Item 1.01. Entry into a Material Definitive Agreement.





Merger Agreement


On November 23, 2021, Clinigence Holdings, Inc., a Delaware corporation (the "Company"), entered into an Agreement and Plan of Merger (the "Merger Agreement") among the Company, Nutex Acquisition LLC, a Delaware limited liability company and wholly-owned subsidiary of the Company ("Merger Subsidiary"), Nutex Health Holdco LLC, a Delaware limited liability company ("Nutex"), Micro Hospital Holding LLC, a Texas limited liability company ("MHH") (solely for the purposes of certain Sections), Nutex Health LLC (solely for the purposes of certain Sections) and Thomas Vo, M.D., not individually but in his capacity as the representative of the equityholders of Nutex (the "Nutex Representative"). The Merger Agreement is attached hereto as Exhibit 99.1.

Under the terms of the Merger Agreement, Merger Subsidiary will merge with and into Nutex, with Nutex becoming a wholly-owned subsidiary of the Company (the "Merger").

In connection with the Merger Agreement, Nutex has entered into certain Contribution Agreements with holders of equity interests ("Nutex Owners") of subsidiaries and affiliates of Nutex and MHH (the "Nutex Subsidiaries") pursuant to which such Nutex Owners have agreed to contribute certain equity interests in the Nutex Subsidiaries to Nutex in exchange for specified equity interests in Nutex (collectively, the "Contribution Transaction").

Pursuant to the Merger Agreement, each unit representing an equity interest in Nutex issued and outstanding immediately prior to the effective time of the Merger but after the Contribution Transaction (collectively, the "Nutex Membership Interests") shall be converted into the right to receive 3.571428575 (the "Exchange Ratio") shares of common stock ("Company Common Stock") of the Company, par value $0.001 per share. The Exchange Ratio may be adjusted proportionally upward based on potential pre-Closing redemptions of Nutex Membership Interests taking into account any new debt incurred by Nutex to finance such redemptions.

The aggregate number of Nutex Membership Interests outstanding immediately prior to the Effective Time of the Merger will be equal to the aggregate EBITDA of Nutex and the contributing percentages of the Nutex Subsidiaries for the trailing 12-month period ended September 30, 2021 ("TTM EBITDA"). The aggregate number of shares of Company Common Stock to be issued in the Merger will be equal to (a) ten times TTM EBITDA (minus the aggregate debt of the Nutex Subsidiaries and Nutex facilities outstanding as of Closing, including any new debt incurred to finance the redemptions of Nutex Membership Interests divided by (b) $2.80 (the "Merger Consideration").

The transaction was approved by the Board of Directors of the Company. Consummation of the Merger is subject to various closing conditions, including, among other things, approval by the stockholders of the Company and listing of the Company Common Stock on the Nasdaq Capital Market.

Each of the Company and Nutex has made various representations and warranties and covenants in the Merger Agreement to the other party thereto. MHH is a party for purposes of certain covenants and Nutex covenants to enforce the contribution agreements in the Contribution Transaction and to compel MHH and its affiliates to effect the contribution required, including to cause MHH and all equity owners of MHH to contribute such equity owner's direct or indirect interest in the applicable Nutex Subsidiary to Nutex under the terms of the contribution agreement. In addition, Nutex Health LLC has guaranteed Nutex's obligations under the Merger Agreement, including prompt and complete payment in full as and when payable by Nutex.



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The Company will be required to pay a termination fee of one percent (1%) of the total Merger Consideration in the event that (i) a Parent Alternative Proposal (as defined in the Merger Agreement) is made to the Company stockholders or otherwise publicly disclosed, (ii) (A) the Company terminates the Merger Agreement to accept a Superior Proposal (as defined in the Merger Agreement) or if the Company's stockholders do not approve the Merger or (B) Nutex terminates the Merger Agreement if an Adverse Recommendation Change (as defined in the Merger Agreement) occurred, if the Company's stockholders do not approve the Merger or the Board changes its recommendation to the Company's stockholders to approve the Merger and (iii) within 12 months after the termination of the Merger Agreement, the Company enters into or consummates an Alternative Proposal.

The Merger Agreement provides that Thomas Vo, M.D., current Chief Executive Officer of Nutex, and Warren Hosseinion, M.D., current Chief Executive Officer of the Company, will be the Chief Executive Officer and President, respectively, of the Company upon closing of the Merger. The Board of Directors of the Company after completion of the Merger will include Thomas Vo and Warren Hosseinion and other appointees of Nutex.

The foregoing description of the Merger and the Merger Agreement does not purport to be complete and is qualified in its entirety by reference to the complete text of the Merger Agreement, a copy of which is filed herewith as Exhibit 99.1 and which is incorporated herein by reference.

The foregoing description of the Merger Agreement and the Merger and other transactions contemplated thereby may contain forward-looking statements, including information about management's view of future expectations, plans and prospects for the Company and projections concerning the combined organization following the Merger. In particular, words such as "predicts," "believes," "expects," "intends," "seeks," "estimates," "plans," "anticipates" and "is projected to" and similar conditional expressions and future or conditional verbs such as "will," "may," "might," "should," "would" and "could" are intended to identify forward-looking statements. In addition, our representatives may from time to time make oral forward-looking statements. Any such statements, other than those of historical fact, are forward-looking statements. Such statements are based on the current expectations and certain assumptions of the Company's management. Such statements are subject to a variety of known and unknown risks, uncertainties and other factors, many of which are beyond the control of the Company, which could cause the actual results, performance or achievements of the Company and its subsidiaries to be materially different than those that may be expressed or implied in such statements or anticipated on the basis of historical trends. Unknown or unpredictable factors also could have material adverse effects on the Company's future results. The Company cannot guarantee future results, levels of activity, performance or achievements. Accordingly, undue reliance should not be placed on these forward-looking statements. The forward-looking statements included herein are made only as of the date hereof. The Company undertakes no obligation to update or revise these forward-looking statements to reflect the impact of circumstances or events that arise after the date the forward-looking statement was made, except as required . . .

Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

On November 22, 2021, the Board approved an amendment to the employment agreement between Accountable Healthcare America, Inc., a subsidiary of the Company acquired by merger (as such employment agreement has been assumed by the Company) and Dr. Warren Hosseinion, Chief Executive Officer of the Company (the "Employment Agreement Amendment").

In connection with the Employment Agreement Amendment, the Company is obligated to pay to Dr. Hosseinion a tax gross-up payment for any Internal Revenue Code Section 280G taxes that are triggered as a result of the Payments (as defined in the Employment Agreement Amendment).

The foregoing description of the Employment Agreement Amendment does not purport to be complete and is subject to, and qualified in its entirety by reference to, the full text of the Employment Agreement Amendment which are attached as Exhibits 99.2 and is incorporated herein by reference.

Item 7.01. Regulation FD Disclosure.

On November 24, 2021, the Company issued a press release announcing the execution of the Merger Agreement. A copy of that press release is attached to this Current Report on Form 8-K as Exhibit 99.3.

The information furnished pursuant to this Item 7.01 and the accompanying Exhibit 99.3 shall not be deemed to be "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that Section and is not to be incorporated by reference into any filings of the Company.

Item 9.01. Financial Statements and Exhibits.





(d) Exhibits.



Exhibit No.  Description
99.1           Agreement and Plan of Merger dated as of November 23, 2021 among
             Clinigence Holdings, Inc., Nutex Acquisition LLC, Nutex Health
             Holdco LLC, Micro Hospital Holding LLC (solely for the purposes of
             certain Sections ), Nutex Health LLC (solely for the purposes of
             certain Sections) and Thomas T. Vo in his capacity as the Nutex
             Representative
99.2           Employment Agreement Amendment dated as of November 22, 2021
             between Clinigence Holdings, Inc., and Warren Hosseinion
99.3           Press Release dated November 24, 2021




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