable or not economically
insurable, or may be insured subject
to limitations, such as large deductibles or co-payments. We may not carry all the usual and
customary insurance policies which would
be carried by a similarly-positioned company, and we may not be carrying those
insurance policies in amounts and types sufficient
to cover every risk which may be encountered by our company. Insurance risks
associated with potential terrorist acts could sharply increase
the premiums we will pay for coverage against property and casualty
claims. We cannot assure you that we will have adequate coverage for
all losses. If any of our propertiesproperty incurincurs a casualty loss that
is not fully covered by insurance, the value of our assets will be reduced
by the amount of any such uninsured loss. In addition,
other than the capital reserve or other reserves we may establish, we do not expect
to have any contingent sources of funding in
place to repair or reconstruct any uninsured damaged property, and we cannot assure you that
any such sources of funding will be
available to us for such purposes in the future. Also, to the extent we must pay unexpectedly large
amounts for insurance, we could
suffer reduced earnings that would result in a decreased value attributed to our publicly traded stock.
Our common stock is eligible for quotation
on the PinkOTCQB Market, which may have an unfavorable impact on our stock price and liquidity.
Our common stock is eligible for quotation on
the PinkOTCQB Market operated by OTC Markets Group Inc. The PinkOTCQB Market is a regulated quotation service that displays real-time quotes,
last last
sale prices and volume information in over-the-counter securities. The PinkOTCQB Market is not an issuer listing service, market, or
exchange. exchange.
The requirements for quotation on the Pink Market are considerably lower and less regulated than those of an exchange. Because
of this,
it is possible that fewer brokers or dealers will be interested in making a market in our common stock because the market for
such securities
is more limited, the stocks are more volatile, and the risk to investors is greater, which may impact the liquidity of
our common stock.
Even if an active market begins to develop in our common stock, the quotation of our common stock on the PinkOTCQB Market
may result in a less
liquid market available for existing and potential stockholders to trade common stock, could depress the trading
price of our common stock
and could have a long-term adverse impact on our ability to raise capital in the future. If an active market
is never developed for our
common stock, it will be difficult or impossible for you to sell any common stock you purchase.
The market price of our common stock may be highly volatile, and you could lose all or part of your investment.
The market for our common stock may be characterized by significant price volatility when compared to the shares of larger, more established companies that have large public floats, and we expect that our stock price will be more volatile than the shares of such larger, more established companies for the indefinite future, which volatility may be unrelated to our actual or expected operating performance and financial condition or prospects, making it difficult for prospective investors to assess the rapidly changing value of our common stock.
Our common stock may be subject to significant
price volatility which may have an adverse effect on your ability to liquidate your investment in our common stock.
The market forprice of our common stock mayis likely
to be characterized
by significant price volatility when compared to seasoned issuers, and we expect that our stock price will be more volatile than a seasoned
issuer for the indefinite future. The potential volatility in our stock price is attributabledue to a number of factors. First, as noted above, our common
stock mayis likely to be more sporadically and/or thinly traded.traded
compared Asto athe consequenceshares of thissuch lacklarger, ofmore liquidity,established the trading of relatively small quantities
of shares by our stockholders may disproportionately influence the price of those shares in either direction.companies. The price for our common
stock could, for example, decline precipitously
in ifthe event that a large number of our shares of common stock areis sold on the market without commensurate
demand, as compared to a seasoned issuer that could better absorb those sales without adverse impact on its stock price.demand. Secondly, an
investmentwe in us isare a speculative or “risky”
investment due to our lack of meaningful profits to date and uncertainty of future
profits. As a consequence of this enhanced risk, more risk-adverse investors may, under the fear of losing
all or most of their investment
in the event of negative news or lack of progress, be more inclined to sell their shares on the market
more quickly and at greater discounts
than would be the case with the stock of a seasonedlarger, issuer.more established company that has a large public
float. Many of these factors are beyond our control and may decrease the market price of our common stock regardless of our operating
performance. The market price of our common stock could also be subject to wide fluctuations in response to a broad and diverse range
of factors, including the following:
OurTwo officers and directorsstockholders own a significant percentage
percentage of our outstanding voting securities which could reduce the ability of minority stockholders to effect certain corporate actions.
OurTwo executivestockholders, officersincluding our Chief Executive
Officer and directorsour former Chairman, are collectively
able to exercise approximately 84.69%74% of our total voting power. As a result, they will
possess significant influence and can elect a majority
of our board of directors and authorize or prevent proposed significant corporate
transactions without the votes of any other stockholders.
They are expected to have significant influence over a decisiondecisions to enter into any
corporate transactiontransactions and have the ability to prevent
any transaction that requires the approval of stockholders, regardless of whether
or not our other stockholders believe that such transaction
is in our best interests. Such concentration of voting power could have the
effect of delaying, deterring, or preventing a change of control
or other business combination, which could, in turn, have an adverse
effect on the market price of our common stock or prevent our stockholder
from realizing a premium over the then-prevailing market price
for their common stock.
Future issuances of our common stock or securities
convertible into, or exercisable or exchangeable for, our common stock, orcould theresult expirationin ofsignificant lock-upmarket agreementsvolatility that restrict the issuance
of new common stock or the trading of outstanding common stock,and could cause
the market price of our common stock to decline. We cannot
predict the effect, if any, of future issuances of our securities, or the future expirations of lock-up agreements,securities on the price
of our
common stock. In all events, future issuances of our common stock would result in the dilution of your holdings. In addition, the
perception perception
that new issuances of our securities could occur could adversely affect the market price of our common stock.
All of the outstanding common stock held by the
present officers, directors, and affiliate stockholders are “restricted securities” within the meaning of Rule 144 under the
Securities Act. As restricted shares, these shares may be resold only pursuant to an effective registration statement or under the requirements
of Rule 144 or other applicable exemptions from registration under the Securities Act and as required under applicable state securities
laws. Rule 144 provides in essence that a person who is an affiliate or officer or director who has held restricted securities for six
months may, under certain conditions, sell every three months, in brokerage transactions, a number of shares that does not exceed the
greater of 1.0% of a company’s outstanding shares of common stock.shares. There is no limitation on the amount of restricted securities
that may
be sold by a non-affiliate after the owner has held the restricted securities for a period of six months if our company is a current,
current reporting company under the Exchange Act. A sale under Rule 144 or under any other exemption from the Securities Act, if available, or
or pursuant to subsequent registration of common stock of present stockholders, may have a depressive effect upon the price of our common
stock in any market that may develop.
In the future, we may attempt to increase our
capital resources by offering debt securities. Upon bankruptcy or liquidation, holders of our debt securities, and lenders with respect
to other borrowings we may make, would receive distributions of our available assets prior to any distributions being made to holders
of our common stock. Moreover, if we issue preferred stock, the holders of such preferred stock could be entitled to preferences over
holders of common stock in respect of the payment of dividends and the payment of liquidating distributions. Because our decision to issue
debt or preferred stock in any future offering, or borrow money from lenders, will depend in part on market conditions and other factors
beyond our control, we cannot predict or estimate the amount, timing,timing or nature of any such future offerings or borrowings. Holders of
our common stock must bear the risk that any future offerings we conduct or borrowings we make may adversely affect the level of return,
if any, they may be able to achieve from an investment in our common stock.
The SEC has adopted rules that regulate broker-dealer
practices in connection with transactions in penny stocks. Penny stocks are generally equity securities with a price of less than $5.00,
other than securities registered on certain national securities exchanges or authorized for quotation on certain automated quotation systems,
provided that current price and volume information with respect to transactions in such securities is provided by the exchange or system.
If we do not obtain a listing on a national securities exchange and if the price of our common stock is less than $5.00, our common stock
could be deemed a penny stock. The penny stock rules require a broker-dealer, before a transaction in a penny stock not otherwise exempt
from those rules, to deliver
a standardized risk disclosure document containing specified information. In addition, the penny stock rules
require that before effecting
any transaction in a penny stock not otherwise exempt from those rules, a broker-dealer must make a special
written determination that
the penny stock is a suitable investment for the purchaser and receive (i) the purchaser’s written acknowledgment
of the receipt
of a risk disclosure statement; (ii) a written agreement to transactions involving penny stocks; and (iii) a signed and
dated copy of
a written suitability statement. These disclosure requirements may have the effect of reducing the trading activity in the
secondary market
for our common stock, and therefore stockholders may have difficulty selling their shares.
As a smaller reporting company, we will not be
required to, and may notnot, include a compensation discussion and analysis section in our proxy statements and we will provide only two
years years
of financial statements. We also will have other “scaled” disclosure requirements that are less comprehensive than issuers
that are not smaller reporting companies.
In addition, our authorized but unissued shares
of common stock are available for our board of directors to issue without stockholder approval. We may use these additional shares for
a variety of corporate purposes, including raising additional capital, corporate acquisitions,acquisitions and employee stock plans. The existence
of our authorized but unissued shares of common stock could render it more difficult or discourage an attempt to obtain control of our
company by means of a proxy context, tender offer, merger,merger or other transaction since our board of directors can issue large amounts of
capital stock as part of a defense to a take-over challenge. In addition, we have authorized in our amended and restated articles of incorporation
50,000,000 shares of preferred stock. Our board acting alone and without approval of our stockholders can designate and issue one or more
series of preferred stock containing super-voting provisions, enhanced economic rights, rights to elect directors, or other dilutive features,
that could be utilized as part of a defense to a take-over challenge.
In addition, various provisions of our amended
and restated bylaws may also have an anti-takeover effect. These provisions may delay, defer,defer or prevent a tender offer or takeover attempt
of our company that a stockholder might consider in his or her best interest, including attempts that might result in a premium over the
market price for the shares held by our stockholders. Our amended and restated bylaws may be adopted, amended,amended or repealed only by our
board of directors. Our amended and restated bylaws also contain limitations as to who may call special meetings as well as require advance
notice of stockholder matters to be brought at a meeting. Additionally, our amended and restated bylaws also provide that no director
may be removed by less than a two-thirds vote of the issued and outstanding shares entitled to vote on the removal. Our amended and restated
bylaws also permit the board of directors to establish the number of directors and fill any vacancies and newly created directorships.
These provisions will prevent a stockholder from increasing the size of our board of directors and gaining control of our board of directors
by filling the resulting vacancies with its own nominees.
Our amended and restated bylaws also establish
an advance notice procedure for stockholder proposals to be brought before an annual meeting of our stockholders, including proposed nominations
of persons for election to the board of directors. Stockholders at an annual meeting will only be able to consider proposals or nominations
specified in the notice of meeting or brought before the meeting by or at the direction of the board of directors or by a stockholder
who was a stockholder of record on the record date for the meeting, who is entitled to vote at the meeting and who has given us timely
written notice, in proper form, of the stockholder’sstockholders’ intention to bring that business before the meeting. Although our amended and
restated bylaws do not give the board of directors the power to approve or disapprove stockholder nominations of candidates or proposals
regarding other business to be conducted at a special or annual meeting, our amended and restated bylaws may have the effect of precluding
the conduct of certain business at a meeting if the proper procedures are not followed or may discourage or deter a potential acquirer
from conducting a solicitation of proxies to elect its own slate of directors or otherwise attempting to obtain control of our company.
An investment in our company may involve tax implications, and you are encouraged to consult your own advisors as neither we nor any related party is offering any tax assurances or guidance regarding our company or your investment.
An investment in our company generally involves complex federal, state and local income tax considerations. Neither the Internal Revenue Service nor any State or local taxing authority has reviewed the transactions described herein and may take different positions than the ones contemplated by management. You are strongly urged to consult your own tax and other advisors prior to investing, as neither we nor any of our officers, directors or related parties is offering you tax or similar advice, nor are any such persons making any representations and warrants regarding such matters.
Unanticipated changes in effective tax rates or adverse outcomes resulting from examination of our income or other tax returns could adversely affect our financial condition and results of operations.
We will be subject to income taxes in the United States, and our domestic tax liabilities will be subject to the allocation of expenses in differing jurisdictions. Our future effective tax rates could be subject to volatility or adversely affected by a number of factors, including:
In addition, we may be subject to audits of our income, sales and other transaction taxes by federal, state and local authorities. Outcomes from these audits could have an adverse effect on our financial condition and results of operations.
Management's Discussion & Analysis (MD&A)
New heading “Recent Developments”
New heading “Conversion of Deferred Compensation”
New heading “Compensation Resolution Agreement”
New heading “Amendment to Series N Certificate of Designation”
New heading “Impact of Recent Developments on Stockholders’ Equity”
New heading “Operating Activities”
New heading “Investing Activities”
New heading “Financing Activities”
Largest changes
Goodwill. Goodwill is not amortized but is evaluated for impairment annually or when indicators of a potential impairment are present. We review goodwill for impairment on a reporting unit basis annually and whenever events or changes in circumstances indicate the carrying value of goodwill may not be recoverable. Goodwill is tested first for impairment based on qualitative factors on an annual basis or in between if an event occurs or circumstances change that indicate the fair value may be below its carrying amount, otherwise known as a ‘triggering event’. An assessment is made of these qualitative factors to determine whether it is more likely than not the fair value is less than the carry amount, including goodwill. The annual evaluation for impairment of goodwill, if needed, is based on valuation models that incorporate assumptions and internal projections of expected future cash flows and operating plans. We believe such assumptions are also comparable to those that would be used by other marketplace participants. For the years ended December 31,see in full comparison20242025 and2023,2024, we determined there to be no impairment. We based this decision on impairment testing of the underlying assets, expected cash flows, decreased asset value and other factors. The restatement of our previously issued consolidated financial statements, which corrects the classification of noncash interest expense in the consolidated statements of cash flows from financing activities to operating activities, did not constitute a ‘triggering event’ under our impairment assessment procedures, as it did not reflect a change in our operations, market conditions, or other circumstances that could indicate the fair value of goodwill may be below its carrying amount. Furthermore, even if a quantitative analysis had been performed, the correction would not have impacted the valuation models’ key inputs, including assumptions and internal projections of expected future cash flows and operating plans. Accordingly, the restatement had no effect on our goodwill impairment conclusion.
“These convertible promissory notes accrue interest at a rate of twelve percent (12%) per annum, payable in shares of common stock, cash or a combination thereof at our option quarterly commencing on April 1, 2026, with all principal and accrued interest being due and payable five (5) years after issuance. If a quarterly interest payment is paid in shares of common stock, then the interest rate used in connection with such issuance shall be fifteen percent (15%) per annum. We may prepay the principal and accrued interest at any time without penalty upon fifteen (15) days’ notice. …”see in full comparison
“In December 2025, we entered into loan agreements with two accredited investors, pursuant to which we issued to such investors (i) convertible promissory notes in the aggregate principal amount of $200,000, (ii) warrants for the purchase of an aggregate of 66,667 shares of common stock and (iii) 6,667 shares of common stock for total gross and net proceeds of $200,000. …”see in full comparison
On January 24, 2017, we issued a convertible promissorysee in full comparisonpromissorynote in the principal amount of $80,000 for services rendered, the remaining balance of whichmaturedwas converted into common stock onJanuaryAugust 26,24, 2018. This note is currently in default and accrues interest at a default interest rate of 20% per annum.2025. On March 30,2023, we executed an additional tranche under this note in the principal amount of $25,000. This note is currently in default and accrues interest at a default interest rate of 20% per annum. On August 11,2023, we executed an additional tranche under this note in the principal amount of $25,000. This note is currently in default and accrues interest at a default interest rate of 20% per annum. On August 11, 2023, we executed an additional tranche under this note in the principal amount of $25,000. This note accrues interest at a rate of 15% per annum. As of December 31, 2025, the outstanding balance of these notes is $50,000 and they have accrued interest of $23,370.
Valuation of Long-Lived Assets. In accordance with the provisions of ASC Topicsee in full comparison360-10-5,360-10-35, “Impairment or Disposal of Long-LivedAssetsAssets,”,all long-lived assets such as plant and equipment and construction in progress held and used by us are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is evaluated by a comparison of the carrying amount of assets to estimated cash flows expected to be generated by the assets. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amounts of the assets exceed the fair value of the assets. The restatement of our previously issued consolidated financial statements, which corrects the classification of noncash interest expense in the consolidated statements of cash flows from financing activities to operating activities, did not constitute an event or change in circumstances under ASC 360 that would trigger a recoverability test, and did not alter the estimated cash flows used in such an assessment.
Cost of sales. Our cost of sales consists of surgical center and laboratory fees, physician and professional fees, salaries and wages and medical supplies. Our total cost of sales increased bysee in full comparison$281,004,$487,702, or7.89%,12.70%, to $4,329,330 for the year ended December 31, 2025 from $3,841,628 for the year ended December 31, 2024. As a percentage of revenue, cost of sales decreased from 46.45% for the year ended December 31, 2024 to 37.53% for the year ended December 31, 2025. Excluding the reductions to revenue of $1,650,474 and $1,005,764 noted above, as a percentage of revenue, cost of sales increased from$3,560,62435.16% for the year ended December 31,2023.2024Suchto 37.53% for the year ended December 31, 2025. The increasewasisprimarily dueattributable to an increase inoverallrevenueincreasesas noted above, offset by a corresponding increase inhealthcarelaboratorycostsfees andspecificallypersonnel-relatedcosts related to surgical procedures performed due to technology advancements, inflation, and materials and wage increases.fees.
Full comparison: every changed paragraph (64)
Our company is a targeted healthcare holding company dedicated to acquiring and building middle-market niche healthcare clinics, primarily in orthopedics, spine care, and pain management. Our partnership-driven culture emphasizes service excellence, teamwork, accountability, and performance.
We are focused on the acquisition of orthopedic and related modality practices with strong organic growth plans that are materially cash generative to maximize value and providing greater coverage for our patients, and diversification and risk mitigation for our stockholders.
We are an acquisition holding company focused
on locating undervalued and undercapitalized companies, primarily in the healthcare industry, and providing them capitalization and leadership
to maximize the value and potential of their private enterprises while also providing diversification and risk mitigation for our stockholders.
Specifically, we have and will continue to look at a diverse variety of acquisitions in the healthcare sector in terms of growth stages
and capital structures and we intend to focus our portfolio of subsidiaries approximately as follows: 80% will be targeted to established
profitable niche small to mid-sized healthcare companies and 20% will be targeted to second stage startups in healthcare and related financial
services (emerging businesses with a strong organic growth plan that is materially cash generative).
OnAll current revenue is derived from Nova, which
was acquired on May 31, 2021,2021. we acquired Nova, whichIt operates
a group of regional primary specialty and ancillary care facilities throughoutacross Florida and Georgia
that provide traumatic injury victims with primary
care evaluations, interventional pain management, and specialty consultation services.services,
including EMC assessments. We currently primarily focus on plaintiff relatedplaintiff-related care areand provide healthcare to uninsured patients. Our patients
have typically been in an accident and have filed a highlylawsuit as a plaintiff against the defendant who is allegedly responsible for the
efficientaccident provideras the result of EMCnegligence assessments.or another tort. We provide a full range of diagnostic and surgical services for injuries and disorders
of the skeletal
system and associated bones, joints, tendons, muscles, ligaments, and nerves. From sports injuries, to sprains, strains,
and fractures,
our doctors are dedicated to helping patients return to active lifestyles.
We also own a real estate company, Edge View,
which we acquired on July 16, 2014. Edge View owns five (5) acres zoned medium density residential (MDR) with 12 lots already platted,
six (6) acres zoned high-density residential (HDR) that can be platted in various configurations to meet current housing needs, and twelve
twelve (12) acres zoned in Lemhi County as Agriculture that is available for further annexation into the City of Salmon for development,
as well
as a common area for landowners to view wildlife, provide access to the Salmon River and fishing in a two (2) acre pond. Management does
hasnot investedcurrently yearshave workingany plans to develop athis newproperty and exciting housing development in Salmon, Idaho and plansexpects to entereventually intosell athe joint venture
agreement with a developer for this planned concept development.property.
Recent Developments
Bridge Loan
In December 2025 and January 2026, we entered into loan agreements with two accredited investors, pursuant to which we issued to such investors (i) convertible promissory notes in the aggregate principal amount of $80,000, which also provide for a second tranche of up to an additional $80,000 upon the mutual agreement of the parties, all of which were issued in January 2026, (ii) warrants for the purchase of an aggregate of 73,334 shares of common stock, of which 33,334 were issued in December 2025 and 40,000 were issued in January 2026, and (iii) 36,667 shares of common stock, all of which were issued in January 2026, for total gross proceeds of $80,000 and net proceeds of approximately $269,500, all of which were received in January 2026.
These convertible promissory notes accrue interest at a rate of twelve percent (12%) per annum, payable in shares of common stock, cash or a combination thereof at our option quarterly commencing on April 1, 2026, with all principal and accrued interest being due and payable five (5) years after issuance. If a quarterly interest payment is paid in shares of common stock, then the interest rate used in connection with such issuance shall be fifteen percent (15%) per annum. We may prepay the principal and accrued interest at any time without penalty upon fifteen (15) days’ notice. In addition, if we complete a financing of at least $2.5 million, then, if requested by a holder, we must repay the remaining principal and interest from the proceeds of such financing. These convertible promissory notes are unsecured and contain customary events of default for a loan of this type. These convertible promissory notes are convertible into shares of common stock at a conversion price of $0.825 (subject to standard adjustments in the event of any stock splits, stock combinations, dividends paid in common stock, stock reclassifications or similar transactions). In addition, these convertible promissory note provide that if the closing price of our common stock on the sixth (6th) month anniversary of the issuance date is less than the conversion price then in effect, then the conversion price shall be adjusted to such lower price, and also provide that if we issue any shares of common stock, or securities convertible into common stock, at a price that is less than the conversion price then in effect, then the conversion price shall be adjusted to such lower price, subject to certain exceptions.
All of the warrants may be exercised for a period of three years at an exercise price of $9.00 (subject to standard adjustments in the event of any stock splits, stock combinations, dividends paid in common stock, stock reclassifications, mergers, consolidations, reorganizations or similar transactions) and may be exercised on a cashless basis if there is no effective registration statement covering the shares of common stock issuable upon the exercise of the warrants.
All of the convertible promissory notes and warrants contain ownership limitations, which provide that we shall not effect any conversion or exercise, and a holder shall not have the right to convert or exercise any portion of a note or a warrant, to the extent that after giving effect to the issuance of common stock upon such conversion or exercise, such holder, together with its affiliates, would beneficially own in excess of 4.99% of the number of shares of common stock outstanding immediately after giving effect to the issuance of common stock upon such conversion or exercise. This limitation may be waived, up to a maximum of 9.99%, by a holder upon not less than sixty-one (61) days’ prior notice to us.
Conversion of Deferred Compensation
On January 29, 2026, we entered into a conversion agreement with Alex Cunningham, our Chief Executive Officer, pursuant to which deferred compensation in the amount of $2,365,242 owed to Mr. Cunningham was cancelled in exchange for 556,528 shares of common stock, of which the conversion was valued as of January 28, 2026.
On March 6, 2026, we entered into a conversion agreement with Daniel Thompson, our former Chairman of the Board, pursuant to which deferred compensation in the amount of $2,352,994 owed to Mr. Thompson was cancelled in exchange for 588,249 shares of common stock, of which the conversion was valued as of March 4, 2026.
Compensation Resolution Agreement
On March 6, 2026, we entered into a lock-up and compensation resolution agreement with Daniel Thompson, our former Chairman of the Board, to resolve outstanding accrued compensation obligations. Under the agreement, we issued an unsecured promissory note in the principal amount of $116,666.66 bearing interest at 10% annually, payable interest-only in year one and 50% principal in each of years two and three, with all amounts due within three years. The agreement also required Mr. Thompson to execute a lock-up agreement in connection with our planned public offering.
Amendment to Series N Certificate of Designation
On January 29, 2026, we filed a certificate of amendment to the certificate of designation for our series N senior convertible preferred stock with the Nevada Secretary of State’s Office to amend the certificate of designation to remove the redemption provisions, which previously provided for an optional redemption by us and a mandatory redemption at the option of the holder in certain circumstances.
Impact of Recent Developments on Stockholders’ Equity
Our capital structure changed materially after the balance-sheet date as a result of the aforementioned transactions. On a pro forma basis as of December 31, 2025, after giving effect to these transactions, our stockholders’ equity would have been approximately $6,018,864. The impact on stockholder’s equity from the bridge loan transactions was $58,934, the conversions of deferred compensation by Mr. Cunningham $2,274,587 and Mr. Thompson $2,352,994, respectively, and the removal of the redemption provisions from the series N senior convertible preferred stock was $3,802,010.
On November 10, 2023, we sold our financial services
(tax resolution) business, Platinum Tax Defenders, or Platinum Tax, that we acquired on July 31, 2018, which
was a full-service tax resolution
firm located in Los Angeles, California. Through this subsidiarysubsidiary, we provided fee-based tax resolution
services to individuals and companies
that have federal and state tax liabilities by assisting clients to settle outstanding tax debts.
As part of the asset purchase agreement
between us and the purchaser, the assets that were purchased included substantially all assets,
rights, interests, and licenses, except
for bank accounts in place prior to the sale, for the purchase consideration of 15% of cash collected
by the purchaser within one year
following the sale date.
Revenue. For the years ended December 31, 2025 and 2024, all our revenue was generated by our healthcare segment, which generates revenue through a full range of diagnostic and surgical services. Our total revenue increased by $3,265,451, or 39.48%, to $11,535,577 for the year ended December 31, 2025 from $8,270,126 for the year ended December 31, 2024. Excluding the cumulative catch up reduction to revenue of $1,005,764 and the one-time change in accounting estimate of $1,650,474 (both discussed below), revenue increased by $609,213, or 5.58%. The increase in revenue is driven by an increase in both patient office visits and a shift to more complex higher-value surgical procedures performed on patients year over year. For the year ended December 31, 2025, these office visits and surgical procedures were provided to approximately 270 - 375 patients per month on average at eleven facilities, an increase over the year ended December 31, 2024, where we provided services to approximately 250 – 325 patients per month on average at twelve facilities.
For the year ended December 31, 2024, we realized a 44% average settlement rate of our gross billed charges during this time frame, which were historically recorded in accounts receivable and revenue at 49% of gross billings. Accordingly, we recorded reductions to net revenue of $1,005,764 for the year ended December 31, 2024. Additionally, with the reduction in our estimate of our settlement realization rate from 49% to 44%, a $1,650,474 change in accounting estimate was taken during the third quarter of 2024 in our accounts receivable and revenue. For the year ended December 31, 2025, we realized a 41% average settlement rate.
Revenue. For the years ended December
31, 2024 and 2023, all of our revenue was generated by our healthcare segment, which generates revenue through a full range of diagnostic
and surgical services. Our total revenue decreased by $3,583,140, or 30.23%, to $8,270,126 for the year ended December 31, 2024 from $11,853,266
for the year ended December 31, 2023. The decrease in revenue is mainly attributable to the following factors:
Cost of sales. Our cost of sales
consists of surgical center and laboratory fees, physician and professional fees, salaries and wages and medical supplies. Our total cost
of sales increased by $281,004,$487,702, or 7.89%,12.70%, to $4,329,330 for the year ended December 31, 2025 from $3,841,628 for the year ended December
31, 2024. As a percentage of revenue, cost of sales decreased from 46.45% for the year ended December 31, 2024 to 37.53% for the year
ended December 31, 2025. Excluding the reductions to revenue of $1,650,474 and $1,005,764 noted above, as a percentage of revenue, cost
of sales increased from $3,560,62435.16% for the year ended December
31, 2023.2024 Suchto 37.53% for the year ended December 31, 2025. The increase wasis primarily due attributable
to an increase in overallrevenue increasesas noted above, offset by a corresponding increase in healthcarelaboratory costsfees and specificallypersonnel-related costs related to surgical
procedures performed due to technology advancements, inflation, and materials and wage increases.fees.
Gross profit. As a result of the
foregoing, our total gross profit decreasedincreased by $3,864,144,$2,777,749, or 46.60%,62.72%, to $4,428,498$7,206,247 for the year ended December 31, 20242025 from $8,292,642$4,428,498
for the year ended December 31, 2023.2024. Our total gross margin (percent of revenue) decreasedincreased from 69.96% for the year ended December 31,
2023 to 53.55% for the year ended December 31,
2024 2024.to 62.47% for the year ended December 31, 2025.
Depreciation expense. Our depreciation expense was $5,652, or 0.05% of revenue, for the year ended December 31, 2025, as compared to $13,461, or 0.16% of revenue, for the year ended December 31, 2024. The decrease is related to the loss on disposal of fixed assets described below and the related reduction of depreciation expense.
Depreciation expense. Our depreciation
expense was $13,461, or 0.16% of revenue, for the year ended December 31, 2024, as compared to $20,777, or 0.18% of revenue, for the year
ended December 31, 2023. The decrease in depreciation expense was due to certain assets becoming fully depreciated during the year ended
December 31, 2023.
Share based compensation. Our share
based compensation expense was $544,725, or 6.59% of revenue, for the year ended December 31, 2024, as compared to $0, for the year ended
December 31, 2023. Share based compensation expense in 2024 consisted of expense related to the issuance of common stock to our board
of directors, officers and employees as well as our investor relations firm for services provided.
Selling, general and administrative expenses.
Our selling, general and administrative expenses consist primarily of accounting, auditing, legal and public reporting expenses, personnel
expenses, including employee salaries and bonuses plus related payroll taxes, advertising expenses, professional advisor fees, bad debts,
rent expense, insurance and other expenses incurred in connection with general operations. Our selling, general and administrative expenses
increased by $986,996, or 32.08%, to $4,063,816 for the year ended December 31, 2024 from $3,076,820 for the year ended December 31, 2023.
As a percentage of revenue, our selling, general and administrative expenses were 49.14% and 25.96% for the years ended December 31, 2024
and 2023, respectively. Increases were primarily attributable to increases in salaries and wages of $714,799, bad debt expense of $133,719,
legal fees of $105,152, public company, filing and investor relations fees of $106,820, and rent expense of 130,331. These increases were
offset by a decrease in accounting fees of $192,900.
Total other expense. We had $2,998,183
in total other expense, net, for the year ended December 31, 2024, as compared to other expense, net, of $2,080,131 for the year ended
December 31, 2023. Other expense, net, for the year ended December 31, 2024 consisted of interest expense of $3,045,504, amortization
of note payable discounts of $24,821, financing penalties and fees of $1,330 and other expense of $5,362, offset by a gain on debt refinance
and forgiveness of $78,834. Other expense, net, for the year ended December 31, 2023 consisted of interest expense of $1,956,266, amortization
of debt discounts of $136,518, financing penalties and fees of $53,000 and other expense of $49,795, offset by a gain on debt refinance
and forgiveness of $115,448. The 55.68% increase in interest expense was primarily attributable to interest associated with the line of
credit described below.
DiscontinuedLoss operations.on disposal of fixed assets.
For
the year ended December 31, 2024,2025, we recordedrecognized a loss fromon discontinued operationsdisposal of $111,312,fixed asassets comparedof to$12,593, $86,520which forresulted from the yearidentification
of ended
Decembercertain 31,medical 2023.equipment that was no longer functional in our medical facilities.
Share based compensation. Our share based compensation expense was $754,475, or 6.54% of revenue, for the year ended December 31, 2025, as compared to $544,725, or 6.59% of revenue, for the year ended December 31, 2024. Share based compensation expense in 2025 and 2024 consisted of expense related to the issuance of common stock to our board of directors, officers and employees, our investor relations firm and other consultants for services provided.
Selling, general and administrative expenses. Our selling, general and administrative expenses consist primarily of accounting, auditing, legal and public reporting expenses, personnel expenses, including employee salaries and bonuses plus related payroll taxes, advertising expenses, professional advisor fees, credit losses, rent expense, insurance and other expenses incurred in connection with general operations. Our selling, general and administrative expenses increased by $1,269,125, or 31.23%, to $5,332,941 for the year ended December 31, 2025 from $4,063,816 for the year ended December 31, 2024. As a percentage of revenue, our selling, general and administrative expenses were 46.23% and 49.14% for the years ended December 31, 2025 and 2024, respectively. Increases were primarily attributable to increases of $1,017,749 in salaries, related bonuses, payroll taxes and payroll fees while headcount remained the same during each period, as well as an increase of $166,138 in professional fees during the year ended December 31, 2025.
Total other expense. We had $6,846,463 in total other expense, net, for the year ended December 31, 2025, as compared to other expense, net, of $2,998,183 for the year ended December 31, 2024. Other expense, net, for the year ended December 31, 2025 consisted of interest expense of $6,822,816, financing penalties and fees of $1,500 and other expense of $22,147. Other expense, net, for the year ended December 31, 2024 consisted of interest expense of $3,045,504, amortization of note payable discounts of $24,821, financing penalties and fees of $1,330 and other expense of $5,362, offset by a gain on debt refinance and forgiveness of $78,834. The 124.03% increase in interest expense was primarily attributable to interest associated with the line of credit described below.
Discontinued operations. For the year ended December 31, 2025, we recorded a gain from discontinued operations of $238,285 and for the year ended December 31, 2024, we recorded a loss from discontinued operations of $111,312. The income from discontinued operations for the year ended December 31, 2025 is due to the final resolution and disposition of remaining claims in connection with Platinum Tax, which were reported as net liabilities from discontinued operations on the consolidated balance sheet as of December 31, 2024. The $111,312 loss from discontinued operations for the year ended December 31, 2024 is a part of the execution of a settlement reached in July 2022 with six previous owners of Red Rock, an entity that was discontinued in May 2019.
Net income (loss).loss. As a result of
the cumulative
effect of the factors described above, our net loss was $5,507,592 for the year ended December 31, 2025, as compared to a net loss of
$3,302,999 for the year ended December 31, 2024, as compared to
a net incomeincrease of $3,028,394 for the year ended December 31, 2023, a net decrease of $6,331,393,$2,204,593, or 209.07%.66.75%.
As of December 31, 2024,2025, we
had $1,188,185$318,535 in cash. To date, we have financed our operations primarily through revenue generated from operations, salesproceeds from
issuance of
securities, advances from stockholders and third-parties and related party debt.
Operating Activities
Our net cash used in operating activities from continuing operations was $2,853,274 for the year ended December 31, 2025, as compared to $2,765,797 for the year ended December 31, 2024. The primary drivers of our net cash used in operating activities for year ended December 31, 2025 are our net loss of $5,507,592, an increase of $6,399,392 in accounts receivable, an increase in officers’ compensation of $512,769, an increase of $459,766 in accounts payable and other accrued expenses, an increase in accrued interest of $367,745 and a $238,285 gain on final resolution and dismissal of remaining liabilities and legal claim of the discontinued operations. These increases were offset by $6,421,521 in interest expense from the line of credit, $754,475 in share based compensation expense, $593,450 in bonus expense and $262,928 in credit losses. The primary drivers of our net cash used in operating activities for year ended December 31, 2024 are our net loss of $3,302,999, increase of $4,545,068 in accounts receivable, and a decrease of $699,559 in accounts payable and other accrued expenses, offset by interest included in the line of credit of $3,092,350, a change in estimate adjustment for the change in realization rate of $1,650,474, share based compensation of $544,725 and credit losses of $266,000.
Our net cash used in operating activities from
continuing operations was $5,858,147 for the year ended December 31, 2024, as compared to $1,807,987 for the year ended December 31, 2023.
The primary drivers of our net cash used in operating activities for year ended December 31, 2024 are our net loss of $3,302,999, increase
of $4,545,068 in accounts receivable, and a decrease of $699,560 in accounts payable and other accrued expenses, offset by a change in
estimate adjustment for the change in realization rate of $1,650,474, share based compensation of $544,725 and bad debt expense of $266,000.
For the year ended December 31, 2023, our net income of $3,028,394, an increase in accrued officers’ compensation of $982,500, an
increase in accrued interest of $486,165, and an increase in accounts payable and accrued expense of $341,261, offset by an increase in
account receivable of $6,833,615 were the primary drivers of our net cash used in operations.
We monitor outstanding patient cases as they develop
through through
ongoing discussions with attorneys, doctors and our third-party medical billing company and additionally monitor our settlement
realization realization
rates over time. We currently have twoone primary methodsmethod of accelerating our cash settlement of our revenue and related accounts receivable. The first
is through factoring our receivables, which was done in 2023, but ended prior to April 2023. The second method isreceivable through accepting lower
settlement amounts during the final negotiations of the settlement, which is coordinated through our
third-party medical billing company.
When our third-party medical billing company is provided with a settlement amount of 49% of gross
charges or greater they will accept.
When presented with a lower amount we will discuss the reasons for the reduced rate and negotiate
a higher rate. Shortening our negotiation
timeframe time frame will typically result in a lower settlement realization rate, but will accelerate
the cash settlement of the outstanding accounts
receivable. We began employing this second method in 2024, which reduced our settlement realization
rate as described below. We have employed
both methods from time to time to accelerate our cash settlement and may employ onethis or bothmethod in the future. The most recent average realization time for accounts receivable was
approximately 12 to 24 months from the initial date of service. Typically, a patient will have a series of dates of service over an average
of 12 to 16 months.
Prior to April 2023, we factored (sold) the vast
majority of our accounts receivable to third party(s) to generate working capital to fund ongoing business operations and growth. For
the year ended December 31, 2023, we factored a total of $544,196 of our accounts receivable in exchange for cash of $253,750. We ceased
factoring of accounts receivable in the first quarter of 2023. The most recent average realization time for accounts receivable was approximately
18 to 24 months from the initial date of service. Typically, a patient will have a series of dates of service over an average of 12 to
16 months.
Prior to fiscal year 2024, we historically realized
a 49% settlement rate from total gross billed charges. Accordingly, we had historically recognized net healthcare service revenue as 49%
of gross billed amounts. During the year ended December 31, 2024, we underwent efforts to accelerate cash settlement of our accounts receivable
to generate cash flow for operations. We did this by shortening our settlement negotiations with insurance companies and accepting lower settlement
settlement amounts. Additionally, during the third quarter of 2024, we completed a thorough review of our third-party billing data, including
reviewing historical reports
and new reporting methods as a part of ourthe updated analysis. Based upon this reviewreview, it was determined that
a 24-month lookback period should be
used in the analysis of our historical settlement realization rates. As a result of the new efforts
to accelerate cash settlementsettlement, and
establishing a periodic lookback analysis, during the year ended December 31, 2024, we realized a 44% average settlement rate of our gross
billed charges
during this time frame, which were historically recorded in accounts receivable and revenue at 49% of gross billings. Accordingly,We we
recorded reductionscontinue to netperiodically
evaluate revenuethis of $1,005,764 for the year ended December 31, 2024. Additionally, with the reduction in our estimate
of ourestimated settlement realization rate fromin 49%accordance with ASC 606. This includes a monthly review of our historical data
and settlement realization rates, along with estimates of current and pending settlements through ongoing discussions with attorneys,
doctors and third-party medical billing company in order to 44%,determine athe $1,650,474variable changeconsideration under ASC 606 and the net transaction
price. During 2025, we continued expanding the historical lookback period to 36 months based on the ongoing expanding data history and
the timeframe in accountingwhich collections have recently been occurring. We update the settlement realization rate estimate wasused takenin duringdetermining
revenue periodically based on these reviews. As of December 31, 2025, the thirdsettlement quarterrealization ofrate 2024at which revenue is recorded was
inat our accounts receivable and revenue.41%.
Investing Activities
Financing Activities
Our net cash provided by financing activities
was $6,068,077$1,983,624 for the year ended December 31, 2024,2025, as compared to $2,369,325$2,975,727 for the year ended December 31, 2023.2024. Net cash provided
by financing activities for the year ended December 31, 20242025 consisted of net proceeds from the line of credit of $6,525,892,$2,142,396 and net proceeds
from convertible notes payable of $200,000, offset by
$125,000 $300,000 paid on a note payable, the payment of $120,997 to a director, $105,079 paid on convertible notes payable, $100,000$50,000 in dividend
payments and $6,739$8,772 in payments
on the Small Business Administration loan described below. Net cash provided by financing activities for
the year ended December 31, 2023 2024
consisted of net proceeds from the line of credit of $2,125,145$3,433,542, andoffset proceedsby from$125,000 paid on a note payable, the payment of $120,997 to
a director, $105,079 paid on convertible notes payable
ofpayable, $421,375,$100,000 offsetin bydividend repayment of convertible notes payable of $175,000payments and repayments$6,739 toin directorspayments andon officersthe ofSmall $2,195.Business Administration
loan described below.
As
of December 31, 2024,2025, we had convertible debt
outstanding net of amortized debt discount of $105,000.$118,295. During the year ended December 31, 2024,
2025, we madereceived $105,080$200,000 in proceeds from convertible notes and no interest was repaid, we converted $154,049 in principal payments
and paidaccrued
interest and $1,500 in conversion cost into 64,165 shares of common stock and recognized $145,871 of additional paid-in capital to adjust
the fair value for the totaldebt outstanding accrued interest on these notes in the amount of $22,781. We also paid $100,000 of accrued interest to
a convertible noteholder. Also,settlement during the year ended December 31, 2024,2025. weDebt
discounts convertedassociated $680 in accrued interest and $1,000 in conversion
cost into 1,222 shares of common stock. We recognized $1,679 of additional paid-in capital to adjust fair value forwith the convertible debt settlement
during the year endedat December 31, 2024.2025 were $131,705.
On June 11, 2024, we entered into a settlement
agreement and release of claims with the holder certain notes. Pursuant to the settlement agreement and release of claims, the holder
agreed to cancel such notes in exchange for the fixed amount settlement promissory note in the principal amount of $535,000 described
below. Additionally, during the year ended December 31, 2024, we exchanged certain notes for the issuance of 938,908 shares of series
Y senior convertible preferred stock to the noteholder.
On January 24, 2017, we issued a convertible promissory
promissory note in the principal amount of $80,000 for services rendered, the remaining balance of which maturedwas converted into common stock on JanuaryAugust
26, 24, 2018. This note is currently in
default and accrues interest at a default interest rate of 20% per annum.2025. On March 30, 2023, we executed an additional tranche under this
note in the principal amount of $25,000. This note is currently in default and accrues interest at a default interest rate of 20% per
annum. On August 11, 2023, we executed an additional tranche under this note in the principal amount of $25,000. This note is currently
in default and accrues interest at a default interest rate of 20% per annum. On August 11, 2023, we executed an additional tranche under
this note in the principal amount of $25,000. This note accrues interest at a rate of 15% per annum. As of December 31, 2025, the outstanding
balance of these notes is $50,000 and they have accrued interest of $23,370.
In December 2025, we entered into loan agreements with two accredited investors, pursuant to which we issued to such investors (i) convertible promissory notes in the aggregate principal amount of $200,000, (ii) warrants for the purchase of an aggregate of 66,667 shares of common stock and (iii) 6,667 shares of common stock for total gross and net proceeds of $200,000. We concluded that the notes, warrants and common shares represent freestanding financial instruments issued as a single financing unit and, accordingly, allocated the total transaction proceeds to each instrument based on their relative fair values. The aggregate amount allocated to the warrants and common shares was recorded as a debt discount and is being amortized to interest expense over the contractual term of the notes. These convertible promissory notes accrue interest at a rate of twelve percent (12%) per annum, payable in shares of common stock, cash or a combination thereof at our option quarterly commencing on April 1, 2026, with all principal and accrued interest being due and payable one (1) year after issuance. We may prepay the principal and accrued interest at any time without penalty upon fifteen (15) days’ notice. These convertible promissory notes are unsecured and contain customary events of default for a loan of this type. These convertible promissory notes are convertible into shares of common stock at a conversion price of $3.00 (subject to standard adjustments in the event of any stock splits, stock combinations, dividends paid in common stock, stock reclassifications or similar transactions). As of December 31, 2025, the outstanding balance of these notes is $200,000 and they have accrued interest of $499.
All of the December 2025 warrants may be exercised for a period of three years at an exercise price of $9.00 (subject to standard adjustments in the event of any stock splits, stock combinations, dividends paid in common stock, stock reclassifications, mergers, consolidations, reorganizations or similar transactions) and may be exercised on a cashless basis if there is no effective registration statement covering the shares of common stock issuable upon the exercise of the warrants.
All of the December 2025 convertible promissory notes and warrants contain ownership limitations, which provide that we shall not effect any conversion or exercise, and a holder shall not have the right to convert or exercise any portion of a note or a warrant, to the extent that after giving effect to the issuance of common stock upon such conversion or exercise, such holder, together with its affiliates, would beneficially own in excess of 4.99% of the number of shares of common stock outstanding immediately after giving effect to the issuance of common stock upon such conversion or exercise. This limitation may be waived, up to a maximum of 9.99%, by a holder upon not less than sixty-one (61) days’ prior notice to us.
On September 29, 2023, our company and Nova entered
into a two-year revolving purchase and security agreement with DML HC Series, LLC, or DML, which was automatically renewed for a term
of one year on September 29, 2025, to sell, with recourse, Nova’s accounts
receivables for a revolving financing up to a maximum
advance amount of $4.5 million. Effective October 22, 2025, we entered into amendment No. 5 with DML, which extends the term of the revolving
purchase and security agreement through September 28, 2028. A review is performed on a quarterly basis to assess
the adequacy of the maximum
amount. If mutually agreed upon by us and DML, the maximum amount may be increased. On April 24, 2024, we
entered into amendment No. 1
with DML which increased the maximum advance amount to $8,000,000 and defined the discount fee equal to 2.25%
per purchase and claims
balance forward on new purchases with a minimum fee to now be $10,000. On June 11, 2024, we entered into amendment
No. 2 with DML which
further increased the maximum advance amount to $11,000,000. On December 27, 2024, we and Nova entered into amendment
No. 3 with DML which
further increased the maximum advance amount to $15,000,000. On October 1, 2025, we and Nova entered into amendment No. 4 with DML which
further increased the maximum advance amount to $23,000,000. As of December 31, 2024,2025, we had an outstanding balance
$8,645,991 $17,209,908 against
the revolving receivable line of credit and accrued interest of $315,031.$673,267. The unused line of credit balance as of December
31, 20242025 was $6,354,009.
$5,790,092. The revolving purchase and security agreement includes discounts recorded as interest expense on each funding
and matures
on September 29,28, 2025.2028.
On December 21, 2025, in connection with bonuses earned by certain employees, we issued promissory notes in the aggregate principal amount of $1,085,703 (representing bonuses earned of $593,450 and $492,253 for the years ended December 31, 2025 and 2024, respectively), in lieu of cash payment, including a promissory note in the principal amount of $460,000 to Alex Cunningham, our Chairman and Chief Executive Officer, a promissory note in the principal amount of $122,550 to Matthew T. Shafer, our Chief Financial Officer, and a promissory note in the principal amount of $460,000 to Daniel Thompson, our Chairman at such time. These notes bear interest of 5% per annum and mature on June 30, 2026. The bonus expense was recognized in the period earned, and the issuance of the notes was accounted for as a non-cash financing activity.
The following discussion relates to critical accounting
policies for our consolidated company. The preparation of financial statements in conformity with United States generally accepted accounting
principles, or GAAP,GAAP requires our management to make
assumptions, estimates and judgments that affect the amounts reported, including
the notes thereto, and related disclosures of commitments
and contingencies, if any. We have identified certain accounting policies that
are significant to the preparation of our financial statements.
These accounting policies are important for an understanding of our financial
condition and results of operation. Critical accounting
policies are those that are most important to the portrayal of our financial condition
and results of operations and require management’s
difficult, subjective, or complex judgment, often as a result of the need to
make estimates about the effect of matters that are inherently
uncertain and may change in subsequent periods. Certain accounting estimates
are particularly sensitive because of their significance
to financial statements and because of the possibility that future events affecting
the estimate may differ significantly from management’s
current judgments. We believe the following critical accounting policies
involve the most significant estimates and judgments used in
the preparation of our financial statements:
Where appropriate, we utilize the expected value
method to determine the appropriate amount for estimates of variable consideration, which has been based on a historical 12-monthlookback lookback
of our
actual settlement realization rates. The estimates of reserves established for variable consideration reflect current contractual requirements,
requirements, our historical experience, specific known market events and trends, industry data and forecasted patient data and settlement patterns.
patterns. Settlement realization patterns are assessed based on actual settlements and based on expected settlement realization trends obtained
obtained from discussions with attorneys, doctors and our third-party medical billing company. Settlement amounts are negotiated, and prolonged
prolonged settlement negotiations are not indicative of a greater likelihood of reduced settlement realization or zero settlement.
Prior to fiscal year 2024, we historically realized
a 49% settlement rate from total gross billed charges. Accordingly, we had historically recognized net healthcare service revenue as 49%
of gross billed amounts. During the year ended December 31, 2024, we underwent efforts to accelerate cash settlement of our accounts receivable
to generate cash flow for operations. We did this by shortening our settlement negotiations with insurance companies and accepting lower settlement
settlement amounts. Additionally, during the third quarter of 2024, we completed a thorough review of our third-party billing data, including
reviewing historical reports
and new reporting methods as a part of ourthe updated analysis. Based upon this review, it was determined that
a 24-month lookback period should be
used in the analysis of our historical settlement realization rates. As a result of the new efforts
to accelerate cash settlementsettlement, and
establishing a periodic lookback analysis, during the year ended December 31, 2024, we realized a 44% average settlement rate of our gross
billed charges
during this time frame, which were historically recorded in accounts receivable and revenue at 49% of gross billings. Accordingly,We we
recorded reductionscontinue to netperiodically
evaluate revenuethis of $1,005,764 for the year ended December 31, 2024. Additionally, with the reduction in our estimate
of ourestimated settlement realization rate from 49% to 44%, a $1,650,474 change in accountingaccordance estimatewith wasASC taken606. duringThis the third quarter of 2024
in our accounts receivable and revenue. We will continue to evaluate our estimate of our settlement realization rates in the future, which
will includeincludes a monthly review of our trailinghistorical 24-month historicaldata
and settlement realization rate,rates, along with estimates of current and pending
settlements through ongoing discussions with attorneys,
doctors and our third-party medical billing company in order to determine its
the variable consideration under ASC 606 and the net transaction
price. price.During 2025, we continued expanding the historical lookback period to 36 months based on the ongoing expanding data history and
the timeframe in which collections have recently been occurring. We will update ourthe settlement realization rate estimate used in determining
our accounts receivable and revenue each quarterperiodically based on thisthese review.reviews. As of December 31, 2025, the settlement realization rate at which revenue is recorded was
at 41%.
We have contract fees for amounts earned from
our Non-PIP related procedures, typically car accidents, and are settled on a contingency basis. Prior to April 2023, these cases were
sold to a factor who bears the risk of economic benefit or loss. Generally, the sale of these cases to a third-party factor resulted in
an approximate 54% reduction from the accounts receivables amounts. After selling patient cases to the factor, any additional funds settled
by us were remitted to the factor. We evaluated the factored adjustments considering the actual factored amounts per patient on a quarterly
interval, and the reductions from accounts receivable that were factored were recorded in finance charges as other expenses on the consolidated
statement of operations. As a result of our 1812 to 24 month settlement realization timeframe, we have an accrued liability resulting from
the settlement of receivables sold to the third-party factors which fluctuates as settlements are made and remitted to those third-party
factors. These accounts receivables sold to these third-party factors are not included in our financial statements accounts receivable
balance once sold and therefore are not part of the assessment of the net realizable value of accounts receivable. For the year ended
December 31, 2023, we factored a total of $544,196 of our accounts receivable in exchange for cash of $253,750. We ceased factoring
of of
accounts receivable in the first quarter of 2023.
We do not have a significant exposure to credit
losses as we have historically had a less than 1.0% loss rate where we received no settlement amount for our outstanding accounts receivable.
Although possible, claims resulting in zero collection upon settlement are rare based on our historical experience and has historically
been 0.5% to 1.0% of our outstanding accounts receivable, thereby resulting in a collection rate of 99%. We use the loss rate method to
record our allowance for credit losses. We apply the loss rate method by reviewing our zero collection history on a quarterly basis and
updating our estimate of credit losses to adjust for changes in loss data. We typically collect on our accounts receivable between 1812
to 24 months after recording. We do not record an allowance for credit losses based on an aging of our accounts receivable as the aging
of our receivables do not influence the credit loss rate due to the nature of our business and the letter of protection. We do not adjust
our receivables for the effects of a significant financing component at contract inception as the timing of variable consideration is
determined by the settlement, which is outside of our control. As of December 31, 20242025 and 2023,2024, our allowance for credit losses
was $255,215$400,000 and $122,190,$255,215, respectively. We recognized $266,000$262,928 and $122,190$266,000 of credit loss expense during the years ended December 30,31,
20242025 and 2023,2024, respectively, which is included in selling, general and administrative expenses in the condensed consolidated statement
of operations.
The balance of accounts receivable, net as of January 1, 20232024 was $6,603,920.$13,305,254. The balance of the allowance for credit losses
was $0 $122,190
as of January 1, 2023.2024.
What changed in the latest 10-Q
Risk Factors
We could not find a separate Risk Factors item in the latest 10-Q. Some companies leave it out of quarterly reports; see the annual 10-K risk factors and the original filing. Open the filing on SEC.gov.
Management's Discussion & Analysis (MD&A)
New heading “Common Stock Purchase Agreement”
New heading “Comparison of Six Months Ended June 30, 2026 and 2025”
Removed heading “Convertible Promissory Note”
Removed heading “Promissory Note – Settlement Agreement”
Largest changes
“The accompanying condensed consolidated financial statements have been prepared using the going concern basis of accounting, which contemplates continuity of operations, realization of assets and liabilities and commitments in the normal course of business. We have sustained operating losses since inception and have an accumulated deficit of $85,617,319 as of June 30, 2026 and have a negative cash flow from operations of $668,649 for the six months ended June 30, 2026. These factors raise a substantial doubt about our company’s ability to continue as a going concern. …”see in full comparison
On December 21, 2025, in connection with bonuses earned by certain employees, we issued promissory notes in the aggregate principal amount of $1,085,703, in lieu of cash payment, including a promissory note in the principal amount of $460,000 to Alex Cunningham, our Chairman and Chief Executive Officer, a promissory note in the principal amount of $122,550 to Matthew T. Shafer, our Chief Financial Officer, and a promissory note in the principal amount of $460,000 to Daniel Thompson. These notes bear interest of 5% per annum andsee in full comparisonmaturematured on June 30, 2026. As ofMarchJune31,30, 2026,wethese loans are in default, had an outstanding balance of $1,085,703on these notesand accrued interest of$15,021.$28,555.
“We intend to raise capital for additional acquisitions primarily through equity and debt financings. The sale of additional equity securities could result in dilution to our stockholders. The incurrence of indebtedness would result in increased debt service obligations and could require us to agree to operating and financial covenants that would restrict our operations. Financing may not be available in amounts or on terms acceptable to us, if at all. There is no guarantee that we will be able to acquire additional businesses under the terms outlined above.”see in full comparison
Full comparison: every changed paragraph (47)
We are focused on the acquisition of orthopedic
and related modality practices with strong organic growth plans that are materially cash generative to maximize value and providingprovide greater
coverage for our patients, and diversification and risk mitigation for our stockholders.
Common Stock Purchase Agreement
On July 13, 2026, the Company issued 166,667 shares of common stock for the Commitment Shares required under the Purchase Agreement described below. Additionally, on July 13, 2026, the Company completed a purchase under the Purchase Agreement and issued 20,619 shares of common stock for proceeds of $30,000.
Convertible Promissory Note
On April 8, 2026, we entered into a securities
purchase agreement with an accredited investor, pursuant to which we issued to such investor a convertible promissory note in the principal
amount of $268,889 with a $26,889 original issuance discount, $5,000 in associated legal fees and $7,000 for due diligence costs, for
total proceeds of $230,000. This convertible promissory note carries a one-time interest charge of $32,267 (rate of twelve percent (12%))
which is guaranteed at issuance. This note matures on April 8, 2027. The note may be converted at any time after issuance at a variable
conversion price equal to 60% of the lowest trading price of our common stock over the ten trading days prior to the conversion date.
The note also contains an ownership limitation, which provide that we shall not effect any conversion, and a holder shall not have the
right to convert, to the extent that after giving effect to the issuance of common stock upon such conversion such holder, together with
its affiliates, would beneficially own in excess of 4.99% of the number of shares of common stock outstanding immediately after giving
effect to the issuance of common stock upon such conversion.
As of MarchJune 31,30, 2026, we had two reportable operating
segments as determined by management using the “management approach” as defined by the authoritative guidance on Disclosures
about Segments of an Enterprise and Related Information.
Comparison of Three Months Ended MarchJune 31,30,
2026 and 2025
The following table sets forth key components
of our results of operations during the three months ended MarchJune 31,30, 2026 and 2025, both in dollars and as a percentage of our revenue.
Revenue. For the three months ended
MarchJune 31,30, 2026 and 20252025, all our revenue was generated by our healthcare segment, which generates revenue through a full range of diagnostic
and surgical services. Our total revenue decreased by $693,287,$629,450, or 23.78%,22.57%, to $2,222,280$2,159,557 for the three months ended MarchJune 31,30, 2026 from
$2,915,567$2,789,007 for the three months ended MarchJune 31,30, 2025. The decreasedecline in revenue iswas mainly attributabledriven by a lower implicit realization rate on
patient case claim settlements, slightly offset by gradually increasing overall patient visits volumes and billed procedures. The realization
rate decreased to a41% decrease in surgical procedures
services infor the firstsecond quarter of 2026 (unchanged from the firstprior quarter 2026), compared with 43% for the second quarter
of 2025 and(unchanged due tofrom the decrease in the realization rate to 41% in the first
quarter of 2026 from 44% the firstprior quarter of 2025.2025).
Cost of sales. Our cost of sales
consists of surgical center and laboratory fees, physician and professional fees, salaries and wages and medical supplies. Our total cost
of sales decreased by $170,809,$116,506, or 15.89%,10.65%, to $904,225$977,242 for the three months ended MarchJune 31,30, 2026 from $1,075,034$1,093,748 for the three months ended
endedJune March 31,30, 2025. As a percentage of revenue, cost of sales increased from 36.87%39.22% for the three months ended MarchJune 31,30, 2025 to 40.69%45.25% for
for the three months ended MarchJune 31,30, 2026. The increase is attributable to a decrease in revenue as noted above, awhich decreasemore than offset decreases
in personnel
related expenses and a decrease in laboratory fees.
Gross profit. As a result of the
foregoing, our total gross profit decreased by $522,478,$512,944, or 28.39%,30.26%, to $1,318,055$1,182,315 for the three months ended MarchJune 31,30, 2026 from $1,840,533$1,695,259
for the three months ended MarchJune 31,30, 2025. Our total gross margin (as a percentage of revenue) decreased from 63.13%60.78% for the three months
ended MarchJune 31,30, 2025 to 59.31%54.75% for the three months ended MarchJune 31,30, 2026.
Depreciation expense. Our depreciation
expense was $593,$253, or 0.03%0.01% of revenue, for the three months ended MarchJune 31,30, 2026, as compared to $3,365,$763, or 0.12%0.03% of revenue, for the three
three months ended MarchJune 31,30, 2025.
Loss on disposal of fixed assets.
For the three months ended March 31, 2025, we recognized a loss on disposal of fixed assets of $12,593, which resulted from the identification
of certain medical equipment that was no longer functional in our medical facilities.
Share basedShare-based compensation expense.
Share basedShare-based compensation expense was $664,196$366,939 and $0$97,500 for the three months Marchended 31,June 30, 2026 and 2025, respectively. ShareShare-based
compensation based compensation
expense in 2026 consisted of expense related to the issuance of common stock to our board of directors, officers and employees,
our investor
relations firm and other consultants for services provided. Share-based compensation expense in 2025 consisted of expense
related to the issuance of common stock to our investor relations firm.
Selling, general and administrative expenses.
Our selling, general and administrative expenses consist primarily of accounting, auditing, legal and public reporting expenses, personnel
expenses, including employee salaries and bonuses plus related payroll taxes, advertising expenses, professional advisor fees, credit
losses, rent expense, insurance and other expenses incurred in connection with general operations. Our selling, general and administrative
expenses decreasedincreased by $116,216,$372,447, or 9.07%,37.72%, to $1,164,425$1,359,766 for the three months ended MarchJune 31,30, 2026 from $1,280,641$987,319 for the three months ended
endedJune March 31,30, 2025. As a percentage of revenue, our selling, general and administrative expenses were 52.40%62.97% and 43.92%35.40% for the three months
months ended MarchJune 31,30, 2026 and 2025, respectively. The decreaseincrease in selling, general and administrative expenses was primarily attributable to
to lower billing costs, rent expense and travel expenses. Additional there were no credit losses recorded for the three months ended March
31, 2026. These decreases were partially offset by an increase in professional fees.
Total other (expense) income. We
had $2,580,915$1,934,263 in total other expense, net, for the three months ended MarchJune 31,30, 2026, as compared to $994,711$1,836,072 in total other expense,
net, for the three months ended MarchJune 31,30, 2025. Total other expense, net, for the three months ended MarchJune 31,30, 2026 consisted of interest
expense of $1,910,737, a $668,821 loss from issuance or change in fair value of the derivative liability,$2,137,419 and amortization of debt discounts
of $11,438. These expenses were$22,893, offset slightly by othera income$226,049 of $10,081gain from the returnchange in fair value
of fundsthe relatedderivative toliability. a fraudulent bank transaction.
Other expense, net, for the three months ended MarchJune 31,30, 2025 consisted entirely of interest expense of $993,114 and other expense of $1,597.expense. The
increase in interest expense is primarily attributable to the increase in initial and incremental fees charged on the number of existing
purchases and claims under the line of credit described below. We recorded a loss on issuance of derivative liability of $1,192,640 related
to the bifurcation of conversion options in severalThe convertible notes issued during the first quarter of 2026. This was offset by a $523,819
gain on the revaluation of the derivative liabilityliabilities as of March 31, 2026 for the change in fair value of the derivative liability. The
derivative liability isare remeasured at fair value
each reporting period using a Monte Carlo simulation model and the commitment shares derivative liability using a Black-Scholes option-pricing
model. Changes in assumptions, as
well as changes in our stock price during the period, resulted in a decrease in the estimated fair value
of the derivative liability and
the corresponding loss.gain.
Net loss. As a result of the cumulative
effect of the factors described above, our net loss was $3,092,074$2,478,906 for the three months ended MarchJune 31,30, 2026, as compared to $450,777$1,226,395
for the three months ended MarchJune 31,30, 2025, an increase in loss of $2,641,297,$1,252,511, or 585.94%.102.13%.
Comparison of Six Months Ended June 30, 2026 and 2025
The following table sets forth key components of our results of operations during the six months ended June 30, 2026 and 2025, both in dollars and as a percentage of our revenue.
Revenue. For the six months ended June 30, 2026 and 2025, all our revenue was generated by our healthcare segment, which generates revenue through a full range of diagnostic and surgical services. Our total revenue decreased by $1,322,737, or 23.19%, to $4,381,837 for the six months ended June 30, 2026 from $5,704,574 for the six months ended June 30, 2025. The decrease in revenue is mainly attributable to a slight decrease in billed surgical procedure services in the first half of 2026 from the first half of 2025 as well as a lower implicit realization rate on patient case claim settlements. The realization rate decreased to 41% for the first half of 2026, compared with 43% for the first half of 2025.
Cost of sales. Our total cost of sales decreased by $287,315, or 13.25%, to $1,881,467 for the six months ended June 30, 2026 from $2,168,782 for the six months ended June 30, 2025. As a percentage of revenue, cost of sales increased from 38.02% for the six months ended June 30, 2025 to 42.94% for the six months ended June 30, 2026. The increase is attributable to a decrease in revenue as noted above, which more than offset decreases in personnel related expenses and laboratory fees.
Gross profit. As a result of the foregoing, our total gross profit decreased by $1,035,422, or 29.28%, to $2,500,370 for the six months ended June 30, 2026 from $3,535,792 for the six months ended June 30, 2025. Our total gross margin (as a percentage of revenue) decreased from 61.98% for the six months ended June 30, 2025 to 57.06% for the six months ended June 30, 2026.
Depreciation expense. Our depreciation expense was $846, or 0.02% of revenue, for the six months ended June 30, 2026, as compared to $4,128, or 0.07% of revenue, for the six months ended June 30, 2025.
Loss on disposal of fixed assets. For the six months ended June 30, 2025, we recognized a loss on disposal of fixed assets of $12,593, which resulted from the identification of certain medical equipment that was no longer functional in our medical facilities.
Share-based compensation expense. Share-based compensation expense was $1,031,135 and $97,500 for the six months June 30, 2026 and 2025, respectively. Share-based compensation expense in 2026 consisted of expense related to the issuance of common stock to our board of directors, officers and employees, our investor relations firm and other consultants for services provided. Share-based compensation expense in 2025 consisted of expense related to the issuance of common stock to our investor relations firm.
Selling, general and administrative expenses. Our selling, general and administrative expenses increased by $256,231, or 11.30%, to $2,524,191 for the six months ended June 30, 2026 from $2,267,960 for the six months ended June 30, 2025. As a percentage of revenue, our selling, general and administrative expenses were 57.61% and 39.76% for the six months ended June 30, 2026 and 2025, respectively. The increase in selling, general and administrative expenses was primarily attributable to an increase in professional fees, offset slightly by lower rent expense and travel expenses as well as a lower credit loss expense recorded.
Total other (expense) income. We had $4,515,178 in total other expense, net, for the six months ended June 30, 2026, as compared to $2,830,783 in total other expense, net, for the six months ended June 30, 2025. Total other expense, net, for the six months ended June 30, 2026 consisted of interest expense of $4,048,156, a $442,772 loss from issuance or change in fair value of the derivative liability, and amortization of debt discounts of $34,331. These expenses were offset slightly by other income of $10,081 from the return of funds related to a fraudulent bank transaction. Other expense, net, for the six months ended June 30, 2025 consisted of interest expense of $2,829,186 and other expense of $1,597. The increase in interest expense is primarily attributable to the increase in initial and incremental fees charged on the number of existing purchases and claims under the line of credit described below. The derivative liability is remeasured at fair value each reporting period using a Monte Carlo simulation model. Changes in assumptions, as well as changes in our stock price during the period, resulted in a decrease in the estimated fair value of the derivative liability and the corresponding loss.
Net loss. As a result of the cumulative effect of the factors described above, our net loss was $5,570,980 for the six months ended June 30, 2026, as compared to $1,677,172 for the six months ended June 30, 2025, an increase in loss of $3,893,808, or 232.17%.
As of MarchJune 31,30, 2026, we had $683,507$217,654 in cash.
To date, we have financed our operations primarily through revenue generated from operations, sales of securities, advances from stockholders
and third-party and related party debt.
The accompanying condensed consolidated financial statements have been prepared using the going concern basis of accounting, which contemplates continuity of operations, realization of assets and liabilities and commitments in the normal course of business. We have sustained operating losses since inception and have an accumulated deficit of $85,617,319 as of June 30, 2026 and have a negative cash flow from operations of $668,649 for the six months ended June 30, 2026. These factors raise a substantial doubt about our company’s ability to continue as a going concern. The accompanying condensed consolidated financial statements do not reflect any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classifications of liabilities that might result if we are unable to continue as a going concern.
We believe, based on our operating plan, that
current working capital and current and expected additional financing should be sufficient to fund operations and satisfy our obligations
as they come due for at least one year from the financial statement issuance date. However, additional
funds from new financing and/or future equity raises are required for continued operations and to execute our business plan and our strategy
of acquiring additional businesses. The funds required to sustain operations range between
$600,000 to $1 million and additional funds execute our business plan will depend on the size, capital structure and purchase price consideration
that the seller of a target business deems acceptable in a given transaction. The amount of funds needed to execute our business plan
also depends on what portion of the purchase price of a target business the seller of that business is willing to take in the form of
seller notes or our equity or equity in one of our subsidiaries. Given these factors, we believe that the amount of outside additional
capital necessary to execute our business plan on the low end (assuming target company sellers accept a significant portion of the purchase
price in the form of seller notes or our equity or equity in one of our subsidiaries) ranges between $5 million to $10 million. If, and
to the extent, that sellers are unwilling to accept a significant portion of the purchase price in seller notes and equity, then the cash
required to execute our business plan could be as much as $10 million.
We intend to raise capital for additional acquisitions
primarily through equity and debt financings. The sale of additional equity securities could result in dilution to our stockholders. The
incurrence of indebtedness would result in increased debt service obligations and could require us to agree to operating and financial
covenants that would restrict our operations. Financing may not be available in amounts or on terms acceptable to us, if at all. There
is no guarantee that we will be able to acquire additional businesses under the terms outlined above.
The financialability statementsof wereour prepared on a going
concern basis and do not include any adjustment with respect to these uncertainties. Our abilitycompany to continue as a going
concern and the
appropriateness of using the going concern basis is dependent upon, among other things, additional cash infusions. We haveManagement
has prospective
investors and believebelieves the raising of capital will allow us to fund our cash flow shortfalls and pursue new acquisitions.
However, Therethere can be
no assurance that we will be able to obtain sufficient capital from debt or equity transactions or from operations
in the necessary time
frame or on terms acceptable to us. Furthermore, the sale of additional equity securities could result in dilution
to our stockholders and the incurrence of indebtedness would result in increased debt service obligations and could require us to agree
to operating and financial covenants that would restrict our operations. Should we be unable to raise sufficient funds, we may be required
to curtail our operating plans.
In addition, increases in expenses may require cost reductions. No assurance can be given that we will
be able to operate profitably on
a consistent basis, or at all, in the future. Should we not be able to raise sufficient funds, it may
cause cessation of operations.
The following table provides detailed information
about our net cash flow for the threesix months ended MarchJune 31,30, 2026 and 2025.
Our net cash used in operating activities from
continuing operations was $16,730$668,649 for the threesix months ended MarchJune 31,30, 2026, as compared to $491,420$1,889,003 for the threesix months ended MarchJune 30,
31, 2025. The primary drivers of our net cash used in operating activities for the threesix months ended MarchJune 31,30, 2026 are our net loss
of $3,092,074 $5,570,980
and an increase of $819,945$1,684,667 in accounts receivable, offset by an increase of $1,955,970$4,165,687 in interest expense from the line
of credit,
the loss on issuance or change in value of the derivative liability of $668,821,$442,772, stock compensation expense or shares issued
for services
rendered of $664,196,$1,031,135, andan increase of $224,261$339,108 in accounts payable and other accrued expenses, and an increase in accrued
related parties
compensation expense of $410,629.$626,247. For the threesix months ended MarchJune 31,30, 2025, the primary drivers of our net cash used
in operating activities
was our net loss of $450,777$1,677,172 and an increase of $1,680,291$3,371,656 in accounts receivable, offset by increases of $1,137,308
$2,579,283 in interest expense from
in the line of credit,credit $230,608balance, $119,855 in accounts payable and other accrued expensesexpenses, $112,468 in accrued related parties compensation,
and $101,773$137,211 in accrued interest.
We periodically evaluate our estimated settlement
realization rate at which revenue is recorded in accordance with ASC 606. This includes a monthly review of historical data and settlement
realization rates, along with estimates of current and pending settlements through ongoing discussions with attorneys, doctors and the
Company’s third-party
medical billing company in order to determine the variable consideration under ASC 606 and the net transaction
price. For the threesix months
ended MarchJune 31,30, 2026 and 2025, we realized a 41% and 44%43% average settlement rate of its gross billed charges,
respectively.
We had no investing activities for the threesix months
ended MarchJune 31,30, 2026 and 2025.
Our net cash provided by financing activities
was $381,702$567,768 for the threesix months ended MarchJune 31,30, 2026, as compared to $299,993$1,260,533 for the threesix months ended MarchJune 31,30, 2025. Net cash provided
by financing activities for the threesix months ended MarchJune 31,30, 2026 consisted of proceeds from the issuance of convertible notes totaling $1,113,889,
$845,000, offset by net payments on the line of credit of $243,705,$236,646, payments of debt issuance costs of $142,400,$195,089, payment of note payable
of $75,000 $110,000
and repayments of the Small Business Administration loan described below of $2,193.$4,386. Net cash provided by financing activities
for the three
six months ended MarchJune 31,30, 2025 consisted of proceeds from line of credit of $427,186,$1,464,919, offset by the payment of note payable
of $75,000, $150,000,
payment of preferred stock dividends of $50,000 and repayments of the Small Business Administration loan described below of
$2,193. $4,386.
As
of MarchJune 31,30, 2026, we had convertible debt outstanding,
at carrying value, of $279,772.$302,765. During the threesix months ended MarchJune 31,30, 2026,
we received $702,600$918,800 in net proceeds from convertible notes
and nosettled accrued interest wastotaling repaid.$10,784 in 4,175 shares of our common stock. Debt
discounts associated with the convertible debt
at MarchJune 31,30, 2026 were $815,228.$1,061,124. Please see Note 98. Convertible Notes Payable to the accompanying unaudited condensed consolidated
consolidated financial statements for a description of the terms of our convertible debt.
Promissory Note – Settlement Agreement
In June 2024, we issued a settlement promissory
note in the amount of $535,000 in connection with the cancellation of certain preferred stock and convertible notes. The note does not
bear interest and requires fixed principal payments based on the timing and amount of capital raised in future offerings. During the three
months ended March 31, 2026, we paid $75,000 toward the outstanding principal balance. At March 31, 2026 and December 31, 2025, the remaining
principal balance was $35,000 and $110,000, respectively.
On March 12, 2009, we issued a debenture in the
principal amount of $20,000. The debenture bore interest at 12% per year and matured on September 12, 2009. The balance of the debenture
was $10,989 at MarchJune 31,30, 2026 and the accrued interest was $10,513.$10,842. We assigned all our receivables from consumer activations of the rewards
program as collateral on this debenture.
On June 2, 2020, we obtained a loan from the Small
Business Administration of $150,000 at an interest rate of 3.75% with a maturity date of June 2, 2050. The principal balance and accrued
interest at MarchJune 31,30, 2026 was $142,690$141,843 and $0, respectively.
We maintain a revolving purchase and security
agreement with DML HC Series, LLC, or DML, which is accounted for as a secured borrowing. Under the facility, eligible accounts receivable
are pledged as collateral, and advances of up to 70% of eligible receivables may be requested, subject to a maximum advance amount of
$23,000,000. The related accounts receivable remain recorded as assets on our balance sheet, and the amounts drawn are recorded as a liability
under ‘Line of Credit’ until repaid. We are required to repurchase or replace certain ineligible or uncollected receivables.
Collections on pledged receivables are remitted directly to the lender and applied against outstanding borrowings. The revolving purchase
and security agreement includes discounts recorded as interest expense on each funding and matures on September 28, 2028. As of MarchJune 30,
31, 2026, we had an outstanding balance of $18,922,173$21,138,949 against the revolving receivable line of credit and accrued interest of $660,979.$653,551.
On MarchJune 6,30, 2026, we enteredissued intoan aunsecured lock-uppromissory
note and
compensationin resolutionthe agreementprincipal withamount of $233,333 to Daniel Thompson, our former Chairman of the Board and a significant stockholder, to resolve
outstanding outstanding
accrued compensation obligations. Under the agreement, we issued an unsecured promissoryThe note inbears the principal amount of $116,667 bearing
interest at 10%5% annually, payable interest-only in year oneannually and 50%matures principalon inJune each30, of years two and three, with all amounts due within
three years.2028. As of MarchJune 31,30, 2026,
we had an outstanding balance of $116,667$233,333 on this note and accrued interest of $23,493.$1,446.
On March 6, 2026, we entered into a lock-up and compensation resolution agreement with Daniel Thompson to resolve outstanding accrued compensation obligations. Under the agreement, we issued an unsecured promissory note in the principal amount of $116,667 bearing interest at 10% annually, payable interest-only in year one and 50% principal in each of years two and three, with all amounts due within three years. As of June 30, 2026, we had an outstanding balance of $116,667 on this note and accrued interest of $22,071.
On December 21, 2025, in connection with bonuses
earned by certain employees, we issued promissory notes in the aggregate principal amount of $1,085,703, in lieu of cash payment, including
a promissory note in the principal amount of $460,000 to Alex Cunningham, our Chairman and Chief Executive Officer, a promissory note
in the principal amount of $122,550 to Matthew T. Shafer, our Chief Financial Officer, and a promissory note in the principal amount of
$460,000 to Daniel Thompson. These notes bear interest of 5% per annum and maturematured on June 30, 2026. As of MarchJune 31,30, 2026, wethese loans
are in default, had an outstanding
balance of $1,085,703 on these notes and accrued interest of $15,021.$28,555.
CDIX insider buying and selling (Form 4)
Since 2026-04-11, insiders reported open-market purchases in 0 Form 4 filings and open-market sales in 0 filings. Totals add up every open-market (code P and S) line in those filings, using the prices reported in the filings. Awards, option exercises, tax withholding and gifts are listed below but not counted.
No Form 4 stock transactions in this period.
Well-known investors holding CDIX (13F)
None of the 59 investors we track reported a position in their latest 13F.