This discussion summarizes significant factors affecting the operating results,
financial condition and liquidity of
Overview of Financing Activities and Sources of Cash
From
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On
On such date, a total of 1,158,141 shares of Series A Preferred Stock were
issued in exchange for
Starting in December of 2020, we have entered into Series A Preferred Stock purchase agreements for our Series A Preferred Stock and started financing our shortfall in operations by issuance of Series A Preferred Stock under the agreement.
In 2020, we issued 8,158 of Series A Preferred Stock in exchange for
Each share of our Series A Preferred Stock is convertible at any time into 30
shares of our common stock (subject to adjustment as set forth in the
Certificate of Designation), which equates to the same conversion rate that
existed under our 2007 and 2014 Notes (as defined in "Debt" footnote). Each
share of Series A Preferred Stock is entitled to an annual dividend equal to
A summary of the terms of the Series A Preferred Stock are as follows:
· Each share of Series A Preferred Stock shall have a par value of$0.001 per share and a stated value equal to$42.90 (the "Stated Value"); · Each share of the Series A Preferred Stock then outstanding shall be entitled to receive an annual dividend equal to$3.43 , subject to proration related to the timing of issuance. Such dividend is designed to have an effective yield of 8% on invested Stated Value; · Each dividend shall be paid either in shares of Series A Preferred Stock or in cash, at the option of the Company, on the respective dividend date; · The holders of Series A Preferred Stock shall have no voting rights with respect to any matters to be voted on by the stockholders of the Company; · The holders of Series A Preferred Stock shall have certain Board observation and inspection rights administered through a designated Agent; · Each share of Series A Preferred Stock shall be convertible, at any time and from time to time, at the option of the Holder into 30 shares of common stock, which results in conversion ratio of$1.43 of stated value of Series A Preferred Stock into one share of common stock (the "Series A Preferred Conversion Price"); · The shares are subject to automatic conversion immediately prior to the occurrence of a Fundamental Transaction, as defined in a Certificate of Designation. A Fundamental Transaction includes, but is not limited to, a sale, merger or similar change in ownership. Comerica LSA
We have an outstanding Loan and Security Agreement (the "LSA") with
The LSA is secured by an extended irrevocable letter of credit issued by UBS AG
(
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Significance of Human Capital in Our Operations.
Our success depends on the performance of employees and contractors that make up
our team of about 30 individuals. The team is by far our largest investment and
cost. We make significant investments in technical skills and knowledge of
healthcare industry. As such, expansion of the team often comes with additional
recruiting expenses. All of our employees are currently based in
Comparison of Operating Results for Fiscal Years Ended
General Overview.
Due to COVID-19 pandemic 2020 was a year of significant uncertainty for the entire healthcare industry; activities were put on hold as the society was going through the acute phase. By the end of 2020 and the beginning of 2021, we regrouped and focused on building our team.
Results of Operations Year ended Year ended December 31, December 31, Increase Increase 2021 2020 (Decrease) $ Decrease % Revenue$ 1,572,884 $ 2,197,079 $ (624,195 ) -28 % Cost of Revenue 751,684 833,945 (82,261 ) -10 % Gross Profit 821,200 1,363,134 (541,934 ) -40 % Selling and Marketing 2,134,265 1,328,246 806,019 61 % Research and Development 3,531,935 2,820,222 711,713 25 % General and Administrative 2,972,422 3,325,366 (352,944 ) -11 % Interest Expense 290,597 6,040,630 (5,750,033 ) -95 % Loss on Debt Extinguishment 7,114,422 59,353,584 (52,239,162 ) -88 % Gain on Debt Extinguishment - PPP Loan Forgiveness$ 1,084,100 $ -$ 1,084,100 -
Revenue decreased by
Cost of Revenue decreased by
Gross Profit decreased by
Selling and Marketing expense increased by
Research and Development expense increased by
General and Administrative expense decreased by
Interest Expense decreased by
Gain on Debt Extinguishments of
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Liquidity and Capital Resources
We have not yet achieved positive cash flows from operations, and historically
our main source of funds for our operations had been the sale of our convertible
promissory notes issued under our convertible note facilities and subordinated
promissory notes to related parties. Subsequent to the exchange of debt for
Series A Preferred Stock that was completed on
During 2021 we issued 110,996 shares of our Series A Preferred Stock in exchange
for
Nonetheless, there are factors that can impact our ability to continue to fund our operating the next twelve months. These include:
· Our ability to expand revenue volume during and post the COVID-19 pandemic, when healthcare systems have been concentrating their efforts on emergency services and recovery from pandemic and they may postpone other initiatives; · Our ability to maintain product pricing as expected, particularly in light of increased competition and its unknown effects on market dynamics; · Our continued need to reduce our cost structure while simultaneously expanding the breadth of our business, enhancing our technical capabilities, and pursing new business opportunities; · Our ability to raise capital amidst global economic downturn in the wake of COVID-19 pandemic and increased geopolitical risks inEurope related to the conflict betweenRussia andUkraine , since our main investors are located inEurope .
In addition, if
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Capital Expenditures and Investing Activities
Our capital expenditures are limited to the purchase of new office equipment and new mobile devices that are used for testing. Cash used for investing activities was not significant and we do not plan any significant capital expenditures.
Going Concern
Our independent registered public accounting firm has issued an emphasis of matter paragraph in their report included in this Form 10-K in which they express substantial doubt as to our ability to continue as a going concern. The financial statements do not include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts or classification of liabilities that might be necessary should we be unable to continue as a going concern. Our continuation as a going concern depends on our ability to generate sufficient cash flows to meet our obligations on a timely basis, extend payment terms, to obtain additional financing that is currently required, and ultimately to attain profitable operations and positive cash flows. There can be no assurance that our efforts to raise capital or increase revenue will be successful. If our efforts are unsuccessful, we may have to cease operations and liquidate our business.
Critical accounting policies and estimates
The discussion and analysis of our financial condition and results of operations
are based upon our financial statements, which have been prepared in accordance
with generally accepted accounting principles in
We have identified the accounting policies below as critical to our business operations and the understanding of our results of operations.
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Revenue Recognition and Deferred Revenue
Revenue Recognition: General Overview and Performance Obligations to Customers
The Company derives revenue primarily from contracts for subscription to the suite of e-health mobile solutions and, to a much lesser degree, ancillary services provided in connection with subscription services.
The Company's contracts include the following performance obligations:
· Access to the content available on the App Blueprint Catalog, including
hosting of the deployed apps; · App Build and Managed Services; · Custom development work.
The majority of the Company's contracts are for subscription to a catalog of mobile App Blueprints, hosting of the deployed apps and related services. Custom work for specific deliverables is documented in the statements of work. Customers may enter into subscription and various statements of work concurrently or consecutively. Most of the Company's performance obligations are not considered to be distinct from the subscription to Blueprints, hosting of deployed apps and related services and are combined into a single performance obligation except for some custom development work which is capable of being distinct. New statements of work and modifications of contracts are reviewed each reporting period and significant judgment is applied as to nature and characteristics of the new or modified performance obligations on a contract by contract basis.
Revenue Recognition: Transaction Price of the Contract and Satisfaction of Performance Obligations
The transaction price of the contract is an aggregate amount of consideration payable by customer for delivery of contracted services. Transaction price is impacted by the terms of a contracted agreement with the customer. Such terms range from one to three years. The transaction price may include a significant financing component in instances where Company offers discounts for accelerated payments on the long-term contracts. A significant financing component is recorded in other assets and is amortized as interest expense in the Company's statement of operations over the term of the contract.
The transaction price is predominantly allocated to the single performance obligation of access to the Blueprints, hosting and related services and, to a lesser degree, allocated between the access and other distinct performance obligations based on the stand-alone selling price. The subscription revenue is then recognized over the term of the contract, using the output method of time elapsed. Other performance obligations identified are evaluated based on the specific terms of the agreement are usually recognized at a point in time upon delivery of a specific documented output. Management believes that such chosen methods faithfully depict satisfaction of Company performance obligations and transfer of benefit to the customers.
The full transaction price of the contract may be billed in its entirety or in agreed upon installments. Billed transaction price in excess of revenue recognized results in the recording of a contract liability. Unbilled portion of transaction price represents contracted consideration receivable by the Company that was not yet billed.
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Incremental Costs of Obtaining a Contract
The Company's incremental costs of obtaining a contract include sales
commissions and are recognized as other assets on the balance sheet for the
contracts with a term exceeding 12 months. These costs are amortized through the
term of the contract and are recorded as sales and marketing expense. As of
Contract Liabilities
A new contract liability is created every time the Company records receivables due from its customers and has not satisfied the requirements to recognize revenue. Contract liability represents Company's obligation to transfer services for which the Company has already invoiced. All of the contract liabilities will be recognized in revenue over a period of 12 to 36 months.
Share-Based Compensation
The Company measures share-based compensation cost at the grant date based on
the fair value of the award. The Company recognizes compensation cost on a
straight-line basis over the requisite service period. The requisite service
period is generally three years. The Company accounts for forfeitures as they
occur. The Company uses the simplified method allowed by
Fair Value Measurements
Certain debt and equity transactions require the Company to record newly issued financing instruments at fair value at the time of issuance. The Company follows guidance in ASC 820 Fair Value Measurements to determine fair value of such instruments. We use Level 3 from the fair value hierarchy prescribed by ASC 820. Level 3 inputs require us to use significant judgements and unobservable inputs when determining fair value of financing instruments. Such judgements and inputs are described in detail in footnote 6 in the financial statements that accompany this report.
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