USAQ 10-K & 10-Q changes, risk factors and insider trading
QHSLab, Inc. · OTC · Surgical & Medical Instruments & Apparatus · CIK 856984 · All filings on SEC.gov
At a glance
What changed in the latest 10-K
Risk Factors
Removed heading “Servicing our debt requires a significant amount of cash.”
Largest changes
“Our ability to make payments on and to refinance our debt, to fund planned capital expenditures and to maintain sufficient working capital depends on our ability to generate cash in the future. This is subject to numerous factors beyond our control, including our ability to expand our physician client base. We cannot assure you that our business will generate sufficient cash flow from operations or financings in an amount sufficient to enable us to service our debt or to fund our other liquidity needs. …”see in full comparison
“Our system of internal control over financial reporting is not effective and we need to take remedial measures to improve our internal control over financial reporting. Remedial measures will likely require hiring additional personnel. We cannot assure our stockholders that the measures we will take to remediate areas in need of improvement will be successful or that we will implement and maintain adequate controls over our financial processes and reporting in the future. …”see in full comparison
“We have funded our operating losses through borrowings, and merchant cash advances. As of the date of this annual report we have notes and loans outstanding in the aggregate amount, inclusive of accrued interest, of $2,061,988. Our Original Issue Discount Secured Convertible Promissory Note in the principal amount of $440,000 matured on July 22, 2023 and our Original Issue Discount Secured Convertible Promissory Note in the remaining principal amount of $695,500 matured on August 10, 2022 and remain unpaid. …”see in full comparison
Our director may authorize the issuance of preferred stock in one or more series with such limitations and restrictions as he may determine, in his sole discretion, with no further authorization by security holders required for the issuance of such shares. Our director may determine the specific terms of the preferred stock, including: designations; preferences; conversions rights;see in full comparisoncumulative,therelative;ratesparticipatingand date of payment of dividends; and optional or other rights, including: voting rights; qualifications; limitations; or restrictions of the preferred stockstock.and rights upon a default. Our sole director has exercised this authority to authorize the Series A and Series A-2 PreferredStock which, taking into account the votes he is eligible to cast by virtue of the number of shares of our common stock and Series A Preferred Stock he holds, our sole director controls a majority of the votes which may be cast at a meeting of our stockholders, and therefore has the ability to control all matters submitted to stockholders for approval.Stock.
see in full comparisonWeAlthough we achieved net income in 2025, we incurred net losses in 2024 and2023prior periods and may not be able to sustain profitability or continueto operateoperating as a going concern.
Full comparison: every changed paragraph (32)
WeAlthough
we achieved net income in 2025, we incurred net losses
in 2024 and 2023prior periods and may not be able to sustain profitability or continue to operate
operating as a going concern.
While
we had net income of $457,417 for the year ended December 31, 2025, this was the result, in part, of a net gain on extinguishment of
debt of approximately $666,000. We historically have suffered net losses of
including $259,239 andfor $468,362the year ended December 31, 2024. We
had positive cash flows from operations for the years ended December 31, 20242025 and 2023, respectively. We also had positive cash flows from operations for
the year ended December 31, 2024 but had negative cash flows from operations
prior to that and our revenues were only $2,691,741 and $2,131,926 for the yearyears ended2025 Decemberand 31,2024, 2023.respectively. During the years ended
December 31, 20242025 and 2023,2024, to support our operations we received loans in the aggregate amount of $548,736.$362,168 and issued equity for
gross proceeds of $499,998. Further, to date, our Chief Executive Officer, who is our principal shareholder, has chosen not to draw a
salary. The report of our independent
registered public accountants on our consolidated financial statements for the year ended
December 31, 20242025 states that these factors
raise uncertainty about our ability to continue as a going concern.
Unless we are able to consistently increase our revenues and generate positive cash flows from operations, we will continue to depend upon further issuances of debt, equity or other financings to fund ongoing operations. We may continue to incur additional operating losses and we cannot assure you that we will continue as a going concern.
We are highly leveraged
and wemay need additional financing.financing to grow our business.
We have funded our historical operating losses through borrowings, merchant cash advances and the issuance of shares for services. During 2025 we substantially reduced the amount of our outstanding indebtedness. Nevertheless, as of December 31, 2025, we have notes and loans outstanding in the aggregate amount, inclusive of accrued interest, of $201,788. See Note 6 Loans Payable, Note 7 Convertible Notes Payable and Note 11 Related-Party Transactions for additional information regarding these notes. Further, in the absence of additional financing, our business will not grow as quickly as is otherwise possible.
We have funded our operating losses through borrowings,
and merchant cash advances. As of the date of this annual report we have notes and loans outstanding in the aggregate amount, inclusive
of accrued interest, of $2,061,988. Our Original Issue Discount Secured Convertible Promissory Note in the principal amount of $440,000
matured on July 22, 2023 and our Original Issue Discount Secured Convertible Promissory Note in the remaining principal amount of $695,500
matured on August 10, 2022 and remain unpaid. On March 27, 2024, the Company received the most recent notice from the manager of the Mercer
Fund of its agreement to forebear from the exercise of any rights it might have as a result of any defaults under this Note and the related
documents between us and the Mercer Fund, provided that the Mercer Fund reserved all of its rights under such agreements. The Note continued
to accrue interest at 5%. On February 20, 2025, the Company received a Notice of Default from Mercer Street Global Opportunity Fund, LLC
(the “Lender”) in connection with the $806,000 Note and the $440,000 Note. Under the terms of the Notes, a failure to pay
the principal and interest when due constitutes an Event of Default under the Notes. The Company has accrued default interest of 18% as
of December 31, 2024 for these notes. See Note 7 Convertible Notes Payable for additional information regarding these notes.
If
we are not able to pay
or refinance theour outstanding principaldebt, and accrued interest on these notes the Lenderlenders may choose to exercise such rights as are available
to itavailable, including foreclosing
upon our assets,assets. If we are not able to timely pay our lenders, our management may be required to devote time to dealing with suchour effortslenders
as opposed to business matters and our operations
may be materially and adversely affected. WeIf we cannot timely pay amounts due, we may
need to offer the holders of our debt increases in the rates of interest they receive
or otherwise compensate them through payments of
cash or issuances of our equity securities or reductions in the priceprices at which they can
convert their convertible securities. Future
financings or re-financings may involve the issuance of additional debt, equity and securities
convertible into or exercisable for our
equity securities. If we are unable to consummate such financings or re-financings, our operations
and the trading price of our common
stock could be adversely affected and the terms of such financings may adversely affect the interests
of our existing stockholders. Our
inability to obtain additional working capital is restricting our ability to grow our business as rapidly
as otherwise might be possible
and could have a material adverse affect on our business and financial condition and may result in a decline
in the price of our common
stock. If we are not able to fund ongoing losses through funds provided by third parties or our principal shareholder,
we may become
insolvent.
Servicing our debt requires a significant amount
of cash.
Our ability to make payments on and to refinance our
debt, to fund planned capital expenditures and to maintain sufficient working capital depends on our ability to generate cash in the future.
This is subject to numerous factors beyond our control, including our ability to expand our physician client base. We cannot assure you
that our business will generate sufficient cash flow from operations or financings in an amount sufficient to enable us to service our
debt or to fund our other liquidity needs. If our cash flow and capital resources are insufficient to allow us to make scheduled payments
on our debt or otherwise satisfy our lenders, we will need to seek additional capital or restructure or refinance all or a portion of
our debt, any of which could have a material adverse effect on our business, financial condition or results of operations. We cannot assure
you that we will be able to refinance any of our debt on commercially reasonable terms or at all. If we are unable to generate sufficient
cash flow to repay or refinance our debt on favorable terms, it could significantly adversely affect our financial condition and the value
of our outstanding debt and common stock. Our ability to restructure or refinance our debt will depend on the condition of the capital
markets and our financial condition. Any refinancing of our debt could be at higher interest rates and could require us to issue to the
holders additional shares of our common stock and may require us to comply with more onerous covenants, which could further restrict our
business operations. There can be no assurance that we will be able to obtain any financing when needed.
Our leverage is adversely affecting our ability to
finance future operations and capital needs and may limit our ability to pursue business opportunities.
We
first generated revenues in the fourth quarter
of 2020. There is no assurance that we will generate sufficient revenues to grow our business
as planned, become or remain cash flow positive or ever be profitable
or to satisfy our lenders and maintain our operations. As we grow,
it is likely we will need additional working capital for operations. If planned operating levels are changed, higher operating costs encountered,are more
time needed to implement our plan,encountered or lesswe fundingdo isnot received,generate
cash flow as planned, more funds than currently anticipated may be required. If additional capital
is not available when required, if at all,required or
is not available on acceptable terms we may be forced to modify or abandon our business
plans.
We
have identified material weaknesses in our
internal controls,controls and we cannot provide assurances that these weaknesses will be effectively
remediated or that additional material weaknesses
will not occur in the future. If our internal control over financial reporting or our
disclosure controls and procedures are not effective,
we may not be able to accurately report our financial results, prevent fraud, or
file our periodic reports in a timely manner, which may
cause investors to lose confidence in us and lead to a decline in our stock price.
We cannot remedy the deficiencies in our internal controls
until we increase the number of officers in our Company.
Our
management is responsible for establishing and
maintaining adequate internal control over our financial reporting, as defined in Rule
13a-15(f) under the Exchange Act. We have identified
material weaknesses in our internal controlscontrols, including with respect to ourthe segregation of
duties duties,and a lack of experienced accounting personnel to properly report complex transactions, which cannot be rectified until we have
additional additional
officers.employees. As a result of our limited resources and our insufficient controls over review of accounting for certain complex transactions,
our disclosure controls and procedures are not effective in providing material information required
to be included in our periodic SEC
filings on a timely basis and to ensure that information required to be disclosed in our periodic
SEC filings is accumulated and communicated
to our management to allow timely decisions regarding required disclosure about our internal
control over financial reporting. Some of
the material weaknesses in our internal controls are due to our limited management staff. Due
to limited staffing, we are not always able
to detect errors or omissions in financial reporting and cannot eliminate weaknesses due
to our inability to segregate duties. If we fail
to comply with the rules under Sarbanes-Oxley related to disclosure controls and procedures
in the future or continue to have material
weaknesses and other deficiencies in our internal control and accounting procedures and disclosure
controls and procedures, our stock
price could decline significantly and raising capital could be more difficult. If additional material
weaknesses or significant deficiencies
are discovered or if we otherwise fail to address the adequacy of our internal control and disclosure
controls and procedures our business
may be harmed. Moreover, effective internal controls are necessary for us to produce reliable financial
reports and are important to helping
prevent financial fraud. If we cannot provide reliable financial reports or prevent fraud, our business
and operating results could be
harmed, investors could lose confidence in our reported financial information, and the trading price of
our securities could drop significantly.
We
depend upon third parties to supply us with all
of the products included in the “AllergiEnd” line of products from which
we currently derive mostapproximately half of our revenues. If these
parties were unable or unwilling to continue to supply our needs, we
might not be able to find an alternative source of supply which would
materially adversely impact our business, financial condition and
operating results.
We
have engaged in limited product development
activities and our product development efforts may not result in commercial products.
AlthoughWe
provide our QHSLab has been provided to physicians
and enabled them to generate revenues, we have only recently begun to charge physicians for this product under various software as a service,
subscription and license-based revenue models. We intend to develop
additional features to be added to QHSLab to provide PCPs with additional
sources of revenue. There is no assurance that we will successfully
develop new features or that any of the new features we develop will gain market acceptance. We cannot guarantee we
will be able to produce
commercially successful products. Further, our eventual operating results could be susceptible to varying interpretations
by potential
customers, or scientists, medical personnel, regulatory personnel, statisticians and others, which may delay, limit or prevent executing
executing our proposed business plan.
We
have limited capital resources and operations.
To date, our operations primarily have been funded from capital contributions and loans
from our principal shareholdershareholder, and more recently,
third party loans.loans and the issuance of shares for services. We may not be able to obtain additional financing
on terms acceptable to us, or at all. Even if we obtain financing
for our near-term operations and product development, we may require
additional capital beyond the near term.term to expand our customer base. If we are unable to raise
capital when needed, our business, financial
condition and results of operations would be materially adversely affected, and we could
be forced to reduce or discontinue our operations.
If
we issue additional shares of common stock,
it would reduce our stockholders’ percentpercentage of ownership and may dilute our share
value.
Our
Certificate of Incorporation authorizes the issuance
of 900 million shares of common stock. As atAt March 28,30, 20252026 we have outstanding 11,281,527 15,032,788
shares of common stock, without giving effect
to shares issuable upon conversion or exercise of convertible notes, preferred stock, options
and warrants currently outstanding. The
future issuance of common stock or securities exercisable for or convertible into common stock
to raise capital may result in substantial
dilution in the percentage of our common stock held by our then existing stockholders. We
may value any common stock issued in the future
on an arbitrary basis. The issuance of common stock upon the conversion or exercise of
outstanding notes and warrants, for future services
or acquisitions or other corporate actions may have the effect of diluting the value
of the shares held by our then existing stockholders
and might have an adverse effect on any trading market for our common stock.
Numerous
state and federal laws and regulations govern
the collection, dissemination, use, privacy, confidentiality, security, availability and
integrity of personally identifiable information
(PII), including protected health information (PHI). HIPAA establishes a set of basic
national privacy and security standards for the
protection of PHI,PHI by health plans, healthcare clearinghouses and certain healthcare providers,
referred to as covered entities, and the
businesses with which covered entities contract for services, which includes us. HIPAA requires
companies like us to develop and maintain
policies and procedures with respect to PHI, including the adoption of administrative, physical
and technical safeguards to protect such
information. HIPAA imposes mandatory penalties for certain violations which can be significant.
HIPAA mandates that the Secretary of Health
and Human Services, or HHS conduct periodic compliance audits of HIPAA covered entities or
business associates. It also tasks HHS with
establishing a methodology whereby individuals who were the victims of breaches of unsecured
PHI may receive a percentage of the Civil
Monetary Penalty fine paid by the violator. HIPAA further requires that patients and, in some
instances, HHS be notified of any unauthorized
acquisition, access, use or disclosure of their unsecured PHI that compromises the privacy
or security of such information, with certain
exceptions. Numerous other federal and state laws protect the confidentiality, privacy,
availability, integrity and security of PHI. These
laws in many cases are more restrictive than, and may not be preempted by, HIPAA,
creating complex compliance issues for us and our clients
potentially exposing us to additional expense, adverse publicity and liability.
If we do not comply with existing or new laws and regulations
related to PHI, we could be subject to criminal or civil sanctions. Because
of the extreme sensitivity of the PHI we store and transmit,
the security features of our technology platform are very important. If
our security measures, some of which are managed by third parties,
are breached or fail, unauthorized persons may obtain access to sensitive
client and patient data, including HIPAA-regulated PHI. As a
result, our reputation could be severely damaged, adversely affecting client
and patient confidence. Clients may curtail their use of
or stop using our services or our client base could decrease, which would cause
our business to suffer. In addition, we could face litigation,
damages for contract breach, penalties and regulatory actions for violation
of HIPAA and other applicable laws or regulations and significant
costs for remediation, notification to individuals and for measures
to prevent future occurrences. Any security breach could also result
in increased costs associated with liability for stolen assets or
information, repairing system damage that caused by such breaches, incentives
offered to clients or other business partners in an effort to
maintain business relationships after a breach and implementing measures
to prevent future occurrences, including organizational changes,
deploying additional personnel and protection technologies, training
employees and engaging third-party experts and consultants. While
we maintain insurance covering certain security and privacy damages
and claim expenses, we may not carry insurance or maintain coverage
sufficient to compensate for all liability and in any event, insurance
coverage would not address the reputational damage that could
result from a security incident. We outsource important aspects of the storage
and transmission of client and patient information,information and
thus rely on third parties to manage functions that have material cyber-security
risks. We attempt to address these risks by requiring
outsourcing subcontractors who handle client and patient information to sign business
associate agreements contractually requiring those
subcontractors to adequately safeguard personal health data to the same extent that
applies to us and in some cases by requiring such
outsourcing subcontractors to undergo third-party security examinations. However, we
cannot assure you that these contractual measures
and other safeguards will adequately protect us from the risks associated with the storage
and transmission of client and patient proprietary
and protected health information.
The
use of our products will involveinvolves the storage,
transmission and processing of our clients’ and their patients’ private data. Individuals
or entities may attempt to penetrate
our network or platform security, or that of our third-party hosting and storage providers, and
could gain access to our clients’
and their patients’ private data, which could result in the destruction, disclosure or
misappropriation of proprietary or confidential
information of our clients’ and their patients’ or their customers, employees
and business partners. If any of our clients’
private data is leaked, obtained by others or destroyed without authorization, it
could harm our reputation, we could be exposed to civil
and criminal liability, and we may lose our ability to access private data, which
will adversely affect the quality and performance of
our platform. In addition, our platform may be subject to computer malware, viruses
and computer hacking, fraudulent use attempts and
phishing attacks, all of which have become more prevalent. Any failure to maintain
the performance, reliability, security and availability
of our products or services and technical infrastructure to the satisfaction
of our clients may harm our reputation and our ability to
retain existing customers and attract new users. While we will implement procedures
and safeguards that are designed to prevent security
breaches and cyber-attacks, they may not be able to protect against all attempts
to breach our systems, and we may not become aware in
a timely manner of any such security breach. Unauthorized access to or security
breaches of our platform, network or computer systems,
or those of our technology service providers, could result in the loss of business,
reputational damage, regulatory investigations and
orders, litigation, indemnity obligations, damages for contract breach, civil and
criminal penalties for violation of applicable laws,
regulations or contractual obligations, and significant costs, fees and other monetary
payments for remediation. If customers believe
that our platform does not provide adequate security for the storage of sensitive information
or its transmission over the Internet, our
business will be harmed. Customers’ concerns about security or privacy may deter them
from using our platform for activities that
involve personal or other sensitive information.
Because
we rely on the internet to interact
with our clients, we are subject to an extensive and highly-evolving regulatory landscaperegulations and any adverse changes
to, or our failure to
comply with, any laws and regulations could adversely affect our brand, reputation, business, operating results,
and financial condition.
The
occurrence of one or more natural disasters, unusually
adverse weather conditions, pandemic outbreaks, such as the recent outbreak of the coronavirus, or COVID-19,
terrorist acts, conflicts
between nations or rogue groups, and the response of governments and US agencies to such occurrences, could
adversely affect our operations
and financial performance. To the extent these events impact one or more of our key suppliers, our operations
and financial performance
could be materially adversely affected through lost sales. Such events could also cause US agencies and insurance
companies to modify
reimbursement policies which could result in lost sales, reduced revenues and otherwise adversely affect our financial
performance.
Our ability to finance our business may be materially adversely affected by global geopolitical conditions including those resulting from the ongoing Russia-Ukraine conflict, the US-Iran conflict, the Israel-Hamas conflict, efforts by terrorist organizations to disrupt global shipping patterns and actions by the United States government to reduce its deficit and influence actions of other nations.
Global markets are experiencing volatility and disruption as a result of the geopolitical instability resulting from the ongoing Russia-Ukraine conflict, the US-Iran conflict, the Israel-Hamas conflict, efforts by terrorist organizations to disrupt global shipping patterns and recent actions by the United States government, including the reduction in the number of federal employees, the elimination of government programs and the imposition of tariffs. The invasion of Ukraine by Russia, Iran by the United States, the Israel-Hamas conflict, efforts to disrupt shipping through the Suez Canal and the resulting measures that have been taken, and could be taken in the future, by NATO, the United States, the United Kingdom, the European Union, Israel and other countries and recent actions taken by the United States government to reduce the number of federal employees, eliminate government programs and impose tariffs, have created global economic and security concerns that could have a lasting impact on regional and global economies and financial markets. Although the length and impact of the ongoing conflicts and any sanctions imposed and actions which may be taken by the United States government are highly unpredictable, they have led to market disruptions and could result in further disruptions, including significant volatility in commodity prices, credit and capital markets and lead to instability and lack of liquidity in capital markets, adversely impacting our ability to finance our operations. The imposition of tariffs on products imported by us or our physicians in providing services to their patients, may increase costs and may have an adverse impact on their practices and our business and financial results.
Certain
of our products provide applications that
relate to patient clinical information. Any failure by our products to provide accurate and
timely information concerning patients, their
medication, treatment and health status, generally, could result in claims against us which could
materially and adversely impact our
financial performance, industry reputation and ability to market new systems. In addition, a court
or government agency may take the position
that our delivery of health information directly, including through licensed practitioners,
or delivery of information by a third party
site that a consumer accesses through our websites, exposes us to assertions of malpractice,
other personal injury liability, or other
liability for wrongful delivery/handling of healthcare services or erroneous health information.
We anticipate that in the future we will
maintain insurance to protect against claims associated with the use of our products as well
as liability limitation language in our end-user
license agreements, but there can be no assurance that our insurance coverage or contractual
language would adequately cover any claim
asserted against us. A successful claim brought against us in excess of or outside of our insurance
coverage could have an adverse effect
on our business, results of operations and financial condition. Even unsuccessful claims could
result in our expenditure of funds for
litigation and management time and resources.
There
is significant uncertainty in the healthcare
industry in which we operate, and we are subject to the possibility of changing government regulation,
regulations, which may adversely impact our
business, financial condition and results of operations.
Substantially
all of the outstanding shares of our
common stock in addition to the shares issuable upon conversion of our outstanding convertible notes
are freely tradable without restriction
or registration under the Securities Act or otherwise eligible sale under Rule 144 promulgated
under the Securities Act, subject to certain
limitations. In general, pursuant to Rule 144, non-affiliate stockholders may sell freely
after six months, subject only to the current
public information requirement. Affiliates may sell after six months, subject to the Rule
144 volume, manner of sale (for equity securities),
current public information, and notice requirements. All of the 11,281,52715,032,788 shares
of our common stock outstanding as of March 27,30, 2025,
2026, and the shares issuable upon conversion of our outstanding convertible notesnote, warrants
and preferred stock may be sold in accordance with Rule 144
and only those shares held by Troy Grogan are subject to the volume limitation
imposed by Rule 144 on sales by affiliates. Given the limited
trading of our common stock, resale of even a small number of shares of
our common stock pursuant to Rule 144 or an effective registration
statement, may adversely affect the market price of our common stock.
Our
director may authorize the issuance of preferred
stock in one or more series with such limitations and restrictions as he may determine,
in his sole discretion, with no further authorization
by security holders required for the issuance of such shares. Our director may
determine the specific terms of the preferred stock, including:
designations; preferences; conversions rights; cumulative,the relative;rates participatingand date of
payment of dividends; and optional or other rights, including: voting rights;
qualifications; limitations; or restrictions of the preferred
stock stock.and rights upon a default. Our sole director has exercised this authority to authorize the Series
A and Series A-2 Preferred Stock which, taking into account the votes he is eligible to cast by virtue of the number of shares of our common stock and
Series A Preferred Stock he holds, our sole director controls a majority of the votes which may be cast at a meeting of our stockholders,
and therefore has the ability to control all matters submitted to stockholders for approval.Stock.
The
Sarbanes-Oxley Act of 2002, as well as rules subsequently
implemented by the SEC and the national stock exchanges, have imposed various
requirements on public companies, including requiring changes
in corporate governance practices. Our management and other personnel will need to devote
a substantial amount of time to these compliance
requirements and any new requirements that the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 may imposebe imposed on public
companies. Moreover,
these rules and regulations, along with compliance with accounting principles and regulatory interpretations of such
principles, have
increased and will continue to increase our legal, accounting and financial compliance costs and have made and will continue
to make
some activities more time- consumingtime-consuming and costly. For example, we expect these rules and regulations to make it more difficult
and more
expensive for us to obtain director and officer liability insurance, and we may be required to accept reduced policy limits and coverage
coverage or incur substantial costs to maintain the same or similar coverage. These rules and regulations could also make it more difficult for
for us to attract and retain qualified persons to serve on our board of directors or our board committees, or as executive officers. We will
will evaluate the need to hire additional accounting and financial staff with appropriate public company experience and technical accounting
and financial knowledge. We estimate the additional costs to be incurred as a result of being a public company to be in excess of $150,000
annually.
Effective internal controls are necessary for us to
provide reliable financial reports and to effectively prevent fraud. Management has assessed the effectiveness of our internal control
over financial reporting as of December 31, 2024. Based on our assessment, we have concluded that our internal controls over financial
reporting were not effective as of December 31, 2024, due to lack of an oversight committee and lack of segregation of duties. Management
will consider the need to add personnel and implement improved review procedures.
Our system of internal control over financial reporting
is not effective and we need to take remedial measures to improve our internal control over financial reporting. Remedial measures will
likely require hiring additional personnel. We cannot assure our stockholders that the measures we will take to remediate areas in need
of improvement will be successful or that we will implement and maintain adequate controls over our financial processes and reporting
in the future. If we are unable to maintain appropriate internal financial reporting controls and procedures, it could cause us to fail
to meet our reporting obligations, result in the restatement of our financial statements, harm our operating results, subject us to regulatory
scrutiny and sanction, cause investors to lose confidence in our reported financial information and have a negative effect on the market
price for shares of our common stock.
Management's Discussion & Analysis (MD&A)
New heading “Business Model and Revenue Drivers”
New heading “Operating Focus and Cost Structure”
New heading “Customer Acquisition and Sales Cycle”
New heading “Trends Affecting Results of Operations”
Removed heading “The following discussion and analysis of financial condition and results of operations relates to the operations and financial condition reported in the consolidated financial statements of QHSLab, Inc. and its subsidiaries for the years ended December 31, 2024 and 2023 and should be read in conjunction with such consolidated financial statements and related notes included in this report.”
Largest changes
“In addition to using our cash to satisfy our working capital needs, we have begun to make payments on our outstanding indebtedness to avoid continued growth in the amount of accrued interest and penalties, and to retain the support of our lenders. While the holders of our First and Second OID Notes and the Acquisition Note have agreed to forbear from exercising their rights as a result of our defaults at this time, there is no guarantee they will continue to do so. …”see in full comparison
“The remaining principal and interest accrued on the Acquisition Note was $433,334 as of December 31, 2024, and we are in default under this Note. We last received a notice of forbearance from the holder of the Acquisition Note on March 20, 2025, in which it reserved all of its rights. We also are currently in default of our obligations under the First OID Note and the Second OID Note. …”see in full comparison
“The following discussion and analysis of financial condition and results of operations relates to the operations and financial condition reported in the consolidated financial statements of QHSLab, Inc. and its subsidiaries for the years ended December 31, 2024 and 2023 and should be read in conjunction with such consolidated financial statements and related notes included in this report.”see in full comparison
The accompanying consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. We had an accumulated deficit ofsee in full comparison$4,331,350$3,903,551 at December 31,2024,2025, generated netlossesincome of$259,239 and $468,362$457,417 for theyearsyear ended December 31,20242025, principally as a result of a gain of $1,145,695 on the extinguishment of debt, and2023,arespectively,netandloss of $259,239 for the year ended December 31, 2024. We generated cash from operations of $178,118 and $142,437 in theyear ended December 31, 2024, and used $159,627 of cash in operations in the yearyears ended December 31,2023.2025Weandare2024,currentlyrespectively.inDespitedefaultthe extinguishment of much of ourobligationsdebt,underourOIDhistoryNotesofandlosses combined with theAcquisitionamountNote.ofTheseourfactors, among others,revenues, raise substantial doubt about our ability to continue as a going concern for a reasonable period of time. Our continuation as a going concern is dependent upon our ability toobtaincontinuenecessarytoequity or debt financing and ultimately from generating revenues andgenerate positive cash flowto continuefrom operationsand,or obtaininnecessarytheequityinterim,ortodebtconvince the holders of our notes to forbear from exercising any rights they might have as a result of our defaults.financing. The consolidated financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might be necessary should we be unable to continue as a going concern.
“The increase is driven by default interest expense of $328,427 related to the Mercer Fund $806,000 Note and $440,000 Note partially offset by decreases due to the timing of the amortization of debt issuance costs including legal fees and warrants issued in connection with certain of our convertible notes payable. …”see in full comparison
“For the year ended December 31, 2025, we recorded a gain on extinguishment of debt within Other income and expense on the consolidated statements of operation in connection with the repurchase of our convertible promissory notes originally issued on August 10, 2021 and July 19, 2022 (collectively, the “Notes”). …”see in full comparison
Full comparison: every changed paragraph (53)
The following discussion
and analysis of financial condition and results of operations relates to the operations and financial condition reported in the consolidated
financial statements of QHSLab, Inc. and its subsidiaries for the years ended December 31, 2024 and 2023 and should be read in conjunction
with such consolidated financial statements and related notes included in this report.
We
are a medical device technology and software as
a service (“SaaS”) company focused on enabling primary care physicians (“PCPs”) and other healthcare providers
to increase their revenues
by providing them with relevant, value-based tools to evaluate and treat chronic disease as well as provide
preventive care through reimbursable
procedures. In some cases, the products we provide our physician clients will enable them to diagnose
and treat patients with chronic
diseases which they historically have referred to specialists, allowing them to increase their practice
revenue. As part of our mission,
we are providing PCPs and other healthcare providers with the software, training and devices necessary to allow them to treat their
patients patients
using value-based healthcare, informatics and algorithmic personalized medicine.medicine, including digital therapeutics. Our digital healthcare, clinical decision support virtual
and point of care
solutions also support non face to face clinical decision making and remote patient and therapeutic monitoring, to address chronic
care and preventive medicine and
are reimbursable to the medical practice.
Increasingly,
regulators and insurance companies have
come to recognize what health care technologists have been saying for nearly 20 years, which
is that most chronic conditions are better
managed with more frequent and short encounters often without a physician’s direct participation,
rather than infrequent visits.
More health insurers have realized that Artificial Intelligence (“AI”) enabled digital medicine
technologies such as those provided through our proprietary internally-developed Quality Health System Lab Expert System software (“QHSLab ”)
can provide the
necessary encounters to foster patient compliance in between face to face visits to a physician.
In November 2020, we began
shipping AllergiEnd® diagnostic related products and immunotherapy treatments to PCPs in response to their requests based upon
courses of treatment recommended for their patients building on the capabilities of QHSLab, our primary SaaS tool.
Based
on the success of PCPs
and other healthcare providers using our QHSLab allergy diagnostics and quality of life enhancing digital medicine tools combined with
the products acquired from MedScience,MedScience Research Group, Inc.
(“MedScience”), we intend to increase our revenues by charging physicians variousa service, assessment, program
andmonthly subscription feesfee for the use of QHSLab
and soliciting additional healthcare providersPCPs to increase their revenues by using our proven
revenue generating QHSLab and AllergiEnd® line
of products. We also plan to introduce additional point of care diagnostics
and treatments, and digital medicine programs that providersPCPs can
use and prescribe in their practices. In all cases, providersPCPs will be
paid under existing government and private insurance programs, based
upon analyses conducted utilizing QHSLab and treatments provided
as a result of such analyses.
Our
ability to operate profitably is determined by our ability to
generate revenues from the licensing of our QHSLab software and the sale of diagnostic
related products and treatment protocols and the
provision of services through our QHSLab system.QHSLab. Currently, we are generating revenues from the
sale of AllergiEnd® diagnostic
related productsproducts, immunotherapy treatments and immunotherapyclinical treatments.decision support and administrative
services. Our ability to generate a profit from these sales is determined by our ability to increase
the number of physicians using these
products. We will continue to upgrade QHSLab in an effort to increase the number of products sold
based upon the services it can provide
and for which we are able to charge a fee for its use.fee.
We operate as a single operating segment and single reportable segment. Operating segments are defined as components of a business that can earn revenue and incur expenses and for which discrete financial information is evaluated regularly by the chief operating decision maker (“CODM”) in deciding how to allocate resources and assess performance. Our CODM, the Chief Executive Officer, allocates resources and assesses performance based upon condensed consolidated financial information due to the interconnected relationship of our products to the same customers, therefore manages our business as a single operating segment.
Business Model and Revenue Drivers
The Company’s operating results are driven primarily by:
Revenue is generally recurring in nature and may fluctuate based on patient opt-out rates, variability in service utilization, seasonal patterns, and changes in practice enrollment levels.
The allergy diagnostics and treatment services contribute to revenue through the sale of FDA-cleared diagnostic devices to participating practices and through increased utilization of the digital platform when allergy screening and follow-up workflows are implemented. Management believes that allergy represents a common chronic condition well-suited to population health management, which may support incremental patient engagement and revenue per practice over time.
Operating Focus and Cost Structure
The Company’s cost structure consists primarily of:
Management seeks to maintain a capital-efficient operating model by limiting customization, standardizing implementations, and focusing on a defined target customer profile. The Company’s allergy diagnostics service line is structured to leverage existing digital workflows and practice relationships, rather than requiring a separate standalone sales or support infrastructure.
Customer Acquisition and Sales Cycle
Our sales strategy prioritizes independent, physician-led primary care practices that control their own workflows and express a demonstrated need for improved assessment, follow-up care, or expanded chronic disease and/ or behavioral health management service offerings.
The allergy diagnostics and treatment offering are generally introduced as a complementary capability within existing or prospective digital platform deployments, rather than as a standalone product offering. Management believes this integrated approach may reduce sales friction and support adoption by practices seeking to expand services without adding additional vendors.
The typical sales cycle includes an introductory discussion, a focused demonstration of the patient journey and economic model, and execution of a standard services agreement. Management seeks to minimize extended sales cycles and avoid customer engagements that require significant customization or operational complexity.
Trends Affecting Results of Operations
Management believes the following trends are relevant to the Company’s operating results:
These trends may support increased adoption of the Company’s digital platform and allergy diagnostics offerings, although the timing and extent of such impacts remain uncertain.
During
the fourth quarter of 2020 we began to sell
the AllergiEnd® Products, consisting of AllergiEnd® Allergy Diagnostics
and Allergen Immunotherapy treatments, to
physicians. During the second quarter of 2022, we began to enter into SaaS subscription agreements
to provide physicians with access to
our proprietary internally-developed QHSLab platform software that provides clinical decision support and patient
monitoring for numerous
chronic conditions seen in primary care settings including allergy, asthma, anxiety, depression, chronic pain,
and sleep disorders for
example. During the fourth quarter of 2022, we began entering into Integrated Service Program (“ISP”)
agreements to provide physicians’
offices with agreed-upon clinical decision support, digital health assessments, administrative
workflow, and reimbursement support services
utilizing our QHSLab platform.QHSLab.
For
the year ended December 31, 2024,2025, we generated
revenues of $2,131,926$2,691,741 compared to $1,408,995$2,131,926 of revenues in 2023.2024. Revenues in 20242025 were
primarily driven by ISP services sales of $1,121,134 and sales of Allergy Diagnostic
Kits of $832,987 and ISP services of $643,211.$823,108. The increase in revenues in the
year ended 20242025 were attributed to a 138%74.3% increase in revenues
generated from ISP services to $643,211$1,121,134 compared to $270,022$643,211 for the
year ended December 31, 2023;2024 and a 25%19.2% increase in sales of Allergy
DiagnosticImmunotherapy KitsTreatment to $832,987$487,762 compared to $666,600$409,319 for the year ended
December 31, 2023 and the inclusion of revenues as a result of the
achievement of the initial performance obligations associated with our clinical study.2024.
Cost
of revenues consists of the cost of the AllergiEnd®
test kits and allergen immunotherapy pharmacy preparedpharmacy-prepared treatment sets,
shipping costs to our customers as well as administrative services
and labor expenses directly related to ISP sales and the amortization
of our capitalized software.
The
Company generated a gross profit of $1,357,890,
$1,810,849, for the year ended December 31, 20242025 and $793,607,$1,357,890, in 2023.2024. Gross margin increased
from 56.3% during the year ended December 31, 2023
to 63.7% during the year ended December 31, 2024.2024 to 67.3% during the year ended December 31, 2025. The increase in gross margin for the year ended December 31, 2024in
2025 was attributable to
a combination of changes in the product mix including the growth of ISP revenue and improved cost structure
resulting sincefrom the acquisition of intangible
assets from MedScience and synergies across our core product lines as well as the recognition of revenue as a result of the achievement
of the initial research performance obligations associated with the clinical study which utilizes costs already included in cost of goods
sold.lines.
As
we continue to introduce new products at an early
stage in our development cycle, theour gross margins may vary significantly between periods,
due due,to, among other things, to differences among
our customers and products sold, customer negotiating strengths, and product mix.
General and administrative expenses consist primarily of costs associated with operating a business including accounting, legal and other management consulting fees.
The
increase in general and administrative expenses
for the year ended December 31, 2024,2025, as compared to 2023,2024, is primarily due to increases
in sales processing,processing cloud-relatedrelated hostingto increased revenue, rent, investor relations and
legal fees partially offset by continued decreases in managementconnection consultingwith services.the settlement of outstanding
debt.
For the year ended December 31, 2025, R&D expenses totaled $484,873, which is an increase of $190,393, compared to $294,479 for the year ended December 31, 2024.
For the year ended December 31, 2024, R&D expenses
totaled $294,479, which is an increase of $80,471, compared to $214,008 for the year ended December 31, 2023.
The
increases in R&D expenses for the year ended
December 31, 2024,2025, as compared to 2023,2024, were driven by increases in software development
expenses as we continue to expand the commercialization
of our QHSLab platform software and R&D consulting expenses including the appointment of a medical
and scientific affairs liaison
during the second quarter of 2024. We expect that our R&D expenses will continue to increase as we
invest in and expand our operations
and further develop new products and services as part of our growth strategy.
For the year ended December 31, 2025, interest expense decreased by $227,642 to $237,413 from $465,055 for the year ended December 31, 2024.
The decrease is driven by the fact that we accrued interest of $328,427 on the Mercer Fund $806,000 Note and $440,000 Note during 2024 at the default rate combined with the extinguishment of such debt in late 2025. The elimination of this debt and accrual of interest at the non-default rate resulted in lower interest expense during the year ended December 31, 2025. We anticipate that the amount of interest we pay will remain lower until such time as we elect to take on new debt.
For the year ended December 31, 2025, we recorded a gain on extinguishment of debt within Other income and expense on the consolidated statements of operation in connection with the repurchase of our convertible promissory notes originally issued on August 10, 2021 and July 19, 2022 (collectively, the “Notes”). The Notes, which had been in default and bore interest at a default rate of 18 percent per annum, had an aggregate outstanding balance consisting of principal and accrued interest of $1,445,695 as of the date of redemption and were satisfied with a payment of $300,000, resulting in a gain of $1,145,695 within Other income and expense.
During 2025 we also satisfied the Promissory Note held by MedScience which had an outstanding principal and accrued interest balance totaling $470,529. In consideration of the repurchase of the Promissory Note, we issued an aggregate of 1,568,432 shares of common stock resulting in a net loss on the repurchase of the Promissory Note of $479,940 which was recorded within Other income and expense.
On December 31, 2025, we agreed to modify our outstanding Convertible Promissory Note which had a balance as of such date of $146,548. Pursuant to our agreement with the holder, $126,548 of outstanding principal and accrued interest was converted into shares of our common stock at a price of $0.30 per share resulting in the issuance of 421,827 shares of our common stock and the converted portion of the Convertible Promissory Note was extinguished upon issuance of the shares. In connection with the modification and partial conversion, we recognized a loss of $102,251 recorded during the year ended December 31, 2025 within Other income and expense.
For the year ended December 31, 2024, interest expense
increased by $234,561 to $465,055 from $230,494 for the year ended December 31, 2023.
The increase is driven by default interest expense
of $328,427 related to the Mercer Fund $806,000 Note and $440,000 Note partially offset by decreases due to the timing of the amortization
of debt issuance costs including legal fees and warrants issued in connection with certain of our convertible notes payable. Interest
expense during the year ended 2024 included interest on the outstanding debt balance as all debt issuance costs including legal fees and
warrants issued in connection with the second Mercer note in July 2022 (Second OID Note) and the first Mercer note issued
in August 2021 (First OID Note) were fully amortized by the end of 2023.
Liquidity
is a measure of a company’s ability
to generate funds to support its current and future operations, satisfy its obligations, and
otherwise operate on an ongoing basis. On
December 31, 2024,2025, we had current assets totaling $420,827,$883,009 including $157,168$636,157 of cash, $196,089 $190,610
of accounts receivable, $41,779$35,790 of inventory,
and $25,791$20,452 related to prepaid expenses and other current assets. At such date we had total current
liabilities of $2,407,308$449,860 consisting
of $340,962$326,431 in accounts payable, $343,945$17,858 in other current liabilities and $1,722,401$105,571 representing the
current portions of outstanding
loans and convertible notes.loans. There werewas no$96,218 of outstanding loan balances classified as long-term liabilities on our consolidated
balance sheets.
On
December 31, 2023,2024, we had current assets
totaling $156,132,$420,827, including $51,582$157,168 of cash, $71,382$196,089 of accounts receivable, $25,181$41,779 of inventory,
and $7,987$25,791 related to prepaid
expenses and other current assets. At such date we had total current liabilities of $2,057,049$2,407,308 consisting
of $78,907$340,962 in accounts
payable, $196,590$343,945 in other current liabilities and $1,781,552$1,722,401 representing the current portions of outstanding
loans and convertible
notes. There were no balances classified as long-term liabilities on our consolidated balance sheets as the entirety of our loans payable are included in
current liabilities.sheets.
We
generated cash flows of $142,437$178,118 from operations
during the year ended December 31, 2024,2025, weand used$142,437 cash of $159,627 infrom operations during the same period ending December 31, 2023.2024. The
increase in generation
rather than use of cash was driven by an increase in revenue and improved gross margins during the year ended December 31, 20242025 compared
to the same period ended December 31, 2023.2024.
During
the third quarter of 2021, we issued a promissory
note of $750,000 (the “Acquisition Note”) in connection with our acquisition
of assets related to our AllergiEnd®
products and an Original Issue Discount Secured Convertible Promissory Note in the principal
amount of $806,000 (the “First OID
Note”) along with warrants to purchase 930,000 shares of our common stock (the “Warrants”)
for aggregate consideration
of $750,000. In July 2022, to supplement our cash on hand, we issued to the holder of the First OID Note an Original
Issue Discount Secured
Convertible Promissory Note (the “Second OID Note”) in the principal amount of $440,000 and warrants to
purchase 550,000 shares
of our common stock for aggregate consideration of $400,000.
On November 18, 2025, we consummated a Note Repurchase Agreement (the “Repurchase Agreement”) with the holder of the First and Second Notes which had been in default and on which we were accruing interest at a default rate of 18 percent per annum. The Notes had an aggregate outstanding balance consisting of principal and accrued interest of $1,445,695 as of the date of redemption.
Under the terms of the Repurchase Agreement, we purchased the Notes for $300,000 (the “Repurchase Price”). Upon payment of the Repurchase Price, the Notes were deemed fully satisfied and all security interests and obligations relating to the Notes were terminated. The redemption resulted in the termination of all conversion rights associated with the Notes, including rights to convert into shares of the Company’s common stock at a conversion price of $0.20 per share and a gain on extinguishment being recorded in the consolidated income statement for the year ended December 31, 2025.
The combined principal and accrued interest on the Acquisition Note as of December 31, 2025 was $470,529 and as of December 31, 2024 was $433,334, without giving effect to additional interest of $49,165 and $30,567, respectively, which the holder of the Acquisition Note may have demanded as a result of our failure to make payments on the due dates provided in the Acquisition Note.
We repurchased and extinguished the Acquisition Note as of December 31, 2025. In consideration of the repurchase of the Acquisition Note, we issued an aggregate of 1,568,432 shares of our common stock. As of December 31, 2025, the principal loan balance and all accrued interest were discharged.
All amounts outstanding under the First OID Note and
Second OID Note were payable on August 10, 2022, and July 22, 2023, respectively, the OID Notes remain unpaid and are secured by a lien
on substantially all of our assets.
The remaining principal and interest accrued on the
Acquisition Note was $433,334 as of December 31, 2024, and we are in default under this Note. We last received a notice of forbearance
from the holder of the Acquisition Note on March 20, 2025, in which it reserved all of its rights. We also are currently in default
of our obligations under the First OID Note and the Second OID Note. We last received a notice of forbearance from the manager of Mercer
Street Global Opportunity Fund, LLC, the holder of the First and Second OID Notes, on February 19, 2024, in which it reserved all rights
it might have as a result of our defaults under the First OID Note, the Second OID Note and the related documents between us and the Fund.
Amounts accrued as interest under the Acquisition Note do not include interest and penalties which would
be payable if the holder of such Note elects to exercise its rights under the default provisions of the Note. There is no guarantee
that the manager of Mercer Street Global Opportunity Fund, LLC and the holder of the Acquisition Note will continue to forbear from exercising
such rights as they may have to collect amounts due, including seeking to foreclose upon such liens they may have on our assets.
On February 20, 2025, the Company received a Notice
of Default from Mercer Street Global Opportunity Fund, LLC (the Lender) in connection with the First OID Note and the Second OID
Note. Under the terms of the Notes, a failure to pay the principal and interest when due constitutes an Event of Default. The Company
has accrued default interest of 18% as of December 31, 2024 for these notes. See Note 7 Convertible Notes Payable for additional information
regarding these notes.
The
accompanying consolidated financial statements
have been prepared on a going concern basis, which contemplates the realization of assets
and the satisfaction of liabilities in the normal
course of business. We had an accumulated deficit of $4,331,350$3,903,551 at December 31, 2024, 2025,
generated net lossesincome of $259,239 and $468,362$457,417 for
the yearsyear ended December 31, 20242025, principally as a result of a gain of $1,145,695 on the extinguishment
of debt, and 2023,a respectively,net andloss of $259,239 for the year ended December 31, 2024. We generated cash from operations of $178,118 and $142,437
in the year ended December 31,
2024, and used $159,627 of cash in operations in the yearyears ended December 31, 2023.2025 Weand are2024, currentlyrespectively. inDespite defaultthe extinguishment of much of our obligationsdebt, under
our OIDhistory Notesof andlosses combined
with the Acquisitionamount Note.of Theseour factors, among others,revenues, raise substantial doubt about our ability to continue as a going
concern for a reasonable period of
time. Our continuation as a going concern is dependent upon our ability to obtaincontinue necessaryto equity
or debt financing and ultimately from generating revenues andgenerate positive cash flow to continuefrom operations and,or
obtain innecessary theequity interim,or todebt convince
the holders of our notes to forbear from exercising any rights they might have as a result of our defaults.financing. The consolidated financial
statements do not include any adjustments relating to the recoverability
and classification of recorded asset amounts or the amounts and
classification of liabilities that might be necessary should we be unable
to continue as a going concern.
Our
working capital requirements are expected to increase
in line with the growth of our business. We will remain highly leveraged as we seek to
expand our business. Existing working capital and
anticipated cash flows are expected to be adequate to fund our operations over the
next twelve months. If necessary, we would seek to
supplement such amounts through the issuance of debt or equity.
In addition to using our cash to satisfy our working
capital needs, we have begun to make payments on our outstanding indebtedness to avoid continued growth in the amount of accrued interest
and penalties, and to retain the support of our lenders. While the holders of our First and Second OID Notes and the Acquisition Note have agreed
to forbear from exercising their rights as a result of our defaults at this time, there is no guarantee they will continue to do so. If
they elect to exercise their rights, the amount of accrued interest and penalties owed under the agreements will substantially increase.
Further, should they demand immediate payment of all amounts currently due and, in the case of Mercer, exercise its rights under its Security
Agreements, it would have a material adverse effect on our business and jeopardize our ability to continue operations. Any future effort
to restructure existing indebtedness through agreements with our current lenders to allow us to increase the amount we can devote to expanding
our operations will require the consent of our current lenders and likely would require the issuance of additional debt or equity securities.
Should we seek to raise additional capital to satisfy our lenders, there is no assurance sufficient amounts will be available.
Our
ability to obtain funds
through the issuance of debt or equity is dependent upon the state of the financial markets at such time as we
may seek to raise funds.
The state of the capital markets may be adversely impacted by various risks and uncertainties, including, but
not limited to future and
current impacts of global events such as wars in the UkraineUkraine, Israel and Israel,Iran, increases in inflation and other
risks detailed in the risk factors
sections detailed in this 20242025 Annual Report on Form 10-K.
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)
Largest changes
For the three months endedsee in full comparisonMarchJune31,30, 2026, interest expense decreased by$58,044$57,269 to$9,526$7,215 from$67,570$64,484 for the three months endedMarchJune 30,31,2025.The decrease is driven by the conversion and settlement of multiple loans during the fourth quarter of 2025 including the elimination of default interest associated with certain of the notes.
“The decrease is driven by the conversion and settlement of multiple loans during the fourth quarter of 2025 including the elimination of default interest associated with certain of the notes.”see in full comparison
“Management believes our current cash position, anticipated collections of outstanding accounts receivable, and expected cash generated from future operations will provide sufficient liquidity to fund current operating requirements. Moreover, by substantially reducing our debt, we improved our ability to borrow funds should it become necessary. During the current quarter, the Company achieved profitability for the first time following a period of operating losses, and management's plans are focused on sustaining profitable operations and positive cash flows in future periods. …”see in full comparison
We operate as a single operating segment and single reportable segment.see in full comparisonOperating segments are defined as components of a business that can earn revenue and incur expenses and for which discrete financial information is evaluated regularly by the CODM in deciding how to allocate resources and assess performance.Our CODM, the Chief Executive Officer, allocates resources and assesses performance based upon condensed consolidated financial information and due to the interconnected relationship of our products whichwhichare predominately offered to the same class of customer, manages our business as a single operating segment.
Results of Operations during the three and six months endedsee in full comparisonMarchJune31,30, 2026 as compared to the three and six months endedMarchJune31,30,2025.2025
“Although revenue increased approximately 26% during the six months ended June 30, 2026, we reported an operating loss of approximately $49,000, compared to an operating loss of approximately $500 during the comparable prior-year period. The increase in our operating loss primarily reflects continued strategic investment in expanding our sales and marketing initiatives and investment in the commercial infrastructure and administrative capabilities necessary to support future growth as well as our continued dedication to research and development necessary to develop new products. …”see in full comparison
Full comparison: every changed paragraph (40)
The
following discussion provides information which management believes is relevant to an assessment and understanding of our results of
operations and financial condition. The discussion should be read along with our unaudited condensed consolidated financial statements
for the three and six months ended MarchJune 31,30, 2026 and 2025 and notes thereto contained elsewhere in this Report, and our annual report
on Form
10-K for the twelve months ended December 31, 2025 including the consolidated financial statements and notes thereto contained
in such
Report. The following discussion and analysis contains forward-looking statements, which involve risks and uncertainties. Our
actual actual
results may differ significantly from the results, expectations and plans discussed in these forward-looking statements. See “Cautionary
Note Concerning Forward-Looking Statements.”
We
are a medical device technology and SaaS company focused on enabling primary care physicians (“PCPs”) and other healthcare
healthcare providers to increase their revenues by providing them with relevant, value-based tools to evaluate and treat chronic disease
as well
as provide preventive care through reimbursable procedures. In some cases, the products we provide our physician clients will enable
enable them to diagnose and treat patients with chronic diseases which they historically have referred to specialists, allowing them
to increase
their practice revenue. As part of our mission, we are providing PCPs and other healthcare providers with the software, training and
and devices necessary to allow them to treat their patients using value-based healthcare, informatics and personalized medicine. Our digital
digital healthcare, clinical decision support and point of care solutions also support non face to face remote patient and therapeutic monitoring,
monitoring, to address chronic care and preventive medicine and are reimbursable to the medical practice.
Increasingly,
regulators and insurance companies have come to recognize what health care technologists have been saying for nearly 20 years, which
is that most
chronic conditions are better managed with more frequent and short encounters often without a physician’s direct participation,
rather than infrequent visits. More health insurers have realized that Artificial Intelligence (“AI”) enabled digital medicine
technologies such as those provided through our proprietary internally-developed Quality Health System Lab Expert System software (“QHSLab”)
can provide the necessary encounters to foster patient compliance in between face to face visits to a physician.
Based
on the success of PCPs using our QHSLab allergy diagnostics combined with the products acquired from MedScience Research Group, Inc.
(“MedScience”), we intendare to increaseincreasing our revenues by charging physicians a monthly subscription fee for the use of QHSLab
and soliciting additional PCPs to increase their revenues by using our proven revenue generating QHSLab and AllergiEnd® line of products.
We also plan to introduce additional point of care diagnostics and treatments, and digital medicine programs that PCPs can use and prescribe
in their practices. In all cases, PCPs will be paid under existing government and private insurance programs, based upon analyses conducted
utilizing QHSLab and treatments provided as a result of such analyses.
We
operate as a single operating segment and single reportable segment. Operating segments are defined as components of a business that
can earn revenue and incur expenses and for which discrete financial information is evaluated regularly by the CODM in deciding how to allocate resources and assess performance. Our CODM, the Chief Executive Officer, allocates resources
and assesses
performance based upon condensed consolidated financial information and due to the interconnected relationship of our products which
which are predominately offered to the same class of customer, manages our business as a single operating segment.
Results
of Operations during the three and six months ended MarchJune 31,30, 2026 as compared to the three and six months ended MarchJune 31,30, 2025.2025
For the three months ended June 30, 2026, we generated revenues of $847,490 compared to $605,446 of revenues for the three months ended June 30, 2025 which was driven by an 86.4% increase in our Integrated Service Program (ISP) revenues during the period.
For the six months ended June 30, 2026, we generated revenues of $1,576,175 compared to $1,250,865 of revenues for the six months ended June 30, 2025. The increase in revenues for the first half of 2026, is attributed to a 103.2% increase in revenues generated from ISP services to $865,900 compared to $426,130 in the first half of 2025. Revenues for the first half of 2026 were also affected by an 8.2% decrease in sales of Allergy Diagnostic Kits to $424,828 compared to $462,557 for the six months ended June 30, 2025.
A significant portion of our revenue growth during the first half of 2026 was driven by recurring service-based revenue generated through ISP. Unlike traditional medical product sales, these services are provided on an ongoing basis as physicians continue utilizing the Company’s software platform and clinical support services. Management believes continued growth in recurring revenue improves the predictability of future operating results, supports expansion of gross margins, and enhances long-term shareholder value.
For
the period ended March 31, 2026, we generated revenues of $728,685 compared to $645,419 of revenues for the period ended March 31, 2025.
The increase in revenues for the period ended March 31, 2026, is attributed to the growth of the revenue associated with ISP services
which more than made up for the inclusion of revenues in the March 31, 2025, quarter as a result of the achievement of the performance
obligations associated with a clinical study undertaken by us pursuant to an agreement with a third party which was not replicated in
the period ended March 31, 2026. ISP Revenue increased 130.5% to $374,501 compared to $162,502 in the first quarter of 2025.
For
the three months ended MarchJune 31,30, 2026 and 2025, cost of revenues was $257,882$257,706 and $215,475,$206,431, respectively.
The Company generated a gross profit of $589,784 during the three months ended June 30, 2026 compared to $399,015 for the three months ended June 30, 2025. Gross margin increased to 69.6% for the quarter compared to 65.9% during the three months ended June 30, 2025.
For the six months ended June 30, 2026 and 2025, cost of revenues was $515,588 and $421,906, respectively.
The Company generated a gross profit of $1,060,587 during the six months ended June 30, 2026 compared to $828,959 for the six months ended June 30, 2025. Gross margin increased from 66.3% during the six months ended June 30, 2025 to 67.3% during the six months ended June 30, 2026. The increase in gross margin was driven by several factors, including a favorable shift in revenue mix, highlighted by a $439,770 (103.2%) increase in ISP revenue, which represented a larger proportion of total revenues during the period, as well as operating synergies across our core product lines.
The Company generated gross profit of $470,803 for
the three months ended March 31, 2026, compared to $429,944 for the three months ended March 31, 2025, an increase of $40,859, or 9.5%.
Gross margin decreased from 66.6% for the three months ended March 31, 2025 to 64.6% for the three months ended March 31, 2026.
The decrease in gross margin was primarily due to
changes in revenue mix, including growth in the Company’s ISP revenue and the introduction
of a new service line that includes revenue-sharing arrangements with a third-party provider. This service line contributed to the increase
in total revenue and gross profit in absolute dollars but carries a higher cost of revenue relative to the Company’s other offerings,
resulting in a lower overall gross margin percentage.
Management believes the increase in gross profit reflects
continued growth in the Company’s operations. The change in gross margin is consistent with the Company’s evolving revenue
mix and does not reflect a decline in the cost structure of its core product lines, which continue to benefit from operational efficiencies
and prior cost optimization initiatives.
For
the three months ended MarchJune 31,30, 2026, sales and marketing expenses totaled $218,424$156,474 compared to $144,399$107,279 for the three months ended June
March 31,30, 2025, an increase of $74,025.$49,195.
For the six months ended June 30, 2026, sales and marketing expenses totaled $313,914 compared to $202,109 for the six months ended June 30, 2025, an increase of $111,805.
The
increase in sales and marketing expenses for the periodperiods ended MarchJune 31,30, 2026 compared to the same periodperiods in 2025 relate to an increase
in payroll-related and strategic marketing expenses as we investwere investing in more sales and marketing activities to support our increasing
ISP ISP
revenue. We expect our sales and marketing expenses to increase as we seek to build our customer base and launch additional products.
Nevertheless, if we are successful in onboarding a sufficient number of PCPs and maintaining our relationships with these PCPs once they
begin to fully utilize our products, sales and marketing expenses could decrease as a percentage of revenues, though we may increase
our marketing efforts as funds become available.
For
the three months ended MarchJune 31,30, 2026, general
and administrative expenses totaled $207,822,$255,416, an increase of $52,299,$105,598, compared to $155,523
$149,818 for the three months ended March 31,June
30, 2025. The increase is primarily due to increased payroll-related expenses associated with expanding
strategic and operational roles to support growing operations along with other operational expenses such as rent, insurance and accounting
fees.
For the six months ended June 30, 2026, general and administrative expenses totaled $524,222 an increase of $169,312, compared to $354,910 for the six months ended June 30, 2025.
The increase is primarily due to increased payroll-related expenses associated with expanding strategic and operational roles to support growing operations along with increases in other operational expenses such as rent, insurance and accounting fees.
Research
and development (“R&D”) includes expenses incurred in connection with the research and development of our medical device
technology solution, including software development.development and costs related to our clinical study. R&D costs are expensed as they are incurred.
For
the three months ended MarchJune 31,30, 2026, R&D expenses totaled $120,909,$114,621 awhich decreaseis an increase of $3,124$2,257 compared to $124,033$112,364 for the three
months months
ended MarchJune 31,30, 2025.
For the six months ended June 30, 2026, R&D expenses totaled $235,530 which is a decrease of $867 compared to $236,397 for the six months ended June 30, 2025.
TheResearch
decreaseand in R&Ddevelopment expenses for the period ended MarchJune 31,30, 2026,2026 asremained comparedgenerally toconsistent with the comparable period in 2025, wasreflecting
the drivenCompany’s bycontinued maintaininginvestment in software development to support the commercialization and enhancement of the QHSLab platform.
expensesWhile maintaining a disciplined level asof weinvestment continuein research and development, the Company continued to expand the commercialization of our QHSLab platform software while investing more inits sales and marketing
effortsactivities during the period.period Weto expectsupport thatrevenue ourgrowth. R&DManagement expects research and development expenses willto increase over time as
the weCompany continues to invest in andexpanding expand ourits operations and
further developdeveloping new productsproducts, services and servicestechnologies as part of theits Company’s long-term
growth strategy.
For
the three months ended MarchJune 31,30, 2026, interest expense decreased by $58,044$57,269 to $9,526$7,215 from $67,570$64,484 for the three months ended MarchJune 30,
31, 2025. The decrease is driven by the conversion and settlement of multiple loans during the fourth quarter of 2025 including the elimination
of default interest associated with certain of the notes.
For the six months ended June 30, 2026, interest expense decreased by $115,313 to $16,741 from $132,054 for the six months ended June 30, 2025.
The decrease is driven by the conversion and settlement of multiple loans during the fourth quarter of 2025 including the elimination of default interest associated with certain of the notes.
Net Operating Income (Loss); Net Income (Loss)
Although revenue increased approximately 26% during the six months ended June 30, 2026, we reported an operating loss of approximately $49,000, compared to an operating loss of approximately $500 during the comparable prior-year period. The increase in our operating loss primarily reflects continued strategic investment in expanding our sales and marketing initiatives and investment in the commercial infrastructure and administrative capabilities necessary to support future growth as well as our continued dedication to research and development necessary to develop new products. Management believes these investments position the Company for continued expansion of its physician network and recurring revenue base. Management believes continued growth in recurring revenue will improve the scalability of the Company’s business model and is expected to reduce operating expenses as a percentage of revenue over time. While the Company anticipates benefiting from increased operating leverage as revenues expand, it expects to continue making disciplined investments in personnel, technology and commercialization initiatives to support long-term growth. Accordingly, future operating results will depend on both the pace of revenue growth and the timing of these strategic investments.
Liquidity
is a measure of a company’s ability to generate funds to support its current and future operations, satisfy its obligations, and
otherwise operate on an ongoing basis. On MarchJune 31,30, 2026, we had current assets totaling $619,058,$682,933, including $362,088$317,392 of cash, $201,202$342,886
of accounts receivable, $27,517$8,814 of inventory, and $28,251$13,841 related to prepaid expenses and other current assets. At such datedate, we had total
current liabilities of $368,005$375,822 consisting of $218,136$248,485 in accounts payable, $19,688$31,789 in other current liabilitiesliabilities, and $130,181$95,548 representing
the currentdue portionsto ofrelated outstandingparty loans, including a related-party loan.balance. There were no balances classified as long-term liabilities
on our condensed consolidated balance sheets.
Cash and cash equivalents were approximately $317,000 at June 30, 2026, compared to approximately $636,000 at December 31, 2025, as we used approximately $208,061 to support operations and pay off debt obligations in the first half of 2026. The use of cash during this period primarily resulted from funding working capital requirements associated with our continued revenue growth, including increased accounts receivable balances. The use of cash in our operations reflects continued strategic investment in expanding our sales and marketing initiatives and investment in the commercial infrastructure and administrative capabilities necessary to support future growth as well as our continued dedication to research and development necessary to develop new products. These investments position us for continued expansion of our physician network and increasing our recurring revenue base. As revenue continues to increase and the portion of such increase represented by recurring revenues increases, management expects operating expenses to represent a lower percentage of revenue over time; however, future operating results will continue to depend upon the pace of revenue growth and our ongoing investment strategy.
Management believes our current cash position, anticipated collections of outstanding accounts receivable, and expected cash generated from future operations will provide sufficient liquidity to fund current operating requirements. Moreover, by substantially reducing our debt, we improved our ability to borrow funds should it become necessary. During the current quarter, the Company achieved profitability for the first time following a period of operating losses, and management's plans are focused on sustaining profitable operations and positive cash flows in future periods. However, because this return to profitability is recent and has not yet been demonstrated over an extended period, there can be no assurance that future operating results, cash flows, or profitability will continue at current levels or progress as planned. Accordingly, uncertainty remains regarding the Company's ability to sustain these improvements, and additional financing, if required, may not be available on favorable terms or at all. Management will continue to evaluate opportunities to strengthen liquidity and capital resources as it executes its long-term growth strategy.
We
used cash flows of $200,242 and $49,549 from operations during the three-month periods ending March 31, 2026 and 2025, respectively.
The
accompanying condensed consolidated financial statements have been prepared on a going concern basis, which contemplates the realization
of assets and the satisfaction of liabilities in the normal course of business. We had an accumulated deficit of $4,007,457$3,969,427 at MarchJune 30,
31, 2026, generated a net loss of $103,906$65,876 for the threesix months ended MarchJune 31,30, 2026 and generated net income of $457,417 for the year ended
ended December 31, 2025, principally as a result of a gain of $1,145,695 on the extinguishment of debt. We used cash in operations of $208,061
$200,242 in the quartersix months ended MarchJune 31,30, 2026, and generated cash from operations of $178,118 in the year ended December 31, 2025. Despite the
the extinguishment of much of our debt, our history of losses combined with the amount of our revenues, raise substantial doubt about our
our ability to continue as a going concern for a reasonable period of time. Our continuation as a going concern is dependent upon our ability
ability to generate positive cash flow from operations or obtain necessary equity or debt financing. The condensed consolidated financial statements
statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts
and classification
of liabilities that might be necessary should we be unable to continue as a going concern.
Our
working capital requirements are expected to increase in line with the growth of our business.business, expansion of our physician network
and increases in our recurring revenue platform. Growth in service-based revenue generally results in higher accounts receivable
balances during periods of rapid expansion due to normal billing and collection cycles. We will likely increase our debt
levels as
we seek to expand our business.business and believe any temporary increases in working capital requirements are consistent with our growth
strategy and expect cash collections to improve as recently generated receivables convert to cash. Existing working capitalcapital,
anticipated receivable collections, and anticipatedexpected operating cash flows are expected to be adequate to fund
our operations over the
next twelve monthsmonths. althoughHowever, because the Company’s return to profitability is recent,
there can be no assurance to that effectthe canfuture cash flows and operating results will be given.sustained. If necessary, we would seek to supplement the amounts
available to fund our operations
through the issuance of debt or equity.
While
we are focused on expanding our business,business we intend to remain focused on maintaining disciplined expense management, improving operating
cash flow, and expanding higher-margin recurring revenue streams while continuing to invest strategically in initiatives expected to
drive long-term shareholder value. As we seek to grow, we intend to continually explore our options to raise additional capital or, when
available, borrow additional
funds on terms which we believe are favorable to us. Additional issuances of equity or convertible debt
securities will result in dilution
to our current shareholders, could require the issuance of equity securities at prices we believe
are below our true value and could
cause the price of our common stock to decrease. Further, such securities might have rights, preferences
or privileges senior to our
common stock. Additional borrowings could require that we grant the lenders a security interest or other
rights that impede our ability
to operate as we deem best for our shareholders. Further, any default under a loan agreement could result
in an action which could force
us to seek bankruptcy protection. Additional financing may not be available upon acceptable terms, or
at all. If adequate funds are not
available or are not available on acceptable terms, we may not be able to maintain or expand our existing
operations, take advantage
of prospective new business endeavors or opportunities, which could significantly and materially restrict
our business and adversely
impact our financial results.
Our
ability to obtain funds through the issuance of debt or equity is dependent upon the state of the financial markets at such time as we
may seek to raise funds. The state of the capital markets may be adversely impacted by various risks and uncertainties, including, but
not limited to future and current impacts of global events such as wars in the Ukraine, Israel and Iran, increases in inflation and other
risks detailed in the risk factors sections detailed in our Annual Report on Form 10-K for the year ended December 31, 2025.
USAQ 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.
| Trade date | Insider | Transaction | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-08-26 | Marvin Smollar Family Trust Dtd 2/13/2023 |
Inheritance | 2,226,280 | — | — |
Well-known investors holding USAQ (13F)
None of the 59 investors we track reported a position in their latest 13F.